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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.

AIDS and Behavior 2010;14(2):421-430. [doi: 10.1007/s10461-009-9573-7]

Denise Hien, PhD (Columbia School of Social Work, LI Node), Aimee N. C. Campbell, MSW (Columbia School of Social Work, LI Node), Therese Killeen, PhD, APRN-BC (Medical University of South Carolina, SC Node), Mei-Chen Hu, PhD (Columbia University, LI Node), Cheri Hansen, PhD (The Village South, Inc., FL Node), Huiping Jiang, PhD (New York State Psychiatric Institute, LI Node), Mary A. Hatch-Maillette, PhD (Alcohol and Drug Abuse Institute, University of Washington, PN Node), Gloria M. Miele, PhD (New York State Psychiatric Institute, LI Node), Lisa R. Cohen, PhD (New York State Psychiatric Institute, LI Node), Weijin Gan, MD, PhD (New York University School of Medicine, NY Node), Stella M. Resko, PhD (University of Michigan, Ann Arbor), Michele DiBono (The Village South, Inc., FL Node), Elizabeth A. Wells, PhD (Alcohol and Drug Abuse Institute, University of Washington, PN Node), Edward V. Nunes, MD (New York State Psychiatric Institute, LI Node).

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 treatment programs participating in protocol CTN-0015 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. This study provides further evidence of the association between integrated trauma and substance abuse treatment and reductions in sexual risk behavior beyond those expected from traditional HIV/AIDS prevention content. High risk women with co-occurring PTSD and addiction may benefit from treatment addressing coping skills and trauma to reduce HIV risk. (Article (Peer-Reviewed), PDF, English, 2009)

Keywords: Gender-specific interventions | Post-traumatic stress disorder (PTSD) | Seeking Safety program | Sexual risk behavior | Trauma | Women | Women's Health Education program | AIDS and Behavior (journal)

Document No: 362, PMID: 19452271, PMCID: PMC2835800

Submitted by CTN Dissemination Librarians, 5/21/2009.

Campbell, Aimee N. C. search mail
Cohen, Lisa R. search mail
DiBono, Michele search
Gan, Weijin search
Hansen, Cheri search mail
Hatch-Maillette, Mary A. search mail
Hien, Denise search mail
Hu, Mei-Chen search
Jiang, Huiping search mail
Killeen, Therese search mail
Miele, Gloria M. search mail
Nunes, Edward V. search mail
Resko, Stella M. search
Wells, Elizabeth A. search mail
NIDA-CTN-0015 search www
Greater New York (formerly Long Island and New York) (Lead) search www
Florida Node Alliance search www
Ohio Valley search www
Pacific Northwest search www
Southern Consortium search www

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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