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哪些有儿童性虐待史的艾滋病毒阳性女性在创伤干预中得到了改善?

Who Improved in a Trauma Intervention for HIV-Positive Women with Child Sexual Abuse Histories?

作者信息

Chin Dorothy, Myers Hector F, Zhang Muyu, Loeb Tamra, Ullman Jodie B, Wyatt Gail E, Carmona Jennifer

机构信息

Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles. Los Angeles, California.

Department of Psychology, University of California at Los Angeles. Los Angeles, California.

出版信息

Psychol Trauma. 2014 Mar 1;6(2):152-158. doi: 10.1037/a0032180.

Abstract

The Healing Our Women Program, an 11-week integrated trauma/HIV intervention designed for HIV-positive women with child sexual abuse histories, has been found to reduce psychological distress in treatment groups compared to wait-list controls (Chin et al., 2004; Wyatt et al., 2011). This study examines the characteristics of participants who improved vs. those who did not improve among participants who received the active intervention (N=78) at post, three-, and six-month follow-up. Logistic regression analyses conducted post-intervention and at three- and six-month followups examined demographic characteristics, treatment attendance, AIDS diagnosis, and total trauma burden as possible predictors of improvement. Results indicated that at post-test, total trauma burden was significantly associated with improvement. At three-month follow-up, none of the variables discriminated the groups. At six-month follow-up, total trauma burden was again significantly related to improvement. The results suggest that the intervention is most appropriate for women with high trauma burdens. Future HIV interventions should go beyond the "one size fits all" approach" and consider the "fit" between intervention and participants.

摘要

“治愈我们的女性”项目是一项为期11周的综合创伤/艾滋病干预项目,专为有儿童期性虐待史的艾滋病毒阳性女性设计。研究发现,与等待名单对照组相比,治疗组的心理困扰有所减轻(Chin等人,2004年;Wyatt等人,2011年)。本研究考察了在接受积极干预的参与者(N = 78)中,在干预后、三个月和六个月随访时改善者与未改善者的特征。干预后以及三个月和六个月随访时进行的逻辑回归分析考察了人口统计学特征、治疗出勤率、艾滋病诊断和总创伤负担,将其作为改善情况的可能预测因素。结果表明,在测试后,总创伤负担与改善情况显著相关。在三个月随访时,没有变量能够区分不同组。在六个月随访时,总创伤负担再次与改善情况显著相关。结果表明,该干预措施最适合创伤负担高的女性。未来的艾滋病毒干预措施应超越“一刀切”的方法,考虑干预措施与参与者之间的“匹配度”。

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