Resilience in adversity among long-term survivors of AIDS.
OBJECTIVE
This study evaluated psychological and behavioral aspects of quality of life and medical care utilization in a population of gay men whose intake records at a New York City agency indicated the presence of an AIDS-defining opportunistic infection at least three years before entry into the study.


METHODS
Fifty-three men participated in a standardized psychiatric assessment of current mood disorders, psychiatric distress, future outlook, quality of life, and physical functioning using several clinician- and self-rated scales and a semistructured interview.


RESULTS
Almost all of the men had experienced more than one episode of life-threatening illness, and many had been led to believe that they had only months to live. Nevertheless, low rates of current syndromal mood disorders and psychiatric distress were found. Degree of physical impairment was unrelated to psychiatric distress or life satisfaction, although men with more limited physical function were less optimistic about the future.


CONCLUSIONS
Nearly all study participants displayed an extraordinary psychological resiliency and shared the conviction that good times lay ahead and that life continued to be worthwhile.
Rabkin
J G
JG
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY.
Remien
R
R
Katoff
L
L
Williams
J B
JB
D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology*; D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D006716:Homosexuality / Q000523:psychology*; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009519:New York City; D017060:Patient Satisfaction; D010552:Personality Assessment; D010865:Pilot Projects; D011788:Quality of Life; D012803:Sick Role; D014505:Urban Population