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Cognitive reorganization and stigmatization among persons with HIV
Elizabeth Abel1, Lynn Rew, Eva-Maria Gortner
1School of Nursing, University of Texas at Austin, Austin, Texas 78701, USA. eabel@mail.utexas.edu
Journal of Advanced Nursing
|August 18, 2004
Summary
Emotional writing can help individuals with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) reorganize thoughts, reduce stigma, and improve mental health. This approach shows promise for health promotion in this population.
Area of Science:
- Psychology
- Health Promotion
- Medical Sociology
Background:
- Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) diagnosis presents significant life challenges, including disease, stigma, and isolation.
- Expressive writing and disclosure of stressful experiences can lead to cognitive reorganization and emotional change.
- These changes are linked to behavioral, psychological, and physical health benefits across diverse populations.
Purpose of the Study:
- To introduce the Integrated Model of Health Promotion tailored for individuals with HIV/AIDS.
- To present preliminary findings from a pilot study evaluating this model in women living with HIV/AIDS.
Main Methods:
- The Integrated Model of Health Promotion is detailed, supported by a review of relevant literature.
- An emotional writing disclosure intervention was employed within a feasibility pilot study.
Main Results:
- Participants using the emotional writing intervention showed cognitive reorganization.
- A reduction in perceived stigma was observed in the experimental group.
- Improvements in mental health scores were noted compared to the control group.
Conclusions:
- The findings support the Integrated Model of Health Promotion for individuals with HIV/AIDS.
- Emotional writing demonstrates potential for promoting health and behavioral benefits.
- Further research is needed due to the pilot study's limited sample size before establishing practice guidelines.