Randomized controlled trial of a positive affect intervention for people newly diagnosed with HIV

Judith T. Moskowitz, Adam W. Carrico, Larissa G. Duncan, Michael A. Cohn, Elaine O. Cheung, Abigail Batchelder, Lizet Martinez, Eisuke Segawa, Michael Acree, Susan Folkman

Research output: Contribution to journalArticle

56 Scopus citations

Abstract

Objective: We conducted a randomized controlled trial to determine whether IRISS (Intervention for those Recently Informed of their Seropositive Status), a positive affect skills intervention, improved positive emotion, psychological health, physical health, and health behaviors in people newly diagnosed with HIV. Method: One-hundred and fifty-nine participants who had received an HIV diagnosis in the past 3 months were randomized to a 5-session, in-person, individually delivered positive affect skills intervention or an attention-matched control condition. Results: For the primary outcome of past-day positive affect, the group difference in change from baseline over time did not reach statistical significance (p =.12, d =.30). Planned secondary analyses within assessment point showed that the intervention led to higher levels of past-day positive affect at 5, 10, and 15 months postdiagnosis compared with an attention control. For antidepressant use, the between group difference in change from baseline was statistically significant (p =.006, d = -.78 baseline to 15 months) and the difference in change over time for intrusive and avoidant thoughts related to HIV was also statistically significant (p =.048, d =.29). Contrary to findings for most health behavior interventions in which effects wane over the follow up period, effect sizes in IRISS seemed to increase over time for most outcomes. Conclusions: This comparatively brief positive affect skills intervention achieved modest improvements in psychological health, and may have the potential to support adjustment to a new HIV diagnosis.

Original languageEnglish (US)
Pages (from-to)409-423
Number of pages15
JournalJournal of consulting and clinical psychology
Volume85
Issue number5
DOIs
StatePublished - May 2017

Keywords

  • HIV diagnosis
  • positive affect
  • positive emotion
  • randomized controlled trial
  • stress

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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    Moskowitz, J. T., Carrico, A. W., Duncan, L. G., Cohn, M. A., Cheung, E. O., Batchelder, A., Martinez, L., Segawa, E., Acree, M., & Folkman, S. (2017). Randomized controlled trial of a positive affect intervention for people newly diagnosed with HIV. Journal of consulting and clinical psychology, 85(5), 409-423. https://doi.org/10.1037/ccp0000188