Psychotherapeutic process of cognitive–behavioral intervention in HIV-infected persons: Results from a controlled, randomized prospective clinical trial

Abstract

The aim of this exploratory study was to examine the possible mechanisms of behavioral change in a cognitive-behavioral intervention supporting medication adherence in HIV-infected persons. A total of 60 persons currently under medical treatment were randomized to psychotherapy or usual care and were compared with a sociodemographically matched group of general psychotherapy clients. Outcome measures included therapy adherence using medication event-monitoring system psychotherapeutic processes and changes of experience and behavior. The general psychotherapy group was initially more distressed than HIV psychotherapy patients and reached higher levels of psychotherapeutic effect. In the HIV psychotherapy patients, a significant effect was found for maintaining adherence to medical treatment (Weber et al., 2004). These findings show that psychotherapy is a beneficial intervention for HIV-infected persons, and therapeutic alliance and activation of resources do not differ from a general psychotherapy treatment. Differential effects were detected for specific process variables, namely problem actuation. AbstractThe aim of this exploratory study was to examine the possible mechanisms of behavioral change in a cognitiveÁbehavioral intervention supporting medication adherence in HIV-infected persons. A total of 60 persons currently under medical treatment were randomized to psychotherapy or usual care and were compared with a sociodemographically matched group of general psychotherapy clients. Outcome measures included therapy adherence using medication event-monitoring system psychotherapeutic processes and changes of experience and behavior. The general psychotherapy group was initially more distressed than HIV psychotherapy patients and reached higher levels of psychotherapeutic effect. In the HIV psychotherapy patients, a significant effect was found for maintaining adherence to medical treatment (Weber et al., 2004). These findings show that psychotherapy is a beneficial intervention for HIV-infected persons, and therapeutic alliance and activation of resources do not differ from a general psychotherapy treatment. Differential effects were detected for specific process variables, namely problem actuation.

Predicting Psychotherapy Dropouts: A Multilevel Approach

“…In addition, there is a growing body of evidence to suggest that patient-reported change in selfesteem and mastery experiences during treatment might relate to the outcome as well (cf. Flückiger et al, 2011;Stangier, Von Consbruch, Schramm, & Heidenreich, 2010;Znoj et al, 2010). The interpretation of these results, however, is not trivial.…”

Correlates of HAART adherence among immigrant Latinos in the southeastern United States

“…Efficacious interventions to improve ART adherence include regimen simplification (Molina, 2008), practical medication management skills training (Rueda et al, 2006), and cognitive behavioral support (Hans-Jo¨rg et al, 2010). However, there is little empirical evidence linking these mechanisms to adherence among Spanish-speaking Latinos (Amico, Toro-Alfonso, & Fisher, 2005;Van Servellen et al, 2005).…”

Clients' and therapists' experiences of five general change mechanisms during an Internet‐based cognitive behavioral intervention for family caregivers

“…Several studies have supported the relevance of Grawe's general change mechanisms in F2F psychotherapy (Call et al, 2018; Flückiger et al, 2013; Flückiger et al, 2018; Gmeinwieser et al, 2019; Rubel et al, 2017; Znoj et al, 2010). A recent meta‐analysis, for instance, found a correlation of r = 0.28 between treatment outcomes and alliance (Flückiger, et al, 2018).…”