The 2010 National HIV/AIDS Strategy outlined three important goals for managing the current HIV pandemic in the U.S.: (1) reduce the number of people who become infected with HIV; (2) improve access to health care and health-related outcomes for people living with HIV/AIDS (PLH/A); and (3) reduce HIV-related health disparities. Each of these goals tacitly depends upon reducing HIV-related stigma, and this study examined how HIV+ individuals evaluate coping efforts to overcome stigma’s impact on quality of life (QOL). a structural regression model was developed to instantiate the reappraisal process described by Lazarus and Folkman’s transactional theory of stress and coping, and this model indicated that maladaptive coping fully mediated the relationship between dispositional forgiveness and perceived stigma, which supports the prediction that coping efficacy is related to stress reduction. Additionally, maladaptive coping fully mediated the relationship between dispositional forgiveness and QOL, supporting the contention that forgiveness is a critical aspect to the evaluative process that influences how PLH/A cope with stigma. Lastly, the model showed that when PLH/A engaged in maladaptive coping to mitigate stress-related stigma, these individuals experienced increased stigmatization and reported significantly lower levels of health-related QOL. in contrast, PLH/A that reported higher levels of dispositional forgiveness …

This study examined the potentially differing emotional consequences of sexual versus non-sexual traumas in both a student and a community residing treatment seeking sample of women. The extent to which a trauma survivor considers the traumatic event central to her identity (CES) was examined as a potential mediator between traumatic events and PTSD. Additionally, the extent to which a women views herself and her body as a sexual object, to be valued based on her appearance and sexual usefulness to others (sexual self-objectification: OBCS), was examined as a potential mediator between traumatic event and event centrality. Study results showed survivors of sexual assault reported greater CES and PTSD symptoms (PCL-S) than non-sexual trauma survivors in the student population. Mediation results showed sexual self-objectification (OBCS-Shame) significantly mediated the relationship between trauma type and CES, and CES significantly mediated the relationship between type of trauma and PTSD symptoms in the student population only. Data from the community sample did not support these conclusions as women from this sample reported higher PCL-S, CES, and OBCS-Shame scores across categories of trauma.