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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 : 000024 ( PascalFrancis/Corpus ); précédent : 000023; suivant : 000025

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

Auteurs : Kathleen J. Sikkema ; Krista W. Ranby ; Christina S. Meade ; Patrick A. Wilson ; Nathan B. Hansen ; Arlene Kochman

Source :

RBID : Pascal:13-0271314

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08 01  1  ENG  @1 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
A09 01  1  ENG  @1 Behavioral Medicine and Clinical Health Psychology
A11 01  1    @1 SIKKEMA (Kathleen J.)
A11 02  1    @1 RANBY (Krista W.)
A11 03  1    @1 MEADE (Christina S.)
A11 04  1    @1 WILSON (Patrick A.)
A11 05  1    @1 HANSEN (Nathan B.)
A11 06  1    @1 KOCHMAN (Arlene)
A12 01  1    @1 CRISTENSEN (Alan J.) @9 limin.
A12 02  1    @1 NEZU (Arthur M.) @9 limin.
A14 01      @1 Duke University @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 6 aut.
A14 02      @1 Columbia University @3 USA @Z 4 aut.
A14 03      @1 Yale University @3 USA @Z 5 aut.
A15 01      @1 Department of Psychology and Internal Medicine, The University of Iowa, E11 Seashore Hall @2 Iowa City, IA 52242-1409 @3 USA @Z 1 aut.
A15 02      @1 Departments of Psychology, Medicine, and School of Public Health, Drexel University @3 USA @Z 2 aut.
A20       @1 274-283
A21       @1 2013
A23 01      @0 ENG
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A44       @0 0000 @1 © 2013 INIST-CNRS. All rights reserved.
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C01 01    ENG  @0 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.
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Format Inist (serveur)

NO : PASCAL 13-0271314 INIST
ET : 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
AU : SIKKEMA (Kathleen J.); RANBY (Krista W.); MEADE (Christina S.); WILSON (Patrick A.); HANSEN (Nathan B.); KOCHMAN (Arlene); CRISTENSEN (Alan J.); NEZU (Arthur M.)
AF : Duke University/Etats-Unis (1 aut., 2 aut., 3 aut., 6 aut.); Columbia University/Etats-Unis (4 aut.); Yale University/Etats-Unis (5 aut.); Department of Psychology and Internal Medicine, The University of Iowa, E11 Seashore Hall/Iowa City, IA 52242-1409/Etats-Unis (1 aut.); Departments of Psychology, Medicine, and School of Public Health, Drexel University/Etats-Unis (2 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of consulting and clinical psychology; ISSN 0022-006X; Coden JCLPBC; Etats-Unis; Da. 2013; Vol. 81; No. 2; Pp. 274-283; Bibl. 2 p.1/4
LA : Anglais
EA : 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.
CC : 002B18I05D; 002B18I06
FD : 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
FG : Virose; Infection; Lentivirus; Retroviridae; Virus; Trouble anxieux; Immunodéficit; Immunopathologie; Victimologie; Traitement
ED : Posttraumatic stress disorder; Coping; Avoidance; AIDS; Human immunodeficiency virus; Child abuse; Sexual abuse; Controlled therapeutic trial; Early traumatism; Group psychotherapy; Behavior therapy; Cognitive therapy; Mechanism of action; Treatment efficiency; Follow up study; Human
EG : Viral disease; Infection; Lentivirus; Retroviridae; Virus; Anxiety disorder; Immune deficiency; Immunopathology; Victimology; Treatment
SD : Trastorno de estrés posttraumático; Coronación; Evitación; SIDA; Human immunodeficiency virus; Niño maltratado; Abuso sexual; Ensayo terapéutico controlado; Traumatismo infantil; Psicoterapia grupal; Terapia conductual; Terapia cognitiva; Mecanismo acción; Eficacia tratamiento; Estudio longitudinal; Hombre
LO : INIST-2283.354000500658880070
ID : 13-0271314

