Reductions in Traumatic Stress Following a Coping Intervention Were Mediated by Decreases in Avoidant Coping for People Living With HIV/AIDS and Childhood Sexual Abuse
Identifieur interne : 001250 ( Main/Exploration ); précédent : 001249; suivant : 001251Reductions in Traumatic Stress Following a Coping Intervention Were Mediated by Decreases in Avoidant Coping for People Living With HIV/AIDS and Childhood Sexual Abuse
Auteurs : Kathleen J. Sikkema [États-Unis] ; Krista W. Ranby [États-Unis] ; Christina S. Meade [États-Unis] ; Patrick A. Wilson [États-Unis] ; Nathan B. Hansen [États-Unis] ; Arlene Kochman [États-Unis]Source :
- Journal of consulting and clinical psychology [ 0022-006X ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Etat de stress posttraumatique, Coping, Evitement, SIDA, Virus immunodéficience humaine, Enfant maltraité, Abus sexuel, Essai thérapeutique contrôlé, Traumatisme infantile, Psychothérapie groupe, Thérapie comportementale, Thérapie cognitive, Mécanisme action, Efficacité traitement, Etude longitudinale, Homme.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Objective: To examine whether (a) Living in the Face of Trauma (LIFT), a group intervention to address coping with HIV and childhood sexual abuse (CSA), significantly reduced traumatic stress over a 1-year follow-up period more than an attention-matched support group comparison intervention; and (b) reductions in avoidant coping over time mediated reductions in traumatic stress. Method: In a randomized controlled trial, 247 participants completed measures of traumatic stress and avoidant coping at pre-and post intervention, and at 4-, 8-, and 12-month follow-ups. Latent growth curve modeling examined changes over the 5 time points; standardized path coefficients provide estimates of effects. Results: As compared with the support intervention, the coping intervention led to a reduction in traumatic stress over time (b = -.20, p < .02). Participants in the coping intervention also reduced their use of avoidant coping strategies more than did participants in the support intervention (b = -.22, p < .05). Mediation analyses showed reductions in avoidant coping related to reductions in traumatic stress (b = 1.45, p < .001), and the direct effect of the intervention on traumatic stress was no longer significant (b = .04, ns), suggesting that changes in avoidant coping completely mediated intervention effects on traumatic stress. Conclusions: The LIFT intervention significantly reduced traumatic stress over time, and changes in avoidant coping strategies mediated this effect, suggesting a focus on current stressors and coping skills improvement are important components in addressing traumatic stress for adults living with HIV and CSA.
Affiliations:
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Sikkema</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Duke University</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Duke University</wicri:noRegion></affiliation></author><author><name sortKey="Ranby, Krista W" sort="Ranby, Krista W" uniqKey="Ranby K" first="Krista W." last="Ranby">Krista W. Ranby</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Duke University</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Duke University</wicri:noRegion></affiliation></author><author><name sortKey="Meade, Christina S" sort="Meade, Christina S" uniqKey="Meade C" first="Christina S." last="Meade">Christina S. 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Hansen</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Yale University</s1><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Yale University</wicri:noRegion></affiliation></author><author><name sortKey="Kochman, Arlene" sort="Kochman, Arlene" uniqKey="Kochman A" first="Arlene" last="Kochman">Arlene Kochman</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Duke University</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Duke University</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of consulting and clinical psychology</title><title level="j" type="abbreviated">J. consult. clin. psychol.</title><idno type="ISSN">0022-006X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of consulting and clinical psychology</title><title level="j" type="abbreviated">J. consult. clin. psychol.</title><idno type="ISSN">0022-006X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Avoidance</term><term>Behavior therapy</term><term>Child abuse</term><term>Cognitive therapy</term><term>Controlled therapeutic trial</term><term>Coping</term><term>Early traumatism</term><term>Follow up study</term><term>Group psychotherapy</term><term>Human</term><term>Human immunodeficiency virus</term><term>Mechanism of action</term><term>Posttraumatic stress disorder</term><term>Sexual abuse</term><term>Treatment efficiency</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Etat de stress posttraumatique</term><term>Coping</term><term>Evitement</term><term>SIDA</term><term>Virus immunodéficience humaine</term><term>Enfant maltraité</term><term>Abus sexuel</term><term>Essai thérapeutique contrôlé</term><term>Traumatisme infantile</term><term>Psychothérapie groupe</term><term>Thérapie comportementale</term><term>Thérapie cognitive</term><term>Mécanisme action</term><term>Efficacité traitement</term><term>Etude longitudinale</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To examine whether (a) Living in the Face of Trauma (LIFT), a group intervention to address coping with HIV and childhood sexual abuse (CSA), significantly reduced traumatic stress over a 1-year follow-up period more than an attention-matched support group comparison intervention; and (b) reductions in avoidant coping over time mediated reductions in traumatic stress. Method: In a randomized controlled trial, 247 participants completed measures of traumatic stress and avoidant coping at pre-and post intervention, and at 4-, 8-, and 12-month follow-ups. Latent growth curve modeling examined changes over the 5 time points; standardized path coefficients provide estimates of effects. Results: As compared with the support intervention, the coping intervention led to a reduction in traumatic stress over time (b = -.20, p < .02). Participants in the coping intervention also reduced their use of avoidant coping strategies more than did participants in the support intervention (b = -.22, p < .05). Mediation analyses showed reductions in avoidant coping related to reductions in traumatic stress (b = 1.45, p < .001), and the direct effect of the intervention on traumatic stress was no longer significant (b = .04, ns), suggesting that changes in avoidant coping completely mediated intervention effects on traumatic stress. Conclusions: The LIFT intervention significantly reduced traumatic stress over time, and changes in avoidant coping strategies mediated this effect, suggesting a focus on current stressors and coping skills improvement are important components in addressing traumatic stress for adults living with HIV and CSA.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region><settlement><li>New York</li></settlement><orgName><li>Université Columbia</li></orgName></list><tree><country name="États-Unis"><noRegion><name sortKey="Sikkema, Kathleen J" sort="Sikkema, Kathleen J" uniqKey="Sikkema K" first="Kathleen J." last="Sikkema">Kathleen J. Sikkema</name></noRegion><name sortKey="Hansen, Nathan B" sort="Hansen, Nathan B" uniqKey="Hansen N" first="Nathan B." last="Hansen">Nathan B. Hansen</name><name sortKey="Kochman, Arlene" sort="Kochman, Arlene" uniqKey="Kochman A" first="Arlene" last="Kochman">Arlene Kochman</name><name sortKey="Meade, Christina S" sort="Meade, Christina S" uniqKey="Meade C" first="Christina S." last="Meade">Christina S. Meade</name><name sortKey="Ranby, Krista W" sort="Ranby, Krista W" uniqKey="Ranby K" first="Krista W." last="Ranby">Krista W. Ranby</name><name sortKey="Wilson, Patrick A" sort="Wilson, Patrick A" uniqKey="Wilson P" first="Patrick A." last="Wilson">Patrick A. Wilson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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