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Effectiveness of mindfulness-based stress reduction and mindfulness-based cognitive therapies on people living with HIV: A systematic review and meta-analysis
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- 자료유형학술지논문
- 저자명Yang, Yang,Liu, Yan-Hui,Zhang, Hong-Fu,Liu, Jing-Ying
- 학회/출판사/기관명Elsevier Science B.V. Amsterdam
- 출판년도2015
- 언어영어
- 학술지명/학위논문주기International journal of nursing sciences
- 발행사항Vol.2No.3[2015]_x000D_
- ISBN/ISSN2352-0132
- 소개/요약The development of combined antiretroviral therapy has enabled HIV-infected individuals to live for longer periods of time [1]. The WHO and UNAIDS estimated that 35 million people world-wide were living with HIV at the end of 2013 [2]. The HIV virus infects activated CD4+ T lymphocytes, causing their progressive depletion and subsequent defects in the immune system that lead to various diseases and cancers [3]. In addition to producing physiological effects, the psychological impact of having HIV/AIDS can affect disease progression as well as a patient's clinical outcome [4]. A recent study [5] reported a higher prevalence of psychological problems, such as feelings of stress, depression, and anxiety, among people living with HIV when compared to people in the general population. This may be due not only to the illness, but also to various social factors. The various mental disorders (stress, anxiety, and depression) found among people living with HIV have recently received greater attention by researchers. These psychological problems might further suppress the immune system and accelerate disease progression, causing an HIV-infected individual to develop AIDs more quickly [6]. Furthermore, such psychological problems can impair a patient's ability to understand and follow prescribed treatment regimens, leading to poor cART adherence and treatment results [7]. The WHO has stated that enhancing and preserving patient quality of life should be a primary outcome goal of contemporary HIV therapy, and that new treatment strategies should produce marked improvements in patient health [8]. Therefore, equipping HIV infected patients with the skills and coping strategies needed manage their physiological and psychological problems has become an integral part of providing comprehensive care to HIV/AIDS patients.
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