RESEARCH PAPER
Personality changes in HIV-infected patients who have been receiving highly active antiretroviral therapy
 
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Institute of Psychology, Humanitas University in Sosnowiec, Poland
 
 
Submission date: 2018-12-11
 
 
Final revision date: 2019-06-28
 
 
Acceptance date: 2019-06-28
 
 
Publication date: 2019-09-13
 
 
HIV & AIDS Review 2019;18(3):165-175
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The major objective of this paper was to search for personality changes in people diagnosed with human immunodeficiency virus (HIV) as well as to investigate their level of self-esteem, psychosocial benefits, and cognitive appraisal of the infection. We have also analysed how the subjective appraisal of the infection correlates with personality traits, the level of psychosocial benefits, and variables related to antiretroviral therapy (ARV).

Material and methods:
The study involved 32 HIV-infected patients who had been receiving highly active antiretroviral therapy (HAART). Research tools used: Adjective Check List (ACL), Silver Lining Questionnaire (SL-24), Disease-Related Appraisals Scale (DRAS), and our own questionnaire used to obtain socio-demographic information and data related to ARV therapy.

Results:
The study proved there are statistically significant differences between the Actual self and the Retrospective self profiles regardig the need for change, submission, and the Adapted Child ego. The level of self-esteem in HIV-infected patients emerged po be sinificantly lower when compared to other clinical control groups. Patients with HIV reported psychosocial benefits regarding their life philosophy, improved character strength, and improved interpersonal relationships. The cognitive appraisal of the HIV infection correlated significantly with certain personality traits as well as the level of psychosocial benefits, the duration of ARV therapy, and the CD4 cell count.

Conclusions:
The diagnosis of HIV infection may cause personality changes in the affected person. HIV-infected patients have a low level of self-esteem. Also, they may experience post-traumatic growth. People infected with HIV create a subjective (cognitive) assessment of their situation, which proves to depend on their personality traits, the level of psychosocial benefits, and treatment-related variables.

REFERENCES (50)
1.
Global Health Observatory Data [Internet]. World Health Organization. 2018. Available at: http://www.who.int/gho/hiv/en (Accessed: 28.10.2018).
 
2.
HIV i AIDS [Internet]. Główny Inspektorat Sanitarny. Available at: http://gis.gov.pl/zdrowie/prom... (Accessed: 28.10.2018).
 
3.
HIV i AIDS podstawowe informacje [Internet]. Krajowe Centrum do spraw AIDS. Available at: http://aids.gov.pl/hiv_aids/45... (Accessed: 28.10.2018).
 
4.
Samji H, Cescon A, Hogg RS, Modur SP, Althoff KN, Buchacz K, et al. Closing the gap: increases in life expectancy among treated HIV-positive individuals in the United States and Canada. PLoS One 2013; 8: e81355.
 
5.
Fabianova L. Psychosocial aspects of people living with HIV/AIDS. In: Social and Psychological Aspects of HIV/AIDS and their Ramifications. InTech Open, London 2011; 175-203.
 
6.
Nightingale VR, Sher TG, Mattson M, Thilges S, Hansen NB. The effects of traumatic stressors and HIV-related trauma symptoms on health and health related quality of life. AIDS Behav 2011; 15: 1870-1878.
 
7.
Sherr L, Nagra N, Kulubya G, Catalan J, Clucas C, Harding R. HIV infection associated post-traumatic stress disorder and post-traumatic growth – a systematic review. Psychol Health Med 2011; 16: 612-629.
 
8.
Safren SA, Gershuny BS, Hendriksen E. Symptoms of posttraumatic stress and death anxiety in persons with HIV and medication adherence difficulties. AIDS Patient Care STDS 2003; 17: 657-664.
 
9.
Theuninck AC, Lake N, Gibson S. HIV-related posttraumatic stress disorder: investigating the traumatic events. AIDS Patient Care STDS 2010; 24: 485-491.
 
10.
Johnson JG, Williams JB, Rabkin JG, Goetz RR, Remien RH. Axis I psychiatric symptoms associated with HIV infection and personality disorder. Am J Psychiatry 1995; 152: 551-554.
 
