PILL AVERSION IN HIV-INFECTED PREGNANT WOMEN: THEORY TO PRACTICE

Autor: Sarah H. Sutton, Robin M. Dorman, Lynn M. Yee
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Pediatrics
medicine.medical_specialty
HAART
Population
Conditioning
Classical
Psychological intervention
classical conditioning
HIV Infections
Article
pill aversion
Medication Adherence
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Pregnancy
030225 pediatrics
Antiretroviral Therapy
Highly Active
Medicine
Humans
030212 general & internal medicine
adherence
Pregnancy Complications
Infectious
education
education.field_of_study
business.industry
pill burden
Obstetrics and Gynecology
Behavioral pattern
HIV
Cognition
Infectious Disease Transmission
Vertical
3. Good health
pill swallowing
Deglutition
Pill
Psychoanalytic Theory
Pediatrics
Perinatology and Child Health
Cohort
behavior and behavior mechanisms
Anxiety
cognitive theory
Female
medicine.symptom
business
Clinical psychology
Cohort study
Tablets
Zdroj: Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
0743-8346
Popis: In our perinatal HIV cohort, we have observed difficulty swallowing pills as a frequent and significant barrier to adherence to highly active antiretroviral therapy. We refer to this problem as pill aversion and define it as difficulty swallowing pills with no persistent medical or structural cause as well as the anxiety and physical symptoms associated with pill swallowing. By applying cognitive behavioral theory to behavioral patterns within our pregnant HIV-infected population, we seek to better understand the development and reinforcement of pill aversion behavior. On the basis of this theory, our experience, and the pediatric pill-swallowing literature, we propose a conceptual framework for understanding the multiple causes of pill aversion and applying therapeutic interventions to a perinatal population. In a theoretical discussion, we address the roles of classical conditioning and cognitive theory in the development and experience of pill aversion in an HIV-infected pregnant population. We propose future steps for characterizing these behaviors and testing theories and interventions.
Databáze: OpenAIRE
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