Association between coping strategies, social support, and depression and anxiety symptoms among rural Ugandan women living with HIV/AIDS

Victoria Seffren, Itziar Familiar, Sarah Murray, Jura Augustinavicius, Michael J. Boivin, Noeline Nakasujja, Robert Opoka, Judith Bass

Research output: Contribution to journalArticle

Abstract

Poor mental health detrimentally affects quality of life among women living with HIV/AIDS. An improved understanding of how coping and social support relate to depression and anxiety in this population can facilitate the design and implementation of appropriate mental health treatment and support services. Secondary analysis was conducted on baseline data from 288 HIV-positive women enrolled in a parenting intervention in Uganda. Depression and anxiety symptoms, social support, and coping were assessed with the Hopkins Symptom Checklist and adapted versions of the Multidimensional Scale for Perceived Social Support and Ways of Coping Questionnaire. General linear regression models were used to estimate associations between coping and mental health. Based on report of elevated symptoms, approximately 10% of women were categorized as having clinically-relevant depression or anxiety. Emotion-focused (EF: p < .001) and problem-focused (PF: p = .01) coping were associated with more depressive symptoms while greater family support (EF: p = .002; PF: p = .003) was associated with fewer depression symptoms. More anxiety symptoms were associated with reporting both coping strategies (EF: p < .001; PF: p = .02) and higher community support (EF&PF: p = .01). The cross-sectional nature of the study limits our ability to rule out the role of reverse causation in the significant relationship between coping and mental health. Findings do suggest that high family support can be protective against depression and anxiety symptoms among women living with HIV.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
DOIs
StateAccepted/In press - Feb 23 2018

Fingerprint

Social Support
social support
coping
Acquired Immunodeficiency Syndrome
AIDS
Anxiety
HIV
Depression
anxiety
Mental Health
mental health
Linear Models
Aptitude
Uganda
Parenting
Checklist
Causality
secondary analysis
Emotions
Cross-Sectional Studies

Keywords

  • coping strategies
  • Depression symptoms
  • PLWHA
  • social support
  • Uganda

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Association between coping strategies, social support, and depression and anxiety symptoms among rural Ugandan women living with HIV/AIDS. / Seffren, Victoria; Familiar, Itziar; Murray, Sarah; Augustinavicius, Jura; Boivin, Michael J.; Nakasujja, Noeline; Opoka, Robert; Bass, Judith.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 23.02.2018, p. 1-8.

Research output: Contribution to journalArticle

@article{1fa3c41153634ae1adb0505d9ab4dd15,
title = "Association between coping strategies, social support, and depression and anxiety symptoms among rural Ugandan women living with HIV/AIDS",
abstract = "Poor mental health detrimentally affects quality of life among women living with HIV/AIDS. An improved understanding of how coping and social support relate to depression and anxiety in this population can facilitate the design and implementation of appropriate mental health treatment and support services. Secondary analysis was conducted on baseline data from 288 HIV-positive women enrolled in a parenting intervention in Uganda. Depression and anxiety symptoms, social support, and coping were assessed with the Hopkins Symptom Checklist and adapted versions of the Multidimensional Scale for Perceived Social Support and Ways of Coping Questionnaire. General linear regression models were used to estimate associations between coping and mental health. Based on report of elevated symptoms, approximately 10{\%} of women were categorized as having clinically-relevant depression or anxiety. Emotion-focused (EF: p < .001) and problem-focused (PF: p = .01) coping were associated with more depressive symptoms while greater family support (EF: p = .002; PF: p = .003) was associated with fewer depression symptoms. More anxiety symptoms were associated with reporting both coping strategies (EF: p < .001; PF: p = .02) and higher community support (EF&PF: p = .01). The cross-sectional nature of the study limits our ability to rule out the role of reverse causation in the significant relationship between coping and mental health. Findings do suggest that high family support can be protective against depression and anxiety symptoms among women living with HIV.",
keywords = "coping strategies, Depression symptoms, PLWHA, social support, Uganda",
author = "Victoria Seffren and Itziar Familiar and Sarah Murray and Jura Augustinavicius and Boivin, {Michael J.} and Noeline Nakasujja and Robert Opoka and Judith Bass",
year = "2018",
month = "2",
day = "23",
doi = "10.1080/09540121.2018.1441969",
language = "English (US)",
pages = "1--8",
journal = "AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV",
issn = "0954-0121",
publisher = "Routledge",

