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AIDS and Behavior
Erschienen in: AIDS and Behavior 8/2013

01.10.2013 | Original Paper

Affect Management for HIV Prevention with Adolescents in Therapeutic Schools: The Immediate Impact of Project Balance

verfasst von: Larry K. Brown, Christopher Houck, Geri Donenberg, Erin Emerson, Kelly Donahue, Jesse Misbin

Erschienen in: AIDS and Behavior | Ausgabe 8/2013

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Abstract

Adolescents in therapeutic schools are at greater risk for HIV and other STIs than their peers due to earlier higher rates of sexual risk and difficulty managing strong emotions. HIV prevention programs that incorporate techniques for affect management (AM) during sexual situations may be beneficial. This paper determined the immediate impact of such an intervention, AM, compared to a standard, skills-based HIV prevention intervention and a general health promotion intervention (HP) for 377 youth, ages 13–19, in therapeutic schools in two cities. 1 month after the intervention, analyses that adjusted for the baseline scores found adolescents in AM were more likely to report condom use at last sex than those in HP (0.89 vs. 0.67, p = 0.02) and that their HIV knowledge was significantly greater. These data suggest that AM techniques might improve the impact of standard skills-based prevention programs for adolescents in therapeutic schools.
Literatur
1.
Romer D. Adolescent risk taking, impulsivity, and brain development: Implications for prevention. Dev Psychobiol. 2010;52:263–76.PubMed
2.
3.
Weinstock H, Berman S, Cates JW. Sexually transmitted diseases among American youth: incidence and prevalence estimates, 2000. Perspect Sex Reprod Health. 2004;36:6–10.PubMedCrossRef
4.
5.
6.
7.
Casey BJ, Jones RM, Somerville LH. Braking and accelerating of the adolescent brain. J Res Adolesc. 2011;21:21–33.PubMedCrossRef
8.
Albert D, Steinberg L. Judgment and decision making in adolescence. J Res Adolesc. 2011;21:211–24.CrossRef
9.
Rivers SE, Reyna VF, Mills B. Risk taking under the influence: a fuzzy-trace theory of emotion in adolescence. Dev Rev. 2008;28:107–44.PubMedCrossRef
10.
Steinberg L, Dahl R, Keating D, Kupfer D, Masten A, Pine D. The study of developmental psychopathology in adolescence: integrating affective neuroscience with the study of context. In: Cohen DCD, editor. Developmental psychopathology. 2nd ed. Hoboken: John Wiley & Sons; 2006.
11.
Bell C, McBride D. Affect regulation and prevention of risky behaviors. JAMA. 2010;304:565–6.PubMedCrossRef
12.
Cooper ML, Wood PK, Orcutt HK, Albino A. Personality and predisposition to engage in risky or problem behaviors during adolescence. J Pers Soc Psychol. 2003;84:390–410.PubMedCrossRef
13.
Crockett LJ, Raffaelli M, Shen Y. Linking self-regulation and risk proneness to risky sexual behavior: pathways through peer pressure and early substance use. J Res Adolesc. 2006;16(4):503–25.CrossRef
14.
Buzi R, Tortolero S, Roberts R, Ross M, Addy R, Markham C. The impact of a history of sexual abuse on high-risk sexual behaviors among females attending alternative schools. Adolescence. 2003;38(152):595–605.PubMed
15.
Grunbaum J, Lowry R, Kann L. Prevalence of health-related behaviors among alternative high school students as compared with students attending regular high schools. J Adolesc Health. 2001;29:337–43.PubMedCrossRef
16.
Brown LK, Danovsky MB, Lourie KJ. Adolescents with psychiatric disorders and the risk of HIV. J Am Acad Child Adolesc Psychiatry. 1997;36:1609–17.PubMed
17.
Donenberg GR, Pao M. Youths and HIV/AIDS: psychiatry’s role in a changing epidemic. J Am Acad Child Adolesc Psychiatry. 2005;44:728–47.PubMedCrossRef
18.
Brown LK, Hadley W, Stewart A, Lescano C, Whiteley L, Donenberg GR, et al. Psychiatric disorders and sexual risk among adolescents in mental health treatment. J Consult Clin Psychol. 2010;78:590–7.PubMedCrossRef
19.
