Amsterdam 2015
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| Abstract #3451 - Late Breaker | ||||
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Session: 47.7: Late Breaker (Parallel) on Friday @ 09.00-10.30 in C001 Chaired by Ophelia Haanyama, Chen Zhang Authors: Presenting Author: Dr. Jennifer Lewis - NYU Langone Medical Center, United States |
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| Additional Authors: | ||||
| Aim: Study Objectives: Youth living with HIV (either perinatally acquired HIV [PHIV] or behaviorally acquired later in life [BHIV]), face a number of stressors in their lives. These may include both daily hassles and specific negative life events. Such stressors are known to exacerbate depressed mood generally and in adolescents with HIV. Psychological resources such as social support or an active coping style may mitigate the impact of stress or of passive coping responses to stress. We sought to examine negative life events and daily hassles experienced by adolescents with HIV, to determine predictors of depression, and to examine whether the negative association with depression of negative life events, daily hassles and/or a passive coping style were moderated by social support or active coping strategies. | ||||
| Method / Issue: Methods: : Data were collected as part of the baseline assessment of Adolescent Impact, an intervention designed to promote adherence to care and decrease transmission risk of HIV seropositive youth ages 13-21 years. Participants aware of their HIV serostatus were enrolled at five urban clinics in three US cities. Baseline questionnaires assessing active and passive coping , social support, lifetime and recent negative life events, daily hassles, alcohol and drug use, sexual abuse history, and depression symptoms (assessed by the Beck Depression Inventory) were administered by trained researches via face-to-face and Audio Computerized Assisted Self-Interviews. Medical data were obtained from chart abstraction. | ||||
| Results / Comments: Results: Of 166 HIV-infected adolescents 53% female, 72.9% black, 59.6% PHIV, one third (n=57, 34.3%) experienced greater than or equal to mild depression symptoms: 34 - 20.5%) mild 14 - 8.4%) moderate and 9 - 5.4%) severe. PHIV youth reported significantly fewer depression symptoms than BHIV youth 6.8 vs. 10.5, p<.003). The most commonly reported lifetime negative life events were: death in family 81%), violence exposure in past year 68%), school relocation ever 67%), and hospitalization ever 61%) and for daily hassles, “not having enough money 65%).” BHIV youth were significantly more likely to experience extensive 14-21 lifetime negative life events 38.8% vs. 16.3%, p <.012) than PHIV youth. In multiple stepwise regression analysis, the model accounting for the greatest variability in depression scores 32%) included (in order of entry): daily hassles, low social support, behaviorally acquired HIV, minority sexual orientation, and passive coping. A significant passive coping-by¬-social support interaction revealed that the negative association between passive coping and depression was exacerbated when social support was low. Social support also moderated the effect of negative life events, such that negative life events were associated with greater depression when social support was low, although the effect did not remain statistically significant when main effects of other variables were accounted for. | ||||
| Discussion: Discussion: Negative life events are common among youth living with HIV, but daily hassles were most closely aligned with current depressed mood. Daily hassles, combined with passive coping and limited social support, can adversely affect the psychological well-being of HIV-infected adolescents, particularly sexual minority youth with behaviorally acquired HIV. Multimodal interventions that enhance social support and teach adaptive coping skills may help youth cope with environmental stresses and improve mental health outcomes. Acknowledgements: This project was funded by the US Centers for Disease Control and Prevention. | ||||
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