Psychological flexibility as a moderator of the relationship between HIV-related stigma and resilience among HIV/AIDS patients

References

• Akatukwasa, C., Getahun, M., El Ayadi, A. M., Namanya, J., Maeri, I., Itiakorit, H., Owino, L., Sanyu, N., Kabami, J., Ssemmondo, E., Sang, N., Kwarisiima, D., Petersen, M. L., Charlebois, E. D., Chamie, G., Clark, T. D., Cohen, C. R., Kamya, M. R., Bukusi, E. A., Havlir, D. V., Camlin, C. S.. (2021). Dimensions of HIV-related stigma in rural communities in Kenya and Uganda at the start of a large HIV ‘test and treat’ trial. PloS One, 16(5), e0249462. https://doi.org/10.1371/journal.pone.0249462
   PubMed Web of Science ®Google Scholar
• Aliche, J. C., Ifeagwazi, C. M., & Eze, J. E. (2020). Emotional reactivity and surgical anxiety. The protective nature of perceived social support. Psychology, Health Medicine, 25(4), 434–445. https://doi.org/10.1080/13548506.2019.1668030
   PubMed Web of Science ®Google Scholar
• Aliche, C. J., Ifeagwazi, C. M., Mefoh, P. C., Eze, J. E., & Chukwuorji, J. C. (2021). Experiential avoidance mediates the relations between mindfulness and PTSD symptoms severity in terrorist attack survivors. Nordic Psychology, 73(2), 191–207. https://doi.prg/10.108019012276.2020.1852953
   Web of Science ®Google Scholar
• Aliche, J. C., Ifeagwazi, C. M., Onyishi, I. E., & Mefoh, P. C. (2019). Presence of meaning in life mediates the relations between social support, posttraumatic growth, and resilience in young adult survivors of a terror attack. Journal of Loss and Trauma, 24(8), 736–749. https://doi.org/10.1080/15325024.2019.1624416
   Web of Science ®Google Scholar
• Avert. (2018). HIV and AIDS in west and central Africa. https://www.avert.org/hiv-and-aids-west-and-central-africa
   Google Scholar
• Berger, B. E., Ferrans, C. E., & Lashley, F. R. (2001). Measuring stigma in people with HIV: psychometric assessment of the HIV Stigma Scale. Research in Nursing & Health, 24(6), 518–529. doi: 10.1002/nur.10011
   PubMed Web of Science ®Google Scholar
• Berghoff, C. R., McDermott, M. J., & Dixon-Gordon, K. L. (2018). Psychological flexibility moderates the relation between PTSD symptoms and daily pain interference. Personality and Individual Differences, 124, 130–134. https://doi.org/10.1016/j.paid.2017.12.012
   Web of Science ®Google Scholar
• Boardman, F., Griffiths, F., Kokanovic, R., Potiriadis, M., Dowrick, C., & Gunn, J. (2011). Resilience as a response to the stigma of depression: a mixed methods analysis. Journal of Affect Disorders, 135(1–3), 267–276. https://doi.org/10.1016/j.jad.2011.08.007
   PubMed Web of Science ®Google Scholar
• Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: a revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007
   PubMed Web of Science ®Google Scholar
• Brito, H. L., & Seidl, E. M. F. (2019). Resilience of people with HIV/ AIDS: influence of religious coping. Trends in Psychology, 27(3), 647–660. https://doi.org/10.9788/TP2019.3-04
   Google Scholar
• Chang, S., Picco, L., Abdin, E., Yuan, Q., Chong, S. A., & Subramaniam, M. (2019). Resilience and associative stigma among mental health professionals in a tertiary psychiatric hospital: a cross-sectional study in Singapore. BMJ Open, 9(12), e033762. https://doi.org/10.1136/bmjopen-2019-033762
   PubMed Web of Science ®Google Scholar
• Dale, S. K., Weber, K. M., Cohen, M. H., Kelso, G. A., Cruise, R. C., & Brody, L. R. (2014). Resilience moderates the association between childhood sexual abuse and depressive symptoms among women with and at-risk for HIV. AIDS and Behavior, 19(8), 1379–1387. https://doi.org/10.1007/s10461-014-0855-3
   Web of Science ®Google Scholar
