The Impact of Trauma-Focused Group Therapy upon HIV Sexual Risk Behaviors in the NIDA Clinical Trials Network “Women and Trauma” Multi-Site Study
Women in drug treatment struggle with co-occurring problems, including trauma and post-traumatic stress disorder (PTSD), which can heighten HIV risk. This study examines the impact of two group therapy interventions on reduction of unprotected sexual occasions (USO) among women with substance use di...
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| Veröffentlicht in: | AIDS and behavior 2010-04, Vol.14 (2), p.421-430 |
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| container_title | AIDS and behavior |
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| creator | Hien, Denise A. Campbell, Aimee N. C. Killeen, Therese Hu, Mei-Chen Hansen, Cheri Jiang, Huiping Hatch-Maillette, Mary Miele, Gloria M. Cohen, Lisa R. Gan, Weijin Resko, Stella M. DiBono, Michele Wells, Elizabeth A. Nunes, Edward V. |
| description | Women in drug treatment struggle with co-occurring problems, including trauma and post-traumatic stress disorder (PTSD), which can heighten HIV risk. This study examines the impact of two group therapy interventions on reduction of unprotected sexual occasions (USO) among women with substance use disorders (SUD) and PTSD. Participants were 346 women recruited from and receiving treatment at six community-based drug treatment programs participating in NIDA’s Clinical Trials Network. Participants were randomized to receive 12-sessions of either seeking safety (SS), a cognitive behavioral intervention for women with PTSD and SUD, or women’s health education (WHE), an attention control psychoeducational group. Participants receiving SS who were at higher sexual risk (i.e., at least 12 USO per month) significantly reduced the number of USO over 12-month follow up compared to WHE. High risk women with co-occurring PTSD and addiction may benefit from treatment addressing coping skills and trauma to reduce HIV risk. |
| doi_str_mv | 10.1007/s10461-009-9573-7 |
| format | Article |
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C. ; Killeen, Therese ; Hu, Mei-Chen ; Hansen, Cheri ; Jiang, Huiping ; Hatch-Maillette, Mary ; Miele, Gloria M. ; Cohen, Lisa R. ; Gan, Weijin ; Resko, Stella M. ; DiBono, Michele ; Wells, Elizabeth A. ; Nunes, Edward V.</creator><creatorcontrib>Hien, Denise A. ; Campbell, Aimee N. C. ; Killeen, Therese ; Hu, Mei-Chen ; Hansen, Cheri ; Jiang, Huiping ; Hatch-Maillette, Mary ; Miele, Gloria M. ; Cohen, Lisa R. ; Gan, Weijin ; Resko, Stella M. ; DiBono, Michele ; Wells, Elizabeth A. ; Nunes, Edward V.</creatorcontrib><description>Women in drug treatment struggle with co-occurring problems, including trauma and post-traumatic stress disorder (PTSD), which can heighten HIV risk. This study examines the impact of two group therapy interventions on reduction of unprotected sexual occasions (USO) among women with substance use disorders (SUD) and PTSD. Participants were 346 women recruited from and receiving treatment at six community-based drug treatment programs participating in NIDA’s Clinical Trials Network. Participants were randomized to receive 12-sessions of either seeking safety (SS), a cognitive behavioral intervention for women with PTSD and SUD, or women’s health education (WHE), an attention control psychoeducational group. Participants receiving SS who were at higher sexual risk (i.e., at least 12 USO per month) significantly reduced the number of USO over 12-month follow up compared to WHE. High risk women with co-occurring PTSD and addiction may benefit from treatment addressing coping skills and trauma to reduce HIV risk.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-009-9573-7</identifier><identifier>PMID: 19452271</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acquired Immune Deficiency Syndrome ; Adaptation, Psychological ; Addiction ; Addictive behaviors ; Adult ; AIDS ; Cognitive Therapy - methods ; Community involvement ; Female ; Females ; Group Therapy ; Health Education - methods ; Health Psychology ; Health risks ; HIV ; HIV Infections - prevention & control ; HIV Infections - transmission ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Intervention ; Medical Research ; Medicine ; Medicine & Public Health ; Original Paper ; Post traumatic stress disorder ; Posttraumatic Stress Disorder ; Public Health ; Risk ; Risk Reduction Behavior ; Risk taking ; Sexual Behavior ; Sexually transmitted diseases ; STD ; Stress Disorders, Post-Traumatic - complications ; Stress Disorders, Post-Traumatic - drug therapy ; Substance use ; Substance-Related Disorders - complications ; Substance-Related Disorders - drug therapy ; Trauma ; Treatment Outcome ; Unsafe Sex ; Wounds and Injuries</subject><ispartof>AIDS and behavior, 2010-04, Vol.14 (2), p.421-430</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>Springer Science+Business Media, LLC 2010</rights><rights>Springer Science+Business Media, LLC 2009 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-8c9ec8f36d6d1a646e1121979d7c446dfed4fe1e64dfcd794ada8911e02339143</citedby><cites>FETCH-LOGICAL-c563t-8c9ec8f36d6d1a646e1121979d7c446dfed4fe1e64dfcd794ada8911e02339143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-009-9573-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-009-9573-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27344,27924,27925,33774,33775,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19452271$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hien, Denise A.