Cognitive–behavioral interventions improve quality of life in women with AIDS

Objective: We tested the effects of a 10-week group-based cognitive–behavioral stress management/expressive–supportive therapy intervention (CBSM+) and a time-matched individual psychoeducational condition for 330 women with AIDS reporting moderate to poor baseline quality of life (QOL). The goal of...

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Veröffentlicht in:Journal of psychosomatic research 2003-03, Vol.54 (3), p.253-261
Hauptverfasser: Lechner, Suzanne C, Antoni, Michael H, Lydston, David, LaPerriere, Arthur, Ishii, Mary, Devieux, Jessy, Stanley, Heidi, Ironson, Gail, Schneiderman, Neil, Brondolo, Elizabeth, Tobin, Jonathan N, Weiss, Stephen
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container_end_page 261
container_issue 3
container_start_page 253
container_title Journal of psychosomatic research
container_volume 54
creator Lechner, Suzanne C
Antoni, Michael H
Lydston, David
LaPerriere, Arthur
Ishii, Mary
Devieux, Jessy
Stanley, Heidi
Ironson, Gail
Schneiderman, Neil
Brondolo, Elizabeth
Tobin, Jonathan N
Weiss, Stephen
description Objective: We tested the effects of a 10-week group-based cognitive–behavioral stress management/expressive–supportive therapy intervention (CBSM+) and a time-matched individual psychoeducational condition for 330 women with AIDS reporting moderate to poor baseline quality of life (QOL). The goal of this study was to examine treatment effects on total QOL and 11 QOL domains from baseline to post-intervention follow-up. Methods: Participants were assessed at baseline, randomized to a treatment condition (individual psychoeducation condition n=180, group-based CBSM+ condition n=150), participated in the intervention for 10 weeks and assessed again within 4 weeks following the intervention. QOL was measured using the Medical Outcomes Study-HIV-30. Results: QOL scores increased over the course of both interventions for the total QOL score and three QOL domains: cognitive functioning, health distress and overall health perceptions. While women in the CBSM+ group condition showed a significant improvement in mental health QOL from pre- to post-intervention, women in the individual condition did not change. No changes were observed for energy/fatigue, health transition, single-item overall QOL, pain, physical well-being, role functioning or social functioning in either condition. Conclusion: Results suggest that group-based CBSM+ and individual psychoeducational interventions are effective at improving certain aspects of QOL and that group-based CBSM+ may be particularly effective at increasing QOL related to mental health in this population of women with AIDS.
doi_str_mv 10.1016/S0022-3999(02)00480-4
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The goal of this study was to examine treatment effects on total QOL and 11 QOL domains from baseline to post-intervention follow-up. Methods: Participants were assessed at baseline, randomized to a treatment condition (individual psychoeducation condition n=180, group-based CBSM+ condition n=150), participated in the intervention for 10 weeks and assessed again within 4 weeks following the intervention. QOL was measured using the Medical Outcomes Study-HIV-30. Results: QOL scores increased over the course of both interventions for the total QOL score and three QOL domains: cognitive functioning, health distress and overall health perceptions. While women in the CBSM+ group condition showed a significant improvement in mental health QOL from pre- to post-intervention, women in the individual condition did not change. No changes were observed for energy/fatigue, health transition, single-item overall QOL, pain, physical well-being, role functioning or social functioning in either condition. Conclusion: Results suggest that group-based CBSM+ and individual psychoeducational interventions are effective at improving certain aspects of QOL and that group-based CBSM+ may be particularly effective at increasing QOL related to mental health in this population of women with AIDS.