TY - JOUR
T1 - Structural Ecosystems Therapy for HIV-Seropositive African American Women
T2 - Effects on Psychological Distress, Family Hassles, and Family Support
AU - Szapocznik, José
AU - Feaster, Daniel J.
AU - Mitrani, Victoria B.
AU - Prado, Guillermo
AU - Smith, Lila
AU - Robinson-Batista, Carleen
AU - Schwartz, Seth J.
AU - Mauer, Magaly H.
AU - Robbins, Michael S.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2004/4
Y1 - 2004/4
N2 - This study tests the efficacy of Structural Ecosystems Therapy (SET), a family-ecological intervention in improving psychosocial functioning when compared with an attention-comparison person-centered condition and a community control condition. A sample of 209 HIV-seropositive, urban, low-income, African American women was randomized into 1 of the 3 conditions. Results of growth curve analyses over 5 time points revealed that SET was more efficacious than either of the control conditions in reducing psychological distress and family-related hassles. However, contrary to hypotheses, SET was not more efficacious in increasing family support. Latent growth mixture modeling analyses indicated that SET was most efficacious for women who, on average, were at or near the clinical threshold for psychological distress and for women with high levels of family hassles. Implications for further intervention development are discussed.
AB - This study tests the efficacy of Structural Ecosystems Therapy (SET), a family-ecological intervention in improving psychosocial functioning when compared with an attention-comparison person-centered condition and a community control condition. A sample of 209 HIV-seropositive, urban, low-income, African American women was randomized into 1 of the 3 conditions. Results of growth curve analyses over 5 time points revealed that SET was more efficacious than either of the control conditions in reducing psychological distress and family-related hassles. However, contrary to hypotheses, SET was not more efficacious in increasing family support. Latent growth mixture modeling analyses indicated that SET was most efficacious for women who, on average, were at or near the clinical threshold for psychological distress and for women with high levels of family hassles. Implications for further intervention development are discussed.
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U2 - 10.1037/0022-006X.72.2.288
DO - 10.1037/0022-006X.72.2.288
M3 - Article
C2 - 15065962
AN - SCOPUS:1642265446
VL - 72
SP - 288
EP - 303
JO - Journal of Consulting and Clinical Psychology
JF - Journal of Consulting and Clinical Psychology
SN - 0022-006X
IS - 2
ER -