Learning to address multiple syndemics for people living with HIV through client perspectives on CBT.
Learning to address multiple syndemics for people living with HIV through client perspectives on CBT.
复制标题
DOI：
10.1080/10503307.2017.1380863
复制
发表时间：
2019-05
期刊：
影响因子：
--
通讯作者：
Safren SA
中科院分区：
文献类型：
--
作者：
Perry NS;Remmert JE;Psaros C;Pinkston M;Safren SA
艾滋病毒/艾滋病感染者的心理健康负担很高，往往涉及多种共病心理和药物使用相关的心理社会问题。这些同时发生的问题或综合征进一步削弱了对艾滋病毒疾病管理的参与。现有的心理健康和艾滋病毒健康的心理治疗一般集中在一个单一的心理问题，很少有研究存在，以指导未来的心理治疗，解决多种心理健康问题。为了解决这一理解上的差距，我们对完成认知行为疗法（CBT）治疗抑郁症和药物依从性的多重共病PLWHA（N=30）进行了定性访谈。主题出现了关于参与者的观点，即重叠的物质使用和情绪障碍如何相互作用，以减少CBT的益处。与其他综合症相比，药物使用是一个主要主题，突出表明需要综合心理健康和药物使用干预措施。访谈还建议修改的心理社会问题的参与者认为应优先在治疗交付。最后，参与者描述了他们在心理治疗干预中想要的内容，包括亲密关系和性健康。未来对综合症问题和艾滋病毒自我护理的心理治疗干预措施需要全面解决复杂的问题，包括对艾滋病毒感染者/艾滋病患者整体福祉至关重要的问题。这可能会提高客户的参与度，并最终改善心理和身体健康状况。
The mental health burden among people living with HIV/AIDS (PLWHA) is high and often involves multiple comorbid psychological and substance use-related psychosocial problems. These co-occurring problems, or syndemics, additively impair engagement in HIV disease management. Existing psychotherapies for mental health and HIV health have generally focused on a single psychosocial problem and little research exists to guide future psychotherapies that address multiple mental health issues. To address this gap in understanding, we conducted qualitative interviews with multiply comorbid PLWHA (N=30) who completed cognitive-behavioral therapy (CBT) for depression and medication adherence. Themes emerged regarding participants’ perspectives on how overlapping substance use and mood disorders interacted to reduce the benefit of CBT. Substance use was a dominant theme compared to other syndemics, highlighting the need for integrated mental health and substance use interventions. Interviews also suggested modifications of which psychosocial concerns participants felt should be prioritized in treatment delivery. Finally, participants described content they would want in a psychotherapy intervention, including intimacy and sexual health. Future psychotherapeutic interventions for syndemic problems and HIV self-care will need to comprehensively address complex concerns, including issues salient to the overall well-being of PLWHA. This may improve client engagement and, ultimately, mental and physical health outcomes.
登录
查看更多内容
在合并的心理健康问题的背景下促进MSM的性健康。
影响因子：
4.4
作者：
Safren, Steven A.;Blashill, Aaron J.;O'Cleirigh, Conall M.
通讯作者：
O'Cleirigh, Conall M.
影响因子：
4.8
作者：
Paul, JP;Catania, J;Stall, R
通讯作者：
Stall, R
影响因子：
4.4
作者：
Blashill, Aaron J.;Bedoya, C. Andres;Mayer, Kenneth H.;O'Cleirigh, Conall;Pinkston, Megan M.;Remmert, Jocelyn E.;Mimiaga, Matthew J.;Safren, Steven A.
通讯作者：
Safren, Steven A.
影响因子：
3.3
作者：
Leserman, Jane
通讯作者：
Leserman, Jane
影响因子：
3.8
作者：
Safren SA;Perry NS;Blashill AJ;O'Cleirigh C;Mayer KH
通讯作者：
Mayer KH