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Skalski-Bednarz SB, Toussaint LL, Surzykiewicz J. Beyond HIV Shame: Effects of Self-Forgiveness in Improving Mental Health in HIV-Positive Individuals in Poland. JOURNAL OF RELIGION AND HEALTH 2024:10.1007/s10943-024-02084-7. [PMID: 39096441 DOI: 10.1007/s10943-024-02084-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/05/2024] [Indexed: 08/05/2024]
Abstract
Guided by the bio-psycho-socio-spiritual approach, this randomized controlled trial assessed the efficacy of a self-forgiveness intervention among 60 HIV-positive individuals in Poland. Participants underwent a 90-min "Restore: The Journey Toward Self-Forgiveness" session, in contrast to a wait-list control group. The intervention significantly enhanced self-forgiveness, spirituality, mental well-being, and heart rate variability in response to a cognitive stressor (i.e., a mental arithmetic challenge). Significant effects were observed in both between-group and within-subject comparisons. These results support the incorporation of self-forgiveness into psychological rehabilitation programs for HIV to improve quality of life and health outcomes.
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Affiliation(s)
- Sebastian Binyamin Skalski-Bednarz
- Institute of Psychology, Humanitas University, Kilinskiego 43, 41-200, Sosnowiec, Poland.
- Faculty of Philosophy and Education, Katholische Universität Eichstätt-Ingolstadt, Eichstätt, Germany.
| | | | - Janusz Surzykiewicz
- Faculty of Philosophy and Education, Katholische Universität Eichstätt-Ingolstadt, Eichstätt, Germany
- Faculty of Education, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Poland
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Vosvick M, Dejanipont B. Behavioral and psychosocial predictors of self-efficacy for managing chronic disease among people living with HIV: forgiveness, life perspective, and social support. AIDS Care 2023; 35:1716-1723. [PMID: 35875903 DOI: 10.1080/09540121.2022.2104796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Accepted: 07/18/2022] [Indexed: 10/16/2022]
Abstract
HIV medication can help people living with HIV (PLWH) live longer, but many PLWH still report difficulty managing their disease and report engaging in harmful behaviors to themselves and others, which have adverse downstream consequences. Self-efficacy is predictive of positive health behaviors and outcomes, and it is modifiable through interventions. While existing studies overwhelmingly examine self-efficacy among PLWH, much fewer studies focus on self-efficacy for managing HIV, including self-efficacy for managing physical and psychological health problems caused by HIV-common problems that PLWH experience. Additionally, only limited literature on other-forgiveness and life perspective among PLWH exists. Thus, we further examine predictors of self-efficacy for managing HIV. We hypothesize that other-forgiveness, positive life perspective, and social support significantly predict self-efficacy for managing HIV after controlling for demographic variables. The results show that the overall multiple linear regression model significantly accounted for 38% of the variance in self-efficacy for managing HIV. Additionally, other-forgiveness was as powerful at predicting self-efficacy as social support; moreover, positive life perspective was a significant and the most powerful predictor of self-efficacy. These findings indicate that other-forgiveness and positive life regard may be as important, if not more so, than social support to chronic disease management.
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Affiliation(s)
- Mark Vosvick
- Department of Psychology, University of North Texas, Denton, Texas, USA
| | - Bunyong Dejanipont
- Berkeley School of Education, University of California, Berkeley, California, USA
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Toussaint LL, Skalski-Bednarz SB, Lanoix JP, Konaszewski K, Surzykiewicz J. The Relationship Between Forgiveness and Health Outcomes Among People Living with HIV: A Cross-Sectional Study in France. AIDS Behav 2023; 27:3332-3341. [PMID: 37093538 PMCID: PMC10516774 DOI: 10.1007/s10461-023-04052-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2023] [Indexed: 04/25/2023]
Abstract
Research to date has shown that HIV infection is a highly stressful experience for individuals, and one of the key adaptive resources after such painful experiences may be forgiveness. The aim of the present study was to examine the associations between dispositional forgiveness (assessed using Mullet's Forgivingness Questionnaire and Toussaint's Forgiveness Scale), perceived stress (single-item measure of stress symptoms), health perception (EuroQol visual analogue version of the scale) and life satisfaction (Satisfaction With Life Scale) in people living with HIV (PLWH) in France. Paper surveys were completed by 222 PLWH aged 18-78 (57% male). Multiple regression analysis revealed that sensitivity to circumstances, unconditional forgiveness, self-forgiveness, and forgiveness of others were significant predictors of health and happiness. Mediation analysis showed that these relationships are completely mediated by perceived stress. The present findings suggest that forgiveness and perceived stress may be important variables for healing in PLWH. Interventions designed to improve forgiveness and self-forgiveness may result in improved health and life satisfaction in PLWH.
