Controlling Health: Medical Self-Efficacy, Energy-Fatigue, and Disclosure of HIV Status

Controlling Health: Medical Self-Efficacy, Energy-Fatigue, and Disclosure of HIV Status

Date: April 2, 2009
Creator: Kamrudin, Afshan & Vosvick, Mark A.
Description: This presentation discusses a research study on medical self-efficacy, energy-fatigue, and disclosure of human immunodeficiency virus (HIV) status. This study was conducted with approval obtained by the Institutional Review Board (IRB). In this presentation, the authors describe their research study participants, the methodology, results, and the implications and possible future research.
Contributing Partner: UNT Honors College
Anger Within an HIV+ Population in Relation to Stigma and Anxiety

Anger Within an HIV+ Population in Relation to Stigma and Anxiety

Date: April 14, 2011
Creator: Pierson, Mark & Vosvick, Mark A.
Description: This presentation discusses research on anger within a human immunodeficiency virus positive (HIV+) population in relation to stigma and anxiety. The authors hypothesized that anxiety and HIV-stigma would account for a significant amount of variance in anger. Results of the authors' study provide support for interventions aimed at reducing anxiety and increasing coping skills for HIV+ adults; perhaps by influencing these variables, the effects of stigma will have less impact on HIV-related health overall.
Contributing Partner: UNT Honors College
Correlates of Vitality in HIV+ Adults: Perceived Social Support and Life Regard

Correlates of Vitality in HIV+ Adults: Perceived Social Support and Life Regard

Date: April 15, 2010
Creator: Nguyen, Yen; Chng, Chwee-Lye; Vosvick, Mark A. & Perales, Marissa
Description: This presentation discusses research on vitality in HIV+ adults. The authors hypothesized that HIV+ adults with higher levels of social support and life regard will correspondingly report higher levels of vitality. A linear regression analysis supported the authors' hypothesis that social support (t = 2.1, β = 0.21, p - .05), and life regard (t = 5.7, β = 0.04, p = .001) were significantly associated with vitality, accounting for 40% of the variance in the authors' model (Adj. R2 = 0.40, F(5, 57) = 9.33, p = .001)
Contributing Partner: UNT Honors College
Stigma, Forgiveness, and Depression in HIV+ Women

Stigma, Forgiveness, and Depression in HIV+ Women

Date: April 2, 2009
Creator: Ridings, John; Vosvick, Mark A.; Chng, Chwee-Lye & Smith, Nathan Grant
Description: This presentation discusses research on stigma, forgiveness, and depression in HIV positive women. The authors hypothesize: (1) Higher levels of perceived HIV-related stigma will be associated with higher levels of depression, (2) Higher levels of forgiveness will be associated with lower levels of depression, (3) Higher levels of forgiveness will be associated with lower levels of perceived HIV-related stigma, and (4) Forgiveness will moderate the relationship between perceived HIV-related stigma and depression. This presentation discusses the authors' research, literature review, methodology, results, limitations, clinical implications.
Contributing Partner: UNT Honors College
Do Anger Expressions, Coping Strategies and Interpersonal Support Dynamics Relate to CD4 Count in HIV-Positive Adults?

Do Anger Expressions, Coping Strategies and Interpersonal Support Dynamics Relate to CD4 Count in HIV-Positive Adults?

Date: April 19, 2012
Creator: Pierson, Mark & Vosvick, Mark A.
Description: This presentation discusses research on anger expressions, coping strategies, and interpersonal support dynamics relating to CD4 count in human immunodeficiency virus positive (HIV+) adults. The authors hypothesized that anger expressions, active coping, and social support contribute to health of PLH.
Contributing Partner: UNT Honors College
Perceived Stress as a Mediator Between Self-Efficacy and Depression in HIV positive Individuals

Perceived Stress as a Mediator Between Self-Efficacy and Depression in HIV positive Individuals

Date: April 14, 2011
Creator: Parks, Eddie; Vosvick, Mark A. & Chng, Chwee-Lye
Description: This presentation discusses research on perceived stress as a mediator between self-efficacy and depression in human immunodeficiency virus positive (HIV+) individuals. In persons living with HIV, treatment has shifted towards chronic illness management since the introduction of highly active retroviral therapy. Coping with life threatening illness is stressful. Stress occurs when environmental stressors (e.g., HIV+ stigma) overwhelm an individual's ability to handle them effectively. HIV+ individuals' inability to cope with stress is associated with increased depression, and worse treatment outcome (Remien et al., 2006). Self-efficacy is perceived feeling of control over a taxing situation. Behaviorally, HIV+ self-efficacious individuals adaptively manage stress (Colodro, Godoy-Izquierdo, & Godoy, 2010). Stress uses resources needed to deal with depression; managing stress may reduce psychological impairment (Scott-Sheldon, Fielder, & Kalichman, 2008). The authors hypothesize that higher self-efficacy is associated with decreased depression, and that stress mediates this relationship. Future longitudinal studies focusing on self-efficacious stress interventions may reduce depression in HIV+ individuals.
Contributing Partner: UNT Honors College
Poverty and HIV/AIDS in East Texas

