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

A pretest–posttest, repeated‐measures design was used to evaluate the effects of two stress management interventions on a battery of outcomes derived from a psychoneuroimmunological (PNI) framework. The effects of cognitive‐behavioral relaxation training groups (CBSM) and social support groups (SSG)...

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Bibliographic Details
Published in:	Research in nursing & health Vol. 26; no. 2; pp. 102 - 117
Main Authors:	McCain, Nancy L., Munjas, Barbara A., Munro, Cindy L., Elswick Jr, R. K., Robins, Jo L. Wheeler, Ferreira-Gonzalez, Andrea, Baliko, Beverly, Kaplowitz, Lisa G., Fisher, Evelyn J., Garrett, Carleton T., Brigle, Kevin E., Kendall, Linda C., Lucas, Valentina, Cochran, Katherine L.
Format:	Journal Article
Language:	English
Published:	New York Wiley Subscription Services, Inc., A Wiley Company 01-04-2003 Wiley
Subjects:	Adaptation, Psychological Adult Analysis of Variance Biological and medical sciences Dehydroepiandrosterone - metabolism Female Health Status HIV Infections - immunology HIV Infections - psychology HIV/AIDS Human viral diseases Humans Hydrocortisone - metabolism Infectious diseases Male Medical sciences Mid-Atlantic Region Models, Psychological Nursing nursing interventions Psychoneuroimmunology Relaxation Therapy stress management Stress, Psychological - etiology Stress, Psychological - immunology Stress, Psychological - prevention & control Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Mid-Atlantic Region Human HIV/AIDS Immunopathology Evaluation Prognosis Health staff psychoneuroimmunology AIDS Immune deficiency Stress Infection Relaxation nursing interventions Viral disease Professional practice stress management Public health Nurse
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Summary:	A pretest–posttest, repeated‐measures design was used to evaluate the effects of two stress management interventions on a battery of outcomes derived from a psychoneuroimmunological (PNI) framework. The effects of cognitive‐behavioral relaxation training groups (CBSM) and social support groups (SSG) were compared with a WAIT‐listed control group on the outcomes of psychosocial functioning, quality of life, neuroendocrine mediation, and somatic health. Participants were 148 individuals (119 men, 29 women), diagnosed with HIV disease; 112 (76%) completing the study groups. Using analysis of covariance, the CBSM group was found to have significantly higher postintervention emotional well‐being and total quality‐of‐life scores than did either the SSG or WAIT groups. SSG participants had significantly lower social/family well‐being scores immediately postintervention and lower social support scores after 6 months. The findings point to a pressing need for further, well‐controlled research with these common intervention modalities. © 2003 Wiley Periodicals, Inc. Res Nurs Health 26:102–117, 2003
Bibliography:	National Institute of Nursing Research, National Institutes of Health (Nancy L. McCain, principal investigator) - No. R01 NR04395 ark:/67375/WNG-THR9LKR9-3 General Clinical Research Center of Virginia Commonwealth University/VCU Health Systems (John N. Clore, projector director) - No. M01 RR00065; No. NIH ArticleID:NUR10074 istex:16D0365842BE0C4C108C4C60CE691AEE2D0E7043 Professor. Associate Professor. Assistant Professor. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-News-3 content type line 23
ISSN:	0160-6891 1098-240X
DOI:	10.1002/nur.10074