Cognitive-behavioral stress management decreases dysphoric mood and herpes simplex virus-type 2 antibody titers in symptomatic HIV-seropositive gay men

被引:93
作者
Lutgendorf, SK
Antoni, MH
Ironson, G
Klimas, N
Kumar, M
Starr, K
McCabe, P
Cleven, K
Fletcher, MA
Schneiderman, N
机构
[1] UNIV MIAMI,DEPT PSYCHOL,CORAL GABLES,FL 33124
[2] UNIV MIAMI,DEPT PSYCHIAT,CORAL GABLES,FL 33124
[3] UNIV MIAMI,DEPT MED,CORAL GABLES,FL 33124
[4] VET ADM CTR,MIAMI,FL
关键词
D O I
10.1037/0022-006X.65.1.31
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study tested the effects of a 10-week group cognitive-behavioral stress management (CBSM) intervention on mood and immunologic parameters in HIV-seropositive gay men whose disease had progressed to a symptomatic stage. Men were randomized to tither CBSM or a modified waiting list control group. The CBSM intervention significantly decreased self-reported dysphoria, anxiety, and total distress. Individuals who practiced relaxation more consistently had significantly greater drops in dysphoria. The intervention also decreased herpes simplex virus-Type 2 (HSV-2) immunoglobulin G antibody titers. The control group showed no significant changes in either mood or antibody titers. Individual difference analyses revealed that decreases in dysphoria significantly predicted lower HSV-2 antibody titers by the end of the 10-week period. Neither group displayed changes in HSV-Type 1 antibody titers or in CD4+ or CD8+ cell numbers.
引用
收藏
页码:31 / 43
页数:13
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