title: Distress, sleep difficulty, and fatigue in women co-infected with HIV and HPV.
abstract: 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.
authors: Department of Psychology, University of Miami, Coral Gables, FL 33124, USA.
authors: Ilona
authors: I
authors: Marion
authors: Michael
authors: M
authors: Antoni
authors: Deidre
authors: D
authors: Pereira
authors: William
authors: W
authors: Wohlgemuth
authors: Mary Ann
authors: MA
authors: Fletcher
authors: Trudi
authors: T
authors: Simon
authors: Mary Jo
authors: MJ
authors: O'Sullivan
mesh_terms: 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*