Post-traumatic growth among gay men living with HIV from Buenos Aires, Argentina
PDF (Español)

Keywords

Crecimiento postraumático
Hombres gays
VIH
Argentina
Investigación cualitativa Post-traumatic growth
Gay men
HIV
Argentina
Qualitative research

Abstract

This qualitative study aimed to explore the meanings attributed to HIV and the experimentation of positive changes after diagnosis (post-traumatic growth) in gay men from Buenos Aires, Argentina. Fourteen individual, in-depth interviews were thematically analyzed by assigning codes to fragments of transcripts and organizing them along with themes. The mean age of participants was 41.29 years, with a mean of 8.42 years since diagnosis, three of them diagnosed in the last year. Most participants reported positive changes attributed to their HIV diagnosis, organized into three themes: a) changes in their philosophy of life, b) changes in their relations with others, and c) changes in self-perception. Some of these include greater appreciation for life and their own health, increments in healthier behaviors, strengthening of the social support network, and awareness of their coping skills. Such changes seem to be associated with the attribution of more positive meanings to HIV. The identification of post-traumatic growth can guide psychotherapeutic and psychosocial interventions in gay men living with HIV because it functions as a resource to cope with stigma and is associated with greater adherence to HIV care.

 

https://doi.org/10.25009/pys.v32i1.2716
PDF (Español)

References

Adams, C., Zacharia, S., Masters, L., Coffey, C. y Catalan, P. (2016). Mental health problems in people living with HIV: Changes in the last two decades: The London experience 1990-2014. AIDS Care, 28, 56-59. Doi: 10.1080/09540121.2016.1146211.

Arístegui, I., Radusky, P.D., Zalazar, V., Lucas, M. y Sued, O. (2017). Resources to cope with stigma related to HIV status, gender identity, and sexual orientation in gays men and transgender women. Journal of Health Psychology, 23(2), 320-331. Doi: 10.1177/1359105317736782.

ATLAS.Ti (v. 7.5.4) [software] (2015). Recuperado de https://atlasti.cleverbridge.com/74/purl-order?_ga=2.43624933.1185314242. 1523370337-1733085140.1523370337.

Bassett, S.M., Schuette, S.A., O’Dwyer, L.C. y Moskowitz, J.T. (2019). Positive affect and medication adherence in chronic conditions: A systematic review. Health Psychology, 38(11), 960-974. Doi: 10.1037/hea0000778.

Bonanno, G.A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59(1), 20-28. Doi: 10.1037/0003-066X.59.1.20.

Braun, V. y Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. Doi: 10.1191/1478088706qp063oa.

Camargo C., C., Cavassan N., R.V., Tasca K., I., Meneguin, S., Miot, H.A. y Souza, L.R. (2019). Depression and coping are associated with failure of adherence to antiretroviral therapy among people living with HIV/AIDS. AIDS Research and Human Retroviruses, 35(11-12), 1181-1188. Doi: 10.1089/aid.2019.0050.

Farber, E.W., Lamis, D.A., Shahane, A.A. y Campos, P.E. (2014). Personal meaning, social support, and perceived stigma in individuals receiving HIV mental health services. Journal of Clinical Psychology in Medical Settings, 21(2), 173-182. Doi: 10.1007/s10880-014-9394-3.

Federación Argentina LGBT (2019). Observatorio de crímenes de odio LGBT. Informe 2019. Recuperado de https://falgbt.org/crimenes-de-odio/.

Fife, B.L. (2005). The role of constructed meaning in adaptation to the onset of life-threatening illness. Social Science and Medicine, 61(10), 2132-2143. Doi: 10.1016/j.socscimed.2005.04.026.

Garrido H., H., Murphy, P.J. y Alonso T., J. (2017). Predictors of resilience and posttraumatic growth among people living with HIV: A longitudinal study. AIDS and Behavior, 21(11), 3260-3270. Doi: 10.1007/s10461-017-1870-y.

Jeffries, W.L., Townsend, E.S., Gelaude, D.J., Torrone, E.A., Gasiorowicz, M. y Bertolli, J. (2015). HIV stigma experienced by young men who have sex with men (MSM) living with HIV infection. AIDS Education and Prevention, 27(1), 58-71. Doi: 10.1521/aeap.2015.27.1.58.

Krasnow, A.N. (2012). El nuevo modelo de matrimonio civil en el derecho argentino. Revista de Derecho Privado, 22.

Ley de Matrimonio Civil (Matrimonio Igualitario) (2010). Boletín Oficial de la Nación N° 26.618. Buenos Aires.

Martin, L. y Kagee, A. (2011). Lifetime and HIV-related PTSD among persons recently diagnosed with HIV. AIDS and Behavior, 15(1), 125-131. Doi: 10.1007/s10461-008-9498-6.

Milam, J.E. (2004). Posttraumatic growth among HIV/AIDS patients. Journal of Applied Social Psychology, 31(11), 2353-2376.

