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Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women

by Pearson, Cynthia R , Bedard-Gilligan, Michele , Kaysen, Debra , Huh, David

in Alcohol abuse / Alcohol use / Alcoholic beverages / Alcohols / American Indians / Anal intercourse / Clinical trials / Cognition / Cognitive ability / Cognitive therapy / Dependence / Drug abuse / Evidence-based medicine / Exposure / Health behavior / Health risks / High risk / HIV / Human immunodeficiency virus / Information processing / Intervention / Medical diagnosis / Medical treatment / Mental health / Mental health services / Minority & ethnic groups / Native North Americans / Native women / Post traumatic stress disorder / Randomization / Risk / Risk behavior / Risk reduction / Sexual behavior / Sexual intercourse / Sexually transmitted diseases / STD / Substance abuse / Therapy / Trauma / Vagina / Women / Womens health

2019

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Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women

by Pearson, Cynthia R , Bedard-Gilligan, Michele , Kaysen, Debra , Huh, David

2019

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Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women

by Pearson, Cynthia R , Bedard-Gilligan, Michele , Kaysen, Debra , Huh, David

2019

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Journal Article

Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women

Pearson, Cynthia R,

Bedard-Gilligan, Michele,

Kaysen, Debra,

Huh, David

2019

Overview

An overlooked sequela of HIV risk is trauma exposure, yet few HIV interventions address trauma exposure, mental health, and substance misuse. In a two-arm randomized controlled trial 73 Native American women were randomized to a culturally-adapted Cognitive Processing Therapy (CPT) or 6-weeks waitlist. Outcomes assessed: PTSD symptom severity, alcohol use frequency, substance abuse or dependence diagnosis, and high-risk sexual behavior defined as vaginal/anal intercourse (a) under the influence of alcohol and/or illicit substances, (b) with a partner who was concurrently sexually active with someone else, and/or (c) with more than one partner in the past 6 weeks. Among immediate intervention participants, compared to waitlist participants, there were large reductions in PTSD symptom severity, high-risk sexual behavior, and a medium-to-large reduction in the frequency of alcohol use. CPT appears to improve mental health and risk behaviors, suggesting that addressing PTSD may be one way of improving HIV-risk related outcomes.

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Publisher

Springer Nature B.V

Subject

Alcohol abuse

/ Alcohol use

/ Alcoholic beverages