Poverty and HIV/AIDS in East Texas

Date: April 19, 2012
Creator: Hatton, Meagan & Oppong, Joseph R.
Description: This presentation discusses research on poverty and HIV/AIDS in East Texas. The latest research from the CDC and the World Health Organization propose that poverty is the leading factor in the spread of HIV. The research particularly emphasized urban extreme poverty areas as having much higher risk of HIV transmission and mortality. HIV/AIDS is not uniformly distributed across Texas, but research shows that East Texas has the highest rates. This region of Texas is growing rapidly in demographic and economic sectors, but unfortunately these are not the only factors that are expanding. The virus is spreading more rapidly across East Texas than any other region. Nationally, high HIV/AIDS rates can be attributed to poverty, socioeconomic status, and mode of transmission, race/ethnicity, and level of education. This presentation discusses this research.
Contributing Partner: UNT Honors College
Resilience and Behavioral Disengagement: Correlates of a Negative Sense of Control for an HIV sample

Resilience and Behavioral Disengagement: Correlates of a Negative Sense of Control for an HIV sample

Date: April 19, 2012
Creator: Vincent, Danielle; Vosvick, Mark A.; Lopez, Eliot; Miller, James & Chng, Chwee-Lye
Description: This presentation discusses research on predictors of a negative sense of control for sample groups with HIV. People living with HIV (PLH) may experience loss of control over the disease, thus a negative sense of control, increasing stress. Stress undermines the immune system. Behavioral disengagement represents a negative sense of control, while resilience represents a positive sense of control over stressful events. Using the transactional model of stress and coping as a conceptual framework, the authors explored the relationships between negative sense of control, behavioral disengagement, and resilience. Self-report data was collected from 64 PLH recruited from the Dallas/Fort Worth area. After the authors controlled for age, the authors found that resilience and behavioral disengagement account for 26% of the variance in negative sense of control (Adj. R2= .26, F(3,60)= 8.394, p<.001). Negative sense of control was negatively associated with resilience and positively associated with behavioral disengagement. These findings suggest that public health interventions to improve a sense of control for PLH could promote resilience and influence behavioral disengagement.
Contributing Partner: UNT Honors College
The Role of Stress, Behavioral Disengagement and Self Distraction: Perceived Stigma in HIV-Positive Individuals

The Role of Stress, Behavioral Disengagement and Self Distraction: Perceived Stigma in HIV-Positive Individuals

Date: April 19, 2012
Creator: Gomez, Brooke; Chng, Chwee-Lye & Vosvick, Mark A.
Description: This presentation discusses research on the roles of stress and behavioral disengagement in human immunodeficiency virus (HIV) positive individuals. Living with HIV comes with a host of complex stressors, one of which is stigma (Fisher & Fisher, 2000; Leary, 1998). Using the Lazarus and Folkman model of Stress and Coping (Lazarus & Folkman, 1984) as a conceptual framework, the authors hypothesize that when presented with stressors (Perceived Stress Scale, Cohen et al., 1983; α=.85), maladaptive coping mechanisms (Brief Cope Scale, Carver, 1997) are positively associated with stigma (HIV Stigma Scale, Berger, Ferrens & Lashley, 2001; α=.92). Our diverse, gender-balanced convenience subsample of 117 participants (56.8% African American, .8% European American, 30.8% Latino) reported a mean age of 41.8 years (SD=8.5). A hierarchical regression analysis revealed the authors' model to be significant (F(102, 117), p<.01), accounting for 24.3% of the variance in negative self-image stigma. Stress (β=.28, t=2.95, p<.01) and behavioral disengagement (β=.19, t=2.02, p<.05) were significantly associated with perceived stigma, but self-distraction was not.
Contributing Partner: UNT Honors College
Parents Just Don't Understand? Parental Social Support as a Mediator of Stress and Quality of Life in HIV+ Adults

Parents Just Don't Understand? Parental Social Support as a Mediator of Stress and Quality of Life in HIV+ Adults

Date: April 14, 2011
Creator: Deacon, Sam; Vosvick, Mark A. & DeSena, Thomas
Description: This presentation discusses research on parental social support as a mediator of stress and quality of life in HIV+ individuals. Social support is associated with increased medical adherence (Gonzalez et al. 2004) and improved Quality of Life (QOL) (Scott-Sheldon et al. 2008) in individuals with HIV. Not explored thoroughly in the literature are the specific associations of parental social support for adults. Research has yet to specifically explore the relationship between Parental Social Support, Stress and QOL. Using the Buffering Hypothesis Theory (Cohen & McKay, 1984), the authors posit that Social Support and Stress will be predictors of QOL, and Social Support will mediate the relationship between Stress and QOL. The authors' results suggest a link between Perceived Stress, Parental Support and QOL. They indicate that although Perceived Stress and Parental Social Support predict QOL, Social Support may not significantly buffer the relationship between Stress and QOL. This research is important as it helps inform the development of effective interventions that target parental social support in HIV individuals. Future research should continue to examine outcomes associated with Parental Social Support in Adults.
Contributing Partner: UNT Honors College
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