Applying self-determination theory to the prediction of distress and well-being in gay men with HIV and AIDS

Self-determination theory (Deci & Ryan, 1985, 1991) was used to predict psy chological well-being and distress in 48 gap men with HIV, 39 AIDS patients , and 38 HIV-negative control participants. Participants listed 10 to ii pe rsonal strivings and identified these reasons for engaging in each striving . Multiple regression analyses revealed that introjection (engaging in stri vings because of an internal sense of obligation or necessity) was associat ed with increased distress, especially among HIV+ and AIDS participants. In trojection also predicted decreased well-being. Integration (engaging in st rivings because they are personally valued and meaningful) was positively r elated to well-being. Adjustment to a life-threatening illness is influence d by individuals' feelings of autonomy; that is, the extent to which they b elieve themselves to be the sourer of their actions.