Main Article Content

Abstract

As the AIDS epidemic has unfolded, it has caused adverse psychosocial and economic consequences, disrupting the personal and familial lives of the infected individuals and society in general. The present study attempted to study the relationship between schemas and the quality of life among HIV individuals. The study also incorporated the role of social connectedness as a mediator. For data collection, HIV patients (n = 30) were taken using convenient sampling from the specialized HIV clinic in Rahimyar Khan, Pakistan. The information was gathered using the Urdu versions of the following standardized instruments: the Schema Mode Inventory, the WHOQOL-HIV BREF, and the Social Connectedness Scale-Revised. The results showed a strong relationship between individuals’ schemas and their quality of life. Maladaptive schemas negatively predict the quality of life, while social connectedness positively predicts the quality of life, and maladaptive schemas negatively predict social connectedness. The mediation analysis established that social connectedness fully mediates the relationship between self-esteem and social anxiety. The study also provided an understanding of the positive role of social connectedness as a mediator in enhancing the quality of life of HIV patients.

Keywords

HIV-AIDS quality of life schema social connectedness

Article Details

Author Biographies

Rabia Javed Bhatti, Department of Applied Psychology, The Islamia University of Bahawalpur, Bahawalpur, Pakistan

Rabia Javed Bhatti is a Ph.D. scholar at the Department of Applied Psychology, the Islamia University of Bahawalpur, Pakistan. She has presented her work at national and international conferences and has two publications, with many more in the pipeline. Her research area includes clinical psychology, addiction treatment, and cognitive behavioral therapy-based interventions. She can be contacted at rabianokia6.1@gmail.com.

Samar Fahd, Department of Applied Psychology, The Islamia University of Bahawalpur, Bahawalpur, Pakistan

Samar Fahd is an assistant professor at the Department of Applied Psychology, The Islamia University of Bahawalpur, Pakistan. She has attended many conferences and has conducted different national and international conferences. She has presented her intellectual work on different platforms. She is also the Director of the Enabling center for providing different psychological services and training for students. She is also supervising students at M.Phil. and Ph.D. levels. She has been selected as a syndicate member at the university. She can be contacted at samar.fahd@iub.edu.pk.

How to Cite
Javed Bhatti, R., & Fahd, S. (2022). The relationship between schemas and quality of life of HIV patients: Role of social connectedness as a mediator. INSPIRA: Indonesian Journal of Psychological Research, 3(2), 63-70. https://doi.org/10.32505/inspira.v3i2.4984

