Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women
Bibliographic Data
| ID | 15337384 |
|---|---|
| Authors | Cynthia Pearson (0000-0001-7357-2438, Pearson (United States), corresponding author), Debra Kaysen (0000-0001-7961-2787, University of Washington), David Huh (0000-0002-6357-4883, University of Washington), Michele Bedard‐Gilligan (0000-0002-3109-3006, University of Washington), Michele Bedard-Gilligan |
| Year | 2019 |
| Volume | 23 |
| Issue | 3 |
| Pages | 695-706 |
| Publication date | 2019-01-03 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-018-02382-8 |
| PMID | 30607757 |
| OpenAlex | W2906828728 |
| Language | EN |
| Citations received | 11 |
| References cited | 58 |
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
Environmental health · Health psychology · Mental health · Poison control · Psychiatry · Psychological intervention · Public health · Randomized controlled trial · Sequela · Child Abuse and Trauma · Clinical Psychology · Medicine · Posttraumatic Stress Disorder Research · Prenatal Substance Exposure Effects · Psychology
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Understanding the interface of HIV, trauma, post-traumatic stress disorder, and substance use and its implications for health outcomes
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The Historical Trauma Response Among Natives and Its Relationship with Substance Abuse
The Efficacy of a Multicultural Prevention Intervention among Urban American Indian Youth in the Southwest U.S
The Impact of HIV Diagnosis-Related vs. Non-Diagnosis Related Trauma on PTSD, Depression, Medication Adherence, and HIV Disease Markers
Attrition in Psychotherapy
Effects of trauma intervention on HIV sexual risk behaviors among women with co‐occurring disorders in substance abuse treatment
Data Collection and Harmonization in HIV Research
Historical Trauma in American Indian/Native Alaska Communities
Women, sex, and HIV
Post-traumatic Stress Disorder and HIV Risk Behaviors among Rural American Indian/Alaska Native Women
A comparison of the prevalence and risk factors of suicidal ideation and suicide attempts in two American Indian population samples and in a general population sample
| Unique citing works | 11 |
|---|---|
| Citations per year | 2.2 |
| Citation span | 2021 - 2026 (6) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 11 |