Psychological flexibility as a moderator of the relationship between HIV-related stigma and resilience among HIV/AIDS patients. Issue 4 (2nd October 2022)

• Record Type: Journal Article
• Authors: Aliche, Chinenye Joseph; Ifeagwazi, Chuka Mike; Ozor, Chisom Christopher
• Is Part Of: African journal of AIDS research. Volume 21:Issue 4(2022)
• Page Start: 345
• Page End: 353
• Publication Date: 2022-10-02
• Subjects: cognitive processing -- coping strategy -- HIV and AIDS -- positive adaptation -- stigmatisation -- trauma; AIDS (Disease) -- Africa -- Periodicals; Acquired Immunodeficiency Syndrome -- Africa -- Periodicals; 362.19697920096
• DOI: 10.2989/16085906.2022.2138473
• Languages: English
• ISSNs: 1608-5906

Abstract

Abstract : HIV-related stigmatisation is common in many parts of the world and is experienced by all categories of people living with HIV and AIDS (PLWHA). Although the negative consequences of HIV-related stigmatisation on the resilience of PLWHA is well documented, little is known about the plausible role of certain personal characteristics in moderating the stigma-resilience relationship. In addition to investigating the direct association of HIV-related stigma (personalised stigma, disclosure concern, concern about public attitude and negative self-image) with resilience, the present study examined whether psychological flexibility (PF) moderates the HIV-related stigmaresilience relationship among PLWHA. Participants included 280 PLWHA ( M = 39.48; SD = 9.03) selected from Sacred Heart Catholic Hospital (SHCH), Obudu, Cross River State, Nigeria. Participants completed relevant self-report measures. Results showed that patients reported moderately high levels of resilience ( M = 59.13; SD = 13.98). Hierarchical multiple regression analysis showed that HIV-related stigma (personalised stigma, disclosure concern and concern about public attitudes) were not significantly associated with resilience ( p = 0.230; p = 0.747; p = 0.528). HIV-related negative self-image and PF were independently and significantly associated with resilience ( p = 0.024; p = 0.000). Results of moderation hypothesis revealed that PF did not moderate the relationship between HIV-related disclosure concern and resilience ( p = 0.903), and between HIV-related concern about public attitudes and resilience ( p = 0.905), but PF moderated the relationship of HIV-related personalised stigma and resilience ( p = 0.023), and the relationship of HIV-related negative self-image and resilience ( p = 0.004). Therefore, interventions to promote resilience abilities in PLWHA should consider facilitating patients' psychological flexibility skills as it is critical in decreasing the hazardous effect of HIV-related stigma on the patients.