Cited by 176Mindfulness and Compassion InterventionsStress Responses and CortisolHIV Research and Treatment

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

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McCain, Nancy L., Gray, D. Patricia, Elswick, R. K., Robins, Jolynne W., Tuck, Inez, Walter, Jeanne M., Rausch, Sarah M., Ketchum, Jessica McKinney·2008·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.76.3.431PMC PMC4629773

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Abstract

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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Authors: McCain, N. L., Gray, D. P., Elswick, R. K., Robins, J. W., Tuck, I., Walter, J. M., Rausch, S. M., & Ketchum, J. M.
Affiliations: Virginia Commonwealth University (US)
ORCID: Elswick, R. K.
Ketchum, Jessica McKinney
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2008-06
Volume: 76
Issue: 3
Pages: 431-441
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.76.3.431
PMC: PMC4629773
OpenAlex: W2050764828
Cited by: 176
References: 82
Citations by year: 2025: 1 · 2024: 1 · 2023: 46 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 6 · 2018: 3 · 2017: 41 · 2016: 2 · 2015: 2 · 2014: 4 · 2013: 10 · 2012: 14
FWCI: 12.64
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5R01 AT000331)
Virginia Commonwealth University Health System (5M01 RR000065)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Life Sciences › Immunology and Microbiology › Virology › HIV Research and Treatment
Keywords: HIV infection, stress management interventions, relaxation training, Tai Chi, cognitive behavioral therapy, emotion-focused coping, lymphocyte proliferation, immune function, psychoneuroimmunology, psychosocial functioning
MeSH terms: Adult, Female, Humans, Male, Middle Aged, Psychoneuroimmunology, Relaxation Therapy, Stress, Psychological, HIV Infections, Tai Ji, Spiritual Therapies

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

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