The highly effective pharmaceutical polytherapies for the treatment of HIV (Human immunodeficiency virus) and AIDS (Acquired immune deficiency syndrome) have practically reduced HIV and AIDS to a chronic condition like any other chronic illness. People living with HIV and AIDS can now have an almost normal life expectancy; the challenge for them is to live a physically and mentally healthy life. These challenges involve avoiding and managing opportunistic infections physically on one hand and taking care of their mental health needs and promoting and sustaining psycho-social well-being on the other hand. Although a torrent of research has studied the psychosocial correlates of slower disease progression and psycho-social well-being among people living with HIV and AIDS, very few sustained approaches have been made to understand and isolate the contribution of different psycho-bio-behavioural parameters for the psycho-immuno-enhancement in people living with HIV and AIDS. Systematic search in different electronic databases as well as different relevant psychological and AIDS care journals have been done to assimilate and review the research studying the effect of different psycho-social, bio-behavioural interventions through randomised control trials on the health promotion, well-being and disease progression parameters in people living with HIV and AIDS. The article makes an attempt to synchronise and consolidate these research efforts, discussing the role of cognitive behavioural stress management, exercise, spiritual practices, hypnosis, relaxation and guided imagery, social support for the psycho-immuno-enhancement in lives of people living with HIV and AIDS, and suggests a comprehensive three-tier intervention model, consisting of intervention at individual, dyadic and community levels, for psychological and immunological improvement in lives of people living with HIV and AIDS.
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References
1.
Andersen, B.L. , Kiecolt-Glaser, J.K. , & Glaser, R. (1994). A biobehavioral model of cancer stress and disease course . American Psychology, 49(5), 389–404 .
2.
Anderson, M. , Tinsley, J. , Milfort, D. , Wilcox, R. , Smereck , G. , Pfoutz, S. , Creech, S. , Mood, D. , Smith, T. , Adams, L. , Thomas, R. , & Connelly, C. (2005). HIV healthcare access issues for women living with HIV, mental illness and substance abuse . AIDS Patient Care & STDs, 19(7), 449–459 .
3.
Antoni, M.H. , Baggett, L. , Ironson, G. , Laperriere, A. , August, S. , Klimas, N. et al. (1991). Cognitive-behavioral stress management intervention buffers distress responses and immunologic changes following notification of HIV-1 seropositivity . Journal of Consulting and Clinical Psychology, 59, 906–915 .
4.
Antoni, M.H. , Schneiderman, N. , & Fletcher, M.A. (1990). Psychoneuroimmunology and HIV-1 . Journal of Consulting and Clinical Psychology, 58(1), 38–49 .
5.
Antoni, M.H. , Schneiderman, N. , Klimas, N. , Laperriere, A. , Ironson, G. , & Fletcher, M.A. (1991). Disparities in psychological, neuroendocrine and immunological patterns in asymptomatic HIV-1 seropositive and seronegative gay men . Biological Psychiatry, 29, 1023–1041 .
6.
Bakken, S. , Holzemer, W.L. , Brown, M.A. , Powell-Cope, G.M. , Turner, J.G. , Inouye, J. , Kathleen, M. , & Corless, I.B. (2000). Relationships between perception of engagement with health care provider and demographic characteristics, health status and adherence to therapeutic regimen in persons with HIV and AIDS . AIDS Patient Care & STDs, 14, 189–197 .
7.
Balfour, L. , Kowal, J. , Silverman, A. , Angel, J.B. , MacPherson, P.A. , Graber, C.L. et al. (2006). A randomized controlled psycho-education intervention trial: Improving psychologic readiness for successful HIV medication adherence and reducing depression before initiating HAART . AIDS Care, 18(7), 830–838 .
8.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall, Inc .
9.
Bandura, A. (1991). Self-efficacy mechanism in physiological activation and health promoting behavior. In I.J. Madden (Ed.), Neurobiology of Learning, Emotion and Affect (pp. 229–270). New York: L. Raven .
10.