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Affiliation(s)
- Loren L. Toussaint
- Department of Psychology, Luther College, 700 College Dr, Decorah, IA 52101 USA
| | - Sebastian Binyamin Skalski-Bednarz
- Faculty of Education, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Poland
- Faculty of Philosophy and Education, Catholic University of Eichstätt-Ingolstadt, Eichstätt, Germany
| | - Jean-Philippe Lanoix
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD USA
| | | | - Janusz Surzykiewicz
- Faculty of Education, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Poland
- Faculty of Philosophy and Education, Catholic University of Eichstätt-Ingolstadt, Eichstätt, Germany
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Kim K, Jang S, Rim HD, Kim SW, Chang HH, Woo J. Attachment Insecurity and Stigma as Predictors of Depression and Anxiety in People Living With HIV. Psychiatry Investig 2023; 20:418-429. [PMID: 37253467 DOI: 10.30773/pi.2022.0271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Accepted: 01/26/2023] [Indexed: 06/01/2023] Open
Abstract
OBJECTIVE The purpose of this study was to examine whether attachment insecurity, stigma, and certain demographic and medical factors predict depression and anxiety in people living with HIV (PLWH). METHODS Participants were 147 PLWH who visited the outpatient infection clinic in Kyungpook National University Hospital (KNUH; Daegu, South Korea) between June 2020 and January 2021. We measured HIV-related stigma, attachment anxiety and avoidance, depressive symptoms, and anxiety symptoms. RESULTS Logistic regression analysis showed that unemployment, longer time receiving antiretroviral therapy, higher attachment avoidance, and higher attachment anxiety were significant predictors of depression. Results also showed that longer time receiving antiretroviral therapy, higher attachment anxiety, and concern with public attitudes were significant predictors of anxiety. CONCLUSION In addition to education to reduce public stigma, interventions to reduce PLWH's self-stigma should continue. We suggest attachment-based psychotherapy as an effective intervention to improve PLWH's mental health.
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Affiliation(s)
- Kyungmin Kim
- Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
| | - Seoyoung Jang
- Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
| | - Hyo-Deog Rim
- Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
| | - Shin-Woo Kim
- Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
| | - Hyun-Ha Chang
- Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
| | - Jungmin Woo
- Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
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Thomas DL, Stavros GS, Sandage SJ, Berg-Cross L, Nichols EJ. Attachment Neuroscience and Martin Luther King, Jr.’s Nonviolence Philosophy: Implications for the 21st Century and Beyond. JOURNAL OF BLACK PSYCHOLOGY 2022. [DOI: 10.1177/00957984211016236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This article focuses on the psychology of principled nonviolent activism, specifically ideas associated with Martin Luther King, Jr.’s philosophy of nonviolence and how they are compatible with attachment theory and related areas of modern neuroscience (e.g., attachment/social neuroscience and interpersonal neurobiology). The proposed Kingian Neuro-Relational Theory (KNRT) recognizes King as having a relational development approach to social justice. KNRT offers a way of understanding King’s ideas to aid research and develop strategies for reducing many forms of societal violence, with eventual outcomes of improving mental and physical health via stress reduction, and subsequent creation of a more socially just world. KNRT is an integrative, multidisciplinary approach, incorporating the philosophy of nonviolence, attachment theory, social neuroscience, ecological systems theory, and personalistic philosophy. The theory highlights developmental and clinical implications of moving beyond tactical/pragmatic nonviolent activism (nonviolent direct action) to activism via embracing nonviolence as a principled way of life (nonviolent daily interactions). This theory is building on an earlier project that conveyed how King’s philosophy of nonviolence is related to modern–day diversity and inclusion efforts.
