Rogers Brooke G, Harkness Audrey, Ivardic Ivan, Garcia Karin, Fitch Calvin, Ironson Gail, Safren Steven A
Warren Alpert Medical School of Brown University.
University of Miami and University of Miami Miller School of Medicine.
Cogn Behav Pract. 2024 Nov;31(4):423-436. doi: 10.1016/j.cbpra.2023.04.002. Epub 2023 May 9.
People living with HIV (PLWH) experience a range of co-occurring psychosocial stressors, mental health symptoms, and structural barriers (e.g., "syndemics") that can impair their ability to adhere to medical recommendations for treatment. This has consequences for their health and the health of others as nonadherence increases the likelihood of unsuppressed HIV viral load, and therefore the ability to transmit HIV to others. Transdiagnostic treatment, or treatment not focused on a single mental health condition, can efficiently address a range of mental health problems by skills training to reduce symptoms. Additionally, cognitive behavioral and problem-solving approaches can be used to address larger, structural factors by helping individuals navigate systemic challenges using evidence-based skills. This article describes the development of a transdiagnostic treatment for PLWH and illustrates the application of the treatment through case examples. This treatment might be appropriate for integration into an HIV clinic or within an outpatient setting when working with a patient who is experiencing syndemic conditions and living with HIV.
感染艾滋病毒的人（PLWH）会经历一系列同时出现的心理社会压力源、心理健康症状和结构性障碍（如“综合征”），这些都会削弱他们坚持治疗医学建议的能力。这会对他们自身的健康以及他人的健康产生影响，因为不坚持治疗会增加艾滋病毒病毒载量未得到抑制的可能性，进而增加将艾滋病毒传播给他人的几率。跨诊断治疗，即不专注于单一心理健康状况的治疗方法，可以通过技能培训来减轻症状，从而有效地解决一系列心理健康问题。此外，认知行为和解决问题的方法可以用来解决更大的结构性因素，帮助个人运用循证技能应对系统性挑战。本文描述了针对感染艾滋病毒的人的跨诊断治疗的开发过程，并通过案例说明该治疗方法的应用。当与患有综合征且感染艾滋病毒的患者合作时，这种治疗方法可能适合整合到艾滋病毒诊所或门诊环境中。
