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Delineating the dyadic coping process in HIV serodiscordant male couples: a dyadic daily diary study using the common

Jianhua Hou1, Rong Fu1, Taiyi Jiang2

  • 1Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, People's Republic of China.

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
|February 3, 2025
PubMed

Insights

HIV serodiscordant male couples benefit from shared disease appraisal and dyadic coping strategies. Focusing on these daily processes can improve quality of life and relationship satisfaction for both partners.

Area of Science:

  • Psychology
  • Public Health
  • Sociology

Background:

  • Human Immunodeficiency Virus (HIV) transmission is a significant concern in serodiscordant male couples.
  • Understanding how couples cope with HIV as a unit is crucial for effective support and intervention.
  • Existing research has limited insight into the dyadic coping mechanisms employed by these couples.

Purpose of the Study:

  • To investigate the dyadic coping processes within HIV serodiscordant male couples.
  • To examine the relationship between shared disease appraisal, dyadic coping, and relationship outcomes.

Main Methods:

  • A dyadic daily diary study involving 141 Chinese HIV serodiscordant male couples.
  • Data collection over 14 consecutive days included measures of we-disease appraisal, common dyadic coping, quality of life, and relationship satisfaction.
  • Longer-term assessments at 2 months included ART adherence and attitudes toward Pre-Exposure Prophylaxis (PrEP).
  • Multilevel structural equation modeling was used to analyze the common fate mediation model.

Main Results:

  • Shared disease appraisal directly correlated with partners' quality of life and relationship satisfaction at both within-person and between-person levels.
  • Common dyadic coping significantly mediated the association between shared disease appraisal and outcomes at the within-person level.
  • No mediating effects of common dyadic coping were found at the between-person level.

Conclusions:

  • The daily dyadic coping process is vital for HIV serodiscordant couples.
  • Interventions should prioritize fostering shared disease appraisal and equipping couples with common dyadic coping strategies.
  • These strategies can enhance daily life, quality of life, and relationship satisfaction.
Abstract

Keywords:
Common fate modelCouplesDaily diaryDyadic copingHIV

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