The Cognitive Escape Scale: measuring HIV-related thought avoidance

AIDS and Behavior
Carol J NemeroffRae Jean Proescholdbell

Abstract

Cognitive escape provides a model for examining the cognitive processes involved in escaping from thoughts of HIV/AIDS in a population of men who have sex with men (MSM). This investigation presents psychometric information and validation data on the Cognitive Escape Scale (CES), a measure of HIV-related cognitive avoidance. This study also examined the associations between the CES and self-report measures of theoretically related constructs, including HIV-related worry, sensation-seeking, depressive symptoms, perceived stress, and risky sexual behaviors. Participants were 709 MSM (71% White, 13% Latino, 8% African-American, 6% Native American; M age = 35). The CES measured HIV-related thought avoidance. Exploratory and confirmatory factor analyses supported a 3-factor structure to the CES, suggesting three strategies of cognitive escape: fatalism/short-term thinking, thought suppression/distraction, and alcohol/drug use. These factors are differentially related to several variables of interest including risky sexual behaviors. Although the CES is designed for use with both HIV negative and positive men, correlates differed between groups.

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Citations

Mar 17, 2010·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Huso YiAriel Shidlo
Aug 12, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Christian S HendershotJane M Simoni
Dec 22, 2009·AIDS Care·Gretchen ClumUNKNOWN Adolescent Medicine Trials Network for HIV/AIDS Interventions
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Aug 13, 2011·Drug and Alcohol Dependence·Angela M RobertsonVictoria D Ojeda
May 25, 2016·Social Cognitive and Affective Neuroscience·An-Li WangDaniel D Langleben
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Feb 27, 2013·Sexuality Research & Social Policy : Journal of NSRC : SR & SP·J TakácsY A Amirkhanian

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