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Participants receiving the interventions will have
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higher psychosocial functioning as evidenced by
lower perceived stress levels,
more effective coping strategies
less HIV-related psychological distress, and
greater social support
higher quality of life; and
lower stress-related neuroendocrine mediation.
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Given that psychoneuroimmunological relationships in the context of HIV infection will be confounded by the immunosuppressive effects of the virus, and controlling for antiretroviral medication regimens, participants receiving interventions will have attenuated immunological dysfunction and better HIV-specific health status, as evidenced by
CD4+, CD8+, and CD57+ lymphocyte levels more closely approximating normal subset distributions;
higher natural killer cell cytotoxic activity;
cellular production of cytokines more closely approximating normal patterns;
higher lymphocyte proliferative function; and
higher HIV-specific health status.
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