adherence;
HIV;
antiretroviral therapy;
avoidance-oriented coping;
social support;
D O I:
10.1037/0278-6133.24.4.385
中图分类号:
B849 [应用心理学];
学科分类号:
040203 ;
摘要:
The authors tested a structural model that incorporated age, time since diagnosis, social support, coping, and negative mood as predictors of medication adherence and HIV viral load on 188 men and 134 women on highly active antiretroviral therapy (HAART). The authors used psychosocial latent factors formed from baseline measures to predict latent factors of adherence, as assessed by electronic monitoring and self-report, and viral load defined by indicators assessed over a 15-month period. Results from the model indicate that greater negative mood and lower social support are related to greater use of avoidance-oriented coping strategies. Use of these coping strategies by patients on HAART is related to poorer medication adherence and, subsequently, higher viral load. This model advances researchers' understanding of the contribution of psychosocial variables in predicting treatment adherence and disease progression in HIV-positive men and women.
机构:
Univ South Africa UNISA, Dept Hlth Studies, Ethiopia Campus, Addis Ababa, Ethiopia
Hawassa Univ, Coll Med & Hlth Sci, Dept Publ Hlth, Hawassa, EthiopiaUniv South Africa UNISA, Dept Hlth Studies, Ethiopia Campus, Addis Ababa, Ethiopia
Demissie, Alemayehu Abebe
van Rensburg, Elsie Janse
论文数: 0引用数: 0
h-index: 0
机构:
Univ South Africa UNISA, Dept Hlth Studies, Pretoria, South AfricaUniv South Africa UNISA, Dept Hlth Studies, Ethiopia Campus, Addis Ababa, Ethiopia
机构:
Univ Cape Town, Ctr Social Sci Res, AIDS & Soc Res Unit, ZA-7700 Rondebosch, South AfricaUniv Cape Town, Ctr Social Sci Res, AIDS & Soc Res Unit, ZA-7700 Rondebosch, South Africa