Symptoms of Posttraumatic Stress and Death Anxiety in Persons with HIV and Medication Adherence Difficulties

Safren, Steven A.; Gershuny, Beth S.; Hendriksen, Ellen

doi:10.1089/108729103771928717

Cited by 127 publications

(106 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…According to results, the first hypothesis was supported. Death anxiety predicted PTSD as supported by previous research [16][17][18]. The relationship between death anxiety and PTSD is confirmed and provides an interesting opportunity to suggest the pathway.…”

Section: Discussionsupporting

confidence: 78%

“…Martz found that death anxiety predicted the severity of PTSD symptoms among people with spinal cord injury [16]. Other studies found that death anxiety predicted both overall PTSD severity as well as the severity for the three main clusters of PTSD symptoms (reexperiencing, avoidance and hyperarousal) among patients with HIV [17,18]. Given the paucity of studies which examined the contribution Death Anxiety Resilience 4 of death anxiety to PTSD, more research is needed to replicate and clarify this relationship.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Death Anxiety Resilience; a Mixed Methods Investigation

Hoelterhoff

Chung

2016

Psychiatr Q

View full text Add to dashboard Cite

Objectives:Research was conducted examining how death anxiety influenced PTSD and mental health among people who have experienced a lifethreatening event.Design & Methods:This study was conducted using undergraduate university students in Lithuania. The study used a mixed-method design and in phase 1, participants (N=97) completed self-report questionnaires that gathered information on demographics, death anxiety, trauma and well-being. Results:Data indicated a significant correlation between death anxiety and PTSD, but not psychiatric co-morbidity. Phase 2 attempted to further explore the phenomenological experience of participants with full PTSD, and 6 semi-structured interviews were conducted. IPA analysis found three major themes in response to the life-threatening event;self-efficacy, religious coping and existential attitude. Conclusion:Overall these coping mechanisms allowed participants to develop resilience against the effects of death anxiety and minimize its negative impact on mental health. Death Anxiety Resilience 2

show abstract

Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Death Anxiety Resilience; a Mixed Methods Investigation

Hoelterhoff

Chung

2016

Psychiatr Q

View full text Add to dashboard Cite

show abstract

“…Several studies have shown that medication adherence to HAART therapy is decreased in HIV patients with comorbid PTSD and depression. 30,31 A recent study by Lockwood et al demonstrated that adherence with antidepressant medication was poor among PTSD patients discharged from a residential treatment program during long term follow-up. 32 In addition, prior reports have found an increased likelihood of missed appointments, underuse of medications, abuse of prescription psychoactive agents, and the propensity of self-adjust medical treatments among patients with PTSD.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Posttraumatic Stress Disorder on CPAP Adherence in Patients with Obstructive Sleep Apnea

Collen

Lettieri

Hoffman

2012

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

Introduction:Obstructive sleep apnea (OSA) is a common comorbid condition in patients with posttraumatic stress disorder (PTSD); insuffi ciently treated OSA may adversely impact outcomes. Sleep fragmentation and insomnia are common in PTSD and may impair CPAP adherence. We sought to determine the impact of combat-related PTSD on CPAP adherence in soldiers. Methods: Retrospective case-control study. Objective measures of CPAP use were compared between OSA patients with and without PTSD. Groups were matched for age, BMI, and apnea-hypopnea index (AHI). Results: We included 90 patients (45 Control, 45 PTSD). Among the cohort, mean age was 39.9 ± 11.2, mean BMI 27.9 ± 8.0, mean ESS 13.6 ± 5.7, and mean AHI 28.2 ± 22.4. There was a trend towards a higher rate of comorbid insomnia among patients with PTSD (25.8% vs. 11.1%, p = 0.10). PTSD was associated with signifi cantly less use of CPAP. Specifi cally, CPAP was used on 61.4% ± 22.2% of nights in PTSD patients compared with 76.8% ± 16.4% in patients without PTSD (p = 0.001). Mean nightly use of CPAP was 3.4 ± 1.2 h in the PTSD group compared with 4.7 ± 2.2 h among controls (p < 0.001). Regular use of CPAP (> 4 h per night for > 70% of nights) was also lower among PTSD patients (25.2% vs. 58.3%, p = 0.01). Conclusion: Among soldiers with OSA, comorbid PTSD was associated with signifi cantly decreased CPAP adherence. Given the potential for adverse clinical outcomes, resolution of poor sleep quality should be prioritized in the treatment of PTSD and potential barriers to CPAP adherence should be overcome in patients with comorbid OSA. Keywords: Posttraumatic stress order, sleep apnea, obstructive sleep apnea, CPAP, CPAP compliance, CPAP adherence, sleep disordered breathing, deployment related sleep disorders Citation: Collen JF; Lettieri CJ; Hoffman M. The impact of posttraumatic stress disorder on CPAP adherence in patients with obstructive sleep apnea.

show abstract

“…[13][14][15] Moreover, recent research has found high levels of self-reported posttraumatic stress disorder (PTSD) symptomatology among HIV-positive individuals after their initial diagnosis. 16,17 Given that HIV-positive individuals may be experiencing a wide variety of stressors, it is of interest to examine the impact of various aspects of stress on treatment adherence. Whereas some researchers have focused on the cumulative impact of self-reported acute stressful life events on outcomes such as depressive symptomatology, others have focused on the role of one's perception of stress.…”

Section: Introduction Tmentioning

confidence: 99%

Life Stress and Adherence to Antiretroviral Therapy among HIV-Positive Individuals: A Preliminary Investigation

Bottonari

Roberts

Ciesla

et al. 2005

AIDS Patient Care and STDs

View full text Add to dashboard Cite

The present study sought to investigate the impact of life stress on treatment adherence and viral load of HIV-positive individuals. Three different aspects of life stress were examined in this investigation (perceived stress, acute life events unrelated to the HIV illness, and HIVrelated acute life events). Furthermore, we examined whether these relationships were moderated by depressive severity, self-esteem, and neuroticism. Participants (n ‫؍‬ 24) were treatment-seeking HIV-positive individuals who completed a series of questionnaires for this investigation. The majority of the participants in this sample were middle-aged, Caucasian males who identified themselves as either homosexual or bisexual, had contracted HIV via sexual contact, and met criteria for AIDS (mean CD4 count ‫؍‬ 324). This sample was highly self-selected and varied from the county HIV-positive population in terms of gender, ethnicity, and HIV risk factor. Information on their adherence and viral load was collected from their medical records 6 to 9 months after completion of the psychological measurements. Results indicated that perceived stress, but not acute events, prospectively predicted adherence. Moreover, marginal trends suggested that depressive symptoms and neuroticism moderated the effect of perceived stress on adherence. Neither perceived stress nor acute life events were associated with viral load. 719

show abstract

Symptoms of Posttraumatic Stress and Death Anxiety in Persons with HIV and Medication Adherence Difficulties

Cited by 127 publications

References 56 publications

Death Anxiety Resilience; a Mixed Methods Investigation

Death Anxiety Resilience; a Mixed Methods Investigation

The Impact of Posttraumatic Stress Disorder on CPAP Adherence in Patients with Obstructive Sleep Apnea

Life Stress and Adherence to Antiretroviral Therapy among HIV-Positive Individuals: A Preliminary Investigation

Contact Info

Product

Resources

About