Depression and Social Support among HIV-Affected Adolescents

Lee, Sung–Jae; Detels, Roger; Duan, Naihua; Lord, Lynwood

doi:10.1089/apc.2006.0066

Cited by 26 publications

(23 citation statements)

References 38 publications

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“…Adequate social support acts as a protective factor or buffer, making it possible for patients and their families to navigate the health and social systems, utilize them, and benefit from them. This is the case not only in patients with SLE but also in patients with other chronic diseases (115-118). Moreover, interventions aimed at improving social support have been shown to have some benefits, albeit modest, in SLE (119).…”

Section: Resultsmentioning

confidence: 95%

Understanding the Epidemiology and Progression of Systemic Lupus Erythematosus

Pons-Estel

Alarcón

Scofield

et al. 2010

Seminars in Arthritis and Rheumatism

754

511

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Objectives-This review examines the burden and patterns of disease in systemic lupus erythematosus (SLE) and the influence and interactions of gender, ethnicity, age, and psychosocial attributes with respect to disease progression, focusing on issues relevant to clinical practice and research. Methods-PubMed literature search complemented by review of bibliographies listed in identified articles.Results-An increased risk among reproductive age women is clearly seen in African Americans in the United States. However, in other populations, a different pattern is generally seen, with the highest age-specific incidence rates occurring in women after age 40 years. The disease is 2 to 4 times more frequent, and more severe, among nonwhite populations around the world and tends to be more severe in men and in pediatric and late-onset lupus. SLE patients now experience a higher than 90% survival rate at 5 years. The less favorable survival experience of ethnic minorities is possibly related to socioeconomic status rather than to ethnicity per se, and adequate social support has been shown to be a protective factor, in general, in SLE patients. Discordance between physician and patient ratings of disease activity may affect quality of care.Conclusions-Our understanding of ways to improve outcomes in SLE patients could benefit from patient-oriented research focusing on many dimensions of disease burden. Promising research initiatives include the inclusion of community-based patients in longitudinal studies, use of selfassessment tools for rating disease damage and activity, and a focus on self-perceived disease activity and treatment compliance. Ethnicity, a broader construct than is implied by the term "race," encompasses genetic, geographic, cultural, social, and other characteristics shared within a population (2-4). Not surprisingly, the phenotypic expression of lupus varies between individuals of different ethnic groups. A growing body of research has sought to characterize the influence of socioeconomic (5) factors and ethnicity on the incidence, activity, and progression of the disease. Less attention has been paid to the influence of psychosocial factors on disease progression (Fig. 1). In this article, we review relevant research findings pertaining to these dimensions of SLE, focusing on studies conducted in the past 30 years. We also highlight current data gaps and discuss recommendations for future research. Keywords MethodsThis review is based on publications found through searches of the MEDLINE database for relevant articles using the combination search terms of lupus and (epidemiology, incidence, prevalence, mortality, gender, ethnicity, damage, quality of life). References within these selected reports were also reviewed. We included epidemiological studies of incidence or prevalence that spanned the years 1975 to 2000, and mortality studies of cohorts assembled in 1975 or later. The mortality studies were limited to inception or near-inception cohorts (that is, cohorts of patients who entered the...

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Section: Resultsmentioning

confidence: 95%

Understanding the Epidemiology and Progression of Systemic Lupus Erythematosus

Pons-Estel

Alarcón

Scofield

et al. 2010

Seminars in Arthritis and Rheumatism

754

511

View full text Add to dashboard Cite

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“…protects from depression and an improves social status (Lee, Detels, Rotheram-Borus, Duan, & Lord, 2007), but also impacts health outcomes, i.e. reduces HIV-related physical symptoms (Ashton, Vosvick, & Chesney, 2005).…”

Section: Discussionmentioning

confidence: 99%

Social support and posttraumatic growth in a longitudinal study of people living with HIV: the mediating role of positive affect

Rzeszutek

2017

European Journal of Psychotraumatology

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Background: Psychological research in people living with HIV (PLWH) has been dominated by studies on the negative consequences of HIV infection. However, recently, positive changes following the diagnosis of HIV have been examined, namely the phenomenon of posttraumatic growth (PTG). Objectives: The aim of this one-year longitudinal study was to investigate the level of PTG and its relationship with social support dimensions (perceived support, need for support, actually received support) and positive and negative affect among PLWH. Specifically, this study explored the mediating role of positive and negative affect in the link between social support and PTG. Method: Participants filled out the following psychometric tools: Posttraumatic Growth Inventory (PTGI), Berlin Social Support Scales (BSSS) and Positive and Negative Affect Schedule (PANAS-X). Three assessments were performed. Altogether, 129 patients were recruited for the first assessment, 106 patients participated in the second assessment and 82 participants (63.6%) out of the initial sample of 129 participated in all three assessments. Results: The positive relationship between all examined social support dimensions and PTG was entirely mediated by positive affect. There was no association between negative affect and PTG. Selected socio-medical covariates (sex, employment, higher education, being in a stable relationship and HIV/AIDS status) were related to social support and PTG among participants. Conclusions: This study points to the need for more research on positive aspects of HIV/AIDS, notably PTG. More specifically, interventions focused on enhancement and sustainment of positive affect among PLWH should be an adjunct to traditional mental health screening among this patient group.

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“…The role of social support on hopelessness and depression There is substantial evidence that social support is associated with lower level of depression (Fasce, 2008;Lee, Detels, Rotheram-Borus, Duan, & Lord, 2007). According to the hopelessness theory of depression (Abramson, Metalsky, & Alloy, 1989), individual who has a tendency toward making negative attributions when faced with stress is at a greater risk for depression.…”

Section: Psychosocial Health Of Children Of Parents With Hivmentioning

confidence: 99%

The role of social support on resilience, posttraumatic growth, hopelessness, and depression among children of HIV-infected parents in mainland China

Lau

et al. 2014

AIDS Care

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Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) has a profound impact not only on the infected individuals, but also on their families. Children of the HIV-infected parents are particularly affected. The present study examined the relationship between social support, resilience, posttraumatic growth (PTG), hopelessness, and depression among 195 children of HIV-infected parents in mainland China. Results showed that 35.4% of the sample scored above the cutoff of the Children's Depression Inventory. Results from structural equation modeling reported that social support had a significant positive relationship with resilience and PTG. Higher levels of resilience and PTG were associated with lower level of hopelessness which in turn, was associated with lower level of depression. The overall model achieved satisfactory fit. Interventions are needed to improve social support of the children affected by HIV so as to improve their mental health.

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Depression and Social Support among HIV-Affected Adolescents

Abstract: Adolescents of parents infected with HIV/AIDS (HIV-affected adolescents) were recruited from

Cited by 26 publications

References 38 publications

Understanding the Epidemiology and Progression of Systemic Lupus Erythematosus

Understanding the Epidemiology and Progression of Systemic Lupus Erythematosus

Social support and posttraumatic growth in a longitudinal study of people living with HIV: the mediating role of positive affect

The role of social support on resilience, posttraumatic growth, hopelessness, and depression among children of HIV-infected parents in mainland China

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