The Nature and Correlates of Psychological Adjustment in Gay Men with AIDS-Related Conditions1

This study assessed differences in the psychological adjustment of gay men who tested positive for the antibody to the human immunodeficiency virus (HIV). Twenty-one were symptomatic for AIDS, and 27 were asymptomatic. A group of 15 gay men who tested negative for the HIV was included as a comparison group. Men in the three groups were equivalent on demographic variables. Symptomatic men reported more health problems than either asymptomatic or seronegative men. Relative to men who were symptomatic, those who were asymptomatic reported more death anxiety, less optimism, and greater severity of psychological distress, and reported more frequent use of avoidance and distancing as coping strategies. The poor psychological functioning of asymptomatic subjects was attributed to the uncertainty regarding their future health status. Generally, positive psychological well-being of symptomatic and asymptomatic men was related to the infrequent use of avoidance coping strategies and high satisfaction with perceived social support.     

Optimism and Coping with Unemployment among Hong Kong Chinese Women

The effects of dispositional optimism and coping on the link between unemployment and psychological health were studied among 79 employed and 104 unemployed Hong Kong Chinese women. Results indicated that optimism, indexed by the Chinese version of the Revised Life Orientation Test (C-RLOT), moderated the effect of unemployment on psychological health. The less optimistic women were more psychologically impaired by losing their jobs. Among the unemployed women, the more optimistic ones and those who were more able to distance themselves from job loss fared better. Nevertheless, coping did not mediate the connection between optimism and psychological outcomes. These findings suggest that optimism is an important personal resource for coping with unemployment in Hong Kong Chinese, but whether coping mediates the effects of optimism on psychological health or not depends on other contextual factors. Ways to ensure more reliable prediction regarding the connections between optimism, coping and psychological health in future research were discussed.     

Coping with human immunodeficiency virus: Do optimists fare better?

Individuals who test positive for human immunodeficiency virus (HIV) face a difficult adjustment task. It was hypothesized that those who were more optimistic would cope more effectively and experience less distress. Both general and health-specific measures of coping were used. Optimism and distraction were negatively related to state anxiety, whereas emotional preoccupation was positively related to state anxiety. Optimism was not a predictor of depression. Rather, distraction was negatively related to depression, whereas palliative coping, emotional preoccupation, and the interaction of palliative coping and optimism were positively related to depression. The mediation of optimism by coping variables indicated that emotion-oriented coping was a negative mediator of optimism on both state anxiety and depression. Distraction (which includes some social diversion content) was a mediator of the impact of optimism on depression.     

Coping with human immunodeficiency virus: Do optimists fare better?

Individuals who test positive for human immunodeficiency virus (HIV) face a difficult adjustment task. It was hypothesized that those who were more optimistic would cope more effectively and experience less distress. Both general and health-specific measures of coping were used. Optimism and distraction were negatively related to state anxiety, whereas emotional preoccupation was positively related to state anxiety. Optimism was not a predictor of depression. Rather, distraction was negatively related to depression, whereas palliative coping, emotional preoccupation, and the interaction of palliative coping and optimism were positively related to depression. The mediation of optimism by coping variables indicated that emotion-oriented coping was a negative mediator of optimism on both state anxiety and depression. Distraction (which includes some social diversion content) was a mediator of the impact of optimism on depression.     

初中生乐观主义与其学业成绩的关系及中介效应分析

通过问卷考察了初中生乐观人格和乐观解释的关系、乐观主义与学生学业成绩的关系以及积极应对策略的中介效应,分析表明两种乐观主义存在着联系,乐观主义与学业成绩存在密切关系,不同水平的乐观对学生学业成绩产生的影响不一样,积极应对策略的中介效应不明显。结论:乐观主义是影响初中生学业成绩的一个重要影响因素,不同乐观主义对学业成绩产生的直接影响不一样,高水平的乐观是有利于学业成绩的。     

Risk perception and behavior: Pessimism,realism, and optimism about aids-related health behavior

Abstract

This study investigates the perceived risk of becoming infected with HIV for heterosexuals with multiple sexual partners, examines cognitive and motivational antecedents of biases in risk perception, and relates these biases to behavior. We obtained a moderate degree of optimism in a longitudinal study based on a sample of 535 visitors of a STD clinic. Further analyses—after classifying subjects as “pessimists”, “realists”, or “optimists”—revealed that pessimists were extremely pessimistic and optimists remarkably optimistic. Optimism increased with perceived control and decreased with prior experience, supporting a cognitive explanation of optimism. The data also provided some support for a motivational explanation: optimists who scored higher on a defensive coping style were more optimistic about their risks. Contrary to other findings, we found a positive relation between optimism and intentions to reduce risks. Furthermore, results revealed that optimists showed lower levels of subsequent behavioral risk. It was concluded that optimists were not unrealistically optimistic about their personal vulnerability. but rather that pessimists were unrealistically pessimistic. Previous behavior was found to be the best predictor of subsequent behavior. Although measures of perceived risk were also related to subsequent behavior, their predictive power was rather modest.     

