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A stress management intervention for adults living with HIV in Nigerian community settings: An effects study

BACKGROUND: This study evaluated the effectiveness of a group-based cognitive-behavioral stress management intervention among community-dwelling adults living with HIV in Southeastern Nigeria. METHOD: A total of 28 HIV-positive adults meeting the criteria for high perceived stress, anxiety, and depr...

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Autores principales: Nwobi, Uju A., Eseadi, Chiedu, Emeka, Obetta, Ekwealor, Nwakaego, Ogbonnaya, Kingsley Asogu, Oboegbulem, Angie I., Chinweuba, Ngozi H., Mbagwu, Felicia, Agundu, Uche-Vita, Okpoko, Chinwe, Ololo, Kennedy Okechukwu, Ohia, Nkiru Christian, Nwankwor, Paulinus P., Osilike, Chioma, Okechukwu, Ebere, Umoke, Prince C.I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221701/
https://www.ncbi.nlm.nih.gov/pubmed/30383633
http://dx.doi.org/10.1097/MD.0000000000012801
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author Nwobi, Uju A.
Eseadi, Chiedu
Emeka, Obetta
Ekwealor, Nwakaego
Ogbonnaya, Kingsley Asogu
Oboegbulem, Angie I.
Chinweuba, Ngozi H.
Mbagwu, Felicia
Agundu, Uche-Vita
Okpoko, Chinwe
Ololo, Kennedy Okechukwu
Ohia, Nkiru Christian
Nwankwor, Paulinus P.
Osilike, Chioma
Okechukwu, Ebere
Umoke, Prince C.I.
author_facet Nwobi, Uju A.
Eseadi, Chiedu
Emeka, Obetta
Ekwealor, Nwakaego
Ogbonnaya, Kingsley Asogu
Oboegbulem, Angie I.
Chinweuba, Ngozi H.
Mbagwu, Felicia
Agundu, Uche-Vita
Okpoko, Chinwe
Ololo, Kennedy Okechukwu
Ohia, Nkiru Christian
Nwankwor, Paulinus P.
Osilike, Chioma
Okechukwu, Ebere
Umoke, Prince C.I.
author_sort Nwobi, Uju A.
collection PubMed
description BACKGROUND: This study evaluated the effectiveness of a group-based cognitive-behavioral stress management intervention among community-dwelling adults living with HIV in Southeastern Nigeria. METHOD: A total of 28 HIV-positive adults meeting the criteria for high perceived stress, anxiety, and depression were randomized into 1 of 2 groups: treatment group (n = 14); and no-treatment control group (n = 14). Stress level was measured using the 10-item Perceived Stress Scale (PSS-10). Depression and anxiety symptoms were assessed using Hospital Anxiety and Depression Scale (HADS). Secondary outcome measure was Satisfaction with Life Scale (SWLS). The intervention was delivered over the course of 10 weeks, using an evidence-based cognitive-behavioral stress management manual. We employed repeated-measures between and within-subjects analysis of variance (ANOVA) and Eta squared in the analyses and interpretation of data collected from the study participants at 3 time points. RESULTS: Our results showed that, after benefitting from the cognitive behavioral stress management intervention, the PSS-10 and HADS scores were lowered significantly in the treatment group participants than those in the no-treatment control group during evaluations of post-treatment and 3 months follow-up outcomes. Significant improvements were also recorded in the treatment group participants’ SWLS scores at post-treatment and follow-up compared with participants in the no-treatment group. CONCLUSION: The present results suggest the need for further implementation of group-based cognitive-behavioral stress management interventions for people living with HIV. Cognitive-behavioral stress management clinicians should make efforts toward identifying HIV-positive adults experiencing psychological distress and design cognitive-behavioral stress management interventions in order to better assist them.
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spelling pubmed-62217012018-12-04 A stress management intervention for adults living with HIV in Nigerian community settings: An effects study Nwobi, Uju A. Eseadi, Chiedu Emeka, Obetta Ekwealor, Nwakaego Ogbonnaya, Kingsley Asogu Oboegbulem, Angie I. Chinweuba, Ngozi H. Mbagwu, Felicia Agundu, Uche-Vita Okpoko, Chinwe Ololo, Kennedy Okechukwu Ohia, Nkiru Christian Nwankwor, Paulinus P. Osilike, Chioma Okechukwu, Ebere Umoke, Prince C.I. Medicine (Baltimore) Research Article BACKGROUND: This study evaluated the effectiveness of a group-based cognitive-behavioral stress management intervention among community-dwelling adults living with HIV in Southeastern Nigeria. METHOD: A total of 28 HIV-positive adults meeting the criteria for high perceived stress, anxiety, and depression were randomized into 1 of 2 groups: treatment group (n = 14); and no-treatment control group (n = 14). Stress level was measured using the 10-item Perceived Stress Scale (PSS-10). Depression and anxiety symptoms were assessed using Hospital Anxiety and Depression Scale (HADS). Secondary outcome measure was Satisfaction with Life Scale (SWLS). The intervention was delivered over the course of 10 weeks, using an evidence-based cognitive-behavioral stress management manual. We employed repeated-measures between and within-subjects analysis of variance (ANOVA) and Eta squared in the analyses and interpretation of data collected from the study participants at 3 time points. RESULTS: Our results showed that, after benefitting from the cognitive behavioral stress management intervention, the PSS-10 and HADS scores were lowered significantly in the treatment group participants than those in the no-treatment control group during evaluations of post-treatment and 3 months follow-up outcomes. Significant improvements were also recorded in the treatment group participants’ SWLS scores at post-treatment and follow-up compared with participants in the no-treatment group. CONCLUSION: The present results suggest the need for further implementation of group-based cognitive-behavioral stress management interventions for people living with HIV. Cognitive-behavioral stress management clinicians should make efforts toward identifying HIV-positive adults experiencing psychological distress and design cognitive-behavioral stress management interventions in order to better assist them. Wolters Kluwer Health 2018-11-02 /pmc/articles/PMC6221701/ /pubmed/30383633 http://dx.doi.org/10.1097/MD.0000000000012801 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Nwobi, Uju A.
Eseadi, Chiedu
Emeka, Obetta
Ekwealor, Nwakaego
Ogbonnaya, Kingsley Asogu
Oboegbulem, Angie I.
Chinweuba, Ngozi H.
Mbagwu, Felicia
Agundu, Uche-Vita
Okpoko, Chinwe
Ololo, Kennedy Okechukwu
Ohia, Nkiru Christian
Nwankwor, Paulinus P.
Osilike, Chioma
Okechukwu, Ebere
Umoke, Prince C.I.
A stress management intervention for adults living with HIV in Nigerian community settings: An effects study
title A stress management intervention for adults living with HIV in Nigerian community settings: An effects study
title_full A stress management intervention for adults living with HIV in Nigerian community settings: An effects study
title_fullStr A stress management intervention for adults living with HIV in Nigerian community settings: An effects study
title_full_unstemmed A stress management intervention for adults living with HIV in Nigerian community settings: An effects study
title_short A stress management intervention for adults living with HIV in Nigerian community settings: An effects study
title_sort stress management intervention for adults living with hiv in nigerian community settings: an effects study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221701/
https://www.ncbi.nlm.nih.gov/pubmed/30383633
http://dx.doi.org/10.1097/MD.0000000000012801
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