Psychological distress and quality of life of people living with HIV/AIDS in a Nigerian teaching hospital

Presence of psychological distress and poor quality of life (QoL) may affect the outcome of HIV/AIDS. One hundred and seventeen consecutive and consenting participants were interviewed using a Socio-demographic questionnaire, Kessler Psychological Distress Scale (K10) and World Health Organization Quality of Life-HIV Bref. Fifty-six (47.9%) participants scored 20 and above on K10 Scale. QoL was significantly higher in married participants, those who perceived their state of health as being good, asymptomatic participants and those who scored well–mild on K10. The older age group scored higher on QoL Scale than the younger age group in the physical health domain while the married participants scored higher in the domains of physical health, psychological health, environment and spiritual/religion. The participants who perceived their state of health as being good scored higher than those who perceived their health as poor in all domains. There is a high level of psychological distress and poor QoL in people living with HIV/AIDS.     

The Complexity of Women’s Lives: Decision-making about Maternal HIV Disclosure

HIV/AIDS has reached epidemic levels in Washington, D.C. and mothers living with HIV increasingly have to make difficult decisions about whether or not to disclose their HIV status to their children. Focus groups were conducted with a sample of women (N = 15) living in Washington, D.C. to investigate maternal decision-making about HIV disclosure, the factors that influenced disclosure, challenges to disclosure, and children’s reactions to disclosure. This was a first step towards the larger goal of developing a culturally sensitive disclosure decision-making intervention. Participants were asked to identify elements to include in such an intervention. We also quantitatively examined participants’ psychosocial outcomes of depression, perceived social support, quality of life, and parenting challenges. Our preliminary findings showed that most participants experienced intense emotional distress after receiving an HIV diagnosis and this distress prevented them from disclosing their HIV status to family members and children. Several specific parenting concerns (e.g., age and gender of child, relationship to child, and number of children) influenced their decisions to disclose. All participants reported that HIV related stigma and discrimination as significant disclosure-related challenges. Health providers were not always perceived as being able to support participants in making a decision about whether or not to disclose their HIV status to their children.     

Salient Volunteering Behavior Increases Monetary Risk‐taking

Research finds that engaging in prosocial behavior has many positive psychological outcomes (e.g., enhanced well‐being, optimism, perceived control, and a boost in self‐concept), and research on monetary risk‐taking reveals these psychological outcomes are associated with increased risk‐taking. Merging these findings, we propose that when people's volunteering behavior is made salient in their minds, they take more monetary risks. Making research participants’ volunteering behavior salient by having them recall an act of prior volunteering (studies 1 and 3), choosing whether to volunteer (study 2), or choosing one of two volunteering activities (study 4), four experiments (and a fifth reported in the Appendix S2) reveal increased risk‐taking across several monetary‐risk outcomes (incentive‐compatible gambles, allocation of a windfall gain, and a behavioral risk‐taking measure involving escalating risk). Lastly, when the decision maker attributes a decision to volunteer to an external source, the effect of salient volunteering on monetary risk‐taking attenuates.     

Empathy,Knowledge, and Personal Distress as Correlates of HIV‐/AIDS‐Related Stigmatization and Discrimination

This study investigated the influence of empathy, knowledge, and personal distress on HIV‐/AIDS‐related stigmatization and discrimination in a normal population (N = 346). Participants ranging in age from 18 to 69 years responded to a validated questionnaire. The results showed a significant main and joint influence of empathy, knowledge, and personal distress on stigmatization and discrimination. Stigmatization and discrimination are thus identified as great obstacles in the fight against and prevention of HIV/AIDS. Stakeholders in the HIV/AIDS arena should embark on mass education to increase knowledge of HIV/AIDS; also attitudinal change programs should be initiated, while health institutions should be effectively monitored to ensure best practices.     