Baron, R.M. , & Kenny, D.A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations . Journal of Personality and Social Psychology, 51, 1173–1182 .
11.
Becker, M.H. , Maiman, L.A. , Kirscht, J.P. , Haefner, D.P. , & Drachman, R.H. (1977). The health belief model and prediction of dietary compliance: A field experiment . Journal of Health and Social Behavior; 18, 348–366 .
12.
Bertolote, J.M. , Collins, P.Y. , Freeman, M.C. , & Patel, V. (2005). Integrating mental health in global initiatives for HIV and AIDS . British Journal of Psychiatry, 187, 1–3 .
13.
Bormann, J.E. (2006). Effects of spiritual mantram repetition on HIV outcomes: A randomized controlled trial . Journal of Behavioural Medicine, 29(4), 359–379 .
14.
Brazier, A. , Mulkins, A. , & Verhoef, M. (2006). Evaluating a yogic breathing and meditation intervention for individuals living with HIV and AIDS . American Journal of Health Promotion, 20(3), 192–195 .
15.
Burnam, M.A. , Bing, E.G. , Morton, S.C. , Sherbourne, C. , Fleishman, J.A. , London, A.S. et al. (2001). Perceived social environment and quality of life among people living with HIV and AIDS in Northern Thailand . Archives of General Psychiatry, 58(8), 729–736 .
16.
Byrnes, D.M. , Antoni, M.H. , Goodkin, K. , Efantis-Potter, J. , Asthana, D. , Simon,T. et al. (1998). Stressful events, pessimism, natural killer cell cytotoxicity and cytotoxic/ suppressor T cells in HIV+ black women at risk for cervical cancer . Psychosomatic Medicine, 60(6), 714–722 .
17.
Carlson, L.E. , Speca, M. , Patel, K.D. , & Goodey, E. (2004). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulphate (DHEAS) and melatonin in breast and prostrate cancer outpatients . Psychoneuroimmunology, 29, 438–447 .
18.
Carrico, A.W. , Duran, R.E. , Ironson, G. , Penedo, F. , Fletcher, M.A. , Klimas, N. , & Scheiderman, N. (2006). Reductions in depressed mood and denial coping during cognitive behavioural stress management with HIV positive gay men treated with HAART . Annals of Behavioural Medicine, 31(2), 155–164 .
19.
Chesney, M.A. , Chambers, D.B. , Taylor, J.M. , Johnson, L.S. , & Folkman, S. (2003). Coping effectiveness training for men living with HIV: Results from a randomized clinical trial testing a group-based intervention . Psychosomatic Medicine, 65, 1038–1046 .
20.
Chesney, M.A. , Darbes, L.A. , Hoerster, K. , Yaylor, J.M. , Chamber, D.B. , & Anderson, D.E. (2005). Positive emotions: Exploring the other hemisphere in behavioural medicine . Journal of Behavioural Medicine, 12(2), 50–58 .
21.
Chesney, M.A. , & Folkman, S. (1994). Psychological impact of HIV disease and implications for intervention . Psychiatric Clinics of North America, 17, 163–182 .
22.
Chesney, M. , Folkman, S. , & Chambers, D. (1996). Coping effectiveness training for men living with HIV: Preliminary findings . International Journal of STD & AIDS, 7(Suppl. 2), 75–82 .
23.
Chesney, M.A. , Ickovics, J.R. , Chambers, D.B. , Gifford, A.L. , Neidig, J. , Zaickl, B. , & Wu, A.W. (2000). Self reported adherence to antiretroviral medications among participants in HIV clinical trials: The AACTG adherence instruments. Patient Care Committee & Adherence Working Group of the Outcomes Committee of the Adult AIDS Clinical Trials Group (AACTG) . AIDS Care, 12, 255–266 .
24.
Chesney, M.A. , Neilands, T.B. , Chamber, D.B. , Taylor, J.M. , & Folkman, S. (2006). A validity and reliability study of the coping self-efficacy scale . British Journal of Health Psychology, 11, 421–437 .
