Mental Health and Clinical Neurosciences Division, Portland Veterans Affairs Medical Center, Portland, OR 97239, USA.
Ann Behav Med. 2012 Dec;44(3):416-21. doi: 10.1007/s12160-012-9401-6.
Few studies have examined the secondary benefits of HIV risk reduction interventions to improve mental health functioning.
This study aimed to examine the effectiveness of telephone-delivered motivational interviewing (MI) targeting sexual risk behavior to reduce depression, anxiety, and stress in HIV-positive older adults.
Participants were 100 HIV-positive adults 45+ years old enrolled in a sexual risk reduction pilot clinical trial of telephone-delivered MI. Participants were randomly assigned to a one-session MI, four-session MI, or standard of care control condition. Telephone interviews at baseline and 3- and 6-month follow-up assessed sexual behavior, depression, anxiety, and stress.
Relative to controls, participants in the one- and four-session MI conditions reported lower levels of depression, anxiety, and stress at 6-month follow-up. No between group differences were observed at 3-month follow-up or between one- and four-session MI participants at 6-month follow-up.
Preliminary data suggest that telephone-delivered MI to reduce sexual risk behavior may confer secondary benefits of improving mental health functioning in HIV-positive persons.
很少有研究检查艾滋病毒风险降低干预措施改善心理健康功能的次要益处。
本研究旨在检验针对性行为风险的电话传递动机性访谈（MI）在降低艾滋病毒阳性老年人抑郁、焦虑和压力方面的有效性。
100 名 45 岁以上艾滋病毒阳性成年人参加了一项电话传递 MI 的性风险降低试点临床试验，被纳入本研究。参与者被随机分配到一个单一疗程的 MI、四个疗程的 MI 或标准护理对照组。基线和 3 个月及 6 个月随访时进行电话访谈，评估性行为、抑郁、焦虑和压力。
与对照组相比，接受一疗程和四疗程 MI 的参与者在 6 个月随访时报告的抑郁、焦虑和压力水平较低。在 3 个月随访时或在 6 个月随访时，一疗程和四疗程 MI 参与者之间未观察到组间差异。
初步数据表明，减少性风险行为的电话传递 MI 可能会带来改善艾滋病毒感染者心理健康功能的次要益处。
