title: The Role of Emotional Avoidance, the Patient-Provider Relationship, and Other Social Support in ART Adherence for HIV+ Individuals.
abstract: Adherence to antiretroviral therapy (ART) is associated with positive health outcomes among HIV+ patients. However, non-adherence remains high. Though factors that account for non-adherence remain unclear, social support has been consistently associated with ART adherence. As such, identifying malleable factors that hinder patients' ability to form supportive relationships may have consequence for improving ART adherence. Emotional avoidance (EA) may be one such factor given that it has been linked to difficulties in social situations. The present study examined relations among EA, the patient-provider relationship, other sources of social support, and ART adherence within a sample of HIV+ ART-prescribed patients. High EA was related to poor adherence and patient-provider relationships. EA was indirectly related to poor adherence through poorer patient-provider interactions. The indirect relation of EA to ART adherence through other sources of social support was not significant. Implications for developing targeted behavioral interventions focused on improving ART adherence are discussed.
authors.affiliation: Department of Psychology, The University of Toledo, 2801 West Bancroft Street, Toledo, OH, 43606, USA. cberghoff@gmail.com.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Berghoff
authors.affiliation: Department of Psychology, The University of Toledo, 2801 West Bancroft Street, Toledo, OH, 43606, USA.
authors.forename: Kim L
authors.initials: KL
authors.lastname: Gratz
authors.affiliation: Department of Psychology, Jackson State University, Jackson, MS, USA.
authors.forename: Kaitlin J
authors.initials: KJ
authors.lastname: Portz
authors.affiliation: Alpert Medical School, Brown University, Providence, RI, USA.|Behavioral Medicine Service of the Immunology Clinic, The Miriam Hospital, Providence, RI, USA.
authors.forename: Megan
authors.initials: M
authors.lastname: Pinkston
authors.affiliation: Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: James A
authors.initials: JA
authors.lastname: Naifeh
authors.affiliation: Department of Psychology, Jackson State University, Jackson, MS, USA.
authors.forename: Shenell D
authors.initials: SD
authors.lastname: Evans
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Konkle-Parker
authors.affiliation: Department of Psychology, The University of Toledo, 2801 West Bancroft Street, Toledo, OH, 43606, USA.
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Tull
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active / Q000379:methods*; D001362:Avoidance Learning; D004644:Emotions; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D059408:Pain Management; D011369:Professional-Patient Relations; D012944:Social Support; D016903:Drug Monitoring
keywords: Adherence; Antiretroviral therapy; Emotional avoidance; Patient–provider relationship; Social support