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Psychiatry Investig > Volume 20(5); 2023 > Article
Psychiatry Investigation 2023;20(5):418-429.
DOI: https://doi.org/10.30773/pi.2022.0271    Published online May 25, 2023.
Attachment Insecurity and Stigma as Predictors of Depression and Anxiety in People Living With HIV
Kyungmin Kim1  , Seoyoung Jang1  , Hyo-Deog Rim1  , Shin-Woo Kim2  , Hyun-ha Chang2  , Jungmin Woo1 
1Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
2Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
Correspondence: Jungmin Woo ,Tel: +82-53-200-5747, Fax: +82-53-426-5361, Email: woojm3@hanmail.net
Received: September 15, 2022   Revised: December 22, 2022   Accepted: January 26, 2023   Published online: May 25, 2023
Abstract
Objective
The purpose of this study was to examine whether attachment insecurity, stigma, and certain demographic and medical factors predict depression and anxiety in people living with HIV (PLWH).
Methods
Participants were 147 PLWH who visited the outpatient infection clinic in Kyungpook National University Hospital (KNUH; Daegu, South Korea) between June 2020 and January 2021. We measured HIV-related stigma, attachment anxiety and avoidance, depressive symptoms, and anxiety symptoms.
Results
Logistic regression analysis showed that unemployment, longer time receiving antiretroviral therapy, higher attachment avoidance, and higher attachment anxiety were significant predictors of depression. Results also showed that longer time receiving antiretroviral therapy, higher attachment anxiety, and concern with public attitudes were significant predictors of anxiety.
Conclusion
In addition to education to reduce public stigma, interventions to reduce PLWH’s self-stigma should continue. We suggest attachment-based psychotherapy as an effective intervention to improve PLWH’s mental health.
Key words   HIV; Object attachment; Social stigma; Depression; Anxiety


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