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Events Centrality Moderates the Relationship Between Posttraumatic Growth and Health-Related Quality of Life Among People Living With HIV

Onu, Desmond Uchechukwu BSc, MSc; Ugwu, Dorothy BEd, MEd, PhD; Orjiakor, Charles Tochukwu BSc, MSc*

Journal of the Association of Nurses in AIDS Care: November-December 2019 - Volume 30 - Issue 6 - p 668–674
doi: 10.1097/JNC.0000000000000094
Research Article

HIV diagnosis and treatment are traumatic events, which may translate to positive growth and affect health outcomes of people living with HIV (PLWH). We hypothesized that the pathway between positive growth and health-related quality of life was impacted by event centrality (EC; how much HIV is integrated into self-definition). Two hundred and one PLWH in Nigeria who had been diagnosed/treated for at least 1 year completed measures of posttraumatic growth, EC, and health-related quality of life. Multiple regression analysis was used to investigate relationships between variables of interest. Growth from the trauma of HIV was significantly associated with improved mental health and relationship. Patients who highly centralized identity on HIV had poorer scores for mental health, relationship, and treatment impact and had less traumatic growth. EC moderated the relationship between posttraumatic growth and mental health, social relationship, and treatment impact. Clinicians should ask how PLWH think about events related to diagnosis and treatment when assessing quality of life.

Desmond Uchechukwu Onu, BSc, MSc, is a Doctoral Student and Lecturer, Department of Psychology, University of Nigeria, Nsukka, Nigeria. Dorothy Ugwu, BEd, MEd, PhD, is a Lecturer, Department of Human Kinetics and Physical Health, University of Nigeria, Nsukka, Nigeria. Charles Tochukwu Orjiakor, BSc, MSc, is a PhD Student and a Lecturer, Department of Psychology, University of Nigeria, Nsukka, Nigeria, and also works with the Health Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria Enugu-Campus, Enugu, Nigeria.

Corresponding author: Charles Tochukwu Orjiakor, e-mail:

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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