Treatment Adherence, Meaning in Life and Affects in Quality of Life of HIV/AIDS Patients

Abstract

The objective of this study is to identify the predictors of the QOL’s domains, specifically, to understand the relationship between biological markers, psychological variables and QOL of HIV/AIDS patients. Cross-sectional developed with 94 individuals with HIV/AIDS, who attend the outpatient clinic specialty and have had an antiretroviral prescription for 3 months. WHOQOL-Bref (QOL), CEAT-VIH (treatment adherence), Meaning in life scale (ML) and PANAS (affects), and sociodemographic and clinical questionnaire. The results of the predictive models of the QOL’s domains, when controlling for the viral load and the CD4 + T cell count, encompass affect balance, treatment adherence and meaning in life with the highest explained variance in the predictive models of QOL in physical 37.4% and psychological 33.9% domains. The affect balance is a predictor of all QOL’s domains and treatment adherence is a predictor of three of them. ML is a predictor of the psychological and environmental domains. This study emphasizes the importance of affect balance, treatment adherence and meaning in life for the QOL in HIV.

This is a preview of subscription content, log in to check access.

References

  1. Audet, C., Wagner, L., & Wallston, K. (2015). Finding meaning in life while living with HIV: validation of a novel HIV meaningfulness scale among HIV-infected participants living in Tennessee. BMC Psychology. https://doi.org/10.1186/s40359-015-0070-7.

    Article  Google Scholar 

  2. Balthip, Q. (2010). Achieving harmony of mind: A grounded theory study of people living with HIV/AIDS in the Thai context. Unpublished doctoral dissertation, Massey University, Palmerston North, New Zealand.

  3. Balthip, Q., & Purnell, M. (2014). Pursuing meaning and purpose in life among Thai adolescents living with HIV: A grounded theory study. Journal of the Association of Nurses in AIDS CARE. https://doi.org/10.1016/j.jana.2014.03.004.

    Article  Google Scholar 

  4. Beard, J., Feeley, F., & Rosen, S. (2009). Economic and quality of life outcomes of antiretroviral therapy for HIV/AIDS in developing countries: a systematic literature review. AIDS Care, 21(11), 1343–1356. https://doi.org/10.1080/09540120902889926.

    Article  Google Scholar 

  5. Cardona-Arias, J. A., & Higuita-Gutierrez, L. F. (2014). Impact of HIV/AIDS on quality of life: Meta-analysis 2002–2012. Revista espanola de salud publica, 88(1), 87–101. https://doi.org/10.4321/S1135-57272014000100006.

    Article  Google Scholar 

  6. Centre for Disease Control. (1993). Revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. Retirado de https://www.ncbi.nlm.nih.gov/pubmed/8093740.

  7. Chida, Y., & Vedhara, K. (2009). Adverse psychosocial factors predict poorer prognosis in HIV disease: A meta-analytic review of prospective investigations. Brain, Behavior, and Immunity, 23(4), 434–445. https://doi.org/10.1016/j.bbi.2009.01.013.

    Article  Google Scholar 

  8. Ciesla, J. A., & Roberts, J. E. (2001). Meta-analysis of the relationship between HIV infection and risk for depressive disorders. American Journal of Psychiatry, 158, 725–730.

    Article  Google Scholar 

  9. Cooper, V., Clatworthy, J., Harding, R., Whetham, J., & Emerge Consortium. (2017). Measuring quality of life among people living with HIV: A sistematic review of reviews. Health and Quality of Life Outcomes. https://doi.org/10.1186/s12955-017-0778-6.

    Article  Google Scholar 

  10. Degroote, S., Vogelaers, D., & Vandijck, D. M. (2014). What determines health-related quality of life among people living with HIV: An updated review of the literature. Archives of Public Health, 72, 40. https://doi.org/10.1186/2049-3258-72-40.

