Skip to main content

Advertisement

Log in

Mental Health Considerations in Secondary HIV Prevention

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

Despite substantial attention in the past decade to the co-morbidity of mental health problems among people living with HIV/AIDS (PLWHA), these problems remain a significant barrier to maintaining health and secondary prevention. To address these issues, program staff from the Center for Mental Health Research on AIDS at the NIMH convened a meeting on 19th and 20th July 2007 to discuss the intersection of mental health and HIV. The conveners brought together leaders in the fields of mental illness and HIV to discuss current gaps in the research related to the prevention, diagnosis, and treatment of mental disorders among PLWHA, and how attention to mental health can affect a variety of health outcomes. Attendees were asked to discuss key questions that, if addressed through empirical investigation, could move the field toward the aim of reducing or alleviating the burden of mental illness for those living with HIV disease. The purpose of this brief report is to summarize this meeting’s proceedings, overview key points of discussion, and outline areas that may be useful to consider for clinical researchers in the field.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Atkinson, J. H., Heaton, R. K., Patterson, T. L., Wolfson, T., Deutsch, R., Brown, S. J., et al. (2008). Two-year prospective study of major depressive disorder in HIV-infected men. Journal of Affective Disorders, 108(3), 225–234. doi:10.1016/j.jad.2007.10.017.

    Article  PubMed  Google Scholar 

  • Baldwin, S. A., Murray, D. M., & Shadish, W. R. (2005). Empirically supported treatments or Type I errors? Problems with the analysis of data from group-administered treatments. Journal of Consulting and Clinical Psychology, 73(5), 924–935. doi:10.1037/0022-006X.73.5.924.

    Article  PubMed  Google Scholar 

  • Bing, E. G., Burnam, M. A., Longshore, D., Fleishman, J. A., Sherbourne, C. D., London, A. S., et al. (2001). Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Archives of General Psychiatry, 58(8), 721–728. doi:10.1001/archpsyc.58.8.721.

    Article  CAS  PubMed  Google Scholar 

  • Brown, J. L., & Vanable, P. A. (2008). Cognitive-behavioral stress management interventions for persons living with HIV: A review and critique of the literature. Annals of Behavioral Medicine, 35(1), 26–40.

    PubMed  Google Scholar 

  • Ciesla, J. A., & Roberts, J. E. (2001). Meta-analysis of the relationship between HIV infection and risk for depressive disorders. The American Journal of Psychiatry, 158(5), 725–730. doi:10.1176/appi.ajp.158.5.725.

    Article  CAS  PubMed  Google Scholar 

  • Cleary, P. D., Van Devanter, N., Rogers, T. F., Singer, E., Shipton-Levy, R., Steilen, M., et al. (1991). Behavior changes after notification of HIV infection. American Journal of Public Health, 81(12), 1586–1590.

    Article  CAS  PubMed  Google Scholar 

  • Crepaz, N., & Marks, G. (2001). Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review. Health Psychology, 20(4), 291–299. doi:10.1037/0278-6133.20.4.291.

    Article  CAS  PubMed  Google Scholar 

  • Crepaz, N., & Marks, G. (2002). Towards an understanding of sexual risk behavior in people living with HIV: A review of social, psychological, and medical findings. AIDS (London, England), 16(2), 135–149. doi:10.1097/00002030-200201250-00002.

    Google Scholar 

  • Crepaz, N., Passin, W. F., Herbst, J. H., Rama, S. M., Malow, R. M., Purcell, D. W., et al. (2008). Meta-analysis of cognitive-behavioral interventions on HIV-positive persons’ mental health and immune functioning. Health Psychology, 27(1), 4–14. doi:10.1037/0278-6133.27.1.4.

    Article  PubMed  Google Scholar 

  • Gaynes, B. N., Pence, B. W., Eron, J. J., Jr, & Miller, W. C. (2008). Prevalence and comorbidity of psychiatric diagnoses based on reference standard in an HIV+ patient population. Psychosomatic Medicine, 70(4), 505–511. doi:10.1097/PSY.0b013e31816aa0cc.

    Article  PubMed  Google Scholar 

  • Gonzalez, J. S., Hendriksen, E. S., Collins, E. M., Duran, R. E., & Safren, S. A. (2008). Latinos and HIV/AIDS: Examining factors related to disparity and identifying opportunities for psychosocial intervention research. AIDS and Behavior (electronic version). doi:10.1007/s10461-008-9402-4.

