Does Resilience Mediate the Relationship Between Negative Self-Image and Psychological Distress in Middle-Aged and Older Gay and Bisexual Men?-Reference-Cited by-同舟云学术

Does Resilience Mediate the Relationship Between Negative Self-Image and Psychological Distress in Middle-Aged and Older Gay and Bisexual Men?

Published:2024-06-17 Issue: Volume: Page:
ISSN:0164-0275
Container-title:Research on Aging
language:en
Short-container-title:Res Aging

Author:

Brennan-Ing Mark¹^ORCID,Haberlen Sabina²,Ware Deanna³,Meanley Steven⁴,Palella Frank J.⁵,Bolan Robert⁶,Cook Judith A.⁷,Okafor Chukwuemeka N.⁸,Friedman M. Reuel⁹,Plankey Michael W.³

Affiliation:

1. Brookdale Center for Healthy Aging, Hunter College, the City University of New York, New York, NY, USA

2. Department of Epidemiology, Johns Hopkins University, Baltimore, MD, USA

3. Department of Medicine, Division of General Internal Medicine, Georgetown University, Washington, DC, USA

4. Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA

5. Feinberg School of Medicine, Northwestern Medicine, Northwestern University, Chicago, IL, USA

6. Department of Family Medicine, University of Southern California, Los Angeles, CA, USA

7. Center on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago, IL, USA

8. Division of Infectious Diseases, Department of Medicine, Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX, USA

9. School of Public Health, Rutgers the State University of New Jersey, New Brunswick, NJ, USA

Abstract

Aging gay and bisexual men may have negative self-images due to body image dissatisfaction and internalized ageism, resulting in psychological distress. Gay and bisexual men with HIV may be at greater risk for distress because of research linking HIV to accelerated aging. We examined associations between self-image and psychological distress, and potential mediating effects (resilience, fitness engagement), and whether these relationships were moderated by HIV serostatus. We tested our hypotheses with structural equation modeling using data from gay and bisexual men with HIV ( n = 525, M age = 57.6) and without HIV ( n = 501, M age = 62.2). We observed significant positive associations between self-image and distress and significant mediation effects (resilience, fitness engagement) that were moderated by HIV serostatus (resilience was only significant for men with HIV). We conclude that resilience interventions may be beneficial in alleviating distress from negative self-image among aging gay and bisexual men with HIV.

Funder

National Institute on Drug Abuse

National Institute on Minority Health and Health Disparities

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/01640275241261414

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