Cognitive–behavioral stress management and psychological well-being in HIV+ racial/ethnic minority women with human papillomavirus.
Open accessAbstract
OBJECTIVE: This study is a secondary analysis examining the effects of a cognitive-behavioral stress management (CBSM) intervention on indicators of positive psychological well-being and negative psychological well-being in HIV-positive racial/ethnic minority women at risk for cervical cancer due to human papillomavirus (HPV) infection and/or cervical intraepithelial lesions (CIN). METHOD: Racial/ethnic minority women with HIV and HPV and/or CIN I were randomized to a 10-week CBSM group or a 1-day psychoeducational seminar. Participants completed a battery of measures of positive and negative psychological well-being at 3 time points: preintervention, 3 months postenrollment, and 9 months postenrollment. RESULTS: Women in the CBSM group reported significant increases in domains of positive well-being, with no changes among women in the psychoeducational seminar, F(6, 63) = 2.42, p < .05, η² = .19. There were no significant changes in domains of negative well-being across time for either group, F(2, 65) = 2.60, p = .08, η² = .07. CONCLUSION: These findings suggest that racial/ethnic minority women with HIV at risk for cervical cancer who were randomized to a 10-week CBSM group experienced enhanced positive well-being. The lack of effects on negative well-being may be due to the relatively low levels of negative well-being present in this sample at study entry. Future research should examine whether these effects are replicated in a randomized controlled trial of women with biopsy-confirmed CIN who present with greater distress levels that also employs a time-equivalent comparison condition.
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- Authors
- Jensen, S. E., Pereira, D. B., Whitehead, N., Buscher, I., McCalla, J., Andrasik, M., Rose, R., & Antoni, M. H.
- Affiliations
- Northwestern University (US)
- University of Florida Health (US)
- University of Miami (US)
- University of Washington (US)
- Venue
- Health Psychology
- Published
- 2013-02
- Volume
- 32
- Issue
- 2
- Pages
- 227-230
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- PMC
- PMC3670138
- OpenAlex
- W2090985863
- Cited by
- 25
- References
- 15
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 1 · 2017: 5 · 2016: 2 · 2013: 1
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (P50 CA084944-05)
- Topics
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- cognitive-behavioral stress management, psychological well-being, women living with HIV, minority women, human papillomavirus, cervical cancer risk, cervical intraepithelial lesions, stress management interventions
- MeSH terms
- Adult, Uterine Cervical Dysplasia, Uterine Cervical Neoplasms, Female, Follow-Up Studies, HIV Seropositivity, Humans, Minority Groups, Quality of Life, Stress, Psychological, Cognitive Behavioral Therapy, Treatment Outcome, Risk Assessment, Papillomavirus Infections
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