title: Pain-related anxiety in relation to anxiety and depression among persons living with HIV/AIDS.
abstract: Persons living with HIV/AIDS (PLHA) experience clinically significant pain as a result of HIV and such pain is often related to increased levels of anxiety/depression. Pain-related anxiety has been identified as a mechanism in the onset and progression of pain experience and associated affective distress. However, there has not been empirical study of pain-related anxiety in relation to affective processes among PLHA. To address this gap, hierarchical multiple regressions were conducted using SPSS v.21 to examine pain-related anxiety (as measured using the Pain Anxiety Symptoms Scale) in relation to anxiety and depressive symptoms (as measured using the Mood and Anxiety Symptoms Questionnaire) among 93 PLHA (10.8% female; Mean age = 49.63, SD = 8.89). Pain-related anxiety was significantly related to anxious arousal symptoms (β = .43) and anhedonic depressive symptoms (β = .25); effects were evident beyond the variance accounted for by CD4 count, race, sex, income level, and current level of bodily pain. The present results suggest that pain-related anxiety may play a role in the experience of anxiety and depressive symptoms among PLHA.
authors.affiliation: a Department of Psychology , University of Houston , Houston , TX , USA.
authors.forename: Charles P
authors.initials: CP
authors.lastname: Brandt
authors.affiliation: a Department of Psychology , University of Houston , Houston , TX , USA.|b Department of Behavioral Sciences , University of Texas MD Anderson Cancer Center , Houston , TX , USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Zvolensky
authors.affiliation: a Department of Psychology , University of Houston , Houston , TX , USA.
authors.forename: Stephanie D
authors.initials: SD
authors.lastname: Daumas
authors.affiliation: c Department of Psychology , University of Vermont , Burlington , VT , USA.
authors.forename: Kristin W
authors.initials: KW
authors.lastname: Grover
authors.affiliation: d Department of Psychiatry , Stony Brook University , Stony Brook , NY , USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Gonzalez
mesh_terms: D000328:Adult; D000339:Affect; D001007:Anxiety / Q000150:complications / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000503:physiopathology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000523:psychology*; D010147:Pain Measurement; D011569:Psychiatric Status Rating Scales; D011795:Surveys and Questionnaires
keywords: AIDS; HIV; Pain anxiety; anxiety; depression