Mediating role of coping in the dispositional optimism-posttraumatic growth relation in breast cancer patients

The aim of the present study was to examine if coping strategies mediate dispositional optimism-posttraumatic growth relation in postoperative breast cancer patients. The data were collected from 90 patients in two hospitals. Regression analyses revealed that problem-focused coping fully mediated dispositional optimism-posttraumatic growth relation, but emotion-focused coping did not. That is, postoperative breast cancer patients who were optimistic were more likely to use problem-focused coping strategies that, in turn, led to the development of posttraumatic growth. The findings were congruent with the literature in which problem-focused coping was mostly highlighted as compared to emotion-focused coping, and in which optimism and problem-focused coping relationship was emphasized in the path of posttraumatic growth.     

How optimists face skin cancer information: Risk assessment,attention, memory,and behavior

The purpose of the present study was to investigate how optimists process health-related information. Sixty-five young adults (ages 18–35) reported skin cancer-related knowledge and behaviors, and read slides of information on skin and skin cancer. Visual attention to the slides was recorded using eye tracking, and their memory for the information was measured. Additionally, participants’ self-reported skin cancer-relevant behavior was assessed prospectively in the months following the lab component of the study. Results show that individuals low in dispositional optimism or high in health-related optimism paid more attention when they were at high objective risk of developing skin cancer; and individuals high in dispositional optimism or high in health-related optimism were more likely to perform adaptive, health-promoting behaviors. In addition, optimistic beliefs were found not to be related with unrealistic optimism. Dispositional and health-related optimism therefore appear to predict health-related cognition and behavior in distinct ways.     

Psychological resources, positive illusions, and health

Psychological beliefs such as optimism, personal control, and a sense of meaning are known to be protective of mental health. Are they protective of physical health as well? The authors present a program of research that has tested the implications of cognitive adaptation theory and research on positive illusions for the relation of positive beliefs to disease progression among men infected with HIV. The investigations have revealed that even unrealistically optimistic beliefs about the future may be health protective. The ability to find meaning in the experience is also associated with a less rapid course of illness. Taken together, the research suggests that psychological beliefs such as meaning, control, and optimism act as resources, which may not only preserve mental health in the context of traumatic or life-threatening events but be protective of physical health as well.     

Human lmmunodeficiency Virus Infection and the Gay Community: Counseling and Clinical Issues

The gay community has been and continues to be disproportionately affected by the acquired immune deficiency syndrome (AIDS) and the human immunodeficiency virus (HIV) infection. Need for risk-reduction education, mental health service provision, and assistance in grieving the ongoing loss of loved ones continues to exist among members of the gay community. Clinicians who work with gay clients should be aware of the critical issues confronting gay men who are at risk for infection, those who may already be infected with HIV, and their loved ones. This article highlights critical issues in introducing prevention in therapy and counseling, in supporting asymptomatic seropositive gay men and gay men with AIDS-related complex (ARC) and AIDS in their attempts to cope, and in assisting in the grieving process for those who have lost loved ones to AIDS-related illnesses.     

Optimism, coping, and health: assessment and implications of generalized outcome expectancies

This article describes a scale measuring dispositional optimism, defined in terms of generalized outcome expectancies. Two preliminary studies assessed the scale's psychometric properties and its relationships with several other instruments. The scale was then used in a longitudinal study of symptom reporting among a group of undergraduates. Specifically, respondents were asked to complete three questionnaires 4 weeks before the end of a semester. Included in the questionnaire battery was the measure of optimism, a measure of private self-consciousness, and a 39-item physical symptom checklist. Subjects completed the same set of questionnaires again on the last day of class. Consistent with predictions, subjects who initially reported being highly optimistic were subsequently less likely to report being bothered by symptoms (even after correcting for initial symptom-report levels) than were subjects who initially reported being less optimistic. This effect tended to be stronger among persons high in private self-consciousness than among those lower in private self-consciousness. Discussion centers on other health related applications of the optimism scale, and the relationships between our theoretical orientation and several related theories.     

