title: Psychological adaptation and distress among HIV+ Latina women: adaptation to HIV in a Mexican American cultural context.
abstract: In order to examine the relative importance of general individual orientations (mastery and self-esteem) and specific coping styles with regard to psychological distress among women with HIV, data are examined from a pilot study involving in-depth face-to-face interviews with 32 HIV+ Latinas receiving care at 4 clinics serving the South Texas population. Interviews were conducted to provide preliminary psychometric information on coping and distress instruments in this predominantly Mexican American population as well as to examine psychosocial factors related to individual adjustment to HIV among Latina females. Refusal rates were low in this study (approximately 10%) and measurement instruments generally had acceptable internal consistency reliability. Results of exploratory multiple regression analyses suggest that self-esteem and mastery may be more salient predictors of depression and anxiety symptoms than are specific coping strategies.
authors.affiliation: Department of Psychiatry, University of Texas Health Science Center, San Antonio, USA. jneff@mmc.edu
authors.forename: James Alan
authors.initials: JA
authors.lastname: Neff
authors.forename: Nancy
authors.initials: N
authors.lastname: Amodei
authors.forename: Smaranda
authors.initials: S
authors.lastname: Valescu
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Pomeroy
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000523:psychology*; D006801:Humans; D017058:Mexican Americans / Q000523:psychology*; D008960:Models, Psychological; D011594:Psychometrics; D012649:Self Concept; D020377:Self Efficacy; D012947:Social Work; D013781:Texas / Q000453:epidemiology; D014481:United States; D016387:Women's Health