Donahue KL, Lichtenstein P, Lundström S, Anckarsäter H, Hellner Gumpert C, Långström N, et al. Childhood behavior problems and adolescent sexual risk behavior: Familial confounding in the Children and Adolescent Twin Study in Sweden (CATSS). in review.
20.
Donenberg G, Pao M. Psychiatry’s role in a changing epidemic. J Am Acad Child Adolesc Psychiatry. 2005;44(8):728–47.PubMedCrossRef
21.
Silk JS, Steinberg L, Sheffield Morris A. Adolescents’ emotion regulation in daily life: link to depressive symptoms and problem behavior. Child Dev. 2003;74:1869–80.PubMedCrossRef
22.
Eisenberg N, Cumberland A, Spinrad TL, Fabes RA, Shepard SA, Reiser M, et al. The relations of regulation and emotionality to children’s externalizing and internalizing problem behavior. Child Dev. 2001;72:1112–34.PubMedCrossRef
23.
Brown L, Houck C, Lescano C, Donenberg G, Tolou-Shams M, Mello J. Affect regulation and HIV risk among youth in therapeutic schools. AIDS Behav. 2012;16(8):2272–8.PubMedCrossRef
24.
Smyth JM, Arigo D. Recent evidence supports emotion-regulation interventions for improving health in at-risk clinical populations. Curr Opin Psychiatry. 2009;22:205–10.PubMedCrossRef
25.
Brown L, Nugent N, Houck C, Lescano C, Whiteley L, Barker D, et al. Safe thinking and affect regulation (STAR): human immunodeficiency virus prevention in alternative/therapeutic schools. J Am Acad Child Adolesc Psychiatry. 2011;50(10):1065–74.PubMedCrossRef
26.
Peterson P, Baer J, Wells E, Ginzler J, Garrett S. Short-term effects of a brief motivational intervention to reduce alcohol and drug risk among homeless adolescents. Psych Addict Behav. 2006;20(3):254–64.CrossRef
27.
Linehan M. Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press; 1993.
28.
Lescano C, Brown L, Hadley W, D’Eramo D, Zimskind A. A brief screening measure of adolescent risk behavior. Child Psychiatr Hum D. 2007;37:325–36.CrossRef
29.
Pedlow C, Carey M. HIV sexual risk-reduction interventions for youth: a review and methodological critique of randomized controlled trials. Behav Modif. 2003;27(2):135–90.PubMedCrossRef
30.
Poobalan A, Pitchforth E, Imamura M, Tucker J, Philip K, Spratt J, et al. Characteristics of effective interventions in improving young people’s sexual health: a review of reviews. Sex Educ. 2009;9(3):319–36.CrossRef
31.
Donenberg G, Emerson E, Bryant F, Wilson H, Weber-Shifrin E. Understanding AIDS-risk behavior among adolescents in psychiatric care: links to psychopathology and peer relationships. J Am Acad Child Adolesc Psychiatry. 2001;40(6):642–53.PubMedCrossRef
32.
Brown L, Fritz G. Children’s knowledge and attitudes about AIDS. J Am Acad Child Adolesc Psychiatry. 1988;27:504–8.PubMedCrossRef
33.
Lawrance L, Levy S, Rubinson L. Self-efficacy and AIDS prevention for pregnant teens. J Sch Health. 1990;60(1):19–24.PubMedCrossRef
34.
Shaffer D. Diagnostic Interview for Children (DISC 4.0)-Child Version. New York: Columbia University; 2000.
35.
Guo S. Analyzing group data with hierarchical linear modeling. Children Youth Serv Rev. 2005;27:637–52.CrossRef
36.
Johnson B, Scott-Sheldon L, Huedo-Medina T, Carey M. Interventions to reduce sexual risk for human immunodeficiency virus in adolescents: a meta-analysis of trials, 1985-2008. Arch Pediatr Adolesc Med. 2011;165(1):77–84.PubMedCrossRef
37.
Kurth A, Martin D, Golden M, Weiss N, Heagerty P, Spielberg F, Kurth A, Gorbach P, Goldbaum G, et al. A comparison between audio computer-assisted self-interviews and clinician interviews for obtaining the sexual history. Sex Trans Dis. 2004;31(12):719–26.CrossRef
Metadaten
Titel
Affect Management for HIV Prevention with Adolescents in Therapeutic Schools: The Immediate Impact of Project Balance
verfasst von
Larry K. Brown
Christopher Houck
Geri Donenberg
Erin Emerson
Kelly Donahue
Jesse Misbin
Publikationsdatum
01.10.2013
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 8/2013
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-013-0599-5

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