Cognitive Behavioral Therapy for Trauma and Self-Care (CBT-TSC) in Men Who have Sex with Men with a History of Childhood Sexual Abuse: A Randomized Controlled Trial.
Adult
Adult Survivors of Child Abuse
/ psychology
Child
Child Abuse, Sexual
/ psychology
Cognitive Behavioral Therapy
/ methods
Counseling
/ methods
HIV Infections
/ prevention & control
HIV Seronegativity
Homosexuality, Male
/ psychology
Humans
Male
Mass Screening
/ methods
Risk Reduction Behavior
Self Care
/ methods
Sexual Behavior
Sexual Partners
Stress Disorders, Post-Traumatic
/ psychology
Childhood sexual abuse
HIV
Men who have sex with men
Trauma
Journal
AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
pubmed:
18
4
2019
medline:
24
10
2019
entrez:
18
4
2019
Statut:
ppublish
Résumé
To address childhood sexual abuse (CSA) related distress and HIV risk in men who have sex with men (MSM) using cognitive-behavioral therapy for trauma and self-care (CBT-TSC), which is a novel intervention integrating HIV risk reduction with modified cognitive and behavioral therapy strategies for post-traumatic stress. We compared CBT-TSC to HIV voluntary counseling and testing (VCT)-only in an initial 2-arm RCT in 43 HIV-negative MSM at with a history of CSA and HIV risk. Serodiscordant condomless anal/vaginal sex (CAS; CAS with HIV-postive or HIV unknown status partners) and posttraumatic stress disorder (PTSD) symptoms (Davidson Trauma Scale: total score and avoidance, intrusions, hyperarousal subscales) were outcomes immediately post-treatment, and at 6- and 9-month follow-up. At post-treatment, CBT-TSC had decreased odds (approximately 60%) of any CAS and greater reductions in CAS compared to VCT-only. Additionally, the CBT-TSC condition experienced greater reductions in total PTSD and avoidance symptoms. At the follow-up visits, CBT-TSC condition had significant reductions in the odds of any CAS and reductions in CAS. However, for PTSD symptoms, only the avoidance subscale remained significantly different compared to VCT-only. CBT-TSC is a potentially efficacious approach to address HIV risk in MSM with a CSA history, with replication and extension in a larger trial needed. This proof-of-concept trial is the first to integrate the treatment of a commonly occurring mental-health syndemic problem in MSM with a health psychology approach to self-care in MSM.Trial Registration Clinicaltrials.gov NCT01266122.
Identifiants
pubmed: 30993478
doi: 10.1007/s10461-019-02482-z
pii: 10.1007/s10461-019-02482-z
pmc: PMC7271561
mid: NIHMS1527153
doi:
Banques de données
ClinicalTrials.gov
['NCT01266122']
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
2421-2431Subventions
Organisme : NIDA NIH HHS
ID : K24 DA040489
Pays : United States
Organisme : NIMH NIH HHS
ID : R34 MH081760
Pays : United States
Organisme : NIMH NIH HHS
ID : R34MH081760
Pays : United States
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