Coping with HIV Stigma: Do Proactive Coping and Spiritual Peace Buffer the Effect of Stigma on Depression?

被引：59

作者：

Chaudoir, Stephenie R. ^{[1
]}

Norton, Wynne E. ^{[2
]}

Earnshaw, Valerie A. ^{[3
]}

Moneyham, Linda ^{[4
]}

Mugavero, Michael J. ^{[5
]}

Hiers, Kathie M. ^{[6
]}

机构：

[1] Bradley Univ, Dept Psychol, Peoria, IL 61625 USA

[2] Univ Alabama Birmingham, Dept Hlth Behav, Birmingham, AL USA

[3] Yale Univ, Ctr Interdisciplinary Res AIDS, New Haven, CT USA

[4] Univ Alabama Birmingham, Sch Nursing, Birmingham, AL USA

[5] Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA

[6] AIDS Alabama, Birmingham, AL USA

来源：

AIDS AND BEHAVIOR | 2012年 / 16卷 / 08期

关键词：

Stigma; HIV/AIDS; Coping; Spiritual peace; Depression; GOODNESS-OF-FIT; MENTAL-HEALTH; RISK BEHAVIOR; UNITED-STATES; POSITIVE MEN; SYMPTOMS; ADULTS; WOMEN; INTERVENTION; HIV/AIDS;

D O I：

10.1007/s10461-011-0039-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Although HIV stigma is a significant predictor of depression, little is known about which factors might most effectively buffer, or attenuate, this effect. We examined whether two coping-related factors-proactive coping and spiritual peace-modified the effect of HIV stigma on likelihood of depression among a sample of 465 people living with HIV/AIDS (PLWHA). In a cross-sectional analysis, we conducted hierarchical logistic regressions to examine the effect of HIV stigma, proactive coping, spiritual peace, and their interactions on likelihood of significant depressive symptoms. Spiritual peace moderated the effect of HIV stigma on depression at high-but not low-levels of HIV stigma. No such effect was observed for proactive coping. Findings suggest that spiritual peace may help counteract the negative effect of HIV stigma on depression. Intervention components that enhance spiritual peace, therefore, may potentially be effective strategies for helping PLWHA cope with HIV stigma.

引用

页码：2382 / 2391

页数：10

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