Cognitive-behavioral therapy for HIV medication adherence and depression

被引:48
作者
Safren, SA
Hendriksen, ES
Mayer, KH
Mimiaga, MJ
Pickard, R
Otto, MW
机构
[1] Fenway Community Hlth, Res & Evaluat Dept, Boston, MA 02115 USA
[2] Massachusetts Gen Hosp, Boston, MA 02114 USA
[3] Harvard Univ, Sch Med, Boston, MA 02115 USA
[4] Brown Univ, Providence, RI 02912 USA
[5] Miriam Hosp, Providence, RI 02906 USA
关键词
D O I
10.1016/S1077-7229(04)80058-0
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
For patients with HIV, depression is a common, distressing condition that can interfere with a critical self-care behavior- adherence to antiretroviral therapy. The present study describes a cognitive-behavioral treatment designed to integrate cognitive-behavioral their therapy for depression with our previously tested. approach to improving adherence to antiretroviral therapy for HTV Each session addresses HIV medication adherence in the context Of modules for activity scheduling, cognitive restructuring, problem-solving training, and relaxation training/diaphragmatic breathing. We present the design of the intervention and outcome of 5 cases. All of the patients presented below were men who have sex with men who were infected with HTV through sexual transmission. Generally, these patients showed improvements in both depression and medication adherence.
引用
收藏
页码:415 / 424
页数:10
相关论文
共 50 条
[1]  
*AG HLTH CAR POL R, 1993, AHCPR PUBL
[2]  
[Anonymous], 1985, PSYCHOPHARMACOL BULL
[3]  
ATKINSON JH, 1994, PSYCHIAT CLIN N AM, V17, P17
[4]   Adherence to protease inhibitors, HIV-1 viral load, and development of drug resistance in an indigent population [J].
Bangsberg, DR ;
Hecht, FM ;
Charlebois, ED ;
Zolopa, AR ;
Holodniy, M ;
Sheiner, L ;
Bamberger, JD ;
Chesney, MA ;
Moss, A .
AIDS, 2000, 14 (04) :357-366
[5]   AN INVENTORY FOR MEASURING DEPRESSION [J].
BECK, AT ;
ERBAUGH, J ;
WARD, CH ;
MOCK, J ;
MENDELSOHN, M .
ARCHIVES OF GENERAL PSYCHIATRY, 1961, 4 (06) :561-&
[6]  
Beck J.S., 2011, Cognitive Behavior Therapy: Basics and Beyond
[7]   COMPLIANCE IN CLINICAL-TRIALS [J].
BESCH, CL .
AIDS, 1995, 9 (01) :1-10
[8]   Antiretroviral therapy in adults - Updated recommendations of the International AIDS Society-USA Panel [J].
Carpenter, CCJ ;
Cooper, DA ;
Fischl, MA ;
Gatell, JM ;
Gazzard, BG ;
Hammer, SM ;
Hirsch, MS ;
Jacobsen, DM ;
Katzenstein, DA ;
Montaner, JSG ;
Richman, DD ;
Saag, MS ;
Schechter, M ;
Schooley, RT ;
Vella, S ;
Yeni, PG ;
Volberding, PA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (03) :381-390
[9]   Patterns, correlates, and barriers to medication adherence among persons prescribed new treatments for HIV disease [J].
Catz, SL ;
Kelly, JA ;
Bogart, LM ;
Benotsch, EG ;
McAuliffe, TL .
HEALTH PSYCHOLOGY, 2000, 19 (02) :124-133
[10]   Self-reported adherence to antiretroviral medications among participants in HIV clinical trials: the AACTG Adherence Instruments [J].
Chesney, MA ;
Ickovics, JR ;
Chambers, DB ;
Gifford, AL ;
Neidig, J ;
Zwickl, B ;
Wu, AW .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2000, 12 (03) :255-266