期刊
AIDS AND BEHAVIOR
卷 13, 期 3, 页码 555-563出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-008-9429-6
关键词
AIDS; Anxiety; Depression; HIV; Intervention; Positive affect
资金
- NIMH NIH HHS [U10-MH57616, U10-MH57636, T32-MH019391, U10-MH57631, P30 MH043520, P30-MH43520, U10 MH057616-05, P30-MH57226, P30-MH062246, U10 MH057616, P30-MH058107, U10-MH57615, U10 MH057616-05S1, U10 MH057616-07, U10 MH057616-06] Funding Source: Medline
Questions remain regarding the clinical utility of psychological interventions for HIV-positive persons because randomized controlled trials have utilized stringent inclusion criteria and focused extensively on gay men. The present randomized controlled trial examined the efficacy of a 15-session, individually delivered cognitive-behavioral intervention (n = 467) compared to a wait-list control (n = 469) in a diverse sample of HIV-positive persons who reported HIV transmission risk behavior. Five intervention sessions that dealt with executing effective coping responses were delivered between baseline and the 5 months post-randomization. Additional assessments were completed through 25 months post-randomization. Despite previously documented reductions in HIV transmission risk, no intervention-related changes in psychosocial adjustment were observed across the 25-month investigation period. In addition, there were no intervention effects on psychosocial adjustment among individuals who presented with mild to moderate depressive symptoms. More intensive mental health interventions may be necessary to improve psychosocial adjustment among HIV-positive individuals.
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