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Health Locus of Control Beliefs and Healthy Survival with AIDS

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Abstract

Background

Health Locus of Control (HLOC) has been related to a number of psychosocial and medical variables in previous research in HIV. However, there is little information about its relationship to disease status, or about the Doctors subscale (DHLOC), in this population.

Purpose

The main purpose of the present study was to determine whether HLOC beliefs were related to “healthy survival with AIDS” status, and to do so with the DHLOC subscale in addition to the other HLOC subscales.

Method

Two HIV-positive groups, healthy survivors (HS; n = 70) who had experienced an asymptomatic period of ≥9 months despite low CD4 cells (<50) without the aid of protease inhibitors and a matched control group (MC; n = 70) of individuals in the mid-range of disease progression were compared on the HLOC scales. Several factors were examined as potential mediators.

Results

The HS group had significantly higher DHLOC and lower Internal HLOC (IHLOC) than the MC group. Both DHLOC and IHLOC contributed unique variance in relationship to HS status. These findings were not due to group differences in age, gender, ethnicity, income, education, sexual orientation, or HIV viral load.

Conclusions

HLOC may contribute to the particular psychosocial profile of this relatively “rare” group of HIV-positive individuals who remained asymptomatic despite very low CD4 cells. Higher DHLOC and lower IHLOC beliefs may be adaptive for HIV-positive individuals at an advanced stage of disease progression, and therefore modifying HLOC beliefs may be a worthwhile focus of future interventions.

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Acknowledgments

This research was funded by NIH grants R01MH53791 and R01MH066697. The principal investigator is Gail Ironson, M.D., Ph.D.

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Authors and Affiliations

  1. Department of Psychology and Behavioral Medicine, University of Miami, PO Box 248185, Coral Gables, FL, 33124-2070, USA

    Rachel Ruffin, Gail Ironson, Elizabeth Balbin & Neil Schneiderman

  2. Department of Psychiatry, University of Miami, Coral Gables, FL, USA

    Gail Ironson & Neil Schneiderman

  3. Department of Medicine, University of Miami, Coral Gables, FL, USA

    May Ann Fletcher

Authors
  1. Rachel Ruffin
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  2. Gail Ironson
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  3. May Ann Fletcher
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  4. Elizabeth Balbin
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  5. Neil Schneiderman
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Corresponding author

Correspondence to Rachel Ruffin.

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Ruffin, R., Ironson, G., Fletcher, M.A. et al. Health Locus of Control Beliefs and Healthy Survival with AIDS. Int.J. Behav. Med. 19, 512–517 (2012). https://doi.org/10.1007/s12529-011-9185-2

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  • DOI: https://doi.org/10.1007/s12529-011-9185-2

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