Sizemore K Marie, Talan Ali, Kalia Anxhela, Moskowitz Judith T, Addington Elizabeth L, Gray Shannon, Rendina H Jonathon
Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, USA.
Institute for Health, Health Care Policy and Aging Research, Rutgers University, USA.
Curr Res Compliment Altern Med. 2025;9(2). doi: 10.29011/2577-2201.100270. Epub 2025 Jun 12.
Sexual minority men (SMM) living with HIV experience significant mental health disparities. Studies show positive psychological interventions (PPI) and mindfulness-based interventions (MBI) can have a positive impact on people LWH, however, limited research has explored this among SMM LWH. The current study explores two MBIs (MBSR and yoga) as potential adjuncts to an app-based PPI, which was designed to reduce stress for SMM LWH.
These data are from a sub-study of a proof-of-concept pilot. The pilot enrolled 22 SMM LWH, who used an app-based PPI for 90 days. Following completion of this initial study, participants were invited to participate in a focus group discussion, which explored SMM LWH's interest in MBSR vs. restorative yoga as adjunct programs to the app-based PPI.
A third of participants from the initial study attended the focus group (N=7). All focus group participants were racial minorities (71.4% Black, 14.3% Hispanic/Latino, 14.3% Multiracial), with an average age of 32.14yrs (=4.87). When asked about initial interest, most participants said they would prefer restorative yoga over MBSR. In the discussion that followed, three main themes and eleven subthemes emerged, which elucidated SMM LWH's attitudes toward MBI, as well as their perceived barriers and facilitators for both yoga and MBSR.
The study provides insight into racial minority SMM LWH's comparative interest in two MBIs and suggests that yoga may be a feasible adjunct to the app-based PPI. However, inequities regarding access to yoga remain an important issue for SMM LWH and must be addressed.
感染艾滋病毒的性少数男性(SMM)存在显著的心理健康差异。研究表明,积极心理干预(PPI)和基于正念的干预(MBI)对艾滋病毒感染者可能产生积极影响,然而,针对感染艾滋病毒的性少数男性的此类研究有限。本研究探讨两种基于正念的干预(正念减压疗法和瑜伽)作为基于应用程序的积极心理干预的潜在辅助手段,该应用程序旨在减轻感染艾滋病毒的性少数男性的压力。
这些数据来自一项概念验证试点研究的子研究。该试点招募了22名感染艾滋病毒的性少数男性,他们使用基于应用程序的积极心理干预90天。在这项初步研究完成后,邀请参与者参加焦点小组讨论,探讨感染艾滋病毒的性少数男性对正念减压疗法与恢复性瑜伽作为基于应用程序的积极心理干预辅助项目的兴趣。
初步研究中有三分之一的参与者参加了焦点小组(N = 7)。所有焦点小组参与者均为少数族裔(71.4%为黑人,14.3%为西班牙裔/拉丁裔,14.3%为多族裔),平均年龄为32.14岁(标准差 = 4.87)。当被问及最初的兴趣时,大多数参与者表示他们更喜欢恢复性瑜伽而非正念减压疗法。在随后的讨论中,出现了三个主要主题和十一个子主题,阐明了感染艾滋病毒的性少数男性对基于正念的干预的态度,以及他们对瑜伽和正念减压疗法的感知障碍和促进因素。
该研究深入了解了少数族裔感染艾滋病毒的性少数男性对两种基于正念的干预的相对兴趣,并表明瑜伽可能是基于应用程序的积极心理干预的可行辅助手段。然而,获得瑜伽的不平等问题对感染艾滋病毒的性少数男性来说仍然是一个重要问题,必须加以解决。