Resilience, stress, and life quality in older adults living with HIV/AIDS

Aging Ment Health. 2015;19(11):1015-21. doi: 10.1080/13607863.2014.1003287.


Objectives: This study tested the mediating effect of resilience on the relationship between life stress and health-related quality of life (HRQoL) in older people, 50 years of age and older, living with HIV/AIDS (OPLWHA).

Method: Data from 299 OPLWHA were analyzed using structural equation modeling (SEM) to define a novel resilience construct (represented by coping self-efficacy, active coping, hope/optimism, and social support) and to assess mediating effects of resilience on the association between life stress and HRQoL (physical, emotional, and functional/global well-being).

Results: SEM analyses showed satisfactory model fit for both resilience and mediational models, with resilience mediating the associations between life stress and physical, emotional, and functional/global well-being.

Conclusion: Resilience may reduce the negative influence of life stress on physical, emotional, and functional/global well-being in OPLWHA. Interventions that build personal capacity, coping skills, and social support may contribute to better management of HIV/AIDS and increase HRQoL.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Asian Continental Ancestry Group / psychology*
  • Cross-Sectional Studies
  • Depression / ethnology*
  • Depression / psychology
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / psychology*
  • Health Status Indicators
  • Humans
  • Male
  • Middle Aged
  • Quality of Life / psychology*
  • Resilience, Psychological*
  • Self Efficacy
  • Socioeconomic Factors
  • Stress, Psychological / ethnology*
  • Stress, Psychological / psychology