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AIDS and Behavior

, Volume 22, Issue 10, pp 3130–3140 | Cite as

Avoidant Coping Mediates the Relationship Between Self-Efficacy for HIV Disclosure and Depression Symptoms Among Men Who Have Sex with Men Newly Diagnosed with HIV

  • Emily M. Cherenack
  • Kathleen J. Sikkema
  • Melissa H. Watt
  • Nathan B. Hansen
  • Patrick A. Wilson
Original Paper

Abstract

HIV diagnosis presents a critical opportunity to reduce secondary transmission, improve engagement in care, and enhance overall well-being. To develop relevant interventions, research is needed on the psychosocial experiences of newly diagnosed individuals. This study examined avoidant coping, self-efficacy for HIV disclosure decisions, and depression among 92 newly diagnosed men who have sex with men who reported recent sexual risk behavior. It was hypothesized that avoidant coping would mediate the relationship between self-efficacy and depression. Cross-sectional surveys were collected from participants 3 months after HIV diagnosis. To test for mediation, multiple linear regressions were conducted while controlling for HIV disclosure to sexual partners. Self-efficacy for HIV disclosure decisions showed a negative linear relationship to depression symptoms, and 99% of this relationship was mediated by avoidant coping. The index of mediation of self-efficacy on depression indicated a small-to-medium effect. Higher self-efficacy was related to less avoidant coping, and less avoidant coping was related to decreased depression symptoms, all else held constant. These findings highlight the role of avoidant coping in explaining the relationship between self-efficacy for HIV disclosure decisions and depression.

Keywords

HIV Coping Self-efficacy Depression MSM 

Notes

Acknowledgements

This research was funded by the NIH Grant R01-MH078731. We are grateful for our longstanding collaboration with Callen-Lorde Community Health Center and the individuals who offered their participation in the study. We thankfully acknowledge Arlene Kochman, Allyson De Lorenzo, Jessica MacFarlane, Gal Mayer, Anya Drabkin, and William Nazareth for their contributions to this research. In addition, we acknowledge the Duke Center for AIDS Research (NIAID P30-AI064518) for the support in the conduct of this study and preparation of the manuscript.

Funding

This research was funded by the NIH Grant R01-MH078731.

Compliance with Ethical Standards

Conflict of interest

Emily M. Cherenack declares that she has no conflict of interest. Kathleen J. Sikkema declares that she has no conflict of interest. Melissa H. Watt declares that she has no conflict of interest. Nathan B. Hansen declares that he has no conflict of interest. Patrick A. Wilson. declares that he has no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all participants included in the study.

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Emily M. Cherenack
    • 1
  • Kathleen J. Sikkema
    • 1
    • 2
  • Melissa H. Watt
    • 2
  • Nathan B. Hansen
    • 3
  • Patrick A. Wilson
    • 4
  1. 1.Department of Psychology and NeuroscienceDuke UniversityDurhamUSA
  2. 2.Duke Global Health InstituteDuke UniversityDurhamUSA
  3. 3.Department of Health Promotion and BehaviorUniversity of GeorgiaAthensUSA
  4. 4.Department of Sociomedical Sciences, Mailman School of Public HealthColumbia UniversityNew YorkUSA

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