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Using behavioral psychotherapy techniques to address HIV patients’ pain, depression, and well-being.
Psychotherapy ( IF 3.218 ) Pub Date : 2020-03-01 , DOI: 10.1037/pst0000258
Ethan Moitra , Nicholas Tarantino , Sarah L. Garnaat , Megan M. Pinkston , Andrew M. Busch , Risa B. Weisberg , Michael D. Stein , Lisa A. Uebelacker

For persons with HIV (PWH), aims of psychotherapy can extend beyond HIV-related topics. Issues such as HIV stigmatization and disclosure and HIV-related self-care including treatment adherence might be ongoing concerns, but patients often need support to develop skills to manage other problems, whether functional or psychiatric. In the context of an ongoing randomized clinical trial, we delivered an individual, behavioral activation-based intervention to PWH with comorbid chronic pain and depression. Our primary treatment target was to reduce pain-related interference in physical and psychosocial functioning. Throughout the course of the 7-session intervention, clinicians used 4 core strategies to help patients improve a variety of domains related to their health and well-being: (a) teaching value-based goal setting, (b) developing skills to be an activated and informed patient, (c) focusing on changing behavior despite discomfort, and, (d) facilitating access to care (e.g., flexible scheduling and primarily phone sessions). The application of these strategies to HIV-related and non-HIV-related problems are presented to illustrate how and when clinicians can utilize these strategies. These practical lessons will inform a flexible approach to helping PWH address a myriad of health and functional issues related to their overall well-being. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译:

使用行为心理治疗技术来解决HIV患者的痛苦,抑郁和福祉。

对于艾滋病毒感染者(PWH),心理治疗的目标可以超越与艾滋病毒有关的话题。艾滋病毒的污名化和披露以及包括治疗依从性在内的艾滋病毒相关自我保健等问题可能一直是人们关注的问题,但是患者通常需要获得支持,以发展技巧来管理其他问题,无论是功能还是精神病。在正在进行的一项随机临床试验的背景下,我们对患有合并症的慢性疼痛和抑郁症的PWH进行了基于行为激活的个体干预。我们的主要治疗目标是减少与疼痛相关的身体和心理功能障碍。在为期7天的干预过程中,临床医生使用了4种核心策略来帮助患者改善与他们的健康和福祉相关的各个方面:(a)讲授基于价值的目标设定,(b)培养成为活跃且知情的患者的技能;(c)着重于尽管有不适而改变行为,以及(d)促进就医(例如,灵活的日程安排和主要的电话会议)。介绍了将这些策略应用于与HIV相关和与非HIV相关的问题,以说明临床医生如何以及何时可以使用这些策略。这些实践课程将为灵活的方法提供帮助,帮助PWH解决与他们的整体福祉相关的众多健康和功能问题。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。介绍了将这些策略应用于与HIV相关和与非HIV相关的问题,以说明临床医生如何以及何时可以使用这些策略。这些实践课程将为灵活的方法提供帮助,帮助PWH解决与他们的整体福祉相关的众多健康和功能问题。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。介绍了将这些策略应用于与HIV相关和与非HIV相关的问题,以说明临床医生如何以及何时可以使用这些策略。这些实践课程将为灵活的方法提供帮助,帮助PWH解决与他们的整体福祉相关的众多健康和功能问题。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。
更新日期:2020-03-01
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