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AIDS and Behavior
Published in: AIDS and Behavior 2/2021

01-02-2021 | Human Immunodeficiency Virus | Original Paper

The Effects of Perceived Stress and Cortisol Concentration on Antiretroviral Adherence When Mediated by Psychological Flexibility Among Southern Black Men Living with HIV

Authors: Robert L. Cooper, Lauren L. Brown, Mohammad Tabatabai, David W. Haas, Bryan E. Shepherd, Hector F. Myers, Ryan D. Edgerton, Castro Bonny, Julia A. Watson, Vladimir Berthaud

Published in: AIDS and Behavior | Issue 2/2021

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Abstract

This pilot study investigates the correlation between psychological stress and antiretroviral therapy (ART) adherence and plasma HIV RNA (viral load) as mediated by psychological flexibility among Black men in the south. Data were collected from 48 HIV-positive, low income Black men. Results indicate a strong positive correlation between perceived stress and psychological inflexibility (adjusted for age and income rs = 0.67; p < 0.001), a negative correlation between psychological inflexibility and ART adherence (adjusted rs = − 0.32; p = 0.03), a negative correlation between perceived stress and ART adherence (adjusted rs = − 0.45; p = 0.006), and a negative correlation between ART adherence and viral load (adjusted rs = − 0.37; p = 0.04). Our findings suggest stress decreases adherence to ART and viral suppression among Black men living with HIV. However, psychological flexibility did not mediate the relationship between stress and treatment adherence. Hair cortisol concentrations were high (mean of 34.2 pg/mg), but uncorrelated with adherence.
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Metadata
Title
The Effects of Perceived Stress and Cortisol Concentration on Antiretroviral Adherence When Mediated by Psychological Flexibility Among Southern Black Men Living with HIV
Authors
Robert L. Cooper
Lauren L. Brown
Mohammad Tabatabai
David W. Haas
Bryan E. Shepherd
Hector F. Myers
Ryan D. Edgerton
Castro Bonny
Julia A. Watson
Vladimir Berthaud
Publication date
01-02-2021
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2021
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-020-03016-8

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