Cognitive Processing, Discovery of Meaning, CD4 Decline, and AIDS-Related Mortality Among Bereaved HIV-Seropositive Men
This study investigated whether finding meaning in response to an HIV-related stressor was associated with changes in immune status and health. Forty HIV-seropositive men who had recently experienced an AIDS-related bereavement completed interviews assessing cognitive processing and finding meaning...
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| Veröffentlicht in: | Journal of consulting and clinical psychology 1998-12, Vol.66 (6), p.979-986 |
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| container_title | Journal of consulting and clinical psychology |
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| creator | Bower, Julienne E Kemeny, Margaret E Taylor, Shelley E Fahey, John L |
| description | This study investigated whether finding meaning in response to an HIV-related stressor was associated with changes in immune status and health. Forty HIV-seropositive men who had recently experienced an AIDS-related bereavement completed interviews assessing cognitive processing and finding meaning after the loss and provided blood samples for a 2- to 3-year follow-up. AIDS-related mortality over an extended follow-up was determined from death certificates. As predicted,
men who engaged in cognitive processing were more likely to find meaning from the loss. Furthermore,
men who found meaning showed less rapid declines in CD4 T cell levels and lower rates of AIDS-related mortality (all
p
s < .05),
independent of health status at baseline,
health behaviors,
and other potential confounds. These results suggest that positive responses to stressful events,
specifically the discovery of meaning,
may be linked to positive immunologic and health outcomes. |
| doi_str_mv | 10.1037/0022-006X.66.6.979 |
| format | Article |
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men who engaged in cognitive processing were more likely to find meaning from the loss. Furthermore,
men who found meaning showed less rapid declines in CD4 T cell levels and lower rates of AIDS-related mortality (all
p
s < .05),
independent of health status at baseline,
health behaviors,
and other potential confounds. These results suggest that positive responses to stressful events,
specifically the discovery of meaning,
may be linked to positive immunologic and health outcomes.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.66.6.979</identifier><identifier>PMID: 9874911</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Acquired immune deficiency syndrome ; Acquired Immunodeficiency Syndrome - immunology ; Acquired Immunodeficiency Syndrome - mortality ; Acquired Immunodeficiency Syndrome - psychology ; Adult ; AIDS ; Bereavement ; Biological and medical sciences ; CD4 Lymphocyte Count ; Cognition & reasoning ; Cognitive processing ; Fundamental and applied biological sciences. Psychology ; Health ; Health Knowledge, Attitudes, Practice ; HIV ; HIV Seropositivity - psychology ; Homosexuality, Male - psychology ; Homosexuality, Male - statistics & numerical data ; Human ; Human immunodeficiency virus ; Humans ; Illness and personality ; Illness, stress and coping ; Immune system ; Life Change Events ; Longitudinal Studies ; Los Angeles ; Male ; Meaning ; Men ; Middle Aged ; Mortality ; Outcomes ; Psychological Tests ; Psychology ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Sexual Behavior ; Stress ; Stress, Psychological - immunology ; Stress, Psychological - psychology ; Substance-Related Disorders ; Survival Rate</subject><ispartof>Journal of consulting and clinical psychology, 1998-12, Vol.66 (6), p.979-986</ispartof><rights>1998 American Psychological Association</rights><rights>1999 INIST-CNRS</rights><rights>Copyright American Psychological Association Dec 1998</rights><rights>1998, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a571t-633774ac871f947d5286656c57f4349c3ceb86ebe00f3e92c4059616f67493c83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27846,27901,27902,30976,30977</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1629885$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9874911$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kendall, Philip C</contributor><creatorcontrib>Bower, Julienne E</creatorcontrib><creatorcontrib>Kemeny, Margaret E</creatorcontrib><creatorcontrib>Taylor, Shelley E</creatorcontrib><creatorcontrib>Fahey, John L</creatorcontrib><title>Cognitive Processing, Discovery of Meaning, CD4 Decline, and AIDS-Related Mortality Among Bereaved HIV-Seropositive Men</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>This study investigated whether finding meaning in response to an HIV-related stressor was associated with changes in immune status and health. Forty HIV-seropositive men who had recently experienced an AIDS-related bereavement completed interviews assessing cognitive processing and finding meaning after the loss and provided blood samples for a 2- to 3-year follow-up. AIDS-related mortality over an extended follow-up was determined from death certificates. As predicted,
men who engaged in cognitive processing were more likely to find meaning from the loss. Furthermore,
men who found meaning showed less rapid declines in CD4 T cell levels and lower rates of AIDS-related mortality (all
p
s < .05),
independent of health status at baseline,
health behaviors,
and other potential confounds. These results suggest that positive responses to stressful events,
specifically the discovery of meaning,
