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首页> 外文期刊>AIDS and Behavior >Randomized Controlled Trial of a Cognitive-Behavioral Intervention for HIV-Positive Persons: An Investigation of Treatment Effects on Psychosocial Adjustment
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Randomized Controlled Trial of a Cognitive-Behavioral Intervention for HIV-Positive Persons: An Investigation of Treatment Effects on Psychosocial Adjustment

机译:HIV阳性者认知行为干预的随机对照试验:对心理社会适应的治疗效果调查

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摘要

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.
机译:由于艾滋病毒抗体呈阳性的人的心理干预的临床效用仍然存在疑问,因为随机对照试验采用了严格的纳入标准,并广泛关注男同性恋者。本随机对照试验检查了在报告HIV传播的各种HIV阳性患者中,分别进行了15个疗程,单独进行的认知行为干预(n = 467)与等待列表对照(n = 469)的疗效。风险行为。在基线和随机化后的5个月之间,进行了五次干预活动,这些干预措施用于执行有效的应对措施。随机分配后的25个月内完成了其他评估。尽管先前已记录了减少的HIV传播风险的记录,但在25个月的调查期内未观察到与心理社会适应性干预相关的变化。此外,在轻度至中度抑郁症状的个体中,对社会心理适应没有干预作用。可能需要进行更深入的精神卫生干预,以改善HIV阳性个体的心理适应。

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