206070 Hope and symptom load: Correlates of life regard for HIV positive adults

Monday, November 9, 2009

Amanda Alene Logan , Center for Psychosocial Health, University of North Texas, Denton, TX
Chwee-Lye Chng, PhD , Kinesiology, Health Promotion and Recreation, University of North Texas, Denton, TX
Mark Vosvick, PhD , Psychology Department, University of North Texas, Denton, TX
Jonathan Hill, BA , Center for Psychosocial Health, University of North Texas, Denton, TX
Since HIV is now conceptualized as a chronic disease because of HAART, hope can be studied as a factor that potentially alters the course of the illness. Hope, the expectation that something worthwhile lies ahead, is correlated with enhanced mental and physical health (Heinrich, 2003). Individuals with hope are more likely to experience higher life regard (Douglas, 2001), and less affected by anxiety and depression (Farran, Herth, & Popovich, 1995). The greater the symptom load for the HIV+ adult, the lower their regard for life (Lyon, 2001). Life regard supplies people with valued goals. Making progress toward goals gives people an enjoyable sense that they are fulfilling their life purpose (Steger, 2007). In this study, 236 HIV+ adults, recruited from a Dallas-based AIDS service agency (53% male, 53% African American, and 70% income <$0,000) completed the Agency of Hope (α=.72-.86) and Pathways of Hope (α=.82-.87) subscales of the Hope Scale, the Life Regard Index (α=.83-.92) and an HIV symptom load measure. We hypothesized that lower symptom load and higher agency of hope and pathway of hope would be associated with a higher regard for life. A linear regression analysis revealed higher agency of hope (t=6.29, β=.51, p<0.001) and lower symptom load (t=-1.98, β=-.12, p<.05) explained 24% of variance in our model (Adj. R2=.24, F (9,226) =9.22, p<0.001). Hope is an important internal resource to help HIV+ persons experience meaning in life and survive HIV. Thus, facilitating hope is an important therapeutic public health goal for HIV populations in the U.S.

Learning Objectives:
Define life regard, and its importance in coping with HIV. Analyze the significance of hope in HIV+ adults. Discuss the relationship between symptom load and hope in HIV+ adults.

Keywords: HIV/AIDS, HIV Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I helped collect data through surveys in the Dallas area, and I have analyzed the data I am presenting. I am a member of the Center for Psychosocial Health at the University of North Texas. Sr., pursuing B.S. in psychology, expected graduation, Fall 2009
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.