• Dunn, L. B., Green Hammond, K. A., & Roberts, L. W. (2009). Delaying care, avoiding stigma: residents attitudes toward obtaining personal health care. Academic Medicine, 84(2), 242–250. doi: 10.1097/ACM.0b013e31819397e2
   PubMed Web of Science ®Google Scholar
• Earnshaw, V. A., Bogart, L. M., Dovidio, J. F., & Williams, D. R. (2013). Stigma and racial/ethnic HIV disparities: moving toward resilience. American Psychologist, 68(4), 225–236. https://doi.org/10.1037/a0032705
   PubMed Web of Science ®Google Scholar
• Fonseca, S., Trindade, I. A., Mendes, A. L., & Ferreira, C. (2020). The buffer role of psychological flexibility against the impact of major life events on depression symptoms. Clinical Psychologist, 24(1), 82–90. https://doi.org/10.1111/cp.12194
   Web of Science ®Google Scholar
• Fumaz, C. R., Ayestaran, A., Perez-Alvarez, N., Muñoz-Moreno, J. A., Moltó, J., Ferrer, M. J., & Clotet, B. (2015). Resilience, ageing, and quality of life in long-term diagnosed HIV-infected patients. AIDS Care, 27(11), 1396–1403. https://doi.org/10.1080/09540121.2015.1114989
   PubMed Web of Science ®Google Scholar
• Fung, K. P-L., Liu, J. J-W., & Wong, J. P-H. (2022). Exploring mechanisms of mental illness stigma reduction in Asian Canadian men. The Canadian Journal of Psychiatry, 67(6), 490–498. https://doi.org/10.1177/07067437211018674
   PubMed Web of Science ®Google Scholar
• Garrido-Hernansaiz, H., Murphy, P. J., & Alonso-Tapia, J. (2017). Predictors of resilience and posttraumatic growth among people living with HIV: A longitudinal study. AIDS and Behavior, 21(11), 3260–3270. https://doi.org/10.1007/s10461-017-1870-y
   PubMed Web of Science ®Google Scholar
• Gloster, A. T., Meyer, A. H., & Lieb, R. (2017). Psychological flexibility as a malleable public health target: Evidence from a representative sample. Journal of Contextual Behavioral Science, 6(2), 166–171. https://doi.org/10.1016/j.jcbs.2017.02.003
   Web of Science ®Google Scholar
• González-Menéndez, A., Arboleya Faedo, T., González-Pando, D., Ordoñez-Camblor, N., García-Vega, E., & Paino, M. (2021). Psychological inflexibility in people with chronic psychosis: The mediating role of self-stigma and social functioning. International Journal of Environmental Research and Public Health, 18, 12376. https://doi.org/10.3390/ijerph182312376
   PubMed Web of Science ®Google Scholar
• Halkitis, P. N., Krause, K. D., & Vieira, D. L. (2017). Mental health, psychosocial challenges and resilience in older adults living with HIV. HIV and Aging, 42, 187–203. https://doi.org/10.1159/000448564
   Google Scholar
• Hayes, A. F. (2018). Partial, conditional, and moderated mediation: Quantification, inference, and interpretation. Communication Monographs, 85(1), 4–40. https://doi.org/10.1080/03637751.2017.1352100
   Web of Science ®Google Scholar
• Hayes, S. C., Luoma, J., Bond, F., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes, and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006
   PubMed Web of Science ®Google Scholar
• Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An experiential approach to behavior change. The Guilford Press
   Google Scholar
• Herrick, A. L., Stall, R., Goldhammer, H., Egan, J. E., & Mayer, K. H. (2014). Resilience as a research framework and as a cornerstone of prevention research for gay and bisexual men: Theory and evidence. AIDS and Behavior, 18(1), 1–9. https://doi.org/10.1007/s10461-012-0384-x
   PubMed Web of Science ®Google Scholar
• Kekibiina, A., Adong, J., Fatch, R., Emenyonu, N. I., Marson, K., Beesiga, B., Lodi, S., Muyindike, W. R., Kamya, M., Chamie, G., McDonell, M. G., & Hahn, J. A. (2021). Post-traumatic stress disorder among persons with HIV who engage in heavy alcohol consumption in southwestern Uganda. BMC Psychiatry, 21, 457. https://doi.org/10.1186/s12888-021-03464-z
