Family mechanisms of structural ecosystems therapy for HIV-seropositive women in drug recovery.

Family mechanisms of structural ecosystems therapy for HIV-seropositive women in drug recovery.
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DOI:
10.1037/a0028672
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发表时间:
2012-09
期刊:
影响因子:
4.2
通讯作者:
Feaster, Daniel J.
Feaster, Daniel J.
中科院分区:
心理学2区
文献类型:
--
作者:
Mitrani, Victoria B.;McCabe, Brian E.;Burns, Myron J.;Feaster, Daniel J.

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Examined the effects of Structural Ecosystems Therapy (SET), a family intervention for women living with HIV or AIDS, compared to a psycho-educational health group (HG) intervention, and reciprocal relationships between women and family members. Women (n = 126) and their family members (n = 269) were randomized to one of two conditions and assessed every 4 months for 12 months. Family functioning, drug use, and psychological distress was reported by multiple family members. Multilevel growth curve modeling showed a different family functioning trajectory between SET and HG, B = −0.05, SE = 0.02, p < .01. There was no intervention effect on the trajectory of family-level drug abstinence or psychological distress, but there was a significant difference in the trajectory of psychological distress after controlling for change in family functioning, B = −0.28, SE = 0.13, p < .05. There was an indirect effect from treatment through change in family functioning to change in psychological distress, B = 0.29, SE = 0.12, p < .05. With respect to reciprocal effects, family drug abstinence significantly predicted women’s abstinence 4 months later, B = 0.22, SE = 0.06, p < .001. Findings demonstrated the interdependence of family members and the impact of family in relapse prevention and partially supported SET’s potential for maintaining family functioning and well-being for women living with HIV or AIDS in drug recovery.
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