title: Who Improved in a Trauma Intervention for HIV-Positive Women with Child Sexual Abuse Histories?
abstract: The Healing Our Women Program, an 11-week integrated trauma/HIV intervention designed for HIV-positive women with child sexual abuse histories, has been found to reduce psychological distress in treatment groups compared to wait-list controls (Chin et al., 2004; Wyatt et al., 2011). This study examines the characteristics of participants who improved vs. those who did not improve among participants who received the active intervention (N=78) at post, three-, and six-month follow-up. Logistic regression analyses conducted post-intervention and at three- and six-month followups examined demographic characteristics, treatment attendance, AIDS diagnosis, and total trauma burden as possible predictors of improvement. Results indicated that at post-test, total trauma burden was significantly associated with improvement. At three-month follow-up, none of the variables discriminated the groups. At six-month follow-up, total trauma burden was again significantly related to improvement. The results suggest that the intervention is most appropriate for women with high trauma burdens. Future HIV interventions should go beyond the "one size fits all" approach" and consider the "fit" between intervention and participants.
authors.affiliation: Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles. Los Angeles, California.
authors.forename: Dorothy
authors.initials: D
authors.lastname: Chin
authors.affiliation: Department of Psychology, University of California at Los Angeles. Los Angeles, California.
authors.forename: Hector F
authors.initials: HF
authors.lastname: Myers
authors.affiliation: Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles. Los Angeles, California.
authors.forename: Muyu
authors.initials: M
authors.lastname: Zhang
authors.affiliation: Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles. Los Angeles, California.
authors.forename: Tamra
authors.initials: T
authors.lastname: Loeb
authors.affiliation: Department of Psychology, California State University, San Bernardino.
authors.forename: Jodie B
authors.initials: JB
authors.lastname: Ullman
authors.affiliation: Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles. Los Angeles, California.
authors.forename: Gail E
authors.initials: GE
authors.lastname: Wyatt
authors.affiliation: Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles. Los Angeles, California.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Carmona
keywords: HIV; trauma intervention; women: child sexual abuse