title: Supportive-expressive and coping group teletherapies for HIV-infected older adults: a randomized clinical trial.
abstract: This clinical trial tested whether telephone-administered supportive-expressive group therapy or coping effectiveness training reduce depressive symptoms in HIV-infected older adults. Participants from 24 states (N = 361) completed the Geriatric Depression Scale at pre-intervention, post-intervention, and 4- and 8-month follow-up and were randomized to one of three study arms: (1) 12 weekly sessions of telephone-administered, supportive-expressive group therapy (tele-SEGT; n = 122); (2) 12 weekly sessions of telephone-administered, coping effectiveness training (tele-CET; n = 118); or (3) a standard of care (SOC) control group (n = 121). Tele-SEGT participants reported fewer depressive symptoms than SOC controls at post-intervention (MSEGT = 11.9, MSOC = 14.3) and 4- (MSEGT = 12.5, MSOC = 14.4) and 8-month follow-up (MSEGT = 12.7, MSOC = 14.5) and fewer depressive symptoms than tele-CET participants at post-intervention (MSEGT = 12.4, MCET = 13.6) and 8-month follow-up (MSEGT = 12.7, MCET = 14.1). Tele-CET participants reported no statistically significant differences from SOC controls in GDS values at any assessment period. Tele-SEGT constitutes an efficacious treatment to reduce depressive symptoms in HIV-infected older adults.
authors.affiliation: Department of Geriatric Medicine/Gerontology, Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA, heckman@uga.edu.
authors.forename: Timothy G
authors.initials: TG
authors.lastname: Heckman
authors.forename: Bernadette D
authors.initials: BD
authors.lastname: Heckman
authors.forename: Timothy
authors.initials: T
authors.lastname: Anderson
authors.forename: Travis I
authors.initials: TI
authors.lastname: Lovejoy
authors.forename: David
authors.initials: D
authors.lastname: Mohr
authors.forename: Mark
authors.initials: M
authors.lastname: Sutton
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Bianco
authors.forename: Jen-Tzer
authors.initials: JT
authors.lastname: Gau
mesh_terms: D000223:Adaptation, Psychological; D000367:Age Factors; D003863:Depression / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D008605:Mental Health Services; D008875:Middle Aged; D011615:Psychotherapy, Group / Q000379:methods; D020377:Self Efficacy; D012934:Social Isolation / Q000523:psychology*; D012944:Social Support; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000628:therapy*; D011795:Surveys and Questionnaires; D017216:Telemedicine; D013689:Telephone; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology