A randomized controlled trial was conducted to test the effects of an intervention centered on cognitive coping skills as compared to one focused on expression of emotions. Both interventions were concerned with emotional response regulation in human immunodeficiency virus (HIV)-positive persons experiencing an exacerbation of HIV-related symptoms. Ninety hospitalized patients were randomly assigned to one of three groups: cognitive group, expression group and control group. Interventions were administered on three consecutive days in 20--30 minute daily sessions. Pre/post data were gathered on mood, distress, and anxiety. / Both interventions produced a beneficial effect on negative affect, from the day before the intervention to the day after and on the other days. Neither intervention affected positive affect. Paired T-tests indicated a decrease in distress, specifically, intrusive thoughts for cognitive intervention participants. Also, this group experienced a decrease in anxiety from immediately before to immediately after each session. Conversely, expression-of-emotion intervention participants experienced an increase in anxiety. / The cognitive nursing intervention is effective in helping to regulate HIV-positive patients' emotional response to advanced disease. The cognitive nursing intervention can be used readily by skilled practitioners providing daily care.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.35994 |
| Date | January 1999 |
| Creators | Côté, José Kathleen. |
| Contributors | Pepler, Carolyn (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Doctor of Philosophy (School of Nursing.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001681971, proquestno: NQ55315, Theses scanned by UMI/ProQuest. |
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