Cognitive behavioral hiv risk reduction in those receiving psychiatric treatment: A clinical trial

Robert M. Malow, Robert C. Mcmahon, Jessy Dévieux, Rhonda Rosenberg, Anne Frankel, Vaughn Bryant, Brenda Lerner, Maria Jose Miguez

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Among severely mentally ill (SMI) substance abusers, HIV rates are elevated and HIV risk reduction interventions have been shown to be less effective. An enhanced cognitive behavioral HIV risk reduction intervention (E-CB) for SMI was compared to a health promotion condition (HPC) in 222 psychiatric outpatients at 6 months postintervention. Compared to females, males in the E-CB improved on intention to practice safer sex and in condom use skills and in unprotected vaginal sex, but did not differ in HIV knowledge, perceived susceptibility, anxiety, condom attitudes, safer sex self-efficacy, unprotected vaginal sex acts, or sex partners. Across intervention groups, there were improvements in all areas except selfefficacy and number of partners. Risk reduction among SMI may be facilitated by increasing awareness of health related behaviors and HIV-targeted content. However, meaningful changes in critical risk reduction skills and intentions may require a more focused intervention and may vary by gender.

Original languageEnglish (US)
Pages (from-to)1192-1202
Number of pages11
JournalAIDS and Behavior
Issue number5
StatePublished - Jun 2012


  • Behavioral
  • Cognitive
  • HIV
  • Ill
  • Mentally
  • Prevention
  • Risk
  • Severely

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology


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