The effect of cognitive-behavioural therapy on the reproductive health of women with HIV: a randomised controlled trial

Abstract

Introduction: Acquired immune deficiency syndrome (AIDS) is generally related to reproductive health and is most commonly transmitted through injection addiction, sexual relationship, pregnancy, and breastfeeding. Therefore, the promotion of reproductive health of women with human immunodeficiency virus (HIV) is very important. The aim of this study was to investigate the effect of counselling on cognitive-behavioural therapy (CBT) on reproductive health in women with HIV. Material and methods:This randomised controlled trial was conducted in 2017. Sixty HIV-infected women who referred to Imam Khomeini Hospital Consultation Centre for clients with risky behaviour in Tehran participated in this study. The sampling method was census, and samples were randomly assigned to two groups: control and intervention. In addition to routine care, the intervention group received seven cognitive-behavioural counselling sessions on reproductive health. The questionnaire used in this study was a reproductive health assessment scale for HIV-positive women.Results: There was no statistically significant difference between the demographic characteristics in the control and intervention groups. The result of repeated measures test showed that the length of time affects the total score of reproductive health (p < 0.000) and there was a significant difference between the two groups (p < 0.000). Conclusions:It is suggested that CBT counselling approaches be included in educational programs for the health of women with HIV. Given the widespread dimensions of reproductive health, counselling with a cognitive therapy approach in each dimension with the number of further sessions is suggested.

The effect of cognitive behavioural therapy on depression, anxiety, and stress in women with HIV

“…Using psychosocial screening tools such as the Depression Anxiety and Stress Scales (DASS-21) questionnaire can help to identify more people [11]. Considering the relationship between HIV and high-risk sexual behaviours [12,13], the increasing population of HIV-infected women and their mental health concerns, an important necessary permission from the faculty and the university, each participant was called by phone, and after explaining the objectives and obtaining oral consent, the samples, according to recorded file, were randomly assigned to two groups; even numbers were specified to the control group and odd numbers to the intervention group based on table numbers. Counselling group (intervention) and routine care group (receiving medication, family planning services, and laboratory tests) (control) group.…”

The effectiveness of peer education interventions on HIV- and HBV-preventive behaviours in women with substance-related disorders: a cluster randomised control trial

“…Developing condom use is mainly because one of the most important interventions in HIV, HBV, and STD prevention is increasing condom use [30][31][32][33]. In spite of all attempt of health programs to extend protected sexual intercourse among high-risk individuals, many studies show that the majority of women with SRDs do not use condoms [34,35]. Accordingly, the positive impact of PE, as a serious program in drop-in centres, camps, and dormitories, could be used to enhance condom use in women with SRDs.…”