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Journal of Health Psychology, Vol. 3, No. 2, 243-257 (1998)
DOI: 10.1177/135910539800300208

Psychological Distress, Coping, and Disease Progression in HIV-positive Homosexual Men

Olav Vassend

Institute of Community Dentistry, University of Oslo, Norway

Anne Eskild

Department of Epademcology, National Institute of Public Health, Oslo, Norway

The objectives of the study were (1) to examine the role of coping styles in disease progression in models controlling for initial CD4+ cell counts, distress, and health behavior in a sample of HIV- positive homosexual men (n = 65), and (2) to investigate the relationship between coping styles and distress (e.g. depression, anxiety, negative ruminations). A consistent association between planful problem-solving coping and disease progression was demonstrated. Distress was positively correlated with indicators of passive-defensive coping style (e.g. self- controlling, escape-avoidance), and negatively correlated with planful problem-solving and positive reappraisal. The results suggest that coping styles may merit a specific focus in future research of psychological factors in HIV infection, particularly as they may relate both to medical outcome and to the social/emotional aspects of being HIV-infected.

Key Words: acquired immunodeficiency syndrome • coping styles, disease progression • human immunodeficiency virus, immune status • psychological distress


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