Title

Psychosocial adjustment and AIDS-related symptoms among HIV seropositive gay males

Date of Award

1991

Availability

Article

Degree Name

Doctor of Philosophy (Ph.D.)

Department

Psychology

First Committee Member

Charles S. Carver, Committee Chair

Abstract

Sixty-one asymptomatic HIV-seropositive gay males participating in a longitudinal natural history study on HIV-infection were compared at intake with forty-nine seronegative controls on measures of emotional distress,loneliness, perceptions of social support, optimism, and dispositional coping. Twenty-four of the HIV-positive participants developed AIDS-related symptoms within six to thirty months from intake (progressors) and were compared with thirty-seven HIV-positive participants who did not develop symptoms (non-progressors) on the same outcome measures at intake, before any symptoms had developed. Progressors and non-progressors were also compared at three other time points: six months before symptoms developed and twice (at six month intervals) after symptoms had developed.Results from the cross-sectional analyses at intake indicated no significant differences between the psychosocial adjustment of HIV-positive and HIV-negative participants. At intake, eventual progressors evidenced more emotional distress and loneliness than eventual non-progressors. Results from the longitudinal analyses indicated that distress remained constant over time in the progressors, despite the development of AIDS-related symptoms. Distress increased in the non-progressors over time. None of the other psychosocial outcome variables of interest changed significantly or differentiated progressors and non-progressors over time. Implications of these findings are discussed regarding measurement and severity of symptoms and the advantages of a multivariate model in the investigation of adaptation to the progression of HIV infection.

Keywords

Psychology, Social

Link to Full Text

http://access.library.miami.edu/login?url=http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:9205349