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/S0022-3999(02)00480-4</identifier><identifier>PMID: 12614835</identifier><identifier>CODEN: JPCRAT</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Acquired immunodeficiency syndrome ; Acquired Immunodeficiency Syndrome - pathology ; Acquired Immunodeficiency Syndrome - psychology ; Adult ; Aged ; AIDS ; Behavior Therapy ; Cognitive Behavioral Therapy ; Cognitive behavioural psychotherapy ; Cognitive–behavioral ; Ethnic minorities ; Fatigue ; Female ; Health Status ; Humans ; Intervention ; Mental Health ; Middle Aged ; Minority Groups ; Minority women ; Patient Education as Topic ; Psychoeducational group therapy ; Quality of Life ; Relaxation Therapy ; Stress management ; Stress, Psychological - therapy ; Treatment Outcome ; USA ; Women</subject><ispartof>Journal of psychosomatic research, 2003-03, Vol.54 (3), p.253-261</ispartof><rights>2003 Elsevier Science Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-72191103496957f0b9d7c69993bdafe42184008c90766d891123790324ad4f13</citedby><cites>FETCH-LOGICAL-c392t-72191103496957f0b9d7c69993bdafe42184008c90766d891123790324ad4f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022399902004804$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30977,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12614835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lechner, Suzanne C</creatorcontrib><creatorcontrib>Antoni, Michael H</creatorcontrib><creatorcontrib>Lydston, David</creatorcontrib><creatorcontrib>LaPerriere, Arthur</creatorcontrib><creatorcontrib>Ishii, Mary</creatorcontrib><creatorcontrib>Devieux, Jessy</creatorcontrib><creatorcontrib>Stanley, Heidi</creatorcontrib><creatorcontrib>Ironson, Gail</creatorcontrib><creatorcontrib>Schneiderman, Neil</creatorcontrib><creatorcontrib>Brondolo, Elizabeth</creatorcontrib><creatorcontrib>Tobin, Jonathan N</creatorcontrib><creatorcontrib>Weiss, Stephen</creatorcontrib><title>Cognitive–behavioral interventions improve quality of life in women with AIDS</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>Objective: We tested the effects of a 10-week group-based cognitive–behavioral stress management/expressive–supportive therapy intervention (CBSM+) and a time-matched individual psychoeducational condition for 330 women with AIDS reporting moderate to poor baseline quality of life (QOL). 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No changes were observed for energy/fatigue, health transition, single-item overall QOL, pain, physical well-being, role functioning or social functioning in either condition. 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The goal of this study was to examine treatment effects on total QOL and 11 QOL domains from baseline to post-intervention follow-up. Methods: Participants were assessed at baseline, randomized to a treatment condition (individual psychoeducation condition n=180, group-based CBSM+ condition n=150), participated in the intervention for 10 weeks and assessed again within 4 weeks following the intervention. QOL was measured using the Medical Outcomes Study-HIV-30. Results: QOL scores increased over the course of both interventions for the total QOL score and three QOL domains: cognitive functioning, health distress and overall health perceptions. While women in the CBSM+ group condition showed a significant improvement in mental health QOL from pre- to post-intervention, women in the individual condition did not change. No changes were observed for energy/fatigue, health transition, single-item overall QOL, pain, physical well-being, role functioning or social functioning in either condition. Conclusion: Results suggest that group-based CBSM+ and individual psychoeducational interventions are effective at improving certain aspects of QOL and that group-based CBSM+ may be particularly effective at increasing QOL related to mental health in this population of women with AIDS.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>12614835</pmid><doi>10.1016/S0022-3999(02)00480-4</doi><tpages>9</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals
subjects Acquired immunodeficiency syndrome
Acquired Immunodeficiency Syndrome - pathology
Acquired Immunodeficiency Syndrome - psychology
Adult
Aged
AIDS
Behavior Therapy
Cognitive Behavioral Therapy
Cognitive behavioural psychotherapy
Cognitive–behavioral
Ethnic minorities
Fatigue
Female
Health Status
Humans
Intervention
Mental Health
Middle Aged
Minority Groups
Minority women
Patient Education as Topic
Psychoeducational group therapy
Quality of Life
Relaxation Therapy
Stress management
Stress, Psychological - therapy
Treatment Outcome
USA
Women
title Cognitive–behavioral interventions improve quality of life in women with AIDS
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