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A randomized clinical trial of alternative stress management interventions in persons with HIV infection.
Open accessAbstract
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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“Of the 14 studies with the highest quality ratings, 10 (71%) reported significant positive associations [437–443] or increased immune functions in response to a R/S intervention [444–447].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [437]
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Metadata
- 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)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2008-06
- Volume
- 76
- Issue
- 3
- Pages
- 431-441
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- 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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