A Transdiagnostic Treatment to Improve Biomedical and Syndemic Outcomes in People Living With HIV

IF 2.9 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive and Behavioral Practice Pub Date : 2023-05-09 DOI:10.1016/j.cbpra.2023.04.002

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引用次数: 0

Abstract

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.

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一种改善HIV感染者生物医学和综合征结果的转诊治疗

艾滋病病毒感染者（PLWH）会遇到一系列并发的社会心理压力、精神健康症状和结构性障碍（如 "综合症"），这些都会影响他们坚持按照医疗建议进行治疗的能力。这对他们和其他人的健康都有影响，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，从而增加向他人传播艾滋病毒的能力。跨诊断治疗，或不专注于单一心理健康问题的治疗，可以通过技能培训来减少症状，从而有效地解决一系列心理健康问题。此外，认知行为和问题解决方法也可用于解决更大的结构性因素，通过循证技能帮助个人应对系统性挑战。本文介绍了一种针对 PLWH 的跨诊断治疗方法，并通过案例说明了该治疗方法的应用。这种治疗方法可能适合整合到 HIV 诊所或门诊环境中，用于治疗患有综合症并携带 HIV 的病人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-

CiteScore

4.80

自引率

3.40%

发文量

118

审稿时长

84 days

期刊介绍： Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.