Quality of Life of HIV patients has not only been recognized as a health problem, but a development challenge, throughout the world with Nigeria on the alarming rate. The purpose of this study is to investigate the influence of role of self-efficacy, positive thinking and optimism on quality of life among HIV patient in university college hospital (UCH) and Adeoyo maternity hospital in Ibadan. This study adopted an ex-post facto design. A total number of one hundred and fifty one (151) participants were selected by the researcher using purposive sampling technique. A structured questionnaire consisted of demographics and scales were used to collect data in this study. Five hypotheses were formulated and tested using bi-variate and multi-variate statistical techniques. The result showed that, there was joint effect of 58% of Self-Efficacy, Positive Thinking, and Optimism on quality of life (F(3,151)=24.99, R=.58, R²=.32, P<.05). There was significance differences in Self Efficacy of Low and High respondents (t(149)=-7.94, p<.05), on dating relationship. There is no significant differences between Patients with High Positive and Low Positive Thinking on dating relationship (t(147)= -.50, p>.05), There is also no significant differences between Patients with High optimism and Low optimism on dating relationship (t(149)=.35, p>.05), Gender, Age, Religion, Educational Qualification and Marital Status jointly predict Quality of life.  (F(5, 151) =4.11, R=.35, R2=.12, p<.05).furthermore, Age (B= -.40, β = -.16, t= -1.92, p< .05), and gender (B= -12.35, β = -.32, t= -4.00, p< .05) independently   predict Quality of Life while Religion (B= .10, β = .14, t= 1.77, p> .05), Educational Qualification (B= 1.12, β = .06, t= .73, p> .05), and Marital Status (B= 2.29, β = .10, t= 1.21, p> .05), did not independently predict quality of life. It was concluded in this study that there was significant role of self-efficacy, positive thinking and optimism on quality of life, hence it is highly recommended that health psychologists, and social workers need to mount intervention programmes designed to enhance self-efficacy which in the long run affect positive thinking, optimism of patient with HIV so as to achieve a healthy quality of life.



Quality of life, HIV/AIDS, Self-Efficacy, Positive Thinking and Optimism

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Abraham,G. Miller, S. birgen, B & kilbourne, H (2014) Self-Efficacy and Quality of Life Among People With Bipolar

Disorder. Journal of Nervous & Mental Disease 202(8) •

Atashpeikar, S., Jalilazar, T. & Heidarzadeh, M. 2012. Self-care ability in hemodialysis patients. Journal of Caring

Sciences, 1, 31-35.

Au A, Chan I, Li P, Chung R, Po L.M, & Yu P. (2004) Stress and health-related quality of life among HIV-infected

persons in Hong Kong. AIDS Behaviour. 8(2):119–129

Balogun, S.K (2013). Psychological Factors Predicting Psychological Wellbeing among Spouses of Incarcerated

Males in Ibadan, Nigeria Health Care, 1(3): 76-82 DOI: 10.12966/hc.11.05.2013

Bandura A (1977). Social learning theory. Englewood Cliffs, NJ: Prentice Hall.

Bandura A (1994). Self-Efficacy. In V. S. Ramachaudran (Ed.). Encyclopedia of human behavior (Vol. 4, 71-81). New

York: Academic Press.

Bandura, A. (1995) “Self Efficacy: The Exercise of Control”, New York: W. H. Freeman,

Bandura. A & Rotter. B (1989) Theories of social development and Child growth. Journal of Behaviours, 25, 797-

Basavaraj K. H, Navya M. A, & Rashmi R. (2010). Quality of life in HIV/AIDS. Indian Journal Sex Transmission Dis.


Boman, P. & Yates, G.C. (2001). Optimism, Hostility and Adjustment in the First-Year of High School. British Journal

of Educational Psychology; 71: 401

Bradley, R. H., Corwyn, R. F., Burchinal, M., McAdoo, H. P., & García-Coll, C. (2001). The home environments of

children in the United States Part II: Relations with behavioral development through age thirteen. Child

Development, 72(6), 1868-1886.

Cantor, N., Norem, J., Langston, C., Zirkel, S., Fleeson, W., & Cook., Flannagan, C. (1991). Life tasks and daily life

experience. Journal of Personality, 59, 425-451.

Carr, A. (2007). Psicología positiva. Barcelona, Paidós.

Carver, C.S., Scheier, M.F. (1998). On the self regulation of behavior. New York: Cambridge University Press.

