International Journal of Behavioral Medicine

, Volume 16, Issue 1, pp 74–80

Increases in Positive Reappraisal Coping During a Group-Based Mantram Intervention Mediate Sustained Reductions in Anger in HIV-Positive Persons


DOI: 10.1007/s12529-008-9007-3

Cite this article as:
Bormann, J.E. & Carrico, A.W. Int.J. Behav. Med. (2009) 16: 74. doi:10.1007/s12529-008-9007-3



There is evidence that various meditation practices reduce distress, but little is known about the mechanisms of frequently repeating a mantram—a spiritual word or phrase—on distress reduction. Mantram repetition is the portable practice of focusing attention frequently on a mantram throughout the day without a specific time, place, or posture.


We examined the hypothesis of whether increases in positive reappraisal coping or distancing coping mediated the sustained decreases in anger found following a group-based mantram intervention that was designed to train attention and promote awareness of internal experiences.


A secondary analysis was performed on data collected from a randomized controlled trial that compared a group-based mantram intervention (n = 46) to an attention-matched control (n = 47) in a community sample of human immunodeficiency virus-positive adults. Positive reappraisal and distancing coping were explored as potential mediators of anger reduction.


Participants in the mantram intervention reported significant increases in positive reappraisal coping over the 5-week intervention period, whereas the control group reported decreases. Increases in positive reappraisal coping during the 5-week intervention period appear to mediate the effect of mantram on decreased anger at 22-week follow-up.


Findings suggest that a group-based mantram intervention may reduce anger by enhancing positive reappraisal coping.


Acceptance-based responding Anger Cognitive coping HIV Intervention Mantra Meditation Meta-cognition Spirituality 

Copyright information

© International Society of Behavioral Medicine 2008

Authors and Affiliations

  1. 1.Nursing and Patient Care ServicesVeterans Affairs San Diego Health Care SystemSan DiegoUSA
  2. 2.San Diego State University School of NursingSan FranciscoUSA
  3. 3.University of California San FranciscoSan FranciscoUSA

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