25.
Cole, S.W. , Kemeny, M.E. , & Taylor, S.E. (1997). Social identity and physical health: Accelerated HIV progression in rejection-sensitive gay men . Journal of Personality and Social Psychology, 72(2), 320–335 .
26.
Collins, P.Y. , Holman, A.R. , Freeman, M.C. , & Patel, V. (2006). What is the relevance of mental health to HIV and AIDS care and treatment programs in developing countries? A systematic review . AIDS, 20(12), 1571–1582 .
27.
Collins, R.L. , Kanouse, D.E. , Senterfitt, J.W. , McCaffrey, D.F. , Gifford, A.L. , Schuster, M.A. , Shapiro, M. , & Wenger, N.S. (2001). Changes in health-promoting behavior following diagnosis with HIV: Prevalence and correlates in a national probability sample . Health Psychology, 20, 351–360 .
28.
Davidson, R.J. , Coe, C.C. , Dolski, I. , & Donzella, B. (1999). Individual differences in prefrontal activation asymmetry predict natural killer cell activity at rest and in response to challenge . Brain, Behavior, and Immunity, 13, 93–108 .
29.
Demmer, C. (2003). Relationship with health care provider and adherence to HIV medications . Psychological Reports, 93, 494–496 .
30.
Engel, G.L. (1971). Sudden and rapid death during psychological stress . Annals of Internal Medicine, 74, 771–782 .
31.
Evans, D.L. , Leserman, J. , Perkins, D.O. , Stern, R.A. , Murphy, C. , Tamul, K. , Liao, D. , van der Horst, C. , Hall, C.D. , Folds, J.D. , Golden, R.N. , & Petitto, J.M. (1995). Stress associated reductions of cytotoxic T-lymphocytes and natural killer cells in asymptomatic HIV infection . American Journal of Psychiatry, 152(4), 543–550 .
32.
Evans, D.L. , Leserman, J. , Perkins, D.O. , Stern, R.A. , Murphy, C. , Zheng, B. , Gettes, D. , Longmate J.A. , Silva, S.G. , van der Horst, C.M. , Hall, C.D. , Folds, J.D. , Golden, R.N. , & Petitto, J.M. (1997). Severe life stress as a predictor of early disease progression in HIV infection . American Journal of Psychiatry, 154(5), 630–634 .
33.
Fredrickson, B.L. , & Levenson, R.W. (1998). Positive emotions speed recovery from the cardiovascular sequelae of negative emotions . Cognition and Emotion, 12, 191–220 .
34.
Freeman, M. , Patel, V. , Collins, P.Y. , & Bertolote, J. (2005). Integrating mental health in global initiatives for HIV and AIDS . The British Journal of Psychiatry, 187, 1–3 .
35.
Fukunishi, I. , Hoshaka, T. , Matsumoto, T. , Hayashi, M. , Negishi, M. , & Moriya, H. (1997). Liaison psychiatry and HIV infection (11): Application of relaxation in HIV positive patients . Psychiatry and Clinical Neuroscience, 51(1), 5–8 .
36.
Glaser, R. (2005). Stress-associated immune dysregulation and its importance for human health: A personal history of psychoneuroimmunology . Brain, Behaviour, and Immunity, 19, 3–11 .
Glaser, R. , Rabin, B. , Chesney, M. , Cohen, S. , & Natels, B. (1999). Stress-induced immunomodulation: Implications for infectious diseases?Journal of American Medical Association, 281(24), 2268–2270 .
39.
Glaser, R. , Rice, J. , Sheridan, J. , Fertel, R. , Stout, J. , Speicher, C.E. , Pinsky, D. , Kotur, M. , Post, A. et al. (1987). Stress-related immune suppression: Health implications . Brain, Behavior, and Immunity, 1, 7–20 .
40.
Glaser, R. , Rice, J. , Speicher, C.E. , Stout, J. , & Kiecolt-Glaser, J.K. (1986). Stress depresses interferon production by leukocytes concomitant with a decrease in natural killer cell activity . Behavioral Neuroscience, 100, 675–678 .
