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A randomized clinical trial of a coping improvement group intervention for HIV-infected older adults.

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Date
2011-04
Authors
Heckman, Timothy G
Sikkema, Kathleen J
Hansen, Nathan
Kochman, Arlene
Heh, Victor
Neufeld, Sharon
AIDS and Aging Research Group
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Abstract
This research tested if a 12-session coping improvement group intervention (n = 104) reduced depressive symptoms in HIV-infected older adults compared to an interpersonal support group intervention (n = 105) and an individual therapy upon request (ITUR) control condition (n = 86). Participants were 295 HIV-infected men and women 50-plus years of age living in New York City, Cincinnati, OH, and Columbus, OH. Using A-CASI assessment methodology, participants provided data on their depressive symptoms using the Geriatric Depression Screening Scale (GDS) at pre-intervention, post-intervention, and 4- and 8-month follow-up. Whether conducted with all participants (N = 295) or only a subset of participants diagnosed with mild, moderate, or severe depressive symptoms (N = 171), mixed models analyses of repeated measures found that both coping improvement and interpersonal support group intervention participants reported fewer depressive symptoms than ITUR controls at post-intervention, 4-month follow-up, and 8-month follow-up. The effect sizes of the differences between the two active interventions and the control group were greater when outcome analyses were limited to those participants with mild, moderate, or severe depressive symptoms. At no assessment period did coping improvement and interpersonal support group intervention participants differ in depressive symptoms.
Type
Journal article
Subject
Acquired Immunodeficiency Syndrome
Adaptation, Psychological
Aged
Depression
Female
Geriatric Assessment
HIV Infections
Humans
Male
Middle Aged
Psychotherapy
Psychotherapy, Group
Self-Help Groups
Severity of Illness Index
Permalink
https://hdl.handle.net/10161/6061
Published Version (Please cite this version)
10.1007/s10865-010-9292-6
Publication Info
Heckman, Timothy G; Sikkema, Kathleen J; Hansen, Nathan; Kochman, Arlene; Heh, Victor; Neufeld, Sharon; & AIDS and Aging Research Group (2011). A randomized clinical trial of a coping improvement group intervention for HIV-infected older adults. J Behav Med, 34(2). pp. 102-111. 10.1007/s10865-010-9292-6. Retrieved from https://hdl.handle.net/10161/6061.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Sikkema

Kathleen J. Sikkema

Research Professor in the Department of Psychology and Neuroscience
Kathleen J. Sikkema, Ph.D., Gosnell Family Professor of Global Health, Psychology and Neuroscience, and Psychiatry and Behavioral Sciences at Duke University, is a clinical psychologist with emphases in health and community psychology. She is the Director of Doctoral Studies at the Duke Global Health Institute (DGHI), Director of the Social and Behavioral Science Core in Duke's Center for AIDS Research (CFAR), an
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