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The impact of trauma-focused group therapy upon HIV sexual risk behaviors in the NIDA Clinical Trials Network "Women and trauma" multi-site study.

Women in drug treatment struggle with co-occurring problems, including trauma and post-traumatic stress disorder (PTSD), which can heighten HIV risk. This study examines the impact of two group therapy interventions on reduction of unprotected sexual occasions (USO) among women with substance use disorders (SUD) and PTSD. Participants were 346 women recruited from and receiving treatment at six community-based drug treatment programs participating in NIDA's Clinical Trials Network. Participants were randomized to receive 12-sessions of either seeking safety (SS), a cognitive behavioral intervention for women with PTSD and SUD, or women's health education (WHE), an attention control psychoeducational group. Participants receiving SS who were at higher sexual risk (i.e., at least 12 USO per month) significantly reduced the number of USO over 12-month follow up compared to WHE. High risk women with co-occurring PTSD and addiction may benefit from treatment addressing coping skills and trauma to reduce HIV risk.

Pubmed ID: 19452271

Authors

  • Hien DA
  • Campbell AN
  • Killeen T
  • Hu MC
  • Hansen C
  • Jiang H
  • Hatch-Maillette M
  • Miele GM
  • Cohen LR
  • Gan W
  • Resko SM
  • DiBono M
  • Wells EA
  • Nunes EV

Journal

AIDS and behavior

Publication Data

April 9, 2010

Associated Grants

  • Agency: NIDA NIH HHS, Id: K24 DA022412
  • Agency: NIDA NIH HHS, Id: K24 DA022412-01
  • Agency: NIDA NIH HHS, Id: U10 DA013035
  • Agency: NIDA NIH HHS, Id: U10 DA013035-03
  • Agency: NIDA NIH HHS, Id: U10 DA013038
  • Agency: NIDA NIH HHS, Id: U10 DA013038-01
  • Agency: NIDA NIH HHS, Id: U10 DA013038-02
  • Agency: NIDA NIH HHS, Id: U10 DA013038-03
  • Agency: NIDA NIH HHS, Id: U10 DA013038-04
  • Agency: NIDA NIH HHS, Id: U10 DA013046
  • Agency: NIDA NIH HHS, Id: U10 DA013046-02
  • Agency: NIDA NIH HHS, Id: U10 DA013714
  • Agency: NIDA NIH HHS, Id: U10 DA013714-01
  • Agency: NIDA NIH HHS, Id: U10 DA013714-02
  • Agency: NIDA NIH HHS, Id: U10 DA013720
  • Agency: NIDA NIH HHS, Id: U10 DA013720
  • Agency: NIDA NIH HHS, Id: U10 DA013720-01
  • Agency: NIDA NIH HHS, Id: U10 DA013720-02
  • Agency: NIDA NIH HHS, Id: U10 DA013720-02S1
  • Agency: NIDA NIH HHS, Id: U10 DA013720-03
  • Agency: NIDA NIH HHS, Id: U10 DA013720-03S1
  • Agency: NIDA NIH HHS, Id: U10 DA013720-03S2
  • Agency: NIDA NIH HHS, Id: U10 DA013720-03S3
  • Agency: NIDA NIH HHS, Id: U10 DA013720-04
  • Agency: NIDA NIH HHS, Id: U10 DA013720-04S1
  • Agency: NIDA NIH HHS, Id: U10 DA013720-05
  • Agency: NIDA NIH HHS, Id: U10 DA013720-05S1
  • Agency: NIDA NIH HHS, Id: U10 DA013727
  • Agency: NIDA NIH HHS, Id: U10 DA013727-01
  • Agency: NIDA NIH HHS, Id: U10 DA013727-02
  • Agency: NIDA NIH HHS, Id: U10 DA013727-03
  • Agency: NIDA NIH HHS, Id: U10 DA013727-03S1
  • Agency: NIDA NIH HHS, Id: U10 DA013727-04
  • Agency: NIDA NIH HHS, Id: U10 DA013727-04S1
  • Agency: NIDA NIH HHS, Id: U10 DA013727-04S2
  • Agency: NIDA NIH HHS, Id: U10 DA013727-05
  • Agency: NIDA NIH HHS, Id: U10 DA013727-08
  • Agency: NIDA NIH HHS, Id: U10 DA013727-09
  • Agency: NIDA NIH HHS, Id: U10 DA013727-10
  • Agency: NIDA NIH HHS, Id: U10 DA013732-01
  • Agency: NIDA NIH HHS, Id: U10 DA013732-02
  • Agency: NIDA NIH HHS, Id: U10 DA013732-03
  • Agency: NIDA NIH HHS, Id: U10 DA013732-03S1
  • Agency: NIDA NIH HHS, Id: U10 DA013732-03S2
  • Agency: NIDA NIH HHS, Id: U10 DA013732-03S3
  • Agency: NIDA NIH HHS, Id: U10 DA013732-04
  • Agency: NIDA NIH HHS, Id: U10 DA013732-05
  • Agency: NIDA NIH HHS, Id: U10 DA013732-05S1
  • Agency: NIDA NIH HHS, Id: U10 DA013732-05S2
  • Agency: NIDA NIH HHS, Id: U10 DA013732-06S1
  • Agency: NIDA NIH HHS, Id: U10 DA013732-06S2
  • Agency: NIDA NIH HHS, Id: U10 DA013732-07
  • Agency: NIDA NIH HHS, Id: U10 DA013732-07S1
  • Agency: NIDA NIH HHS, Id: U10 DA013732-08
  • Agency: NIDA NIH HHS, Id: U10 DA013732-08S1
  • Agency: NIDA NIH HHS, Id: U10 DA013732-08S2
  • Agency: NIDA NIH HHS, Id: U10 DA013732-09
  • Agency: NIDA NIH HHS, Id: U10 DA013732-09S1
  • Agency: NIDA NIH HHS, Id: U10 DA13035
  • Agency: NIDA NIH HHS, Id: U10 DA13038
  • Agency: NIDA NIH HHS, Id: U10 DA13714
  • Agency: NIDA NIH HHS, Id: U10 DA13727
  • Agency: NIDA NIH HHS, Id: U10 DA13732

Mesh Terms

  • Adaptation, Psychological
  • Adult
  • Cognitive Therapy
  • Female
  • HIV Infections
  • Health Education
  • Humans
  • Risk Reduction Behavior
  • Risk-Taking
  • Sexual Behavior
  • Stress Disorders, Post-Traumatic
  • Substance-Related Disorders
  • Treatment Outcome
  • Unsafe Sex
  • Wounds and Injuries