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Enhancing well‐being and alleviating depressive symptoms in people with HIV/AIDS: An intervention based on if–then plans with self‐affirming cognitions

Effective antiretroviral treatment has increased the life expectancy of people living with HIV, and currently, the challenges of prominent importance appear to be mental health issues. This preregistered study among adults living with HIV/AIDS investigated the effectiveness of a brief self‐affirmati...

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Autores principales: Łakuta, Patryk, Krankowska, Dagny, Marcinkiewicz, Przemysław, Bociąga‐Jasik, Monika, Komorska‐Błażewicz, Agnieszka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9540674/
https://www.ncbi.nlm.nih.gov/pubmed/35297176
http://dx.doi.org/10.1111/aphw.12357
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author Łakuta, Patryk
Krankowska, Dagny
Marcinkiewicz, Przemysław
Bociąga‐Jasik, Monika
Komorska‐Błażewicz, Agnieszka
author_facet Łakuta, Patryk
Krankowska, Dagny
Marcinkiewicz, Przemysław
Bociąga‐Jasik, Monika
Komorska‐Błażewicz, Agnieszka
author_sort Łakuta, Patryk
collection PubMed
description Effective antiretroviral treatment has increased the life expectancy of people living with HIV, and currently, the challenges of prominent importance appear to be mental health issues. This preregistered study among adults living with HIV/AIDS investigated the effectiveness of a brief self‐affirmation intervention framed in terms of if–then plans (i.e. self‐affirming implementation intentions [S‐AII]) against both active and non‐active control conditions, forming non‐affirming implementation intentions and mere goal intentions, respectively. The primary outcomes were defined as a reduction of depressive symptoms and enhancement of well‐being, along with secondary outcomes as positive other‐ and self‐directed feelings. A total of 162 individuals were assessed for eligibility, and 130 (aged 18–74 years) were randomized to the study conditions. Intervention effects were estimated through intention‐to‐treat analysis, using linear mixed models. The S‐AII intervention yielded improvements in overall well‐being over 2 weeks (d = .23), primarily driven by positive changes in emotional (d = .24) and social (d = .30) dimensions of well‐being. There were no significant differences in depression or secondary outcomes. Based on a minimal clinically important difference index, the S‐AII intervention resulted in improvement in well‐being in approximately 40 percent of participants. Nevertheless, further systematic research is needed to optimize self‐affirmation‐interventions, before their application in real‐life contexts.
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spelling pubmed-95406742022-10-14 Enhancing well‐being and alleviating depressive symptoms in people with HIV/AIDS: An intervention based on if–then plans with self‐affirming cognitions Łakuta, Patryk Krankowska, Dagny Marcinkiewicz, Przemysław Bociąga‐Jasik, Monika Komorska‐Błażewicz, Agnieszka Appl Psychol Health Well Being Original Articles Effective antiretroviral treatment has increased the life expectancy of people living with HIV, and currently, the challenges of prominent importance appear to be mental health issues. This preregistered study among adults living with HIV/AIDS investigated the effectiveness of a brief self‐affirmation intervention framed in terms of if–then plans (i.e. self‐affirming implementation intentions [S‐AII]) against both active and non‐active control conditions, forming non‐affirming implementation intentions and mere goal intentions, respectively. The primary outcomes were defined as a reduction of depressive symptoms and enhancement of well‐being, along with secondary outcomes as positive other‐ and self‐directed feelings. A total of 162 individuals were assessed for eligibility, and 130 (aged 18–74 years) were randomized to the study conditions. Intervention effects were estimated through intention‐to‐treat analysis, using linear mixed models. The S‐AII intervention yielded improvements in overall well‐being over 2 weeks (d = .23), primarily driven by positive changes in emotional (d = .24) and social (d = .30) dimensions of well‐being. There were no significant differences in depression or secondary outcomes. Based on a minimal clinically important difference index, the S‐AII intervention resulted in improvement in well‐being in approximately 40 percent of participants. Nevertheless, further systematic research is needed to optimize self‐affirmation‐interventions, before their application in real‐life contexts. John Wiley and Sons Inc. 2022-03-16 2022-08 /pmc/articles/PMC9540674/ /pubmed/35297176 http://dx.doi.org/10.1111/aphw.12357 Text en © 2022 The Authors. Applied Psychology: Health and Well‐Being published by John Wiley & Sons Ltd on behalf of International Association of Applied Psychology. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Łakuta, Patryk
Krankowska, Dagny
Marcinkiewicz, Przemysław
Bociąga‐Jasik, Monika
Komorska‐Błażewicz, Agnieszka
Enhancing well‐being and alleviating depressive symptoms in people with HIV/AIDS: An intervention based on if–then plans with self‐affirming cognitions
title Enhancing well‐being and alleviating depressive symptoms in people with HIV/AIDS: An intervention based on if–then plans with self‐affirming cognitions
title_full Enhancing well‐being and alleviating depressive symptoms in people with HIV/AIDS: An intervention based on if–then plans with self‐affirming cognitions
title_fullStr Enhancing well‐being and alleviating depressive symptoms in people with HIV/AIDS: An intervention based on if–then plans with self‐affirming cognitions
title_full_unstemmed Enhancing well‐being and alleviating depressive symptoms in people with HIV/AIDS: An intervention based on if–then plans with self‐affirming cognitions
title_short Enhancing well‐being and alleviating depressive symptoms in people with HIV/AIDS: An intervention based on if–then plans with self‐affirming cognitions
title_sort enhancing well‐being and alleviating depressive symptoms in people with hiv/aids: an intervention based on if–then plans with self‐affirming cognitions
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9540674/
https://www.ncbi.nlm.nih.gov/pubmed/35297176
http://dx.doi.org/10.1111/aphw.12357
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