Psychosocial factors and medication adherence in HIV-positive youth.

The purpose of this study was to test variables consistently identified in the adult HIV literature as predictors of adherence (self-efficacy, social support, and psychological distress) in a sample of 24 HIV-positive youth (ages 16-24). Self-efficacy and psychological distress were significantly correlated with adherence but social support was not. Social support specific to taking medications was correlated with self-efficacy. In regression analysis, both self-efficacy and psychological distress were independently related to adherence and together accounted for 47% of the variance. Results suggest the potential of mental health interventions that boost self-efficacy and reduce psychological distress but require replication with larger samples.

[1]  A. Stanton,et al.  Health and risk behaviors over time among youth living with HIV. , 2001, Journal of adolescence.

[2]  W F Velicer,et al.  Relapse situations and self-efficacy: an integrative model. , 1990, Addictive behaviors.

[3]  D. Murphy,et al.  Antiretroviral medication adherence among the REACH HIV-infected adolescent cohort in the USA , 2001, AIDS care.

[4]  J. Simoni,et al.  Mediators of social support and antiretroviral adherence among an indigent population in New York City. , 2002, AIDS patient care and STDs.

[5]  T. Quinn,et al.  Viral load and heterosexual transmission of human immunodeficiency virus type 1. Rakai Project Study Group. , 2000, The New England journal of medicine.

[6]  D. Pillay,et al.  Transmission of HIV-1 drug resistance. , 2004, Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology.

[7]  A. Wu,et al.  Correlates and Predictors of Adherence to Highly Active Antiretroviral Therapy: Overview of Published Literature , 2002, Journal of acquired immune deficiency syndromes.

[8]  J. Parsons,et al.  Integration of motivational interviewing and cognitive behavioral therapy to improve HIV medication adherence and reduce substance use among HIV-positive men and women: results of a pilot project. , 2005, AIDS patient care and STDs.

[9]  D. Ellis,et al.  Psychosocial factors and treatment adherence in paediatric HIV/AIDS , 2006, AIDS care.

[10]  L. Derogatis,et al.  Brief Symptom Inventory Bsi Administration Scoring And Procedures Manual >>>CLICK HERE<<< , 1993 .