Abstract
The authors tested a structural model that incorporated age, time since diagnosis, social support, coping, and negative mood as predictors of medication adherence and HIV viral load on 188 men and 134 women on highly active antiretroviral therapy (HAART). The authors used psychosocial latent factors formed from baseline measures to predict latent factors of adherence, as assessed by electronic monitoring and self-report, and viral load defined by indicators assessed over a 15-month period. Results from the model indicate that greater negative mood and lower social support are related to greater use of avoidance-oriented coping strategies. Use of these coping strategies by patients on HAART is related to poorer medication adherence and, subsequently, higher viral load. This model advances researchers' understanding of the contribution of psychosocial variables in predicting treatment adherence and disease progression in HIV-positive men and women.
Original language | English (US) |
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Pages (from-to) | 385-392 |
Number of pages | 8 |
Journal | Health Psychology |
Volume | 24 |
Issue number | 4 |
DOIs | |
State | Published - Jul 2005 |
Keywords
- Adherence
- Antiretroviral therapy
- Avoidance-oriented coping
- HIV
- Social support
ASJC Scopus subject areas
- Psychiatry and Mental health
- Applied Psychology