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New Insight into HIV-Related Psychological Distress: A Concept Analysis

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Listed:
  • Haiqi Ma
  • Mengru Bu
  • Huimin Zhai
  • Bing Li
  • Ling Xiong

Abstract

Psychological distress is a frequently reported outcome measure in HIV research. However, because of its poor conceptualization, many studies only partially capture it because they focus solely on depression or anxiety based on symptoms. This study undertook a concept analysis of HIV-related psychological distress (HRPD) using Walker and Avant’s method. The findings include HRPD’s (a) attributes, including changes to emotional status, symptom burden, HIV disclosure distress and HIV-related stigma; (b) antecedents, including HIV-related stressors, cognitive appraisal of stressors and difficulty coping with the disease or treatment; and (c) consequences, including poor health outcomes and posttraumatic growth. Lazarus and Folkman’s theory and the conservation of resources theory were adapted to further understand HRPD. This article provides insight into HRPD and increases the awareness of how to screen and assess HRPD at an early stage. The findings indicate the need to develop specific and rigorous measures and to provide appropriate interventions.

Suggested Citation

  • Haiqi Ma & Mengru Bu & Huimin Zhai & Bing Li & Ling Xiong, 2023. "New Insight into HIV-Related Psychological Distress: A Concept Analysis," Clinical Nursing Research, , vol. 32(1), pages 60-72, January.
    • Handle: RePEc:sae:clnure:v:32:y:2023:i:1:p:60-72
    DOI: 10.1177/10547738221081002
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    References listed on IDEAS

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    1. Yunxiang Huang & Dan Luo & Xi Chen & Dexing Zhang & Zhulin Huang & Shuiyuan Xiao, 2020. "HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    2. Brenda R Whitehead & Shevaun Neupert, 2021. "COVID-19 as a Stressor: Pandemic Expectations, Perceived Stress, and Negative Affect in Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(2), pages 59-64.
    3. Katrien Moens & Richard J Siegert & Steve Taylor & Eve Namisango & Richard Harding & ENCOMPASS & EURO IMPACT, 2015. "Symptom Clusters in People Living with HIV Attending Five Palliative Care Facilities in Two Sub-Saharan African Countries: A Hierarchical Cluster Analysis," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-12, May.
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    Cited by:

    1. Candace W. Burton & Melissa D. Pinto, 2023. "Health Equity, Diversity, and Inclusion: Fundamental Considerations for Improving Patient Care," Clinical Nursing Research, , vol. 32(1), pages 3-5, January.

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