41.
Gruzelier, J.H. (2002a). A review of the impact of hypnosis, relaxation, guided imagery and individual differences on aspects of immunity and health . Stress, 5, 147–163 .
42.
Gruzelier, J.H. (2002b). The role of psychological intervention in modulating aspects of immune function in relation to health and well-being . International Review of Neurobiology, 52, 383–417 .
43.
Hassad, R. (2000, July 9–14). Logistic regression modeling in AIDS/HIV bio-behavioral research . Paper presented at XIII International Conference on AIDS, Durban, South Africa, 13: abstract no. ThPeD5655.
44.
HIV Weekly. (2006, 14 November). Available at www.aidsmap.com/hivweekly
45.
Ichikawa, M. , & Natpratan, C. (2006). Perceived social environment and quality of life among people living with HIV and AIDS in Northern Thailand . AIDS Care, 18(2), 128–132 .
46.
Ironson, G. , & Schneiderman, N. (2002). Psychosocial factors, spirituality, religiousness, and immune function in HIV and AIDS patients. In H.G. Koenig & H.J. Cohen (Eds), The Link Between Religion and Health: Psychoneuroimmunogy and The Faith Factor (pp. 139–159). New York: Oxford University Press .
47.
Ironson, G. , Solomon, G.F. , Balbin, E.G.O. , O'Cleirigh, C. , George, A. , Kumar, M. , Larson, D. , & Woods, T.E. (2002). The Ironson-Woods spirituality/religiousness index associated with long survival, health behaviors, less distress and low cortisol in people with HIV and AIDS . Annals of Behavioral Medicine, 24(1), 34–48 .
48.
Ironson, G. , Weiss, S. , Lydston, D. , Ishil, M. , Jones, D. , Asthana, D. , Tobin, J. , Lechner, S. , Schneiderman, N. , & Antoni, M. (2005). The impact of improved self-efficacy on HIV viral load and distress in culturally diverse women living with AIDS: The smartest women's project . AIDS Care, 17(2), 222–236 .
49.
Jhonson, M.O. , Chesney, M.A. , Goldstein, R.B. , Remein, R.H. , Catz, S. , Gore-Felton, C. , Chevlebois, E. , & Morin, S.F. (2006). Positive provider interactions, adherence self-efficacy, and adherence to anti-retroviral medications among HIV infected adults: A medication model . AIDS Patient Care & STDs, 20(4), 258–268 .
50.
Jhonson, M.O. , Elliot, T.R. , Neilands, T.B. , Morin, S.F. , & Chesney, M.A. (2006). A social problem-solving model of adherence to HIV medications . Health Psychology, 25(3), 355–363 .
51.
Johnson, M.O. , Catz, S.L. , Remien, R.H. , Rotheram-Borus, M.J. , Morin, S.F. , & Charlebois, E. (2003). Theory guided, empirically supported avenues for intervention on HIV medication nonadherence: Findings from a healthy living project . AIDS Patient Care & STDs, 17, 645–656 .
52.
Kabat-Zinn, J. , Massion, A.O. , Kristeller, J. , Peterson, L.G. , Fletcher, D.E. , Pbert, O. , Lenderking, W.R. , & Santorelli, S.F. (1992). Effectivenes of a meditation-based stress reduction program in the treatment of anxiety disorders . American Journal of Psychiatry, 149(7), 943–963 .
53.
Kemeny, M.E. , Weiner, H. , Duran, R. , Taylor, S.E. , Visscher, B. , & Fahey, J.L. (1995). Immune system changes after the death of a partner in HIV-positive gay men . Psychosomatic Medicine, 57(6), 547–554 .
54.
Keyes C.L.M. , &. Haidt, J. (Eds). (2003). Flourishing: Positive psychology and the life well-lived. Washington D.C.: American Psychological Association .
55.
