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CPR 30_3 Amos.pdf

Abstract

Background: Much of the literature suggests that a diagnosis of HIV, or any other chronic illness, heralds a major transformation that is frequently characterised by negative psychological outcomes. However, there has been increasing recognition of the profound positive changes that can follow the diagnosis of a lifethreatening illness such as HIV, causing researchers to examine experiences of post-traumatic growth among people living with HIV/AIDS. Methodology: From the 95 studies retrieved from PsycINFO, MEDLINE and CINAHL, and additional incorporated search strategies, eight studies were included in the review. A thematic synthesis was selected with the aim to ‘go beyond’ the findings of the primary studies included in the review to generate new concepts related to the experience of post-traumatic growth among people living with HIV/AIDS. Results: The findings of this systematic review suggest that experiences of post-traumatic growth do exist among people living with HIV and manifest themselves across the following four areas: (i) reconsideration of the self; (ii) reordering of values; (iii) redefinition of purpose; and (iv) reconstruction of time. Conclusion: Therapeutic practitioners may want to take advantage of increasing their awareness of working effectively with presentations of post-traumatic growth, where the facilitation of growth may be considered as a clinical intervention different from interventions designed to alleviate distress. Keywords: post-traumatic growth; benefit finding; HIV/AIDS; qualitative; systematic review