Attributions of Blame and Responsibility in Relation to Distress and Health Behavior Change in People with AIDS and AIDS‐related Complex1

Abstract

There are conflicting views expressed in the literature about whether and under what conditions attributions of self‐responsibility or self‐blame for one's health affect such variables as distress, emotional adjustment, and adaptive coping. This study examined the impact of attributions of blame and responsibility for the cause and course of disease in 103 persons with the Acquired Immune Deficiency Syndrome (AIDS) and AIDS‐related complex (ARC). Attributing the cause of disease to the self was significantly positively correlated with dysphoria (a combined measure of depression, anxiety, and negative mood) in persons with ADS, whereas possible improvement attributed to the self was significantly negatively correlated with dysphoria in the ARC group. Persons with AIDS who attributed more responsibility for improvement to themselves also made more health behavior changes. Conversely, in the ARC group, health behavior change was not associated with attributing possible improvement to the self. We found no relationship between self‐blame and any of the distress or behavior measures. Our findings that the pattern of association between attribution of responsibility are different between persons with AIDS and ARC underscores the need to examine psychological processes within the context of particular health conditions. The results also suggest that attributing self‐responsibility for improvement does not have the negative psychological effects of “blaming the victim” as does attributing responsibility for the cause of AIDS to the self.