Distress, sleep difficulty, and fatigue in women co-infected with HIV and HPV.
Women with HIV infection report elevated and persisting psychosocial distress, sleep difficulty, and fatigue. The objective of this study was to examine psychosocial distress, sleep difficulty, and fatigue in a group of lower socioeconomic status women co-infected with HIV and HPV (N = 60). After controlling for relevant health behavioral and medical variables, multiple regression analyses indicated that greater psychosocial distress was associated with greater fatigue (p < .01), as well as greater sleep difficulty (p < .01). Sleep difficulty partially mediated the relationship between distress and fatigue (Sobel test, z = 2.39, p = .02). Stress management and sleep-based cognitive behavioral intervention approaches may be useful for treating fatigue in these women, possibly through reductions in psychosocial distress and improvements in sleep quality.
Marion
Ilona
I
Department of Psychology, University of Miami, Coral Gables, FL 33124, USA.
Antoni
Michael
M
Pereira
Deidre
D
Wohlgemuth
William
W
Fletcher
Mary Ann
MA
Simon
Trudi
T
O'Sullivan
Mary Jo
MJ
D000293:Adolescent; D000328:Adult; D005221:Fatigue / Q000150:complications*; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D015233:Models, Statistical; D030361:Papillomavirus Infections / Q000150:complications*; D011569:Psychiatric Status Rating Scales; D012893:Sleep Wake Disorders / Q000150:complications*; D013315:Stress, Psychological / Q000150:complications*