TY - JOUR
T1 - Resilience and HIV
T2 - a review of the definition and study of resilience
AU - Dulin, Akilah J.
AU - Dale, Sannisha K.
AU - Earnshaw, Valerie A.
AU - Fava, Joseph L.
AU - Mugavero, Michael J.
AU - Napravnik, Sonia
AU - Hogan, Joseph W.
AU - Carey, Michael P.
AU - Howe, Chanelle J.
N1 - Funding Information:
This work was in part supported by the National Institute of Mental Health of the National Institutes of Health under award number 1R01MH112386-01A1 and by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health under award number 1R56AI120830-01A1. The content of this work is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors thank Rashid Ahmed, Caile Criscione, Alexandra Fortune, Chelsea Phou, Rachelle Reid, Sherene Saundes, and Jeremy Wang for their assistance with conducting the literature searches.
Publisher Copyright:
© 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2018/8/23
Y1 - 2018/8/23
N2 - We use a socioecological model of health to define resilience, review the definition and study of resilience among persons living with human immunodeficiency virus (PLWH) in the existing peer-reviewed literature, and discuss the strengths and limitations of how resilience is defined and studied in HIV research. We conducted a review of resilience research for HIV-related behaviors/outcomes of antiretroviral therapy (ART) adherence, clinic attendance, CD4 cell count, viral load, viral suppression, and/or immune functioning among PLWH. We performed searches using PubMed, PsycINFO and Google Scholar databases. The initial search generated 14,296 articles across the three databases, but based on our screening of these articles and inclusion criteria, n = 54 articles were included for review. The majority of HIV resilience research defines resilience only at the individual (i.e., psychological) level or studies individual and limited interpersonal resilience (e.g., social support). Furthermore, the preponderance of HIV resilience research uses general measures of resilience; these measures have not been developed with or tailored to the needs of PLWH. Our review suggests that a socioecological model of health approach can more fully represent the construct of resilience. Furthermore, measures specific to PLWH that capture individual, interpersonal, and neighborhood resilience are needed.
AB - We use a socioecological model of health to define resilience, review the definition and study of resilience among persons living with human immunodeficiency virus (PLWH) in the existing peer-reviewed literature, and discuss the strengths and limitations of how resilience is defined and studied in HIV research. We conducted a review of resilience research for HIV-related behaviors/outcomes of antiretroviral therapy (ART) adherence, clinic attendance, CD4 cell count, viral load, viral suppression, and/or immune functioning among PLWH. We performed searches using PubMed, PsycINFO and Google Scholar databases. The initial search generated 14,296 articles across the three databases, but based on our screening of these articles and inclusion criteria, n = 54 articles were included for review. The majority of HIV resilience research defines resilience only at the individual (i.e., psychological) level or studies individual and limited interpersonal resilience (e.g., social support). Furthermore, the preponderance of HIV resilience research uses general measures of resilience; these measures have not been developed with or tailored to the needs of PLWH. Our review suggests that a socioecological model of health approach can more fully represent the construct of resilience. Furthermore, measures specific to PLWH that capture individual, interpersonal, and neighborhood resilience are needed.
KW - HIV
KW - Resilience
KW - multilevel
KW - socioecological model
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U2 - 10.1080/09540121.2018.1515470
DO - 10.1080/09540121.2018.1515470
M3 - Article
C2 - 30632778
AN - SCOPUS:85059953389
VL - 30
SP - S6-S17
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
SN - 0954-0121
IS - sup5
ER -