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The role of social support in HIV infection

Published online by Cambridge University Press:  09 July 2009

K. H. Nott*
Affiliation:
Department of Psychology, University of Newcastle upon Tyne; Department of Psychology, Royal Holloway and MRC Social and Community Psychiatry Unit, University of London; Department of Psychiatry, Royal Edinburgh Hospital, University of Edinburgh
K. Vedhara
Affiliation:
Department of Psychology, University of Newcastle upon Tyne; Department of Psychology, Royal Holloway and MRC Social and Community Psychiatry Unit, University of London; Department of Psychiatry, Royal Edinburgh Hospital, University of Edinburgh
M. J. Power
Affiliation:
Department of Psychology, University of Newcastle upon Tyne; Department of Psychology, Royal Holloway and MRC Social and Community Psychiatry Unit, University of London; Department of Psychiatry, Royal Edinburgh Hospital, University of Edinburgh
*
1Address for correspondence: Dr K. H. Nott, Department of Psychology, Ridley Building, Claremont Place, Newcastle upon Tyne NE1 7RU.

Synopsis

A study was carried out in a group of 91 HIV positive gay men to investigate the relationship between social support, measures of affect and health; the changing nature of support over time; and the causal direction of this relationship. Overall levels of support for this group were found to be moderately high and consistent over 6 months and were associated with greater psychological well-being. Individuals in receipt of quantitatively different levels of support were found to differ on measures of depression, stress, coping efficacy and self-esteem, while individuals in receipt of deficient levels of support were found to be more depressed. However, initial support levels were found to be the most powerful predictors of subsequent support levels. The implications of these findings are discussed.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1995

