title: Resilience Moderates the Association Between Childhood Sexual Abuse and Depressive Symptoms Among Women with and At-Risk for HIV.
abstract: Childhood sexual abuse (CSA) places women at risk for HIV infection and once infected, for poor mental health outcomes, including lower quality of life and depressive symptoms. Among HIV-positive and demographically matched HIV-negative women, we investigated whether resilience and HIV status moderated the relationships between CSA and health indices as well as the relationships among CSA, depressive symptoms, and health-related quality of life (HRQOL). Participants included 202 women (138 HIV+, 64 HIV-, 87 % African American) from the Women's Interagency HIV Study Chicago CORE Center site. Results indicated that in both HIV-positive and HIV-negative women, higher resilience significantly related to lower depressive symptoms and higher HRQOL. CSA related to higher depressive symptoms only for women scoring low in resilience. Interventions to promote resilience, especially in women with a CSA history, might minimize depressive symptoms and poor HRQOL among HIV-positive and HIV-negative women.
authors.affiliation: Department of Psychology, Boston University, 648 Beacon Street, Boston, MA, 02215, USA, skdale@mgh.harvard.edu.
authors.forename: Sannisha K
authors.initials: SK
authors.lastname: Dale
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Weber
authors.forename: Mardge H
authors.initials: MH
authors.lastname: Cohen
authors.forename: Gwendolyn A
authors.initials: GA
authors.lastname: Kelso
authors.forename: Ruth C
authors.initials: RC
authors.lastname: Cruise
authors.forename: Leslie R
authors.initials: LR
authors.lastname: Brody
mesh_terms: D000328:Adult; D002641:Chicago / Q000453:epidemiology; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D055500:Resilience, Psychological; D012307:Risk Factors; D012725:Sexual Behavior / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
references.citation: PLoS One. 2012;7(6):e39879
references.pmid: 22768152
references.citation: AIDS Care. 2009 May;21(5):645-54
references.pmid: 19444674
references.citation: Soc Work Health Care. 2001;32(4):93-111
references.pmid: 11451159
references.citation: Am J Psychiatry. 2002 Jul;159(7):1237-9
references.pmid: 12091208
references.citation: Biol Psychiatry. 2003 Feb 15;53(4):292-303
references.pmid: 12586448
references.citation: Am J Public Health. 2000 Apr;90(4):560-5
references.pmid: 10754970
references.citation: Psychol Sci. 2006 Mar;17(3):181-6
references.pmid: 16507055
references.citation: J Womens Health Gend Based Med. 2002 Jun;11(5):441-51
references.pmid: 12165161
references.citation: JAMA. 2001 Mar 21;285(11):1466-74
references.pmid: 11255423
references.citation: Clin Diagn Lab Immunol. 2005 Sep;12(9):1013-9
references.pmid: 16148165
references.citation: Psychol Women Q. 2014 Sep 1;38(3):311-326
references.pmid: 25492991
references.citation: Am J Public Health. 2004 Jul;94(7):1133-40
references.pmid: 15226133
references.citation: Clin Psychol Rev. 2006 Oct;26(6):796-812
references.pmid: 16797807
references.citation: J Acquir Immune Defic Syndr. 2008 Apr 1;47(4):506-13
references.pmid: 18176319
references.citation: Health Care Women Int. 1999 Jan-Feb;20(1):93-103
references.pmid: 10335159
references.citation: Psychosomatics. 2000 Mar-Apr;41(2):140-6
references.pmid: 10749952
references.citation: Health Psychol. 2013 Feb;32(2):121-7
references.pmid: 22775234
references.citation: Soc Sci Med. 2012 Mar;74(5):753-6
references.pmid: 22300714
references.citation: J Adv Nurs. 1997 Jan;25(1):123-9
references.pmid: 9004020
references.citation: J Rural Health. 2009 Fall;25(4):415-9
references.pmid: 19780924
references.citation: Science. 2003 Jul 18;301(5631):386-9
references.pmid: 12869766
references.citation: J Affect Disord. 2009 Apr;114(1-3):286-93
references.pmid: 18957273
references.citation: Psychosom Med. 2008 Jun;70(5):531-8
references.pmid: 18541904
references.citation: J Trauma Stress. 2007 Dec;20(6):1019-28
references.pmid: 18157881
references.citation: Am J Psychiatry. 2007 Nov;164(11):1707-13
references.pmid: 17974936
references.citation: Qual Life Res. 2005 May;14(4):945-57
references.pmid: 16041892
references.citation: AIDS Care. 2006 Feb;18(2):93-100
references.pmid: 16338766
references.citation: Epidemiology. 1998 Mar;9(2):117-25
references.pmid: 9504278
references.citation: Am J Public Health. 2004 Jul;94(7):1147-51
references.pmid: 15226135
references.citation: Am J Psychiatry. 2004 Feb;161(2):195-216
references.pmid: 14754765
references.citation: BMJ Open. 2014 Feb 24;4(2):e004200
references.pmid: 24566532
references.citation: J Consult Clin Psychol. 1997 Aug;65(4):599-610
references.pmid: 9256561
references.citation: AIDS Res Ther. 2006 Mar 20;3:6
references.pmid: 16549012
references.citation: J Adolesc. 2003 Feb;26(1):1-11
references.pmid: 12550818
references.citation: Arch Gen Psychiatry. 2005 Jun;62(6):593-602
references.pmid: 15939837
references.citation: AIDS Behav. 2007 Jan;11(1):49-60
references.pmid: 16858634
references.citation: J Psychopharmacol. 2012 Jun;26(6):778-83
references.pmid: 21926426
references.citation: J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Mar 1;8(3):253-65
references.pmid: 7859137
references.citation: J Womens Health (Larchmt). 2011 Sep;20(9):1287-95
references.pmid: 21732738
references.citation: AIDS Behav. 2012 Nov;16(8):2160-70
references.pmid: 22426597
references.citation: Perspect Psychiatr Care. 2010 Jan;46(1):56-64
references.pmid: 20051079
references.citation: Child Abuse Negl. 2001 Mar;25(3):335-46
references.pmid: 11414393
references.citation: Health Psychol. 2005 Jan;24(1):32-40
references.pmid: 15631560
references.citation: J Pediatr Nurs. 2002 Apr;17(2):89-95
references.pmid: 12029602
references.citation: AIDS Behav. 2014 Jul;18(7):1237-46
references.pmid: 24077930
references.citation: Soc Sci Med. 2001 Jan;52(2):315-22
references.pmid: 11144787
references.citation: Depress Anxiety. 2003;18(2):76-82
references.pmid: 12964174
references.citation: MMWR Morb Mortal Wkly Rep. 2013 Mar 15;62(10):183-8
references.pmid: 23486383
references.citation: Neuropsychology. 2004 Apr;18(2):212-8
references.pmid: 15099143
references.citation: J Psychiatr Res. 2010 Mar;44(4):236-41
references.pmid: 19665730
references.citation: J Pediatr Psychol. 2002 Jan-Feb;27(1):87-96
references.pmid: 11726683
references.citation: J Affect Disord. 2010 Nov;126(3):411-4
references.pmid: 20488545
references.citation: Behav Genet. 2012 May;42(3):366-77
references.pmid: 22101958