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Webel AR, Wantland D, Rose CD, Kemppainen J, Holzemer WL, Chen WT, Johnson MO, Nicholas P, Eller LS, Chaiphibalsarisdi P, Sefcik E, Nokes K, Corless IB, Tyer-Viola L, Kirksey K, Voss J, Sullivan K, Rivero-Méndez M, Brion J, Iipinge S, Phillips JC, Portillo C. A Cross-Sectional Relationship Between Social Capital, Self-Compassion, and Perceived HIV Symptoms. J Pain Symptom Manage 2015; 50:59-68. [PMID: 25659523 PMCID: PMC4492802 DOI: 10.1016/j.jpainsymman.2014.12.013] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 12/15/2014] [Accepted: 01/07/2015] [Indexed: 01/28/2023]
Abstract
CONTEXT Individual resources of social capital and self-compassion are associated with health behaviors and perceived symptoms, suggesting that both are positive resources that can be modified to improve a person's symptom experience. OBJECTIVES The aim was to examine the relationship between self-compassion and social capital and its impact on current HIV symptom experience in adult people living with HIV (PLWH). We further explored the impact of age on this relationship. METHODS We conducted a cross-sectional analysis of 2182 PLWH at 20 sites in five countries. Social capital, self-compassion, and HIV symptom experience were evaluated using valid and reliable scales. To account for inflated significance associated with a large sample size, we took a random sample of 28% of subjects (n = 615) and conducted correlation analyses and zero-inflated Poisson regression, controlling for known medical and demographic variables impacting HIV symptom experience. RESULTS Controlling for age, sex at birth, year of HIV diagnosis, comorbid health conditions, employment, and income, our model significantly predicted HIV symptom experience (overall model z = 5.77, P < 0.001). Employment status and social capital were consistent, negative, and significant predictors of HIV symptom experience. Self-compassion did not significantly predict HIV symptom experience. For those reporting symptoms, an increase in age was significantly associated with an increase in symptoms. CONCLUSION Employment and social capital modestly predicted current HIV symptom experience. Social capital can be incorporated into symptom management interventions, possibly as a way to reframe a person's symptom appraisal. This may be increasingly important as PLWH age. The relationship between employment status and HIV symptom experience was significant and should be explored further.
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Affiliation(s)
- Allison R Webel
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
| | | | - Carol Dawson Rose
- Community Health Systems, University of California School of Nursing at San Francisco, San Francisco, California, USA
| | - Jeanne Kemppainen
- University of North Carolina Wilmington, Wilmington, North Carolina, USA
| | | | - Wei-Ti Chen
- Yale University, New Haven, Connecticut, USA
| | - Mallory O Johnson
- University of California at San Francisco, San Francisco, California, USA
| | - Patrice Nicholas
- Global Health and Academic Partnerships, Brigham and Women's Hospital and Massachusetts General Hospital, Massachusetts General Hospital Institute of Health Professions, Boston, Massachusetts, USA
| | | | | | | | - Kathleen Nokes
- Hunter College, City University of New York, and Hunter-Bellevue School of Nursing, New York, New York, USA
| | - Inge B Corless
- Global Health and Academic Partnerships, Brigham and Women's Hospital and Massachusetts General Hospital, Massachusetts General Hospital Institute of Health Professions, Boston, Massachusetts, USA
| | - Lynda Tyer-Viola
- Global Health and Academic Partnerships, Brigham and Women's Hospital and Massachusetts General Hospital, Massachusetts General Hospital Institute of Health Professions, Boston, Massachusetts, USA
| | - Kenn Kirksey
- Center for Nursing Research, Seton Family of Hospitals, Austin, Texas, USA
| | - Joachim Voss
- University of Washington, Seattle, Washington, USA
| | - Kathy Sullivan
- School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, Hawaii, USA
| | | | - John Brion
- Ohio State University College of Nursing, Columbus, Ohio, USA
| | | | | | - Carmen Portillo
- Community Health Systems, University of California School of Nursing at San Francisco, San Francisco, California, USA
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Dawson Rose C, Cuca YP, Kamitani E, Eng S, Zepf R, Draughon J, Lum P. Using Interactive Web-Based Screening, Brief Intervention and Referral to Treatment in an Urban, Safety-Net HIV Clinic. AIDS Behav 2015; 19 Suppl 2:186-93. [PMID: 25963770 DOI: 10.1007/s10461-015-1078-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Substance use among people living with HIV is high, and screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based approach to addressing the issue. We examined whether patients would participate in a technology-based SBIRT program in an urban HIV clinic. An SBIRT intervention was programmed into the clinic's web-based patient portal linked to their personal health record. We examined: demographic, health, HIV, and substance use characteristics of participants who completed the web-based intervention compared to those who did not. Fewer than half of the 96 participants assigned to the web-based SBIRT completed it (n = 39; 41 %). Participants who completed the web-based intervention had significantly higher amphetamine SSIS scores than those who did not complete the intervention. Participants whose substance use is more harmful may be more motivated to seek help from a variety of sources. In addition, it is important that technology-based approaches to behavioral interventions in clinics take into consideration feasibility, client knowledge, and comfort using technology.