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References

Battle, J. (1981). Culture-Free SEI Self-Esteem Inventories for Children and Adults. Special Child Publications: Seattle, Washington.Google Scholar
Bergcman, C. S., Plomin, R., Pedersen, N. L. & McClearn, G. E. (1991). Genetic mediation of the relationship between social support and psychological well-being. Psychology and Aging 6, 640646.Google Scholar
Billings, A. G. & Moos, R. H. (1984). Chronic and nonchronic unipolar depression. The differential role of environmental stressors and resources. Journal of Nervous and Mental Disease 172, 6575.CrossRefGoogle ScholarPubMed
Britton, P. J., Zarski, J. J. & Hobfoll, S. E. (1993). Psychological distress and the role of significant others in a population of gay/bisexual men in the era of HIV. AIDS Care 5, 4354.Google Scholar
Champion, L. A. & Goodall, G. M. (1993). Social support and mental health: positive and negative aspects. In Seminars in Psychology and Social Sciences (ed. Tantum, D. and Birchwood, M.), pp. 238259. Gaskell Press: London.Google Scholar
Christ, G. H. & Weiner, L. S. (1985). Psychosocial issues in AIDS. In AIDS, Etiology, Diagnosis, Treatment and Prevention (ed. de Vita, V. T., Hellman, S. & Rosenberg, S. A.), pp. 275297. Lippincott: Philadelphia, PA.Google Scholar
Cohen, S. & Edwards, J. R. (1989). Personality characteristics as moderators of the relationship between stress and disorder. In Advances in the Investigation of Psychological Stress (ed. Neufeld, R. W. J.), pp. 235283. Wiley: New York.Google Scholar
Cohen, S., Kamarack, T. & Mermelstein, R. (1983). A Global measure of perceived stress. Journal of Health and Social Behaviour 24, 385396.Google Scholar
Dunkel-Schetter, C. & Wortman, C. B. (1982). The interpersonal dynamics of cancer: problems in social relationships and their impact on the patient. In Interpersonal Issues in Health Care (ed. Friedman, H. S. & DiMateo, M. R.), pp. 69100. New York: Academic Press.Google Scholar
Dunkel-Schetter, C., Folkman, S. & Lazarus, R. S. (1987). Correlates of social support receipt. Journal of Personality and Social Psychology 53, 7180.CrossRefGoogle ScholarPubMed
Feifel, H., Strack, S., Nagy, V. T. (1987). Degree of life threat and differential use of coping modes. Journal of Psychosomatic Research 31, 9199.CrossRefGoogle ScholarPubMed
Gotlib, I. H. & Hammen, C. L. (1992). Psychological Aspects of Depression: Toward a Cognitive-interpersonal Integration. Chichestcr: Wiley.Google Scholar
Gotlib, I. H. & Hooley, J. M. (1988). Depression and marital distress: current status and future directions. In Handbook of Personal Relationships (ed. Duck, S. W.), pp. 543570. Wiley: Chichester.Google Scholar
Gore, S. (1981). Stress-buffering functions of social supports: An appraisal and clarification of research models. In Stressful Life Events and Their Contexts (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 202222. Rutgers University Press: New Brunswick, NJ.Google Scholar
Gravel, I. (1990). Progression of HIV infection in women: asymptomatic state to frank AIDS. NAACOG's Clinical Issues in Perinatal and Women's Health Nursing 1, 2027.Google Scholar
Green, G. (1983). Social support and HIV. AIDS Care 5, 87104.Google Scholar
Hays, R. B., Catania, J. A., McKusick, L. & Coates, T. J. (1990). Help-seeking for AIDS related concerns: a comparison of gay men with various HIV diagnoses. American Journal of Community Psychology 18, 743755.CrossRefGoogle ScholarPubMed
Hays, R. B., Turner, H. & Coates, T. J. (1992). Social support, AIDS-related symptoms and depression among gay men. Journal of Consulting and Clinical Psychology 60, 463469.CrossRefGoogle ScholarPubMed
Kurdek, L. A. & Siesky, G. (1990). The nature and correlates of psychological adjustment in gay men with AIDS related conditions. Journal of Applied Social Psychology 20, 846860.Google Scholar
Lennon, M. C., Martin, J. L. & Dean, L. (1990). The influence of social support on AIDS-related grief reaction among gay men. Social Science Medicine 31, 477484.CrossRefGoogle ScholarPubMed
McNemar, Q. (1947). Note on the sampling error of the difference between correlated proportions or percentages. Psychometrika 12, 153157.Google Scholar
Namir, S., Alumbaugh, M. J., Fawzy, F. I. & Wolcott, D. L. (1989). The relationship of social support to physical and psychological aspects of AIDS. Psychology and Health 3, 7786.Google Scholar
Noh, S., Chandarana, P., Field, V. & Posthuma, B. (1990). AIDS epidemic, emotional strain, coping and psychological distress in homosexual men. AIDS Education and Prevention 2, 272283.Google Scholar
Nott, K. H. & Vedhara, K. (1995). The assessment of effective coping efforts in a sample of HIV positive homosexual men: the development of an inventory. (In preparation.)Google Scholar
O'Leary, A. (1990). Stress, emotion, and human immune function. Psychological Bulletin 108, 363382.CrossRefGoogle ScholarPubMed
Persson, L., Hanson, B. S., Ostergren, P. O., Moestrup, T. & Isacsson, S. O. (1991). Social network, support and the amount of CD4 lymphocytes in a representative urban Swedish population of HIV seropositive homosexual men.Presented at the VII International Conference on AIDS,Florence, Italy.Google Scholar
Power, M. J., Champion, L. A. & Aris, S. J. (1988). The development of a measure of social support: the Significant Others (SOS) Scale. British Journal of Clinical Psychology 27, 349358.Google Scholar
Power, M. J. & Champion, L. A. (1992). The Significant Others Scale. In Assessment: A Mental Health Portfolio (ed. Milne, D.), pp. 1829. NFER-Nelson: Windsor.Google Scholar
Reillo, M. (1990). Psychosocial factors associated with prognosis in AIDS.Presented at the VI International Conference on AIDS,San Francisco, USA.Google Scholar
Savage, R. D. (1990). Savage Personality Screening Scale (SPSS-20). Interim Manual Notes. Obtainable from Murdoch University, Western Australia.Google Scholar
Turner, H. A., Hays, R. B. & Coates, T. J. (1993). Determinants of social support among gay men: the context of AIDS. Journal of Health and Social Behavior 34, 3753.CrossRefGoogle ScholarPubMed
VanderPlate, C., Aral, S. O. & Magder, L. (1988). The relationship among genital herpes simplex virus, stress and social support. Health Psychology 7, 159168.CrossRefGoogle ScholarPubMed
Wolf, T. M., Balson, P. M., Morse, E. V., Simon, P. M., Gaumer, R. H., Dralle, P. W. & Williams, M. H. (1991). Relationship of coping style to affective state and perceived social support in asymptomatic and symptomatic HIV infected persons: implications for clinical management. Journal of Clinical Psychiatry 52, 171173.Google ScholarPubMed
Wortman, C. B. (1984). Social support and the cancer patient. Cancer 53 (suppl. 10), 23392360.CrossRefGoogle ScholarPubMed