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Relationship of Functional Quality of Life to Strategies for Coping With the Stress of Living With HIV/AIDS

Received Nov. 6, 2001; revision received May 15, 2002; accepted June 11, 2002. From the Department of Psychology, University of North Texas; the Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee; and the Department of Psychiatry and Behavioral Sciences and the School of Education, Stanford University, Stanford, Calif. Address correspondence to Dr. Vosvick, Department of Psychology, University of North Texas, P.O. Box 311280, Denton, TX 76203-1280; vosvick{at}unt.edu (e-mail).

The authors examined factors associated with four dimensions of functional quality of life (physical functioning, energy/fatigue, social functioning, and role functioning) in 142 men and women living with HIV/AIDS. Participants completed the Brief COPE inventory and the Medical Outcomes Study Health Survey, with HIV-relevant items added. Greater use of maladaptive coping strategies was associated with lower levels of energy and social functioning. Pain severe enough to interfere with daily living tasks was associated with a lower level of functional quality of life on all four quality of life dimensions. Interventions aimed at developing adaptive coping strategies and improving pain management may improve functional aspects of quality of life in persons living with HIV/AIDS.

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