INTERVENTION FOR COPING WITH AIDS RELATED BEREAVEMENT

描述(申请人摘要)：患病率和不良心理 与艾滋病有关的丧亲对健康的影响是众所周知的， 尤其是对于那些本身就是艾滋病毒感染者的人。然而，几乎没有 临床研究的注意力集中在满足心理需求的方法上 艾滋病毒阳性者，并试图应对失去 爱滋病的亲人。此应用程序需要4年的支持，以 实施和评估与艾滋病有关的丧亲认知-应对和 行为技能团体干预在心理二级预防中的应用 失去亲人的艾滋病毒感染者的健康困境。干预措施 模型结合了悲伤理论和压力认知理论的元素，并 应对措施，包括以下关键组成部分：1)发展社会 支持和团队凝聚力；2)情感的认同和表达；3) 艾滋病遗失与共处应对困难的识别 艾滋病毒感染；4)确定当前应对策略；5) 设定目标；以及6)实施适应性应对战略，以减少 心理上的痛苦。210名感染艾滋病毒的男性和女性 经历与艾滋病有关的丧亲和精神痛苦将是 根据精神病诊断和使用情况随机分配和分层 精神药物、认知应对小组干预或 控制条件。在基线、干预后收集的评估， 在4个月、8个月和12个月的随访点将被用来确定 干预结果效果。据推测，与艾滋病有关的 丧亲团体的干预条件将导致较轻的严重程度 悲伤反应；减少精神痛苦，临床抑郁，焦虑， 和创伤应激；增加社会支持水平；更高的评级 生活质量；减少物质使用；以及发展和执行 关于应对艾滋病毒感染和与艾滋病有关的丧亲的适应性方法。 如果成功，这项研究有望发现一种与艾滋病相关的 心理健康二级预防的丧亲干预模式 艾滋病毒感染者的疾病，这是 为艾滋病毒携带者提供服务的组织和心理健康计划 感染。

DESCRIPTION (Applicant's Abstract): The prevalence and adverse mental health consequences of AIDS-related bereavement are well-established, especially for those who are themselves HIV-infected. However, little clinical research attention has focused on ways to meet psychological needs of persons who are HIV positive and attempting to cope with the loss of loved ones to AIDS. This application requests 4 years of support to implement and evaluate an AIDS-related bereavement cognitive-coping and behavioral skills group intervention for the secondary prevention of mental health distress among bereaved people with HIV infection. The intervention model combines elements of grief theory and cognitive theories of stress and coping and includes the following key components: 1) development of social support and group cohesion; 2) identification and expression of emotions; 3) identification of coping difficulties specific to AIDS loss and living with HIV infection; 4) identification of current coping strategies; 5) goal-setting; and 6) implementation of adaptive coping strategies to reduce psychological distress. Two hundred ten HIV-infected men and women experiencing AIDS-related bereavement and psychiatric distress will be randomly assigned and stratified by psychiatric diagnoses and use of psychotropic medication, to the cognitive-coping group intervention or to a control condition. Assessments collected at baseline, at post-intervention, and at 4-, 8-, and 12-month followup points will be used to determine intervention outcome effects. It is hypothesized that the AIDS-related bereavement group intervention condition will result in less severity of grief reaction; reduced psychiatric distress, clinical depression, anxiety, and traumatic stress; increased levels of social support; higher ratings of quality-of-life; decreased substance use; and development and implementation of adaptive ways of coping with HIV infection and AIDS-related bereavement. If successful, this research is expected to identify an AIDS-related bereavement intervention model for the secondary prevention of mental health disorders among HIV-infected persons, which is urgently needed for organizations and mental health programs that serve people with HIV infection.