A pilot study of the effects of cognitive-behavioral group therapy and peer support/counseling in decreasing psychologic distress and improving quality of life in Chinese patients with symptomatic HIV disease
A pilot study of the effects of cognitive-behavioral group therapy and peer support/counseling in decreasing psychologic distress and improving quality of life in Chinese patients with symptomatic HIV disease
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DOI：
10.1089/10872910252806135
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发表时间：
2002-02-01
影响因子：
4.9
通讯作者：
Li, CK
中科院分区：
文献类型：
--
作者：
Molassiotis, A;Callaghan, P;Li, CK
46例中国症状性人类免疫缺陷病毒（HIV）患者参加了一项比较研究，评估认知行为团体治疗（CBT）和同伴支持/咨询团体治疗（PSC）与接受常规治疗但未进行正式心理社会干预的患者相比，在改善情绪和生活质量以及降低疾病不确定性方面的有效性。CBT组由10名受试者组成，PSC组由10名受试者组成，对照组由26名受试者组成。有24%的流失率。干预组在3个月内每周接受12次治疗。在随机分组前（基线数据）、干预后即刻（3个月时间点）和3个月后随访（6个月时间点）进行情绪状态评估。在随机化前和6个月随访时间点进行生活质量和疾病不确定性评估。结果表明，CBT组参与者的情绪在愤怒、紧张焦虑、抑郁、困惑和整体情绪方面有所改善。与其他两组相比，这一组的生活质量得到了显著改善，疾病的不确定性也得到了改善。在PSC组中，在干预后立即观察到心理功能恶化，但在随访评估中，这一情况显著改善，改善高达34%。随着时间的推移，该组的生活质量也提高了近5%，但结果没有达到统计学意义。这项研究表明，心理干预可以减少心理困扰，改善有症状的艾滋病毒患者的生活质量，表明他们的使用应纳入艾滋病毒/艾滋病患者的护理管理。
Forty-six Chinese patients with symptomatic human immunodeficiency virus (HIV) participated in a comparative study assessing the effectiveness of cognitive-behavioral group therapy (CBT) and peer support/counseling group therapy (PSC) in relation to improving mood and quality of life and decreasing uncertainty in illness as compared to a group receiving routine treatment with no formal psychosocial intervention. The CBT group consisted of 10 subjects, the PSC group of 10 subjects, and the comparison group of 26 subjects. There was a 24% attrition rate. The intervention groups received 12 weekly sessions of therapy over 3 months. Assessment of mood states was carried out before randomization (baseline data), immediately postintervention (3-month time point) and followed-up 3 months later (6-month time point). Assessment of quality of life and uncertainty in illness was carried out before randomization and at the 6-month follow-up time point. Results indicated that the mood of the participants in the CBT group improved in terms of anger, tension-anxiety, depression, confusion, and overall mood. The quality of life in this group was significantly improved compared to the other two groups, as was uncertainty in illness. In the PSC group a worsening of psychologic functioning was observed immediately postintervention, but this picture dramatically improved at the follow-up assessment with improvements of up to 34%. Quality of life also improved over time in this group by almost 5%, but results did not reach statistical significance. This study demonstrated that psychologic interventions could decrease psychologic distress and improve quality of life in symptomatic HIV patients, indicating their use should be incorporated in the management of care of people living with HIV/AIDS.