S. Folkman et al., STRESS, CONTROL, COPING, AND DEPRESSIVE MOOD IN HUMAN IMMUNODEFICIENCY VIRUS-POSITIVE AND VIRUS-NEGATIVE GAY MEN IN SAN-FRANCISCO, The Journal of nervous and mental disease, 181(7), 1993, pp. 409-416
This study examined the relationship between stress, appraised control
, and coping and depressive mood in 425 human immunodeficiency virus-p
ositive and -negative gay men in San Francisco. Depressive mood was as
sessed by self-report in 1988 and 1989. Participants were also surveye
d in 1989 on the stress in their lives, their appraised control over t
he stress, and the ways they coped. Depressive mood in 1988 and sympto
ms of human immunodeficiency virus disease in 1989 accounted for 50% o
f the variance in 1989 depressive mood; stress, appraised control, and
coping accounted for an additional 10% of the variance in depressive
mood in 1989. Path analysis indicated: stress appraised as controllabl
e was associated with involvement coping, which in turn was associated
with diminished depressive mood; stress associated with detachment wa
s associated with increased depressive mood; and stress was also direc
tly associated with increased depressive mood.