Cognitive-Behavioral Stress Management Interventions for Ethnic-Minority HIV-Positive Alcohol/Drug Abusers in Resource Limited and Culturally Diverse Communities
Cognitive-Behavioral Stress Management Interventions for Ethnic-Minority HIV-Positive Alcohol/Drug Abusers in Resource Limited and Culturally Diverse Communities
复制标题
DOI：
10.3844/ajidsp.2009.48.59
复制
发表时间：
2009-01-01
期刊：
影响因子：
--
通讯作者：
Devieux, Jessy G.
中科院分区：
文献类型：
--
作者：
Malow, Robert M.;Rosenberg, Rhonda;Devieux, Jessy G.
本文报道了我们对酒精和其他药物滥用（AOD）艾滋病毒感染者（PLWH）的干预工作。目前的研究包括采用认知行为压力管理（CBSM）和其他策略来改善PLWH的生活质量和健康结果。从历史上看，CBSM使用放松和应对技能训练来减少消极情绪和改善应对行为。CBSM干预改善功能的功效已在许多疾病群体中得到证实，最近，在美国的少数民族HIV阳性样本中，CBSM降低HIV风险的干预措施与其他认知行为疗法类似，强调技能培训和减轻压力。在最危险和最具挑战性的临床人群中，有酗酒和/或滥用药物史的艾滋病毒感染者。与没有酒精或药物滥用史的人相比，他们不仅更有可能将病毒传播给他人，而且在坚持抗逆转录病毒治疗方面也面临问题。这篇文章的一个主要焦点是报告我们对资源非常有限的，有药物滥用问题的少数民族PLWH的干预工作，特别是我们在迈阿密和海地的NIH资助的项目，以及新兴的生物脆弱性和基因组因素科学所带来的机会。
The article reports our intervention work with Alcohol and Other Drug Abusing (AOD) People Living With HIV (PLWH). Present research has involved adapting Cognitive Behavioral Stress Management (CBSM) and other strategies to improve quality of life and health outcomes for PLWH. Historically, CBSM has used relaxation and coping skills training to reduce negative mood and improve coping behaviors. The efficacy of CBSM interventions to improve functioning has been demonstrated in many disease groups and, more recently, in ethnic-minority HIV+ samples in the US CBSM HIV risk reduction interventions are similar to other cognitive-behavioral therapies in emphasizing skills training and stress reduction. Among the most precarious and challenging clinical populations are HIV infected individuals with a history of alcohol and/or drug abuse. Compared to their counterparts with no history of alcohol or drug abuse, not only are they more likely to transmit the virus to others, but they are also at risk for problems in adhering to antiretroviral regimens. A main focus of this article is to report on our intervention work with very resource- limited, ethnicminority PLWH with substance abuse problems, particularly our NIH funded projects in Miami and Haiti and the opportunities presented by the emerging science of biological vulnerability and genomic factors.