학술논문
Does Resilience Mediate the Relationship Between Negative Self-Image and Psychological Distress in Middle-Aged and Older Gay and Bisexual Men?
Document Type
Academic Journal
Author
Brennan-Ing M; Brookdale Center for Healthy Aging, Hunter College, the City University of New York, New York, NY, USA.; Haberlen S; Department of Epidemiology, Johns Hopkins University, Baltimore, MD, USA.; Ware D; Department of Medicine, Division of General Internal Medicine, Georgetown University, Washington, DC, USA.; Meanley S; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.; Palella FJ; Feinberg School of Medicine, Northwestern Medicine, Northwestern University, Chicago, IL, USA.; Bolan R; Department of Family Medicine, University of Southern California, Los Angeles, CA, USA.; Cook JA; Center on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago, IL, USA.; Okafor CN; Division of Infectious Diseases, Department of Medicine, Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX, USA.; Friedman MR; School of Public Health, Rutgers the State University of New Jersey, New Brunswick, NJ, USA.; Plankey MW; Department of Medicine, Division of General Internal Medicine, Georgetown University, Washington, DC, USA.
Source
Publisher: Sage Country of Publication: United States NLM ID: 7908221 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-7573 (Electronic) Linking ISSN: 01640275 NLM ISO Abbreviation: Res Aging Subsets: MEDLINE
Subject
Language
English
Abstract
Aging gay and bisexual men may have negative self-image s due to body image dissatisfaction and internalized ageism, resulting in psychological distress. Gay and bisexual men with HIV may be at greater risk for distress because of research linking HIV to accelerated aging. We examined associations between self-image and psychological distress, and potential mediating effects ( resilience, fitness engagement ) , and whether these relationships were moderated by HIV serostatus. We tested our hypotheses with structural equation modeling using data from gay and bisexual men with HIV ( n = 525 , M age = 57.6) and without HIV ( n = 501 , M age = 62.2). We observed significant positive associations between self-image and distress and significant mediation effects (resilience, fitness engagement) that were moderated by HIV serostatus (resilience was only significant for men with HIV). We conclude that resilience interventions may be beneficial in alleviating distress from negative self-image among aging gay and bisexual men with HIV.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.