title: The effect of a Health Realization/Innate Health psychoeducational seminar on stress and anxiety in HIV-positive patients.
abstract: BACKGROUND
  Chronic stress and depression have a negative impact on immune functioning and threaten the well-being of HIV-positive patients. Although therapy methods, such as Cognitive Behavioral Therapy, have been shown to reduce stress and depression in such patients, not all patients are willing or able to undergo therapy over time. The Health Realization/Innate Health (HR/IH) psychoeducational approach is a brief intervention alternative that can be presented in a classroom setting. It engages participants' innate capacity to realize peace of mind.
  
  
  METHODS
  Eight volunteer participants from patients in the Positive Health Clinic at West Virginia University School of Medicine attended a 1-1/2 day HR/IH seminar called "Finding Your Natural Peace of Mind". Shortly before the seminar started, the Brief Symptom Inventory (BSI) was administered by a Clinic staff member. The BSI was administered again immediately following the seminar. The BSI was mailed to the participants four weeks following the seminar with a return envelope. Participants' confidentiality was maintained through a coded ID. Pre-, post- and follow-up results were compared.
  
  
  RESULTS
  Each case was evaluated individually. The participant who pre-tested in the "psychiatric inpatient" range of the BSI showed no change after the seminar or at follow-up. The participants who tested in the non-patient normal range before the seminar showed some improvement after and at follow-up. The participants who scored in the "psychiatric outpatient" range entering the seminar all showed improvement that was sustained upon follow-up.
  
  
  CONCLUSIONS
  The HR/IH psychoeducational approach deserves further study as a brief intervention for stress-reduction in HIV-positive patients.
authors.affiliation: West Virginia University School of Medicine, Morgantown, WV 26506, USA. jsedgeman@hsc.wvu.edu
authors.forename: Judith A
authors.initials: JA
authors.lastname: Sedgeman
authors.forename: Arif
authors.initials: A
authors.lastname: Sarwari
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000517:prevention & control; D006679:HIV Seropositivity / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects; D011614:Psychotherapy, Brief; D013312:Stress, Physiological / Q000517:prevention & control*; D016896:Treatment Outcome