Mulder C L, Emmelkamp P M, Antoni M H, Mulder J W, Sandfort T G, de Vries M J
Helen Dowling Institute for Biopsychosocial Medicine, Rotterdam, The Netherlands.
Psychosom Med. 1994 Sep-Oct;56(5):423-31. doi: 10.1097/00006842-199409000-00007.
The knowledge of being infected with the human immunodeficiency virus type 1 (HIV-1) brings about psychological distress and social problems including anxiety, depression, and social isolation. Participating in psychosocial intervention programs can help to reduce these problems. To date, however, very little is known about the efficacy of different intervention strategies. We implemented a study with a randomized experimental design to investigate the effectiveness of a cognitive-behavioral group psychotherapy (CBT) and an experiential group psychotherapy (ET) program for 39 asymptomatic HIV-infected homosexual men. Both therapies consisted of 17 sessions over a 15-week period. The major finding of this study was that psychosocial intervention, independent of the therapeutic orientation, decreased distress significantly, as compared with a waiting-list control group (WCG). There were no significant changes in the intervention groups as compared with the WCG in coping styles, social support, and emotional expression. Finally, CBT and ET did not differ in their effects on psychological distress or on the other psychosocial variables measured in this study.
感染1型人类免疫缺陷病毒（HIV-1）的认知会带来心理困扰和社会问题，包括焦虑、抑郁和社会隔离。参与心理社会干预项目有助于减少这些问题。然而，迄今为止，对于不同干预策略的效果知之甚少。我们实施了一项随机实验设计研究，以调查认知行为团体心理治疗（CBT）和体验式团体心理治疗（ET）项目对39名无症状HIV感染同性恋男性的有效性。两种疗法均在15周内进行17次疗程。本研究的主要发现是，与等待名单对照组（WCG）相比，心理社会干预，无论治疗方向如何，都能显著减轻困扰。与WCG相比，干预组在应对方式、社会支持和情感表达方面没有显著变化。最后，CBT和ET在对心理困扰或本研究中测量的其他心理社会变量的影响方面没有差异。