}

TY - JOUR

T1 - Association between coping strategies, social support, and depression and anxiety symptoms among rural Ugandan women living with HIV/AIDS

AU - Seffren, Victoria

AU - Familiar, Itziar

AU - Murray, Sarah

AU - Augustinavicius, Jura

AU - Boivin, Michael J.

AU - Nakasujja, Noeline

AU - Opoka, Robert

AU - Bass, Judith

PY - 2018/2/23

Y1 - 2018/2/23

N2 - Poor mental health detrimentally affects quality of life among women living with HIV/AIDS. An improved understanding of how coping and social support relate to depression and anxiety in this population can facilitate the design and implementation of appropriate mental health treatment and support services. Secondary analysis was conducted on baseline data from 288 HIV-positive women enrolled in a parenting intervention in Uganda. Depression and anxiety symptoms, social support, and coping were assessed with the Hopkins Symptom Checklist and adapted versions of the Multidimensional Scale for Perceived Social Support and Ways of Coping Questionnaire. General linear regression models were used to estimate associations between coping and mental health. Based on report of elevated symptoms, approximately 10% of women were categorized as having clinically-relevant depression or anxiety. Emotion-focused (EF: p < .001) and problem-focused (PF: p = .01) coping were associated with more depressive symptoms while greater family support (EF: p = .002; PF: p = .003) was associated with fewer depression symptoms. More anxiety symptoms were associated with reporting both coping strategies (EF: p < .001; PF: p = .02) and higher community support (EF&PF: p = .01). The cross-sectional nature of the study limits our ability to rule out the role of reverse causation in the significant relationship between coping and mental health. Findings do suggest that high family support can be protective against depression and anxiety symptoms among women living with HIV.

AB - Poor mental health detrimentally affects quality of life among women living with HIV/AIDS. An improved understanding of how coping and social support relate to depression and anxiety in this population can facilitate the design and implementation of appropriate mental health treatment and support services. Secondary analysis was conducted on baseline data from 288 HIV-positive women enrolled in a parenting intervention in Uganda. Depression and anxiety symptoms, social support, and coping were assessed with the Hopkins Symptom Checklist and adapted versions of the Multidimensional Scale for Perceived Social Support and Ways of Coping Questionnaire. General linear regression models were used to estimate associations between coping and mental health. Based on report of elevated symptoms, approximately 10% of women were categorized as having clinically-relevant depression or anxiety. Emotion-focused (EF: p < .001) and problem-focused (PF: p = .01) coping were associated with more depressive symptoms while greater family support (EF: p = .002; PF: p = .003) was associated with fewer depression symptoms. More anxiety symptoms were associated with reporting both coping strategies (EF: p < .001; PF: p = .02) and higher community support (EF&PF: p = .01). The cross-sectional nature of the study limits our ability to rule out the role of reverse causation in the significant relationship between coping and mental health. Findings do suggest that high family support can be protective against depression and anxiety symptoms among women living with HIV.

KW - coping strategies

KW - Depression symptoms

KW - PLWHA

KW - social support

KW - Uganda

UR - http://www.scopus.com/inward/record.url?scp=85042381703&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042381703&partnerID=8YFLogxK

U2 - 10.1080/09540121.2018.1441969

DO - 10.1080/09540121.2018.1441969

M3 - Article

C2 - 29471677

AN - SCOPUS:85042381703

SP - 1

EP - 8

JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

SN - 0954-0121

ER -