Applying Self‐Determination Theory to the Prediction of Distress and Well‐Being in Gay Men With HIV and AIDS1

Self‐determination theory (Deci & Ryan. 1985. 1991) was used to predict psychological well‐being and distress in 48 gay men with HIV. 39 AIDS patients. and 38 HIV‐negative control participants. Participants listed 10 to 15 personal strivings and identitied their reasons for engaging in each striving. Multiple regression analyses revealed that introjection (engaging in strivings because of an internal sense of obligation or necessity) was associated with increased distress. especially among HIV‐ and AIDS participants. Introjection also predicted decreased well‐being. Integration (engaging in strivings because they are personally valued and meaningful) was positively related to well‐being. Adjustment to a life‐threatening illness is influenced by individuals' feelings of autonomy; that is. the extent to which they believe themselves to be the source of their actions.