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. 2017 May:48:95-101.
doi: 10.1016/j.janxdis.2016.08.001. Epub 2016 Aug 6.

Examining anxiety sensitivity as an explanatory construct underlying HIV-related stigma: Relations to anxious arousal, social anxiety, and HIV symptoms among persons living with HIV

Charles P Brandt  1 , Daniel J Paulus  2 , Charles Jardin  2 , Luke Heggeness  3 , Chad Lemaire  4 , Michael J Zvolensky  5
Affiliations

Examining anxiety sensitivity as an explanatory construct underlying HIV-related stigma: Relations to anxious arousal, social anxiety, and HIV symptoms among persons living with HIV

Charles P Brandt et al. J Anxiety Disord. 2017 May.

Abstract

Persons living with HIV (PLHIV) are a health disparity subgroup of the overall population for mental and physical health problems. HIV-related stigma has been shown to increase anxiety symptoms and HIV symptoms among PLHIV. However, little is known about factors that may impact the relations between HIV-related stigma and anxiety symptoms and HIV symptoms among PLHIV. To address this gap in the literature, the current study examined anxiety sensitivity (i.e., the extent to which individuals believe anxiety and anxiety-related sensations) in the relation between HIV-related stigma, social anxiety, anxious arousal, and HIV symptoms among a sample of 87 PLHIV (60.9% cis gender male, 52.9% Black, non-Hispanic). Results indicated that anxiety sensitivity mediated the relations between HIV-related stigma and the dependent variables, with effect sizes indicating moderate to large effects of anxiety sensitivity on these relations. Findings suggest that anxiety sensitivity be a mechanistic factor in the relations between HIV-related stigma and social anxiety, anxious arousal, and HIV symptoms, and therefore, be important element in efforts to reduce mental/physical health disparity among this population.

Keywords: Anxiety; Anxiety Sensitivity; HIV; HIV Symptoms; Stigma.

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Figures

Figure 1
Figure 1
Proposed model examining the indirect association of HIV-Related Stigma via Anxiety Sensitivity in Relation to Social Anxiety, Anxious Arousal, and HIV Symptoms
See this image and copyright information in PMC

References

    1. Ammassari A, Murri R, Pezzotti P, Trotta MP, Ravasio L, De Longis P, Antinori A. Self-reported symptoms and medication side effects influence adherence to highly active antiretroviral therapy in persons with HIV infection. J Acquir Immune Defic Syndr. 2001;28(5):445–449. - PubMed
    1. Brandt CP, Gonzalez A, Grover KW, Zvolensky MJ. The Relation Between Emotional Dysregulation and Anxiety and Depressive Symptoms, Pain-Related Anxiety, and HIV-Symptom Distress Among Adults with HIV/AIDS. Journal of Psychopathology and Behavioral Assessment. 2012;35(2):197–204. http://doi.org/10.1007/s10862-012-9329-y. - DOI
    1. Brandt CP, Zvolensky MJ, Daumas SD, Grover KW, Gonzalez A. Pain-related anxiety in relation to anxiety and depression among persons living with HIV/AIDS. AIDS Care. 2016;28(4):432–435. - PMC - PubMed
    1. Brent RJ. The value of reducing HIV stigma. Social Science & Medicine. 2016;151:233–240. http://doi.org/10.1016/j.socscimed.2016.01.014. - DOI - PubMed
    1. Breuer E, Stoloff K, Myer L, Seedat S, Stein DJ, Joska JA. The validity of the Substance Abuse and Mental Illness Symptom Screener (SAMISS) in people living with HIV/AIDS in primary HIV care in Cape Town, South Africa. AIDS and Behavior. 2014;18(6):1133–1141. http://doi.org/10.1007/s10461-014-0698-y. - DOI - PubMed