may be linked to positive immunologic and health outcomes.</description><subject>Acquired immune deficiency syndrome</subject><subject>Acquired Immunodeficiency Syndrome - immunology</subject><subject>Acquired Immunodeficiency Syndrome - mortality</subject><subject>Acquired Immunodeficiency Syndrome - psychology</subject><subject>Adult</subject><subject>AIDS</subject><subject>Bereavement</subject><subject>Biological and medical sciences</subject><subject>CD4 Lymphocyte Count</subject><subject>Cognition & reasoning</subject><subject>Cognitive processing</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>HIV</subject><subject>HIV Seropositivity - psychology</subject><subject>Homosexuality, Male - psychology</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Immune system</subject><subject>Life Change Events</subject><subject>Longitudinal Studies</subject><subject>Los Angeles</subject><subject>Male</subject><subject>Meaning</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Outcomes</subject><subject>Psychological Tests</subject><subject>Psychology</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Sexual Behavior</subject><subject>Stress</subject><subject>Stress, Psychological - immunology</subject><subject>Stress, Psychological - psychology</subject><subject>Substance-Related Disorders</subject><subject>Survival Rate</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kVtvEzEQhS0EKqHwB5CQLFrxQjfY69v6MSRAIzUCUUC8WY4zG221sRd7Nyj_HqeJykXA00hzvjkzo4PQU0rGlDD1ipCyLAiRX8dSjuVYK30PjahmuigpVffR6A54iB6ldEMIoZKIE3SiK8U1pSP0fRrWvumbLeAPMThIqfHrCzxrkgtbiDscarwA62-70xnHM3Bt4-ECW7_Ck_nsuvgIre1hhRch9rZt-h2ebIJf49cQwW6zcDn_UlxDDF1Ih00L8I_Rg9q2CZ4c6yn6_PbNp-llcfX-3Xw6uSqsULQvJGNKcesqRWvN1UqUlZRCOqFqzrh2zMGykrAEQmoGunScCC2prGX-j7mKnaIXB98uhm8DpN5s8mvQttZDGJIRihOi6R58_gd4E4bo821GUs5KrRX5H1RScnsszdDZvyAqaMUJp1xlqjxQLoaUItSmi83Gxp2hxOzTNfvwzD48I6WRJqebh54drYflBlZ3I8c4s35-1G1ytq2j9a5JP51lqatKZOzlAbOdNV3aORv7xrWQ3BAj-N441_269Pzv9O_YD3IwxJE</recordid><startdate>19981201</startdate><enddate>19981201</enddate><creator>Bower, Julienne E</creator><creator>Kemeny, Margaret E</creator><creator>Taylor, Shelley E</creator><creator>Fahey, John L</creator><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>EOLOZ</scope><scope>FKUCP</scope><scope>IOIBA</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope></search><sort><creationdate>19981201</creationdate><title>Cognitive Processing, Discovery of Meaning, CD4 Decline, and AIDS-Related Mortality Among Bereaved HIV-Seropositive Men</title><author>Bower, Julienne E ; Kemeny, Margaret E ; Taylor, Shelley E ; Fahey, John L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a571t-633774ac871f947d5286656c57f4349c3ceb86ebe00f3e92c4059616f67493c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Acquired Immunodeficiency Syndrome - immunology</topic><topic>Acquired Immunodeficiency Syndrome - mortality</topic><topic>Acquired Immunodeficiency Syndrome - psychology</topic><topic>Adult</topic><topic>AIDS</topic><topic>Bereavement</topic><topic>Biological and medical sciences</topic><topic>CD4 Lymphocyte Count</topic><topic>Cognition & reasoning</topic><topic>Cognitive processing</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Health</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>HIV</topic><topic>HIV Seropositivity - psychology</topic><topic>Homosexuality, Male - psychology</topic><topic>Homosexuality, Male - statistics & numerical data</topic><topic>Human</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Immune system</topic><topic>Life Change Events</topic><topic>Longitudinal Studies</topic><topic>Los Angeles</topic><topic>Male</topic><topic>Meaning</topic><topic>Men</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Outcomes</topic><topic>Psychological Tests</topic><topic>Psychology</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Sexual Behavior</topic><topic>Stress</topic><topic>Stress, Psychological - immunology</topic><topic>Stress, Psychological - psychology</topic><topic>Substance-Related Disorders</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bower, Julienne E</creatorcontrib><creatorcontrib>Kemeny, Margaret E</creatorcontrib><creatorcontrib>Taylor, Shelley E</creatorcontrib><creatorcontrib>Fahey, John L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 01</collection><collection>Periodicals Index Online Segment 04</collection><collection>Periodicals Index Online Segment 29</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - 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Forty HIV-seropositive men who had recently experienced an AIDS-related bereavement completed interviews assessing cognitive processing and finding meaning after the loss and provided blood samples for a 2- to 3-year follow-up. AIDS-related mortality over an extended follow-up was determined from death certificates. As predicted,
men who engaged in cognitive processing were more likely to find meaning from the loss. Furthermore,
men who found meaning showed less rapid declines in CD4 T cell levels and lower rates of AIDS-related mortality (all
p
s < .05),
independent of health status at baseline,
health behaviors,
and other potential confounds. These results suggest that positive responses to stressful events,
specifically the discovery of meaning,
may be linked to positive immunologic and health outcomes.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>9874911</pmid><doi>10.1037/0022-006X.66.6.979</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-006X |
| ispartof | Journal of consulting and clinical psychology, 1998-12, Vol.66 (6), p.979-986 |
| issn | 0022-006X 1939-2117 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_57400918 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; EBSCOhost APA PsycARTICLES; Periodicals Index Online |
| subjects | Acquired immune deficiency syndrome Acquired Immunodeficiency Syndrome - immunology Acquired Immunodeficiency Syndrome - mortality Acquired Immunodeficiency Syndrome - psychology Adult AIDS Bereavement Biological and medical sciences CD4 Lymphocyte Count Cognition & reasoning Cognitive processing Fundamental and applied biological sciences. Psychology Health Health Knowledge, Attitudes, Practice HIV HIV Seropositivity - psychology Homosexuality, Male - psychology Homosexuality, Male - statistics & numerical data Human Human immunodeficiency virus Humans Illness and personality Illness, stress and coping Immune system Life Change Events Longitudinal Studies Los Angeles Male Meaning Men Middle Aged Mortality Outcomes Psychological Tests Psychology Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Sexual Behavior Stress Stress, Psychological - immunology Stress, Psychological - psychology Substance-Related Disorders Survival Rate |
| title | Cognitive Processing, Discovery of Meaning, CD4 Decline, and AIDS-Related Mortality Among Bereaved HIV-Seropositive Men |
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