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Gepubliceerd in: Mindfulness 3/2018

10-10-2017 | ORIGINAL PAPER

The Application of Mindfulness for Individuals Living with HIV in South Africa: a Hybrid Effectiveness-Implementation Pilot Study

Auteurs: Tracy-Leigh McIntyre, Diane Elkonin, Margo de Kooker, Jessica F. Magidson

Gepubliceerd in: Mindfulness | Uitgave 3/2018

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Abstract

Despite the recent growth of mindfulness research worldwide, there remains little research examining the application of mindfulness-based interventions in resource-limited, international settings. This study examined the application of Mindfulness-Based Stress Reduction (MBSR) for HIV-infected individuals in South Africa, where rates of HIV are highest in the world. Mixed methods were used to examine the following over a three-month follow-up: (1) feasibility, acceptability, and preliminary adaptation of MBSR for this new context; and (2) effects of MBSR on immune functioning, self-reported mindfulness (MAAS, FFMQ), depression, anxiety, and stress (DASS-21). Ten individuals initiated MBSR, and seven completed all eight sessions. Results indicated medium effect size improvements in immune functioning (CD4 count and T cell count; d = .5) through the three-month follow-up, though the small sample size limited power to detect a statistically significant effect. From baseline to post-treatment, improvements in “Observing” and “Non-reactivity” (FFMQ) approached statistical significance with large effect sizes (observing: d = 1.5; p = .08; non-reactivity: d = .7; p = .07). There were no statistically significant changes in depression, anxiety, or stress throughout the study period. Primary areas for adaptation of MBSR included emphasis on informal practice, ways to create “space” without much privacy, and ways to concretize the concepts and definitions of mindfulness. Feedback from participants can shape future adaptations to MBSR for this and similar populations. Findings provide preliminary evidence regarding the implementation of MBSR for individuals living with HIV in South Africa. A future randomized clinical trial with a larger sample size is warranted.
Literatuur
go back to reference Andersen, L. S., Magidson, J. F., O’Cleirigh, C., Remmert, J. E., Kagee, A., Leaver, M., et al. (2016). A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa. Journal of Health Psychology. https://doi.org/10.1177/1359105316643375. Andersen, L. S., Magidson, J. F., O’Cleirigh, C., Remmert, J. E., Kagee, A., Leaver, M., et al. (2016). A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa. Journal of Health Psychology. https://​doi.​org/​10.​1177/​1359105316643375​.
go back to reference Antoni, M. H. (2003). Stress management and psychoneuroimmunology in HIV infection. CNS Spectrums, 8(1), 40–51.CrossRefPubMed Antoni, M. H. (2003). Stress management and psychoneuroimmunology in HIV infection. CNS Spectrums, 8(1), 40–51.CrossRefPubMed
go back to reference Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.CrossRefPubMed Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.CrossRefPubMed
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New York, NY: Routledge Academic. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New York, NY: Routledge Academic.
go back to reference Dutton, M. A., Bermudez, D., Matas, A., Majid, H., & Mylers, N. L. (2013). Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history of intimate partner violence. Cognitive and Behavioral Practice, 20(1), 23–32.CrossRefPubMed Dutton, M. A., Bermudez, D., Matas, A., Majid, H., & Mylers, N. L. (2013). Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history of intimate partner violence. Cognitive and Behavioral Practice, 20(1), 23–32.CrossRefPubMed
go back to reference Gayner, B., Esplen, M. J., DeRoche, P., Wong, J., Bishop, S., Kavanagh, L., & Butler, K. (2012). A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. Journal of Behavioral Medicine, 35(3), 272–285. https://doi.org/10.1007/s10865-011-9350-8.CrossRefPubMed Gayner, B., Esplen, M. J., DeRoche, P., Wong, J., Bishop, S., Kavanagh, L., & Butler, K. (2012). A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. Journal of Behavioral Medicine, 35(3), 272–285. https://​doi.​org/​10.​1007/​s10865-011-9350-8.CrossRefPubMed
go back to reference Gonzalez-Garcia, M., Ferrer, M. J., Borras, X., Muñoz-Moreno, J. A., Miranda, C., Puig, J., et al. (2014). Effectiveness of mindfulness-based cognitive therapy on the quality of life, emotional status, and CD4 cell count of patients aging with HIV infection. AIDS and Behavior, 18(4), 676–685. https://doi.org/10.1007/s10461-013-0612-z.CrossRefPubMed Gonzalez-Garcia, M., Ferrer, M. J., Borras, X., Muñoz-Moreno, J. A., Miranda, C., Puig, J., et al. (2014). Effectiveness of mindfulness-based cognitive therapy on the quality of life, emotional status, and CD4 cell count of patients aging with HIV infection. AIDS and Behavior, 18(4), 676–685. https://​doi.​org/​10.​1007/​s10461-013-0612-z.CrossRefPubMed