References

  1. Ahmed, A., Saqlain, M., Akhtar, N., Hashmi, F. K., Blebil, A., Dujaili, J., Umair, M. M., & Bukhsh, A. (2020). Psychometric assessment of translated Urdu version of WHOQOL-HIV BREF among patients living with HIV. https://doi.org/10.21203/rs.3.rs-34790/v1
  2. Ankrah E. M. (1993). The impact of HIV/AIDS on the family and other significant relationships: the African clan revisited. AIDS care, 5(1), 5–22. https://doi.org/10.1080/09540129308258580
  3. Ashida, S., & Heaney, C. A. (2008). Differential associations of social support and social connectedness with structural features of social networks and the health status of older adults. Journal of Aging and Health, 20(7), 872–893. https://doi.org/10.1177/0898264308324626
  4. Bader, A., Kremer, H., Erlich-Trungenberger, I., Rojas, R., Lohmann, M., Deobald, O., Lochmann, R., Altmeyer, P., & Brockmeyer, N. (2006). An adherence typology: Coping, quality of life, and physical symptoms of people living with HIV/AIDS and their adherence to antiretroviral treatment. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 12(12), 493-500. https://pubmed.ncbi.nlm.nih.gov/17136004/
  5. Basavaraj, K. H., Navya, M. A., & Rashmi, R. (2010). Quality of life in HIV/AIDS. Indian Journal of Sexually Transmitted Diseases and AIDS, 31(2), 75–80. https://doi.org/10.4103/0253-7184.74971
  6. Bhatta, D. N., Liabsuetrakul, T., & McNeil, E. B. (2017). Social and behavioral interventions for improving quality of life of HIV infected people receiving antiretroviral therapy: a systematic review and meta-analysis. Health and Quality of Life Outcomes, 15(1). https://doi.org/10.1186/s12955-017-0662-4
  7. Bower, J. E., Kemeny, M. E., Taylor, S. E., & Fahey, J. L. (1998). Cognitive processing, discovery of meaning, CD4 decline, and AIDS-related mortality among bereaved HIV-seropositive men. Journal of Consulting and Clinical Psychology, 66(6), 979–986. https://doi.org/10.1037//0022-006x.66.6.979
  8. Brannon, L., Feist, J., & Updegraff, J. A. (2013). Health psychology: An introduction to behavior and health (8th ed.). Cengage Learning.
  9. Fatima, M. (2014). Social connectedness in relationship with volunteerism among adults [Unpublished Master’s Thesis]. University of Sargodha.
  10. Green, L. W, & Hiatt, R. A. (2009). Behavioural determinants of health and disease. In R. Detels, R. Beaglehole, M. A. Lansang, & M. Gulliford (Eds.) Oxford textbook of public health (5th ed, pp. 120–136). Oxford University Press. https://doi.org/10.1093/med/9780199218707.003.0007
  11. Lee, R. M., & Robbins, S. B. (1995). Measuring belongingness: The social connectedness and the social assurance scales. Journal of Counseling Psychology, 42(2), 232–241. https://doi.org/10.1037/0022-0167.42.2.232
  12. Lee, R. M., Dean, B. L., & Jung, K.-R. (2008). Social connectedness, extraversion, and subjective well-being: Testing a mediation model. Personality and Individual Differences, 45(5), 414–419. https://doi.org/10.1016/j.paid.2008.05.017
  13. Lee, R. M., Draper, M., & Lee, S. (2001). Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: Testing a mediator model. Journal of Counseling Psychology, 48(3), 310–318. https://doi.org/10.1037/0022-0167.48.3.310
  14. Lobbestael, J., van Vreeswijk, M., Spinhoven, P., Schouten, E., & Arntz, A. (2010). Reliability and validity of the short Schema Mode Inventory (SMI). Behavioural and Cognitive Psychotherapy, 38(4), 437–458. https://doi.org/10.1017/S1352465810000226
  15. Marmot, M., & Bell, R. (2012). Fair society, healthy lives. Public health, 126 Suppl 1, S4–S10. https://doi.org/10.1016/j.puhe.2012.05.014
  16. Pozza, A., Albert, U., & Dèttore, D. (2020). Early maladaptive schemas as common and specific predictors of skin picking subtypes. BMC Psychology, 8(1). https://doi.org/10.1186/s40359-020-0392-y
  17. Riaz, M. N., Khalily, T., & Kalsoom, U.-e. (2013). Translation, adaptation, and cross language validation of short Schema Mode Inventory (SMI). Pakistan Journal of Psychological Research, 28(1), 51–64.
  18. SeyedAlinaghi, S., MohsseniPour, M., Aghaei, E., Zarani, F., Fathabadi, J., & Mona Mohammadifirouzeh. (2020). The relationships between early maladaptive schemas, quality of life and self-care behaviors in a sample of persons living with HIV: The potential mediating role of cognitive emotion regulation strategies. The Open AIDS Journal, 14(1), 100–107. https://doi.org/10.2174/1874613602014010100
  19. Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312. https://doi.org/10.2307/270723
  20. Taylor, S. E. (2018). Health psychology (10th ed.). McGraw-Hill Education.
  21. World Health Organization (1997). Measuring quality of life. https://www.who.int/tools/whoqol
  22. World Health Organization. (2021). WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment: field trial version, December 1996 (No. WHOQOL-BREF). World Health Organization. https://doi.org/WHOQOL-BREF
  23. Young, J. E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Professional Resource Exchange, Inc.
  24. Young, J. E., Arntz, A., Atkinson, T., Lobbestael, J., Weishaar, M. E., van Vreeswijk, M. F., & Klokman, J. (2007). The Schema Mode Inventory (SMI). Schema Therapy Institute.