AIDS and Behavior

, Volume 16, Issue 5, pp 1192–1202 | Cite as

Cognitive Behavioral HIV Risk Reduction in Those Receiving Psychiatric Treatment: A Clinical Trial

  • Robert M. MalowEmail author
  • Robert C. McMahon
  • Jessy Dévieux
  • Rhonda Rosenberg
  • Anne Frankel
  • Vaughn Bryant
  • Brenda Lerner
  • Maria Jose Miguez
Original Paper


Among severely mentally ill (SMI) substance abusers, HIV rates are elevated and HIV risk reduction interventions have been shown to be less effective. An enhanced cognitive behavioral HIV risk reduction intervention (E-CB) for SMI was compared to a health promotion condition (HPC) in 222 psychiatric outpatients at 6 months postintervention. Compared to females, males in the E-CB improved on intention to practice safer sex and in condom use skills and in unprotected vaginal sex, but did not differ in HIV knowledge, perceived susceptibility, anxiety, condom attitudes, safer sex self-efficacy, unprotected vaginal sex acts, or sex partners. Across intervention groups, there were improvements in all areas except self-efficacy and number of partners. Risk reduction among SMI may be facilitated by increasing awareness of health related behaviors and HIV-targeted content. However, meaningful changes in critical risk reduction skills and intentions may require a more focused intervention and may vary by gender.


Severely Mentally Ill HIV Prevention Cognitive Behavioral Risk 



The authors would like to thank Terri Jennings for her contributions to the paper.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Robert M. Malow
    • 1
    Email author
  • Robert C. McMahon
    • 2
  • Jessy Dévieux
    • 1
  • Rhonda Rosenberg
    • 1
  • Anne Frankel
    • 1
  • Vaughn Bryant
    • 1
  • Brenda Lerner
    • 1
  • Maria Jose Miguez
    • 1
  1. 1.Florida International UniversityMiamiUSA
  2. 2.University of MiamiCoral GablesUSA

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