Living with HIV: Responses to a Mantram Intervention Using the Critical Incident Research Method

Kemppainen, Jeanne; Bormann, Jill E.; Shively, Martha; Kelly, Ann E.; Becker, Sheryl; Bone, Patricia; Belding, Wendy; Gifford, Allen L.

doi:10.1089/acm.2009.0489

Cited by 18 publications

(21 citation statements)

References 32 publications

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“…Future research efforts must also be directed toward women and recent cohorts of returning Veterans from Iraq or Afghanistan to synthesize research with all eras of Veterans for patterns of similar reactions. Nevertheless, similar mantram stories describing the effect of calming and letting go of negative feelings have been found in other studies conducted in Veterans without PTSD [18], in adults living with human immunodeficiency virus [19], in family caregivers of Veterans with dementia [34], and in healthcare workers [35][36].…”

Section: Discussionsupporting

confidence: 73%

“…Mantram repetition is supported by intentionally slowing down one's thoughts and practicing one-pointed attention, concentrating on the mantram with awareness. The MRP has been found to be an effective method for managing psychological distress and improving quality of life in a variety of groups, including both Veterans and nonVeterans [18][19][20][21][22][23]. The Veteran repeats a mantram, a word or phrase with a spiritual meaning [24], silently and frequently throughout the day during nonstressful times so that it can be habitually employed to regulate emotions during triggering events.…”

Section: Introductionmentioning

confidence: 99%

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Responses to Mantram Repetition Program from Veterans with posttraumatic stress disorder: A qualitative analysis

Bormann¹,

Hurst

Kelly

2013

J Rehabil Res Dev

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Abstract-This study describes ways in which a MantramRepetition Program (MRP) was used for managing posttraumatic stress disorder (PTSD) symptoms in 65 outpatient Veterans with PTSD. The MRP consisted of six weekly group sessions (90 min/wk) on how to (1) choose and use a mantram, (2) slow down thoughts and behaviors, and (3) develop onepointed attention for emotional self-regulation. Critical incident research technique interviews were conducted at 3 mo postintervention as part of a larger randomized clinical trial. The setting was an academic-affiliated Department of Veterans Affairs hospital in southern California. Categorization and comparison of the types and frequency of incidents (i.e., triggering events) were collected. Participants reported a total of 268 triggering events. Content analysis of the outcomes resulted in 12 discreet categories, including relaxing and calming down, letting go of negative feelings, thinking clearly and rationally, diverting attention away from triggering events, focusing attention, refining mantram skills, dealing with sleep disturbances, coming back from flashbacks, slowing down, communicating thoughts and feelings more effectively, feeling in touch spiritually, and letting go of physical pain. The study shows that the MRP was helpful in managing a wide range of emotional reactions in Veterans with PTSD.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Responses to Mantram Repetition Program from Veterans with posttraumatic stress disorder: A qualitative analysis

Bormann¹,

Hurst

Kelly

2013

J Rehabil Res Dev

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“…Potentially, spirituality-based interventions may aid in trauma treatment, as some experimental studies suggest. [57][58][59] As Pargament 60 points out, the critical question is not if but how spirituality should be assessed in the clinical setting. Before addressing the topic of spirituality, clinicians need to establish a relationship in which people feel comfortable to open up about their spirituality.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Spiritual Coping with Trauma in People with HIV: Implications for Health Care

Kremer

Ironson

2014

AIDS Patient Care and STDs

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This 10-year study (N = 177) examines how people with HIV use spirituality to cope with life's trauma on top of HIV-related stress (e.g., facing death, stigma, poverty, limited healthcare) usual events. Spirituality, defined as a connection to a higher presence, is independent from religion (institutionalized spirituality). As a dynamic adaptive process, coping requires longitudinal studying. Qualitative content-analysis of interviews/essays yielded a coding of specific aspects and a longitudinal rating of overall spiritual coping. Most participants were rated as spiritual, using spiritual practices, about half experienced comfort, empowerment, growth/transformation, gratitude, less than one-third meaning, community, and positive reframing. Up to one-fifth perceived spiritual conflict, struggle, or anger, triggering post-traumatic stress, which sometimes converted into positive growth/transformation later. Over time, 65% used spiritual coping positively, 7% negatively, and 28% had no significant use. Spirituality was mainly beneficial for women, heterosexuals, and African Americans ( p < 0.05). Results suggest that spirituality is a major source of positive and occasionally negative coping (e.g., viewing HIV as sin). We discuss how clinicians can recognize and prevent when spirituality is creating distress and barriers to HIV treatment, adding a literature review on ways of effective spiritual assessment. Spirituality may be a beneficial component of coping with trauma, considering socio-cultural contexts.

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“…Entretanto, as alterações decorrentes do próprio HIV e a exposição ao TARV podem ter contribuído para sua maior frequência, uma vez que esses pacientes podem desenvolver complicações relacionadas ao envelhecimento prematuro, predispondo a pré-sarcopenia, aumentando o risco de declínio funcional e mortalidade posteriormente 19 . Já é descrito na literatura que alguns medicamentos antirretrovirais podem favorecer fenômenos próprios do envelhecimento, provocando miopatia inflamatória e mialgia, decorrentes da inibição de transcriptase reversa de telomerase e do acúmulo de precursores lamin A, levando à senescência celular 20,21 . O advento da terapia antirretroviral altamente ativa (HAART) melhorou a sobrevida (> 35 anos) para pessoas infectadas pelo HIV e tem significativamente contribuído para o aumento do número de indivíduos mais velhos (≥50 anos) vivendo com HIV.…”

Section: Conclusãounclassified

Sarcopenia Em Uma Amostra De Indivíduos Infectados Hiv Atendidos a Nível Ambulatorial

Lédo¹,

Neves

Martinez³

et al. 2017

Rev Pesq Fisio

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| The population HIV-infected is agingand sarcopenia is an important health problem that can affect this population, leading to negative consequences such as mobility decline, worsening quality of life and even death. This study aims to describe the frequency of sarcopenia in HIV-infected patients in two clinics in the city of Salvador, Brazil. Methods: This was a crosssectional study involving 128 patients infected with the HIV virus. We included subjects aged ≥18 years infected with HIV, with ability to execute simple external commands, hemodynamic stability, ambulatory capacity without external assistance, absence of dyspnea or any cardiorespiratory alteration. The diagnosis of sarcopenia was determined by the combination of reduction of skeletal mass, obtained through an anthropometric equation; with muscle weakness and / or poor physical performance. These two measurements were taken with the grip dynamometer and the walk speed respectively. Results: There was an association between sarcopenia with the variables age (p = 0.001), longer time of antiviral treatment (p = 0.001) and higher rate of Charlson comorbidities (p = 0.003). Conclusion: The frequency of sarcopenia among HIV-infected individuals was low, with a higher frequency of pre-sarcopenia, suggesting a need for greater attention to this population regarding interventions such as strength training and better nutritional intake.

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Living with HIV: Responses to a Mantram Intervention Using the Critical Incident Research Method

Cited by 18 publications

References 32 publications

Responses to Mantram Repetition Program from Veterans with posttraumatic stress disorder: A qualitative analysis

Responses to Mantram Repetition Program from Veterans with posttraumatic stress disorder: A qualitative analysis

Longitudinal Spiritual Coping with Trauma in People with HIV: Implications for Health Care

Sarcopenia Em Uma Amostra De Indivíduos Infectados Hiv Atendidos a Nível Ambulatorial

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