  • Heckman, T. G., & Carlson, B. (2007). A randomized clinical trial of two telephone-delivered, mental health interventions for HIV-infected persons in rural areas of the United States. AIDS and Behavior, 11(1), 5–14. doi:10.1007/s10461-006-9111-9.

    Article  PubMed  Google Scholar 

  • Himelhoch, S., & Medoff, D. R. (2005). Efficacy of antidepressant medication among HIV-positive individuals with depression: A systematic review and meta-analysis. AIDS Patient Care and STDs, 19(12), 813–822. doi:10.1089/apc.2005.19.813.

    Article  PubMed  Google Scholar 

  • Himelhoch, S., Medoff, D. R., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis. AIDS Patient Care and STDs, 21(10), 732–739. doi:10.1089/apc.2007.0012.

    Article  PubMed  Google Scholar 

  • Ironson, G., & Hayward, H. (2008). Do positive psychosocial factors predict disease progression in HIV-1? A review of the evidence. Psychosomatic Medicine, 70(5), 546–554. doi:10.1097/PSY.0b013e318177216c.

    Article  PubMed  Google Scholar 

  • Kalichman, S. C., Gore-Felton, C., Benotsch, E., Cage, M., & Rompa, D. (2004). Trauma symptoms, sexual behaviors, and substance abuse: Correlates of childhood sexual abuse and HIV risks among men who have sex with men. Journal of Child Sexual Abuse, 13(1), 1–15. doi:10.1300/J070v13n01_01.

    Article  PubMed  Google Scholar 

  • Kraemer, H. C., Wilson, K. A., & Hayward, C. (2006). Lifetime prevalence and pseudocomorbidity in psychiatric research. Archives of General Psychiatry, 63(6), 604–608. doi:10.1001/archpsyc.63.6.604.

    Article  PubMed  Google Scholar 

  • Lovejoy, T. I., Heckman, T. G., Sikkema, K. J., Hansen, N. B., Kochman, A., Suhr, J. A., et al. (2008). Patterns and correlates of sexual activity and condom use behavior in persons 50-plus years of age living with HIV/AIDS. AIDS and Behavior, 12(6), 943–956. doi:10.1007/s10461-008-9384-2.

    Article  PubMed  Google Scholar 

  • Moskowitz, J. T. (2003). Positive affect predicts lower risk of AIDS mortality. Psychosomatic Medicine, 65(4), 620–626. doi:10.1097/01.PSY.0000073873.74829.23.

    Article  PubMed  Google Scholar 

  • Myers, H. F., Wyatt, G. E., Loeb, T. B., Carmona, J. V., Warda, U., Longshore, D., et al. (2006). Severity of child sexual abuse, post-traumatic stress and risky sexual behaviors among HIV-positive women. AIDS and Behavior, 10(2), 191–199. doi:10.1007/s10461-005-9054-6.

    Article  PubMed  Google Scholar 

  • O’Leary, A., Purcell, D., Remien, R. H., & Gomez, C. (2003). Childhood sexual abuse and sexual transmission risk behaviour among HIV-positive men who have sex with men. AIDS Care, 15(1), 17–26. doi:10.1080/0954012021000039725.

    Article  PubMed  Google Scholar 

  • Ohl, M. E., Landon, B. E., Cleary, P. D., & LeMaster, J. (2008). Medical clinic characteristics and access to behavioral health services for persons with HIV. Psychiatric Services (Washington, D.C.), 59(4), 400–407. doi:10.1176/appi.ps.59.4.400.

    Google Scholar 

  • Olatunji, B. O., Mimiaga, M. J., O’Cleirigh, C., & Safren, S. A. (2006). Review of treatment studies of depression in HIV. Topics in HIV Medicine, 14(3), 112–124.

    PubMed  Google Scholar 

  • Pals, S. L., Murray, D. M., Alfano, C. M., Shadish, W. R., Hannan, P. J., & Baker, W. L. (2008). Individually randomized group treatment trials: A critical appraisal of frequently used design and analytic approaches. American Journal of Public Health, 98(8), 1418–1424. doi:10.2105/AJPH.2007.127027.

    Article  PubMed  Google Scholar 

  • Pinkerton, S. D., & Abramson, P. R. (1998). Not all behavior change is equivalent. American Journal of Public Health, 88(4), 684.

    Article  CAS  PubMed  Google Scholar 

  • Rabkin, J. G., McElhiney, M. C., & Ferrando, S. J. (2004). Mood and substance use disorders in older adults with HIV/AIDS: Methodological issues and preliminary evidence. AIDS (London, England), 18(Suppl 1), S43–S48. doi:10.1097/00002030-200401001-00007.