</creatorcontrib><creatorcontrib>Campbell, Aimee N. 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This study examines the impact of two group therapy interventions on reduction of unprotected sexual occasions (USO) among women with substance use disorders (SUD) and PTSD. Participants were 346 women recruited from and receiving treatment at six community-based drug treatment programs participating in NIDA’s Clinical Trials Network. Participants were randomized to receive 12-sessions of either seeking safety (SS), a cognitive behavioral intervention for women with PTSD and SUD, or women’s health education (WHE), an attention control psychoeducational group. Participants receiving SS who were at higher sexual risk (i.e., at least 12 USO per month) significantly reduced the number of USO over 12-month follow up compared to WHE. High risk women with co-occurring PTSD and addiction may benefit from treatment addressing coping skills and trauma to reduce HIV risk.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adaptation, Psychological</subject><subject>Addiction</subject><subject>Addictive behaviors</subject><subject>Adult</subject><subject>AIDS</subject><subject>Cognitive Therapy - methods</subject><subject>Community involvement</subject><subject>Female</subject><subject>Females</subject><subject>Group Therapy</subject><subject>Health Education - methods</subject><subject>Health Psychology</subject><subject>Health risks</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Intervention</subject><subject>Medical Research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic Stress Disorder</subject><subject>Public Health</subject><subject>Risk</subject><subject>Risk Reduction Behavior</subject><subject>Risk taking</subject><subject>Sexual Behavior</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Stress Disorders, Post-Traumatic - complications</subject><subject>Stress Disorders, Post-Traumatic - drug therapy</subject><subject>Substance use</subject><subject>Substance-Related Disorders - complications</subject><subject>Substance-Related Disorders - drug therapy</subject><subject>Trauma</subject><subject>Treatment Outcome</subject><subject>Unsafe Sex</subject><subject>Wounds and Injuries</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFksFu1DAQhiMEoqXwAFyQxYVTwJM4dnxBahfarlSKxC5wtIzttG4TO9hxYW99CW7wcn0SvNoVBSTEySPNN_8_tv-ieAz4OWDMXkTAhEKJMS95w-qS3Sl2YV3UVUPu5hpzXDKgzU7xIMYLnEHK-P1iBzhpqorBbvFteW7QfBilmpDv0DLINMjy0KsUjUZHwacRZSTIcYXS6B06nn9AC_M1yR69s_ESHZhzeWV9iMg6NGWx0_mrfTTrrbMqM8tgZR_RqZm--HCJbq6_f_SDcUg6vTW7uf6B3qR-suXCTgYtpqRXD4t7XR4zj7bnXvH-8PVydlyevD2az_ZPStXQeipbxY1qu5pqqkFSQg1ABZxxzRQhVHdGk86AoUR3SjNOpJYtBzC4qmsOpN4rXm50x_RpMFoZNwXZizHYQYaV8NKKPzvOnoszfyWqtm5ajLPAs61A8J-TiZMYbFSm76UzPkXBmhayF6P_J0lDeUUYy-TTv8gLn4LL7yAqgBrqljYZgg2kgo8xmO7X0oDFOhxiEw6R_1yswyHWwk9-v-3txDYNGag2QMwtd2bCrfO_VX8C6jvHeg</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Hien, Denise A.</creator><creator>Campbell, Aimee N. 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C.</au><au>Killeen, Therese</au><au>Hu, Mei-Chen</au><au>Hansen, Cheri</au><au>Jiang, Huiping</au><au>Hatch-Maillette, Mary</au><au>Miele, Gloria M.</au><au>Cohen, Lisa R.</au><au>Gan, Weijin</au><au>Resko, Stella M.</au><au>DiBono, Michele</au><au>Wells, Elizabeth A.</au><au>Nunes, Edward V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Trauma-Focused Group Therapy upon HIV Sexual Risk Behaviors in the NIDA Clinical Trials Network “Women and Trauma” Multi-Site Study</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>14</volume><issue>2</issue><spage>421</spage><epage>430</epage><pages>421-430</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><abstract>Women in drug treatment struggle with co-occurring problems, including trauma and post-traumatic stress disorder (PTSD), which can heighten HIV risk. 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| identifier | ISSN: 1090-7165 |
| ispartof | AIDS and behavior, 2010-04, Vol.14 (2), p.421-430 |
| issn | 1090-7165 1573-3254 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2835800 |
| source | MEDLINE; Sociological Abstracts; SpringerLink Journals - AutoHoldings |
| subjects | Acquired Immune Deficiency Syndrome Adaptation, Psychological Addiction Addictive behaviors Adult AIDS Cognitive Therapy - methods Community involvement Female Females Group Therapy Health Education - methods Health Psychology Health risks HIV HIV Infections - prevention & control HIV Infections - transmission Human immunodeficiency virus Humans Infectious Diseases Intervention Medical Research Medicine Medicine & Public Health Original Paper Post traumatic stress disorder Posttraumatic Stress Disorder Public Health Risk Risk Reduction Behavior Risk taking Sexual Behavior Sexually transmitted diseases STD Stress Disorders, Post-Traumatic - complications Stress Disorders, Post-Traumatic - drug therapy Substance use Substance-Related Disorders - complications Substance-Related Disorders - drug therapy Trauma Treatment Outcome Unsafe Sex Wounds and Injuries |
| title | The Impact of Trauma-Focused Group Therapy upon HIV Sexual Risk Behaviors in the NIDA Clinical Trials Network “Women and Trauma” Multi-Site Study |
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