Resilience, self-esteem, self-efficacy, social support, depression and ART adherence among people living with HIV in Sichuan, China

ABSTRACT

AIDS has had physical, psychological and social consequences on People living with HIV (PLWH) with the result that the challenges and adversity they face have significantly increased. Resilience helps individuals cope with these adversities and difficulties. For PLWH to face increased challenges and setbacks created by AIDS, they are required to have resilience. This paper presents research carried out in China aiming to examine the relationships among resilience, self-esteem, self-efficacy, social support, depression and antiretroviral therapy (ART) adherence in PLWH. A cross-sectional study using a convenience sample was conducted and 223 PLWH were recruited from 2 hospitals and 1 Center of Disease Control in Sichuan, China, from May to August 2018. The present research found that resilience was positively affected by self-esteem, self-efficacy and social support, and negatively predicted depression and positively predicted ART adherence. Resilience plays a mediating role between influential factors (self-esteem, self-efficacy and social support) and adaptive outcomes (depression and ART adherence). It suggests that resilience should be considered as a factor in intervention designed to reduce PLWH’s depression and improve ART adherence. Improving self-esteem, self-efficacy and social support could enhance resilience.

KEYWORDS:

• Resilience
• depression
• ART adherence
• HIV
• mediate
• Kumpfer’s process integration model

Acknowledgements

The authors thank all the participants. We acknowledge the editors and the reviewers for insightful suggestions on this work.

Disclosure statement

No potential conflict of interest was reported by the author(s).