title: Substance abuse treatment for HIV infected young people: an open pilot trial.
abstract: The purpose of this study was to test an integrated cognitive behavioral and contingency management (CBT/CM) intervention for young people living with HIV (YPLH) with an alcohol and/or cannabis use disorder in an open pilot trial. Seventeen participants (ages 18-24) were recruited from three HIV community clinics. Assessments were completed at pre-and post-treatment as well as 3 month follow-up. Eighty percent of participants were retained in the study. Results suggest that the CBT/CM intervention was acceptable, feasible, and could be delivered with fidelity. Further, participants reported significant reductions in alcohol use, withdrawal symptoms, dependence symptoms and related problems, as well as co-occurring depressive symptoms and delinquent behavior across assessment periods. A trend was evident for reductions in marijuana use and related problems. Overall, these preliminary results suggest that a substance abuse CBT/CM intervention tailored to YPLH is acceptable, feasible, and holds promise for symptomatic improvement. Further testing of this type of protocol is warranted.
authors.affiliation: Psychology Department, George Mason University, Fairfax, VA 22030, USA. Electronic address: cesposi1@gmu.edu.
authors.forename: Christianne
authors.initials: C
authors.lastname: Esposito-Smythers
authors.forename: Larry K
authors.initials: LK
authors.lastname: Brown
authors.forename: Jennifer
authors.initials: J
authors.lastname: Wolff
authors.forename: Jiahong
authors.initials: J
authors.lastname: Xu
authors.forename: Sarah
authors.initials: S
authors.lastname: Thornton
authors.forename: Jennifer
authors.initials: J
authors.lastname: Tidey
mesh_terms: D000293:Adolescent; D000437:Alcoholism / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003153:Community Health Services / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008297:Male; D002189:Marijuana Abuse / Q000534:rehabilitation*; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D016896:Treatment Outcome; D055815:Young Adult
keywords: Alcohol; Cannabis; Cognitive–Behavioral; Contingency management