Annals of Behavioral Medicine

, Volume 18, Issue 1, pp 49–57 | Cite as

Coping and mood during aids-related caregiving and bereavement

  • Judith Tedlie Moskowitz
  • Susan Folkman
  • Linda Collette
  • Eric Vittinghoff


This prospective study of a cohort of human immunodeficiency virus positive (HIV+) and HIV negative (HIV-) caregiving partners of men with AIDS examined the contextual effects of caregiving and bereavement on coping and the association between coping and positive and negative mood during the five months leading up to their partner's death and the five months following their partner's death. Participants used more problem-focused types of coping and more cognitive escape avoidance during caregiving than during bereavement. Six of the eight types of coping that were assessed were associated with negative mood, controlling for prior negative mood. These associations differed as a function of context (caregiving versus bereavemenO. Five types of coping were associated with positive mood, controlling for prior positive mood. HIV serostatus did not affect the relation between coping and mood.


Human Immunodeficiency Virus Negative Mood Acquire Immune Deficiency Syndrome Positive Mood Human Immunodeficiency Virus Status 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. (1).
    CDC update: Acquired immunodeficiency syndrome-United States, 1994.Morbidity and Mortality Weekly Report. 1995,44: 64–67.Google Scholar
  2. (2).
    Centers for Disease Control and Prevention: HIV/AIDS Surveillance Report. Washington, DC: Centers for Disease Control and Prevention, 1995,7(2):7.Google Scholar
  3. (3).
    Mann J, Tarantola DJM, Netter TW:AIDS in the World. Cambridge, MA: Harvard University Press, 1992.Google Scholar
  4. (4).
    Turner HA, Catania JA, Gagnon J: The prevalence of informal caregiving to persons with AIDS in the United States: Caregiver characteristics and their implications.Social Science and Medicine. 1994,11:543–552.Google Scholar
  5. (5).
    Folkman S, Chesney MA, Christopher-Richards A: Stress and coping in caregiving partners of men with AIDS.Psychiatric Clinics of North America. 1994,17:35–53.PubMedGoogle Scholar
  6. (6).
    Powell-Cope GM, Brown MA: Going public as an AIDS family caregiver.Social Science and Medicine. 1994,34:571–580.Google Scholar
  7. (7).
    Pearlin LI, Semple S, Turner H: Stress of AIDS caregiving: A preliminary overview of the issues.Death Studies. 1988,12:501–517.PubMedCrossRefGoogle Scholar
  8. (8).
    Stroebe MS, Stroebe W: The mortality of bereavement: A review. In Stroebe MS, Stroebe W, Hansson RO (eds),Handbook of Bereavement. Cambridge, MA: Press Syndicate, 1994, 175–195.Google Scholar
  9. (9).
    Irwin M, Pike J: Bereavement, depressive symptoms, and immune function. In Stroebe MS, Stroebe W, Hansson RO (eds),Handbook of Bereavement. Cambridge, MA: Press Syndicate, 1994, 160–174.Google Scholar
  10. (10).
    Martin JL, Dean L: Bereavement following death from AIDS: Unique problems, reactions, and special needs. In Stroebe MS, Stroebe W, Hansson RO (eds),Handbook of Bereavement. Cambridge, MA: Press Syndicate, 1994, 317–330.Google Scholar
  11. (11).
    Neugarten BL: Time, age, and the life cycle.American Journal of Psychiatry. 1979,136:887–894.PubMedGoogle Scholar
  12. (12).
    Parkes CM, Weiss RS:Recovery from Bereavement. New York: Basic Books, 1983.Google Scholar
  13. (13).
    Sanders CM: Risk factors in bereavement outcome. In Stroebe MS, Stroebe W, Hansson RO (eds),Handbook of Bereavement. Cambridge, MA: Press Syndicate, 1994, 255–270.Google Scholar
  14. (14).
    Neugebauer R, Rabkin JG, Williams JBW, et al: Bereavement reactions among homosexual men experiencing multiple losses in the AIDS epidemic.American Journal of Psychiatry. 1992,149:1374–1379.PubMedGoogle Scholar
  15. (15).
    Lazarus RS, Folkman S:Stress, Appraisal and Coping. New York: Springer, 1984.Google Scholar
  16. (16).
    Silver RL, Wortman CB: Coping with undesirable life events. In Garber J, Seligman MEP (eds),Human Helplessness: Theory and Applications. New York: Academic Press, 1980, 279–340.Google Scholar
  17. (17).
    Folkman S, Lazarus RS: An analysis of coping in a middle-aged community sample.Journal of Health and Social Behavior. 1980,21:219–239.PubMedCrossRefGoogle Scholar
  18. (18).
    Folkman S, Lazarus RS: If it changes it must be a process: Study of emotion and coping during three stages of a college examination.Journal of Personality and Social Psychology. 1985,48:150–170.PubMedCrossRefGoogle Scholar
  19. (19).
    Bolger N: Coping as a personality process: A prospective study.Journal of Personality and Social Psychology. 1990,59:525–537.PubMedCrossRefGoogle Scholar
  20. (20).
    Carver CS, Pozo C, Harris SD, aet al: How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer.Journal of Personality and Social Psychology. 1993,65:375–390.PubMedCrossRefGoogle Scholar
  21. (21).
    Stanton AL, Snider PR: Coping with a breast cancer diagnosis: A prospective study.Health Psychology. 1993,12:16–23.PubMedCrossRefGoogle Scholar
  22. (22).
