:delta: H can be either positive or negative.
The :delta: H = -qH2O comes from how you perform the experiment. You dissolve NaOH in water. From the 0th law of thermodynamics, if object a is in contact with object b and object c is in contact with object b, and object a is in thermal equilibrium with b, and b is in thermal equilibrium with c, then a and c are in thermal equilibrium.
So, you dissolve NaOH in water and measure the temperature of the water with a thermometer. You are therefor calculating qH2O. Assuming a perfect situation, any energy in the form of heat (q) that causes a change in the water must have come from the NaOH (1st law). So, if the water takes in energy in the form of heat (gets hotter), it had to come from somewhere; in this case the NaOH process, meaning the NaOH gave off heat. If the water gives away energy (gets colder), then it had to go somewhere and it goes into the NaOH and it gets hotter in the process.
So, per your setup, the energy of your interested species is opposite of the water. :delta: H can be negative or positive.