Psychosocial predictors of gay men's AIDS risk-reduction behavior.

Used psychosocial variables derived from the health belief model (Rosenstock, 1974), Bandura's (1986) self-efficacy framework, and protection motivation theory (Rogers, 1984) to predict self-reported AIDS risk-reduction behaviors in a sample of 389 homosexual men who participated in the Multicenter AIDS Cohort Study in Los Angeles and who knew their HIV antibody status. Hierarchical multiple regression analyses showed that self-efficacy, perceived risk, response efficacy, and prior sexual behavior accounted for approximately 70% of the variance in the total number of sexual partners and the number of anonymous partners over a 6-month interval, controlling for demographic variables, HIV antibody status, and presence of a primary partner. A logistic regression analysis showed that barriers to change predicted increased unprotected anal receptive intercourse over a 6-month interval, controlling for prior behavior. The relation of health beliefs to risk-reduction behavior was substantially different for HIV-seropositive men without primary partners than for other groups of gay men. Implications for interventions are discussed.     

Effect of anxiety on optimism

A quasi-experimental study was designed to investigate the possibility that people's optimism is reduced if they experience a specific form of negative affect, namely, anxiety. The level of optimism held by two groups of English students toward a range of life events was examined. Students taking examinations, the experimental group, were in an anxious state. Students who had completed their examinations, the control group, were less anxious. Those in the anxious group were less optimistic about the likelihood of both negative and positive events happening to them than were those in the control group. They were also less optimistic about the likelihood of events happening to others and of events happening to them in comparison with others. It was concluded that negative affect in general, and anxiety in particular, may have a global effect upon optimism: It may reduce optimism toward a broad range of judgments.     

Dispositional and comparative optimism interact to predict avoidance of a looming health threat

Research indicates that when confronted with a health threat, individuals high in both dispositional and comparative optimism employ a more avoidant style of coping than individuals high in dispositional but low in comparative optimism. We examined the hypothesis that threat distance moderates this interactive optimism association. In two studies, participants were randomly assigned to a looming or distant threat condition. Study 1 revealed that in the looming threat condition, participants high in both forms of optimism were more likely to minimise the threat and less inclined to seek additional health information relative to participants high in dispositional but low in comparative optimism. In Study 2, the same interaction pattern emerged on a measure of psychological abstraction suggesting these variables combine to alter broad information processing strategies. Implications for considering multiple forms of optimism when delivering health status information are discussed.     

Dispositionai Optimism as a Protective Factor in Resisting HIV Exposure in Sexually Active Inner-City Minority Adolescents1

Recent investigations have explored dispositional optimism as a determinant of various health-related behaviors, though such research has been infrequently conducted in populations where pessimism would be expected to be prevalent. The present study examines optimism and unsafe sexual behavior in 230 sexually active inner-city minority adolescents. Findings suggest that dispositional optimism is a protective factor regarding adolescents' intentions to avoid engaging in unsafe sex. Further, the benefits of optimism appear to be explained by those who are more optimistic having higher levels of perceived condom use self-efficacy and stronger negative expectancies toward unsafe sex. Future interventions may need to address optimism in concert with behavioral-specific determinants to increase the probability of reducing unsafe sexual behavior in high-risk populations.     

Dispositional optimism,self‐framing and medical decision‐making

Self‐framing is an important but underinvestigated area in risk communication and behavioural decision‐making, especially in medical settings. The present study aimed to investigate the relationship among dispositional optimism, self‐frame and decision‐making. Participants (N = 500) responded to the Life Orientation Test‐Revised and self‐framing test of medical decision‐making problem. The participants whose scores were higher than the middle value were regarded as highly optimistic individuals. The rest were regarded as low optimistic individuals. The results showed that compared to the high dispositional optimism group, participants from the low dispositional optimism group showed a greater tendency to use negative vocabulary to construct their self‐frame, and tended to choose the radiation therapy with high treatment survival rate, but low 5‐year survival rate. Based on the current findings, it can be concluded that self‐framing effect still exists in medical situation and individual differences in dispositional optimism can influence the processing of information in a framed decision task, as well as risky decision‐making.     

Changes in HIV treatment beliefs and sexual risk behaviors among gay and bisexual men, 1997-2005.

