title: Predictors of psychological well-being in a diverse sample of HIV-positive patients receiving highly active antiretroviral therapy.
abstract: The purpose of the present study was to identify variables relevant to psychological well-being in HIV patients receiving highly active antiretroviral therapy (HAART). Multiple stressors accompany living with HIV while managing a HAART regimen. However, a variety of cognitive and behavioral variables can protect against or augment the deleterious effects of stress in this population. The authors hypothesized that satisfaction with social support, coping styles, and maladaptive attributions about HIV would explain more variance in psychological well-being than stressful life events per se. Participants were individuals with HIV receiving antiretroviral therapy-either starting a new HAART regimen or having difficulties adhering to their current regimen. Satisfaction with social support, coping styles, and punishment beliefs about HIV were uniquely associated with depression, quality of life, and self-esteem over and above the effects of stressful life events. These results provide support for continued psychosocial interventions that target these variables among patients with HIV.
authors.affiliation: Fenway Community Health, Boston, MA, USA. ssafren@partners.org
authors.forename: Steven A
authors.initials: SA
authors.lastname: Safren
authors.forename: Adam S
authors.initials: AS
authors.lastname: Radomsky
authors.forename: Michael W
authors.initials: MW
authors.lastname: Otto
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Salomon
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000328:Adult; D000368:Aged; D023241:Antiretroviral Therapy, Highly Active / Q000523:psychology*; D015331:Cohort Studies; D003866:Depressive Disorder / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000523:psychology* / Q000628:therapy*; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology; D012649:Self Concept; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology