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Avoidance and Rumination as Predictors of Substance Use, Mental Health, and Pain Outcomes Among People Living With HIV.
Ferguson, Erin; Busch, Andrew M; Anderson, Bradley; Abrantes, Ana M; Pinkston, Megan M; Baker, Jason V; Stein, Michael D; Uebelacker, Lisa A.
Afiliación
  • Ferguson E; Alpert Medical School of Brown University. Electronic address: erin_ferguson@brown.edu.
  • Busch AM; Hennepin Healthcare and University of Minnesota Medical School.
  • Anderson B; Butler Hospital.
  • Abrantes AM; Alpert Medical School of Brown University and Butler Hospital.
  • Pinkston MM; Alpert Medical School of Brown University and Lifespan Physicians Group, the Miriam Hospital.
  • Baker JV; Hennepin Healthcare and University of Minnesota Medical School.
  • Stein MD; Boston University School of Public Health.
  • Uebelacker LA; Alpert Medical School of Brown University and Butler Hospital.
Behav Ther ; 55(5): 1015-1025, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39174262
ABSTRACT
Pain, substance use, and mental health conditions are common among people living with HIV (PLWH), and avoidance and rumination may influence the co-occurrence of these conditions. The present study examined longitudinal associations between avoidance/rumination and pain outcomes, anxiety, anger, and substance use among PLWH. Participants (N = 187) with chronic pain and depressive symptoms completed self-report assessments over a 1-year period. Greater avoidance/rumination was positively associated with mental health outcomes (anxiety, anger), pain interference, and alcohol use across participants after controlling for depression severity. At time points with greater avoidance/rumination than average, participants also reported increased pain severity and interference, anxiety and anger symptoms, and alcohol use. No associations were found between avoidance/rumination and cannabis use. Results suggest a mechanistic effect of avoidance/rumination, such that increases in avoidance/rumination correspond with poorer health outcomes among PLWH over time. Targeting avoidance/rumination through intervention approaches may be beneficial for addressing comorbid health conditions among PLWH. Additional research is necessary to investigate this possibility and further characterize the effects of avoidance/rumination on health outcomes for PLWH.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Infecciones por VIH / Salud Mental / Trastornos Relacionados con Sustancias / Depresión / Rumiación Cognitiva Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Behav Ther Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Infecciones por VIH / Salud Mental / Trastornos Relacionados con Sustancias / Depresión / Rumiación Cognitiva Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Behav Ther Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido