Psychosocial and Spiritual Factors and Depression Among African-Americans Living with HIV/AIDS

2.50
Hdl Handle:
http://hdl.handle.net/10755/155905
Type:
Presentation
Title:
Psychosocial and Spiritual Factors and Depression Among African-Americans Living with HIV/AIDS
Abstract:
Psychosocial and Spiritual Factors and Depression Among African-Americans Living with HIV/AIDS
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:George Dalmida, Safiya, PhD, MSN, APRN
P.I. Institution Name:Emory University
Title:Assistant Professor
Co-Authors:Harold Koenig MD, Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: African Americans (AA) with HIV/AIDS experience significant stress and depression. Spirituality/religion are important factors among AA and people with HIV/AIDS. The aim of this study was to identify the psychosocial factors associated with depression among HIV+ AA.
Methods: A cross-sectional study was conducted with 262 HIV+ AA outpatients in the southeastern US. SPSS, correlations and hierarchical regression statistics were used.
Results: : About half (54.2%) completed high school or had a G.E.D. and 30.3% attended college, technical or graduate school. Majority (89.7%) were unemployed or on disability. Many (61.3%) had undetectable HIV viral loads (<50-400 copies/ml). Mean sample age was 45 +/-7.7 years, mean depression score was 19.3 +/- 12.6, mean HIV medication adherence score was 24.2 +/- 5.9 on a scale from 0-30 with higher scores representing better adherence, and mean CD4 count was 465.8 +/- 387.1 cells/micro L. Mean negative religious coping (RCOPE) was 4.86 +/- 5.34) and positive RCOPE was16.6 +/- 5.06, with higher scores representing more coping on a scale from 0-21. RESULTS: Depression was significantly inverse associated with positive RCOPE (r= -.24; p=.000), social support satisfaction (r= -.35; p=.000), mental HRQOL (r= -.69; p=.000), physical HRQOL (r= -.45; p=.000) and HIV medication adherence (r= -.29), and significantly positively associated with negative RCOPE (r=.50; p=.000). Negative and positive RCOPE, social support satisfaction, and gender were significant predictors of depressive symptoms, controlling for socio-demographics.
Conclusion: HIV+ AA experience significant stress and depressive symptoms and those who use religion to cope in a positive manner report less depressive symptoms and those who use religion to cope in a negative or less positive manner report more depressive symptoms. In this sample, religious coping, gender (being female), and social support were significant predictors of depression. FUTURE DIRECTIONS: More research is necessary to examine these relationships over time and to examine other mediator/moderator relationships between spirituality/religiosity and mental health in HIV+ AA.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePsychosocial and Spiritual Factors and Depression Among African-Americans Living with HIV/AIDSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155905-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Psychosocial and Spiritual Factors and Depression Among African-Americans Living with HIV/AIDS</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">George Dalmida, Safiya, PhD, MSN, APRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Emory University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sageorg@emory.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Harold Koenig MD, Professor</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose: African Americans (AA) with HIV/AIDS experience significant stress and depression. Spirituality/religion are important factors among AA and people with HIV/AIDS. The aim of this study was to identify the psychosocial factors associated with depression among HIV+ AA. <br/>Methods: A cross-sectional study was conducted&nbsp;with 262 HIV+ AA outpatients in the southeastern US. SPSS, correlations and hierarchical regression statistics were used. <br/>Results: : About half (54.2%) completed high school or had a G.E.D. and 30.3% attended college, technical or graduate school. Majority (89.7%) were unemployed or on disability. Many (61.3%) had undetectable HIV viral loads (&lt;50-400 copies/ml). Mean sample age was 45 +/-7.7 years, mean depression score was 19.3 +/- 12.6, mean HIV medication adherence score was 24.2 +/- 5.9 on a scale from 0-30 with higher scores representing better adherence, and mean CD4 count was 465.8 +/- 387.1 cells/micro L. Mean negative religious coping (RCOPE) was 4.86 +/- 5.34) and positive RCOPE was16.6 +/- 5.06, with higher scores representing more coping on a scale from 0-21. RESULTS: Depression was significantly inverse associated with positive RCOPE (r= -.24; p=.000), social support satisfaction (r= -.35; p=.000), mental HRQOL (r= -.69; p=.000), physical HRQOL (r= -.45; p=.000) and HIV medication adherence (r= -.29), and significantly positively associated with negative RCOPE (r=.50; p=.000). Negative and positive RCOPE, social support satisfaction, and gender were significant predictors of depressive symptoms, controlling for socio-demographics. <br/>Conclusion:&nbsp;HIV+ AA experience significant stress and depressive symptoms and those who use religion to cope in a positive manner report less depressive symptoms and those who use religion to cope in a negative or less positive manner report more depressive symptoms. In this sample, religious coping, gender (being female), and social support were significant predictors of depression. FUTURE DIRECTIONS: More research is necessary to examine these relationships over time and to examine other mediator/moderator relationships between spirituality/religiosity and mental health in HIV+ AA.</td></tr></table>en_GB
dc.date.available2011-10-26T14:16:06Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:16:06Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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