Yale University

The influence of personality disorder indication, social support, and grief on alcohol and cocaine use among HIV-positive adults coping with AIDS-related bereavement.

TitleThe influence of personality disorder indication, social support, and grief on alcohol and cocaine use among HIV-positive adults coping with AIDS-related bereavement.
Publication TypeJournal Article
Year of Publication2009
AuthorsHansen, Nathan B., Courtenay E. Cavanaugh, Ellen L. Vaughan, Christian M. Connell, David C. Tate, and Kathleen J. Sikkema
JournalAIDS and behavior
Volume13
Issue2
Pagination375-84
Date Published2009 Apr
ISSN1573-3254
KeywordsAcquired Immunodeficiency Syndrome, Adaptation, Psychological, Adult, Alcohol Drinking, Bereavement, Cocaine-Related Disorders, Depression, Female, Grief, HIV Infections, Humans, Male, Personality Disorders, Social Support, Stress, Psychological
AbstractSubstance use is prevalent among HIV-positive adults and linked to a number of adverse health consequences; however little is known about risk and protective factors that influence substance use among HIV-positive adults coping with AIDS-related bereavement. Using structural equation modeling (SEM), male gender, diagnostic indications of antisocial and borderline personality disorders (PD), and grief severity were tested as risk factors, and social support as a protective factor, for alcohol and cocaine use among a diverse sample of 268 HIV-positive adults enrolled in an intervention for AIDS-related bereavement. Results indicated that the hypothesized model fit the study data. Male gender, PD indication, and social support had direct effects on substance use. PD had significant indirect effects on both alcohol and cocaine use, mediated by social support, but not by grief. Finally, both PD and social support had significant, but opposite, effects on grief. Implications for intervention and prevention efforts are discussed.
DOI10.1007/s10461-007-9308-6
Alternate JournalAIDS Behav

External Links