title: Self-efficacy and distress in women with AIDS: the SMART/EST women's project.
abstract: Though African American and Hispanic women accounted for 14% of the female population in the USA, they represented 66% of the total HIV/AIDS diagnoses among women in 2007. Among men living with HIV, increased coping self-efficacy (SE) following a cognitive behavioral intervention has been related to decreased distress, anxiety, anger, and confusion, but comparable studies had not been carried out with HIV+ women. The purpose of this study was to examine the impact of changes in SE following a cognitive behavioral stress management plus expressive supportive therapy (CBSM+) intervention on depression and anxiety in low-income urban predominantly minority women living with AIDS. Women (n=451) were randomized to a group CBSM+ or individual informational intervention condition and completed baseline, post-intervention and long-term follow-up (12 months) assessments of depression, anxiety and SE. Women who were assigned to the CBSM+ group condition and increased their level of cognitive behavioral SE reported significant decreases in anxiety and depression at post-intervention and long-term follow-up in comparison with controls who did not improve. Results suggest that both cognitive behavioral skills and a concomitant increase in the perceived level of SE in the use of those skills are predictive of distress reduction.
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, FL 33136, USA. djones@med.miami.edu
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Jones
authors.forename: Mary
authors.initials: M
authors.lastname: Ishii Owens
authors.forename: David
authors.initials: D
authors.lastname: Lydston
authors.forename: Jonathan N
authors.initials: JN
authors.lastname: Tobin
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Brondolo
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Weiss
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000208:ethnology / Q000523:psychology* / Q000628:therapy; D000223:Adaptation, Psychological; D000328:Adult; D000465:Algorithms; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011615:Psychotherapy, Group / Q000379:methods*; D020377:Self Efficacy; D012944:Social Support; D012959:Socioeconomic Factors; D013223:Statistics as Topic; D013315:Stress, Psychological / Q000209:etiology* / Q000628:therapy; D014481:United States; D016387:Women's Health
chemical_list: D019380:Anti-HIV Agents