The Benefits of Psychosocial Interventions for Mental Health in People Living with HIV: A Systematic Review and Meta-analysis

被引：79
作者：
van Luenen, Sanne [1 ]
Garnefski, Nadia [1 ]
Spinhoven, Philip [1 ,2 ]
Spaan, Pascalle [1 ]
Dusseldorp, Elise [3 ]
Kraaij, Vivian [1 ]
机构：
[1] Leiden Univ, Inst Psychol, Fac Social & Behav Sci, Sect Clin Psychol, POB 9555, NL-2300 RB Leiden, Netherlands
[2] Leiden Univ, Dept Psychiat, Med Ctr, Leiden, Netherlands
[3] Leiden Univ, Inst Psychol, Sect Methodol & Stat, Leiden, Netherlands
来源：
AIDS AND BEHAVIOR | 2018年 / 22卷 / 01期
关键词：
HIV; Psychosocial intervention; Mental health; Depression; Meta-analysis; RANDOMIZED CONTROLLED-TRIAL; COGNITIVE-BEHAVIORAL THERAPY; QUALITY-OF-LIFE; STRESS-MANAGEMENT INTERVENTIONS; HUMAN-IMMUNODEFICIENCY-VIRUS; ANTIRETROVIRAL MEDICATION ADHERENCE; STRUCTURAL ECOSYSTEMS THERAPY; CAREGIVER TRAINING-PROGRAM; POSITIVE AFRICAN-AMERICAN; SUBSTANCE USE DISORDERS;
D O I：
10.1007/s10461-017-1757-y
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
In this systematic review and meta-analysis we investigated the effectiveness of different psychosocial treatments for people living with HIV (PLWH) and mental health problems. Additionally, characteristics that may influence the effectiveness of a treatment (e.g., treatment duration) were studied. PubMed, PsycINFO and Embase were searched for randomized controlled trials on psychosocial interventions for PLWH. Depression, anxiety, quality of life, and psychological well-being were investigated as treatment outcome measures. Sixty-two studies were included in the meta-analysis. It was found that psychosocial interventions for PLWH had a small positive effect on mental health (gI, = 0.19, 95% CI [0.13, 0.25]). Furthermore, there was evidence for publication bias. Six characteristics influenced the effectiveness of a treatment for depression. For example, larger effects were found for studies with psychologists as treatment providers. To conclude, this systematic review and meta-analysis suggests that psychosocial interventions have a beneficial effect for PLWH with mental health problems.
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收藏
页码：9 / 42
页数：34
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