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Distress, sleep difficulty, and fatigue in women co-infected with HIV and HPV

Ilona Marion1, Michael Antoni, Deidre Pereira

  • 1Department of Psychology, University of Miami, Coral Gables, FL 33124, USA.

Behavioral Sleep Medicine
|July 2, 2009
PubMed

Women with HIV infection report elevated and persisting psychosocial distress, sleep difficulty, and fatigue. The objective of this study was to examine psychosocial distress, sleep difficulty, and fatigue in a group of lower socioeconomic status women co-infected with HIV and HPV (N = 60). After controlling for relevant health behavioral and medical variables, multiple regression analyses indicated that greater psychosocial distress was associated with greater fatigue (p < .01), as well as greater sleep difficulty (p < .01). Sleep difficulty partially mediated the relationship between distress and fatigue (Sobel test, z = 2.39, p = .02). Stress management and sleep-based cognitive behavioral intervention approaches may be useful for treating fatigue in these women, possibly through reductions in psychosocial distress and improvements in sleep quality.

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