Effects of distress and coping on quality of life in HIV-positive patients: results of a longitudinal study

Leiberich, Peter and Brieger, M. and Schumacher, K. and Joraschky, P. and Olbrich, E. and Loewel, H. and Tritt, K. (2005) Effects of distress and coping on quality of life in HIV-positive patients: results of a longitudinal study. NERVENARZT, 76 (9). 1117-+. ISSN 0028-2804,

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Abstract

Preserving health-related quality of life (QOL) is an important approach with HIV-positive patients. In a longitudinal study over 3 years, with three measurements each 18 months, we examined 56 of these patients for the influence of distress and coping (assessed by interviews) on physical, cognitive-emotional, and social QOL (using the SEL questionnaire). The patients were 32.9 years old on average, with 28.3 months since diagnosis. Seventy percent were male, 82% asymptomatic, 14% with ARC, and 4% with AIDS. Forty-five percent had been infected by homosexual intercourse, 14% by heterosexual intercourse, and 41 % by iv drug abuse. The patients reported significantly worse physical and cognitive-emotional QOL than healthy subjects. Those HIV-positive persons with great distress showed significantly lower QOL scores. Multiple analyses of regression showed evasive-regressive coping at the T1, T2, and T3 levels as negative predictors, vs active, problem-focused coping as a positive predictor for nearly all QOL parameters at T3. HIV-positive patients with ARC or AIDS reported more physical complaints and lower physical QOL than asymptomatic persons. Physicians should suggest psychosocial support to patients with poor QOL scores.

Item Type: Article
Uncontrolled Keywords: HUMAN-IMMUNODEFICIENCY-VIRUS; SOCIAL SUPPORT; INFECTED PATIENTS; GAY MEN; HIV/AIDS; DISEASE; AIDS; ASSOCIATIONS; SYMPTOMS; THERAPY; human immunodeficiency virus infection; health-related quality of life; distress; coping; questionnaire SEL
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin II
Medicine > Abteilung für Psychosomatische Medizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 30 Apr 2021 09:34
Last Modified: 30 Apr 2021 09:34
URI: https://pred.uni-regensburg.de/id/eprint/35722

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