title: Cognitive-behavioral stress management and psychological well-being in HIV+ racial/ethnic minority women with human papillomavirus.
abstract: OBJECTIVE
  This study is a secondary analysis examining the effects of a cognitive-behavioral stress management (CBSM) intervention on indicators of positive psychological well-being and negative psychological well-being in HIV-positive racial/ethnic minority women at risk for cervical cancer due to human papillomavirus (HPV) infection and/or cervical intraepithelial lesions (CIN).
  
  
  METHODS
  Racial/ethnic minority women with HIV and HPV and/or CIN I were randomized to a 10-week CBSM group or a 1-day psychoeducational seminar. Participants completed a battery of measures of positive and negative psychological well-being at 3 time points: preintervention, 3 months postenrollment, and 9 months postenrollment.
  
  
  RESULTS
  Women in the CBSM group reported significant increases in domains of positive well-being, with no changes among women in the psychoeducational seminar, F(6, 63) = 2.42, p < .05, η² = .19. There were no significant changes in domains of negative well-being across time for either group, F(2, 65) = 2.60, p = .08, η² = .07.
  
  
  CONCLUSIONS
  These findings suggest that racial/ethnic minority women with HIV at risk for cervical cancer who were randomized to a 10-week CBSM group experienced enhanced positive well-being. The lack of effects on negative well-being may be due to the relatively low levels of negative well-being present in this sample at study entry. Future research should examine whether these effects are replicated in a randomized controlled trial of women with biopsy-confirmed CIN who present with greater distress levels that also employs a time-equivalent comparison condition.
authors.affiliation: Department of Medical Social Sciences and Department of Surgery, Northwestern University Feinberg School of Medicine.
authors.forename: Sally E
authors.initials: SE
authors.lastname: Jensen
authors.affiliation: Department of Clinical and Health Psychology, University of Florida.
authors.forename: Deidre B
authors.initials: DB
authors.lastname: Pereira
authors.affiliation: UM Sylvester Comprehensive Cancer Center, University of Miami.
authors.forename: Nicole
authors.initials: N
authors.lastname: Whitehead
authors.affiliation: Department of Psychology, University of Miami.
authors.forename: Ilona
authors.initials: I
authors.lastname: Buscher
authors.affiliation: Department of Psychology, University of Miami.
authors.forename: Judith
authors.initials: J
authors.lastname: McCalla
authors.affiliation: Psychiatry and Behavioral Sciences, University of Washington.
authors.forename: Michele
authors.initials: M
authors.lastname: Andrasik
authors.affiliation: Atlanta Center for Eating Disorders.
authors.forename: Rachel
authors.initials: R
authors.lastname: Rose
authors.affiliation: Department of Psychology, University of Miami.
authors.forename: Michael H
authors.initials: MH
authors.lastname: Antoni
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006679:HIV Seropositivity / Q000208:ethnology* / Q000523:psychology*; D006801:Humans; D008913:Minority Groups / Q000523:psychology*; D030361:Papillomavirus Infections / Q000208:ethnology* / Q000523:psychology; D011788:Quality of Life / Q000523:psychology; D018570:Risk Assessment; D013315:Stress, Psychological / Q000208:ethnology* / Q000628:therapy*; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms; D002578:Uterine Cervical Dysplasia / Q000208:ethnology / Q000523:psychology