    Aspinwall LG, Taylor SE: Modeling cognitive adaptation: A longitudinal investigation of the impact of individual differences and coping on college adjustment and performance.Journal of Personality and Social Psychology. 1992,63:989–1103.PubMedCrossRefGoogle Scholar
  23. (23).
    Terry DJ: Determinants of coping: The role of stable and situational factors.Journal of Personality and Social Psychology. 1994,66:895–910.PubMedCrossRefGoogle Scholar
  24. (24).
    Folkman S, Lazarus RS, Dunkel-Schetter C, et al: The dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.Journal of Personality and Social Psychology. 1986,50:992–1003.PubMedCrossRefGoogle Scholar
  25. (25).
    Felton BJ, Revenson TA: Coping with chronic illness: A study of illness controllability and the influence of coping strategies on psychological adjustment.Journal of Consulting and Clinical Psychology. 1984, 52:343–353.PubMedCrossRefGoogle Scholar
  26. (26).
    Vitaliano PP, DeWolfe DJ, Maiuro RD, et al: Appraised changeability of a stressor as a modifier of the relationship between coping and depression: A test of the hypothesis of fit.Journal of Personality and Social Psychology. 1990,59:582–592.PubMedCrossRefGoogle Scholar
  27. (27).
    Mattlin JA, Wethington E, Kessler RC: Situational determinants of coping and coping effectiveness.Journal of Health and Social Behavior. 1990,31:103–122.PubMedCrossRefGoogle Scholar
  28. (28).
    Haley WE, Levine EG, Brown SL, et at: Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers.Psychology and Aging. 1987,2:323–330.PubMedCrossRefGoogle Scholar
  29. (29).
    Neundorfer MM: Coping and health outcomes in spouse caregivers of persons with dementia.Nursing Research. 1991, 40:260–265.PubMedCrossRefGoogle Scholar
  30. (30).
    Pruchno RA, Resch NL: Mental health ofcaregiving spouses: Coping as mediator, moderator, or main effect?Psychology and Aging. 1989,4:454–463.PubMedCrossRefGoogle Scholar
  31. (31).
    Wallhagen MI: Perceived control and adaptation in elder caregivers: Development of an explanatory model.International Journal of Aging and Human Development. 1993,36:219–237.CrossRefGoogle Scholar
  32. (32).
    Stephens MAP, Norris VK, Kinney JM, et al: Stressful situations in caregiving: Relations between caregiver coping and well-being.Psychology and Aging. 1988,3:208–209.PubMedCrossRefGoogle Scholar
  33. (33).
    Carver CS, Scheier MF, Weintraub JK: Assessing coping strategies: A theoretically-based approach.Journal of Personality and Social Psychology. 1989,56:267–283.PubMedCrossRefGoogle Scholar
  34. (34).
    Scheier MF, Weintraub JK, Carver CS: Coping with stress: Divergent strategies of optimists and pessimists.Journal of Personality and Social Psychology. 1986,51:1257–1264.PubMedCrossRefGoogle Scholar
  35. (35).
    Williamson GM, Schulz R: Coping with specific stressors in Alzheimer's disease caregiving.The Gerontologist. 1993,33:747–755.PubMedGoogle Scholar
  36. (36).
    Gass KA, Chang AS: Appraisals ofbereavement, coping, resources, and psychosocial health dysfunction in widows and widowers.Nursing Research. 1989,38:31–36.PubMedCrossRefGoogle Scholar
  37. (37).
    Jacobs S, Stanislav K, Schaefer C, et al: Conscious and unconscious coping with loss.Psychosomatic Medicine. 1994,56:557–563.PubMedGoogle Scholar
  38. (38).
    Folkman S, Chesney MA, Cooke M, et al: Caregiver burden in HIV+ and HIV-partners of men with AIDS.Journal of Consuiting and Clinical Psychology. 1994,62:746–756.CrossRefGoogle Scholar
  39. (39).
    Bradburn NM:The Structure of Psychological Well-Being. Chicago: Aldine, 1969.Google Scholar
  40. (40).
    Folkman S, Lazarus RS:Ways of Coping Questionnaire. Palo Alto, CA: Consulting Psychologists Press, 1988.Google Scholar
  41. (41).
    Jennrich RI, Schluchter MD: Unbalanced repeated-measures models with structured covariance matrices.Biometrics. 1986,42:805–820.PubMedCrossRefGoogle Scholar
  42. (42).
    Burg MM, Seeman TE: Families and health: The negative side of social ties.Annals of Behavioral Medicine. 1994,16:109–115.Google Scholar
  43. (43).
    Park CL, Cohen LH, Murch RL: Assessment and prediction of stress-related growth.Journal of Personality (in press, 1995).Google Scholar
  44. (44).
    Park CL, Folkman S: The role of meaning in coping with negative life events. Unpublished manuscript.Google Scholar
  45. (45).
    Schaefer J, Moos R: Life crises and personal growth. In Carpenter B (ed),Personal Coping: Theory, Research, and Application. Westport, CT: Praeger, 1992, 149–170.Google Scholar
  46. (46).
    Folkman S, Moskowitz JT, Ozer EM, Park CL: Getting through the day: Meaningful events as coping in the context of HIV/AIDS. In Gottlieb B (ed),Coping with Chronic Stress. New York: Plenum (in press, 1995).Google Scholar
  47. (47).
    Langston CA: Capitalizing on and coping with daily life events: Expressive responses to positive events.Journal of Personafity and Social Psychology. 1994,67:1112–1125.CrossRefGoogle Scholar

Copyright information

© The Society of Behavioral Medicine 1996

Authors and Affiliations

  • Judith Tedlie Moskowitz
    • 1
  • Susan Folkman
    • 1
  • Linda Collette
    • 1
  • Eric Vittinghoff
    • 1
  1. 1.University of CaliforniaSan Francisco

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