Effects of stress management on PNI‐based outcomes in persons with HIV disease

McCain, Nancy L.; Munjas, Barbara A.; Munro, Cindy L.; Elswick, R. K.; Robins, Jo Lynne W.; Ferreira‐Gonzalez, Andrea; Baliko, Beverly; Kaplowitz, Lisa G.; Fisher, Evelyn; Garrett, Carleton T.; Brigle, Kevin E.; Kendall, Linda C.; Lucas, Valentina; Cochran, Katherine L.

doi:10.1002/nur.10074

Cited by 37 publications

(37 citation statements)

References 59 publications

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“…The revised 40-item Coping subscale was modeled after the Revised Ways of Coping Checklist (Vitaliano, Maiuro, Russo, & Becker, 1985) and measures problem-focused, emotionfocused, and appraisal-focused coping strategies. Reliability (Stress subscale α = .83, Coping subscale α = .80 to .87) and validity of the DIS for the study population have consistently been supported (Cella, McCain, Peterman, Mo, & Wolen, 1996;McCain et al, 2003). For this sample, the means and standard deviations were as follows: Stress subscale 22.71 (14.37); Coping subscale: Problem-Focused 39.68 (7.50), Emotion-Focused 34.33 (6.59), Appraisal-Focused 47.47 (9.36).…”

Section: Dealing With Illness Scale (Dis; Mccain and Gramling 1992)mentioning

confidence: 77%

A randomized clinical trial of alternative stress management interventions in persons with HIV infection.

McCain¹,

Gray²,

Elswick³

et al. 2008

Journal of Consulting and Clinical Psychology

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128

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Research in psychoneuroimmunology suggests that immunosuppression associated with perceived stress may contribute to disease progression in persons with HIV infection. While stress management interventions may enhance immune function, few alternative approaches have yet been tested. This randomized clinical trial was conducted to test effects of three 10-week stress management approaches-cognitive-behavioral relaxation training (RLXN), focused tai chi training (TCHI), and spiritual growth groups (SPRT)-in comparison to a wait-listed control group (CTRL) among 252 individuals with HIV infection. Using repeated measures mixed modeling, the authors found that in comparison to the CTRL group, (a) both the RLXN and TCHI groups used less emotion-focused coping, and (b) all treatment groups had augmented lymphocyte proliferative function. Despite modest effects of the interventions on psychosocial functioning, robust findings of improved immune function have important clinical implications, particularly for persons with immune-mediated illnesses.

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Section: Dealing With Illness Scale (Dis; Mccain and Gramling 1992)mentioning

confidence: 77%

A randomized clinical trial of alternative stress management interventions in persons with HIV infection.

McCain¹,

Gray²,

Elswick³

et al. 2008

Journal of Consulting and Clinical Psychology

Self Cite

128

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“…The studies demonstrated varying degrees of positive change in levels of depression and anxiety, a decrease in fatigue, and an increased CD4 cell count, as well as changes in several key endocrine factors. Although sample sizes have been relatively small, results were promising but indicated a need for further research (Cruess et al, 2000;McCain, Munjas, Munro, Elswick, & Robins, 2003).Little research has focused on the impact that partners and the significant-other relationship have on the well-being of the PLWH; however, there are important rationale for incorporating partners in interventions designed to enhance quality of life and minimize secondary psychosocial morbidity. First, the infected individual is not the sole person to suffer the consequences of HIV; given systems theory, a burden on one person within a dyad affects the other individual as well (Minuchin & Minuchin, 1987).…”

mentioning

confidence: 99%

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confidence: 99%

Promoting Adaptive Coping by Persons With HIV Disease: Evaluation of a Patient/Partner Intervention Model

