Time perspective and quality of life among HIV-infected patients in the context of HAART

Abstract

We explored associations between time perspective (TP) and quality of life (QOL) among HIV-infected patients. With the French validated version of the Zimbardo Time Perspective Inventory, we evaluated the TP of patients. A self-administered questionnaire gathered information about QOL (WHOQOL-HIV), TP, relationship with medical staff and self-reported side effects of HAART. Six scores of QOL - physical, psychological, social relationship, environment, patient independence and spirituality were used as dependent variables in the linear regressions to identify factors associated with QOL. The sample (n=72) for this study was recruited from a hospital department specialising in HIV care and consisted of 48 (67%) HIV-infected women and 24 (33%) HIV-infected men with a mean age of 42 years. Using hierarchical regression analysis adjusted on socio-demographic characteristics, clinical characteristics and co-factors, significant relationships were observed between the several TP orientations and an impaired physical, environmental QOL as well as level-of-independence QOL. Specific dimensions of QOL are influenced by specific orientations of TP, which provides information on self-perception and subjective evaluation of QOL. The TP construct provides keys to managing HIV infection in order to improve QOL.

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

“…For example, most studies found that physical QoL of symptomatic and AIDS patients is significantly poorer than that of patients who are at a lesser advanced stage of the disease [12,15,17,21,25,26,[33][34][35][36]. Associations between physical dimensions, but not psychological dimensions have also been shown in some studies [21,25,37]. Among the biological markers, higher CD4?…”

“…Among the biological markers, higher CD4? T cell count have been found to be associated with higher QoL scores [17,19,38], particularly in the domains related to physical and independence QoL [25,37]. Some studies, however, have not reported significant associations between CD4?…”

Exploring Time Perspective in Greek Young Adults: Validation of the Zimbardo Time Perspective Inventory and Relationships with Mental Health Indicators

“…Higher levels of depression and anxiety were also predicted by higher negative perceptions of the past in individuals diagnosed with chronic diseases such as diabetes (Livneh and Martz 2007). In HIV-infected patients, impaired physical, environmental, and level-of-independence quality of life have been associated with a weak orientation towards taking pleasure in the present (Preau et al 2007). Higher scores on positive past, hedonistic present, and future have been revealed in adolescents who reported a secure attachment to parents, signifying better psychological well-being (Laghi et al 2009b).…”

Time perspective, socioeconomic status, and psychological distress in chronic pain patients

“…Several studies provide support for the importance of considering this psychological construct in chronic illness experience, as diabetes (Martz & Livneh, 2007), HIV (Préau, Apostolidis, François, Raffi, & Spire, 2007), and inflammatory bowel disease (Laguette et al, 2013). In addition, it can be hypothesized that TP, as a situationally determined psychological construct, is related to socioeconomic deprivation and precariousness (Boniwell & Zimbardo, 2004;Zimbardo & Boyd, 1999).…”