Cohen,S.& Pressman, D.S. (2006). Positive affect and health. Current Directions in Psychological Science. 15 (3),


Chida, Y., & Steptoe, A. (2008). Positive psychological well-being and mortality: A quantitative review of prospective

observational studies. Psychosomatic Medicine, 70, 741–756.

Cummins, D.D. (2005) Dominance, status, and social hierarchies. In D.M. Buss, (ed). The handbook of (pp. 676-

. Hoboken, NJ: Wiley

De Reave,L. (2009). Positive thinking and moral oppression in cancer care. European Journal of Cancer Care, 6,


Elisa K, Clarissa P, & Bruna M, (2012). Quality of Life, Self-Efficacy and Psychological Well-Being in Brazilian

Adults with Cancer: A Longitudinal Study. Psychology 3(4), 304-309

Folkman, S. & Moskowitz , J. T.(2000 ). Positive affect and other side of coping. American Psychologist, 55, 647-654.

Frederickson,B. L., Tugade, M. M., Waugh, C. E., & Larkin, G. R. (2003). What good are positive emotions in crisis?

A prospective study of resilience and emotions following the terrorist attacks on the United States on

September 11, 2001, Journal of Personality and Social, 84, 365-376.

Gecas V (1999). The social psychology of self-efficacy. Annual Review of Sociology. 15 (1). 291-316.

Geurtsen B. (2010) Quality of life and living with HIV/AIDS in Cambodia. Journal of Transcultural Nursing, 21(4).

Heidarzadeh, M., Atashpeikar, S. & Jalilazar, T.(2010). Relationship between quality of life and self-care ability in

patients receiving hemodialysis. Iranian Journal of Nursing and Midwifery Research, 15, 71.

HIV/AIDS in Nigeria A USAID brief, July 2002. Available at Cited


HIV/AIDS Policy fact sheet. The HIV/AIDS Epidemic in Nigeria October 2005. Available at Cited 25/11/ 2010.

International Collaboration on HIV Optimism. (2003). HIV treatments optimism among gay men: an international

perspective. Journal of Acquired Immune Deficiency Syndromes, 32, 545-550.

Jane M, Mathilde M. H. Strating & Nieboer, P. (2013) The importance of general self-efficacy for the quality of life of

adolescents with diabetes or juvenile rheumatoid arthritis over time: a longitudinal study among adolescents

and parents. Journals of Pedatrics. 9(8), 30-45

Johnson M. O, Catz S. L, Remien R.H, Rotheram-Borus M. J, Morin S. F, Charlebois E, Gore-Felton C, Goldsten

R.B, Wolfe H, Lightfoot M, & Chesney M.A.(2003) NIMH Healthy Living Project Team. Theory-guided,

empirically supported avenues for intervention on HIV medication nonadherence: findings from the Healthy

Living Project. AIDS Patient Care STDS. 17(12):645–656.

Jones F, & Riazi A (2010). Self-efficacy and self-management after stroke: a systematic review. Disability and

rehabilitation, Early Online, 1–14

Joseph, W. & Erin, D (2006). Hope Optimism, Pessimism and Spirituality as Predictors of Wellbeing and quality of

life. Research in the Social Scientific Study of Religion, 16: 161-183.

Kung, S., Rummans, T.A., Colligan, R.C., Clark, M.M., Sloan, J.A., Novotny, P.J. et al. (2006). Association of

optimism–pessimism with quality of life in patients with head and neck thyroid carcinoma. Mayo Clin Proc.

(12): 1545-1552

Litt, M.D., Tennen, H., Affleck, G., & Klock, S. (1992). Coping and cognitive factors in adaptation to invitro

fertilization failure. Journal of Behavioral Medicine, 15, 171-87.

Lunenburg F. (2011) Self-Efficacy in the Workplace: Implications for Motivation and Performance,

International Journal of Management, Business, and Administration 14(1), 201

Lyubomirsky, S.,& King, L.(2005). The benefits of frequent positive affect: Does happiness leads to success?

Psychological Bulletin, 131, 803-855.

McGrath, P. (2004). The burden of RA RA positive: survivors’ and hospice patients’ reflection on maintaining a

positive attitude to serious illness. Support Care Cancer, 12, 25-33.

Mweemba P. Quality of life among rural and urban Zambian men and women with hiv/aids PhD Dissertation. Kent

state university; 2008.

