A Bereavement Support Group Intervention Affects Plasma Burden of Human Immunodeficiency Virus Type 1Report of a Randomized Controlled Trial
作者:
Karl Goodkin,
Teri Baldewicz,
Deshratn Asthana,
Imad Khamis,
Nancy Blaney,
Mahendra Kumar,
Jack Burkhalter,
Barbara Leeds,
Paul Shapshak,
期刊:
Journal of Human Virology
(OVID Available online 2001)
卷期:
Volume 4,
issue 1
页码: 44-54
ISSN:1090-9508
年代: 2001
出版商: OVID
关键词: HIV;AIDS;behavior;viral load;bereavement;stress;support;therapy;HAART
数据来源: OVID
摘要:
ObjectivesThis study investigates the potential impact of a bereavement support group on plasma viral load.MethodsA randomly selected subsample of human immunodeficiency virus type 1 (HIV-1)–positive homosexual men participating in a controlled clinical trial of a bereavement support group intervention was studied. The intervention consisted of one 90-minute group session per week for 10 weeks. The plasma HIV-1 RNA copy number was measured at baseline and after intervention (10 weeks) by the Roche AMPLICOR assay.ResultsThere was a significant effect of the intervention on the change on the plasma HIV-1 RNA copy number (limited control model, &bgr; = −0.49,p= 0.02; extended control model, &bgr; = −0.37,p= 0.01), independent of antiretroviral therapies; prophylactic therapies against potentially lethal HIV-1 associated conditions; CD4 cell count; viral load; and Centers for Disease Control and Prevention clinical disease stage at baseline.ConclusionsBereavement support group interventions may prove to be not only a primary therapy for psychologic distress after bereavement but also an adjunctive therapy for sustained control of plasma viral load in conjunction with highly active antiretroviral therapy in this population.
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