Original Paper

AIDS and Behavior

, Volume 13, Issue 3, pp 555-563

First online:

Randomized Controlled Trial of a Cognitive-Behavioral Intervention for HIV-Positive Persons: An Investigation of Treatment Effects on Psychosocial Adjustment

  • Adam W. CarricoAffiliated withDepartment of Psychiatry, Health Psychology Program, University of California, San Francisco Email author 
  • , Margaret A. ChesneyAffiliated withCenter for AIDS Prevention Studies, University of California
  • , Mallory O. JohnsonAffiliated withCenter for AIDS Prevention Studies, University of California
  • , Stephen F. MorinAffiliated withCenter for AIDS Prevention Studies, University of California
  • , Torsten B. NeilandsAffiliated withCenter for AIDS Prevention Studies, University of California
  • , Robert H. RemienAffiliated withNew York State Psychiatric Institute, Columbia University
  • , Mary Jane Rotheram-BorusAffiliated withUniversity of California
  • , F. Lennie WongAffiliated withUniversity of California
  • , The NIMH Healthy Living Project TeamAffiliated withCenter for AIDS Prevention Studies, University of CaliforniaNew York State Psychiatric Institute, Columbia UniversityUniversity of CaliforniaMedical College of Wisconsin

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Abstract

Questions remain regarding the clinical utility of psychological interventions for HIV-positive persons because randomized controlled trials have utilized stringent inclusion criteria and focused extensively on gay men. The present randomized controlled trial examined the efficacy of a 15-session, individually delivered cognitive-behavioral intervention (n = 467) compared to a wait-list control (n = 469) in a diverse sample of HIV-positive persons who reported HIV transmission risk behavior. Five intervention sessions that dealt with executing effective coping responses were delivered between baseline and the 5 months post-randomization. Additional assessments were completed through 25 months post-randomization. Despite previously documented reductions in HIV transmission risk, no intervention-related changes in psychosocial adjustment were observed across the 25-month investigation period. In addition, there were no intervention effects on psychosocial adjustment among individuals who presented with mild to moderate depressive symptoms. More intensive mental health interventions may be necessary to improve psychosocial adjustment among HIV-positive individuals.

Keywords

AIDS Anxiety Depression HIV Intervention Positive affect