结构性生态系统治疗对提高非裔美国女性抗艾滋病毒药物依从性的疗效。
The efficacy of Structural Ecosystems Therapy for HIV medication adherence with African American women.
机构信息
Center for Family Studies, Department of Epidemiology and Public Health, Leonard M. Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
出版信息
J Fam Psychol. 2010 Feb;24(1):51-9. doi: 10.1037/a0017954.
Abstract
A systemic family therapy intervention, Structural Ecosystems Therapy (SET; Mitrani, Szapocznik, & Robinson-Batista, 2000; Szapocznik et al., 2004), has been shown to promote adaptation to living with HIV by reducing psychological distress and family hassles. This investigation examines the effect of SET on HIV medication adherence relative to a person-centered condition and a community control condition. Medication adherence was assessed on 156 trial participants. Results of a 2-part model showed that SET was significantly more likely to move women to high levels of adherence (defined as at least 95% adherence) than a person-centered therapy. Family hassles were also significantly reduced by SET, though the effect of SET on medication adherence did not appear related to this change in family hassles.
摘要
一种系统家庭治疗干预方法，结构生态治疗（SET；Mitrani、Szapocznik 和 Robinson-Batista，2000；Szapocznik 等人，2004），已被证明可以通过减少心理困扰和家庭烦恼来促进适应 HIV 生活。本研究调查了 SET 对 HIV 药物治疗依从性的影响，与以人为中心的条件和社区对照条件进行了比较。对 156 名试验参与者进行了药物治疗依从性评估。2 部分模型的结果表明，SET 使女性达到高药物治疗依从性（定义为至少 95%的依从性）的可能性显著高于以人为中心的治疗。SET 还显著降低了家庭烦恼，但 SET 对药物治疗依从性的影响似乎与家庭烦恼的这种变化无关。
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