Written emotional disclosure and processing of trauma are associated with protected health status and immunity in people living with HIV/AIDS

Authors: O'Cleirigh, Conall1; Ironson, Gail1; Fletcher, Mary Ann1; Schneiderman, Neil1

Source: British Journal of Health Psychology, Volume 13, Number 1, February 2008 , pp. 81-84(4)

Publisher: British Psychological Society

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Abstract:

ObjectiveThis study compared written emotional disclosure and processing of trauma among a relatively rare group of people with AIDS with atypically favourable disease status with an HIV+ comparison group. The study also examined the mediational role of emotional/cognitive processing and natural killer (NK) cells.

DesignThis study utilized a cross-sectional group comparison design.

MethodTwo HIV+ groups, the Healthy Survivors (N=37;>9-months with <50 CD4 cells/mm3 and asymptomatic), and an HIV+ comparison groups (N=100) wrote essays describing their reactions to past traumas; these were scored for emotional disclosure/processing.

ResultsHealthy survivors had higher levels of emotional disclosure and emotional/cognitive processing than the comparison group. Emotional/cognitive processing mediated the relationship between emotional disclosure and group membership. NK cell number mediated the relationship between emotional/cognitive processing and `healthy survival'.

ConclusionsThe results suggest that higher levels of emotional disclosure and processing of trauma may confer health and immunological benefits to people living with HIV/AIDS.

Document Type: Research article

DOI: 10.1348/135910707X250884

Affiliations: 1: Departments of Psychology, Psychiatry & Medicine, University of Miami, Florida, USA

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