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Mindfulness-Based Interventions for Adults Living with HIV/AIDS: A Systematic Review and Meta-analysis
Ist Teil von
AIDS and behavior, 2019-01, Vol.23 (1), p.60-75
Ort / Verlag
New York: Springer US
Erscheinungsjahr
2019
Quelle
SpringerLink
Beschreibungen/Notizen
This meta-analysis examined the effects of mindfulness-based interventions (MBIs) on stress, psychological symptoms, and biomarkers of disease among people living with HIV/AIDS (PLWHA). Comprehensive searches identified 16 studies that met the inclusion criteria (
N
= 1059
; M
age = 42 years; 20% women). Participants had been living with HIV for an average of 8 years (range = < 1–20 years); 65% were currently on antiretroviral therapy. Between-group analyses indicated that depressive symptoms were reduced among participants receiving the MBIs compared to controls (
d
+ = 0.37, 95% CI 0.03, 0.71). Within-group analyses showed reductions in psychological symptoms (i.e., less anxiety, fewer depressive symptoms) and improved quality of life over time among MBI participants (
d
+s = 0.40–0.85). No significant changes were observed for immunological outcomes (i.e., CD4 counts) between- or within-groups. MBIs may be a promising approach for reducing psychological symptoms and improving quality of life among PLWHA. Studies using stronger designs (i.e., randomized controlled trials) with larger sample sizes and longer follow-ups are needed to clarify the potential benefits of MBIs for PLWHA.