Evaluating a novel intervention to reduce trauma symptoms and sexual risk taking: qualitative exit interviews with sexual minority men with childhood sexual abuse

被引：7
|
作者：
Taylor, S. Wade [1 ,2 ]
Goshe, Brett M. [3 ]
Marquez, Samantha M. [2 ]
Safren, Steven A. [2 ,4 ]
O'Cleirigh, Conall [2 ,5 ,6 ]
机构：
[1] Wheelock Coll, Dept Social Work Leadership & Youth Advocacy, Boston, MA USA
[2] Fenway Hlth, Fenway Inst, Boston, MA 02215 USA
[3] Univ Connecticut, Dept Psychol, Storrs, CT USA
[4] Univ Miami, Dept Psychol, POB 248185, Coral Gables, FL 33124 USA
[5] Massachusetts Gen Hosp, Behav Med Program, Boston, MA 02114 USA
[6] Harvard Med Sch, Boston, MA USA
来源：
PSYCHOLOGY HEALTH & MEDICINE | 2018年 / 23卷 / 04期
关键词：
Sexual minority men; MSM; childhood sexual abuse; HIV prevention; COGNITIVE-PROCESSING THERAPY; POSTTRAUMATIC-STRESS-DISORDER; HIV-RISK; SUBSTANCE USE; BEHAVIOR; HISTORY; ASSOCIATION; INFECTION; EXPOSURE; MODEL;
D O I：
10.1080/13548506.2017.1348609
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Childhood sexual abuse (CSA) continues to affect sexual minority men (SMM) at disproportionate levels and contributes to multiple negative health outcomes, including sexual-risk taking and HIV acquisition. This paper presents qualitative evaluative feedback from SMM (N=9) who participated in a 10-session Cognitive Behavioral Therapy-Trauma and Sexual Health (CBT-TSH) intervention to reduce CSA-related posttraumatic stress reaction and distress. The treatment was designed to increase accurate sexual risk appraisals and to improve self-care health behaviors related to HIV/STI acquisition. The researchers identified four emerging themes: (1) motivation to participate, (2) response to cognitive therapy, (3) process of change, and (4) considerations for intervention improvement. These qualitative findings provide useful feedback on the acceptability of an innovative program that integrates CBT for trauma related to CSA with sexual risk-reduction counseling.
引用
收藏
页码：454 / 464
页数：11
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