General Hospital Psychiatry
Volume 32, Issue 1 , Pages 73-79 , January 2010

Psychological well-being in persons receiving HIV-related mental health services: the role of personal meaning in a stress and coping model

  • Eugene W. Farber, Ph.D.

      Affiliations

    • Emory University School of Medicine, Atlanta, GA 30322, USA
    • Corresponding Author InformationCorresponding author. Grady Infectious Disease Program, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 341 Ponce de Leon Avenue, Atlanta, GA 30322, USA. Tel.: +1 404 616 6862.
    • ,
  • Jeshmin Bhaju, Ph.D.

      Affiliations

    • Emory University School of Medicine, Atlanta, GA 30322, USA
    • ,
  • Peter E. Campos, Ph.D.

      Affiliations

    • PECDOC Research and Evaluation Services, Decatur, GA 30033, USA
    • ,
  • Kimya E. Hodari, M.A.

      Affiliations

    • Emory University School of Medicine, Atlanta, GA 30322, USA
    • ,
  • Veronica J. Motley, M.A.

      Affiliations

    • Emory University School of Medicine, Atlanta, GA 30322, USA
    • ,
  • Blessing E. Dennany, M.A.

      Affiliations

    • Emory University School of Medicine, Atlanta, GA 30322, USA
    • ,
  • Magdalene E. Yonker, B.A.

      Affiliations

    • Emory University School of Medicine, Atlanta, GA 30322, USA
    • ,
  • Sanjay M. Sharma, M.D.

      Affiliations

    • Emory University School of Medicine, Atlanta, GA 30322, USA

Received 27 March 2009 ,Accepted 23 September 2009.

