Resilience Moderates the Association Between Childhood Sexual Abuse and Depressive Symptoms Among Women with and At-Risk for HIV

Sannisha Dale, Kathleen M. Weber, Mardge H. Cohen, Gwendolyn A. Kelso, Ruth C. Cruise, Leslie R. Brody

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Childhood sexual abuse (CSA) places women at risk for HIV infection and once infected, for poor mental health outcomes, including lower quality of life and depressive symptoms. Among HIV-positive and demographically matched HIV-negative women, we investigated whether resilience and HIV status moderated the relationships between CSA and health indices as well as the relationships among CSA, depressive symptoms, and health-related quality of life (HRQOL). Participants included 202 women (138 HIV+, 64 HIV−, 87 % African American) from the Women’s Interagency HIV Study Chicago CORE Center site. Results indicated that in both HIV-positive and HIV-negative women, higher resilience significantly related to lower depressive symptoms and higher HRQOL. CSA related to higher depressive symptoms only for women scoring low in resilience. Interventions to promote resilience, especially in women with a CSA history, might minimize depressive symptoms and poor HRQOL among HIV-positive and HIV-negative women.

Original languageEnglish (US)
Pages (from-to)1379-1387
Number of pages9
JournalAIDS and Behavior
Volume19
Issue number8
DOIs
StatePublished - Aug 6 2015
Externally publishedYes

Keywords

  • Childhood sexual abuse
  • Depressive symptoms
  • HIV
  • Quality of life
  • Resilience

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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