Treating an HIV/AIDS patient's PTSD and medication nonadherence with cognitive-behavioral therapy: A principle-based approach

被引：6

作者：

Chernoff, Robert A. ^{[1
]}

机构：

[1] Univ Calif Los Angeles, Harbor Med Ctr, Dept Psychiat, Torrance, CA 90502 USA

来源：

COGNITIVE AND BEHAVIORAL PRACTICE | 2007年 / 14卷 / 01期

关键词：

POSTTRAUMATIC-STRESS-DISORDER; T-CELL FUNCTION; SUBSTANCE USE; EVENT SCALE; HIV; ADHERENCE; FLEXIBILITY; BARRIERS; ANXIETY; IMPACT;

D O I：

10.1016/j.cbpra.2006.09.001

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

HIV/AIDS patients with medication adherence problems are vulnerable to developing drug resistance, immune system degradation, and opportunistic infections. Poor adherence to antiretroviral medication regimens can be aggravated by psychiatric problems, including depression and posttraumatic stress disorder. This article presents the case study of a patient with HIV/AIDS who was unable to adhere to his antiretroviral medication regimen primarily because of PTSD and depressive symptoms resulting from a sexual assault that had caused his seroconversion. Exposure-based cognitive-behavioral therapy was instrumental in helping the patient overcome his PTSD and depressive symptoms so that he could tolerate his HIV medications. The patient's symptom relief was evidenced by improved scores on the Impact of Event Scale and Beck Depression Inventory. The article discusses the importance of accurate assessment, therapist flexibility, and principle-based treatment versus strict adherence to manual-based protocols.

引用

页码：107 / 117

页数：11

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