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The use of life review to enhance quality of life of people living with AIDS: A feasibility study

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Abstract

People living with AIDS (PLWA) are confronted with uncertainty and their own mortality at an earlier than expected age. Life review, an intervention that has the potential to increase life satisfaction in the elderly experiencing transition points in their lives, may have a similar effect when used with PLWA. Therefore, the purpose of this feasibility study was to explore the use of life review in a sample of 20 PLWA through a randomized controlled trial of its effectiveness in decreasing depressive symptoms and in increasing self esteem, quality of life, and purpose in life. Compared to the control group, the treatment group had an improved overall quality of life and self-esteem over 12 months, less depressive symptoms over 12 months, and a greater purpose in life at 3 months. The effects that were seen were mainly small to medium effects. The findings from this feasibility study suggest the potential value of life review to enhance quality of life, purpose in life, and self-esteem, and to decrease depressive symptoms in PLWA. Further research is needed with a larger sample and with other groups such as PLWA experiencing virologic failure.

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References

  1. Kelly JA, Ottosalaj LL, Sikkema KJ, Pinkerton SD, Bloom FR. Implications of HIV treatment for behavioral research on AIDS — Protease inhibitors and new challenges in HIV secondary prevention. Health Psychol 1998; 17(3): 310–319.

    Article  PubMed  CAS  Google Scholar 

  2. Ungvarski PJ, Flaskerud JH. HIV/AIDS: A Guide to Primary Care Management. 4th ed. Philadelphia: W.B. Saunders Company, 1999.

    Google Scholar 

  3. Morse JM, Johnson JL. Toward a theory of illness: The illness-constellation model. In: Morse JM, Johnson JL (eds), The Illness Experience: Dimensions of Suffering, Newbury Park: Sage, 1991: 315–342.

    Google Scholar 

  4. Taylor EJ. Factors associated with meaning in life among people with recurrent cancer. Oncol Nurs Forum 1993; 20(9): 1399–1407.

    PubMed  CAS  Google Scholar 

  5. Brown GR, Rundell JR, McManis SE, Kendall SN, Zachary R, Temoshok L. Prevalence of psychiatric disorders in early stages of HIV infection. Psychosom Med 1992; 54(5): 588–601.

    PubMed  CAS  Google Scholar 

  6. Capaldini L. HIV disease: Psychosocial issues and psychiatric complications. In: Sande MA, Volberding PA (eds), The Medical Management of AIDS. 6th ed. Philadelphia: W.B. Saunders Company, 1999: 241–263.

    Google Scholar 

  7. Chesney MA, Folkman S. Psychological impact of HIV disease and implications for intervention. Psych Clin N Am 1994; 17(1): 163–182.

    CAS  Google Scholar 

  8. Hoover DR, Saah AJ, Bacellar H, et al. Signs and symptoms of “asymptomatic” HIV-1 infection in homosexual men. Multicenter AIDS Cohort Study. J AIDS 1993; 6(1): 66–71.

    CAS  Google Scholar 

  9. Joseph JG, Caumartin SM, Tal M, et al. Psychological functioning in a cohort of gay men at risk for AIDS: A three-year descriptive study. J Nerv Mental Dis 1990; 178(10): 607–615.

    CAS  Google Scholar 

  10. Kalichman SC, Sikkema KJ, Somlai A. Assessing persons with human immunodeficiency virus (HIV) infection using the Beck Depression Inventory: Disease processes and other potential confounds. J Personality Assessment 1995; 64(1): 86–100.

    Article  CAS  Google Scholar 

  11. Weiss JC. Cognitive therapy and life therapy: Theoretical and therapeutic implications for mental health counselors. J Mental Health Couns 1995; 12(3): 270–278.

    Google Scholar 

  12. Burgess A, Dayer M, Catalan J, Hawkins D, Gazzard B. The reliability and validity of two HIV-specific health-related Quality-of-Life measures: A preliminary analysis. AIDS 1993; 7(7): 1001–1008.

    PubMed  CAS  Google Scholar 

  13. Ostrow DG, Monjan A, Joseph J, et al. HIV-related symptoms and psychological functioning in a cohort of homosexual men. Am J Psych 1989; 146(6): 737–742.

    CAS  Google Scholar 

  14. Rabkin JG, Williams JB, Remien RH, Goetz R, Kertzner R, Gorman JM. Depression, distress, lymphocyte subsets, and human immunodeficiency virus symptoms on two occasions in HIV-positive homosexual men. Arch Gen Psych 1991; 48(2): 111–119.

    CAS  Google Scholar 

  15. Linn JG, Monnig RL, Cain VA, Usoh D. Stage of illness, level of HIV symptoms, sense of coherence and psychological functioning in clients of community-based AIDS counseling centers. JANAC 1993; 4(2): 24–32.

