Stress and coping

The psychoneuroimmunology of HIV/AIDS

Elizabeth G. Balbin, Gail Ironson, George F. Solomon

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

A considerable body of evidence, reviewed in this chapter, suggests that psychosocial factors play an important role in progression of HIV infection, its morbidity and mortality. Psychosocial influences relating to faster disease progression include life-event stress, sustained depression, denial/avoidance coping, concealment of gay identity (unless one is rejection-sensitive), and negative expectancies. Conversely, protective psychosocial factors include active coping, finding new meaning, and stress management. In studying long survivors of HIV/AIDS, our group has found protective effects on health of life involvement, collaborative relationship with doctor, emotional expression, depression (conversely), and perceived stress (conversely). Reviewed and discussed are psychoneuroimmunological pathways by which immune and neuroendocrine mechanisms might link psychosocial factors with health and long survival. Finally, biological factors are also a major determinant of disease progression and include genetics and age of the host, viral strain and virulence, medication and several immune response factors on which psychosocial influences could impact.

Original languageEnglish
Pages (from-to)615-633
Number of pages19
JournalBailliere's Best Practice and Research in Clinical Endocrinology and Metabolism
Volume13
Issue number4
DOIs
StatePublished - Dec 1 1999

Fingerprint

Psychoneuroimmunology
Acquired Immunodeficiency Syndrome
HIV
Psychology
Disease Progression
Depression
Health
Immunologic Factors
Biological Factors
Psychological Stress
HIV Infections
Virulence
Survivors
Morbidity
Survival
Mortality

Keywords

  • AIDS
  • Disease progression
  • HIV
  • HIV long-term survivors
  • Immunity
  • Life-change events
  • PNI
  • Psychology and HIV
  • Psychoneuroimmunology
  • Stress

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

Cite this

Stress and coping : The psychoneuroimmunology of HIV/AIDS. / Balbin, Elizabeth G.; Ironson, Gail; Solomon, George F.

In: Bailliere's Best Practice and Research in Clinical Endocrinology and Metabolism, Vol. 13, No. 4, 01.12.1999, p. 615-633.

Research output: Contribution to journalArticle

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