Description and Demonstration of Cognitive Behavioral Therapy to Enhance Antiretroviral Therapy Adherence and Treat Depression in HIV-Infected Adults

Michael E. Newcomb, C. Andres Bedoya, Aaron J. Blashill, Jonathan A. Lerner, Conall O'Cleirigh, Megan M. Pinkston, Steven Safren

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

There are an estimated 1.1 million individuals living with HIV/AIDS in the United States. In addition to the various medical comorbidities of HIV infection, depression is one of the most frequently co-occurring psychiatric conditions among HIV-infected individuals. Furthermore, depression has been found to be associated with nonadherence to antiretroviral therapy (ART), as well as HIV disease progression. Cognitive behavioral therapy (CBT) has repeatedly been found to effectively treat depression in adult populations, and CBT for adherence and depression (CBT-AD) is an effective treatment for improving depressive symptoms and medication adherence in the context of various chronic health conditions, including diabetes and HIV-infection. This paper provides a description of the CBT-AD approach to treat depression and ART adherence in HIV-infected adults, which we have developed and tested in our clinic, and for which detailed therapist and client guides exist. To augment the description of treatment, the present article provides video component demonstrations of several core modules that highlight important aspects of this treatment, including Life-Steps for medication adherence, orientation to CBT-AD and psychoeducation, and suggestions for adaptation of core CBT modules for HIV-infected adults. Discussion of video demonstrations highlights differences in patient presentations and course of treatment between HIV-infected adults receiving CBT-AD and HIV-uninfected adults receiving traditional CBT for depression. This description and the accompanying demonstrations are intended as a practical guide to assist therapists wishing to conduct such a treatment in the outpatient setting.

Original languageEnglish (US)
Pages (from-to)430-438
Number of pages9
JournalCognitive and Behavioral Practice
Volume22
Issue number4
DOIs
StatePublished - Nov 1 2015
Externally publishedYes

Fingerprint

Cognitive Therapy
HIV
Depression
Medication Adherence
Therapeutics
HIV Infections
Psychiatry
Disease Progression
Comorbidity
Acquired Immunodeficiency Syndrome
Outpatients
Health
Population

Keywords

  • Cognitive behavioral therapy
  • Depression
  • HIV/AIDS
  • Medication adherence

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

Description and Demonstration of Cognitive Behavioral Therapy to Enhance Antiretroviral Therapy Adherence and Treat Depression in HIV-Infected Adults. / Newcomb, Michael E.; Bedoya, C. Andres; Blashill, Aaron J.; Lerner, Jonathan A.; O'Cleirigh, Conall; Pinkston, Megan M.; Safren, Steven.

In: Cognitive and Behavioral Practice, Vol. 22, No. 4, 01.11.2015, p. 430-438.

Research output: Contribution to journalArticle

Newcomb, Michael E. ; Bedoya, C. Andres ; Blashill, Aaron J. ; Lerner, Jonathan A. ; O'Cleirigh, Conall ; Pinkston, Megan M. ; Safren, Steven. / Description and Demonstration of Cognitive Behavioral Therapy to Enhance Antiretroviral Therapy Adherence and Treat Depression in HIV-Infected Adults. In: Cognitive and Behavioral Practice. 2015 ; Vol. 22, No. 4. pp. 430-438.
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