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Mi T, Zhou G, Li X, Qiao S, Yang X, Shen Z, Zhou Y. The association between HIV disclosure to family members and quality of life among people living with HIV/AIDS: The indirect effects through social support. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01927-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Effect of a Training Program about Noticing and Expressing Feelings on Forgiveness. INTERNATIONAL JOURNAL FOR THE ADVANCEMENT OF COUNSELLING 2021. [DOI: 10.1007/s10447-021-09430-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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O'Beirne S, Katsimigos AM, Harmon D. Forgiveness and chronic pain: a systematic review. Ir J Med Sci 2020; 189:1359-1364. [PMID: 32125628 DOI: 10.1007/s11845-020-02200-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Accepted: 02/05/2020] [Indexed: 11/24/2022]
Abstract
BACKGROUND Forgiveness is becoming increasingly recognized for its role in healthcare, having shown promising effects in patients suffering myriad diseases, from coronary artery disease to HIV to breast cancer. AIMS To review the current literature examining forgiveness and its relationship specifically to chronic pain. METHOD In July 2019, a search was carried out of electronic databases (Academic Search Complete, AMED, Biomedical Reference Collection, General Science, Medline, PsycArticles, PsycInfo, Social Sciences Full Text and SPORTDiscus). Further results were obtained from reference lists. Inclusion and exclusion criteria were applied using PRISMA guidelines for systematic reviews. RESULTS The initial search yielded 354 results, and after duplicates were removed and inclusion and exclusion criteria applied, the final result was seven papers to be reviewed. Of the seven papers reviewed, five showed a relationship between lower levels of forgiveness and either increased experience or decreased tolerance for pain. One paper showed higher levels of empathy improving pain levels and suggests that forgiveness could enhance this experience of empathy. One study resulted in a higher level of pain among patients with higher forgiveness scores, although it was qualified that this particular patient population had a higher attachment anxiety, which may have impeded their ability to utilize forgiveness therapy. CONCLUSIONS There is an association between the capacity to forgive and the experience of chronic pain. Further research should examine forgiveness as an intervention in a population of chronic pain patients to explore this relationship further.
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Affiliation(s)
- Sheena O'Beirne
- Graduate Entry Medical School, University of Limerick, Limerick, Ireland
| | | | - Dominic Harmon
- Graduate Entry Medical School, University of Limerick, Limerick, Ireland. .,Department of Anesthesia and Pain Medicine, Limerick University Hospital, Dooradoyle, Limerick, Ireland.
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Ye Y, Ma D, Yuan H, Chen L, Wang G, Shi J, Yu Y, Guo Y, Jiang X. Moderating Effects of Forgiveness on Relationship Between Empathy and Health-Related Quality of Life in Hemodialysis Patients: A Structural Equation Modeling Approach. J Pain Symptom Manage 2019; 57:224-232. [PMID: 30399414 DOI: 10.1016/j.jpainsymman.2018.10.511] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 10/27/2018] [Accepted: 10/29/2018] [Indexed: 02/05/2023]
Abstract
CONTEXT Health-related quality of life (QOL) is a recommended clinical tool to assess hemodialysis patients and a primary end point to observe the effectiveness of overall disease management. Empathy is associated with positive outcomes such as pain relief and reduced anxiety and distress. Numerous studies have tested the relationships among empathy, forgiveness, and QOL; however, a mechanism of forgiveness has not been fully explored in hemodialysis patients. OBJECTIVES To test the relationship among empathy and health-related QOL and confirm the moderating effects of forgiveness on relationship between empathy and health-related QOL among hemodialysis patients. METHODS In a descriptive cross-sectional study conducted from September to December 2017, 457 hemodialysis patients from five hospitals filled out the Heartland Forgiveness Scale, Interpersonal Reactivity Index-C, Kidney Disease Questionnaire, and general information. The data were analyzed using SPSS, and structural equation modeling was used to address the relationships among empathy, forgiveness, and health-related QOL. RESULTS Empathy was significantly positively associated with health-related QOL. The proposed model had a good fit to the data. Forgiveness was found to play a partial mediating role between empathy and health-related QOL. CONCLUSION The results imply that empathy significantly directly and indirectly influences health-related QOL. Empathy among hemodialysis patients should be monitored and effectively managed to improve positive effects on their health-related QOL. Nurses should consider implementing empathy interventions with an emphasis on building forgiveness strategies to help hemodialysis patients improve their health-related QOL.
