Randomized controlled trial of a cognitive-behavioral intervention for HIV-positive persons

an investigation of treatment effects on psychosocial adjustment

Adam Carrico, Margaret A. Chesney, Mallory O. Johnson, Stephen F. Morin, Torsten B. Neilands, Robert H. Remien, Mary Jane Rotheram-Borus, F. Lennie Wong

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Questions remain regarding the clinical utility of psychological interventions for HIV-positive persons because randomized controlled trials have utilized stringent inclusion criteria and focused extensively on gay men. The present randomized controlled trial examined the efficacy of a 15-session, individually delivered cognitive-behavioral intervention (n = 467) compared to a wait-list control (n = 469) in a diverse sample of HIV-positive persons who reported HIV transmission risk behavior. Five intervention sessions that dealt with executing effective coping responses were delivered between baseline and the 5 months post-randomization. Additional assessments were completed through 25 months post-randomization. Despite previously documented reductions in HIV transmission risk, no intervention-related changes in psychosocial adjustment were observed across the 25-month investigation period. In addition, there were no intervention effects on psychosocial adjustment among individuals who presented with mild to moderate depressive symptoms. More intensive mental health interventions may be necessary to improve psychosocial adjustment among HIV-positive individuals.

Original languageEnglish (US)
Pages (from-to)555-563
Number of pages9
JournalAIDS and Behavior
Volume13
Issue number3
DOIs
StatePublished - Jun 1 2009
Externally publishedYes

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Social Adjustment
Randomized Controlled Trials
HIV
Random Allocation
Therapeutics
Risk-Taking
Mental Health
Depression
Psychology

Keywords

  • AIDS
  • Anxiety
  • Depression
  • HIV
  • Intervention
  • Positive affect

ASJC Scopus subject areas

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

Cite this

Randomized controlled trial of a cognitive-behavioral intervention for HIV-positive persons : an investigation of treatment effects on psychosocial adjustment. / Carrico, Adam; Chesney, Margaret A.; Johnson, Mallory O.; Morin, Stephen F.; Neilands, Torsten B.; Remien, Robert H.; Rotheram-Borus, Mary Jane; Lennie Wong, F.

In: AIDS and Behavior, Vol. 13, No. 3, 01.06.2009, p. 555-563.

Research output: Contribution to journalArticle

Carrico, Adam ; Chesney, Margaret A. ; Johnson, Mallory O. ; Morin, Stephen F. ; Neilands, Torsten B. ; Remien, Robert H. ; Rotheram-Borus, Mary Jane ; Lennie Wong, F. / Randomized controlled trial of a cognitive-behavioral intervention for HIV-positive persons : an investigation of treatment effects on psychosocial adjustment. In: AIDS and Behavior. 2009 ; Vol. 13, No. 3. pp. 555-563.
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