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Coping with AIDS. A longitudinal study

J S Brook1, D W Brook, P T Win

  • 1Department of Community Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.

The American Journal on Addictions
|January 1, 1997
PubMed
Summary
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HIV-positive injecting drug users exhibit distinct coping strategies, with social support influencing later coping. Early general coping skills predict reduced maladaptive coping over time.

Area of Science:

  • Public Health
  • Psychology
  • Infectious Diseases

Background:

  • Injecting drug users (IDUs) face unique challenges, particularly those with Human Immunodeficiency Virus (HIV).
  • Understanding coping mechanisms is crucial for managing health and psychosocial well-being in this population.
  • Longitudinal studies are needed to explore the dynamics of coping over time.

Purpose of the Study:

  • To compare coping strategies between HIV-positive (HIV+) and HIV-negative (HIV-) injecting drug users.
  • To investigate the association between social support and subsequent coping in HIV+ men.
  • To determine the impact of prior coping strategies on later psychosocial functioning.

Main Methods:

  • A longitudinal, prospective study design was employed.

Related Experiment Videos

  • 287 men (HIV+ and HIV-) completed a structured questionnaire at two time points.
  • Coping strategies, social support, and psychosocial function were assessed.

    • Main Results:

    • HIV+ subjects reported higher levels of AIDS-related adaptive coping (social support) and maladaptive coping (aggression) compared to HIV- subjects.
    • General coping strategies were not significantly different between groups but correlated with AIDS-related coping.
    • Earlier social support positively predicted later coping aspects in HIV+ men.

    Conclusions:

    • General coping skills appear to influence the avoidance of maladaptive coping strategies over time.
    • Coping behaviors, including AIDS-related adaptive and maladaptive strategies, can coexist and evolve.
    • Findings have implications for developing targeted preventive interventions for IDUs, especially those living with HIV.