Resilience factors associated with adaptation to HIV disease

Psychosomatics. 2000 Mar-Apr;41(2):140-6. doi: 10.1176/appi.psy.41.2.140.


This study examines the hardiness dimensions of commitment, challenge, and control as resilience factors in adaptation among persons with symptomatic HIV disease and AIDS. Two hundred participants completed self-report questionnaires measuring hardiness, psychological distress, quality of life, and core personal beliefs. A series of standard multiple regression analyses revealed that high hardiness was significantly related to 1) lower psychological distress levels; 2) higher perceived quality of life in physical health, mental health, and overall functioning domains; 3) more positive personal beliefs regarding the benevolence of the world and people, self-worth, and randomness of life events; and 4) lowered belief in controllability of life events. Commitment was the hardiness factor that most frequently made a unique contribution to predicting adaptation in the regression models. Implications of these findings for understanding HIV-related adaptation and for clinical mental health intervention are considered. Future directions in HIV-related adaptation research are suggested.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acquired Immunodeficiency Syndrome / psychology*
  • Adaptation, Psychological*
  • Adult
  • Aged
  • Female
  • HIV Infections / psychology*
  • Humans
  • Internal-External Control
  • Male
  • Middle Aged
  • Personality Assessment*
  • Quality of Life
  • Sick Role*