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Self-Stigma and Quality of Life Among HIV/Aids Patients in Makurdi Metropolis: The Mediating Role of Psychological Resilience

Nyianaka Sandra Doosuur, Pauline Atsehe Iorhule Anthony Terwase

Abstract

Quality of life among patients living with HIV/AIDS is crucial to their overall well-being and ability to manage health. However, research examining the role of psychological variables in predicting quality of life in Nigeria is limited. This study investigated the predictive and mediating roles of self-stigma and psychological resilience on quality of life of HIV/AIDS patients in selected hospitals in Makurdi metropolis. A cross-sectional survey design was adapted in the study. A total of 368 participants were selected comprising 168 (45.7%) males and 200 (54.3%) females, were recruited for the study. Data were collected using a standardized questionnaire that included measures of self-stigma, psychological resilience, and quality of life. Four hypotheses were tested using simple linear regression, mediation analysis, and multiple regression analysis. The findings revealed that self-stigma significantly predicted quality of life. Similarly, psychological resilience significantly predicted quality of life of HIV/AIDS patients in selected hospitals in Makurdi metropolis. Mediation analysis showed that psychological resilience partially mediated the relationship between self-stigma and quality of life among HIV/AIDS patients in selected hospitals in Makurdi metropolis. Finally, self-stigma and psychological resilience jointly and significantly predicted quality of life, with self-stigma emerging as the stronger predictor in the joint model. The study concludes that self-stigma and psychological resilience are critical determinants of quality of life among HIV/AIDS patients, with resilience serving as a key mechanism through which the negative effects of self-stigma can be mitigated. The findings underscore the need for interventions aimed at reducing self-stigma and enhancing psychological resilience to improve patient outcomes in healthcare settings.

