About AIDS

Who would think that personality type would matter in how well an HIV-positive person does, healthwise? A new study published in Biological Psychiatry suggests that shyness may not be good for poz people.

Among 54 HIV-positive, gay men, the researchers found that virus levels tend to be dramatically higher in those who are shy vs. those who are outgoing. Furthermore, the bashful guys did not respond to the HIV meds as well – perhaps eight times more poorly! The authors suggest the culprit is elevated stress levels associated with socially inhibited men having to interact with others. (Stress produces chemicals called cortisols, which are known immune-suppressors.)

They didn't have any recommendations about what to do with this information, but we will suggest a couple, based on other research (and personal observation) demonstrating that basic social support affects the health and survival of HIVers.

First, if you are HIV-positive, make a gentle but consistent effort to be with friends, especially those with whom you laugh easily. Let them know that you'd like to make a few additional friends in secure, comfortable environments. Stay out of the bars and other stressful situations.

Second, if you are a friend of a poz person, especially someone less outgoing, make that extra effort to include him or her in activities, preferably of a more relaxed type. Do introduce him or her to other friends with similar personal style.

"You got to have friends," the song proclaims, and how true it is. Shyness is a socially debilitating (and maybe immune-debilitating) trait, not easily overcame. Friends can help relieve social stress, and that may make a lot of difference in living with HIV.

For details, see Steve Cole et al., Biological Psychiatry, Vol. 54, No. 8.

Sandy Bartlett

Community Education Coordinator, AIDS Services of Austin