    Article  Google Scholar 

  11. Denvir, M. A., Lee, A. J., Rysdale, J., Walker, A., Eteiba, H., Starkey, I. R., et al. (2006). Influence of socioeconomic status on clinical outcomes and quality of life after percutaneous coronary intervention. Journal of Epidemiology and Community Health, 60, 1085–1088. https://doi.org/10.1136/jech.2005.044255.

    Article  Google Scholar 

  12. Fleck, M. A. (2006). O projecto WHOQOL: Desenvolvimentos e aplicações. Psiquiatria Clínica, 27(1), 5–13.

    Google Scholar 

  13. Galinha, I., & Ribeiro, J. P. (2005). Contribuição para o estudo da versão portuguesa da Positive and Negative Affect Schedule (PANAS): II—Estudo psicométrico. Análise Psicológica, 23(2), 219–227.

    Article  Google Scholar 

  14. Gonzalez, J. S., Batchelder, A., Psaros, C., & Safren, S. A. (2011). Depression and HIV/AIDS treatment nonadherence: A review and meta-analysis. Journal of Acquir Immune Defic Syndr. https://doi.org/10.1097/qai.0b013822d490a.

    Article  Google Scholar 

  15. Guerra, M., Lencastre, L., Silva, E., & Teixeira, P. (2017). Meaning in life in medical settings: A new measure correlating with psychological variables in disease. Cogent Psychology, 4, 1286747. https://doi.org/10.1080/23311908.2017.1286747.

    Article  Google Scholar 

  16. Heintzelman, S., & King, L. (2014). Life is pretty meaningful. American Psychologist, 69(6), 561–574.

    Article  Google Scholar 

  17. Jim, H., Purnell, J. Q., Richardson, S. A., Golden-Kreutz, D., & Andersen, B. L. (2006). Measuring meaning in life following cancer. Quality of Life Research, 15(8), 1355–1371. https://doi.org/10.1007/s11136-00-6-0028-6.

    Article  Google Scholar 

  18. Koydemir, S., Şimşek, Ö., Schütz, A., & Tipandjan, A. (2013). Differences in how trait emotional intelligence predicts life satisfaction: The role of affect balance versus social support in India and Germany. Journal of Happiness Studies, 14(1), 51–66.

    Article  Google Scholar 

  19. Li, J., Mo, P., Wu, A., & Lau, J. (2017). Roles of self-stigma, social support, and positive and negative affects as determinants of depressive symptoms among HIV infected men who have sex with men in China. AIDS and Behavior, 21, 261–273. https://doi.org/10.1007/s10461-016-1321-1.

    Article  Google Scholar 

  20. Liping, M., Peng, X., Haijiang, L., Lahong, J., & Fan, L. (2015). Quality of life of people living with HIV/AIDS: A cross-sectional study in Zhejiang Province. China: Plos One. https://doi.org/10.1371/journal.pone.0135705.

    Google Scholar 

  21. Pallant, J. (2011). SPSS survival manual. Philadelphia: Open University Press.

    Google Scholar 

  22. Parienti, J. J., Bangsberg, D. R., Verdon, R., & Gardner, E. M. (2009). Better adherence with once-daily antiretroviral regimens: A meta-analysis. Clinical Infectious Diseases, 48(4), 484–488.

    Article  Google Scholar 

  23. Park, N., Park, M., & Peterson, C. (2010). When is the search for meaning related to life satisfaction? Applied Psychology: Health and Well-being, 2, 1–13.

    Google Scholar 

  24. Pinto, C., & Guerra, M. P. (2018). The influence of meaning in life and depression in multiple sclerosis. Análise Psicológica, 4(36), 439–453. https://doi.org/10.14417/ap1394.

    Article  Google Scholar 

  25. Reis, A., Guerra, M., & Lencastre, L. (2013a). Treatment adherence, quality of life and clinical variables in HIV/AIDS Infection. World Journal of AIDS, 3(3), 239–250. https://doi.org/10.4236/wja.2013.33032.

    Article  Google Scholar 

  26. Reis, A., Guerra, M., & Lencastre, L. (2013b). Treatment adherence and subjective well-being in HIV/AIDS infection. AIDS Care. https://doi.org/10.1080/09540121.2013.793276.