Fife¹,

Scott²,

Fineberg³

et al. 2008

Journal of the Association of Nurses in AIDS Care

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This study evaluated an intervention to facilitate adaptive coping by persons living with HIV (PLWH), with the participation of their cohabiting partners as a dimension of the intervention. An experimental design with randomization was used, and 84 PLWH and their partners were recruited. The intervention was based on a psychosocial educational model that incorporated 4 two-hour sessions focused on communication, stress appraisal, adaptive coping strategies, and building social support. Both members of the dyad were included in each session. The comparison control included four supportive phone calls to the PLWH alone. Data were collected from both the PLWH and their partners in each of the two groups at baseline, immediately following the intervention, and 3 months and 6 months post-treatment. Data were analyzed using RM ANOVA, with change scores from the partner data being covariates. Findings indicated that the design was a feasible model, which demonstrated potential for the management of stress, and possibly problems such as adherence, in PLWH. A manual was developed as a part of this intervention and is currently available. KeywordsCoping; Emotional Response; Social Support; Experimental Design; Dyad; HIV; AIDS The advent of highly active antiretroviral therapies has offered important advances in extending the life of persons living with HIV (PLWH); nevertheless, it is widely recognized that these treatments have numerous unpleasant side effects and their effectiveness is not assured. The disease continues to be associated with chronic debilitation and social stigma that lead to degradation of the self, high levels of distress, and irrevocable life changes (Brown & PowellCope, 1992). Therefore, longitudinal research aimed toward management of the psychological Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Finding means to assist PLWH to cope with these numerous and diverse problems has become an increasing concern. This is a significant issue from several perspectives. First, there is a need to reduce psychosocial vulnerability that can result in debilitating behaviors such as drug and alcohol abuse and suicidal ideation. Second, there is evidence that debilitating psychosocial problems have a negative impact on maintaining adherence to complex treatment regimens, which is a threat to the individual's health as well as a serious public health problem (Catz, Kelly, Bogart, Benotsch, & McAuliffe, 2000;Chesney, 2003;Ickovics et al., 2002;Pratt et al., 2001;Tucker, Burnam, Sherbourne, Kung, & Gifford, 2003). Third, maladaptive coping is associated with high-ris...

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“…The meta-analysis conducted by Crepaz and colleagues 27 included 15 cognitive-behavioral randomized controlled trials (RCTs) designed to modify maladaptive cognitions, reduce negative affect, and improve immune functioning among PLWHA. 29,32,35,39,41,43,44,47,50,51,53,[56][57][58][59][60][61] Fourteen of these interventions included coping skills and stress management training; the remaining study focused exclusively on cognitive-behavioral therapeutic approaches to alleviate depressed mood and reduce anxiety, excluding modules on coping. This meta-analysis found that cognitive-behavioral interventions resulted in significant decreases in depression, anxiety, anger, and stress across studies (Table 1).…”

Section: Summary Of Previous Stress Management Reviewsmentioning

confidence: 99%

Stress management interventions for HIV-infected individuals: review of recent intervention approaches and directions for future research

Brown¹,

Vanable²

2011

NBHIV

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To promote psychological wellbeing and adaptive coping among people living with human immunodeficiency virus/acquired immune deficiency syndrome (PLWHA), a number of stress management interventions have been designed and evaluated. This paper reviews recent stress management intervention approaches designed to improve the coping skills of PLWHA and reduce psychological distress. First, a summary of findings from previous narrative reviews and meta-analyses of the stress management intervention literature for PLWHA is provided. Next, recent stress management interventions for PLWHA that fall into one of four categories are reviewed: (a) interventions to improve coping and modify other health behaviors (ie, highly active antiretroviral medication adherence, sexual behaviors), (b) meditation, mindfulness, and relaxation-based stress management approaches, (c) computer-delivered interventions, and (d) interventions that target specific populations including older individuals, individuals with childhood sexual abuse histories, and women. A critique of recent stress management interventions for PLWHA is provided as well as directions for future research.

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Effects of stress management on PNI‐based outcomes in persons with HIV disease

Cited by 37 publications

References 59 publications

A randomized clinical trial of alternative stress management interventions in persons with HIV infection.

A randomized clinical trial of alternative stress management interventions in persons with HIV infection.

Promoting Adaptive Coping by Persons With HIV Disease: Evaluation of a Patient/Partner Intervention Model

Stress management interventions for HIV-infected individuals: review of recent intervention approaches and directions for future research

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