Odili, V.U, Ikhuronian, B.I, Usifoh, S.F & Oparah A.C.(2011) Determinants of quality of life in HIV/AIDS patients. West

Africa Journal Pharmacy. 22(1):42–48

Pajares, F., & Valiante, G. (2006). Self-efficacy beliefs and motivation in writing development. In C. MacArthur, S.

Graham, & J. Fitzgerald (Eds.), Handbook of writing research (pp. 158–170). New York: Guilford Press.

Peterson, C. (2000) The Future of Optimism. American Psychologist; 55(1): 44-55.

Rasmussen, H. N., Wrosch, C., Scheier, M. F. & Carver, C. S. (2006). Self-regulation processes and health: the

importance of optimism and goal adjustment. Journal of Personality, 74, 1721-1747.

Robinson-Smith G, Johnston M, Allen J (2000). Self care self-efficacy, quality of life and depression after stroke.

Archives of Physical Medicine and Rehabilitation. 81.(4), 460-464.

Robinson-Smith, D. Mark, G, Johnston, S and Allen, J (2000) Self-care self-efficacy, quality of life, and depression

after stroke. 81(4), 460–464

Rosenstock, I. (1966). Why People Use Health Services. Milbank Memorial Fund Quarterly, 44. July

Rottman, N., Dalton, S. O., Christensen, J., Frederiksen, K., & Johansen, C. (2010). Self-efficacy, adjustment style

and well-being in breast cancer patients: A longitudinal study. Quality of Life Re-search, 19, 827-836.


Ruis-Ottenheim, N., van der Mast, R., Zitman, F.G.,& Giltay, E.J.(2012) The Role of Dispositional Optimism in

Physical and Mental Well-Being. A Positive Perspective on Quality of Life Social Indicators Research Series.

: 149-173.

Schalock, R. L. 2000. Three decades of quality of life. Focus on Autism and Other Developmental Disabilities


Scheier, M. F., Carver, C.S., & Bridges, M.W.(1994) Distinguishing Optimism from Neuroticism and Trait Anxiety,

Self-Mastery and Self-Esteem: A Re-Evaluation of the Life Orientation Test: Journal of Personality and Social

Psychology, 67: 1063-1066.

Scheier,M. & Carver, C. (2005). Optimism, coping and health: assessment and implication of generalized outcome

expectancies. Health Psychology, 4, 219-47.

Schwarzer R, &Fuchs R (1995). Changing risk behaviors and adopting health behaviors: the role of self-efficacy

beliefs. In A. Bandura (Ed.). Self-efficacy in changing societies (259-288). New York: Cambridge University


Schwarzer, R. & Jerusalem, M. 1995. Generalized Self-Efficacy Scale in J. Weiman, S. Wright, & M. Johnston (Ed).

Measures in health psychology: A users portfolio, causal and control beliefs. pp. 35-37, Winderser, UKNFER-


Seligman, M. (2006). Learned Optimism: How to change your mind and your life. New York: Ran House.

Semba R.D, Martin B.K, Kempen J.H, Thorne J.E, & Wu A.W.(2005) Ocular Complications of AIDS Research Group.

The impact of anemia on energy and physical functioning in individuals with AIDS. Archives of Internal Medicine


Shelley M, & Pakenham K (2004). External health locus of control and general self-efficacy: moderators of emotional

distress among university students. Australian Journal of Psychology. 56(3). 1991-199.

Steptoe, A., Dockray, S., & Wardle, J. (2009). Positive affect and psychobiological processes relevant to health.

Journal of Personality, 77, 1747–1776.

Taylor, S. E. & Armor, D. A. (1996). Positive Illusions and Coping with Adversity. Journal of Personality, 64, 873-898.

The World Health Report (2004). Changing history. Geneva, World Health Organisation.

Tsay, S.-L. and Healstead, M. 2002. Self-care self-efficacy, depression, and quality of life among patients receiving

hemodialysis in taiwan. International Journal of Nursing Studies, 39, 245-251.

Tsevat, J., Leonard, A. C., Szaflarski, M., Sherman, S. N., Cotton, S., Mrus, J. M., et al. (2009). Change in quality of

life after being diagnosed with HIV: a multicenter longitudinal study. AIDS Patient Care STDS, 23, 931-937.

Weinstein, N.D. (1993) Testing four competing theories of health-protective behaviour. Health Psychology, 12, 324

Weng, L. C., Dai, Y. T., Huang, H. L. and Chiang, Y. J. 2010. Self‐efficacy, self‐care behaviours and quality of life of

kidney transplant recipients. Journal of Advanced Nursing, 66, 828-838.


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