Outcome of cognitive-behavioral and support group brief therapies for depressed, HIV-infected persons

Kelly, Jeffrey A.; Murphy, Declan; Bahr, G. Richard; Kalichman, S. C.; Morgan, M G; Stevenson, Lois; Koob, Jeffrey J.; Brasfield, Ted L.; Bernstein, Bobbi

doi:10.1176/ajp.150.11.1679

Cited by 254 publications

(60 citation statements)

References 26 publications

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“…These studies have been conducted almost exclusively with gay men. Some of these studies have focused on HIV-positive gay men with depression [1, 2, 3]or a concomitant life stressor, such as HIV serostatus notification [4]or recent AIDS bereavement [5]. Other clinical trials have studied interventions aimed more generally at the stress involved in living with HIV infection [6, 7, 8, 9].…”

Section: Introductionmentioning

confidence: 99%

Effects of a Supportive-Expressive Group Intervention on Long-Term Psychosocial Adjustment in HIV-Infected Gay Men

Weiss

Mulder

Antoni

et al. 2003

Psychother Psychosom

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Background: This study compared the effects of a supportive-expressive group intervention (GI) with an educational control condition (EC) on long-term psychosocial adjustment in gay men with HIV infection. Method: Subjects (n = 85) were randomized after stratification for disease stage and use of antiretroviral medication. GI consisted of 4 months of weekly group sessions followed by 5 monthly maintenance sessions plus written educational material, whereas the EC subjects received educational material only. Results: There were no between-group differences in effects on distress, coping or social support in analyses examining 4 time points over 15 months. Both conditions decreased in distress over time on the Hopkins Symptom Checklist and Beck Depression Inventory. Conclusions: Several explanations are offered for the reason why no additional benefit of the GI was found on outcome measures studied when compared with the EC condition and recommendations are made for future psychosocial intervention research with HIV-infected persons.

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Section: Introductionmentioning

confidence: 99%

Effects of a Supportive-Expressive Group Intervention on Long-Term Psychosocial Adjustment in HIV-Infected Gay Men

Weiss

Mulder

Antoni

et al. 2003

Psychother Psychosom

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“…Our patient sample was heterogeneous, whereas in previous studies most of the patients were homosexual [5, 6, 10, 20, 21, 22, 23]. In our context, heterosexuals and intravenous drug users (IDUs) in particular constitute the main group of all HIV-infected subjects.…”

Section: Discussionmentioning

confidence: 93%

“…Our patients had all been referred to a consultation-liaison psychiatry department, in contrast to most previous studies [5, 6, 10, 15, 20, 21]in which community announcements or advertisements were used to recruit patients, in order to obtain large participant samples. This type of recruitment produces a selection bias, because people who volunteer to participate in this type of study may have a special motivation and may be more receptive to intervention of any kind.…”

Section: Discussionmentioning

confidence: 99%

“…The exercises used are widely known techniques in the psychotherapy of anxiety and depression, but we tried to use situations specifically related to the HIV infection. Concerns and problems that are common in the context of the illness have been described elsewhere [6, 8, 14, 15]and in our study were handled from a cognitive problem-solving perspective: disclosure of serostatus, safer sex practices if sexually active, treatment compliance and adherence to medical controls, adverse effects such as lipodystrophy, isolation, lack of future plans and others. In the first sessions, we used relaxation and exercises to improve group dynamics.…”

Section: Methodsmentioning

confidence: 99%

“…Patients with these reactive symptoms have demonstrated lower responsiveness to antidepressants [3], more side-effects to psychopharmacological agents [4]but good response to group therapy without additional pharmacotherapy [5], particularly social support groups and cognitive-behavioural interventions [6, 7]. Previous studies suggest that cognitive-behavioural group interventions in medically ill patients, especially in HIV-positive patients, reduce depression, anxiety and generalized psychiatric distress indicators [8], and favourably influence the course of the medical illness [9].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the Efficacy of a Cognitive-Behavioural Group Psychotherapy Programme for HIV-Infected Patients Referred to a Consultation-Liaison Psychiatry Department

Blanch

Rousaud²,

Hautzinger³

et al. 2002

Psychother Psychosom

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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.

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A Randomized Controlled Clinical Trial of a Bereavement Support Group Intervention in Human Immunodeficiency Virus Type 1–Seropositive and –Seronegative Homosexual Men

Goodkin¹,

Blaney²,

Feaster³

et al. 1999

Arch Gen Psychiatry

131

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Outcome of cognitive-behavioral and support group brief therapies for depressed, HIV-infected persons

Cited by 254 publications

References 26 publications

Effects of a Supportive-Expressive Group Intervention on Long-Term Psychosocial Adjustment in HIV-Infected Gay Men

Effects of a Supportive-Expressive Group Intervention on Long-Term Psychosocial Adjustment in HIV-Infected Gay Men

Assessment of the Efficacy of a Cognitive-Behavioural Group Psychotherapy Programme for HIV-Infected Patients Referred to a Consultation-Liaison Psychiatry Department

A Randomized Controlled Clinical Trial of a Bereavement Support Group Intervention in Human Immunodeficiency Virus Type 1–Seropositive and –Seronegative Homosexual Men

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