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Pascal:13-0271314

Le document en format XML

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<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>
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<s1>NEZU (Arthur M.)</s1>
<s9>limin.</s9>
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<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>6 aut.</sZ>
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<s1>Columbia University</s1>
<s3>USA</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Yale University</s1>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA15 i1="01">
<s1>Department of Psychology and Internal Medicine, The University of Iowa, E11 Seashore Hall</s1>
<s2>Iowa City, IA 52242-1409</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</fA15>
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<s1>Departments of Psychology, Medicine, and School of Public Health, Drexel University</s1>
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<sZ>2 aut.</sZ>
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<s1>274-283</s1>
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<fC01 i1="01" l="ENG">
<s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X">
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<s0>Etat de stress posttraumatique</s0>
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<s5>01</s5>
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<s5>03</s5>
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<s0>Avoidance</s0>
<s5>03</s5>
</fC03>
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<s0>Evitación</s0>
<s5>03</s5>
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<s5>04</s5>
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<s5>04</s5>
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<s5>05</s5>
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<s5>05</s5>
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<s5>05</s5>
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<s5>06</s5>
</fC03>
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<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Niño maltratado</s0>
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<s5>07</s5>
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<s5>07</s5>
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<s5>07</s5>
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<s5>08</s5>
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<s5>09</s5>
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<s5>09</s5>
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<s0>Traumatismo infantil</s0>
<s5>09</s5>
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<s5>10</s5>
</fC03>
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<s5>10</s5>
</fC03>
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<s0>Psicoterapia grupal</s0>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Thérapie comportementale</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Behavior therapy</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Terapia conductual</s0>
<s5>11</s5>
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<s5>12</s5>
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<s5>12</s5>
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<s5>12</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Mécanisme action</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
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<s5>13</s5>
</fC03>
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<s0>Mecanismo acción</s0>
<s5>13</s5>
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<s0>Efficacité traitement</s0>
<s5>14</s5>
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<s0>Treatment efficiency</s0>
<s5>14</s5>
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<s5>15</s5>
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<s5>15</s5>
</fC03>
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<s0>Homme</s0>
<s5>18</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Human</s0>
<s5>18</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>18</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Virose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Lentivirus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Lentivirus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Lentivirus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Retroviridae</s0>
<s2>NW</s2>
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<fC07 i1="04" i2="X" l="ENG">
<s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
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<s0>Virus</s0>
<s2>NW</s2>
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<fC07 i1="05" i2="X" l="ENG">
<s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Trouble anxieux</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Anxiety disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Trastorno ansiedad</s0>
<s5>37</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Immunodéficit</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Immune deficiency</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Inmunodeficiencia</s0>
<s5>38</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Immunopathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Immunopathology</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Inmunopatología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Victimologie</s0>
<s5>41</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG">
<s0>Victimology</s0>
<s5>41</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA">
<s0>Victimologia</s0>
<s5>41</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>42</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>42</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>42</s5>
</fC07>
<fN21>
<s1>259</s1>
</fN21>
</pA>
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<server>
<NO>PASCAL 13-0271314 INIST</NO>
<ET>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</ET>
<AU>SIKKEMA (Kathleen J.); RANBY (Krista W.); MEADE (Christina S.); WILSON (Patrick A.); HANSEN (Nathan B.); KOCHMAN (Arlene); CRISTENSEN (Alan J.); NEZU (Arthur M.)</AU>
<AF>Duke University/Etats-Unis (1 aut., 2 aut., 3 aut., 6 aut.); Columbia University/Etats-Unis (4 aut.); Yale University/Etats-Unis (5 aut.); Department of Psychology and Internal Medicine, The University of Iowa, E11 Seashore Hall/Iowa City, IA 52242-1409/Etats-Unis (1 aut.); Departments of Psychology, Medicine, and School of Public Health, Drexel University/Etats-Unis (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of consulting and clinical psychology; ISSN 0022-006X; Coden JCLPBC; Etats-Unis; Da. 2013; Vol. 81; No. 2; Pp. 274-283; Bibl. 2 p.1/4</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B18I05D; 002B18I06</CC>
<FD>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</FD>
<FG>Virose; Infection; Lentivirus; Retroviridae; Virus; Trouble anxieux; Immunodéficit; Immunopathologie; Victimologie; Traitement</FG>
<ED>Posttraumatic stress disorder; Coping; Avoidance; AIDS; Human immunodeficiency virus; Child abuse; Sexual abuse; Controlled therapeutic trial; Early traumatism; Group psychotherapy; Behavior therapy; Cognitive therapy; Mechanism of action; Treatment efficiency; Follow up study; Human</ED>
<EG>Viral disease; Infection; Lentivirus; Retroviridae; Virus; Anxiety disorder; Immune deficiency; Immunopathology; Victimology; Treatment</EG>
<SD>Trastorno de estrés posttraumático; Coronación; Evitación; SIDA; Human immunodeficiency virus; Niño maltratado; Abuso sexual; Ensayo terapéutico controlado; Traumatismo infantil; Psicoterapia grupal; Terapia conductual; Terapia cognitiva; Mecanismo acción; Eficacia tratamiento; Estudio longitudinal; Hombre</SD>
<LO>INIST-2283.354000500658880070</LO>
<ID>13-0271314</ID>
</server>
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