Youth living with HIV (YLH)
are at elevated risk of internalizing symptoms, although there is substantial
individual variability in adjustment.
We examined perceived HIV-related stigma,
shame-proneness, and avoidant coping as risk factors of internalizing symptoms
among YLH. Participants (N = 88; ages 12-24) completed self-report
measures of these potential risk factors and three domains of internalizing
symptoms (depressive, anxiety, and PTSD) during a regularly scheduled HIV
clinic visit.
Hierarchical regressions were conducted for each internalizing
symptoms domain, examining the effects of age, gender, and maternal education
(step 1), HIV-related stigma (step 2), shame- and guilt-proneness (step 3), and
avoidant coping (step 4). HIV-related stigma, shame-proneness, and avoidant
coping were each correlated with greater depressive, anxiety, and PTSD
symptoms. Specificity was observed in that shame-proneness, but not
guilt-proneness, was associated with greater internalizing symptoms.
In
multivariable analyses, HIV-related stigma and shame-proneness were each
related to greater depressive and PTSD symptoms. Controlling for the effects of
HIV-related stigma and shame-proneness, avoidant coping was associated with PTSD
symptoms.
The current findings highlight the potential importance of
HIV-related stigma, shame, and avoidant coping on the adjustment of YLH, as
interventions addressing these risk factors could lead to decreased
internalizing symptoms among YLH.
Purchase full article at: http://goo.gl/kdwSKF
By:
- 1Department of Psychiatry, GLAD Program, Drexel University, 4700 Wissahickon Avenue, Philadelphia, PA, 19144, USA. david.bennett@drexelmed.edu.
- 2Psychology Department, Immaculata University, Immaculata, PA, USA.
- 3Center for Family Intervention Science, Drexel University, Philadelphia, PA, USA.
- 4Government Affairs, Gilead Sciences Inc., Philadelphia, PA, USA.
More at: https://twitter.com/hiv_insight
No comments:
Post a Comment