References 

  1. Pence BW, Miller WC, Whetten K, Eron JJ, Gaynes BN. Prevalence of DSM-IV-defined mood, anxiety, and substance use disorders in an HIV clinic in the southeastern United States. J Acquir Immune Defic Syndr. 2006;42:298–306
  2. Bing EG, Burnam MA, Longshore D, et al. Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Arch Gen Psychiatry. 2001;58:721–728
  3. Moskowitz JT, Hult JR, Bussolari C, Acree M. What works in coping with HIV? A meta-analysis with implications for coping with serious illness. Psychol Bull. 2009;135:121–141
  4. Gore-Felton C, Koopman C, Spiegel D, et al. Effects of quality of life and coping on depression among adults living with HIV/AIDS. J Health Psychol. 2006;11:711–729
  5. Chesney MA, Chambers DB, Taylor JM, Johnson LM, Folkman S. Coping effectiveness training for men living with HIV: results from a randomized clinical trial testing a group-based intervention. Psychosom Med. 2003;65:1038–1046
  6. Scott-Sheldon LA, Kalichman SC, Carey MP, Fielder RL. Stress management interventions for HIV+ adults: a meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychol. 2008;27:129–139
  7. Frankl VE. The will to meaning: foundations and applications of logotherapy. New York: New American Library; 1969;
  8. Yalom ID. Existential psychotherapy. New York: Basic Books; 1980;
  9. Wong PTP. Meaning-centered counseling. In:  Wong PTP,  Fry PS editor. The Human Quest for Meaning: A Handbook of Psychological Research and Clinical Applications. Mahwah (NJ): Lawrence Erlbaum; 1998;p. 395–435
  10. Janoff-Bulman R, Yopyk DJ. Random outcomes and valued commitments: existential dilemmas and the paradox of meaning. In:  Greenberg J,  Koole SL,  Pyszczynski T editor. Handbook of Experimental Existential Psychology. New York: Guilford Press; 2004;p. 122–138
  11. Park CL, Folkman S. Meaning in the context of stress and coping. Rev Gen Psychol. 1997;1:115–144
  12. Fife BL. The role of constructed meaning in adaptation to the onset of life-threatening illness. Soc Sci Med. 2005;61:2132–2143
  13. Moskowitz JT, Wrubel J. Coping with HIV as a chronic illness: a longitudinal analysis of illness appraisals. Psychol Health. 2005;20:509–531
  14. Schwartzberg SS. Struggling for meaning: how HIV-positive gay men make sense of AIDS. Prof Psychol Res Pract. 1993;24:483–490
  15. Farber EW, Mirsalimi H, Williams KA, McDaniel JS. Meaning of illness and psychological adjustment to HIV/AIDS. Psychosomatics. 2003;44:485–491
  16. Westling E, Garcia K, Mann T. Discovery of meaning and adherence to medications in HIV-infected women. J Health Psychol. 2007;12:627–635
  17. Battista J, Almond R. The development of meaning in life. Psychiatry. 1973;36:409–427
  18. Debats DL. Measurement of personal meaning: the psychometric properties of the Life Regard Index. In:  Wong PTP,  Fry PS editor. The Human Quest for Meaning: A Handbook of Psychological Research and Clinical Applications. Mahwah (NJ): Lawrence Erlbaum; 1998;p. 237–259
  19. Ouellette SC. The value and limitations of stress models in HIV/AIDS. In:  Dohrenwend BP editors. Adversity, Stress, and Psychopathology. New York: Oxford University Press; 1998;p. 142–160
  20. Maes S, Leventhal H, De Ridder DTD. Coping with chronic diseases. In:  Zeidner M,  Endler NS editor. Handbook of Coping: Theory, Research, Applications. New York: John Wiley & Sons; 1996;p. 221–251
  21. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984;
  22. Pakenham KI, Rinaldis M. The role of illness, resources, appraisal, and coping strategies in adjustment to HIV/AIDS: The direct and buffering effects. J Behav Med. 2001;24:259–279
  23. Heckman TG. The chronic illness quality of life (CIQOL) model: explaining life satisfaction in people living with HIV disease. Health Psychol. 2003;22:140–147
  24. Park CL, Folkman S, Bostrom A. Appraisals of controllability and coping in caregivers and HIV+ men: testing the goodness-of-fit hypothesis. J Consult Clin Psychol. 2001;69:481–488
  25. Taylor SE, Kemeny ME, Aspinwall LG, et al. Optimism, coping, psychological distress, and high-risk sexual behavior among men at risk for acquired immunodeficiency syndrome (AIDS). J Pers Soc Psychol. 1992;63:460–473
  26. Scheier MF, Carver CS. Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychol. 1985;4:219–247
  27. Sherbourne CD, Stewart AL. The MOS Social Support Survey. Soc Sci Med. 1991;32:705–714
  28. Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. J Pers Soc Psychol. 1994;67:1063–1078
  29. Endler NS, Parker JDA, Summerfeldt LJ. Coping with health problems. Developing a reliable and valid multidimensional measure. Psychol Assess. 1998;10:195–205
  30. Fazio AF. A concurrent validational study of the NCHS General Well-Being Schedule. Vital Health Stat 2. 1977;73:1–53
  31. Taylor JE, Poston WSC, Haddock CK, et al. Psychometric characteristics of the General Well-Being Schedule (GWB) with African American women. Qual Life Res. 2003;12:31–39
  32. Baron RM, Kenny DA. The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173–1182
  33. Holmbeck GN. Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: examples from the child-clinical and pediatric psychology literatures. J Consult Clin Psychol. 1997;65:599–610
  34. Scheier MF, Carver CS, Bridges MW. Optimism, pessimism, and psychological well-being. In:  Chang EC editors. Optimism and Pessimism: Implications for Theory, Research, and Practice. Washington (DC): American Psychological Association; 2001;p. 189–216
  35. Symister P, Friend R. The influence of social support and problematic support on optimism and depression in chronic illness: a prospective study evaluating self-esteem as a mediator. Health Psychol. 2003;22:123–129
  36. Uchino BN. Social support and physical health: understanding the health consequences of relationships. New Haven (CT): Yale University Press; 2004;
  37. Pretzer JL, Walsh CA. Optimism, pessimism, and psychotherapy: implications for clinical practice. In:  Chang EC editors. Optimism and Pessimism: Implications for Theory, Research, and Practice. Washington (DC): American Psychological Association; 2001;p. 321–346
  38. Chesney M, Folkman S, Chambers D. Coping effectiveness training for men living with HIV: preliminary findings. Int J STD AIDS. 1996;7(Suppl. 2):75–82
  39. Gore-Felton C, Rotheram-Borus MJ, Weinhardt LS, et al. The healthy living project: an individually tailored multidimensional intervention for HIV-infected persons. AIDS Educ Prev. 2005;17(Suppl. A):21–39

☆ This work was supported by a grant from the Substance Abuse and Mental Health Services Administration (SAMHSA grant no. 5U79SM057701).

PII: S0163-8343(09)00185-6

doi: 10.1016/j.genhosppsych.2009.09.011

General Hospital Psychiatry
Volume 32, Issue 1 , Pages 73-79 , January 2010

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