Milam, J.E. (2006). Posttraumatic growth and HIV disease progression. Journal of Consulting and Clinical Psychology, 74(5), 817-827. Doi: 10.1037/0022-006X.74.5.817.

Ministerio de Salud de la Nación (2019). Boletín sobre el VIH, sida e ITS en la Argentina, N°36. Recuperado de http://www.msal.gob.ar/images/stories/bes/graficos/0000001754cnt-boletin-epidemiologico-2019_vih-sida-its.pdf.

Murphy, P.J. y Hevey, D. (2013). The relationship between internalised HIV-related stigma and posttraumatic growth. AIDS and Behavior, 17(5), 1809-1818. Doi: 10.1007/s10461-013-0482-4.

Nightingale, V.R., Sher, T.G. y Hansen, N.B. (2010). The impact of receiving an HIV diagnosis and cognitive processing on psychological distress and posttraumatic growth. Journal of Traumatic Stress, 23(4), 452-460. Doi: 10.1002/jts.20554.

Park, C.L. (2013). The Meaning Making Model: A framework for understanding meaning, spirituality, and stress-related growth in health psychology. Bulletin of the European Health Psychology Society, 15(2), 40-47. Recuperado de https://www.ehps.net/ehp/index.php/contents/article/view/ehp.v15.i2.p40/1041.

Plattner, I.E. y Meiring, N. (2006). Living with HIV: The psychological relevance of meaning making. AIDS Care, 18(3), 241-245. Doi: 10.1080/09540120500456227.

Radusky, P.D. y Mikulic, I.M. (2018). Impacto emocional del diagnóstico de VIH en personas residentes en Buenos Aires. Anuario de Investigaciones, 25, 107-116.

Radusky, P.D. y Mikulic, I.M. (2019). Experiencia y percepción de estigma relacionado con el VIH en varones con orientación homosexual. Salud y Sociedad, 10(2), 110-127. Doi: 10.22199/issn.0718-7475-2019-02-010.

Ryff, C.D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081. Doi: 10.1037/0022-3514.57.6.1069.

Rzeszutek, M., Oniszczenko, W. y Firląg-Burkacka, E. (2016). Gender differences in posttraumatic stress symptoms and the level of posttraumatic growth among a Polish sample of HIV-positive individuals. AIDS Care, 28(11), 1411-1415. Doi: 10.1080/09540121.2016.1182615.

Sawyer, A., Ayers, S. y Field, A.P. (2010). Posttraumatic growth and adjustment among individuals with cancer or HIV/AIDS: A meta-analysis. Clinical Psychology Review, 30(4), 436-447. Doi: 10.1016/j.cpr.2010.02.004.

Siegel, K. y Schrimshaw, E.W. (2000a). Coping with negative emotions: The cognitive strategies of HIV-infected gays/bisexual men. Journal of Health Psychology, 5(4), 517-530. Doi: 10.1177/135910530000500409.

Siegel, K. y Schrimshaw, E.W. (2000b). Perceiving benefits in adversity: Stress-related growth in women living with HIV/AIDS. Social Science and Medicine, 51(10), 1543-1554. Doi: 10.1016/S0277-9536(00)00144-1.

Tedeschi, R.G. y Calhoun, L.G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1-18. Doi: 10.1207/s15327965pli1501.

Theuninck, A.C., Lake, N. y Gibson, S. (2010). HIV-related posttraumatic stress disorder: Investigating the traumatic events. AIDS Patient Care and STDs, 24(8), 485-491. Doi: 10.1089/apc.2009.0231.

Wang, Z., Wu, X., Lau, J.T.F., Mo, P.K.H., Mak, W.W.S., Wang, X., Yang, X., Gross, D. y Jiang, H. (2017). Prevalence of and factors associated with unprotected anal intercourse with regular and nonregular male sexual partners among newly diagnosed HIV-positive men who have sex with men in China. HIV Medicine, 18(9), 635-646. Doi: 10.1111/hiv.12500.

Willie, T.C., Overstreet, N.M., Peasant, C., Kershaw, T., Sikkema, K.J. y Hansen, N.B. (2016). Anxiety and depressive symptoms among people living with HIV and childhood sexual abuse: The role of shame and posttraumatic growth. AIDS and Behavior, 20(8), 1609-1620. Doi: 10.1007/s10461-016-1298-9.

Yan, H., Li, X., Li, J., Wang, W., Yang, Y., Yao, X., Yang, N. y Li, S. (2019). Association between perceived HIV stigma, social support, resilience, self-esteem, and depressive symptoms among HIV-positive men who have sex with men (MSM) in Nanjing, China. AIDS Care, 31(9), 1069-1076. Doi: 10.1080/09540121.2019.1601677.

Yu, N.X., Chen, L., Ye, Z., Li, X. y Lin, D. (2017). Impacts of making sense of adversity on depression, posttraumatic stress disorder, and posttraumatic growth among a sample of mainly newly diagnosed HIV-positive Chinese young homosexual men: the mediating role of resilience. AIDS Care, 29(1), 79-85. Doi: 10.1080/09540121.2016.1210073.