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Affiliation(s)
- Yansheng Ye
- West China Hospital/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China
| | - Dengyan Ma
- Division of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Huaihong Yuan
- Hemodialysis Center, Division of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Lin Chen
- Hemodialysis Center, Division of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Guorong Wang
- Department of Nursing/Hemodialysis Center, Sichuan Cancer Hospital, Chengdu, Sichuan, China
| | - Jing Shi
- Hemodialysis Center, Sichuan Province Traditional Chinese Medicine Hospital, Chengdu, Sichuan, China
| | - Yan Yu
- Hemodialysis Center, Chengdu Second People's Hospital, Chengdu, Sichuan, China
| | - Yu Guo
- Hemodialysis Center, Chengdu First People's Hospital, Chengdu, Sichuan, China
| | - Xiaolian Jiang
- West China Hospital/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
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Farias ODO, Alexandre HDO, Lima ICVD, Galvão MTG, Hanley-Dafoe R, Santos VDF. Attachment styles of People Living with HIV/AIDS. CIENCIA & SAUDE COLETIVA 2018; 25:495-504. [PMID: 32022190 DOI: 10.1590/1413-81232020252.11852018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Accepted: 06/14/2018] [Indexed: 11/22/2022] Open
Abstract
Factors that involve the dynamics in interpersonal relationships and may have consequences in health are still little explored in people living with HIV/AIDS. The aim was to identify the evidences of literature regarding adult attachment style and HIV. It is an Integrative literature review. Seven databases were explored, using the combination of key words and Boolean connectors: "Attachment Style OR Object Attachment AND HIV". A reasonable number of articles addressed attachment among people with HIV as a mediator to post-traumatic stress disorder, depression and stress. The prevalence of insecure attachment in this group was high. Evidence was also found in relation to the attachment as an important factor to adaptation to the diagnosis of HIV, attachment and behavior in interpersonal relationships, and emphasize the possibility of changing the attachment style.
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Affiliation(s)
- Odaleia de Oliveira Farias
- Departamento de Enfermagem, Universidade Federal do Ceará. R. Alexandre Baraúna 1115, Rodolfo Teófilo. 60430-160, Fortaleza, CE, Brasil.
| | - Herta de Oliveira Alexandre
- Departamento de Enfermagem, Universidade Federal do Ceará. R. Alexandre Baraúna 1115, Rodolfo Teófilo. 60430-160, Fortaleza, CE, Brasil.
| | | | - Marli Teresinha Gimeniz Galvão
- Departamento de Enfermagem, Universidade Federal do Ceará. R. Alexandre Baraúna 1115, Rodolfo Teófilo. 60430-160, Fortaleza, CE, Brasil.
| | | | - Vanessa da Frota Santos
- Departamento de Enfermagem, Universidade Federal do Ceará. R. Alexandre Baraúna 1115, Rodolfo Teófilo. 60430-160, Fortaleza, CE, Brasil.
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Krasuska M, Lavda A, Thompson A, Millings A. The role of adult attachment orientation and coping in psychological adjustment to living with skin conditions. Br J Dermatol 2018; 178:1396-1403. [DOI: 10.1111/bjd.16268] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2017] [Indexed: 11/30/2022]
Affiliation(s)
- M. Krasuska
- Department of Psychology; University of Sheffield; Sheffield U.K
- Usher Institute of Population Health Sciences and Informatics; University of Edinburgh; Edinburgh U.K
| | - A.C. Lavda
- Central Chesterfield Neighbourhood Team; Derbyshire Healthcare NHS Foundation Trust; Chesterfield U.K
| | - A.R. Thompson
- Department of Psychology; University of Sheffield; Sheffield U.K
| | - A. Millings
- Department of Psychology; University of Sheffield; Sheffield U.K
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Stewart WC, Reynolds KE, Jones LJ, Stewart JA, Nelson LA. The Source and Impact of Specific Parameters that Enhance Well-Being in Daily Life. JOURNAL OF RELIGION AND HEALTH 2016; 55:1326-1335. [PMID: 26087913 DOI: 10.1007/s10943-015-0076-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The purpose of this study was to review four parameters (forgiveness, gratitude, hope and empathy) frequently noted when evaluating well-being. We reviewed clinical studies from 1966 to present. We included 63 articles. All four of the parameters were shown to generally improve an individual's well-being. These parameters demonstrated a positive influence within more specific societal issues including improvement in social relationships, delinquent behavior and physical health. These parameters were generally derived from training and religion. This study suggests that these parameters may improve either one of general well-being, pro-social and positive relational behavior and demonstrate positive health effects.
