Positively mindful: an investigation of mindfulness-based stress reduction as a supportive care option for people living with HIV

Antiretroviral therapy (ART) has revolutionised the treatment of people living with HIV (PLWH) but those living with the virus still face the stress associated with a stigmatised, chronic illness; often experiencing multiple symptoms. While stress impacts on an individual’s quality of life, it has also been shown to adversely affect the physical parameters associated with disease progression; having been linked to declines in CD4+ count and progression to AIDS. Previous research has shown correlations between perceived stress and incidence of HIV-related symptoms, state and trait anxiety, depression and fatigue. Given that stress is a predictor of coronary heart disease and that PLWH are already at higher risk than their seronegative counterparts, the necessity to explore management options is clear; especially as patients continue to live longer lives.