Resilience, stress, and life quality in older adults living with HIV/AIDS

Fang, Xindi; Vincent, Wilson; Calabrese, Sarah K.; Heckman, Timothy G.; Sikkema, Kathleen J.; Humphries, Debbie; Hansen, Nathan B.

doi:10.1080/13607863.2014.1003287

Cited by 105 publications

(89 citation statements)

References 42 publications

(45 reference statements)

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“…Understanding resilience among people living with HIV (PLHIV) is important because measures of higher resilience have previously been linked to lower levels of psychological and emotional distress [10,11], better health outcomes [10,12], and reductions in the negative effects of life stress on health-related quality of life among PLHIV [13]. Examples of HIV-positive gay men and other PLHIV displaying resilience while adapting to their HIV diagnosis or in the face of adversities such as discrimination have also been described in a number of qualitative studies [14,15].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Associated with Resilience in a National Community-Based Cohort of Australian Gay Men Living with HIV

2016

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HIV-positive gay men may experience multiple sources of adversity and stress, related both to their HIV diagnosis and sexual identity. Most of these men, however, do not experience mental health problems. Little is known about factors that help them achieve resilience in the face of life challenges. This study examined psychosocial factors associated with resilience in a national community-based sample of 357 Australian HIV-positive gay men. Resilience was measured using the Connor-Davidson Resilience Scale. Higher levels of resilience were linked with experiencing low or no internalized HIV-related stigma, having no previous history of mental health problems, and a number of socioeconomic indicators. In addition to providing a more complete picture of the mental health of HIV-positive gay men, findings from this study can be used to inform strength-based approaches to mental health prevention and support.

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Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Associated with Resilience in a National Community-Based Cohort of Australian Gay Men Living with HIV

2016

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“…In addition, resilience intervention approach was positively correlated to self-esteem, where individuals were more capable of handling stressful events and experience personal growth during stressful situations (Dolbier, Jaggars & Steinhardt, 2010). Similar findings were presented by Fang et al, (2015), where participants with greater resilience, experienced better physical, emotional and functional wellbeing, indicating that resilience may diminish the negative effects of stress in this group.…”

Section: Resilience Processsupporting

confidence: 71%

Stigma and resilience: Lived experiences of people with HIV in a northern community.

McLeish¹

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“…In many other disease processes, wasting and/or low BMI are associated with poor QoL and decreased response to QoL interventions, so this was an unexpected finding [37–39]. Prior studies involving older HIV-infected adults have found a strong association between greater resilience and improved mental QoL [40]. Perhaps the greater mental QoL is due in part to a greater appreciation of survival following advanced disease, or to a realization of partial disease “remission” with continued HIV [41, 42],…”

Section: Discussionmentioning

confidence: 99%

Long-term impact of HIV wasting on physical function in the Multicenter AIDS Cohort Study

Erlandson

Abraham

et al. 2015

AIDS

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Background The long-term consequences of wasting among HIV-infected persons are not known. Design HIV-infected participants surviving ≥2 years based on Kaplan Meier analysis after a clinical diagnosis or weight trajectory consistent with wasting and with available physical function assessment data (grip strength, gait speed, and quality of life [QoL]) were matched to HIV-infected and -uninfected men without wasting. Methods Matching criteria at the functional assessment included age, calendar year, and CD4 cell count and plasma HIV-1 RNA (HIV-infected only). Multivariable linear regression analyses adjusted for age, cohort, race, hepatitis C status, and number of comorbid illnesses were used to assess the impact of wasting on subsequent physical function. Results Among 85 HIV-infected men surviving ≥2 years after wasting, we evaluated physical function outcomes compared to 249 HIV-infected and 338 HIV-uninfected men with no historical wasting. In multivariable regression models, HIV-infected men with prior wasting had lower grip strength and poorer physical QoL than HIV-infected men with no wasting (p≤0.03), and poorer physical QoL but higher mental QoL than HIV-uninfected men (p≤0.05). When controlling for measures of immune suppression (nadir CD4/AIDS, the association between wasting and physical QoL was markedly attenuated, whereas there was minimal impact on the association between wasting and grip strength. Conclusions HIV-infected wasting survivors had weaker grip strength compared to HIV-infected persons without wasting; immune suppression was associated only with physical QoL. HIV-infected survivors of wasting may represent a population of adults at increased risk for physical function decline.

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Resilience, stress, and life quality in older adults living with HIV/AIDS

Cited by 105 publications

References 42 publications

Psychosocial Factors Associated with Resilience in a National Community-Based Cohort of Australian Gay Men Living with HIV

Psychosocial Factors Associated with Resilience in a National Community-Based Cohort of Australian Gay Men Living with HIV

Stigma and resilience: Lived experiences of people with HIV in a northern community.

Long-term impact of HIV wasting on physical function in the Multicenter AIDS Cohort Study

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