Looking toward tomorrow: Exploring the dynamics of future anxiety in the community life of people living with HIV
DOI:
https://doi.org/10.26905/jpt.v21i1.16684Keywords:
future anxiety, people living with HIV (PLHIV), mental health, community, mixed methodAbstract
Living with HIV requires not only long-term management of physical health but also affects how individuals view their future. For people living with HIV (PLHIV), the future is often seen as uncertain and sometimes threatening, with ongoing concerns about survival, relationships, and social roles. In this context, this study aims to explore the psychological dynamics of future-oriented anxiety in the everyday lives of PLHIV communities. The study employed a mixed-methods approach with a qualitative-dominant, exploratory sequential design. Primary data were collected through community observation, in-depth interviews, and Focus Group Discussions (FGDs), and were subsequently enriched by quantitative screening using the Future Anxiety Scale (FAS) as a supportive tool for mapping dimensions of future-related anxiety. Thematic analysis was conducted with the assistance of NVivo software to systematically identify patterns and thematic structures. The findings indicate that future anxiety is a dominant and relatively persistent psychological experience, ranging from negative expectations about the future to observable effects on emotions, physical responses, and everyday behavior. Four main themes were identified: perceiving the future as a domain of threat, a sense of lack of control over life direction, the dominance of negative future imagery accompanied by emotional distress, and impacts on daily functioning and social roles. In addition, the study reveals the ambivalent role of the community, which simultaneously functions as a protective factor and as a source of collective anxiety through ongoing social interactions. These findings underscore that future anxiety cannot be understood solely as an individual concern, but rather as a psychosocial experience shaped within a community context. This study contributes conceptually to HIV and mental health research by positioning future orientation as a critical lens for understanding the psychological well-being of PLHIV.
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References
Allsop, D. B., Chelladurai, J. M., Kimball, E. R., Marks, L. D., & Hendricks, J. J. (2022). Qualitative methods with Nvivo Software: A practical guide for analyzing qualitative data. Psych, 4(2), 142-159. https://doi.org/10.3390/psych4020013
Ammirati, R. J., Lamis, D. A., Campos, P. E., & Farber, E. W. (2015). Optimism, well-being, and perceived stigma in individuals living with HIV. AIDS Care, 27(7), 926-933. https://doi.org/10.1080/09540121.2015.1018863
Asrat, B., Schneider, M., Ambaw, F., & Lund, C. (2020). Effectiveness of psychological treatments for depressive symptoms among people living with HIV/AIDS in low-and middle-income countries: A systematic review and meta-analysis. Journal of Affective Disorders, 270, 174-187. https://doi.org/10.1016/j.jad.2020.03.068
Bastable, E., Meng, P., Falcon, S. F., & McIntosh, K. (2023). Using an embedded mixed methods design to assess and improve intervention acceptability of an equity-focused intervention: A methodological demonstration. Behavioral Disorders, 48(3), 201-211. https://doi.org/10.1177/0198742919880486
Beck, A. T., & Rush, A. J. (1985). A cognitive model of anxiety formation and anxiety resolution. Issues in Mental Health Nursing, 7(1-4), 349–365. https://doi.org/10.3109/01612848509009461
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
Cahill, L., Gifford, A. J., Jones, B. A., & McDermott, D. T. (2025). The HIV Anxiety Scale (HAS): Developing and validating a measure of Human Immunodeficiency Virus (HIV) anxiety. AIDS and Behavior, 29(7), 2258–2271. https://doi.org/10.1007/s10461-025-04690-2
Chantaratin, S., Trimetha, K., Werarak, P., Lapphra, K., Maleesatharn, A., Rungmaitree, S., Wittawatmongkol, O., Phongsamart, W., Kongstan, N., Khumcha, B., & Chokephaibulkit, K. (2022). Depression and anxiety in youth and young adults living with HIV: Frequency and associated factors in Thai setting. Journal of the International Association of Providers of AIDS Care (JIAPAC), 21, 23259582221101811. https://doi.org/10.1177/23259582221101811
Christensen, J. (2016). A critical reflection of Bronfenbrenner´S Development Ecology Model. Problems of Education in the 21st Century, 69(1), 22–28. https://doi.org/10.33225/pec/16.69.22
Creswell, J. W., & Clark, V. L. P. (2017). Designing and conducting mixed methods research (3rd ed.). SAGE Publications.