   PubMed Web of Science ®Google Scholar
• Kim, Y. E., & Jang, M. H. (2019). The mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life in people with schizophrenia. Asian Nursing Research, 13(4), 257–263. https://doi.org/10.1016/j.anr.2019.09.004
   PubMed Web of Science ®Google Scholar
• Leadbeater, B., Dodgen, D., & Solarz, A. (2005). The resilience revolution: A paradigm shift for research and policy. In R. D. Peters, B. Leadbeater, & R. J. McMahon (eds), Resilience in children, families, and communities: Linking context to practice and policy (pp. 47–61). Kluwer Academic/Plenum. https://doi.org/10.1007/0-387-23824-7_4
   Google Scholar
• Mahajan, A. P., Sayles, J. N., Patel, V. A., Remien, R. H., Sawires, S. R., Ortiz, D. J., Szekeres, G., Coates, T. J. (2008). Stigma in the HIV/ AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS, 22(2), S67–S79. https://doi.org/10.1097/01.aids.0000327438.13291.62
   Web of Science ®Google Scholar
• Marshall, E., & Brockman, R. (2016). The relationships between psychological flexibility, self-compassion, and emotional well-being. Journal of Cognitive Psychotherapy, 30(1), 60–72. https://doi.org/10.1891/0889-8391.30.1.60
   PubMed Web of Science ®Google Scholar
• Masuda, A., Hayes, S. C., Fletcher, L. B., Seignourel, P. J., Bunting, K., Herbst, S. A., Twohig, M. P., & Lillis, J. (2007). Impact of acceptance and commitment therapy versus education on stigma toward people with psychological disorders. Behavioural Research and Therapy, 45(11), 2764–2772. https://doi.org/10.1016/j.brat.2007.05.008
   PubMed Web of Science ®Google Scholar
• Masuda, A., Hayes, S. C., Lillis, J., Bunting, K., Herbst, S. A., & Fletcher, L. B. (2009). The relation between psychological flexibility and mental health stigma in acceptance and commitment therapy: A preliminary process investigation. Behavior and Social Issues, 18, 25–40. https://doi.org/10.5210/bsi.v18i1.2525
   Google Scholar
• Masuda, A., & Latzman, R. D. (2011). Examining associations among factor analytically derived components of mental health stigma, distress, and psychological flexibility. Personality and Individual Differences, 51(4), 435–438. https://doi.org/10.1016/j.paid.2011.04.008
   Web of Science ®Google Scholar
• Miller, A. K., Lee, B. L., & Henderson, C. E. (2012). Death anxiety in persons with HIV/AIDS: a systematic review and meta-analysis. Death Studies, 36(7), 640–663. https://doi.org/10.1080/07481187.2011.604467
   PubMed Web of Science ®Google Scholar
• Moitra, E., Chan, P. A., & Stein, M. D. (2015). Open trial of an acceptance-based behavior therapy intervention to engage newly diagnosed HIV patients in care: Rationale and evidence of feasibility and acceptability. Behavior Modification, 39(5), 670–690. https://doi.org/10.1177/0145445515590977
   PubMed Web of Science ®Google Scholar
• Okareh, O. T., Akpa, O. M., Okunlola, J. O., & Okoror, T. A. (2015). Management of conflicts arising from disclosure of HIV status among married women in south-west Nigeria. Health Care for Women International, 36(2), 149–160. https://doi.org/10.1080/07399332.2013.794461
   PubMed Web of Science ®Google Scholar
• Okoronkwo, I., Okeke, U., Chinweuba, A., & Iheanacho, P. (2013). Non-adherence factors and sociodemographic characteristics of HIV-infected adults receiving antiretroviral therapy in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria. International Scholarly Research Notices AIDS, 2013, 843794. https://doi.org/10.1155/2013/843794
   Google Scholar
• Orton, L., Griffiths, J., Green, M., & Waterman, H. (2012). Resilience among asylum seekers living with HIV. BMC Public Health, 12, 926–936. https://doi.org/10.1186/1471-2458-12-926
   PubMed Web of Science ®Google Scholar