    PubMed  CAS  Google Scholar 

  16. Anderson SEH. Personality, appraisal, and adaptational outcomes in HIV seropositive men and women. Res Nurs Health 1995; 18(4): 303–312.

    PubMed  CAS  Google Scholar 

  17. Neugarten BL. Personality in Middle and Late Life. New York: Atherton Press, 1964.

    Google Scholar 

  18. Bechtel GA. Purpose in life among gay men with HIV disease. Nursingconnections 1994; 7(4): 5–11.

    PubMed  CAS  Google Scholar 

  19. Dossey L. Space, Time, & Medicine. Boulder: Shambhala Publications, Inc., 1982.

    Google Scholar 

  20. Linn JG, Lewis FM, Cain VA, Kimbrough GA. HIV-illness, social support, sense of coherence, and psychosocial well-being in a sample of help-seeking adults. AIDS Educ Prev 1993; 5(3): 254–262.

    PubMed  CAS  Google Scholar 

  21. Tsevat J, Sherman SN, McElwee JA, et al. The will to live among HIV-infected patients. Ann Intern Med 1999; 131(3): 194–198.

    PubMed  CAS  Google Scholar 

  22. Erlen JA, Mellors MP. Adherence to combination therapy in persons living with HIV: Balancing the hardships and the blessings. JANAC 1999; 10(4): 75–84.

    Article  PubMed  CAS  Google Scholar 

  23. Mellors MP, Erlen JA, Coontz PD, Lucke KT. Transcending the suffering of AIDS. J Com Health Nurs (in press).

  24. Antonovsky A. Health, Stress, and Coping. San Francisco: Jossey-Bass, 1979.

    Google Scholar 

  25. Sullivan GC. Towards clarification of convergent concepts: Sense of coherence, will to meaning, locus of control, learned helplessness and hardiness. J Adv Nurs 1993; 18(11): 1772–1778.

    Article  PubMed  CAS  Google Scholar 

  26. Frankl VE. Man's Search for Meaning: An Introduction to Logotherapy. New York: Pocket Books, 1963.

    Google Scholar 

  27. Rybarczyk B, Bellg A. Listening to Life Stories: A New Approach to Stress Intervention in Health Care. New York: Springer Publishing Company, 1997.

    Google Scholar 

  28. Burnside I, Haight BK. Reminiscence and life review: Analyzing each concept. J Adv Nur 1992; 17: 855–862.

    CAS  Google Scholar 

  29. Burnside I, Haight B. Reminiscence and life review: Therapeutic interventions for older people. Nurse Pract: Am J Prim Health Care 1994; 19(4): 55–61.

    CAS  Google Scholar 

  30. Butler RN. Successful aging and the role of the life review. J Am Geriatric Soc 1974; 22(12): 529–535.

    CAS  Google Scholar 

  31. Henderson R. Profiles of hope. Focus 1997; 12(6): 1–4.

    PubMed  CAS  Google Scholar 

  32. Lewis MI, Butler RN. Life-review therapy. Putting memories to work in individual and group psychotherapy. Geriatrics 1974; 29(11): 165–173.

    PubMed  CAS  Google Scholar 

  33. Haight BK. Long-term effects of a structured life review process. J Gerontol 1992; 47(5): 312–315.

    Google Scholar 

  34. Haight BK, Burnside I. Reminiscence and life review: Conducting the processes. J Gerontol Nurs 1992; 18(2): 39–42.

    PubMed  CAS  Google Scholar 

  35. Haight BK, Dias JK. Examining key variables in selected reminiscing modalities. International Psychogeritrics 1992; 4(Suppl 2): 279–290.

    Google Scholar 

  36. Parsons CI. Group reminiscence therapy and levels of depression in the elderly. Nurse Pract 1986; 1(3): 68–76.

    Google Scholar 

  37. Weiss JC. A comparison of cognitive group therapy to life review group therapy with older adults. Dissertation abstract, West Virginia University, Morgantown, WV, 1993.

    Google Scholar 

  38. Butler RN. The life review: An interpretation of reminiscence in the aged. Psychiatry 1963; 26: 65–75.

    PubMed  CAS  Google Scholar 

  39. Perrotta P, Meacham JA. Can a reminiscing intervention alter depression and self-esteem? Inter J Aging Human Devel 1981–82; 14(1): 23–30.

    Google Scholar 

  40. Sherman E. A phenomenological approach to reminiscence and life review. Clin Gerontologist 1985; 3(4): 3–16.

    Article  Google Scholar 

  41. Borden W. Life review as a therapeutic frame in the treatment of young adults with AIDS. Health Soc Work 1989; 14(4): 253–259.

    PubMed  CAS  Google Scholar 

  42. Williams JK. Values and life goals: Clinical interventions for people with AIDS. Occup Ther Health Care 1990; 7(2–4): 55–67.

