Devaluing Stigma in the Context of Forgiveness, Coping and Adaptation: a Structural Regression Model of Reappraisal

Description:

The 2010 National HIV/AIDS Strategy outlined three important goals for managing the current HIV pandemic in the U.S.: (1) reduce the number of people who become infected with HIV; (2) improve access to health care and health-related outcomes for people living with HIV/AIDS (PLH/A); and (3) reduce HIV-related health disparities. Each of these goals tacitly depends upon reducing HIV-related stigma, and this study examined how HIV+ individuals evaluate coping efforts to overcome stigma’s impact on quality of life (QOL). a structural regression model was developed to instantiate the reappraisal process described by Lazarus and Folkman’s transactional theory of stress and coping, and this model indicated that maladaptive coping fully mediated the relationship between dispositional forgiveness and perceived stigma, which supports the prediction that coping efficacy is related to stress reduction. Additionally, maladaptive coping fully mediated the relationship between dispositional forgiveness and QOL, supporting the contention that forgiveness is a critical aspect to the evaluative process that influences how PLH/A cope with stigma. Lastly, the model showed that when PLH/A engaged in maladaptive coping to mitigate stress-related stigma, these individuals experienced increased stigmatization and reported significantly lower levels of health-related QOL. in contrast, PLH/A that reported higher levels of dispositional forgiveness were significantly less likely to use maladaptive coping to overcome stigma. Therefore, dispositional forgiveness works through coping to alter perceptions regarding stigmatization, while indirectly influencing attitudes related to health distress, mental health, and cognitive and social functioning. the theoretical and clinical implications of these findings are discussed.

Creator(s): Gates, Michael S.
Creation Date: May 2012
Partner(s):
UNT Libraries
Collection(s):
UNT Theses and Dissertations
Usage:
Total Uses: 241
Past 30 days: 15
Yesterday: 1
Creator (Author):
Publisher Info:
Publisher Name: University of North Texas
Publisher Info: www.unt.edu
Place of Publication: Denton, Texas
Date(s):
  • Creation: May 2012
Description:

The 2010 National HIV/AIDS Strategy outlined three important goals for managing the current HIV pandemic in the U.S.: (1) reduce the number of people who become infected with HIV; (2) improve access to health care and health-related outcomes for people living with HIV/AIDS (PLH/A); and (3) reduce HIV-related health disparities. Each of these goals tacitly depends upon reducing HIV-related stigma, and this study examined how HIV+ individuals evaluate coping efforts to overcome stigma’s impact on quality of life (QOL). a structural regression model was developed to instantiate the reappraisal process described by Lazarus and Folkman’s transactional theory of stress and coping, and this model indicated that maladaptive coping fully mediated the relationship between dispositional forgiveness and perceived stigma, which supports the prediction that coping efficacy is related to stress reduction. Additionally, maladaptive coping fully mediated the relationship between dispositional forgiveness and QOL, supporting the contention that forgiveness is a critical aspect to the evaluative process that influences how PLH/A cope with stigma. Lastly, the model showed that when PLH/A engaged in maladaptive coping to mitigate stress-related stigma, these individuals experienced increased stigmatization and reported significantly lower levels of health-related QOL. in contrast, PLH/A that reported higher levels of dispositional forgiveness were significantly less likely to use maladaptive coping to overcome stigma. Therefore, dispositional forgiveness works through coping to alter perceptions regarding stigmatization, while indirectly influencing attitudes related to health distress, mental health, and cognitive and social functioning. the theoretical and clinical implications of these findings are discussed.

Degree:
Level: Doctoral
PublicationType: Disse
Language(s):
Subject(s):
Keyword(s): Stigma | forgiveness | coping | appraisal | SEM | modeling HIV-related stress | structural regression model
Contributor(s):
Partner:
UNT Libraries
Collection:
UNT Theses and Dissertations
Identifier:
  • ARK: ark:/67531/metadc115083
Resource Type: Thesis or Dissertation
Format: Text
Rights:
Access: Public
Holder: Gates, Michael S.
License: Copyright
Statement: Copyright is held by the author, unless otherwise noted. All rights Reserved.