title: Social support and maladaptive coping as predictors of the change in physical health symptoms among persons living with HIV/AIDS.
abstract: This study examined social support and maladaptive coping as predictors of HIV-related health symptoms. Sixty-five men and women living with HIV/AIDS completed baseline measures assessing coping strategies, social support, and HIV-related health symptoms. The sample was primarily low-income and diverse with respect to gender, ethnicity, and sexual orientation. Three, 6, and 12 months after completing baseline assessments, physical health symptoms associated with HIV disease were assessed. After controlling for demographic characteristics, CD4 T-cell count, and baseline HIV-related health symptoms, individuals reporting lower increase in HIV-related health symptoms used less venting (expressing emotional distress) as a strategy for coping with HIV. However, when satisfaction with social support was added to the model, the use of this coping strategy was no longer significant, and individuals reporting more satisfying social support were more likely to report lower increase in their HIV-related health symptoms, suggesting that social support is a robust predictor of health outcomes over time independent of coping style and baseline medical status. These findings provide further evidence that social support can buffer deleterious health outcomes among individuals with a chronic illness. Future research needs to examine mediating pathways that can explain this relationship.
authors.affiliation: Stanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, Stanford, California 94305-5718, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Ashton
authors.forename: Mark
authors.initials: M
authors.lastname: Vosvick
authors.forename: Margaret
authors.initials: M
authors.lastname: Chesney
authors.forename: Cheryl
authors.initials: C
authors.lastname: Gore-Felton
authors.forename: Cheryl
authors.initials: C
authors.lastname: Koopman
authors.forename: Kristen
authors.initials: K
authors.lastname: O'Shea
authors.forename: José
authors.initials: J
authors.lastname: Maldonado
authors.forename: Michael H
authors.initials: MH
authors.lastname: Bachmann
authors.forename: Dennis
authors.initials: D
authors.lastname: Israelski
authors.forename: Jason
authors.initials: J
authors.lastname: Flamm
authors.forename: David
authors.initials: D
authors.lastname: Spiegel
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011615:Psychotherapy, Group; D012944:Social Support; D011795:Surveys and Questionnaires