OBJECTIVE: Beliefs about HIV treatment effectiveness and the impact of HIV treatments on HIV transmission risks were initially related to sexual risk-taking in the late 1990s when multidrug HIV treatments first became available. This study examined changes in beliefs about the effects of HIV treatment for preventing HIV transmission and their association to sexual risk behaviors between the years 1997 and 2005. DESIGN: Anonymous surveys were administered to a convenience sample of gay and bisexual men attending a large community event in Atlanta, Georgia in 1997 (N = 498) and again at the same community event in 2005 (N = 448). Analyses were performed for men living with HIV/AIDS and for men who have not been diagnosed with HIV/AIDS. MAIN OUTCOME MEASURES: Rates of unprotected anal intercourse in the previous 3 months. RESULTS: There were significant increases in high-risk sexual practices that coincided with increased beliefs that HIV treatments can reduce the chance of transmitting HIV. However, optimistic beliefs about the health benefits of HIV treatments decreased over the 8 years and were not related to risk behaviors. CONCLUSIONS: Beliefs about how HIV treatments impact HIV infectiousness remain associated with HIV transmission risk behavior and interventions targeting at-risk as well as HIV-positive men who have sex with men must directly address these beliefs and perceptions.     

Later life health optimism,pessimism and realism: Psychosocial contributors and health correlates

Prior research has established positive outcomes of health optimism (appraising one's health as good despite poor objective health (OH)) and negative outcomes of health pessimism (appraising health as poor despite good OH), yet little is known about their contributors. We examined the role of psychosocial factors (life event stress, depression, dispositional optimism, perceived social support) in health realism (appraising health in accordance with OH), optimism and pessimism among 489 older men and women. We then accounted for the psychosocial factors when examining multiple health correlates of health realism, optimism and pessimism. Controlling for age, gender and income, regression results indicate that depression and social support were associated with less health optimism, while dispositional optimism was associated with greater health optimism among those in poor OH. Dispositional optimism was associated with less health pessimism and life event stress was associated with greater pessimism among those in good OH. Beyond the effects of the psychosocial factors, structural equation model results indicate that health optimism was positively associated with healthy behaviours and perceived control over one's health; health pessimism was associated with poorer perceived health care management. Health optimism and pessimism have different psychosocial contributors and health correlates, validating the health congruence approach to later life well-being, health and survival.     

Later life health optimism, pessimism and realism: psychosocial contributors and health correlates

Prior research has established positive outcomes of health optimism (appraising one's health as good despite poor objective health (OH)) and negative outcomes of health pessimism (appraising health as poor despite good OH), yet little is known about their contributors. We examined the role of psychosocial factors (life event stress, depression, dispositional optimism, perceived social support) in health realism (appraising health in accordance with OH), optimism and pessimism among 489 older men and women. We then accounted for the psychosocial factors when examining multiple health correlates of health realism, optimism and pessimism. Controlling for age, gender and income, regression results indicate that depression and social support were associated with less health optimism, while dispositional optimism was associated with greater health optimism among those in poor OH. Dispositional optimism was associated with less health pessimism and life event stress was associated with greater pessimism among those in good OH. Beyond the effects of the psychosocial factors, structural equation model results indicate that health optimism was positively associated with healthy behaviours and perceived control over one's health; health pessimism was associated with poorer perceived health care management. Health optimism and pessimism have different psychosocial contributors and health correlates, validating the health congruence approach to later life well-being, health and survival.     

Dispositional optimism,optimism priming,and prevention of ego depletion

Exerting self‐control leads to a diminished capacity to carry out successive acts of self‐control, a process termed ego depletion. The present study investigated whether dispositional optimism, priming of an optimistic orientation, or their interaction can counteract the ego depletion effect. A total of 160 participants performed a self‐control‐demanding weight‐lifting task on two occasions. Half of the participants were depleted between the two weight‐lifting tasks. Because depletion of self‐regulatory resources can undermine optimism half of the participants in the depletion, and no‐depletion condition were primed for an optimistic orientation before performing the second self‐control task. Results demonstrated an interaction between dispositional optimism and optimism priming. Only in participants high in dispositional optimism did the optimism prime lead to undiminished persistence on the weight‐lifting task. These results demonstrate that dispositional optimism may lead to improved goal persistence in the face of adversity only under conditions in which optimistic schemas are activated. Copyright © 2014 John Wiley & Sons, Ltd.