    Article  Google Scholar 

  27. Reis, A., Lencastre, L., Guerra, M., & Remor, E. (2009). Adaptação portuguesa do “Cuestionario para la Evaluación de la adhesión al Tratamiento Antirretroviral—VIH”. Psicologia: Saúde & Doenças, 10(2), 175–191.

    Google Scholar 

  28. Reis, A., Lencastre, L., Guerra, M., & Remor, E. (2010). Relação entre a sintomatologia Psicopatológica, adesão ao tratamento e qualidade de vida na infecção pelo HIV e Aids. Psicologia: Reflexão e Crítica, 23(3), 187–196. https://doi.org/10.1590/s0102-79722010000300002.

    Article  Google Scholar 

  29. Remor, E. (2002). Valoración de la adhesión al tratamiento antirretroviral en pacientes VIH+. Psicothema, 14(2), 262–267.

    Google Scholar 

  30. Rzeszutek, M., & Gruszczynska, E. (2018). Consistency of health-related quality of life among people living with HIV: Latent state-trait analysis. Health and Quality of Life Outcomes. https://doi.org/10.1186/s12955-018-0929-4.

    Article  Google Scholar 

  31. Schroecksnadel, K., Sarcletti, M., Winkler, C., Mumelter, B., Weiss, G., Funchs, D., et al. (2008). Quality of life and immune activation in patients with HIV-infection. Brain, Behavior, and Immunity, 22, 881–889.

    Article  Google Scholar 

  32. Skevington, S. M., Lofty, M., O’Connell, K. A., & WHOQOL Group. (2004). The World Health Organization’s WHOQOL-Bref quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL Group. Quality of Life Research, 13(2), 299–310.

    Article  Google Scholar 

  33. Spindler, H., Denollet, J., Kruse, J., & Pedersen, S. S. (2009). Positive affect and negative affect correlate differently with distress and health-related quality of life in patients with cardiac conditions: Validation of the Danish Global Mood Scale. Journal of Psychosomatic Research, 67, 57–65.

    Article  Google Scholar 

  34. Stauber, S., Schmid, J., Saner, H., Znoj, H., Saner, G., Grolimund, J., et al. (2013). Health-related quality of life is associated with positive affect in patients with coronary heart disease entering cardiac rehabilitation. Journal of Clinical Psychology in Medical Settings, 20, 79–87. https://doi.org/10.1007/s10880-012-9311-6.

    Article  Google Scholar 

  35. UNAIDS. (2019). Global AIDS monitoring 2019: Indicators for monitoring the 2016 political declaration on ending AIDS. Retrieved from http://aidsinfo.unaids.org/.

  36. Vaz Serra, A., Canavarro, M. C., Simões, M., Pereira, M., Gameiro, S., Quartilho, M. J., et al. (2006). Estudos psicométricos do instrumento de avaliação da qualidade de vida da Organização Mundial de Saúde (WHOQOL-Bref) para português de Portugal. Psiquiatria Clínica, 27(1), 41–49.

    Google Scholar 

  37. WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL group. Psychological Medicine, 28(3), 551–558.

    Article  Google Scholar 

Download references

Acknowledgements

We wish to thank all the patients who made this study possible.

Funding

This work was funded by the Center for Psychology at the University of Porto, Portuguese Science Foundation (FCT UID/PSI/00050/2019).

Author information

Affiliations

Authors

Corresponding authors

Correspondence to Ana Reis or Marina Prista Guerra.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Reis, A., Lencastre, L., Jonsson, C. et al. Treatment Adherence, Meaning in Life and Affects in Quality of Life of HIV/AIDS Patients. J Happiness Stud 21, 2405–2417 (2020). https://doi.org/10.1007/s10902-019-00182-y

Download citation

Keywords

  • Quality of life
  • Treatment adherence
  • Meaning in life
  • Affect balance HIV/AIDS