Resilience, stress, and life quality in older adults living with HIV/AIDS.


Journal Article

OBJECTIVES:This study tested the mediating effect of resilience on the relationship between life stress and health-related quality of life (HRQoL) in older people, 50 years of age and older, living with HIV/AIDS (OPLWHA). METHOD:Data from 299 OPLWHA were analyzed using structural equation modeling (SEM) to define a novel resilience construct (represented by coping self-efficacy, active coping, hope/optimism, and social support) and to assess mediating effects of resilience on the association between life stress and HRQoL (physical, emotional, and functional/global well-being). RESULTS:SEM analyses showed satisfactory model fit for both resilience and mediational models, with resilience mediating the associations between life stress and physical, emotional, and functional/global well-being. CONCLUSION:Resilience may reduce the negative influence of life stress on physical, emotional, and functional/global well-being in OPLWHA. Interventions that build personal capacity, coping skills, and social support may contribute to better management of HIV/AIDS and increase HRQoL.

Full Text

Duke Authors

Cited Authors

  • Fang, X; Vincent, W; Calabrese, SK; Heckman, TG; Sikkema, KJ; Humphries, DL; Hansen, NB

Published Date

  • January 2015

Published In

Volume / Issue

  • 19 / 11

Start / End Page

  • 1015 - 1021

PubMed ID

  • 25633086

Pubmed Central ID

  • 25633086

Electronic International Standard Serial Number (EISSN)

  • 1364-6915

International Standard Serial Number (ISSN)

  • 1360-7863

Digital Object Identifier (DOI)

  • 10.1080/13607863.2014.1003287


  • eng