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01.06.2009 | Original Paper

Randomized Controlled Trial of a Cognitive-Behavioral Intervention for HIV-Positive Persons: An Investigation of Treatment Effects on Psychosocial Adjustment

verfasst von: Adam W. Carrico, Margaret A. Chesney, Mallory O. Johnson, Stephen F. Morin, Torsten B. Neilands, Robert H. Remien, Mary Jane Rotheram-Borus, F. Lennie Wong, The NIMH Healthy Living Project Team

Erschienen in: AIDS and Behavior | Ausgabe 3/2009

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Abstract

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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Titel: Randomized Controlled Trial of a Cognitive-Behavioral Intervention for HIV-Positive Persons: An Investigation of Treatment Effects on Psychosocial Adjustment
verfasst von: Adam W. Carrico
Margaret A. Chesney
Mallory O. Johnson
Stephen F. Morin
Torsten B. Neilands
Robert H. Remien
Mary Jane Rotheram-Borus
F. Lennie Wong
The NIMH Healthy Living Project Team
Publikationsdatum: 01.06.2009
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 3/2009
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-008-9429-6

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