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Exploring self-esteem during expressive writing about trauma predicts decreased depression in people with HIV.

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Title: Exploring self-esteem during expressive writing about trauma predicts decreased depression in people with HIV.
Authors: Verhagen, Rachel M., Carrico, Adam W., Hylton, Emily M., Stuetzle, Rick, Ironson, Gail
Source: AIDS Care. Nov2023, Vol. 35 Issue 11, p1654-1660. 7p.
Subjects: Prevention of mental depression, Self-perception, Viral load, Post-traumatic stress disorder, Psychological tests, Hamilton Depression Inventory, Research funding, Descriptive statistics, CD4 lymphocyte count, Written communication, Emotions, Psychology of HIV-positive persons, Longitudinal method
Abstract: Self-esteem is often negatively impacted by trauma. Low self-esteem has been related to significantly worse depression in people with HIV (PWH). This study explores whether the expression of words related to self-esteem during a 4-session augmented trauma writing intervention predicted post-traumatic stress, depressive symptoms, and health outcomes 6-months later. Ninety-five PWH completed four 30-minute augmented trauma writing sessions in the intervention arm of a randomized controlled trial. One augmented session was devoted to self-esteem. Two individuals coded trauma essays for number of self-esteem words. CD4+ and viral load data were collected, and the Davidson PTSD Scale and the Hamilton Depression Rating Scale were administered at baseline, one-, and six-month follow-up. Greater total self-esteem words were related to lower depressive symptoms at 6-months, controlling for depressive symptoms at study entry, age, race, and education (t(80) = −2.235, ß = −0.239, SE = 0.283, p < 0.05, 95% CI [−1.195, −.069). Total self-esteem words were not predictive of PTSD, viral load, or CD4+ at 6-months. Exploring self-esteem when writing about and processing a traumatic event could be an important mechanism for decreasing depressive symptoms among PWH. Research is needed to test augmented expressive writing interventions that support efforts to bolster self-esteem in PWH. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Exploring self-esteem during expressive writing about trauma predicts decreased depression in people with HIV.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Verhagen%2C+Rachel+M%2E%22&quot;&gt;Verhagen, Rachel M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Carrico%2C+Adam+W%2E%22&quot;&gt;Carrico, Adam W.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hylton%2C+Emily+M%2E%22&quot;&gt;Hylton, Emily M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Stuetzle%2C+Rick%22&quot;&gt;Stuetzle, Rick&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ironson%2C+Gail%22&quot;&gt;Ironson, Gail&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Nov2023, Vol. 35 Issue 11, p1654-1660. 7p.
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– Name: Abstract
  Label: Abstract
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  Data: Self-esteem is often negatively impacted by trauma. Low self-esteem has been related to significantly worse depression in people with HIV (PWH). This study explores whether the expression of words related to self-esteem during a 4-session augmented trauma writing intervention predicted post-traumatic stress, depressive symptoms, and health outcomes 6-months later. Ninety-five PWH completed four 30-minute augmented trauma writing sessions in the intervention arm of a randomized controlled trial. One augmented session was devoted to self-esteem. Two individuals coded trauma essays for number of self-esteem words. CD4+ and viral load data were collected, and the Davidson PTSD Scale and the Hamilton Depression Rating Scale were administered at baseline, one-, and six-month follow-up. Greater total self-esteem words were related to lower depressive symptoms at 6-months, controlling for depressive symptoms at study entry, age, race, and education (t(80) = −2.235, &#223; = −0.239, SE = 0.283, p &lt; 0.05, 95% CI [−1.195, −.069). Total self-esteem words were not predictive of PTSD, viral load, or CD4+ at 6-months. Exploring self-esteem when writing about and processing a traumatic event could be an important mechanism for decreasing depressive symptoms among PWH. Research is needed to test augmented expressive writing interventions that support efforts to bolster self-esteem in PWH. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2023.2206098
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 1654
    Subjects:
      – SubjectFull: Prevention of mental depression
        Type: general
      – SubjectFull: Self-perception
        Type: general
      – SubjectFull: Viral load
        Type: general
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Psychological tests
        Type: general
      – SubjectFull: Hamilton Depression Inventory
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: CD4 lymphocyte count
        Type: general
      – SubjectFull: Written communication
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
    Titles:
      – TitleFull: Exploring self-esteem during expressive writing about trauma predicts decreased depression in people with HIV.
        Type: main
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          Name:
            NameFull: Verhagen, Rachel M.
      – PersonEntity:
          Name:
            NameFull: Carrico, Adam W.
      – PersonEntity:
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            NameFull: Hylton, Emily M.
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            NameFull: Stuetzle, Rick
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            NameFull: Ironson, Gail
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            – D: 01
              M: 11
              Text: Nov2023
              Type: published
              Y: 2023
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            – Type: issn-print
              Value: 09540121
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              Value: 35
            – Type: issue
              Value: 11
          Titles:
            – TitleFull: AIDS Care
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