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Titolo:
Adjustment to chronic illness among HIV-infected women
Autore:
Bova, C;
Indirizzi:
Univ Massachusetts, Div Infect Dis, Worcester, MA 01655 USA Univ Massachusetts Worcester MA USA 01655 ct Dis, Worcester, MA 01655 USA
Titolo Testata:
JOURNAL OF NURSING SCHOLARSHIP
fascicolo: 3, volume: 33, anno: 2001,
pagine: 217 - 223
SICI:
1527-6546(2001)33:3<217:ATCIAH>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY-VIRUS; QUALITY-OF-LIFE; SOCIAL SUPPORT; DEPRESSIVE SYMPTOMS; MEDICAL OUTCOMES; POOR ADJUSTMENT; HEALTH; QUESTIONNAIRE; AIDS; RELIABILITY;
Keywords:
HIV; women; adjustment; model testing;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Bova, C Univ Massachusetts, Div Infect Dis, 55 Lake Ave N, Worcester, MA 01655 USA Univ Massachusetts 55 Lake Ave N Worcester MA USA 01655 01655 USA
Citazione:
C. Bova, "Adjustment to chronic illness among HIV-infected women", J NURS SCHO, 33(3), 2001, pp. 217-223

Abstract

Purpose: To identify factors that influence adjustment to chronic illness among HIV-infected women, using the cognitive appraisal model of stress andcoping. Design: Cross-sectional descriptive survey of 101 HIV-infected women living in the Northeastern United States, from December 1996 to December 1997. Methods: During face-to-face interviews, the Meaning, of Illness Questionnaire, Duke UNC Functional Social Support Questionnaire, HIV Symptom Experience Inventory and Medical Outcomes Study (MOS) Short Form Survey were used to measure appraisal of illness, social support, HIV symptom severity and adjustment to chronic illness. Hierarchical linear regression, path analysis, and procedures to test for mediation were performed. Findings: The model variables explained 70% of the variance in adjustment to chronic illness. Symptom experience accounted for the greatest percentage of variance in adjustment (28%). Two of the three predicted relationshipswere supported as hypothesized: adjustment to chronic illness was directlyinfluenced by appraisal of illness and by HIV-symptom experience. Social support was not found to have a direct effect on adjustment. Instead, appraisal of illness mediated the effect of social support on adjustment and symptom experience. HIV illness stage was not a significant predictor of adjustment. Conclusions: The cognitive appraisal model of stress and coping was usefulfor building knowledge on adjustment to chronic illness, among HIV infected women. Interventions aimed at reframing negative appraisals have the potential to affect adjustment.

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Documento generato il 19/01/20 alle ore 00:28:16