Document 2091 DOCN M94A2091 TI HIV positivity: initial reactions of HIV-positive women. DT 9412 AU Morris A; Thompson C; Salvato P; Weil J; Hasheeve D; Couvaras S; Houston Immuno. Institute, TX. SO Int Conf AIDS. 1994 Aug 7-12;10(1):383 (abstract no. PD0141). Unique Identifier : AIDSLINE ICA10/94370484 AB OBJECTIVE: To elucidate initial thoughts and feelings experienced by women when informed of their HIV-seropositivity. METHODS: A phenomenological methodology was utilized. The sample included 29 women. 27 heterosexual and 2 bisexual, ranging in age from 22 to 59. Subjects were ask to respond to the open-ended question. When you were told that you were HIV positive, what were your initial thoughts or feelings? Analysis included the clustering of responses to reveal major psychological themes. RESULTS: The major psychological themes identified were fear, shame/guilt, isolation, hopelessness, and sadness/depression. Fear and shame/guilt were the most prevalent themes. Examples of responses illustrative of each theme are as follows: Fear--When would I get sick and die; Shame/Guilt--I felt as though I was being punished for my past behaviors; Isolation--I remember feeling very different, as if the world around me completely changes; Hopelessness--Killing myself because I didn't want to die a slow death; Anger--I felt betrayed ... I was not promiscuous; and, Sadness/Depression--I might not be able to see my child grow up. CONCLUSIONS: Being told one is HIV-positive is an emotionally devastating experience. The primary psychological task of coping with a life-threatening diagnosis such as HIV is adaptation to death and dying. By understanding psychological themes prevalent in HIV-positive women, HCW's can facilitate the process of grieving which is necessary for adaptation. DE *Adaptation, Psychological Adult Attitude to Death AIDS Serodiagnosis/*PSYCHOLOGY Emotions Female Human HIV Seropositivity/*PSYCHOLOGY Middle Age *Sick Role MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).