Gender Differences in HIV-Related Coping and Depression

Vosvick, Mark A.; Martin, Luci A.; Smith, Nathan Grant; Jenkins, Sharon Rae

doi:10.1007/s10461-008-9490-1

Cited by 30 publications

(23 citation statements)

References 37 publications

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“…If replicated, this finding may have important implications for AIDS researchers and clinicians. As others have noted, previous adherence investigations using combined gender samples may have obscured psychosocial mechanisms unique to women [39,40]. The results of the present study suggest that AIDS researchers may wish to stratify samples by gender, rather than merely controlling for gender effects [40].…”

Section: Discussionmentioning

confidence: 53%

“…In contrast, Johnson and colleagues found that only 17% of older adults skipped ART doses in a 7-day period [17]. Similarly, older adults in Silverberg et al's study evinced higher rates of sustained adherence compared to younger (18-39 years) and middle-aged (40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50) year old) patients [7]. In contrast, the majority of adherence studies have found an association between youth and poor adherence to ART.…”

Section: Introductionmentioning

confidence: 86%

See 1 more Smart Citation

Predicting Adherence to Antiretroviral Therapy in HIV-Infected Older Adults: The Moderating Role of Gender

et al. 2010

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This study characterized rates and correlates of ART adherence in 242 HIV-infected persons 50+ years of age. Hierarchical regressions tested a model in which depression mediated the relationships between social support and avoidance coping with ART adherence. Results indicated low rates of consistent and timely adherence in both men (48%) and women (51%). For men and women alike, social support and avoidance coping predicted depression. Although rates of adherence and predictors of depression did not differ by gender, predictors of adherence did. Avoidance coping, social support and depression predicted ART adherence in older men, but not in older women. Contrary to expectations, depression did not mediate the relationships of coping and social support with ART adherence for either gender. These findings suggest that while HIV-infected older men and women share similar paths toward depression, they diverge in predictors of adherence. Adherence interventions may be more efficacious if they are sensitive to gender differences, although more research is first needed to identify factors related to adherence in HIV-infected older women.

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Section: Discussionmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 86%

Predicting Adherence to Antiretroviral Therapy in HIV-Infected Older Adults: The Moderating Role of Gender

et al. 2010

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“…According to Vosvick and colleagues [5], across multiple samples of PLWHA, it is evident that men and women differ in symptoms, behaviors, and other conditions, which greatly influences well-being. Nevertheless, studies examining if gender differences might have an impact on QoL domains are lacking.…”

Section: Psychopathological Symptomsmentioning

confidence: 99%

“…Despite the fact that gender and age are important markers for individual differences in psychosocial and life situation variables [4,5], to our knowledge, no published studies directly compare men's quality of life (QoL) and mental health to women's QoL and mental health, within the same sample and across age. Therefore, in the current study we intended to assess QoL gender and age differences, as well as possible interaction effects of age by gender, and the additional impact of psychopathological symptoms on QoL domains.…”

Section: Introductionmentioning

confidence: 99%

Gender and Age Differences in Quality of Life and the Impact of Psychopathological Symptoms Among HIV-Infected Patients

Pereira

Canavarro

2011

AIDS Behav

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The purpose of this study was to determine gender and age differences and interaction effects on the quality of life (QoL) domains in a sample of Portuguese HIV-positive patients, and to examine to what degree psychopathological symptoms are associated with QoL in addition to sociodemographic and clinical variables. The sample consisted of 1191 HIV-positive patients, and measures included the WHOQOL-HIV-Bref and the Brief Symptom Inventory. Controlling for clinical status, there was a significant effect of gender on QoL. Women reported lower scores of Psychological and Spirituality QoL. Younger patients reported higher scores on Physical and Level of Independence domains. Age by gender interactions emerged on all domains of QoL except on the Level of Independence domain. Overall, women over 45 years old showed lower QoL scores. Psychopathological symptoms contributed significantly to the variance of all QoL domains. Gender differences in the association of HIV infection with QoL and psychopathological symptoms seemed to be modulated by age. Understanding gender and age differences (and their interaction) may provide potentially useful information for planning interventions to improve QoL and mental health among people infected with HIV/AIDS, especially among older women.

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“…The most welldeveloped aspect of this literature has been focused on coping with the HIV/AIDS illness and other life stressors (e.g., Commerford et al 1994;Perez et al 2009;Vosvick et al 2010). Yet, there has been little investigation of other cognitive-affective factors related to these negative emotional states.…”

Section: Introductionmentioning

confidence: 99%

Distress Tolerance, Emotion Dysregulation, and Anxiety and Depressive Symptoms Among HIV+ Individuals

2012

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The current study examined the mediational effects of emotion dysregulation in terms of the relation between perceived distress tolerance and anxiety and depressive symptoms among HIV? individuals. Participants included 176 HIV? adults (21.6 % female, M age = 48.40 years, SD = 8.66). Results indicated that distress tolerance was significantly related to greater depressive and anxiety symptoms. Results also indicated that emotion dysregulation mediated this association. The observed findings were evident above and beyond the variance accounted for by CD4 T-cell count, ethnicity, gender, education level, and cannabis use status. The results are discussed in terms of the potential explanatory utility of perceived distress tolerance and emotion dysregulation in terms of psychological well-being among HIV? individuals.

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Gender Differences in HIV-Related Coping and Depression

Cited by 30 publications

References 37 publications

Predicting Adherence to Antiretroviral Therapy in HIV-Infected Older Adults: The Moderating Role of Gender

Predicting Adherence to Antiretroviral Therapy in HIV-Infected Older Adults: The Moderating Role of Gender

Gender and Age Differences in Quality of Life and the Impact of Psychopathological Symptoms Among HIV-Infected Patients

Distress Tolerance, Emotion Dysregulation, and Anxiety and Depressive Symptoms Among HIV+ Individuals

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