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The Diabetes Educator

Journal of Health Psychology
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*AIDS
*AIDS--Living with AIDS
*Depression
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Spiritual Striving, Acceptance Coping, and Depressive Symptoms among Adults Living with HIV/AIDS

John E. Pérez

University of Massachusetts, Boston, USA, john.perez{at}umb.edu

Maggie Chartier

Stanford University School of Medicine, USA

Cheryl Koopman

Stanford University School of Medicine, USA

Mark Vosvick

University of North Texas, USA

Cheryl Gore-Felton

Stanford University School of Medicine, USA

David Spiegel

Stanford University School of Medicine, USA

We prospectively examined the effects of spiritual striving, social support, and acceptance coping on changes in depressive symptoms among adults living with HIV/AIDS. Participants were 180 culturally diverse adults with HIV/AIDS. Participants completed measures of spiritual striving, social support, coping styles, and depressive symptoms at baseline, three-month follow-up, and six-month follow-up. A path model showed that spiritual striving had direct and indirect inverse effects on changes in depressive symptoms. The relationship between spiritual striving and depressive symptoms was partially mediated by acceptance coping, but not by social support. Results suggest that people living with HIV/AIDS who strive for spiritual growth in the context of their illness experience less negative affect.

Key Words: acceptance coping • depressive symptoms • HIV/AIDS • social support • spirituality

Journal of Health Psychology, Vol. 14, No. 1, 88-97 (2009)
DOI: 10.1177/1359105308097949
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