11 research outputs found

    Body mass index and musculoskeletal pain: is there a connection?

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    The ABCs of Trait Anger, Psychological Distress, and Disease Severity in HIV

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    BACKGROUND: Trait anger consists of affective, behavioral, and cognitive (ABC) dimensions and may increase vulnerability for interpersonal conflict, diminished social support, and greater psychological distress. The concurrent influence anger and psychosocial dysfunction on HIV disease severity is unknown. PURPOSE: Examine plausible psychosocial avenues (e.g. coping, social support, psychological distress) whereby trait anger may indirectly influence HIV disease status. METHODS: 377 HIV seropositive adults, aged 18–55 years (58% AIDS-defined) completed a battery of psychosocial surveys and provided a fasting blood sample for HIV-1 viral load and T-lymphocyte count assay. RESULTS: A second-order factor model confirmed higher levels of the multidimensional anger trait was directly associated with elevated psychological distress and avoidant coping (p<.001) and indirectly associated with greater HIV disease severity (p<.01) (CFI=.90, RMSEA=.06, SRMR=.06). CONCLUSION: The model supports ABC components of anger may negatively influence immune function through various psychosocial mechanisms; however longitudinal study is needed to elucidate these effects
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