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Erschienen in: Annals of Behavioral Medicine 3/2012

01.12.2012 | Brief Report

Telephone-Delivered Motivational Interviewing Targeting Sexual Risk Behavior Reduces Depression, Anxiety, and Stress in HIV-Positive Older Adults

verfasst von: Travis I. Lovejoy, Ph.D., M.P.H

Erschienen in: Annals of Behavioral Medicine | Ausgabe 3/2012

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Abstract

Background

Few studies have examined the secondary benefits of HIV risk reduction interventions to improve mental health functioning.

Purpose

This study aimed to examine the effectiveness of telephone-delivered motivational interviewing (MI) targeting sexual risk behavior to reduce depression, anxiety, and stress in HIV-positive older adults.

Methods

Participants were 100 HIV-positive adults 45+ years old enrolled in a sexual risk reduction pilot clinical trial of telephone-delivered MI. Participants were randomly assigned to a one-session MI, four-session MI, or standard of care control condition. Telephone interviews at baseline and 3- and 6-month follow-up assessed sexual behavior, depression, anxiety, and stress.

Results

Relative to controls, participants in the one- and four-session MI conditions reported lower levels of depression, anxiety, and stress at 6-month follow-up. No between group differences were observed at 3-month follow-up or between one- and four-session MI participants at 6-month follow-up.

