A stress-moderator model of distress in early HIV-1 infection: Concurrent analysis of life events, hardiness and social support

Nancy T. Blaney, Karl Goodkin, Robert O. Morgan, Dan Feaster, Carrie Millon, Jose Szapocznik, Carl Eisdorfer

Research output: Contribution to journalArticle

69 Scopus citations


A stress moderator framework was employed to investigate the relationship of negative life events, hardiness and social support to psychological distress among 67 asymptomatic HIV-1 seropositive gay males. Both main effects and stress moderator (interaction) models were evaluated. Main effects were found for negative life events and social support but not hardiness (either as commitment or overall hardiness); no moderator effects emerged. Results were the same whether events were quantified as negative impact or as number of events, and were in the predicted direction-life events associated with greater distress, social support with less distress. The present study replicates for early HIV-1 infection findings obtained in non-HIV-infected samples about the influence on psychological distress of negative life events and social support. Methodological limitations, possible explanations for the absence of stress moderator effects, and clinical implications of the findings are discussed.

Original languageEnglish (US)
Pages (from-to)297-305
Number of pages9
JournalJournal of Psychosomatic Research
Issue number2-3
StatePublished - 1991


ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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