An evidence-based group coping intervention for women living with HIV and history of childhood sexual abuse.
Women living with HIV/AIDS and a history of childhood sexual abuse often exhibit sexual trauma symptoms and elevated rates of HIV-risk behaviors. In this paper, we describe a coping skills group intervention that reduced traumatic stress and sexual-risk behavior in a recent randomized clinical trial. We focused on clinical issues that emerged among female participants receiving the intervention. Clinical observations showed that recognizing connections between trauma, psychological distress, and high risk behaviors was a new and powerful experience for many participants. Participants successfully applied psychoeducational material, expressing an increased sense of power and control over their relationships and behaviors as they developed more adaptive cognitive and behavioral skills. Women expressed high levels of satisfaction with the intervention. Recommendations for clinical practice are provided.
Duke Global Health Institute, Duke University Medical Center Department of Psychiatry, Durham, NC 27708, USA. eve.puffer@duke.edu
Eve S
ES
Puffer
Arlene
A
Kochman
Nathan B
NB
Hansen
Kathleen J
KJ
Sikkema
D000223:Adaptation, Psychological; D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D015928:Cognitive Behavioral Therapy; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D011615:Psychotherapy, Group / Q000379:methods; D012309:Risk-Taking; D013315:Stress, Psychological / Q000523:psychology / Q000628:therapy; D016896:Treatment Outcome; D014930:Women / Q000523:psychology
Int J Group Psychother. 2004 Jan;54(1):29-82
14986573
J Trauma Stress. 1999 Jan;12(1):41-58
10027141
Am J Public Health. 2009 Apr;99 Suppl 1:S197-203
19218173
Am J Public Health. 2000 Apr;90(4):560-5
10754970
Health Psychol. 2008 Mar;27(2):149-58
18377133
Am J Public Health. 2006 Jun;96(6):1028-30
16670226
Women Health. 1993;20(4):15-36
8171874
Child Abuse Negl. 2003 Oct;27(10):1205-22
14602100
Clin Psychol Rev. 2008 Jun;28(5):711-35
18045760
J Consult Clin Psychol. 2003 Dec;71(6):987-96
14622074
Am J Public Health. 2000 Jul;90(7):1138-40
10897195
J Pers Assess. 1995 Feb;64(1):86-100
7877094
Psychosom Med. 2008 Jun;70(5):569-74
18519885
Behav Med. 2002 Summer;28(2):53-60
12613286
Am J Public Health. 2002 Apr;92(4):660-5
11919068
Child Abuse Negl. 2005 Jun;29(6):725-46
15979712
J Acquir Immune Defic Syndr. 2008 Apr 1;47(4):506-13
18176319
AIDS Patient Care STDS. 2007 Oct;21(10):732-9
17949272
J Trauma Stress. 2002 Aug;15(4):289-96
12224800
J Consult Clin Psychol. 2003 Jun;71(3):575-86
12795580
Child Abuse Negl. 1993 Mar-Apr;17(2):291-8
8472181
Int J Group Psychother. 2007 Oct;57(4):475-96
17937509
Child Abuse Negl. 2008 Jan;32(1):99-109
18155295
Child Abuse Negl. 1997 Feb;21(2):149-56
9056094
Arch Intern Med. 2000 Jun 12;160(11):1659-64
10847259
Health Psychol. 2000 Mar;19(2):124-33
10762096
Child Abuse Negl. 1990;14(1):19-28
2310970
AIDS Behav. 2007 Jan;11(1):49-60
16858634
Am J Public Health. 1991 May;81(5):572-5
2014856
Compr Psychiatry. 1995 May-Jun;36(3):229-35
7648848