Extant literature has consistently documented the adverse impact of fear of COVID-19 on the health-related quality of life (HRQoL) of people living with HIV (PLWHIV), as they are more prone to being infected with this deadly disease than the normal population. However, studies on the mechanism that could mitigate this adverse impact are lacking. We investigated whether self-compassion could buffer the negative impact of fear of COVID-19 on HRQoL among PLWHIV. Utilizing a cross-sectional design, 241 outpatients (41.5% male, 58.5% female) from two Nigerian healthcare facilities were conveniently sampled. Results showed that heightened fear of COVID-19 was associated with poorer HRQoL across four domains. Unexpectedly, self-compassion neither predicted HRQoL nor buffered the impact of fear of COVID-19 on HRQoL. Practical interventions should prioritize reducing fear of COVID-19 and addressing broader psycho-social factors to enhance HRQoL in this vulnerable population.
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