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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Depressive symptoms, self-esteem, HIV symptom management self-efficacy and self-compassion in people living with HIV
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 26, No. 7, Year 2014
Notification
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Description
The aims of this study were to examine differences in self-schemas between persons living with HIV/AIDS with and without depressive symptoms, and the degree to which these self-schemas predict depressive symptoms in this population. Self-schemas are beliefs about oneself and include self-esteem, HIV symptom management self-efficacy, and self-compassion. Beck's cognitive theory of depression guided the analysis of data from a sample of 1766 PLHIV from the USA and Puerto Rico. Sixty-five percent of the sample reported depressive symptoms. These symptoms were significantly (p ≤ 0.05), negatively correlated with age (r = -0.154), education (r = -0.106), work status (r = -0.132), income adequacy (r = -0.204, self-esteem (r = -0.617), HIV symptom self-efficacy (r = - 0.408), and self-kindness (r = - 0.284); they were significantly, positively correlated with gender (female/transgender) (r = 0.061), white or Hispanic race/ethnicity (r = 0.047) and self-judgment (r = 0.600). Fifty-one percent of the variance (F = 177.530 (df = 1524); p < 0.001) in depressive symptoms was predicted by the combination of age, education, work status, income adequacy, self-esteem, HIV symptom self-efficacy, and self-judgment. The strongest predictor of depressive symptoms was self-judgment. Results lend support to Beck's theory that those with negative self-schemas are more vulnerable to depression and suggest that clinicians should evaluate PLHIV for negative self-schemas. Tailored interventions for the treatment of depressive symptoms in PLHIV should be tested and future studies should evaluate whether alterations in negative self-schemas are the mechanism of action of these interventions and establish causality in the treatment of depressive symptoms in PLHIV. © 2013 Taylor & Francis.
Authors & Co-Authors
Eller, Lucille Sanzero
United States, Newark
Rutgers University-newark
Rivero-Méndez, Marta M.
Puerto Rico, San Juan
Universidad de Puerto Rico
Voss, Joachim G.
United States, Seattle
University of Washington
Chen, Weiti
United States, New Haven
Yale University
Chaiphibalsarisdi, Puangtip
Thailand, Bangkok
Suan Sunandha Rajabhat University
Iipinge, Scholastika Ndatinda
Namibia, Windhoek
University of Namibia
Johnson, Mallory O.
United States, San Francisco
Ucsf School of Medicine
Portillo, Carmen J.
United States, San Francisco
University of California, San Francisco
Corless, Inge B.
United States, Boston
Mgh Institute of Health Professions
Sullivan, Kathleen M.
United States, Honolulu
University of Hawaiʻi at Mānoa
Tyer-Viola, Lynda A.
United States, Boston
Mgh Institute of Health Professions
Kemppainen, Jeanne K.
United States, Wilmington
University of North Carolina Wilmington
Dawson-Rose, Carol S.
United States, San Francisco
University of California, San Francisco
Sefcik, Elizabeth F.
United States, Corpus Christi
Texas a and M University - Corpus Christi
Nokes, Kathleen M.
United States, New York
Hunter College
Phillips, J. Craig
Canada, Ottawa
University of Ottawa
Kirksey, Kenn M.
United States, Houston
Lyndon B. Johnson General Hospital
Nicholas, Patrice Kenneally
United States, Boston
Brigham and Women's Hospital
Wantland, Dean J.
United States, Newark
Rutgers University-newark
Holzemer, William L.
United States, Newark
Rutgers University-newark
Webel, Allison R.
United States, Cleveland
Case Western Reserve University
Brion, John M.
United States, Durham
Duke University
Statistics
Citations: 74
Authors: 22
Affiliations: 18
Identifiers
Doi:
10.1080/09540121.2013.841842
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Infectious Diseases
Mental Health
Study Design
Cross Sectional Study
Participants Gender
Female