Assessment of the efficacy of a cognitive-behavioural group psychotherapy programme for HIV-infected patients referred to a consultation-liaison psychiatry department

被引:12
作者
Blanch, J
Rousaud, A
Hautzinger, M
Martínez, E
Peri, JM
Andrés, S
Cirera, E
Gatell, JM
Gastó, C
机构
[1] Hosp Clin Barcelona, Clin Inst Psychiat & Psychol, E-08036 Barcelona, Spain
[2] Hosp Clin Barcelona, Infect Dis & Microbiol Dept, E-08036 Barcelona, Spain
[3] Hosp Clin Barcelona, Fundacio Clin Recerca Biomed, E-08036 Barcelona, Spain
[4] Univ Tubingen, Clin & Physiol Psychol Dept, Tubingen, Germany
关键词
cognitive-behavioural psychotherapy; group psychotherapy; HIV-1; infection; consultation-liaison psychiatry; depression anxiety;
D O I
10.1159/000049349
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Most HIV-infected patients attending a consultation-liaison psychiatry service show symptoms of anxiety and depression. The present study sought to evaluate the immediate and long-term efficacy of a structured cognitive-behavioural group therapy reducing anxiety and depression in HIV-infected patients referred to a consultation-liaison psychiatry department, and to identify baseline variables predictive of greater improvement. Methods: Repeated-measures ANOVA was used to analyse changes in the Beck Depression Inventory (BDI) and the state subscale of the State/Trait Anxiety Inventory (STAI) administered to 39 participants at 4 time points: T1 (1 month before beginning the therapy), T2 (during the first session), T3 (during the last session) and T4 (3 months after the last session). The therapy consisted of 16 weekly 2-hour sessions following a structured time-limited cognitive-behavioural group psychotherapy programme. Results: During the intervention time (between T2 and T3) an improvement was observed in depression and anxiety, which persisted after the 3-month follow-up period (between T3 and T4). No changes were observed during baseline (between T1 and T2). Patients with higher levels of anxiety at baseline showed greater improvement in STAI state subscale scores. Transmission of HIV infection through intravenous drug use was associated with less improvement on the BDI. Conclusions: This is the first report of an ongoing study which suggests long-lasting efficacy of a structured cognitive-behavioural group psychotherapy programme in a heterogeneous sample of HIV-1-infected patients referred to a consultation-liaison psychiatry unit. Copyright (C) 2002 S. Karger AG, Basel.
引用
收藏
页码:77 / 84
页数:8
相关论文
共 25 条
[1]   AN INVENTORY FOR MEASURING DEPRESSION [J].
BECK, AT ;
ERBAUGH, J ;
WARD, CH ;
MOCK, J ;
MENDELSOHN, M .
ARCHIVES OF GENERAL PSYCHIATRY, 1961, 4 (06) :561-&
[2]  
BECK AT, 1979, COGNITIVE THERAPY DE
[3]   Exploring the benefits of group psychotherapy in reducing alexithymia in coronary heart disease patients: A preliminary study [J].
Beresnevaite, M .
PSYCHOTHERAPY AND PSYCHOSOMATICS, 2000, 69 (03) :117-122
[4]  
CHUNG JY, 1992, HOSP COMMUNITY PSYCH, V43, P891
[5]  
Church J, 1998, PSYCHO-ONCOLOGY, V7, P78, DOI 10.1002/(SICI)1099-1611(199803/04)7:2<78::AID-PON290>3.0.CO
[6]  
2-R
[7]   Psychosocial factors in HIV AIDS [J].
Emmelkamp, PMG .
PSYCHOTHERAPY AND PSYCHOSOMATICS, 1996, 65 (05) :225-228
[8]   A randomized controlled clinical trial of a bereavement support group intervention in human immunodeficiency virus type 1-seropositive and -seronegative homosexual men [J].
Goodkin, K ;
Blaney, NT ;
Feaster, DJ ;
Baldewicz, T ;
Burkhalter, JE ;
Leeds, B .
ARCHIVES OF GENERAL PSYCHIATRY, 1999, 56 (01) :52-59
[9]   Behavior, emotional stress and psychosocial factors among asymptomatic HIV-infected patients [J].
Grassi, L ;
Righi, R ;
Makoui, S ;
Sighinolfi, L ;
Ferri, S ;
Ghinelli, F .
PSYCHOTHERAPY AND PSYCHOSOMATICS, 1999, 68 (01) :31-38
[10]   Liaison psychiatry in an HIV/AIDS unit [J].
Judd, FK ;
Cockram, A ;
Mijch, A ;
McKenzie, D .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 1997, 31 (03) :391-397