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Direct and Indirect Associations Between Interpersonal Resources and Posttraumatic Growth Through Resilience Among Women Living with HIV in China

  • Xue Yang
  • Qian Wang
  • Xin Wang
  • Phoenix K. H. Mo
  • Zixin Wang
  • Joseph T. F. LauEmail author
  • Linhong Wang
Original Paper
  • 45 Downloads

Abstract

This study aims to test the associations between interpersonal resources and posttraumatic growth (PTG) and their indirect associations through resilience among women living with HIV (WLWH). A cross-sectional study interviewed 546 WLWH from eight clinics of Yunnan and Guangxi provinces in China. PTG, resilience and doctors’ empathy were assessed by the validated scales. Family support, friend support, and partner intimacy were assessed by the self-constructed scales. Significant background factors of PTG included duration of residence in the area, monthly family income, number of years since HIV diagnosis, self-reported presence of AIDS-related symptoms, and current pregnancy. Family social support, partner intimacy, doctors’ empathy, and resilience were positively associated with PTG; friend support was negatively associated with PTG (p < .05). Furthermore, resilience partially mediated the relationships between family support/partner intimacy and PTG, explaining 13.6–14.2% of the variance. Structural equation modeling showed that family support was significantly and indirectly associated with PTG through resilience when controlling for other interpersonal resource indicators. Implications and potential interventions to promote PTG are discussed.

Keywords

Family/friend support Intimacy with partner Doctors’ empathy Resilience Posttraumatic growth 

Notes

Author Contributions

XY and JTFL conceptualized the aims and hypotheses for the study and took primary responsibility for drafting the manuscript. QW as the grant holder contributed to the original study design and questionnaire, research questions, fieldwork coordination, and comments to the manuscript. XW assisted with data analyses and drafting results. PM designed the original study and questionnaire. ZW took primary responsibility for data cleaning. LW provided advice to the project and organizational support.

Funding

This work was supported by the Women Health Branch of the Chinese Preventive Medicine Association.

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

The manuscript does not contain clinical studies or patient data. The study procedures were carried out in accordance with the Declaration of Helsinki. Ethics approval was obtained from the Ethics Committee of the Chinese University of Hong Kong.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Centre for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of MedicineThe Chinese University of Hong KongSha TinChina
  2. 2.The Chinese University of Hong Kong Shenzhen Research InstituteShenzhenChina
  3. 3.Maternal Health DepartmentNational Center for Women and Children’s Health, China CDCBeijingChina
  4. 4.Women Health Branch of the Chinese Preventive Medicine AssociationBeijingChina

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