Cognitive—behavioural stress management with HIV-positive homosexual men: Mechanisms of sustained reductions in depressive symptoms

Adam W. Carrico, Michael H. Antoni, Kathryn E. Weaver, Suzanne C. Lechner, Neil Schneiderman

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


BACKGROUND: We examined the sustained efficacy of a group-based cognitive-behavioural stress management (CBSM) intervention in comparison to a modified wait-list control condition on measures of mood, coping and social support in mildly symptomatic HIV-positive homosexual and bisexual men. Participants were recruited largely during the era prior to highly active antiretroviral therapy (HAART; 1992-1997). METHODS: Men were randomized to either a 10-week, group-based CBSM intervention (n = 83) or a psychoeducational seminar group (n = 46). All participants completed a battery of psychosocial questionnaires administered by a research assistant at baseline, immediately following the 10-week CBSM intervention period, and at a 6-month follow-up. RESULTS: Men in the CBSM group maintained previously observed effects on depressive symptoms and perceived social support. These sustained effects of CBSM on depressive symptoms were mediated by 10-week increases in cognitive coping (i.e. positive reframing). DISCUSSION: CBSM appears to be a potentially efficacious treatment that reduces and maintains lower levels of depressive symptoms and enhances social support in HIV-positive homosexual and bisexual men. In particular, changes in positive reframing during the 10-week intervention period remain a crucial factor contributing to sustained reductions in depressive symptoms.

Original languageEnglish (US)
Pages (from-to)207-215
Number of pages9
JournalChronic illness
Issue number3
StatePublished - Sep 2005


  • AIDS
  • Coping
  • Depression
  • HIV
  • Intervention
  • Social support

ASJC Scopus subject areas

  • Health Policy


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