Mind-body practices for people living with HIV: a systematic scoping review.

Author: Ramirez-Garcia MP1,2, Gagnon MP3,4, Colson S5, Côté J6,7, Flores-Aranda J8,9, Dupont M10
Author Information:
1Faculty of Nursing, Université de Montréal, Montréal, Canada. Pilar.Ramirez.Garcia@umontreal.ca.
2Research Center of the Centre Hospitalier de l'Université de Montréal, Montréal, Canada. Pilar.Ramirez.Garcia@umontreal.ca.
3Faculty of Nursing, Université Laval, Québec, Canada.
4Research Center of the Centre Hospitalier Universitaire, Québec, Canada.
5Faculty of Medicine, Aix Marseille Université, Marseille, France.
6Faculty of Nursing, Université de Montréal, Montréal, Canada.
7Research Center of the Centre Hospitalier de l'Université de Montréal, Montréal, Canada.
8University Institute on Addiction, Montreal-Island-South-Center Integrated University Health and Social Services Centre, Montréal, Canada.
9Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Canada.
10Library, Université Laval, Québec, Canada.
Conference/Journal: BMC Complement Altern Med.
Date published: 2019 Jun 11
Other: Volume ID: 19 , Issue ID: 1 , Pages: 125 , Special Notes: doi: 10.1186/s12906-019-2502-z. , Word Count: 381


BACKGROUND: Mind-body practices are frequently used by people living with HIV to reduce symptoms and improve wellbeing. These include Tai Chi, Qigong, yoga, meditation, and all types of relaxation. Although there is substantial research on the efficacy of mind-body practices in people living with HIV, there is no summary of the available evidence on these practices. The aim of this scoping review is to map available evidence of mind-body practices in people living with HIV.

METHODS: The Arksey and O'Malley (Int J Soc Res Methodol 8:19-32, 2005) methodological framework was used. A search of 16 peer-review and grey literature databases, websites, and relevant journals (1983-2015) was conducted. To identify relevant studies, two reviewers independently applied the inclusion criteria to all abstracts or full articles. Inclusion criteria were: participants were people living with HIV; the intervention was any mind-body practice; and the study design was any research study evaluating one or several of these practices. Data extraction and risk of bias assessment were performed by one reviewer and checked by a second, as needed, using the criteria that Cochrane Collaboration recommends for systematic reviews of interventions (Higgins and Green, Cochrane handbook for systematic reviews of intervention. 2011). A tabular and narrative synthesis was carried out for each mind-body practice.

RESULTS: One hundred thirty-six documents drawing on 84 studies met the inclusion criteria. The most widely studied mind-body practice was a combination of least three relaxation techniques (n = 20), followed in declining order by meditation (n = 17), progressive muscle relaxation (n = 10), yoga (n = 9) and hypnosis (n = 8). Slightly over half (47/84) of studies used a RCT design. The interventions were mainly (46/84) conducted in groups and most (51/84) included daily individual home practice. All but two studies were unblinded to participants.

CONCLUSION: The amount of available research on mind-body practices varies by practice. Almost half of the studies in this review were at high risk of bias. However, mindfulness, a combination of least three relaxation techniques and cognitive behavioral strategies, and yoga show encouraging results in decreasing physical and psychological symptoms and improving quality of life and health in people living with HIV. More rigorous studies are necessary to confirm the results of Tai Chi, Qigong, and some relaxation techniques.

KEYWORDS: Autogenic training; Guided imagery; HIV; Hypnosis; Meditation; Mind-body practices; Progressive muscle relaxation; Relaxation; Tai chi; Yoga

PMID: 31185970 DOI: 10.1186/s12906-019-2502-z

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