11.
Sikkema K, Kochman A, DiFranceisco W, Bergholte J, Peterson M. Psychiatric co-morbidity in HIV secondary prevention. In: Milwaukee Conference, Medical College of Wisconsin 1999.
 
12.
Penedo FJ, Gonzalez JS, Dahn JR, Antoni M, Malow R, Costa P, et al. Personality, quality of life and HAART adherence among men and women living with HIV/AIDS. J Psychosom Res 2003; 54: 271-278.
 
13.
Burgess AP, Carretero M, Elkington A, Pasqual-Marsettin E, Lobaccaro C, Catalán J. The role of personality, coping style and social support in health-related quality of life in HIV infection. Qual Life Res 2000; 9: 423-437.
 
14.
Ironson GH, O’Cleirigh C, Weiss A, Schneiderman N, Costa PT. Personality and HIV disease progression: role of NEO-PI-R openness, extraversion, and profiles of engagement. Psychosom Med 2008; 70: 245-253.
 
15.
Szewczuk W. Słownik psychologiczny. Wiedza Powszechna, Warszawa 1985.
 
16.
Maslow AH. A theory of human motivation. Psychological Review 1943; 50: 370-396.
 
17.
Wrona-Polańska H. Psychoedukacja jako forma promocji zdrowia. Debata Edukacyjna 2013; 6: 78-88.
 
18.
Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress 1996; 9: 455-471.
 
19.
Tedeschi R, Park C, Calhoun L. Posttraumatic growth: positive changes in the aftermach of crisis. Mahwah, New Jersey 1998.
 
20.
Zdankiewicz-Ścigała E. Trauma – proces i diagnoza: mechanizmy psychoneurofizjologiczne. Wydawnictwo Instytutu Psychologii PAN, 2002; 183.
 
21.
Ho SMY, Chan MWY, Yau TK, Yeung RMW. Relationships between explanatory style, posttraumatic growth and posttraumatic stress disorder symptoms among Chinese breast cancer patients. Psychol Health 2011; 26: 269-285.
 
22.
Folkman S, Moskowitz JT. Positive affect and meaning-focused coping during significant psychological stress. In: Hewstone M, Schut HAW, De Wit JBF, Van Den Bos K, Stroebe MS (eds.). The scope of social psychology: Theory and applications. Psychology Press, New York 2007; 193-208.
 
23.
Leventhal H, Diefenbach M, Leventhal EA. Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions. Cognitive Therapy and Research 1992; 16: 143-163.
 
24.
Tedeschi RG, Calhoun LG. Posttraumatic growth: conceptual foundations and empirical evidence. Psychological Inquiry 2004; 15: 1-18.
 
25.
Lazarus R, Folkman S. Stress, Appraisal, and Coping. Springer Publishing Company 1984; 460.
 
26.
Lipowski ZJ. Physical illness, the individual and the coping processes. Psychiatry Med 1970; 1: 91-102.
 
27.
Leventhal H. The Common Sense Representation of Illness Danger. Contributions to Medical Psychology1980; 2: 7-30.
 
28.
Reekie J, Gatell JM, Yust I, Bakowska E, Rakhmanova A, Losso M, et al. Fatal and nonfatal AIDS and non-AIDS events in HIV-1-positive individuals with high CD4 cell counts according to viral load strata. AIDS 2011; 25: 2259-2268.
 
29.
Gough HG, Heilbrun AB. The Adjective Check List Manual. Consulting Psychologists Press, 1983; 126.
 
30.
Juros A, Oleś P. Struktura czynnikowa i skupieniowa Testu Przymiotnikowego ACL HG Gougha i AB Heilbruna (Przydatność dla diagnostyki psychologicznej). In: Z psychometrycznych problemów diagnostyki psychologicznej. Wydawnictwo Naukowe UAM, Poznań 1993.
 
31.
Ostrowska K. Test Przymiotnikowy H. Gougha i A. Heilbruna: Opracowanie psychometryczne. ATK, Warszawa 1986.
 
32.
Kossakowska M, Zielazny P. Obraz choroby i korzyści psychospołeczne u osób zakażonych wirusem HIV i chorych na AIDS. Postępy Psychiatrii i Neurologii 2013; 22: 177-185.
 
