Cognitive behavioral therapy for body image and self-care (CBT-BISC) in sexual minority men living with HIV: A randomized controlled trial.
Cognitive behavioral therapy for body image and self-care (CBT-BISC) in sexual minority men living with HIV: A randomized controlled trial.
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DOI：
10.1037/hea0000505
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发表时间：
2017-10
期刊：
影响因子：
--
通讯作者：
Mayer KH
中科院分区：
文献类型：
--
作者：
Blashill AJ;Safren SA;Wilhelm S;Jampel J;Taylor SW;O'Cleirigh C;Mayer KH
身体形象障碍在许多感染艾滋病毒的性少数男性中是一个令人痛苦和干扰的问题，并与抑郁症状加重和艾滋病毒自我护理不良有关（例如，抗逆转录病毒疗法[ART]不依从性）。目前的研究测试了一种新创建的干预措施的初步疗效：针对这一人群的身体形象和自我护理的认知行为疗法（CBT-BISC）。目前的研究需要一项两组随机对照试验（N = 44），比较CBT-BISC与常规增强治疗（ETAU）条件。在基线后3个月和6个月进行分析。主要结局是身体意象障碍（BDD-YBOCS），次要结局是ART依从性（通过Wisepill电子监测）、抑郁症状（MADRS）和整体功能（GAF）。在3个月时，CBT-BISC状况显示BDD-YBOCS显著改善（B = −13.6，SE = 2.7，95% CI：−19.0，−8.3，p < .001; dppc2 = 2.39），MADRS（B = −4.9，SE = 2.8，95% CI：−10.6，0.70，p = 0.086; dppc 2 = 0.87），ART依从性（B = 8.8，SE = 3.3，95%CI：2.0，15.6，p = 0.01; dppc2 = 0.94）和GAF（B = 12.3，SE = 3.2，95%CI：6.1，18.6，p <0.001; dppc2 = 2.91）。结果通常在6个月时保持或改善;尽管根据计算方法，依从性结果好坏参半。CBT-BISC对性少数男性艾滋病感染者的体像障碍和艾滋病自我护理行为的综合治疗显示出初步疗效。
Body image disturbance is a distressing and interfering problem among many sexual minority men living with HIV, and is associated with elevated depressive symptoms and poor HIV self-care (e.g., antiretroviral therapy [ART] non-adherence). The current study tested the preliminary efficacy of a newly created intervention: cognitive behavioral therapy for body image and self-care (CBT-BISC) for this population. The current study entailed a two-arm randomized controlled trial (N = 44) comparing CBT-BISC to an enhanced treatment as usual (ETAU) condition. Analyses were conducted at 3 and 6 months after baseline. The primary outcome was body image disturbance (BDD-YBOCS), and secondary outcomes were ART adherence (electronically monitored via Wisepill), depressive symptoms (MADRS), and global functioning (GAF). At 3 months, the CBT-BISC condition showed substantial improvement in BDD-YBOCS (b = −13.6, SE = 2.7, 95% CI: −19.0, −8.3, p < .001; dppc2 = 2.39), MADRS (b = −4.9, SE = 2.8, 95% CI: −10.6, .70, p = .086; dppc2 = .87), ART adherence (b = 8.8, SE = 3.3, 95% CI: 2.0, 15.6, p = .01; dppc2 = .94), and GAF (b = 12.3, SE = 3.2, 95% CI: 6.1, 18.6, p < .001; dppc2 = 2.91) compared to the ETAU condition. Results were generally maintained, or improved, at 6 months; although, adherence findings were mixed depending on the calculation method. CBT-BISC shows preliminary efficacy in the integrated treatment of body image disturbance and HIV self-care behaviors among sexual minority men living with HIV.
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影响因子：
4.9
作者：
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