Effects of Nurse-Delivered Cognitive Behavioral Intervention on Depression and Anxiety for Persons Living With HIV in China: A Clinical Controlled Trial
| Autor: | Zheng Zhu, Yan Hu, Jianfeng Luo, Hongzhou Lu, Yaolin Pei, Lin Zhang, Marta I. Mulawa, Shuyu Han, Michael V. Relf, Bei Wu |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male China medicine.medical_specialty Adolescent Human immunodeficiency virus (HIV) MEDLINE HIV Infections Anxiety medicine.disease_cause Medication Adherence law.invention 03 medical and health sciences Cognition 0302 clinical medicine Randomized controlled trial law Antiretroviral Therapy Highly Active Intervention (counseling) medicine Humans Nurse Practitioners 030212 general & internal medicine Psychiatry Depression (differential diagnoses) Advanced and Specialized Nursing 030505 public health Cognitive Behavioral Therapy Depression business.industry Middle Aged Antiretroviral therapy medicine.symptom 0305 other medical science business |
| Zdroj: | Journal of the Association of Nurses in AIDS Care. 32:79-93 |
| ISSN: | 1552-6917 1055-3290 |
| Popis: | Depression and anxiety, which may influence antiretroviral therapy (ART) medication adherence, are prevalent among persons living with HIV (PLWH) in China. This parallel two-arm clinical controlled trial aimed to examine the effects of a nurse-delivered cognitive behavioral intervention (CBI) on depression, anxiety, and ART medication adherence in Chinese PLWH. Using in-person and online recruitment, 140 PLWH ages 18 years and older who were undergoing ART and had a Patient Health Questionnaire-4 score of ≥2 were assigned to the 10-week-long CBI group or the routine follow-up group according to their preference. Outcomes were measured at baseline, postintervention, and 6-month follow-up. Results showed significant intervention effects on depression maintained until the 6-month follow-up. Although anxiety and ART medication adherence did not show robust effects between conditions, amelioration trends for these outcomes were also found. Our study demonstrated that the nurse-delivered CBI could help Chinese PLWH ameliorate depression. |
| Databáze: | OpenAIRE |
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