Direct and Indirect Associations Between Interpersonal Resources and Posttraumatic Growth Through Resilience Among Women Living with HIV in China

AIDS Behav. 2020 Jun;24(6):1687-1700. doi: 10.1007/s10461-019-02694-3.

Abstract

This study aims to test the associations between interpersonal resources and posttraumatic growth (PTG) and their indirect associations through resilience among women living with HIV (WLWH). A cross-sectional study interviewed 546 WLWH from eight clinics of Yunnan and Guangxi provinces in China. PTG, resilience and doctors' empathy were assessed by the validated scales. Family support, friend support, and partner intimacy were assessed by the self-constructed scales. Significant background factors of PTG included duration of residence in the area, monthly family income, number of years since HIV diagnosis, self-reported presence of AIDS-related symptoms, and current pregnancy. Family social support, partner intimacy, doctors' empathy, and resilience were positively associated with PTG; friend support was negatively associated with PTG (p < .05). Furthermore, resilience partially mediated the relationships between family support/partner intimacy and PTG, explaining 13.6-14.2% of the variance. Structural equation modeling showed that family support was significantly and indirectly associated with PTG through resilience when controlling for other interpersonal resource indicators. Implications and potential interventions to promote PTG are discussed.

Keywords: Doctors’ empathy; Family/friend support; Intimacy with partner; Posttraumatic growth; Resilience.

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Anti-HIV Agents / therapeutic use
  • China / epidemiology
  • Cross-Sectional Studies
  • Empathy
  • Female
  • HIV Infections / drug therapy
  • HIV Infections / ethnology
  • HIV Infections / psychology*
  • Humans
  • Interpersonal Relations
  • Middle Aged
  • Posttraumatic Growth, Psychological*
  • Resilience, Psychological*
  • Rural Population
  • Social Support*
  • Surveys and Questionnaires
  • Urban Population
  • Young Adult

Substances

  • Anti-HIV Agents