title: Coping strategies and emotional wellbeing among HIV-infected men and women experiencing AIDS-related bereavement.
abstract: AIDS influences the psychological coping not only of the person with the disease but also those close to that individual. Following a death from AIDS, family members and friends may experience atypical bereavement. Bereavement coping challenges can be especially difficult and pronounced for persons who are themselves HIV-positive. The prevalence of AIDS-related bereavement and psychosocial predictors of grief severity were examined in an ethnically diverse sample of 199 HIV-infected men and women. Eighty per cent of HIV-positive respondents had experienced the loss of someone close to AIDS, the majority of whom had sustained multiple and repetitive losses. Two-thirds of the participants who had experienced an AIDS-related loss reported grief symptoms in the past month. Hierarchical regression analyses revealed that grief was most closely associated with emotional suppression and avoiding coping strategies, with residual variance related to depression. Interventions for AIDS-related bereavement that reduce distress and maladaptive ways of coping are needed in order to meet the secondary prevention needs of bereaved people living with HIV/AIDS.
authors.affiliation: Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, USA. kathleen.sikkema@yale.edu
authors.forename: K J
authors.initials: KJ
authors.lastname: Sikkema
authors.forename: S C
authors.initials: SC
authors.lastname: Kalichman
authors.forename: R
authors.initials: R
authors.lastname: Hoffmann
authors.forename: J J
authors.initials: JJ
authors.lastname: Koob
authors.forename: J A
authors.initials: JA
authors.lastname: Kelly
authors.forename: T G
authors.initials: TG
authors.lastname: Heckman
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D001601:Bereavement; D003863:Depression / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012044:Regression Analysis; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology; D014922:Wisconsin / Q000453:epidemiology