Khasgiwala, A. , Rowl, I. , Biswas, U.N. , & Sharma, M. (2006). Evaluation and Monitoring of VCCTCs in Gujarat State: Phase1 . Report submitted to Gujarat AIDS Control Society, Ahmedabad, India.
56.
Kobassa, S.C. , Maddi, S.R. , & Zola, M.A. (1983). Type A and Hardiness . Journal of Behavioral Medicine, 6(1), 41–51 .
57.
Koenig, H.G. , & Cohen, H.J. (2002). The link between religion and health: Psychoneuroimmunology and the faith factor. New York: Oxford University Press .
58.
Krishna, V.A.S. , Bhatti, R.S. , Chandra, P.S. , & Juvva, S. (2005). Unheard Voices: Experiences of families living with HIV and AIDS in India . Contemporary Family Therapy, 27(4), 483–506 .
59.
Laidlaw, T.M. , Kerstein, R. , Bennett, B.M. , Naito, A. , Henderson, D.C. , Dwivedi, P. , & Gruzelier, J.H. (2004). Hypnotisability and immunological response to psychological intervention in HIV . Contemporary Hypnosis, 21, 126–135 .
60.
Langenfeld, M.C. , Cipani, E. , & Borckardt, J.J. (2002). Hypnosis for the control of HIV and AIDS related pain . International Journal of Clinical and Experimental Hypnosis, 50(2), 170–188 .
61.
Laperriere, A. , Fletcher, M.A. , Antoni, M.H. , Klimas, N.G. , Ironson, G. , & Schneiderman, N. (1991). Aerobic exercise training in an AIDS risk group . International Journal of Sports Medicine, 12, S53–S57 .
62.
Laperriere, A. , Klimas, N. , Fletcher, M.A. , Perry, A. , Ironson, G. , Perna, F. , & Schneiderman, N. (1997). Change in CD4+cell enumeration following aerobic exercise training in HIV-1 disease: Possible mechanisms and practical applications . International Journal of Sports Medicine, 18(Suppl. 1), S56–S61 .
63.
Leserman, J. , Jackson, E.D. , Petitto, J.M. , Golden, R.N. , Silva, S.G. , Perkins, D.O. , Cai, J. , Folds, J.D. , & Evans, D.L. (1999). Progression to AIDS: The effects of stress, depressive symptoms and social support . Psychosomatic Medicine, 61(3), 397–406 .
64.
Lox, C.E. , McAuley, E. , & Tucker, R.S. (1996). Aerobic and resistance exercise training effects on body composition, muscular strength, and cardiovascular fitness in an HIV-1 population . International Journal of Behavioral Medicine, 3, 55–69 .
65.
Lundervold, D.A. , & Poppen, R. (2004). Biobehavioral intervention for older adults coping with essential tremor . Applied Psychophysiology and Biofeedback, 29(1), 63–73 .
66.
Lyketsos, C.G. , Hoover, D.R. , Guccione, M. , Senterfitt, W. , Dew, M.A. , Wesch, J. , Vanraden, M.J. , Treisman, G.J. , & Morgenstern, H. (1993). Depressive symptoms as predictors of medical outcomes in HIV infection . Journal of American Medical Association, 270(21), 2563–2567 .
67.
McArthur, R.O. , Levine, S.D. , & Birk, T.J. (1993). Supervised exercise training improves cardiopulmonary fitness in HIV-infected persons . Medicine and Science in Sports and Exercise, 25, 684–688 .
68.
McDaniel, J.S. , & Gillenwater, D.R. (1999). Psychoneuroimmunology and HIV disease progression . Psychiatric Times, 16(10), 14–26 .
69.
Miller, G.E. , Kemeny, M.E. , Taylor, S.E. , Cole, S.W. , & Visscher, B.R. (1997). Social relationships and immune processes in HIV seropositive gay and bisexual men . Annals of Behavioural Medicine, 19(2), 139–151 .
70.
Moser, D. , Peden, A. , Rayens, M.K. , & Whayne, T., Jr. (2004–2009). Biobehavioral Intervention in Heart Failure . Research project funded by the National Institute of Health/ National Institute of Nursing Research, USA.
