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Adaptive coping, emotions, and antiretroviral therapy adherence among gay, bisexual, and other men who have sex with men (gbMSM) with HIV

Bibliographic Data

ID4228527
AuthorsJames D Foley (0000-0001-6891-8342, Massachusetts General Hospital), Luc Bernier (0000-0003-2064-2329, Massachusetts General Hospital), Conall O’cleirigh (0000-0002-5639-5043, Massachusetts General Hospital), Kenneth H Mayer (0000-0001-7460-733X, Harvard Medical School), Judith T Moskowitz (0000-0002-1399-3318, Northwestern University), Abigail W Batchelder (0000-0001-7225-1675, Massachusetts General Hospital), Abigail Batchelder (0000-0001-6818-318X)
Year2025
Volume30
Issue10
Pages2634-2646
Publication date2025-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Health Psychology (JOURNAL)
Journal identifiersISSN: 1359-1053 • E-ISSN: 1461-7277
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13591053241287618
PMID39400065
OpenAlexW4403398869
LanguageEN
References cited46

This study evaluated the hypothesis that positive emotions attenuate associations between negative emotions with adaptive coping and adherence, as well as explored evidence of the hypothesis of an indirect effect association between adaptive coping and adherence via positive emotions. The sample was 202 gbMSM with HIV who use substances (mean age [standard deviation] = 47.15 [12.26]; 34% Black, 14% Hispanic, and ≥50% with annual income ≤$20,000). Positive emotions were a moderator: negative emotions were not associated with approach coping at low positive emotions but were associated with more adaptive coping at high positive emotions ( b = 0.32, p = 0.01). There was also an indirect effect association between adaptive coping with better adherence via high positive emotions (indirect effect: 0.29, 95% Confidence Interval = 0.004-0.39). Findings support the likely benefit of experiencing positive emotions, and investment in intensive longitudinal studies on how emotions, coping, and health behaviors are related to inform behavioral intervention development

Coping (psychology · Human immunodeficiency virus (HIV · Maladaptive coping · Men who have sex with men · Moderation · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Clinical Psychology · Immunology · Social Psychology

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