33.
Bride OMC, Dunwoody L, Lowe-Strong A, Kennedy SM. Examining adversarial growth in illness: the factor structure of the Silver Lining Questionnaire (SLQ-38). Psychol Health 2008; 23: 661-678.
 
34.
Janowski K, Steuden S, Kurylowicz J, Nieśpialowska-Steuden M. The Disease-Related Appraisals Scale: a tool to measure subjective perception of the disease situation. Biopsychosocial Aspects of Health and Disease 2009; 1: 108-125.
 
35.
Salehi B, Zarinfar N, Noori H. The relationship between personality traits and AIDS in patients with human immunodeficiency virus. Asian J Psychiatr 2016; 21: 41-45.
 
36.
Castrighini C, Gir E, Neves L, Reis R, Galvão M, Hayashido M. Depression and self-esteem of patients positive for HIV/AIDS in an inland city of Brazil. Retrovirology 2010; 7 (Suppl 1): P66.
 
37.
Eller LS, Rivero-Mendez M, Voss J, Chen W-T, Chaiphibalsarisdi P, Iipinge S, et al. Depressive symptoms, self-esteem, HIV symptom management self-efficacy and self-compassion in people living with HIV. AIDS Care 2014; 26: 795-803.
 
38.
Moskowitz DA, Seal DW. Self-esteem in HIV-positive and HIV-negative gay and bisexual men: implications for risk-taking behaviors with casual sex partners. AIDS Behav 2011; 15: 621-625.
 
39.
Pawłowska B, Chuchra M. Akceptacja siebie i rodziców przez kobiety z jadłowstrętem psychicznym. Psychiatr Pol 2004; 38: 1031-1042.
 
40.
Chuchra M, Ferenc A. Poziom samooceny i oceny żony przez mężczyzn uzależnionych od alkoholu. Roczniki Teologiczne 2007; 54: 169-178.
 
41.
Wójtowicz P. Płeć psychologiczna a akceptacja siebie u studentów. KUL, Lublin 2005.
 
42.
Wrona-Polańska H. Samoocena jako zasób sprzyjający zdrowiu. In: Zdrowie w cyklu życia człowieka. Wydawnictwo Uniwersytetu Łódzkiego, Łódź 2012; 89-107.
 
43.
Henryk Kulas. Samoocena młodzieży [Internet]. Warszawa: Wydawnictwa Szkolne i Pedagogiczne; 1986 [cited 2018 Oct 28]. Available from: https://integro.ciniba.edu.pl/....
 
44.
Tedeschi R, Calhoun L. Podejście kliniczne do wzrostu po doświadczeniu traumatycznym. In: Linley PA, Joseph S (eds.). Psychologia pozytywna w praktyce. PWN, Warszawa 2007; 230-248.
 
45.
Ogińska-Bulik N, Juczyński Z. Rozwój potraumatyczny – charakterystyka i pomiar. Psychiatria 2010; 7: 129-142.
 
46.
Ogińska-Bulik NJ. Ruminacje a negatywne i pozytywne skutki traumy u zakażonych HIV. Psychiatria 2016; 13: 8-16.
 
47.
Rzeszutek M, Oniszczenko W, Gruszczyńska E. Satisfaction with life, Big-Five personality traits and posttraumatic growth among people living with HIV. Journal of Happiness Studies [Internet].2017. Available from: https://pbn.nauka.gov.pl/sedno... 836044 (Accessed: 28.10.2018).
 
48.
Lau JTF, Wu X, Wu AMS, Wang Z, Mo PKH. Relationships between illness perception and post-traumatic growth among newly diagnosed HIV-positive men who have sex with men in China. AIDS Behav 2018; 22: 1885-1898.
 
49.
Milam J. Posttraumatic growth and HIV disease progression. J Consult Clin Psychol 2006; 74: 817-827.
 
50.
Pilecka W. Przewlekła choroba somatyczna w życiu i rozwoju dziecka: problemy psychologiczne. Wydawnictwo Uniwersytetu Jagiellońskiego, Kraków 2002; 206.
 
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