Drabarek, K., & Rzeszutek, M. (2025). Profiles of HIV/AIDS stigma and psychological well-being in relation to embodiment among people living with HIV. Quality of Life Research, 34(11), 3257–3268. https://doi.org/10.1007/s11136-025-04085-9
Eriksson, M., Ghazinour, M., & Hammarström, A. (2018). Different uses of Bronfenbrenner’s ecological theory in public mental health research: What is their value for guiding public mental health policy and practice? Social Theory & Health, 16(4), 414–433. https://doi.org/10.1057/s41285-018-0065-6
Eysenck, M. W. (2013). Anxiety: The cognitive perspective (0 ed.). Psychology Press. https://doi.org/10.4324/9780203775677
Hernández-Johnson, M. J., & Bendixen, L. D. (2025). Critical mixed methods: The imperative for critical inquiry and reflexivity in research. Journal of Mixed Methods Research, 19(3), 266-286. https://doi.org/10.1177/15586898241302955
Ingram, R. E., & Kendall, P. C. (1987). The cognitive side of anxiety. Cognitive Therapy and Research, 11(5), 523–536. https://doi.org/10.1007/BF01183856
Javdani, S., Larsen, S. E., Allen, N. E., Blackburn, A. M., Griffin, B., & Rieger, A. (2023). Mixed methods in community psychology: A values‐forward synthesis. American Journal of Community Psychology, 72(3-4), 355–365. https://doi.org/10.1002/ajcp.12703
Lin, H. H., Chen, C. F., & Wu, C. L. (2023). The effects of news authenticity and social media tie strength on consumer dissemination behavior. Managerial and Decision Economics, 44(4), 2292-2313. https://doi.org/10.1002/mde.3818
Morse, J. M., & Cheek, J. (2015). Introducing qualitatively-driven mixed-method designs. Qualitative Health Research, 25(6), 731–733. https://doi.org/10.1177/1049732315583299
Naeem, M., Ozuem, W., Howell, K., & Ranfagni, S. (2023). A step-by-step process of thematic analysis to develop a conceptual model in qualitative research. International Journal of Qualitative Methods, 22, 16094069231205789. https://doi.org/10.1177/16094069231205789
Obosi, A. C., & Aruoture, E. O. (2025). Comparative analysis of mental well-being and future orientation among perinatally and behaviorally diagnosed adolescents living with HIV in Ibadan, Nigeria. Journal of HIV/AIDS & Social Services, 1-23. https://doi.org/10.1080/15381501.2025.2560855
Patrício, A. C. F. D. A., Silva, I. B. D. N., Ferreira, M. A. M., Rodrigues, B. F. L., Silva, R. F. D., Nascimento, J. A. D., & Silva, R. A. R. D. (2019). Depression, self-concept, future expectations and hope of people with HIV. Revista brasileira de enfermagem, 72, 1288-1294. https://doi.org/10.1590/0034-7167-2018-0730
Remien, R. H., & Mellins, C. A. (2007). Long-term psychosocial challenges for people living with HIV: Let’s not forget the individual in our global response to the pandemic. AIDS, 21(Suppl 5), S55–S63. https://doi.org/10.1097/01.aids.0000298104.02356.b3
Shelton, L. G. (2018). The Bronfenbrenner primer: A guide to develecology (1st ed.). Routledge. https://doi.org/10.4324/9781315136066
Shi, C., Li, X., Dai, Y., Chen, M., Mao, L., Zhou, X., Lei, Y., & Yuan, W. (2025). Experiences, challenges, and needs of people living with HIV in Hunan Province, China: A Qualitative Study. Journal of Multidisciplinary Healthcare, 18, 1405–1421. https://doi.org/10.2147/jmdh.s512278
UNAIDS. (2023). Global HIV & AIDS statistics—Fact sheet. UNAIDS. Retrieved from: https://www.unaids.org/en/resources/fact-sheet
Van Der Heijden, I., Abrahams, N., & Sinclair, D. (2013). Psychosocial group interventions for improving quality of life in adults living with HIV. In The Cochrane Collaboration (Ed.), Cochrane Database of Systematic Reviews (p. CD010806). John Wiley & Sons, Ltd. https://doi.org/10.1002/14651858.CD010806.pub2
Vélez-Agosto, N. M., Soto-Crespo, J. G., Vizcarrondo-Oppenheimer, M., Vega-Molina, S., & García Coll, C. (2017). Bronfenbrenner’s bioecological theory revision: Moving culture from the macro into the micro. Perspectives on Psychological Science, 12(5), 900-910. https://doi.org/10.1177/1745691617704397
World Health Organization. (2023). Health topics HIV. World Health Organization. Retrieved from: https://www.who.int/health-topics/hiv-aids
Younas, A., Fàbregues, S., Munce, S., & Creswell, J. W. (2025). Framework for types of metainferences in mixed methods research. BMC Medical Research Methodology, 25(1), 18. https://doi.org/10.1186/s12874-025-02475-8
Yuan, G. F., Zhang, R., Qiao, S., Li, X., Zhou, Y., & Shen, Z. (2024). Longitudinal analysis of the relationship between internalized HIV Stigma, Perceived Social Support, Resilience, and depressive symptoms among people living with HIV in China: A Four-Wave Model. AIDS and Behavior, 28(2), 645-656. https://doi.org/10.1007/s10461-023-04251-5
Zaleski, Z. (1996). Future anxiety: Concept, measurement, and preliminary research. Personality and Individual Differences, 21(2), 165–174. https://doi.org/10.1016/0191-8869(96)00070-0
Zaleski, Z. (2005). Future Orientation and Anxiety. In A. Strathman & J. Joireman (Eds.), Understanding Behavior in the Context of Time: Theory, research, and application (pp. 125–141). Lawrence Erlbaum Associates Publishers.
Zhang, J., Zhao, G., Li, X., Hong, Y., Fang, X., Barnett, D., Lin, X., Zhao, J., & Zhang, L. (2009). Positive future orientation as a mediator between traumatic events and mental health among children affected by HIV/AIDS in rural China. AIDS Care, 21(12), 1508-1516. https://doi.org/10.1080/09540120902923048
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