Continulty in the Life Story: Self-Defining Memories, Affect, and Approach/Avoidance Personal Strivings

To study affective responses to memories and their relationship to personal strivings, 117 participants (65 males, 52 females) wrote selfdefining memories and indicated their affective responses to the memories. A week later they generated personal strivings, rated them along 10 dimensions, and indicated the relevance of their memories to the strivings. Participants who recalled more memories relevant to the attainment of their strivings felt more positively about their memories. Additionally, participants who listed greater percentages of avoidance strivings also recalled more memories related to the nonattainment of their strivings. Participants with higher percentages of avoidance strivings also recalled less positive memories. In an extension of Emmons's (1986) research, participants' feelings about personal strivings were linked to their affective responses to memories generated a week earlier. These results support a goal-based theory of affect and a role for motivation in memory.     

Individual attitudes and perceived social norms: Reports on HIV/AIDS‐related stigma among service providers in China

This study examined HIV/AIDS‐related stigma among Chinese service providers by comparing their personal attitudes toward people living with HIV/AIDS with their perception of social norms related to people living with HIV/AIDS. We randomly selected three provincial hospitals, four city/prefecture hospitals, 10 county hospitals, 18 township health clinics, and 54 village clinics from Yunnan, China. Doctors and nurses were randomly sampled proportionally to the doctor–nurse ratio of each hospital or clinic. Lab technicians were over‐sampled in order to include an adequate representation in the analysis. A total of 1,101 service providers participated in a voluntary, anonymous survey where demographic characteristics, individual attitude and perceived social norms toward people living with HIV/AIDS, discrimination intent at work, general prejudicial attitude and knowledge on HIV/AIDS were measured. A majority of the sample demonstrated a similarity between their personal views and what they thought most people in society believe. Multiple logistic regressions revealed that participants who were younger or reported personal contact with people living with HIV/AIDS were significantly more likely to report personal attitudes toward the population that were more liberal than their perceived social norms. Holding a more liberal personal attitude toward people living with HIV/AIDS than perceived social norms was significantly and negatively related to the level of discrimination intent at work, perceived discrimination at interpersonal level and the level of general prejudicial attitude toward people living with HIV/AIDS. Results underscored the importance of understanding social norms and personal attitudes in studying HIV‐related stigma and called for the incorporation of existing human capital into future HIV stigma reduction programs.     

Disengagement and Engagement Coping with HIV/AIDS Stigma and Psychological Well-Being of People with HIV/AIDS

The stigma associated with HIV/AIDS poses a psychological challenge to people living with HIV/AIDS. We hypothesized that that the consequences of stigma-related stressors on psychological well-being would depend on how people cope with the stress of HIV/AIDS stigma. Two hundred participants with HIV/AIDS completed a self-report measure of enacted stigma and felt stigma, a measure of how they coped with HIV/AIDS stigma, and measures of depression and anxiety, and self-esteem. In general, increases in felt stigma (concerns with public attitudes, negative self-image, and disclosure concerns) coupled with how participants reported coping with stigma (by disengaging from or engaging with the stigma stressor) predicted self-reported depression, anxiety, and self-esteem. Increases in felt stigma were associated with increases in anxiety and depression among participants who reported relatively high levels of disengagement coping compared to participants who reported relatively low levels of disengagement coping. Increases in felt stigma were associated with decreased self-esteem, but this association was attenuated among participants who reported relatively high levels of engagement control coping. The data also suggested a trend that increases in enacted stigma predicted increases in anxiety, but not depression, among participants who reported using more disengagement coping. Mental health professionals working with people who are HIV positive should consider how their clients cope with HIV/AIDS stigma and consider tailoring current therapies to address the relationship between stigma, coping, and psychological well-being.     