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Affiliation(s)
- William C Stewart
- Teleios, Inc., 104 Berkeley Square Lane, #286, Goose Creek, SC, 29445, USA.
| | - Kelly E Reynolds
- Teleios, Inc., 104 Berkeley Square Lane, #286, Goose Creek, SC, 29445, USA
| | - Lydia J Jones
- Teleios, Inc., 104 Berkeley Square Lane, #286, Goose Creek, SC, 29445, USA
| | - Jeanette A Stewart
- Teleios, Inc., 104 Berkeley Square Lane, #286, Goose Creek, SC, 29445, USA
| | - Lindsay A Nelson
- Teleios, Inc., 104 Berkeley Square Lane, #286, Goose Creek, SC, 29445, USA
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Catunda C, Seidl EMF, Lemétayer F. Illness perception and quality of life of HIV-positive persons: mediation effects of tenacious and flexible goal pursuit. PSYCHOL HEALTH MED 2016; 22:129-137. [PMID: 26837540 DOI: 10.1080/13548506.2016.1146404] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Medical advances contribute to raise life expectancy of people living with HIV/AIDS (PLHIV). However, they still face challenges related to the disease, thus, quality of life (QOL) became a priority on the field. The self-regulatory model (SRM) guided this study. Illness perceptions (IP) are the beliefs, cognitions, representations of a disease, impacting PLHIV coping strategies and QOL. Tenacious goal pursuit (TGP) is the pursuit of goals with determination, flexible goal adjustment (FGA) is doing it with flexibility, disengaging if necessary, they can both be considered as coping strategies. This study aims to measure the impact of HIV Perception in the QOL of PLHIV mediated by the TGP and FGA. Data was collected from 196 PLHIV with the WHOQOL-HIV Bref, the Brief-IPQ and the FGA and TGP scales. Structural equation model provided a good fit consistent with the theoretical SRM. IP, TGP and FGA had direct effects on the QOL of PLHIV. IP had also an indirect effect (partially mediated by TGP/FGA), suggesting that TGP/FGA reduce the impact of a threatening IP in the QOL. Goal oriented interventions should focus in the HIV perception of PLHIV to ameliorate their QOL.
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Affiliation(s)
- Carolina Catunda
- a Research Unit APEMAC , Université de Lorraine , Metz , France.,b Institute of Psychology, University of Brasilia , Brasilia , Brazil
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McConnell JM. A Conceptual-Theoretical-Empirical Framework for Self-Forgiveness: Implications for Research and Practice. BASIC AND APPLIED SOCIAL PSYCHOLOGY 2015. [DOI: 10.1080/01973533.2015.1016160] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Aarts F, Hinnen C, Gerdes VE, Brandjes DP, Geenen R. The Significance of Attachment Representations for Quality of Life One Year Following Gastric Bypass Surgery: A Longitudinal Analysis. Bariatr Surg Pract Patient Care 2014. [DOI: 10.1089/bari.2014.0022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Affiliation(s)
- Floor Aarts
- Department of Internal Medicine, Slotervaart Hospital, Amsterdam, The Netherlands
- Department of Medical Psychology/Hospital Psychiatry, Slotervaart Hospital, Amsterdam, The Netherlands
| | - Chris Hinnen
- Department of Medical Psychology/Hospital Psychiatry, Slotervaart Hospital, Amsterdam, The Netherlands
- Section Health Psychology, Department of Health Sciences, University Medical Centre Groningen, University of Groningen, The Netherlands
| | - Victor E.A. Gerdes
- Department of Internal Medicine, Slotervaart Hospital, Amsterdam, The Netherlands
- Department of Vascular Medicine, Academic Medical Centre (AMC), Amsterdam, The Netherlands
| | - Dees P.M. Brandjes
- Department of Internal Medicine, Slotervaart Hospital, Amsterdam, The Netherlands
- Department of Vascular Medicine, Academic Medical Centre (AMC), Amsterdam, The Netherlands
| | - Rinie Geenen
- Department of Clinical and Health Psychology, Utrecht University (UMC), Utrecht, The Netherlands
