Effects of behavioral stress reduction Transcendental Meditation intervention in persons with HIV
Identifieur interne : 001259 ( Main/Exploration ); précédent : 001258; suivant : 001260Effects of behavioral stress reduction Transcendental Meditation intervention in persons with HIV
Auteurs : Sumedha Chhatre [États-Unis] ; David S. Metzger [États-Unis] ; Ian Frank [États-Unis] ; Jean Boyer [États-Unis] ; Edward Thompson [États-Unis] ; Sanford Nidich [États-Unis] ; Luis J. Montaner [États-Unis] ; Ravishankar Jayadevappa [États-Unis]Source :
- AIDS Care : (Print) [ 0954-0121 ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Santé publique, Santé mentale.
English descriptors
- KwdEn :
Abstract
Stress is implicated in the pathogenesis and progression of HIV. The Transcendental Meditation (TM) is a behavioral stress reduction program that incorporates mind-body approach, and has demonstrated effectiveness in improving outcomes via stress reduction. We evaluated the feasibility of implementing TM and its effects on outcomes in persons with HIV. In this community-based single blinded Phase-I, randomized controlled trial, outcomes (psychological and physiological stress, immune activation, generic and HIV-specific health-related quality of life, depression and quality of well-being) were assessed at baseline and at six months, and were compared using parametric and nonparametric tests. Twenty-two persons with HIV were equally randomized to TM intervention or healthy eating (HE) education control group. Retention was 100% in TM group and 91% in HE control group. The TM group exhibited significant improvement in vitality. Significant between group differences were observed for generic and HIV-specific health-related quality of life. Small sample size may possibly limit the ability to observe significant differences in some outcomes. TM stress reduction intervention in community dwelling adults with HIV is viable and can enhance health-related quality of life. Further research with large sample and longer follow-up is needed to validate our results.
Affiliations:
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Metzger</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Psychiatry, HIV/AIDS Prevention Research Division, University of Pennsylvania</s1><s2>Philadelphia, PA</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Frank, Ian" sort="Frank, Ian" uniqKey="Frank I" first="Ian" last="Frank">Ian Frank</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Medicine, Infectious Disease Division, University of Pennsylvania</s1><s2>Philadelphia, PA</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Boyer, Jean" sort="Boyer, Jean" uniqKey="Boyer J" first="Jean" last="Boyer">Jean Boyer</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Pathology and Laboratory Medicine, University of Pennsylvania</s1><s2>Philadelphia, PA</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Thompson, Edward" sort="Thompson, Edward" uniqKey="Thompson E" first="Edward" last="Thompson">Edward Thompson</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Pathology and Laboratory Medicine, University of Pennsylvania</s1><s2>Philadelphia, PA</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Nidich, Sanford" sort="Nidich, Sanford" uniqKey="Nidich S" first="Sanford" last="Nidich">Sanford Nidich</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Department of Physiology and Health, Maharishi University of Management</s1><s2>Fairfield, IA</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Iowa</region></placeName></affiliation></author><author><name sortKey="Montaner, Luis J" sort="Montaner, Luis J" uniqKey="Montaner L" first="Luis J." last="Montaner">Luis J. Montaner</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Wistar Institute</s1><s2>Philadelphia, PA</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Jayadevappa, Ravishankar" sort="Jayadevappa, Ravishankar" uniqKey="Jayadevappa R" first="Ravishankar" last="Jayadevappa">Ravishankar Jayadevappa</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Department of Medicine, Geriatrics Division, University of Pennsylvania</s1><s2>PA</s2><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author></analytic><series><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Activation</term><term>Behavior</term><term>Health-Related Quality of Life</term><term>Human immunodeficiency virus</term><term>Mental health</term><term>Public health</term><term>Social environment</term><term>Stress</term><term>Transcendental meditation</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Comportement</term><term>Stress</term><term>Méditation transcendantale</term><term>SIDA</term><term>Virus immunodéficience humaine</term><term>Qualité de vie liée à la santé</term><term>Activation</term><term>Santé publique</term><term>Santé mentale</term><term>Environnement social</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé publique</term><term>Santé mentale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Stress is implicated in the pathogenesis and progression of HIV. The Transcendental Meditation (TM) is a behavioral stress reduction program that incorporates mind-body approach, and has demonstrated effectiveness in improving outcomes via stress reduction. We evaluated the feasibility of implementing TM and its effects on outcomes in persons with HIV. In this community-based single blinded Phase-I, randomized controlled trial, outcomes (psychological and physiological stress, immune activation, generic and HIV-specific health-related quality of life, depression and quality of well-being) were assessed at baseline and at six months, and were compared using parametric and nonparametric tests. Twenty-two persons with HIV were equally randomized to TM intervention or healthy eating (HE) education control group. Retention was 100% in TM group and 91% in HE control group. The TM group exhibited significant improvement in vitality. Significant between group differences were observed for generic and HIV-specific health-related quality of life. Small sample size may possibly limit the ability to observe significant differences in some outcomes. TM stress reduction intervention in community dwelling adults with HIV is viable and can enhance health-related quality of life. Further research with large sample and longer follow-up is needed to validate our results.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Iowa</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Chhatre, Sumedha" sort="Chhatre, Sumedha" uniqKey="Chhatre S" first="Sumedha" last="Chhatre">Sumedha Chhatre</name></region><name sortKey="Boyer, Jean" sort="Boyer, Jean" uniqKey="Boyer J" first="Jean" last="Boyer">Jean Boyer</name><name sortKey="Frank, Ian" sort="Frank, Ian" uniqKey="Frank I" first="Ian" last="Frank">Ian Frank</name><name sortKey="Jayadevappa, Ravishankar" sort="Jayadevappa, Ravishankar" uniqKey="Jayadevappa R" first="Ravishankar" last="Jayadevappa">Ravishankar Jayadevappa</name><name sortKey="Metzger, David S" sort="Metzger, David S" uniqKey="Metzger D" first="David S." last="Metzger">David S. Metzger</name><name sortKey="Montaner, Luis J" sort="Montaner, Luis J" uniqKey="Montaner L" first="Luis J." last="Montaner">Luis J. Montaner</name><name sortKey="Nidich, Sanford" sort="Nidich, Sanford" uniqKey="Nidich S" first="Sanford" last="Nidich">Sanford Nidich</name><name sortKey="Thompson, Edward" sort="Thompson, Edward" uniqKey="Thompson E" first="Edward" last="Thompson">Edward Thompson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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