    Google Scholar 

  • Remien, R. H., & Mellins, C. A. (2007). Long-term psychosocial challenges for people living with HIV: Let’s not forget the individual in our global response to the pandemic. AIDS (London, England), 21(Suppl 5), S55–S63. doi:10.1097/01.aids.0000279707.01557.b2.

    Google Scholar 

  • Rosenberg, S., Brunette, M., Oxman, T., Marsh, B., Dietrich, A., Mueser, K., et al. (2004). The STIRR model of best practices for blood-borne diseases among clients with serious mental illness. Psychiatric Services (Washington, D.C.), 55(6), 660–664. doi:10.1176/appi.ps.55.6.660.

    Google Scholar 

  • Scott-Sheldon, L. A., Kalichman, S. C., Carey, M. P., & Fielder, R. L. (2008). Stress management interventions for HIV+ adults: A meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychology, 27(2), 129–139. doi:10.1037/0278-6133.27.2.129.

    Article  PubMed  Google Scholar 

  • Sikkema, K. J., Hansen, N. B., Kochman, A., Tarakeshwar, N., Neufeld, S., Meade, C. S., et al. (2007). Outcomes from a group intervention for coping with HIV/AIDS and childhood sexual abuse: Reductions in traumatic stress. AIDS and Behavior, 11(1), 49–60. doi:10.1007/s10461-006-9149-8.

    Article  PubMed  Google Scholar 

  • Sikkema, K. J., Wilson, P. A., Hansen, N. B., Kochman, A., Neufeld, S., Ghebremichael, M. S., et al. (2008). Effects of a coping intervention on transmission risk behavior among people living with HIV/AIDS and a history of childhood sexual abuse. Journal of Acquired Immune Deficiency Syndromes, 47(4), 506–513.

    Article  PubMed  Google Scholar 

  • Stoff, D. M., Mitnick, L., & Kalichman, S. (2004). Research issues in the multiple diagnoses of HIV/AIDS, mental illness and substance abuse. AIDS Care, 16(Suppl 1), S1–S5. doi:10.1080/09540120412331315321.

    Article  PubMed  Google Scholar 

  • Walkup, J., Blank, M. B., Gonzalez, J. S., Safren, S., Schwartz, R., Brown, L., et al. (2008). The impact of mental health and substance abuse factors on HIV prevention and treatment. Journal of Acquired Immune Deficiency Syndromes, 47(Suppl 1), S15–S19. doi:10.1097/QAI.0b013e3181605b26.

    PubMed  Google Scholar 

  • West, S. G., Duan, N., Pequegnat, W., Gaist, P., Des Jarlais, D. C., Holtgrave, D., et al. (2008). Alternatives to the randomized controlled trial. American Journal of Public Health, 98(8), 1359–1366. doi:10.2105/AJPH.2007.124446.

    Article  PubMed  Google Scholar 

  • Whetten, K., Reif, S., Whetten, R., & Murphy-McMillan, L. K. (2008). Trauma, mental health, distrust, and stigma among HIV-positive persons: Implications for effective care. Psychosomatic Medicine, 70(5), 531–538. doi:10.1097/PSY.0b013e31817749dc.

    Article  PubMed  Google Scholar 

  • Wingood, G. M., DiClemente, R. J., Mikhail, I., Lang, D. L., McCree, D. H., Davies, S. L., et al. (2004). A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV: The WiLLOW program. Journal of Acquired Immune Deficiency Syndromes, 37(Suppl 2), S58–S67. doi:10.1097/01.qai.0000140603.57478.a9.

    PubMed  Google Scholar 

  • Wyatt, G. E., Longshore, D., Chin, D., Carmona, J. V., Loeb, T. B., Myers, H. F., et al. (2004). The efficacy of an integrated risk reduction intervention for HIV-positive women with child sexual abuse histories. AIDS and Behavior, 8(4), 453–462. doi:10.1007/s10461-004-7329-y.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cynthia I. Grossman.

Additional information

This work was written as part of Cynthia I. Grossman and Christopher M. Gordon’s official duties as Government employees. The views expressed in this manuscript do not necessarily represent the views of the NIMH, NIH, HHS, or the United States Government.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grossman, C.I., Gordon, C.M. Mental Health Considerations in Secondary HIV Prevention. AIDS Behav 14, 263–271 (2010). https://doi.org/10.1007/s10461-008-9496-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-008-9496-8

Keywords

Navigation