Avoidance as a predictor of the biological course of HIV infection over a 7-year period in gay men

Cornelis L. Mulder, Godfried J.P. Van Griensven, Ernest M.M. De Vroome, Michael H. Antoni, Theo G.M. Sandfort

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

The present study prospectively investigated the relation between avoidance coping and active cognitive and behavioral coping and the progression of HIV infection over 7 years in 181 gay men. Findings revealed that for a number of medical and behavioral factors, (a) avoidance coping predicted a lower rate of decline in CD4 cells, (b) the proportional hazard (PH) attributable to avoidance of developing a syncytium-inducing HIV variant was 0.72 (95% confidence interval [CI]: 0.53 - 0.99, p < .05), and (c) the PH attributable to avoidance of dropping below 200 CD4 cells/μl was 0.66 (95% CI: 0.50 - 0.89, p < .01). Avoidance coping was not related to the development of AIDS-defining clinical symptoms. Active cognitive and behavioral coping was not related to the outcome measures.

Original languageEnglish (US)
Pages (from-to)107-113
Number of pages7
JournalHealth Psychology
Volume18
Issue number2
DOIs
StatePublished - Mar 1 1999
Externally publishedYes

Keywords

  • AIDS
  • Coping
  • Disease progression
  • Gay men
  • HIV infection

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

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