The moderating role of sexual identity in group teletherapy for adults aging with HIV.
The moderating role of sexual identity in group teletherapy for adults aging with HIV.
复制标题
性别认同在老年艾滋病毒感染者团体远程治疗中的调节作用。
DOI：
10.1080/08964289.2014.925417
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Bianco,JosephA
中科院分区：
文献类型：
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作者：
Heckman,BernadetteDavantes;Lovejoy,TravisI;Heckman,TimothyG;Anderson,Timothy;Grimes,Tiffany;Sutton,Mark;Bianco,JosephA
感染艾滋病毒/艾滋病的老年人抑郁和自杀意念的发生率很高，但与年轻人相比，他们寻求心理服务的可能性较小。艾滋病毒继续对男男性行为者 (MSM) 产生不成比例的影响，其中许多人在 20 多岁和 30 多岁的时候被感染。本研究检验了老年 MSM 和感染 HIV 的老年异性恋者的治疗出席率和两种小组形式的抑郁症远程治疗（应对有效性小组训练和支持表达小组治疗）的疗效是否具有可比性。干预结果分析发现，老年男同性恋者和感染艾滋病毒的老年异性恋者参加的远程治疗次数相当。接受电话支持表达团体治疗的老年 HIV 感染者报告，与 SOC 对照组相比，抑郁症状明显减少。在较早的 MSM 中没有发现类似的模式。需要更多的研究来为感染艾滋病毒的老年 MSM 提供个性化和定制的团体远程治疗。
Older adults living with HIV/AIDS experience high rates of depression and suicidal ideation but are less likely than their younger counterparts to seek psychological services. HIV continues to disproportionately impact older men who have sex with men (MSM), many of whom were infected in their 20s and 30s. This study examined whether therapy attendance rates and the efficacies of two group-format teletherapies for the treatment of depression (coping effectiveness group training and supportive-expressive group therapy) were comparable for older MSM and older heterosexuals living with HIV. Intervention-outcome analyses found that older MSM and older heterosexuals living with HIV attended comparable numbers of teletherapy sessions. Older heterosexuals living with HIV who received telephone-administered supportive-expressive group therapy reported significantly greater reductions in depressive symptoms than SOC controls. A similar pattern was not found in older MSM. More research is needed to personalize and tailor group teletherapies for older MSM living with HIV.