Sikkema Kathleen J, Hansen Nathan B, Ghebremichael Musie, Kochman Arlene, Tarakeshwar Nalini, Meade Christina S, Zhang Heping
Department of Epidemiology and Public Health, School of Medicine, Yale University, New Haven, CT 06520, USA.
Health Psychol. 2006 Sep;25(5):563-70. doi: 10.1037/0278-6133.25.5.563.
The authors sought to study the longitudinal effects of a cognitive-behavioral group intervention for coping with AIDS bereavement among a diverse sample of adults who were HIV positive. Participants (N = 267) were randomly assigned to receive the 12-week intervention or individual therapy upon request. Measures were administered at baseline, postintervention, and 4-, 8-, and 12-month follow-ups. Longitudinal data were analyzed with linear mixed models to examine change in grief by condition across the study period and the effect of the intervention on grief through its interaction with psychiatric distress. The authors used the Grief Reaction Index to assess grief and the Symptom Checklist-90-Revised to assess global psychiatric distress. Participants in both conditions reported decreases in grief severity. However, among those with higher levels of psychiatric distress, participants in the group intervention had significantly lower grief severity scores compared with participants in the individual therapy condition. The long-term effectiveness of this AIDS-bereavement intervention for psychiatrically distressed people with HIV/AIDS supports the need for tailored interventions among those at risk for complicated grief responses.
作者试图研究一种认知行为团体干预措施对不同样本的成年HIV阳性患者应对艾滋病丧亲之痛的长期影响。参与者（N = 267）被随机分配接受为期12周的干预或根据需求接受个体治疗。在基线、干预后以及4个月、8个月和12个月随访时进行测量。采用线性混合模型分析纵向数据，以检验整个研究期间不同条件下悲伤情绪的变化，以及干预通过与精神痛苦的相互作用对悲伤情绪的影响。作者使用悲伤反应指数评估悲伤情绪，使用症状自评量表-90修订版评估整体精神痛苦。两种条件下的参与者悲伤严重程度均有所下降。然而，在精神痛苦程度较高的参与者中，团体干预组的参与者与个体治疗组的参与者相比，悲伤严重程度得分显著更低。这种针对患有精神疾病的HIV/AIDS患者的艾滋病丧亲干预措施的长期有效性表明，对于有复杂悲伤反应风险的人群，需要采取量身定制的干预措施。
