Outcome of cognitive-behavioral and support group brief therapies for depressed, HIV-infected persons.
Outcome of cognitive-behavioral and support group brief therapies for depressed, HIV-infected persons.
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针对抑郁症、艾滋病毒感染者的认知行为和支持小组短期疗法的结果。
DOI：
10.1176/ajp.150.11.1679
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Bernstein,BM
中科院分区：
文献类型：
--
作者：
Kelly,JA;Murphy,DA;Bahr,GR;Kalichman,SC;Morgan,MG;Stevenson,LY;Koob,JJ;Brasfield,TL;Bernstein,BM
虽然许多研究已经记录了艾滋病毒感染者的情绪困扰模式，但很少有对这些人的治疗结果进行控制评估。本研究评估了简短的认知行为或社会支持小组治疗与此population.Methods68抑郁症男性HIV感染者的影响被随机分配到三个条件之一：八届认知行为组，八届社会支持组，或比较条件。干预前后和3个月的随访，所有参与者进行了单独评估，使用的措施ofsymptoms ofdistress以及物质使用和性practices.ResultsRelative的对照组，无论是认知行为和socialsupport组疗法产生抑郁症，敌意和躯体化的减少。社会支持干预也减少了整体精神症状，并倾向于减少适应不良的人际关系敏感，焦虑，和频率的无保护的接受肛交，而认知行为干预导致不太频繁的非法药物使用在follow-up期间。测试的临床意义的变化，特别强调的好处，社会支持小组干预后，在长期follows.ConclusionsBriefgroup治疗抑郁症的人与HIV感染产生的痛苦的症状减少。这两种形式的治疗导致了功能的共同和独特的改善，尽管社会支持团体专注于情绪应对，但有更多的临床显著变化的证据。随着越来越多的人感染艾滋病毒，并与艾滋病毒疾病的寿命更长，需要进一步的研究，以评估这些人的心理健康服务的结果。
ObjectiveAlthough many studies have documented patterns of emotional distress in persons with HIV disease, there have been few controlled evaluations of therapy outcomes with these individuals. This research evaluated the effects of brief cognitive-behavioral or social support group therapy with this population.MethodSixty-eight depressed men with HIV infection were randomly assigned to one ofthree conditions: eight-session cognitive-behavioral groups, eight-session social support groups, or a comparison condition. Before and after intervention and at 3-month follow-up, all participants were individually assessed by using measures ofsymptoms ofdistress as well as substance use and sexual practices.ResultsRelative to the comparison group, both the cognitive-behavioraland socialsupport group therapies produced reductions in depression, hostility, and somatization. The social support intervention also produced reductions in overall psychiatric symptoms and tended to reduce maladaptive interpersonal sensitivity, anxiety, and frequency of unprotected receptive anal intercourse, while the cognitive-behavioral intervention resulted in less frequent illicit drug use during the f ollow-up period. Tests for clinical significance ofchange particularly underscored benefits of the social support group intervention both at postintervention and at long-term follow-up.ConclusionsBriefgroup therapy for depressed persons with HIV infection produced reductions in symptoms of distress. The two forms of therapy resulted in shared and unique improvements in functioning, although social support groups focused on emotional coping presentedgreater evidence ofclinically significant change. As more persons contract HIV infection and live longer with HIV disease, further research is needed to evaluate outcomes of mental health services with these individuals.