• Pakenham, K. I., Landi, G., Boccolini, G., Furlani, A., Grandi, S., & Tossani, E. (2020). The moderating roles of psychological flexibility and inflexibility on the mental health impacts of COVID-19 pandemic and lockdown in Italy. Journal of Contextual Behavioral Science, 17, 109–118. https://doi.org/10.1016/j.jcbs.2020.07.003
   PubMed Web of Science ®Google Scholar
• Park, C., & Hyun, M. (2022). Moderating effect of psychological flexibility in the relationship between neuroticism and self-harm. Korean Journal of Clinical Psychology, 41(1), 24–31. https://doi.org/10.15842/kjcp.2022.41.1.003
   Google Scholar
• Reinius, M., Wettergren, L., Wiklander, M., Svedhem, V., Ekström, A. M., & Eriksson, L. E. (2017). Development of a 12-item short version of the HIV stigma scale. Health and Quality of Life Outcomes, 15, 115. https://doi.org/10.1186/s12955-017-0691-z
   PubMed Web of Science ®Google Scholar
• Reyes, A. T., Song, R. N. H., Bhatta, T. R., & Kearney, C. K. (2021). Exploring the relationships between resilience, mindfulness, and experiential avoidance after the use of a mindfulness- and acceptance-based mobile app for posttraumatic stress disorder. Perspectives in Psychiatric Care, 58(2), 776–784. https://doi.org/10.1111/ppc.12848
   PubMed Web of Science ®Google Scholar
• Rueda, S., Mitra, S., Chen, R., Gogolishvili, D., Globerman, J., Chambers, L., Wilson, M., Logie, S. H., Shi, Q., Morassaei, S., & Rourke, S. B. (2016). Examining the associations between HIV-related stigma and health outcomes in people living with HIV/ AIDS: a series of meta-analyses. BMJ Open, 6(7), e011453. https://doi.org/10.1136/bmjopen-2016-011453
   PubMed Web of Science ®Google Scholar
• Ruiz-Párraga, G. T., & López-Martínez, A. E. (2015). The role of experiential avoidance, resilience and pain acceptance in the adjustment of chronic back pain patients who have experienced a traumatic event: a path analysis. Annals of Behavioral Medicine, 49(2), 247–257. https://doi.org/10.1007/s12160-014-9654-3
   PubMed Web of Science ®Google Scholar
• Seçer, İ., Ulaş, S., & Karaman-Özlü, Z. (2020). The effect of the fear of COVID-19 on healthcare professionals’ psychological adjustment skills: mediating role of experiential avoidance and psychological resilience. Frontiers of Psychology, 11, 561536. https://doi.org/10.3389/fpsyg.2020.561536
   PubMed Web of Science ®Google Scholar
• Spies, G., & Seedat, S. (2014). Depression and resilience in women with HIV and early life stress: Does trauma play a mediating role? A cross-sectional study. BMJ Open, 4, e004200. https://doi.org/10.1136/bmjopen-2013-004200
   PubMed Web of Science ®Google Scholar
• UNAIDS. (2020). Global HIV Statistics. The Joint United Nations Programme on HIV/AIDS: Geneva, Switzerland. https://www.unaids.org/en/resources/documents/2020/unaids-data
   Google Scholar
• Wagnild, G., & Young, H. (1993). Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement, 1(2), 165–178.
   PubMedGoogle Scholar
• Williams, R., Cook, R., Brumback, B., Cook, C., Ezenwa, M., Spencer, E., & Lucero, R. (2020). The relationship between individual characteristics and HIV-related stigma in adults living with HIV: medical monitoring project, Florida, 2015–2016. BMC Public Health, 20, 723. https://doi.org/10.1186/s12889-020-08891-3
   PubMed Web of Science ®Google Scholar
• Yahaya, L. A., Jimoh, A. A., & Balogun, O. R. (2010). Factors hindering acceptance of HIV/AIDS voluntary counselling and testing (VCT) among youth in Kwara State, Nigeria. African Journal of Reproductive Health, 14(3), 159–164.
   PubMedGoogle Scholar
• Yavuz, K. Y., Nalbant, A., Ulusoy, S., Esen, B., Burhan, H. S., & Kara, T. (2020). Burned out and avoided: Stigmatizing processes among psychiatrists. Psychiatria Danubina, 32(4), S463–S470.
   PubMedGoogle Scholar