Mental Health Treatment to Reduce HIV Transmission Risk Behavior: A Positive Prevention Model

被引：100
|
作者：
Sikkema, Kathleen J. [1 ]
Watt, Melissa H. [2 ]
Drabkin, Anya S. [1 ]
Meade, Christina S. [2 ,3 ]
Hansen, Nathan B. [4 ]
Pence, Brian W. [2 ,5 ]
机构：
[1] Duke Univ, Dept Psychol & Neurosci, Durham, NC 27708 USA
[2] Duke Univ, Global Hlth Inst, Durham, NC 27708 USA
[3] Duke Univ, Dept Psychiat & Behav Sci, Durham, NC 27708 USA
[4] Yale Univ, Sch Med, New Haven, CT USA
[5] Duke Univ, Dept Community & Family Med, Durham, NC 27708 USA
来源：
AIDS AND BEHAVIOR | 2010年 / 14卷 / 02期
关键词：
HIV prevention; Mental health; Secondary HIV prevention; Positive prevention; Methodology; POSTTRAUMATIC-STRESS-DISORDER; ACTIVE ANTIRETROVIRAL THERAPY; CHILDHOOD SEXUAL-ABUSE; HUMAN-IMMUNODEFICIENCY-VIRUS; RANDOMIZED CONTROLLED-TRIALS; PSYCHIATRIC-DISORDERS; MEDICATION ADHERENCE; DEPRESSIVE SYMPTOMS; ANTIDEPRESSANT TREATMENT; INFECTED INDIVIDUALS;
D O I：
10.1007/s10461-009-9650-y
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Secondary HIV prevention, or "positive prevention," is concerned with reducing HIV transmission risk behavior and optimizing the health and quality of life of people living with HIV/AIDS (PLWHA). The association between mental health and HIV transmission risk (i.e., sexual risk and poor medication adherence) is well established, although most of this evidence is observational. Further, a number of efficacious mental health treatments are available for PLWHA yet few positive prevention interventions integrate mental health treatment. We propose that mental health treatment, including behavioral and pharmacologic interventions, can lead to reductions in HIV transmission risk behavior and should be a core component of secondary HIV prevention. We present a conceptual model and recommendations to guide future research on the effect of mental health treatment on HIV transmission risk behavior among PLWHA.
引用
收藏
页码：252 / 262
页数：11
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