Feasibility of an Emotion Regulation Intervention to Improve Mental Health and Reduce HIV Transmission Risk Behaviors for HIV-Positive Gay and ... View Full Text


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Article Info

DATE

2016-08-29

AUTHORS

Jeffrey T. Parsons, H. Jonathon Rendina, Raymond L. Moody, Sitaji Gurung, Tyrel J. Starks, John E. Pachankis

ABSTRACT

Gay and bisexual men (GBM) report high rates of sexual compulsivity (SC), yet no empirically based treatments exist. An intervention based on the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders was pilot tested in a sample of 13 HIV-positive GBM with SC. Participants completed a baseline interview, and were offered up to ten intervention sessions. Of those, 11 completed a 3-month follow-up assessment. Despite problems with session attendance (only 4 men completed all 10 sessions), improvements were observed in all psychological outcomes, including SC, depression, and anxiety. Decreases were observed in drug use and HIV risk. The Unified Protocol may be useful in improving the health of HIV-positive GBM, however challenges with session attendance must be addressed. Future work should consider if fewer sessions produce similar results, whether barriers to attending all sessions could be alleviated, and how the intervention would perform compared to treatments. More... »

PAGES

1540-1549

References to SciGraph publications

  • 2015-06-17. Syndemic Production and Sexual Compulsivity/Hypersexuality in Highly Sexually Active Gay and Bisexual Men: Further Evidence for a Three Group Conceptualization in ARCHIVES OF SEXUAL BEHAVIOR
  • 2015-03-07. Hypersexual, Sexually Compulsive, or Just Highly Sexually Active? Investigating Three Distinct Groups of Gay and Bisexual Men and Their Profiles of HIV-Related Sexual Risk in AIDS AND BEHAVIOR
  • 2014-08-08. Complex Drug Use Patterns and Associated HIV Transmission Risk Behaviors in an Internet Sample of U.S. Men Who Have Sex with Men in ARCHIVES OF SEXUAL BEHAVIOR
  • 2015-07-30. The Cost and Intensity of Behavioral Interventions to Promote HIV Treatment for Prevention Among HIV-Positive Men Who Have Sex with Men in ARCHIVES OF SEXUAL BEHAVIOR
  • 2011-10-01. Stigma and Sexual Compulsivity in a Community-Based Sample of HIV-Positive Gay and Bisexual Men in AIDS AND BEHAVIOR
  • 2006-06-06. Sexual Compulsivity in a Sample of HIV-Positive Methamphetamine-using Gay and Bisexual Men in AIDS AND BEHAVIOR
  • 2012-03-02. Application of Syndemic Theory to Black Men Who Have Sex with Men in the Multicenter AIDS Cohort Study in JOURNAL OF URBAN HEALTH
  • 2013-04-04. Aggregate Versus Day Level Association Between Methamphetamine Use and HIV Medication Non-adherence Among Gay and Bisexual Men in AIDS AND BEHAVIOR
  • 2016-08-08. Extending the Minority Stress Model to Incorporate HIV-Positive Gay and Bisexual Men’s Experiences: a Longitudinal Examination of Mental Health and Sexual Risk Behavior in ANNALS OF BEHAVIORAL MEDICINE
  • 2012-06-10. Recruiting Drug Using Men Who Have Sex with Men in Behavioral Intervention Trials: A Comparison of Internet and Field-Based Strategies in AIDS AND BEHAVIOR
  • 2014-02-21. The Role of Maladaptive Cognitions in Hypersexuality Among Highly Sexually Active Gay and Bisexual Men in ARCHIVES OF SEXUAL BEHAVIOR
  • 2009-11-24. Hypersexual Disorder: A Proposed Diagnosis for DSM-V in ARCHIVES OF SEXUAL BEHAVIOR
  • 2011-04-30. Prospective Associations Between HIV-Related Stigma, Transmission Risk Behaviors, and Adverse Mental Health Outcomes in Men Who Have Sex with Men in ANNALS OF BEHAVIORAL MEDICINE
  • 1992. Timeline Follow-Back in MEASURING ALCOHOL CONSUMPTION
  • 2009-03-24. Sexual Compulsivity and Sexual Risk in Gay and Bisexual Men in ARCHIVES OF SEXUAL BEHAVIOR
  • 2007-12. Psychosocial health problems increase risk for HIV among urban young men who have sex with men: Preliminary evidence of a syndemic in need of attention in ANNALS OF BEHAVIORAL MEDICINE
  • 2013-07-09. Personality as a Predictor of Unprotected Sexual Behavior Among People Living with HIV/AIDS: A Systematic Review in AIDS AND BEHAVIOR
  • 2004-03. Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale in JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT
  • 2014-04-06. Optimism and Education Buffer the Effects of Syndemic Conditions on HIV Status Among African American Men Who Have Sex with Men in AIDS AND BEHAVIOR
  • Identifiers

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    39 schema:description Gay and bisexual men (GBM) report high rates of sexual compulsivity (SC), yet no empirically based treatments exist. An intervention based on the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders was pilot tested in a sample of 13 HIV-positive GBM with SC. Participants completed a baseline interview, and were offered up to ten intervention sessions. Of those, 11 completed a 3-month follow-up assessment. Despite problems with session attendance (only 4 men completed all 10 sessions), improvements were observed in all psychological outcomes, including SC, depression, and anxiety. Decreases were observed in drug use and HIV risk. The Unified Protocol may be useful in improving the health of HIV-positive GBM, however challenges with session attendance must be addressed. Future work should consider if fewer sessions produce similar results, whether barriers to attending all sessions could be alleviated, and how the intervention would perform compared to treatments.
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