Daughters Stacey B, Magidson Jessica F, Schuster Randi M, Safren Steven A
University of Maryland, College Park.
Cogn Behav Pract. 2010 Aug 1;17(3):309-321. doi: 10.1016/j.cbpra.2009.12.003.
The two most common comorbid conditions with HIV are substance use disorders and depression, and individuals with comorbid HIV, depression, and substance dependence face a more chronic and treatment-resistant course. As an example of how to adapt evidence-based approaches to a complex comorbid population, the current case study examined the integration of a combined depression and HIV medication adherence treatment. The resulting intervention, ACT HEALTHY, combines a brief behavioral activation approach specifically developed to treat depression in individuals receiving residential substance abuse treatment (LETS ACT; Daughters et al., 2008) with a brief cognitive-behavioral approach to improving HIV medication adherence (Life-Steps; Safren et al., 1999; Safren et al., 2009). The current case series demonstrates the use of ACT HEALTHY among 3 depressed HIV-positive, low-income African Americans entering residential substance abuse treatment.
与艾滋病毒最常见的两种共病情况是物质使用障碍和抑郁症，同时患有艾滋病毒、抑郁症和物质依赖的个体面临着更慢性且难治的病程。作为如何将循证方法应用于复杂共病群体的一个例子，当前的案例研究考察了抑郁症与艾滋病毒药物依从性联合治疗的整合情况。由此产生的干预措施“积极健康”（ACT HEALTHY），将专门为接受住院物质滥用治疗的个体治疗抑郁症而开发的简短行为激活方法（“让我们行动起来”；多aughters等人，2008年）与一种改善艾滋病毒药物依从性的简短认知行为方法（“生活步骤”；萨夫伦等人，1999年；萨夫伦等人，2009年）相结合。当前的案例系列展示了“积极健康”在3名患有抑郁症的艾滋病毒阳性低收入非裔美国人进入住院物质滥用治疗时的应用情况。