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Aarts F, Hinnen C, Gerdes VEA, Acherman Y, Brandjes DPM. Coping style as a mediator between attachment and mental and physical health in patients suffering from morbid obesity. Int J Psychiatry Med 2014; 47:75-91. [PMID: 24956919 DOI: 10.2190/pm.47.1.g] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The presence of mental health problems and limitations in physical functioning is high in patients suffering from morbid obesity. The purpose of the current study was to examine the mediating role of coping style in the relationship between attachment representations and mental health and physical functioning in a morbidly obese population. METHOD A total of 299 morbidly obese patients who were referred to the Slotervaart bariatric surgery unit in Amsterdam, the Netherlands, completed self-report questionnaires assessing adult attachment style (Experiences in Close Relationship-Revised Questionnaire), coping style (Utrecht Coping List), and patients physical functioning and mental health (Short Form-36). RESULTS Attachment anxiety (beta = -.490, p < .001) and attachment avoidance (3 = -.387, p < .001) were both found to be related to mental health. In addition, attachment anxiety was also found to be related to physical functioning (beta = - .188,p < .001). Coping style partly mediated these associations. CONCLUSIONS Findings suggest that coping mediates the association between attachment anxiety and attachment avoidance on the one hand and mental health and physical functioning in patients with morbid obesity on the other hand.
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Affiliation(s)
- Floor Aarts
- Slotervaart Hospital, Amsterdam, The Netherlands
| | - Chris Hinnen
- Slotervaart Hospital, Amsterdam, The Netherlands, and University of Groningen, The Netherlands
| | - Victor E. A. Gerdes
- Slotervaart Hospital, Amsterdam, The Netherlands, and Academic Medical Centre (AMC), Amsterdam, The Netherlands
| | | | - Dees P. M. Brandjes
- Slotervaart Hospital, Amsterdam, The Netherlands, and Academic Medical Centre (AMC), Amsterdam, The Netherlands
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Price CJ, Diana TM, Smith-Dijulio KL, Voss JG. Developing Compassionate Self-care Skills in Persons Living with HIV: a Pilot Study to Examine Mindful Awareness in Body-oriented Therapy Feasibility and Acceptability. Int J Ther Massage Bodywork 2013; 6:9-19. [PMID: 23730396 PMCID: PMC3666600 DOI: 10.3822/ijtmb.v6i2.197] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background Self-care skills for persons living with HIV (PLWH) are needed to better cope with the common symptoms and emotional challenges of living with this chronic illness. Purpose The purpose of this study was to examine the feasibility and acceptability of Mindful Awareness in Body-oriented Therapy (MABT) for individuals receiving medical management for HIV at an outpatient program. Setting A nonprofit outpatient day program that provided medical management to low-income individuals with HIV. Research Design A one group pre–post study design, nine participants were recruited to receive eight weekly MABT sessions of 1.25 hours each. Intervention MABT is designed to facilitate emotion regulation through teaching somatically-based self-care skills to respond to daily stressors. Main Outcome Measures To assess participant characteristics and study feasibility, a battery of health questionnaires and one week of wrist actigraphy was administered pre- and postintervention. A satisfaction survey and written questionnaire was administered postintervention to assess MABT acceptability. Results The results demonstrated recruitment and retention feasibility. The sample had psychological and physical health symptoms that are characteristic of PLWH. MABT acceptability was high, and participants perceived that they learned new mind-body self-care skills that improved HIV symptoms and their ability to manage symptoms. Conclusion The positive findings support a larger future study to examine MABT efficacy to improve coping with HIV symptoms among PLWH.
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Affiliation(s)
- Cynthia J Price
- Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USA
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