       Document 0319
 DOCN  M9550319
 TI    Psychosocial self-prognosis in relation to mortality and morbidity in
       hemophiliacs with HIV infection.
 DT    9505
 AU    Blomkvist V; Theorell T; Jonsson H; Schulman S; Berntorp E; Stiegendal
       L; National Institute of Psychosocial Factors and Health, Stockholm,;
       Sweden.
 SO    Psychother Psychosom. 1994;62(3-4):185-92. Unique Identifier : AIDSLINE
       MED/95148843
 AB    HIV-infected hemophiliacs participated in a psychosocial prognosis
       study. The Coping Wheel was filled out 1-2 years after the subjects had
       been told that they were HIV-infected and between 1 and 7 years after
       they had become infected. The number of significant signs of disease as
       well as mortality were recorded during the years following the
       psychosocial measurements. These measures were related to three measures
       of anticipated future activities derived from the Coping Wheel, namely
       'number of activities for oneself', 'number of activities with others'
       and a combined measure 'number of activities for oneself in relation to
       number of activities with others'. The results indicated that the
       subject's own psychosocial prognosis added to the prediction of
       mortality. The most important psychosocial factor was the combined
       measure: those with few anticipated activities for oneself in relation
       to activities with others had a greater likelihood of dying soon during
       follow-up. The latter prediction was true even after adjustment for age
       and condition of the immune system (CD4 count) at the start of
       follow-up. The conclusion is that the Coping Wheel, applied as in the
       present examination, may be of help in prognosis and in identifying
       psychosocial needs in patients with HIV infection.
 DE    *Adaptation, Psychological  Adult  Follow-Up Studies
       Hemophilia/MORTALITY/*PSYCHOLOGY  Human  HIV
       Infections/MORTALITY/*PSYCHOLOGY  Interpersonal Relations  Male  Middle
       Age  *Sick Role  *Social Support  Support, Non-U.S. Gov't  Survival Rate
       Sweden  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

