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Am J Community Psychol. 2006 Dec;38(3-4):275-85.

Depressive symptomatology among HIV-positive women in the era of HAART: a stress and coping model.

Author information

1
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, 1051 Riverside Drive, Unit 15, New York, NY 10032, USA. rhr1@columbia.edu

Abstract

OBJECTIVE:

An enhanced stress and coping model was used to explain depression among HIV-positive women in healthcare and community settings where highly active anti-retroviral treatment (HAART) was commonplace.

METHOD:

HIV-infected women in four cities (N=978) were assessed, cross-sectionally, for mental and physical health, stress, social support, and other background factors.

RESULTS:

Self-reported level of depressive symptomatology was high. Number of physical symptoms, illness intrusiveness, and perceived stress were positively associated with depressed mood, while coping self-efficacy and social support were negatively associated. Stress mediated the effect of health status on depression and coping self-efficacy mediated the effect of psychosocial resources on depression. Our enhanced stress and coping model accounted for 52% of variance in depressive symtpomatology.

CONCLUSIONS:

Interventions focused on improving coping self-efficacy, bolstering social supports, and decreasing stress in the lives of HIV-positive women may help to reduce the negative effects of HIV disease on mood.

PMID:
16967343
DOI:
10.1007/s10464-006-9083-y
[Indexed for MEDLINE]
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