The Role of Emotional Avoidance, the Patient-Provider Relationship, and Other Social Support in ART Adherence for HIV plus Individuals

被引：15

作者：

Berghoff, Christopher R. ^{[1
]}

Gratz, Kim L. ^{[1
]}

Portz, Kaitlin J. ^{[2
]}

Pinkston, Megan ^{[3
,4
]}

Naifeh, James A. ^{[5
]}

Evans, Shenell D. ^{[2
]}

Konkle-Parker, Deborah J. ^{[6
]}

Tull, Matthew T. ^{[1
]}

机构：

[1] Univ Toledo, Dept Psychol, 2801 West Bancroft St, Toledo, OH 43606 USA

[2] Jackson State Univ, Dept Psychol, Jackson, MS USA

[3] Brown Univ, Alpert Med Sch, Providence, RI 02912 USA

[4] Miriam Hosp, Immunol Clin, Behav Med Serv, Providence, RI 02906 USA

[5] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA

[6] Univ Mississippi, Med Ctr, Dept Med, Div Infect Dis, Jackson, MS 39216 USA

来源：

AIDS AND BEHAVIOR | 2018年 / 22卷 / 03期

关键词：

Antiretroviral therapy; Adherence; Emotional avoidance; Patient-provider relationship; Social support; ANTIRETROVIRAL THERAPY ADHERENCE; SELF-REPORTED ADHERENCE; QUALITY-OF-LIFE; DISORDER SYMPTOM SEVERITY; EXPERIENTIAL AVOIDANCE; MEDICATION ADHERENCE; COMMITMENT THERAPY; MULTIDIMENSIONAL SCALE; ANXIETY SENSITIVITY; INFECTED PATIENTS;

D O I：

10.1007/s10461-017-1745-2

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：929 / 938

页数：10

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