Acceptance-based behavior therapy to promote HIV medication adherence
Acceptance-based behavior therapy to promote HIV medication adherence
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DOI：
10.1080/09540121.2011.579945
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发表时间：
2011-01-01
影响因子：
1.7
通讯作者：
Forman, Evan M.
中科院分区：
文献类型：
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作者：
Moitra, Ethan;Herbert, James D.;Forman, Evan M.
在美国，有相当数量的成年艾滋病毒感染者没有坚持足够水平的高效抗逆转录病毒治疗（HAART）。虽然传统的认知行为干预在促进HAART依从性方面显示出希望，但基于接受的行为疗法（ABBT）可能在这一人群中特别有用。ABBT有可能克服与依从性差相关的常见的基于回避的障碍，包括否认各种疾病相关因素和避免污名化。我们描述了促进HIV阳性人群心理和行为接受的基本原理;概述了ABBT，以促进HAART依从性，针对来自城市，少数民族，低社会经济背景的初级保健患者;并报告了治疗可行性和可接受性的初步定性观察。
A significant number of adults with HIV in the USA do not maintain adherence to highly active antiretroviral therapy (HAART) at adequate levels. Although traditional cognitive behavioral interventions have shown promise in promoting HAART adherence, acceptance-based behavior therapy (ABBT) may be particularly useful in this population. ABBT has the potential to overcome common avoidance-based barriers associated with poor adherence, including denial of various illness-related factors and avoidance of stigmatization. We describe the rationale for promoting psychological and behavioral acceptance in HIV-positive populations; outline an ABBT to promote HAART adherence targeting primary care patients from urban, minority, low socioeconomic backgrounds; and report preliminary qualitative observations of treatment feasibility and acceptability.