Yale University

Coping with HIV stigma: do proactive coping and spiritual peace buffer the effect of stigma on depression?

TitleCoping with HIV stigma: do proactive coping and spiritual peace buffer the effect of stigma on depression?
Publication TypeJournal Article
Year of Publication2012
AuthorsChaudoir, Stephenie R., Wynne E. Norton, Valerie A. Earnshaw, Linda Moneyham, Michael J. Mugavero, and Kathie M. Hiers
JournalAIDS and behavior
Date Published2012 Nov
KeywordsAdaptation, Psychological, Adult, Alabama, Cross-Sectional Studies, Depression, Female, Health Surveys, HIV Infections, Humans, Interviews as Topic, Likelihood Functions, Male, Middle Aged, Quality of Life, Questionnaires, Regression Analysis, Residence Characteristics, Self Efficacy, Social Stigma, Social Support, Spirituality, Stereotyping, Young Adult
AbstractAlthough HIV stigma is a significant predictor of depression, little is known about which factors might most effectively buffer, or attenuate, this effect. We examined whether two coping-related factors-proactive coping and spiritual peace-modified the effect of HIV stigma on likelihood of depression among a sample of 465 people living with HIV/AIDS (PLWHA). In a cross-sectional analysis, we conducted hierarchical logistic regressions to examine the effect of HIV stigma, proactive coping, spiritual peace, and their interactions on likelihood of significant depressive symptoms. Spiritual peace moderated the effect of HIV stigma on depression at high-but not low-levels of HIV stigma. No such effect was observed for proactive coping. Findings suggest that spiritual peace may help counteract the negative effect of HIV stigma on depression. Intervention components that enhance spiritual peace, therefore, may potentially be effective strategies for helping PLWHA cope with HIV stigma.
Alternate JournalAIDS Behav

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