    Google Scholar 

  43. Burack JH, Barrett DC, Stall RD, Chesney MA, Ekstrand ML, Coates TJ. Depressive symptoms and CD4 lymphocyte decline among HIV-infected men. J Am Med Assoc 1993; 270(21): 2568–2573.

    Article  CAS  Google Scholar 

  44. Johnson MO. The use of structured life review in the management of HIV/AIDS depression symptomatology. Abstract in Thirteenth Annual Association of Nurses in AIDS Care Conference “Chasing a changing tide: Complex clients, care and communities,” San Juan, Puerto Rico, November 2–5, 2000, p. 62.

  45. Power C, Selnes OA, Grim JA, McArthur JC. HIV Dementia Scale: A rapid screening test. J AIDS Human Retrovir 1995; 8(3): 273–278.

    CAS  Google Scholar 

  46. Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Appl Psychol Measurement 1977; 1(3): 385–401.

    Google Scholar 

  47. Hays RB, Turner H, Coates TJ. Social support, AIDS-related symptoms, and depression among gay men. J Consult Clin Psychol 1992; 60(3): 463–469.

    Article  PubMed  CAS  Google Scholar 

  48. Crumbaugh JC. Cross-validation of purpose-in-life based on Frankl's concepts. J Indiv Psychol 1968; 24: 74–81.

    CAS  Google Scholar 

  49. Crumbaugh JC, Maholick LT. An experimental study in existentialism: The psychometric approach to Frankl's concept of noongenic neurosis. J Clin Psychol 1964; 20(2): 200–207.

    PubMed  CAS  Google Scholar 

  50. Anderson SEH. Personality, appraisal, and adaptational outcomes in HIV seropositive men and women. Res Nurs Health 1995; 18(4): 303–312.

    PubMed  CAS  Google Scholar 

  51. Rosenberg M. Society and the Adolescent Self-image. Princeton, NJ: Princeton University Press, 1965.

    Google Scholar 

  52. Ferrans CE, Powers MJ. Psychometric assessment of the Quality of Life Index. Res Nur Health 1992; 15(1): 29–38.

    CAS  Google Scholar 

  53. Nunnes J, Raymond S, Nicholas P, Leuner J, Webster A. Social support, quality of life, immune function, and health in persons living with HIV. J Holistic Nur 1995; 13: 174–198.

    Google Scholar 

  54. Mellors MP, Riley TA, Erlen JA. HIV, self-transcendence, and quality of life. JANAC 1997; 8(2): 59–69.

    Article  PubMed  CAS  Google Scholar 

  55. Haight BK, Bahr RT. The therapeutic role of the life review in the elderly. Academic Psychol Bull 1984; 6: 287–299.

    Google Scholar 

  56. Diggle PJ, Liang KY, Zeger SL. Analysis of Longitudinal Data. New York: Oxford University Press, 1995.

    Google Scholar 

  57. Akaike H. A new look at the statistical model identification. IEEE Transac Automatic Cont 1974; AC-19: 716–723.

    Article  Google Scholar 

  58. Schwarz G. Estimating the dimension of a model. Ann of Statistics 1978; 6: 461–464.

    Google Scholar 

  59. Schwartz CE, Sendor M. Helping others helps oneself: Response shift effects in peer support. Soc Sci Med 1999; 48: 1563–1575.

    Article  PubMed  CAS  Google Scholar 

  60. Sprangers MAG, Schwartz CE. Integrating response shift into health-related quality of life research: A theoretical model. Soc Sci Med 1999; 48: 1507–1515.

    Article  PubMed  CAS  Google Scholar 

  61. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc., 1988.

    Google Scholar 

  62. Lappe JM. Reminiscing: The life review therapy. J Gerontol Nur 1987; 3(4): 12–16.

    Google Scholar 

  63. Wu AW, Revicki DA, Jacobson D, Malitz FE. Evidence for reliability, validity and usefulness of the Medical Outcomes Study HIV Health Survey (MOS — HIV). Qual Life Res 1997; 6: 481–493.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Center for Research in Chronic Disorders, School of Nursing, University of Pittsburgh, 440 Victoria Building, 3500 Victoria Street, Pittsburgh, PA, 15261, USA

    Judith A. Erlen, Mary Pat Mellors & Christa Cook

  2. School of Nursing and Graduate School of Public Health, University of Pittsburgh, 440 Victoria Building, 3500 Victoria Street, Pittsburgh, PA, 15261, USA

    Susan M. Sereika

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  1. Judith A. Erlen
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  2. Mary Pat Mellors
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  3. Susan M. Sereika
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  4. Christa Cook
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Erlen, J.A., Mellors, M.P., Sereika, S.M. et al. The use of life review to enhance quality of life of people living with AIDS: A feasibility study. Qual Life Res 10, 453–464 (2001). https://doi.org/10.1023/A:1012583931564

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