A controlled study of a spirituality-focused intervention for increasing motivation for HIV prevention among drug users
A controlled study of a spirituality-focused intervention for increasing motivation for HIV prevention among drug users
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DOI：
10.1521/aeap.2006.18.4.311
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发表时间：
2006-08-01
影响因子：
1.8
通讯作者：
Avants, S. Kelly
中科院分区：
文献类型：
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作者：
Margolin, Arthur;Beitel, Mark;Avants, S. Kelly
精神自我图式（3-S）疗法是一种手动指导的干预措施，旨在增加预防艾滋病毒的动机，将自我认知模型纳入适合所有信仰的人的佛教框架。在这项对照研究中，72名美沙酮维持者接受标准护理和8周的3-S治疗，或仅接受标准护理。在治疗完成后，3-S客户报告显着增加精神的做法，精神品质的表达，和艾滋病毒预防的动机。他们也不太可能从事艾滋病毒风险行为。相关性分析显示，出席3-S治疗会议是显着正相关的治疗完成时的精神实践和艾滋病毒预防的动机，并出席3-S会议和艾滋病毒预防行为的动机显着负相关的艾滋病毒风险行为。完成3-S治疗预测治疗后的HIV预防行为，控制治疗前的行为，人口统计学和成瘾严重程度的措施（比值比= 8.89; 95%置信区间= 1.62-48.93）。
Spiritual Self-Schema (3-S) therapy is a manual-guided intervention for increasing motivation for HIV prevention that integrates a cognitive model of self within a Buddhist framework suitable for people of all faiths. In this controlled study, 72 methadone-maintained clients received either standard care and 8 weeks of 3-S therapy, or standard care alone. At treatment completion, 3-S clients reported significantly greater increases in spiritual practices, expression of spiritual qualities, and motivation for HIV prevention. They were also less likely to have engaged in HIV risk behavior. Correlational analyses showed that attendance at 3-S therapy sessions was significantly positively related to spiritual practice at treatment completion and to motivation for HIV prevention, and that both attendance at 3-S sessions and motivation for HIV preventive behavior were significantly negatively related to HIV risk behavior. Completion of 3-S therapy predicted posttreatment HIV preventive behavior, controlling for pretreatment behavior, demographics, and addiction severity measures (odds ratio = 8.89; 95% confidence interval = 1.62-48.93).