Optimizing the Effects of Stress Management Interventions in HIV

Conall O'Cleirigh, Steven Safren

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Scott-Sheldon, Kalichman, Carey, and Fiedler (2008) present a thoughtful, important, and timely meta-analysis of randomized controlled trials of stress management interventions in HIV. They differentiate controlled effect sizes across classes of acute outcomes including psychological distress, psychosocial processes, biological processes (immune status, viral, and hormonal) and fatigue. The authors join Scott-Sheldon et al., in considering future directions for this type of clinical psychosocial intervention research in HIV. Recommendations for addressing the high prevalence of psychosocial problems including diagnosable mental health disorders comorbid with HIV are presented. Suggestions for addressing medication adherence and accommodating interventions with concomitant substance use treatment are also considered. These recommendations are presented with an emphasis on expanding both the efficacy and effectiveness of psychosocial interventions in HIV. These recommendations are presented as realistic strategies for improving the modest treatment effect sizes for psychosocial outcomes and identifying meaningful effects on distal physiological outcomes associated with traditional stress management interventions in HIV.

Original languageEnglish (US)
Pages (from-to)297-301
Number of pages5
JournalHealth Psychology
Issue number3
StatePublished - May 2008
Externally publishedYes


  • HIV
  • immunity
  • psychoneuroimmunology
  • psychopathology
  • stress management interventions

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health


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