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M9550241.TXT
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1995-03-04
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Document 0241
DOCN M9550241
TI The Mental Adjustment to HIV scale: measurement and dimensions of
response to AIDS/HIV disease.
DT 9505
AU Ross MW; Hunter CE; Condon J; Collins P; Begley K; Center for Health
Promotion Research and Development, School of; Public Health, University
of Texas, Houston 77225.
SO AIDS Care. 1994;6(4):407-11. Unique Identifier : AIDSLINE MED/95134776
AB Attitudes of people with HIV disease towards HIV have seldom been
measured. However, a well-established scale to measure attitudes toward
cancer in those with the disease, the 38-item Mental Adjustment to
Cancer (MAC) scale was modified to assess adjustment to HIV disease. We
administered the scale to 107 Australian men with HIV infection, of whom
36 had an AIDS-defining condition, who were patients at an ambulatory
care facility and in a research study. The data were factor analyzed
using a method identical to that used in the development of the MAC
scale to determine the latent dimensions of attitudes toward HIV/AIDS.
The Mental Adjustment to HIV scale (MAH) factor analysis revealed five
factors: Helplessness-Hopelessness, Fighting Spirit, and
Denial-Avoidance as in the original MAC scale, plus a Fatalism subscale
which also measured Preoccupation, and a new subscale, which measured
Belief in Influencing the Course of the Disease. Together, these five
factors accounted for half of the variance. These data suggest that
while there are similarities between mental attitude to cancer and
mental attitude to HIV in the latent dimensions of the questionnaire
items, there are also some differences. Most significant is the belief
in people with HIV disease in being able to personally influence the
course of the illness, and the combination of Preoccupation with
Fatalism. The five subscales of the MAH scale had Cronbach's alpha
reliabilities between 0.80 and 0.55. The MAH appears to be a useful way
to measure total attitudes and subscale scores of people with HIV
infection, including AIDS, to their disease.
DE Acquired Immunodeficiency Syndrome/DIAGNOSIS/*PSYCHOLOGY *Adaptation,
Psychological Adult Defense Mechanisms Female Human HIV
Infections/DIAGNOSIS/*PSYCHOLOGY Internal-External Control Male
Middle Age Patient Participation/PSYCHOLOGY Personality
Inventory/*STATISTICS & NUMER DATA Psychometrics Reproducibility of
Results *Sick Role Support, Non-U.S. Gov't JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).