Behavioral medicine and the management of HIV/AIDS

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Psychosocial treatment studies provide a method for conducting causal investigations within a clinical environment. They can also inform about relations between psychosocial or biobehavioral processes on the one hand, and disease on the other. Our studies conducted on HIV-positive (HIV+) homosexual men indicate that a group-based cognitive behavioral stress management (CBSM) intervention can decrease distress, buffer the psychological and immunological sequelae of HIV+ serostatus notification, and improve surveillance of herpes viruses. Decreased dysphoria induced by CBSM appears to be a significant mediator of control over cellular immunity. Poor HIV+ African American women, as well as more affluent gay men, benefit from group-based CBSM, but important gender and sociocultural differences must be taken into account in developing protocols. Adherence to highly active antiretroviral therapy (HAART), coupled with good health behavior, can contain HIV/AIDS in most instances. In contrast, poor HAART adherence coupled with poor health behavior (e.g., unprotected sex) can lead to drag resistance and infection of partners with virulent mutated strains. Thus, now more than ever, behavioral medicine approaches to management and secondary prevention of HIV/AIDS are needed.

Original languageEnglish
Pages (from-to)3-12
Number of pages10
JournalInternational Journal of Behavioral Medicine
Volume6
Issue number1
DOIs
StatePublished - May 25 1999

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Behavioral Medicine
Acquired Immunodeficiency Syndrome
HIV
Health Behavior
Highly Active Antiretroviral Therapy
Unsafe Sex
Secondary Prevention
Cellular Immunity
African Americans
Buffers
Psychology
Viruses
Infection

Keywords

  • Cellular immunity
  • Cognitive behavioral stress management
  • Distress
  • HIV/AIDS
  • Psychosocial intervention

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology

Cite this

Behavioral medicine and the management of HIV/AIDS. / Schneiderman, Neil.

In: International Journal of Behavioral Medicine, Vol. 6, No. 1, 25.05.1999, p. 3-12.

Research output: Contribution to journalArticle

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