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Buscher A, Latini DM, Hartman C, Kallen M, Sansgiry S, Giordano TP. Utility of a partner communication scale and a personal meaning scale in newly diagnosed HIV-infected persons. Journal of The Association of Nurses in AIDS Care. 2013 Mar 1; 24(2):126-34.
No studies to our knowledge have examined the Lepore Social Constraint Scale or Fife Constructed Meaning Scale in recently diagnosed HIV-infected persons. Twenty-four participants in a prospective observational cohort completed the social-constraint measure, and 47 completed the constructed-meaning scale at either 3 or 9 months after diagnosis. Participants completed a 4-week visual analogue scale to assess adherence to antiretroviral therapy, and validated depression and self-efficacy scales. Spearman correlation coefficients compared measures. In cross-sectional analyses, participants with higher social-constraint scores had lower constructed meaning and adherence. Higher social constraint correlated negatively with self-efficacy and positively with depression. Higher constructed-meaning scores did not correlate with adherence but correlated positively with self-efficacy and negatively with depression. The quality of HIV-infected individuals'' discussions of HIV with their partners and positive constructed meaning were associated with better mental health and could be targets for improving medication adherence.