Identification with community‐based HIV agencies as a correlate of turnover intentions and general self‐efficacy

Research (e.g. French, Power, & Mitchell, 2000 ; Harris, 2006 ; Harris & Alderson, 2006 , 2007 ; Roy & Cain, 2001 ) has highlighted important benefits for people living with HIV/AIDS to become connected with HIV community‐based (CB) agencies (e.g. reduction of isolation, educational opportunities, empowerment). However, CB HIV organizations sometimes experience challenges in recruiting and retaining people living with HIV/AIDS. In a sample of 68 respondents associated with a Canadian HIV/AIDS CB agency, facets of agency identification were examined as correlates of (a) turnover intentions with the agency and (b) aspects of psychological adjustment (hope and general self‐efficacy). Results indicated one dimension of social identification, in‐group affect, as a significant correlate of turnover intentions (such that members with more positive agency‐derived feelings were more likely to say they would stay at the agency), and another emotionally‐relevant aspect of identification, in‐group ties, as a significant correlate of general self‐efficacy. Hope was unrelated to social identification. Several implications for HIV CB agencies are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Maladaptive Responses to Relationship Dissolution: The Role of Relationship Contingent Self‐Worth

The present study examined responses to romantic breakup as a function of relationship contingency of self‐worth (CSW)—the degree to which individuals base self‐worth on being in a romantic relationship. Relationship CSW was hypothesized to be a vulnerability factor, exacerbating affective and behavioral responses to romantic relationship dissolution. Results of structural equation modeling (N = 312) revealed that among participants who reported a breakup over the past year, those who more strongly based self‐worth on being in a relationship reported greater emotional distress and obsessive pursuit of their ex‐partners than did those with lower relationship CSW. Specifically, emotional distress partially mediated the link between relationship CSW and obsessive pursuit. Implications of relationship CSW for interpersonal motivation and well‐being are discussed.     

Dangerous sports and recreational drug‐use: rationalizing and contextualizing risk

This article reports upon the Interpretative Phenomenological Analysis (IPA) of a small number of semi‐structured interviews, conducted with persons engaging in either recreational drug‐use (primarily identified here as Ecstasy‐users) or dangerous sports (primarily identified here as bungee‐jumpers). Our analysis focuses upon the manner in which these participants make sense of their initiation and maintenance experiences, and the means by which they understand and make sense of risk. In particular, we draw attention to the distinctions between our participants' rational and contextual reconstructions of risky decisions. These distinctions indicate that our participants are able to draw upon a complex cultural and relational understanding of risk and pleasure, and are thus able to deal quite effectively with the contradictory experience of taking ‘non‐volitional’ action. This exploration of persons' strategies for displacing agency in relation to potentially negative outcomes may have implications for research and practice in related areas. Copyright © 2004 John Wiley & Sons, Ltd.     

Ethnic identity,ego identity,and psychological well‐being among mixed‐ethnic Arab‐European adolescents in Israel

This study explored the relationship between ethnic identity, ego identity, and psychological wellbeing among mixed‐ethnic adolescents with European mothers and Arab fathers in Israel. One hundred and twenty‐seven mixed‐ethnic adolescents (13 to 18 years) were instructed to respond to a modified version of Phinney's (1992) Multigroup ethnic identity measure (MEIM), to Bennion and Adams' (1986) ego identity measure (EOM‐EIS) and to Ryff's (1999) psychological well‐being scale. It was found that Arab and European ethnic identities, composed of ethnic behaviours, affirmation and belonging, and achievement of a sense of oneself as part of an ethnic group, were significantly positively correlated with participants' psychological well‐being. Findings revealed also that the ego identity statuses Achievement and Moratorium were associated with higher levels of psychological well‐being, while the statuses Foreclosure and Diffusion were associated with lower levels of well‐being. Arab and European ethnic identities and ego identity were found to be formed independently among the participants.     

The Experiences of Rural VhaVenda Women Involved in Polygamous Marriages

The study explored the experiences of five rural VhaVenda women involved in polygamous marriages aged between twenty seven and sixty four years. The five participants were selected through snowball sampling method from four villages in Vhembe District (Limpopo Province). Data were analysed qualitatively using Mostyn's (1985) four phases of content analysis. Participants considered polygamous marriage among the vhaVenda to be a cultural phenomenon that has both positive and negative effects. On the positive side, the participants found polygamy to provide social support and to minimise divorce and promiscuity. On the negative side, polygamy was found to lower the quality of life for women involved in such a marriage arrangement. Other negative consequences associated with polygamy included feelings of distress and entrapment, the lack of control that these women have over their sexuality, the humiliation that they experience due to constant conflicts with co-wives, favouritism and neglect by husbands, and the risk of contracting HIV/AIDS because of the multiple relationships.     