Conclusions

Preliminary data suggest that telephone-delivered MI to reduce sexual risk behavior may confer secondary benefits of improving mental health functioning in HIV-positive persons.
Literatur
2.
Zurück zum Zitat Hall HI, Song R, Rhodes P, et al. Estimation of HIV incidence in the United States. JAMA. 2008;300:520-529.PubMedCrossRef Hall HI, Song R, Rhodes P, et al. Estimation of HIV incidence in the United States. JAMA. 2008;300:520-529.PubMedCrossRef
3.
Zurück zum Zitat Pence BW, Miller WC, Whetten K, Eron JJ, Gaynes BN. Prevalence of DSM-IV-defined mood, anxiety, and substance use disorders in an HIV clinic in Southeastern United States. J Acquir Immune Defic Syndr. 2006;42:298-306.PubMedCrossRef Pence BW, Miller WC, Whetten K, Eron JJ, Gaynes BN. Prevalence of DSM-IV-defined mood, anxiety, and substance use disorders in an HIV clinic in Southeastern United States. J Acquir Immune Defic Syndr. 2006;42:298-306.PubMedCrossRef
4.
Zurück zum Zitat Scott-Sheldon LA, Kalichman SC, Carey MP, Fielder RL. Stress management interventions for HIV+ adults: A meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychol. 2008;27:129-139.PubMedCrossRef Scott-Sheldon LA, Kalichman SC, Carey MP, Fielder RL. Stress management interventions for HIV+ adults: A meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychol. 2008;27:129-139.PubMedCrossRef
5.
Zurück zum Zitat Crepaz N, Passin WF, Herbst JH, et al. Meta-analysis of cognitive-behavioral interventions on HIV-positive persons’ mental health and immune functioning. Health Psychol. 2008;27:4-14.PubMedCrossRef Crepaz N, Passin WF, Herbst JH, et al. Meta-analysis of cognitive-behavioral interventions on HIV-positive persons’ mental health and immune functioning. Health Psychol. 2008;27:4-14.PubMedCrossRef
6.
Zurück zum Zitat Sikkema KJ, Watt MH, Drabkin AS, et al. Mental health treatment to reduce HIV transmission risk behavior: A positive prevention model. AIDS Behav. 2010;14:252-262.PubMedCrossRef Sikkema KJ, Watt MH, Drabkin AS, et al. Mental health treatment to reduce HIV transmission risk behavior: A positive prevention model. AIDS Behav. 2010;14:252-262.PubMedCrossRef
7.
Zurück zum Zitat Sikkema KJ, Wilson PA, Hansen NB, et al. Effects of a coping intervention on transmission risk behavior among people living with HIV/AIDS and a history of childhood sexual abuse. J Acquir Immune Defic Syndr. 2008;47:506-513.PubMedCrossRef Sikkema KJ, Wilson PA, Hansen NB, et al. Effects of a coping intervention on transmission risk behavior among people living with HIV/AIDS and a history of childhood sexual abuse. J Acquir Immune Defic Syndr. 2008;47:506-513.PubMedCrossRef
8.
Zurück zum Zitat Naar-King S, Parsons JT, Murphy D, Kolmodin K, Harris DR. A multisite randomized trial of a motivational intervention targeting multiple risks in youth living with HIV: Initial effects on motivation, self-efficacy, and depression. J Adolesc Health. 2010;46:422-428.PubMedCrossRef Naar-King S, Parsons JT, Murphy D, Kolmodin K, Harris DR. A multisite randomized trial of a motivational intervention targeting multiple risks in youth living with HIV: Initial effects on motivation, self-efficacy, and depression. J Adolesc Health. 2010;46:422-428.PubMedCrossRef
9.
Zurück zum Zitat Prochaska JJ, Spring B, Nigg CR. Multiple health behavior change research: An introduction and overview. Prev Med. 2008;46:181-188.PubMedCrossRef Prochaska JJ, Spring B, Nigg CR. Multiple health behavior change research: An introduction and overview. Prev Med. 2008;46:181-188.PubMedCrossRef
10.
Zurück zum Zitat Lovejoy TI, Heckman TG, Suhr JA, Anderson T, Heckman BD, France CR. Telephone-administered motivational interviewing reduces risky sexual behavior in HIV-positive late middle-age and older adults: A pilot randomized controlled trial. AIDS Behav. 2011;15:1623-1634.PubMedCrossRef Lovejoy TI, Heckman TG, Suhr JA, Anderson T, Heckman BD, France CR. Telephone-administered motivational interviewing reduces risky sexual behavior in HIV-positive late middle-age and older adults: A pilot randomized controlled trial. AIDS Behav. 2011;15:1623-1634.PubMedCrossRef
11.
Zurück zum Zitat Lovejoy TI, Heckman TG, Sikkema KJ, et al. Patterns and correlates of sexual activity and condom use behavior in persons 5-plus years of age living with HIV/AIDS. AIDS Behav. 2008;12:943-956.PubMedCrossRef Lovejoy TI, Heckman TG, Sikkema KJ, et al. Patterns and correlates of sexual activity and condom use behavior in persons 5-plus years of age living with HIV/AIDS. AIDS Behav. 2008;12:943-956.PubMedCrossRef
12.
Zurück zum Zitat Heckman TG, Heckman BD, Kochman A, Sikkema KJ, Suhr J, Goodkin K. Psychological symptoms among persons 50 years of age and older living with HIV disease. Aging Ment Health. 2002;6:121-128.PubMedCrossRef Heckman TG, Heckman BD, Kochman A, Sikkema KJ, Suhr J, Goodkin K. Psychological symptoms among persons 50 years of age and older living with HIV disease. Aging Ment Health. 2002;6:121-128.PubMedCrossRef
