Stress and coping in HIV-positive former plasma/blood donors in China: a test of cognitive appraisal theory.
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.
Duke Scholars
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Related Subject Headings
- Surveys and Questionnaires
- Stress, Psychological
- Public Health
- Models, Psychological
- Middle Aged
- Male
- Humans
- HIV Seropositivity
- Female
- Depression
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Surveys and Questionnaires
- Stress, Psychological
- Public Health
- Models, Psychological
- Middle Aged
- Male
- Humans
- HIV Seropositivity
- Female
- Depression