title: Negative HIV-specific expectancies and AIDS-related bereavement as predictors of symptom onset in asymptomatic HIV-positive gay men.
abstract: This study examined negative HIV-related expectancies, AIDS-related bereavement, and the interaction of expectancies and bereavement as predictors of the onset of significant HIV-related symptoms among previously asymptomatic HIV-positive gay men. From a longitudinal psychobiological investigation, 72 men were selected who had been HIV-positive and asymptomatic from study entry (approximately 3 years). Participants were followed for an additional 2 1/2 to 3 1/2 years after psychosocial assessment, with symptom status assessed every 6 months. The interaction of negative HIV-specific expectancies and bereavement was a significant predictor of symptom onset. Negative HIV-specific expectancies predicted the subsequent development of symptoms among bereaved men, controlling for immunological status, use of zidovudine, high-risk sexual behavior, substance use, and depression.
authors.affiliation: Department of Psychiatry and Biobehavioral Sciences, School of Medicine, University of California, Los Angeles 90095-1563, USA.
authors.forename: G M
authors.initials: GM
authors.lastname: Reed
authors.forename: M E
authors.initials: ME
authors.lastname: Kemeny
authors.forename: S E
authors.initials: SE
authors.lastname: Taylor
authors.forename: B R
authors.initials: BR
authors.lastname: Visscher
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D001601:Bereavement; D018791:CD4 Lymphocyte Count; D015658:HIV Infections / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011379:Prognosis; D011446:Prospective Studies