Cultivating a healthy sex life after HIV diagnosis can be difficult for people with HIV (PWH), as stigma and concerns for transmission may act as barriers to sexual activity. Addressing these obstacles is a necessary part of psychotherapy when helping PWH reincorporate sexual activities. However, mental health providers may be unprepared to discuss factors that impact sexual functioning with their HIV-positive clients. Currently, there are no gold-standard evidence-based treatments developed specifically for HIV-positive individuals. Therefore, this article focuses on using cognitive-behavioral techniques to address sexual concerns in PWH. Cognitive-behavioral therapy has been effective at improving sexual health in other medical populations and can be adapted to optimize sexual functioning in PWH. In this article, we discuss cases of common concerns PWH experience and how cognitive-behavioral therapy techniques (e.g., challenging automatic and maladaptive thoughts) can be incorporated into psychotherapy to cultivate a healthy and fulfilling sex life. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

---

艾滋病毒对性功能的影响：临床医生的考虑因素。

HIV感染者（PWH）很难在HIV诊断后培养健康的性生活，因为污名和对传播的担忧可能成为性活动的障碍。当帮助PWH重新融入性活动时，解决这些障碍是心理治疗的必要部分。但是，精神卫生服务提供者可能没有准备好与影响HIV阳性患者的性功能进行讨论的因素。当前，尚没有专门针对HIV阳性个体开发的黄金标准循证疗法。因此，本文重点介绍使用认知行为技术来解决PWH中的性问题。认知行为疗法已经有效改善了其他医学人群的性健康，并且可以进行调整以优化PWH中的性功能。在这篇文章中，我们讨论了PWH经验中共同关心的案例，以及如何将认知行为治疗技术（例如具有挑战性的自动和适应不良的思想）纳入心理治疗中，以培养健康而充实的性生活。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。