Literature DB >> 18230237

Written emotional disclosure and processing of trauma are associated with protected health status and immunity in people living with HIV/AIDS.

Conall O'Cleirigh1, Gail Ironson, Mary Ann Fletcher, Neil Schneiderman.   

Abstract

OBJECTIVE: This study compared written emotional disclosure and processing of trauma among a relatively rare group of people with AIDS with atypically favourable disease status with an HIV+ comparison group. The study also examined the mediational role of emotional/cognitive processing and natural killer (NK) cells.
DESIGN: This study utilized a cross-sectional group comparison design.
METHOD: Two HIV+ groups, the Healthy Survivors (N=37;>9-months with <50 CD4 cells/mm(3) and asymptomatic), and an HIV+ comparison groups (N=100) wrote essays describing their reactions to past traumas; these were scored for emotional disclosure/processing.
RESULTS: Healthy survivors had higher levels of emotional disclosure and emotional/cognitive processing than the comparison group. Emotional/cognitive processing mediated the relationship between emotional disclosure and group membership. NK cell number mediated the relationship between emotional/cognitive processing and 'healthy survival'.
CONCLUSIONS: The results suggest that higher levels of emotional disclosure and processing of trauma may confer health and immunological benefits to people living with HIV/AIDS.

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Year:  2008        PMID: 18230237      PMCID: PMC2567909          DOI: 10.1348/135910707X250884

Source DB:  PubMed          Journal:  Br J Health Psychol        ISSN: 1359-107X


  4 in total

1.  Relative preservation of natural killer cell cytotoxicity and number in healthy AIDS patients with low CD4 cell counts.

Authors:  G Ironson; E Balbin; G Solomon; J Fahey; N Klimas; N Schneiderman; M A Fletcher
Journal:  AIDS       Date:  2001-11-09       Impact factor: 4.177

2.  Prolonged asymptomatic states in HIV-seropositive persons with 50 CD4+ T-cells/mm3: preliminary psychoimmunologic findings.

Authors:  G F Solomon; D Benton; J O Harker; B Bonavida; M A Fletcher
Journal:  J Acquir Immune Defic Syndr (1988)       Date:  1993-10

3.  Psychosocial factors predict CD4 and viral load change in men and women with human immunodeficiency virus in the era of highly active antiretroviral treatment.

Authors:  Gail Ironson; Conall O'Cleirigh; Mary Ann Fletcher; Jean Philippe Laurenceau; Elizabeth Balbin; Nancy Klimas; Neil Schneiderman; George Solomon
Journal:  Psychosom Med       Date:  2005 Nov-Dec       Impact factor: 4.312

4.  Emotional expression and depth processing of trauma and their relation to long-term survival in patients with HIV/AIDS.

Authors:  Conall O'Cleirigh; Gail Ironson; Michael Antoni; Mary Anne Fletcher; Lisa McGuffey; Elizabeth Balbin; Neil Schneiderman; George Solomon
Journal:  J Psychosom Res       Date:  2003-03       Impact factor: 3.006

  4 in total
  11 in total

Review 1.  Future directions for interventions targeting PTSD in HIV-infected adults.

Authors:  Allison J Applebaum; C Andres Bedoya; Ellen S Hendriksen; Jesse L Wilkinson; Steven A Safren; Conall O'Cleirigh
Journal:  J Assoc Nurses AIDS Care       Date:  2014-11-10       Impact factor: 1.354

2.  Therapeutic writing as a tool to facilitate therapeutic process in the context of living with HIV: A case study examining partner loss.

Authors:  Nicole Ennis; Gabriel Cartagena
Journal:  Psychotherapy (Chic)       Date:  2019-10-24

3.  Operationalizing and evaluating the Frascati criteria for functional decline in diagnosing HIV-associated neurocognitive disorders in adults.

Authors:  Anastasia Matchanova; Steven Paul Woods; Victoria M Kordovski
Journal:  J Neurovirol       Date:  2019-11-19       Impact factor: 2.643

4.  Psychological Distress Mediates the Effect of Alexithymia on 2-Year Change in HIV Viral Load.

Authors:  Roger C McIntosh; Gail Ironson; Michael Antoni; Betty Lai; Mahendra Kumar; Mary Ann Fletcher; Neil Schneiderman
Journal:  Int J Behav Med       Date:  2017-04

5.  Health locus of control beliefs and healthy survival with AIDS.

Authors:  Rachel Ruffin; Gail Ironson; May Ann Fletcher; Elizabeth Balbin; Neil Schneiderman
Journal:  Int J Behav Med       Date:  2012-12

6.  Gender-specific effects of an augmented written emotional disclosure intervention on posttraumatic, depressive, and HIV-disease-related outcomes: a randomized, controlled trial.

Authors:  Gail Ironson; Conall O'Cleirigh; Jane Leserman; Rick Stuetzle; Joanne Fordiani; MaryAnn Fletcher; Neil Schneiderman
Journal:  J Consult Clin Psychol       Date:  2012-12-17

7.  Does narrative writing instruction enhance the benefits of expressive writing?

Authors:  Sharon Danoff-Burg; Catherine E Mosher; Asani H Seawell; John D Agee
Journal:  Anxiety Stress Coping       Date:  2010-05

Review 8.  Do positive psychosocial factors predict disease progression in HIV-1? A review of the evidence.

Authors:  Gail Ironson; H'Sien Hayward
Journal:  Psychosom Med       Date:  2008-06       Impact factor: 4.312

9.  HIV/AIDS status disclosure increases support, behavioural change and, HIV prevention in the long term: a case for an Urban Clinic, Kampala, Uganda.

Authors:  Lynn Muhimbuura Atuyambe; Eric Ssegujja; Sarah Ssali; Christopher Tumwine; Nicolate Nekesa; Annette Nannungi; Gery Ryan; Glenn Wagner
Journal:  BMC Health Serv Res       Date:  2014-06-21       Impact factor: 2.655

10.  Pilot Randomized Trial of an Expressive Writing Intervention to Reduce Sexual HIV-Transmission Risk and Substance Use Among Emerging Adult Gay and Bisexual Men.

Authors:  Brooke E Wells; Steven Samrock; Mark Pawson; Tyrel J Starks
Journal:  AIDS Behav       Date:  2021-08-06
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