Relationship of psychosocial factors to HIV disease progression

被引:89
作者
Patterson, TL [1 ]
Shaw, WS [1 ]
Semple, SJ [1 ]
Cherner, M [1 ]
McCutchan, JA [1 ]
Atkinson, JH [1 ]
Grant, I [1 ]
Nannis, E [1 ]
机构
[1] DEPT VET AFFAIRS MED CTR,SAN DIEGO,CA
关键词
D O I
10.1007/BF02903937
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Based on the existing empirical evidence that psychosocial variables may predict the course of human immunodeficiency virus (HIV) illness, disease progression (described by advance in symptoms, decline in CD4+ cell count, and mortality) in 414 HIV-positive (HIV+) males was studied using Cox Proportional Hazards Models (survival analysis). Depressive symptoms predicted shorter longevity after controlling for symptoms and CD4+ cell count. Large social network sizes predicted longevity among those with acquired immune deficiency syndrome (AIDS)-defining symptoms at baseline, but not among other subjects. Therefore, psychosocial valuables and affective states may be related to disease outcome only during later stages of HIV disease. Although the results provide support for psychoneuroimmunologic effects in HIV other. confounding explanations may still apply.
引用
收藏
页码:30 / 39
页数:10
相关论文
共 39 条
[31]  
RABKIN JG, 1991, ARCH GEN PSYCHIAT, V48, P111
[32]  
RABKIN JG, 1993, HOSP COMMUNITY PSYCH, V44, P162
[33]  
SAHS JA, 1994, AM J PSYCHIAT, V151, P1479
[34]  
SCHAEFER C, 1981, Journal of Behavioral Medicine, V4, P381, DOI 10.1007/BF00846149
[35]   A PSYCHONEUROIMMUNOLOGIC PERSPECTIVE ON AIDS RESEARCH - QUESTIONS, PRELIMINARY FINDINGS, AND SUGGESTIONS [J].
SOLOMON, GF ;
TEMOSHOK, L .
JOURNAL OF APPLIED SOCIAL PSYCHOLOGY, 1987, 17 (03) :286-308
[36]   THE TIME FROM INFECTION WITH HUMAN-IMMUNODEFICIENCY-VIRUS (HIV) TO THE ONSET OF AIDS [J].
TAYLOR, JMG ;
SCHWARTZ, K ;
DETELS, R .
JOURNAL OF INFECTIOUS DISEASES, 1986, 154 (04) :694-697
[37]  
TEMOSHOK L, 1993, ADV NEUROIMMUNOL, V3, P87
[38]   SOCIAL SUPPORT AND THE DEVELOPMENT OF IMMUNE FUNCTION IN HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION [J].
THEORELL, T ;
BLOMKVIST, V ;
JONSSON, H ;
SCHULMAN, S ;
BERNTORP, E ;
STIGENDAL, L .
PSYCHOSOMATIC MEDICINE, 1995, 57 (01) :32-36
[39]  
1993, MORBIDITY MORTALITY, V41, P1