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Effects of stress management on PNI‐based outcomes in persons with HIV disease
Author(s) -
McCain Nancy L.,
Munjas Barbara A.,
Munro Cindy L.,
Elswick R. K.,
Robins Jo L. Wheeler,
FerreiraGonzalez Andrea,
Baliko Beverly,
Kaplowitz Lisa G.,
Fisher Evelyn J.,
Garrett Carleton T.,
Brigle Kevin E.,
Kendall Linda C.,
Lucas Valentina,
Cochran Katherine L.
Publication year - 2003
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.10074
Subject(s) - medicine , psychosocial , psychological intervention , social support , quality of life (healthcare) , clinical psychology , stress management , mediation , physical therapy , psychology , psychiatry , psychotherapist , nursing , political science , law
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