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INCREASING ANTIRETROVIRAL TREATMENT ADHERENCE THROUGH PSYCHOTHERAPEUTIC STRATEGIES
Abstract
Although most psychotherapeutic interventions have a significant impact on the patients` well-being, there is no consensus on the optimal psychotherapeutic intervention in working with HIV (human immunodeficiency virus) patients. The study aimed to investigate the effectiveness of different therapeutic strategies and to determine which type of psychotherapeutic intervention can improve the patients` psychosocial integration, ART (antiretroviral treatment) adherence, anxiety and depression. A number of 80 HIV-positive patients received different forms of therapeutic assistance: cognitive-behavioral therapy, supportive therapy, integrative therapy, medical-educational counseling and antidepressant medication. Participants were evaluated with different psychometric instruments (the CEAT-VIH, The Beck Depression Scale, The Hamilton Anxiety Rating Scale, The Melgosa Stress Scale, Psychosocial Integration Scale) at the beginning of the therapeutic intervention, at the end and in the follow-up stage. The results demonstrated that psychotherapy significantly improves the assessed variables. The effects of psychotherapy maintained over time. The implications of this study on increasing the psychotherapeutic effectiveness when working with HIV/AIDS patients will be discussed.
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Sherbourne C.D., Hays R.D., Fleishman J.A., et al. Impact of psychiatric conditions on health-related quality of life in persons with HIV infection, American Journal of Psychiatry, U.S.A., vol. 157, pp 248-254, 2000.
Bing E.G., Burnam M.A., Longshore D., Fleishman J.A., Sherbourne C.D., London A.S., Turner B.J., Eggan F., Beckman R., Vitiello B., Morton S.C., Orlando M., Bozzette S.A., Ortiz-Barron L. & Shapiro M. Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States, Archives of General Psychiatry, U.S.A., vol. 58, pp 721-728, 2001.
Owe-Larsson B., Säll L., Salamon E. & Allgulander C. HIV infection and psychiatric illness, African Journal of Psychiatry, South Africa, vol. 12/issue 2, pp 15-28, 2009.
Catalan J., Harding R., Sibley E., Clucas C., Croome N. & Sherr L. HIV infection and mental health: suicidal behavior-systematic review, Psychology, Health and Medicine, U.S.A., Vol. 16/issue 5, pp 588-611, 2011.
Halkitis P.N., Palamar J. & Preetika Mukherjee P. Analysis of HIV Medication Adherence in Relation to Person and Treatment Characteristics Using Hierarchical Linear Modeling, AIDS Patient Care and STDs, U.S.A, vol. 22/issue 4, pp 323-335, 2008.
Tucker J.S., Burnam M.A., Sherbourne C.D., Kung F.Y. & Gifford A.L. Substance use and mental health correlates of non-adherence to antiretroviral medications in a sample of patients with human immunodeficiency virus infection, American Journal of Medicine, U.S.A., vol. 114, pp 573-580, 2003.
Singh N., Squier C., Sivek C., Wagener M., Nguyen M.H. & Yu V.L. Determinants of compliance with antiretroviral therapy in patients with human immunodeficiency virus: prospective assessment with implications for enhancing compliance, AIDS Care, U.S.A., vol. 8/issue 3, pp 261-269, 1996.
Clucas C., Sibley E., Harding R., Liu L., Catalan J & Sherr L. A systematic review of interventions for anxiety in people with human immunodeficiency virus, Psychology, Health and Medicine, vol. 16/issue 5, pp 528-547, 2011.
Sherr L., Clucas C., Harding R. et al. HIV and depression – a systematic review of interventions, Psychology, Health and Medicine, U.S.A., vol. 16/issue 5, pp 493-527, 2011.
Crepaz N., Passin W.F., Herbst J.H., Rama S.M., Malow R.M., Purcell D.W. & Wolitski R.J. Meta-analysis of cognitive-behavioral interventions on HIV-positive persons’ mental health and immune functioning, Health Psychology, U.S.A., vol. 27/issue 1, pp 4–14, 2008.
Winiarski M.G., Beckett E. & Salcedo J. Outcomes of an inner-city HIV mental health program integrated with primary care and emphasizing cultural responsiveness, AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV, U.S.A, vol. 17/issue 6, pp 747-756, 2005.
Leserman, J ; Petitto, J M ; Golden, R N ; Gaynes, B N ; Gu, H ; Perkins, D O ; Silva, S G ; Folds, J D ; Evans, D L. Impact of stressful life events, depression, social support, coping, and cortisol on progression to AIDS, The American journal of psychiatry, 2000, Vol.157(8), pp.1221-8
Elkin I. et al. National Institute of Mental Health Treatment of Depression Collaborative Research Program - General effectiveness of treatments, Archives of General Psychiatry, U.S.A., vol. 46, pp 971–982, 1989.
Kelly J.A., Murphy D.A., Bahr G.R., Kalichman S.C., Morgan M.G., Stevenson L.Y., Koob J.J., Brasfield T.L. & Bernstein B.M. I. Outcome of cognitive-behavioral and support group brief therapies for depressed, HIV-infected persons, American Journal of Psychiatry, U.S.A, vol. 150/issue 11, pp 1679-1686, 1993.
Drisko J.W. Common Factors in Psychotherapy Outcome: Meta-Analytic Findings and Their Implications for Practice and Research, Families in Society, U.S.A., vol. 85/issue 1, pp 81-90, 2004.
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