The impact of prolonged exposure on PTSD symptoms and associated psychopathology in people living with HIV: a randomized test of concept
- PMID: 22012149
- PMCID: PMC4391814
- DOI: 10.1007/s10461-011-0076-y
The impact of prolonged exposure on PTSD symptoms and associated psychopathology in people living with HIV: a randomized test of concept
Abstract
People living with HIV (PLWH) report elevated levels of posttraumatic stress disorder symptoms (PTSS) and associated comorbidities. The present study tested the efficacy of prolonged exposure (PE) at reducing PTSS, depression, negative posttraumatic cognitions, and substance use in PLWH. Participants were randomly assigned to receive PE (n = 40) or to a weekly monitoring control group (n = 25). Assessments occurred at baseline, post-intervention and 3-months post-treatment. Following the 3-month assessment, controls were offered the intervention. All PE recipients (whether originally from the PE or control group) completed a 6-month assessment. Intent-to-treat mixed model repeated measures ANOVAs were conducted through 3-months post-treatment; within group analyses were conducted through 6-months. PE recipients reported fewer PTSS and negative posttraumatic cognitions and were more likely to achieve good end-state functioning; gains were maintained at 6-months. No between-group differences emerged for substance use. Overall, results support the efficacy of PE in PLWH.
Figures
References
-
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental disorders. 4. Washington, DC: American Psychiatric Association; 1994.
-
- Tedstone JE, Terrier N. Posttraumatic stress disorder following medical illness and treatment. Clin Psychol Rev. 2003;23:409–448. - PubMed
-
- Kelly B, Raphael B, Judd F, Kernutt G, Burnett P, Burrows G. Posttraumatic stress disorder in response to HIV infection. Gen Hosp Psychiatry. 1998;20:345–352. - PubMed
-
- Martinez A, Israelski D, Walker C, Koopman C. Posttraumatic stress disorder in women attending human immunodeficiency virus outpatient clinics. AIDS Patient Care STDs. 2002;16(6):283–291. - PubMed
-
- Safren SA, Gershuny BS, Hendriksen E. Symptoms of posttraumatic stress and death anxiety in persons with HIV and medication adherence difficulties. AIDS Patient Care STDs. 2003;17:657–664. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