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Dawson Rose C, Webel A, Sullivan KM, Cuca YP, Wantland D, Johnson MO, Brion J, Portillo CJ, Corless IB, Voss J, Chen WT, Phillips JC, Tyer-Viola L, Rivero-Méndez M, Nicholas PK, Nokes K, Kemppainen J, Sefcik E, Eller LS, Iipinge S, Kirksey K, Chaiphibalsarisdi P, Davila N, Hamilton MJ, Hickey D, Maryland M, Reid P, Holzemer WL. Self-compassion and risk behavior among people living with HIV/AIDS. Res Nurs Health 2014; 37:98-106. [PMID: 24510757 PMCID: PMC4158433 DOI: 10.1002/nur.21587] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/17/2013] [Indexed: 11/12/2022]
Abstract
Sexual risk behavior and illicit drug use among people living with HIV/AIDS (PLWHA) contribute to poor health and onward transmission of HIV. The aim of this collaborative multi-site nursing research study was to explore the association between self-compassion and risk behaviors in PLWHA. As part of a larger project, nurse researchers in Canada, China, Namibia, Puerto Rico, Thailand and the US enrolled 1211 sexually active PLWHA using convenience sampling. The majority of the sample was male, middle-aged, and from the US. Illicit drug use was strongly associated with sexual risk behavior, but participants with higher self-compassion were less likely to report sexual risk behavior, even in the presence of illicit drug use. Self-compassion may be a novel area for behavioral intervention development for PLWHA.
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Affiliation(s)
- Carol Dawson Rose
- UCSF School of Nursing, Dept. of Community Health Systems, San Francisco, CA 94143-0608, T: (415) 713-5252, F: (415) 476-4076
| | - Allison Webel
- Case Western Reserve University, Bolten School of Nursing
| | | | | | - Dean Wantland
- Office of Research & Evaluation, Rutgers College of Nursing
| | | | - John Brion
- The Ohio State University College of Nursing
| | | | | | | | | | | | | | | | - Patrice K. Nicholas
- Global Health and Academic Partnerships, Brigham and Women's Hospital and MGH Institute of Health Professions
| | | | | | | | | | | | - Kenn Kirksey
- Nursing Strategic Initiatives, Lyndon B. Johnson Hospital – Executive Administration, Harris Health System
| | | | | | | | - Dorothy Hickey
- Momentum AIDS Program & Assistant Adjunct Clinical Professor at New York City College of Technology
| | - Mary Maryland
- Chicago State University College of Health Sciences, Department of Nursing
| | - Paula Reid
- School of Nursing, The University of North Carolina at Wilmington
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Kemppainen J, Johnson MO, Phillips JC, Sullivan KM, Corless IB, Reid P, Iipinge S, Chaiphibalsarisdi P, Sefcik E, Chen WT, Kirksey K, Voss J, Rivero-Méndez M, Tyer-Viola L, Dawson Rose C, Webel A, Nokes K, Portillo C, Holzemer WL, Eller L, Nicholas P, Wantland D, Brion J, Beamon ER. A multinational study of self-compassion and human immunodeficiency virus-related anxiety. Int Nurs Rev 2013; 60:477-86. [PMID: 24251940 DOI: 10.1111/inr.12056] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
AIM This study represents an initial effort at examining the association between the construct of self-compassion and human immunodeficiency virus (HIV)-related anxiety in a multinational population with HIV disease. BACKGROUND Previous studies have found that self-compassion is a powerful predictor of mental health, demonstrating positive and consistent linkages with various measures of affect, psychopathology and well-being, including anxiety. METHODS Cross-sectional data from a multinational study conducted by the members of the International Nursing Network for HIV Research (n = 1986) were used. The diverse sample included participants from Canada, China, Namibia, the United States of America and the territory of Puerto Rico. Study measures included the anxiety subscale of the Symptom Checklist-90 instrument, the Brief Version Self-Compassion Inventory and a single item on anxiety from the Revised Sign and Symptom Checklist. FINDINGS Study findings show that anxiety was significantly and inversely related to self-compassion across participants in all countries. We examined gender differences in self-compassion and anxiety, controlling for country. Levels of anxiety remained significantly and inversely related to self-compassion for both males (P = 0.000) and females (P = 0.000). Levels of self-compassion and anxiety varied across countries. CONCLUSIONS Self-compassion is a robust construct with cross-cultural relevance. A culturally based brief treatment approach aimed at increasing self-compassion may lend itself to the development of a cost effective adjunct treatment in HIV disease, including the management of anxiety symptoms.
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Affiliation(s)
- J Kemppainen
- University of North Carolina Wilmington, Wilmington
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