HIV Infections
Conditions
Keywords
Complementary Therapies
Brief summary
The specific objective of this study are to examine whether or not a treatment aimed at emotional disclosure may have beneficial psychological, health and immune effects for HIV infected individuals. The goal of the current study is to test the efficacy of emotional disclosure through writing in patients with HIV infection. We will compare emotional disclosure through writing about traumatic experiences (experimental intervention) to a control intervention (writing about emotionally neutral topics). \[Note that HIV RNA viral load, CD4 T cells, urinary cortisol, health related dysfunction, psychological distress, and medication adherence are the 6 primary outcome variables.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-65 years of age inclusive * At least 8 years of formal education * Literate * Fluent in English All of the following three must apply: * No active Category C HIV AIDS-defining symptoms * CD4 T-lymphocyte count between 150-499 * Viral load \>1000
Exclusion criteria
* Less than 8 years formal education * Illiterate or non-English speaking * Active systemic diseases that would interfere with participation * Current alcohol or substance dependence * Planned change in HIV medication in the next 6 months, or recent change in past 2 months * Introduction of antidepressant medication within 30 days of study start * Current psychological counseling, cognitive behavior therapy, support group or other psychological therapy, or plans to start any of the above * Diagnosis of PTSD or major depression * Unable to attend at least 4 treatment sessions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease in psychological distress | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Increase in CD4 T-lymphocytes | 1 year |
| Decrease in the number of HIV symptoms | 1 year |
Countries
United States