71.
Moss, G.R. , O'Connell, P. , & Moynihan, N. (1991). A biobehavioral model for hospital psychiatry in an era of increasing regulation and cost containment . Community Psychiatry, 42, 166–170 .
72.
Mustafa, T. , Sy, F.S. , MaCera, C.A. , Thompson, S.J. , Jackson, K.L. , Selassie, A. , & Dean, L.L. (1999). Association between exercise and HIV progression in a cohort of homosexual men . Annals of Epidemiology, 9, 127–131 .
73.
Nezu, A.M. , Nezu, C.M. , and Geller, P.A. (2003). Health psychology (vol. 9). New Jersey: John Wiley .
74.
Nixon, S. , O'Brien, K. , Glazier, R.H. , & Tynan, A.M. (2003). Aerobic exercise interventions for adults living with HIV and AIDS (Cochrane Review). In The Cochrane Library, Issue 4. Chichester, UK: John Wiley & Sons, Ltd .
75.
Pakenham, K.I. , Dadds, M.R. , & Lennon, H.V. (2002). The efficacy of psychosocial intervention for HIV and AIDS caregiving dyads and individual care-givers: A controlled treatment outcome study . AIDS care, 14(6), 731–750 .
76.
Pankonin, C.A. (2006). Sharing common principles: Blending the primary health care and harm reduction paradigms to meet common health goals in HIV and AIDS prevention . Australian Journal of Primary Health-Interchange, 12(3), 34–43 .
77.
Remien, R.H. , Hirky, A.E. , Johnson, M.O. , Weinhardt, L.S. , Whittier, D. , & Minh-LE, G. (2003). Adherence to medication treatment: A qualitative study of facilitators and barriers among a diverse sample of HIV+ men and women in four U.S. cities . AIDS & Behaviour, 7, 61–72 .
78.
Rigsby, L.W. , Dishman, R.K. , Jackson, A.W. , Maclean, G.S. , & Raven, P.B. (1992). Effects of exercise training on men seropositive for the human immunodefiency virus-1 . Medicine and Science in Sports and Exercise, 24, 6–12 .
79.
Roberts, K.J. (2002). Physician–patient relationships, patient satisfaction, and antiretroviral medication adherence among HIV-infected adults attending a public health clinic . AIDS Patient Care & STDs, 16, 43–50 .
80.
Rucklidge, J.J. , & Saunders, D. (2002). The efficacy of hypnosis in the treatment of prutitus in people with HIV/AIDS: A time series analysis . International Journal of Clinical and Experimental Hypnosis, 50(2), 149–169 .
81.
Salovey, P. , Rothman, A.J. , Detweiler, J.B. , & Steward, W.T. (2000). Emotional states and physical health . American Psychologist, 55, 110–121 .
82.
Schneiderman, N. (1999). Behavioural medicine and the management of HIV and AIDS . International Journal of Behavioural Medicine, 6(1), 3–12 .
83.
Schneiderman, N. , Antoni, M.H. , Saab, P.G. , & Ironson, G. (2001). Psychosocial and behavioural aspects of chronic disease management . Annual Review of Psychology, 52(1), 555–563 .
84.
Schwartz, G.E. , Shapiro, A.P. , Redmond D.P. , Ferguson, D.C.E. , Ragland, D.R. , & Weiss, S.M. (1979). Behavioral medicine approaches to hypertension: An integrative analysis of theory and research . Journal of Behavioral Medicine, 2(4), 311–363 .
85.
Scofield, E.C. (1995). A model of preventive psychosocial care for people with HIV disease . Health and Social Work, 20(2), 102–109 .
86.
Segerstrom, S.C. , & Miller, G.E. (2004). Psychological stress and human immune system: A meta analytic study of 30 years of inquiry . Psychological Bulletin, 130(4), 601–630 .
87.
