Evidence map›Paper›PMID 27882489›Full record

ArticleInternational journal of behavioral medicine2017

Psychological Distress Mediates the Effect of Alexithymia on 2-Year Change in HIV Viral Load.

Roger C McIntosh, Gail Ironson, Michael Antoni, Betty Lai, Mahendra Kumar, Mary Ann Fletcher, Neil Schneiderman

Abstract read
In one paragraph

Article in International journal of behavioral medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Psychosocial Distress Among Young Men Who Have Sex With Men: A Scoping Review.Journal of psychosocial nursing and mental health services · 2024
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Roger C McIntoshDepartment of Health Psychology, University of Miami, Miami, FL, 33124, USA. r.mcintosh@miami.edu.
Gail IronsonDepartment of Health Psychology, University of Miami, Miami, FL, 33124, USA.
Michael AntoniDepartment of Health Psychology, University of Miami, Miami, FL, 33124, USA.
Betty LaiSchool of Public Health, Georgia State University, Atlanta, GA, USA.
Mahendra KumarDepartments of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Mary Ann FletcherDepartment of Clinical Immunology, Institute of Neuro Immune Medicine, Nova Southeastern University, Davie, FL, USA.
Neil SchneidermanDepartment of Health Psychology, University of Miami, Miami, FL, 33124, USA.

Funding

BIOPSYCHOSOCIAL RESEARCH TRAINING IN IMMUNOLOGY AND AIDST32MH018917 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SCHNEIDERMAN, NEIL · 1989 to 2013
$3.5M
Psychobiological Processes and Health in HIV/AIDSR01MH066697 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI IRONSON, GAIL H · 2003 to 2007
$2.6M
NIMH NIH HHS R01 MH066697NIMH NIH HHS T32 MH018917
6 · The paper itself

Abstract

purposeIndividuals with trait alexithymia (AL) display poor cognitive assimilation of thoughts, feelings, and emotions. This may result in the persistence of stress, anxiety, and depressive disorders. The cumulative effect of this psychological distress is also linked clinical markers of human immunodeficiency virus (HIV) disease progression. This study examines the indirect effect of AL on HIV viral load as a function of baseline levels and change in psychological distress.

methodsN = 123 HIV positive adults aged 37.9 ± 9.2 years provided blood samples for HIV-1 viral RNA and CD4 T lymphocytes along with self-reported stress, anxiety, and depression every 6 months for 2 years. A second-order conditional latent growth model was used to represent baseline and 2-year change in cumulative levels of psychological distress and to test the indirect effect of baseline levels of trait AL on change in HIV-1 viral load through this latent measure.

resultsAL was associated with baseline and latent change in psychological distress. Furthermore, baseline psychological distress predicted 2-year change in HIV-1 viral RNA after controlling for viral load at baseline. Altogether, trait AL had a significant indirect effect on change in viral load (β = 0.16, p = 0.03) as a function of baseline levels of distress.

conclusionIdentification and communication of thoughts, feelings, and emotions are important for long-term psychological adaptation in HIV. Greater psychological distress, in turn, allows for persistence of peripheral viral replication.

Indexed as

AdultAffective SymptomsAnxietyDepressionDepressive DisorderEmotionsFemaleHIV-1HIV InfectionsHIV SeropositivityHumansMaleMiddle AgedStress, PsychologicalViral LoadAlexithymiaAnxietyDepressionHuman immunodeficiency virusLatent growth modelingStress

Identifiers

PMID27882489
PMCPMC7482405

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.