Moderating effects of cognitive adaptability on expressive writing outcomes among persons infected with human immunodeficiency virus
Review TypeNone: Degree-based Submission
Repository Posting Date2020-06-19T20:15:59Z
Author(s)Wagner, Lois J.
Author DetailsDr. Lois J. Wagner, PhD, RN
Lead Author Sigma AffliationIota
Level of EvidenceRandomized Controlled Trial
Research ApproachQuantitative Research
CINAHL HeadingsHIV-Infected Patients; Adaptation, Psychological; Psychological Well-Being; Writing; HIV-Infected Patients--Psychosocial Factors
This study explored the effects of expressive writing on psychological well-being, health status, and adherence among persons with human immunodeficiency virus (HIV) infection. It further explored the moderating effects of cognitive adaptability on these outcomes. Thirty-seven participants were randomized to write weekly for 20 minutes on each of four days, either about stressful/traumatic life experiences (experimental) or trivial, non-emotional topics (control). Dependent measures obtained at baseline were repeated one month after writing. Higher cognitive adaptability (dispositional optimism coupled with perceived competence) was associated with improvements in positive affect, global sense of meaning, HIV-cognitive adaptability, HIV-quality of life, and HIV physical functioning among expressive writers. In contrast, trivial writers remained either unchanged or declined on these outcomes. No effects were found for changes in negative affect, perceived stress, HIV-specific meaning, HIV symptom reports, illness visits, or medication and appointment adherence. Expressive writing was well tolerated among persons with HIV infection. Additional studies are warranted.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3127285; ProQuest document ID: 305104996. The author still retains copyright.
Advisor(s)Wallston, Kenneth A.
Degree GrantorVanderbilt University
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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