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Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women.

https://arctichealth.org/en/permalink/ahliterature299444
Source
AIDS Behav. 2019 Mar; 23(3):695-706
Publication Type
Journal Article
Randomized Controlled Trial
Date
Mar-2019
Author
Cynthia R Pearson
Debra Kaysen
David Huh
Michele Bedard-Gilligan
Author Affiliation
Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, USA. pearsonc@uw.edu.
Source
AIDS Behav. 2019 Mar; 23(3):695-706
Date
Mar-2019
Language
English
Publication Type
Journal Article
Randomized Controlled Trial
Keywords
Adolescent
Adult
Alcoholism - diagnosis - ethnology - therapy
Cognitive Behavioral Therapy - methods
Female
HIV Infections - ethnology - prevention & control
Humans
Indians, North American - psychology
Mental health
Outcome Assessment (Health Care)
Risk-Taking
Rural Population
Sexual Behavior - psychology
Sexual Partners
Stress Disorders, Post-Traumatic - diagnosis - ethnology - therapy
Substance-Related Disorders - diagnosis - ethnology - therapy
Washington - epidemiology
Young Adult
Abstract
An overlooked sequela of HIV risk is trauma exposure, yet few HIV interventions address trauma exposure, mental health, and substance misuse. In a two-arm randomized controlled trial 73 Native American women were randomized to a culturally-adapted Cognitive Processing Therapy (CPT) or 6-weeks waitlist. Outcomes assessed: PTSD symptom severity, alcohol use frequency, substance abuse or dependence diagnosis, and high-risk sexual behavior defined as vaginal/anal intercourse (a) under the influence of alcohol and/or illicit substances, (b) with a partner who was concurrently sexually active with someone else, and/or (c) with more than one partner in the past 6 weeks. Among immediate intervention participants, compared to waitlist participants, there were large reductions in PTSD symptom severity, high-risk sexual behavior, and a medium-to-large reduction in the frequency of alcohol use. CPT appears to improve mental health and risk behaviors, suggesting that addressing PTSD may be one way of improving HIV-risk related outcomes.
PubMed ID
30607757 View in PubMed
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