Sengupta, S. (2004). HIV and AIDS prevention in resource poor settings: Experiences from phase 1 of the West Bengal Sexual Health Project . Paper presented at International Conference on AIDS, Bangkok, Thailand, 11–16, July. 15: Abstract No.WePeE6680.
88.
Shepard, R.J. (1998). Exercise, immune function and HIV infection . The Journal of Sports Medicine and Physical Fitness, 38, 101–110 .
Silverman, M.E. , Murray, T.J. , & Brian, C.S. (2003). The Quotable Osler. Philadelphia: American College of Physicians .
91.
Snyder, B.K. , Roghmann, K.J. , Sigal, L.H. (1993). Stress and psychological factors: Effects on primary cellular immune response . Journal of Behavioral Medicine, 16(2), 143–161 .
92.
Solomon, G.F. , Temoshok, L. , O'Leary, A. , & Zich, J. (1987). An intensive psycho-immunologic study of long-surviving persons with AIDS: Pilot work, background studies, hypotheses, and methods . Annals of the New York Academy of Sciences, 496, 647–655 .
93.
Somers, P.J. , Gevirtz, R.N. , Jasin, S.E. , & Chin, H.G. (2005). The efficacy of biobehavioral and compliance interventions in the adjunctive treatment of mild pregnancy-induced hypertension . Applied Psychophysiology and Biofeedback, 14(4), 309–318 .
94.
Taylor, S.E. , Kemeny, M.E. , Reed, G.M. , Bower, J.E. , & Gruenewald, T.L. (2000). Psychological resources, positive illusions, and health . American Psychologist, 55, 99–109 .
95.
Taylor, S.E. , Lerner, J.S. , Sherman, D.K. , Sage, R.M. , & McDowell, N.K. (2003). Are self-enhancing cognitions associated with healthy or unhealthy biological profiles?Journal of Personality and Social Psychology, 85, 605–615 .
96.
Temoshok, L. (1983–1988). A Longitudinal Psychosocial (Psychoimmunological) Study of AIDS (ARC) . National Institute of Mental Health, USA.
97.
Terry, L. , Sprinz, E. , & Ribeiro, J.P. (1999). Moderate and high intensity exercise training in HIV-1 seropositive individuals: A randomized trial . International Journal of Sports Medicine, 20, 142–146 .
98.
The Psychosocial Working GroupM (2003). Psychosocial intervention in complex emergencies: A framework for practice. Available at http://www.forcedmigration.org/psychosocial/papers/Aframeworkforpractice.pdf (accessed on 19 May 2007).
99.
Thomason, B.T. , Bachanas, P.J. , & Campos, P.E. (1996). Cognitive behavioural intervention with persons affected by HIV and AIDS . Cognitive and Behavioural Practice, 3(2), 417–442 .
100.
Wangehaum, J. (2003). A study of social support, emotional quotient and spiritual quotient among HIV positive individuals and drug addicts. Unpublished doctoral dissertation. The M.S. University of Baroda, Gujarat, India.
101.
Whitakar, R. , Vogele, C. , Mc Sherry, K. , & Goldstein, E. (2007, in press). Chronic illness as a stimulus to Eupraxia in person centered medicine: The example of long term diagnosis with HIV . Chronic Illness.
102.
Wilson, I.B. , & Kaplan, S (2000). Physician–patient communication in HIV disease: The importance of patient, physician, and visit characteristics . Journal of Acquired Immune Deficiency Syndrome, 25, 417–425 .
103.
World Health Organization. (2003). Treating 3 million by 2005: Making it happen. The WHO strategy. Geneva: WHO .
104.
Wu, A.W. , Revicki, D.A. , Jacobson, D.L. , & Malitz, F.E. (1997). Evidence for reliability, validity, and usefulness of the medical outcomes study HIV health survey (MOS-HIV) . Quality of Life Research, 6, 481–493 .
105.
Zorilla, E.P. , McKay, J.R. , Luborsky, L. , & Schmidt, K. (1996). Relation of stressors and depressive symptoms to clinical progression of viral illness . American Journal of Psychiatry, 153(5), 626–635 .
