title: Resilience, stress, and life quality in older adults living with HIV/AIDS.
abstract: OBJECTIVE
  This study tested the mediating effect of resilience on the relationship between life stress and health-related quality of life (HRQoL) in older people, 50 years of age and older, living with HIV/AIDS (OPLWHA).
  
  
  METHODS
  Data from 299 OPLWHA were analyzed using structural equation modeling (SEM) to define a novel resilience construct (represented by coping self-efficacy, active coping, hope/optimism, and social support) and to assess mediating effects of resilience on the association between life stress and HRQoL (physical, emotional, and functional/global well-being).
  
  
  RESULTS
  SEM analyses showed satisfactory model fit for both resilience and mediational models, with resilience mediating the associations between life stress and physical, emotional, and functional/global well-being.
  
  
  CONCLUSIONS
  Resilience may reduce the negative influence of life stress on physical, emotional, and functional/global well-being in OPLWHA. Interventions that build personal capacity, coping skills, and social support may contribute to better management of HIV/AIDS and increase HRQoL.
authors: Xindi
authors: X
authors: Fang
authors: Wilson
authors: W
authors: Vincent
authors: Sarah K
authors: SK
authors: Calabrese
authors: Timothy G
authors: TG
authors: Heckman
authors: Kathleen J
authors: KJ
authors: Sikkema
authors: Debbie L
authors: DL
authors: Humphries
authors: Nathan B
authors: NB
authors: Hansen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D044466:Asian People / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000208:ethnology* / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000523:psychology*; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D055500:Resilience, Psychological; D020377:Self Efficacy; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000208:ethnology* / Q000523:psychology
references: Psychosomatics. 2000 Mar-Apr;41(2):140-6
references: 10749952
references: J Adolesc Health. 2000 Dec;27(6):391-8
references: 11090741
references: Aging Ment Health. 2002 May;6(2):121-8
references: 12028880
references: JAMA. 1975 Dec 15;234(11):1146-9
references: 1242427
references: Int J Psychiatry Med. 2002;32(4):361-78
references: 12779186
references: J Health Psychol. 2003 Nov;8(6):738-52
references: 14670207
references: J Trauma Stress. 2006 Aug;19(4):449-60
references: 16929500
references: AIDS Patient Care STDS. 2006 Nov;20(11):782-91
references: 17134352
references: Health Soc Work. 2006 Nov;31(4):299-308
references: 17176977
references: Ann N Y Acad Sci. 2006 Dec;1094:105-15
references: 17347344
references: AIDS Patient Care STDS. 2007 Oct;21(10):740-52
references: 17949273
references: Clin Infect Dis. 2007 Dec 15;45(12):1593-601
references: 18190322
references: Clin Infect Dis. 2008 Aug 15;47(4):542-53
references: 18627268
references: Res Theory Nurs Pract. 2008;22(4):273-87
references: 19093664
references: Psychol Bull. 2009 Jan;135(1):121-41
references: 19210056
references: J Behav Med. 2011 Apr;34(2):102-11
references: 20857188
references: World Psychiatry. 2010 Oct;9(3):145-54
references: 20975856
references: AIDS Patient Care STDS. 2011 Jun;25(6):371-81
references: 21492004
references: Med Educ. 2012 Apr;46(4):349-56
references: 22429170
references: J Health Psychol. 2013 Feb;18(2):198-211
references: 22453164
references: Dev Psychopathol. 2012 May;24(2):335-44
references: 22559117
references: J Assoc Nurses AIDS Care. 2013 Jan-Feb;24(1):38-49
references: 22687445
references: J Acquir Immune Defic Syndr. 2012 Jul 1;60 Suppl 1:S1-18
references: 22688010
references: J Child Psychol Psychiatry. 2013 Apr;54(4):423-44
references: 22943414
references: Am J Public Health. 2013 Mar;103(3):e7-e15
references: 23327276
references: Gerontologist. 2013 Dec;53(6):963-72
references: 23355449
references: Multivariate Behav Res. 2005 Apr 1;40(2):235-59
references: 26760108
references: Multivariate Behav Res. 1990 Apr 1;25(2):173-80
references: 26794479
references: J Clin Psychiatry. 1987 Aug;48(8):314-8
references: 3611032
references: AIDS Care. 1996 Feb;8(1):15-31
references: 8664366
references: Int J STD AIDS. 1996;7 Suppl 2:75-82
references: 8799801
references: Qual Life Res. 1997 Aug;6(6):572-84
references: 9330556