Keywords

Self StigmaQuality of LifePsychological ResilienceMakurdi metropolis

References

Abebe, W., Gebremichael, B., Teshome, M., & Kassa, G. M. (2022). Perceived and internalized HIV-related stigma and quality of life among adults living with HIV in Addis Ababa. AIDS Care, 34(5), 612–620. Adamu, A. Y. (2019). Psychological resilience and perceived stress among women living with HIV/AIDS in Niger State, Nigeria. Adefolalu, A. A. (2014). Social support, psychological resilience, and health-related quality of life among people living with HIV/AIDS attending antiretroviral clinics in Lagos, Nigeria. Bello, A. (2024). Mediating role of psychological resilience in the relationship between perceived stress and quality of life among Type 2 diabetes patients attending outpatient clinics in Lagos, Nigeria. Corrigan, P. W., & Watson, A. C. (2002). The paradox of self-stigma and mental illness. Clinical Psychology: Science and Practice, 9(1), 35–53. https://doi.org/10.1093/clipsy.9.1.35 Costanza, R., Fisher, B., Ali, S., Beer, C., Bond, L., Boumans, R., Danigelis, N. L., Dickinson, J., Elliott, C., Farley, J., Gayer, D. E., MacDonald Glenn, L., Hudspeth, T., Mahoney, D., McCahill, L., McIntosh, B., Reed, B., Rizvi, S. A. T., Rizzo, D. M., Simpatico, T., & Snapp, R. (2007). “Quality of life: An approach integrating opportunities, human needs, and subjective well-being.” Ecological Economics, 61(2–3), 267–276. David, K. (2023). Mediating effect of psychological resilience on chronic pain intensity and quality of life among rheumatoid arthritis patients in Accra, Ghana. Deribe, K. (2008). Perceived stigma and quality of life among people living with HIV/AIDS in Ethiopia. Färber, F., & Rosendahl, J. (2023). The association between resilience and mental health in the somatically ill: A systematic review and meta-analysis. Deutsches Ärzteblatt International, 120(10), 159–166. https://doi.org/10.3238/arztebl.m2022. N/ANote: Please verify the DOI and page details against the article. Felce, D., & Perry, J. (1995). “Quality of life: Its definition and measurement.” Research in Developmental Disabilities, 16(1), 51–74. Herrman, H., Stewart, D. E., Diaz-Granados, N., Berger, E. L., Jackson, B., & Yuen, T. (2011). What is resilience? The Canadian Journal of Psychiatry, 56(5), 258–265. https://doi.org/10.1177/070674371105600504 Hoang, V. T. H. (2022). HIV-related stigma and quality of life among HIV-infected outpatients initiating antiretroviral therapy in Vietnam. Hossam, A. (2021). Mediating effects of resilience on the relationship between perceived stress and quality of life in Jordanian clinical registered nurses during COVID-19. Joint United Nations Programme on HIV/AIDS . (2023). The path that ends AIDS: UNAIDS Global AIDS Update 2023. https://www.unaids.org/en/resources/documents/2023/global-aids-update-2023 Joint United Nations Programme on HIV/AIDS . (2024). The urgency of now: AIDS at a crossroads-2024 Global AIDS Update. https://www.unaids.org/en/resources/documents/2024/global-aids-update-2024 Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610. https://doi.org/10.1177/001316447003000308 Li, X. (2022). Perceived HIV stigma, resilience, and quality of life among people living with HIV in China. IJMEPR Li, Z., Wang, H., Chen, Y., Zhang, L., Liu, X., & Huang, J. (2022). HIV-related stigma, resilience, and quality of life among people living with HIV in eastern China: A structural equation modeling approach. AIDS Care, 34(8), 1012–1021. Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science & Medicine, 71(12), 2150–2161. Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science & Medicine, 71(12), 2150–2161. https://doi.org/10.1016/j.socscimed.2010.09.030 Luo, Y. (2023). Psychological resilience, social support, self-stigma, and quality of life among people living with HIV/AIDS in China. Masten, A. S. (2021). Resilience of children in disasters: A multisystem perspective. International Journal of Psychology, 56(1), 1–11. McCall, S. (1975). Quality of life. Social Indicators Research, 2, 229–248. https://doi.org/10.1007/BF00300572 Mekuria, L. A. (2015). Health-related quality of life and associated factors among people living with HIV/AIDS receiving antiretroviral therapy in Ethiopia. Na Li. (2024). Mediating role of psychological resilience between depression and quality of life in maintenance hemodialysis patients in Baoding, China. Nyamathi, A. M. (2013). Psychological resilience and social support on health outcomes among people living with HIV/AIDS in South Africa. Ogaji, E. (2021). Health-related quality of life and psychosocial factors among people living with HIV/AIDS in University of Port Harcourt Teaching Hospital, Rivers State, Nigeria. Oguntibeju, O. O., & Moskowitz, J. T. (2017). Health-related quality of life among people living with HIV/AIDS receiving antiretroviral therapy in South Africa. Okeke, C. I. (2023). Anticipated, perceived, and enacted stigma as determinants of health- related quality of life among people living with HIV in Nigeria. Oladejo, O. (2024). Health-related quality of life and associated factors among people living with HIV/AIDS receiving care in Lagos State, Nigeria. Cogent Psychology, 2(1), 1024928. Onu, C. (2021). HIV-related stigma, treatment adherence, and health-related quality of life among people living with HIV/AIDS in Nigeria. Behavior Therapy, 47(6), 869–885. Pigou, A. C. (1920). The economics of welfare. Macmillan. Puentespina, L. M. (2023). Pandemic emotional impact, resilience, stigma, help-seeking and mental health condition of Filipino college students: A path analysis. Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research, 121(1), 31–49. https://doi.org/10.1016/j.psychres.2003.08.008 Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The Brief Resilience Scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194–200. https://doi.org/10.1080/10705500802222972 Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: Interdisciplinary perspectives. European Journal of Psychotraumatology, 5(1), 25338. https://doi.org/10.3402/ejpt.v5.25338 Suleiman, A., Abubakar, S., & Usman, A. (2020). Quality of life among people living with HIV/AIDS in Nigeria. BMC Public Health, 20, 1234. IJMEPR The WHOQOL Group. (1995). The World Health Organization Quality of Life assessment : Position paper from the World Health Organization. Social Science & Medicine, 41(10), 1403–1409. https://doi.org/10.1016/0277-9536(95)00112-K Turan, J. M., Budhwani, H., & others. (2023). Intersectional stigma and health-related quality of life among Black people living with HIV in the United States. Social Science & Medicine, 320, 115678. van Thi Hai Hoang, T., Nguyen, T. P., Tran, Q. H., & Pham, H. T. (2022). HIV-related stigma and quality of life among HIV-infected outpatients initiating ART in Vietnam. BMC Infectious Diseases, 22, 1–10. Wong, C. M. (2021). Professional quality of life and resilience among emergency department healthcare professionals during COVID-19. World Health Organization, United Nations Children’s Fund, & Joint United Nations Programme on HIV/AIDS. (2023). Global AIDS monitoring 2023: Indicators and questions for monitoring progress on the 2021 Political Declaration on HIV and AIDS. https://www.unaids.org/en/global-aids-monitoring. World Health Organization. (1996). WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment: Field trial version. World Health Organization Yvonne, M. L., Peters, L., van der Heijden, I., & van Laarhoven, A. (2021). Perceived stigma, self-stigma, and quality of life among people living with HIV in the Netherlands. AIDS Care, 33(7), 891–902.

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