An emotionally inexpressive (Type C) coping style influences HIV disease progression at six and twelve month follow-ups

Luigi Solano, Massimo Costa, Lydia Temoshok, Simonetta Salvati, Rosamaria Coda, Fernando Aiuti, Fiorella Di Sora, Gianfranco D'Offizi, Lucia Figa-Talamanca, Ivano Mezzaroma, Francesco Montella, Mario Bertini

Research output: Contribution to journalArticle

Abstract

This study examined the effects of specific psychosocial factors on the progression of HIV infection in 200 HIV-1 seropositive but asymptomatic men and women. At baseline, participants' disease status was determined, and they were administered self-report assessments of coping style, social support and loneliness. Participants were classified at 6 and 12 month follow-ups as progressed or unchanged, compared to their baseline status. In logistic regression analyses, higher baseline Type C coping scores (indicating emotional inexpressiveness and decreased recognition of needs and feelings) significantly predicted progression at 6 months (p <0.01) and 12 months (p <0.02), but only among participants classified at baseline as CDC-A2 (between 200-99 CD4 cells/mm3). In participants originally classified as CDC-A1 (CD4 cell counts > 500/ mm3), no psychosocial variable showed any significant relationship. Results emphasize the need to consider the disease context, as well as the interaction between biological and psychological factors in contributing to disease progression.

Original languageEnglish
Pages (from-to)641-655
Number of pages15
JournalPsychology and Health
Volume17
Issue number5
DOIs
Publication statusPublished - Oct 2002

Keywords

  • Coping
  • Disease progression
  • Emotion
  • Hardiness
  • HIV infection
  • Social support
  • Type C

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychology(all)

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