Stress and coping in HIV-positive former plasma/blood donors in China: a test of cognitive appraisal theory.

Journal Article (Journal Article)

Throughout the 1990s, many villagers in rural China were infected with HIV through commercial plasma/blood donation. These former plasma/blood donors (FPDs) experienced many HIV-related stressors. This study tested a cognitive appraisal model of stress and coping in a sample of HIV-positive adult FPDs. Participants (N = 207) from multiple villages completed a battery of questionnaires assessing HIV-related stress, HIV symptoms, cognitive appraisal, coping behaviors, and psychological distress. Participants reported high levels of HIV-related stress, depression, and anxiety. In a structural equation model, greater HIV-related stress, HIV symptoms, and threat appraisal were directly associated with psychological distress. HIV-related stress was also indirectly associated with psychological distress through threat appraisal. In a second model, coping was found to mediate the relationship between challenge appraisal and psychological distress. Results support the utility of cognitive appraisal theory. Stress management interventions targeting HIV-positive FPDs in China are indicated.

Full Text

Duke Authors

Cited Authors

  • Meade, CS; Wang, J; Lin, X; Wu, H; Poppen, PJ

Published Date

  • April 2010

Published In

Volume / Issue

  • 14 / 2

Start / End Page

  • 328 - 338

PubMed ID

  • 19127424

Pubmed Central ID

  • PMC3629837

Electronic International Standard Serial Number (EISSN)

  • 1573-3254

Digital Object Identifier (DOI)

  • 10.1007/s10461-008-9494-x


  • eng

Conference Location

  • United States