go back to reference Hoffmann, C., & Kamps, B. S. (2007). HIV medicine. Paris: Flying Publisher. Hoffmann, C., & Kamps, B. S. (2007). HIV medicine. Paris: Flying Publisher.
go back to reference Jam, S., Imani, A. H., Foroughi, M., SeyedAlinaghi, S., Koochak, H. E., & Mohraz, M. (2010). The effects of mindfulness-based stress reduction (MBSR) program in Iranian HIV/AIDS patients: a pilot study. Acta Medica Iranica, 48(2), 101–106.PubMed Jam, S., Imani, A. H., Foroughi, M., SeyedAlinaghi, S., Koochak, H. E., & Mohraz, M. (2010). The effects of mindfulness-based stress reduction (MBSR) program in Iranian HIV/AIDS patients: a pilot study. Acta Medica Iranica, 48(2), 101–106.PubMed
go back to reference Kabat-Zinn, J. (2013). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness (Revised and updated edition). New York: Bantam Books trade paperback. Kabat-Zinn, J. (2013). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness (Revised and updated edition). New York: Bantam Books trade paperback.
go back to reference Kok, R. (2011). Exploring mindfulness in self-injuring adolescents in a psychiatric setting. Journal of Pscyhology in Africa, 21(2), 185–196.CrossRef Kok, R. (2011). Exploring mindfulness in self-injuring adolescents in a psychiatric setting. Journal of Pscyhology in Africa, 21(2), 185–196.CrossRef
go back to reference Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.CrossRefPubMed Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.CrossRefPubMed
go back to reference Magidson, J. F., Gouse, H., Psaros, C., Remmert, J. E., O’Cleirigh, C., & Safren, S. A. (2017). Task shifting and delivery of behavioral medicine interventions in resource poor global settings: HIV/AIDS treatment in Sub-Saharan Africa. In A. Vranceanu, J. Greer, & S. Safren (Eds.), Massachusetts General Hospital (MGH) Handbook of Behavioral Medicine (pp. 297–320). New York: Springer.CrossRef Magidson, J. F., Gouse, H., Psaros, C., Remmert, J. E., O’Cleirigh, C., & Safren, S. A. (2017). Task shifting and delivery of behavioral medicine interventions in resource poor global settings: HIV/AIDS treatment in Sub-Saharan Africa. In A. Vranceanu, J. Greer, & S. Safren (Eds.), Massachusetts General Hospital (MGH) Handbook of Behavioral Medicine (pp. 297–320). New York: Springer.CrossRef
go back to reference Oladiji, J. O., Akinbo, S. R., Aina, O. F., & Aiyejusunle, C. B. (2009). Risk factors of post-stroke depression among stroke survivors in Lagos, Nigeria. African Journal of Psychiatry, 12(1), 47–51.CrossRefPubMed Oladiji, J. O., Akinbo, S. R., Aina, O. F., & Aiyejusunle, C. B. (2009). Risk factors of post-stroke depression among stroke survivors in Lagos, Nigeria. African Journal of Psychiatry, 12(1), 47–51.CrossRefPubMed
go back to reference Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., et al. (2011). Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76.CrossRefPubMed Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., et al. (2011). Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76.CrossRefPubMed
go back to reference Scott-Sheldon, L. A. J., Kalichman, S. C., Carey, M. P., & Fielder, R. L. (2008). Stress management interventions for HIV+ adults: a meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 27(2), 129–139. https://doi.org/10.1037/0278-6133.27.2.129.CrossRef Scott-Sheldon, L. A. J., Kalichman, S. C., Carey, M. P., & Fielder, R. L. (2008). Stress management interventions for HIV+ adults: a meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 27(2), 129–139. https://​doi.​org/​10.​1037/​0278-6133.​27.​2.​129.CrossRef
go back to reference Wiedenfeld, S. A., O’Leary, A., Bandura, A., Brown, S., Levine, S., & Raska, K. (1990). Impact of perceived self-efficacy in coping with stressors on components of the immune system. Journal of Personality and Social Psychology, 59(5), 1082–1094.CrossRefPubMed Wiedenfeld, S. A., O’Leary, A., Bandura, A., Brown, S., Levine, S., & Raska, K. (1990). Impact of perceived self-efficacy in coping with stressors on components of the immune system. Journal of Personality and Social Psychology, 59(5), 1082–1094.CrossRefPubMed
Metagegevens
Titel
The Application of Mindfulness for Individuals Living with HIV in South Africa: a Hybrid Effectiveness-Implementation Pilot Study
Auteurs
Tracy-Leigh McIntyre
Diane Elkonin
Margo de Kooker
Jessica F. Magidson
Publicatiedatum
10-10-2017
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 3/2018
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-017-0827-6

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