13.
Zurück zum Zitat Dumville JC, Hahn S, Miles JNV, Torgerson DJ. The use of unequal randomisation ratios in clinical trials: A review. Contemp Clin Trials. 2006;27:1-12.PubMedCrossRef Dumville JC, Hahn S, Miles JNV, Torgerson DJ. The use of unequal randomisation ratios in clinical trials: A review. Contemp Clin Trials. 2006;27:1-12.PubMedCrossRef
14.
Zurück zum Zitat Moyers TB, Martin T, Manuel JK, Miller WR, Ernst D. Revised Global Scales: Motivational Interviewing Treatment Integrity 3.1.1 (MITI 3.1.1). Albuquerque: Center on Alcoholism, Substance Abuse and Addictions; 2010. Moyers TB, Martin T, Manuel JK, Miller WR, Ernst D. Revised Global Scales: Motivational Interviewing Treatment Integrity 3.1.1 (MITI 3.1.1). Albuquerque: Center on Alcoholism, Substance Abuse and Addictions; 2010.
15.
Zurück zum Zitat Cunningham WE, Rana HM, Shapiro MF, Hays RD. Reliability and validity of self-report CD4 counts in persons hospitalized with HIV disease. J Clin Epidemiol. 1997;50:829-835.PubMedCrossRef Cunningham WE, Rana HM, Shapiro MF, Hays RD. Reliability and validity of self-report CD4 counts in persons hospitalized with HIV disease. J Clin Epidemiol. 1997;50:829-835.PubMedCrossRef
16.
Zurück zum Zitat Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney, Australia: Psychology Foundation; 1995. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney, Australia: Psychology Foundation; 1995.
17.
Zurück zum Zitat Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33:335-343.PubMedCrossRef Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33:335-343.PubMedCrossRef
18.
Zurück zum Zitat Brown TA, Chorpita BF, Korotitsch W, Barlow DH. Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behav Res Ther. 1997;35:79-89.PubMedCrossRef Brown TA, Chorpita BF, Korotitsch W, Barlow DH. Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behav Res Ther. 1997;35:79-89.PubMedCrossRef
19.
Zurück zum Zitat Crawford JR, Henry JD. The depression anxiety stress scales (DASS): Normative data and latent structure in a large non-clinical sample. Brit J Clin Psychol. 2003;42:111-131.CrossRef Crawford JR, Henry JD. The depression anxiety stress scales (DASS): Normative data and latent structure in a large non-clinical sample. Brit J Clin Psychol. 2003;42:111-131.CrossRef
20.
Zurück zum Zitat Bradley MV, Remien RH, Dolezal C. Depression symptoms and sexual HIV risk behavior among serodiscordant couples. Psychosom Med. 2008;70:186-191.PubMedCrossRef Bradley MV, Remien RH, Dolezal C. Depression symptoms and sexual HIV risk behavior among serodiscordant couples. Psychosom Med. 2008;70:186-191.PubMedCrossRef
21.
Zurück zum Zitat Ryan K, Forehand R, Solomon S, Miller C. Depressive symptoms as a link between barriers to care and sexual risk behavior of HIV-infected individuals living in non-urban areas. AIDS Care. 2008;20:331-336.PubMedCrossRef Ryan K, Forehand R, Solomon S, Miller C. Depressive symptoms as a link between barriers to care and sexual risk behavior of HIV-infected individuals living in non-urban areas. AIDS Care. 2008;20:331-336.PubMedCrossRef
22.
Zurück zum Zitat Hart TA, James CA, Purcell DW, Farber E. Social anxiety and HIV transmission risk among HIV-seropositive male patients. AIDS Patient Care STDS. 2008;22:879-886.PubMedCrossRef Hart TA, James CA, Purcell DW, Farber E. Social anxiety and HIV transmission risk among HIV-seropositive male patients. AIDS Patient Care STDS. 2008;22:879-886.PubMedCrossRef
23.
Zurück zum Zitat Martin DJ, Garske JP, Davis KM. Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. J Consult Clin Psych. 2000;68:438-450.CrossRef Martin DJ, Garske JP, Davis KM. Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. J Consult Clin Psych. 2000;68:438-450.CrossRef
24.
Zurück zum Zitat Bolger K, Carter C, Curtin L, et al. Motivational interviewing for smoking cessation among college students. J College Stud Psychother. 2010;24:116-129.CrossRef Bolger K, Carter C, Curtin L, et al. Motivational interviewing for smoking cessation among college students. J College Stud Psychother. 2010;24:116-129.CrossRef
25.
Zurück zum Zitat Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change. 2nd ed. New York, NY: The Guilford Press; 2002. Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change. 2nd ed. New York, NY: The Guilford Press; 2002.
Metadaten
Titel
Telephone-Delivered Motivational Interviewing Targeting Sexual Risk Behavior Reduces Depression, Anxiety, and Stress in HIV-Positive Older Adults
verfasst von
Travis I. Lovejoy, Ph.D., M.P.H
Publikationsdatum
01.12.2012
Verlag
Springer-Verlag
Erschienen in
Annals of Behavioral Medicine / Ausgabe 3/2012
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-012-9401-6

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