The influence of personality disorder indication, social support, and grief on alcohol and cocaine use among HIV-positive adults coping with AIDS-related bereavement

Nathan B. Hansen, Courtenay E. Cavanaugh, Ellen L. Vaughan, Christian Connell, David C. Tate, Kathleen J. Sikkema

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Substance use is prevalent among HIV-positive adults and linked to a number of adverse health consequences; however little is known about risk and protective factors that influence substance use among HIV-positive adults coping with AIDS-related bereavement. Using structural equation modeling (SEM), male gender, diagnostic indications of antisocial and borderline personality disorders (PD), and grief severity were tested as risk factors, and social support as a protective factor, for alcohol and cocaine use among a diverse sample of 268 HIV-positive adults enrolled in an intervention for AIDS-related bereavement. Results indicated that the hypothesized model fit the study data. Male gender, PD indication, and social support had direct effects on substance use. PD had significant indirect effects on both alcohol and cocaine use, mediated by social support, but not by grief. Finally, both PD and social support had significant, but opposite, effects on grief. Implications for intervention and prevention efforts are discussed.

Original languageEnglish (US)
Pages (from-to)375-384
Number of pages10
JournalAIDS and Behavior
Volume13
Issue number2
DOIs
StatePublished - Apr 1 2009

Fingerprint

Bereavement
Grief
Personality Disorders
Cocaine
Social Support
Acquired Immunodeficiency Syndrome
Alcohols
HIV
Antisocial Personality Disorder
Borderline Personality Disorder
Health
Protective Factors

All Science Journal Classification (ASJC) codes

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Hansen, Nathan B. ; Cavanaugh, Courtenay E. ; Vaughan, Ellen L. ; Connell, Christian ; Tate, David C. ; Sikkema, Kathleen J. / The influence of personality disorder indication, social support, and grief on alcohol and cocaine use among HIV-positive adults coping with AIDS-related bereavement. In: AIDS and Behavior. 2009 ; Vol. 13, No. 2. pp. 375-384.
@article{8a3e015d141d4767bcad14e86da4d5f5,
title = "The influence of personality disorder indication, social support, and grief on alcohol and cocaine use among HIV-positive adults coping with AIDS-related bereavement",
abstract = "Substance use is prevalent among HIV-positive adults and linked to a number of adverse health consequences; however little is known about risk and protective factors that influence substance use among HIV-positive adults coping with AIDS-related bereavement. Using structural equation modeling (SEM), male gender, diagnostic indications of antisocial and borderline personality disorders (PD), and grief severity were tested as risk factors, and social support as a protective factor, for alcohol and cocaine use among a diverse sample of 268 HIV-positive adults enrolled in an intervention for AIDS-related bereavement. Results indicated that the hypothesized model fit the study data. Male gender, PD indication, and social support had direct effects on substance use. PD had significant indirect effects on both alcohol and cocaine use, mediated by social support, but not by grief. Finally, both PD and social support had significant, but opposite, effects on grief. Implications for intervention and prevention efforts are discussed.",
author = "Hansen, {Nathan B.} and Cavanaugh, {Courtenay E.} and Vaughan, {Ellen L.} and Christian Connell and Tate, {David C.} and Sikkema, {Kathleen J.}",
year = "2009",
month = "4",
day = "1",
doi = "10.1007/s10461-007-9308-6",
language = "English (US)",
volume = "13",
pages = "375--384",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "2",

}

The influence of personality disorder indication, social support, and grief on alcohol and cocaine use among HIV-positive adults coping with AIDS-related bereavement. / Hansen, Nathan B.; Cavanaugh, Courtenay E.; Vaughan, Ellen L.; Connell, Christian; Tate, David C.; Sikkema, Kathleen J.

In: AIDS and Behavior, Vol. 13, No. 2, 01.04.2009, p. 375-384.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The influence of personality disorder indication, social support, and grief on alcohol and cocaine use among HIV-positive adults coping with AIDS-related bereavement

AU - Hansen, Nathan B.

AU - Cavanaugh, Courtenay E.

AU - Vaughan, Ellen L.

AU - Connell, Christian

AU - Tate, David C.

AU - Sikkema, Kathleen J.

PY - 2009/4/1

Y1 - 2009/4/1

N2 - Substance use is prevalent among HIV-positive adults and linked to a number of adverse health consequences; however little is known about risk and protective factors that influence substance use among HIV-positive adults coping with AIDS-related bereavement. Using structural equation modeling (SEM), male gender, diagnostic indications of antisocial and borderline personality disorders (PD), and grief severity were tested as risk factors, and social support as a protective factor, for alcohol and cocaine use among a diverse sample of 268 HIV-positive adults enrolled in an intervention for AIDS-related bereavement. Results indicated that the hypothesized model fit the study data. Male gender, PD indication, and social support had direct effects on substance use. PD had significant indirect effects on both alcohol and cocaine use, mediated by social support, but not by grief. Finally, both PD and social support had significant, but opposite, effects on grief. Implications for intervention and prevention efforts are discussed.

AB - Substance use is prevalent among HIV-positive adults and linked to a number of adverse health consequences; however little is known about risk and protective factors that influence substance use among HIV-positive adults coping with AIDS-related bereavement. Using structural equation modeling (SEM), male gender, diagnostic indications of antisocial and borderline personality disorders (PD), and grief severity were tested as risk factors, and social support as a protective factor, for alcohol and cocaine use among a diverse sample of 268 HIV-positive adults enrolled in an intervention for AIDS-related bereavement. Results indicated that the hypothesized model fit the study data. Male gender, PD indication, and social support had direct effects on substance use. PD had significant indirect effects on both alcohol and cocaine use, mediated by social support, but not by grief. Finally, both PD and social support had significant, but opposite, effects on grief. Implications for intervention and prevention efforts are discussed.

UR - http://www.scopus.com/inward/record.url?scp=62149152398&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=62149152398&partnerID=8YFLogxK

U2 - 10.1007/s10461-007-9308-6

DO - 10.1007/s10461-007-9308-6

M3 - Article

VL - 13

SP - 375

EP - 384

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

IS - 2

ER -