Trait Self‐Esteem Moderates the Effect of Initiator Status on Emotional and Cognitive Responses to Romantic Relationship Dissolution

ABSTRACT We hypothesized that the effect of initiator status on post breakup distress would vary as a function of trait self‐esteem, such that individuals with low self‐esteem would experience more distress after being rejected by their partners, whereas, among individuals with high self‐esteem, initiator status would not predict distress. We used a prospective design in which university students (N=66) were assessed for emotional responses following the dissolution of their real‐life romantic relationships, as well as a laboratory design in which students (N=190) imagined breaking up with their partners. As predicted, participants with lower trait self‐esteem exhibited greater distress after experiencing or imagining a romantic rejection than after ending or imagining themselves ending their relationships. Conversely, distress experienced by those with high trait self‐esteem did not differ as a function of who ended the relationship. Implications for understanding self‐esteem processes and the effects of romantic rejection are discussed.     

Structural and Community Change Outcomes of the Connect‐to‐Protect Coalitions: Trials and Triumphs Securing Adolescent Access to HIV Prevention,Testing, and Medical Care

Connect to Protect (C2P), a 10‐year community mobilization effort, pursued the dual aims of creating communities competent to address youth's HIV‐related risks and removing structural barriers to youth health. We used Community Coalition Action Theory (CCAT) to examine the perceived contributions and accomplishments of 14 C2P coalitions. We interviewed 318 key informants, including youth and community leaders, to identify the features of coalitions’ context and operation that facilitated and undermined their ability to achieve structural change and build communities’ capability to manage their local adolescent HIV epidemic effectively. We coded the interviews using an a priori coding scheme informed by CCAT and scholarship on AIDS‐competent communities. We found community mobilization efforts like C2P can contribute to addressing the structural factors that promote HIV‐risk among youth and to community development. We describe how coalition leadership, collaborative synergy, capacity building, and local community context influence coalitions’ ability to successfully implement HIV‐related structural change, demonstrating empirical support for many of CCAT's propositions. We discuss implications for how community mobilization efforts might succeed in laying the foundation for an AIDS‐competent community.     

Parents' Estimations of Preschoolers' Number Skills Relate to at‐Home Number‐Related Activity Engagement

According to Hunt's match hypothesis, the accuracy of parents' beliefs about their children's abilities can influence the nature of the early learning experiences they provide. The present study examined the accuracy of parents' beliefs about their preschoolers' number development and relations to parent‐reported frequency of engaging children in number related experiences at home. Parents reported engaging their preschoolers more frequently in conventional numeracy activities, (i.e. counting and identifying numbers) than advanced number‐related activities (e.g. arithmetic) at home, though the frequency of advanced activities increased with the development of children's advanced number skills. Parents were most uncertain about their children's advanced number skills, though they demonstrated an overall tendency to overestimate their children's abilities across number tasks. Increased rates of overestimation and decreased rates of underestimation were associated with increased incidences of advanced activity engagement at home. Thus, results suggest guiding parents to understand their own children's numerical understanding in a wide range of number domains could promote more advanced at‐home number‐related activity engagement. Copyright © 2016 John Wiley & Sons, Ltd.     

Social support as a moderator of day‐to‐day relationships between daily negative events and daily psychological well‐being

Every day for 3 weeks, a sample of college students described the events that occurred each day and provided measures of their self‐esteem, depressogenic thinking and mood. They also provided measures of depressive symptoms and the social support they perceived from friends and family members. A series of multilevel random coefficient modelling analyses found that daily well‐being was positively related to the number of positive events that occurred each day and was negatively related to the number of negative events. Relationships between well‐being and positive events were stronger for more than for less depressed participants and relationships between well‐being and negative events were weaker for participants who perceived more support from friends than for those who perceived less support. Depression was unrelated to the strength of relationships between negative events and well‐being, and the social support from friends was unrelated to relationships between positive events and well‐being. Surprisingly, relationships between negative events and well‐being were stronger for participants who perceived more support from family members than for those who perceived less support. Copyright © 2006 John Wiley & Sons, Ltd.     

Older Adolescents’ Self-Determined Motivations to Disclose Their HIV Status

Disclosure of HIV status is an important topic for youth living with HIV/AIDS, yet theoretical frameworks for understanding HIV disclosure motivations have been poorly applied. Self-determination theory (SDT) proposes that people are at optimal functioning when they are engaging in activities that are interesting and enlivening. This study utilized SDT to understand young adults’ motivations to disclose their HIV status. Interviews and observations were conducted with nine youth aged 17–19 and two adult staff. Results indicate that SDT is useful for understanding types of motivation (i.e., amotivation, controlled, and autonomous motivation) to disclose. Amotivation was the most common type of motivation, and came from two recursive sources: fear of stigma and previous experiences of others disclosing without their consent. Controlled motivation to disclose occurred when participants were motivated to disclose because of reasons related to other people, rather than internal or personal reasons, and included the reasons of wanting to gain a closer relationship, reciprocate a shared secret, for psychological or emotional relief, and for attention. Autonomous motivation included two themes: the life perspective that “Having HIV is just part of who I am,” and valuing educating others because education was perceived as important and beneficial to others. This study extends SDT into the domain of HIV disclosure in older adolescents. People providing guidance and support to older adolescents with HIV/AIDS can use SDT to understand different motivations to disclose.     

Nostalgia in response to group‐based exclusion: The role of attachment‐related avoidance

We proposed that nostalgia, by virtue of its sociality, can be an indirect strategy to counteract relational deficiencies stemming from group‐based exclusion. We instructed Greek participants to recall an event in which they experienced exclusion on the basis of their nationality versus a control event. We anticipated that participants would react to group‐based exclusion with increased nostalgia. Specifically, because low attachment‐related avoidance facilitates proximity‐seeking in response to distress, we hypothesized that group‐based exclusion would increase nostalgia (a form of proximity‐seeking) more strongly when avoidance is low. Results supported this moderation hypothesis. In turn, increased nostalgia in response to group‐based exclusion predicted stronger ingroup identification. For low‐avoidants, then, group‐based exclusion fortified ingroup identification via increased nostalgia (moderated mediation).     

A Positive Psychology Intervention Among Long‐Term Unemployed People and Its Effects on Psychological Distress and Well‐Being

The present study aims to examine the effect of a positive psychology intervention (PPI) on a population of long‐term unemployed people. All were members of an association of employment assistance. An opportunity was offered to participate in a PPI. Twelve participants accepted (treatment condition). The remaining participants constituted the control group. Participants of the treatment condition were asked to complete 5 positive psychology exercises during 2 weeks. Participants of the control condition participated as usual in sessions to help their job search. Results indicate that PPI significantly decreases psychological distress (e.g., depression, anxiety) and significantly increases well‐being (e.g., life satisfaction, self‐esteem).     

Engaging in self‐regulation results in low‐level construals

Previous research has suggested that self‐regulation results in low‐level construals but has inferred construal levels after self‐regulation only indirectly, through construal‐dependent judgments and choices. In the present paper, we demonstrate a direct link between engaging in self‐regulation and low‐level construals, by manipulating self‐regulation and subsequently assessing construal levels using well‐established and straightforward measures of construal level in three studies. Participants who engaged in self‐regulation subsequently provided lower egocentric spatial distance estimates (Studies 1A and 1B), formed more groups when categorizing objects (Study 2), and used more concrete language when describing cartoon main characters' behavior (Study 3) than participants who did not engage in self‐regulation. These findings provide direct evidence that low‐level construals result from engaging in self‐regulation. Copyright © 2012 John Wiley & Sons, Ltd.