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Text
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URL Address
<a href="http://doi.org/10.1080/09540121.2017.1300625" target="_blank" rel="noreferrer noopener">http://doi.org/10.1080/09540121.2017.1300625</a>
Pages
1391–1398
Issue
11
Volume
29
Dublin Core
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Title
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A multi-level modeling approach examining PTSD symptom reduction during prolonged exposure therapy: moderating effects of number of trauma types experienced, having an HIV-related index trauma, and years since HIV diagnosis among
Publisher
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AIDS care
Date
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2017
2017-11
Subject
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*HIV/AIDS; *prolonged exposure therapy; *PTSD; *trauma history; Adult; Descriptive Statistics; DESCRIPTIVE statistics; Female; HIV Infections/*psychology; HIV-Infected Patients – Psychosocial Factors; Human; Humans; Implosive Therapy/*methods; LONGITUDINAL method; Male; Middle Aged; Post-Traumatic – Symptoms; Post-Traumatic – Therapy; POST-traumatic stress disorder; Post-Traumatic/diagnosis/*psychology/*therapy; Prospective Studies; Psychological/*psychology/therapy; PSYCHOLOGY of HIV-positive people; Stress; Stress Disorders; Time; TIME; Time Factors; Trauma – Classification; Trauma – History; TREATMENT effectiveness; TREATMENT of post-traumatic stress disorder; Treatment Outcome; Treatment Outcomes – Evaluation; United States; UNITED States; WOUNDS & injuries – Classification; WOUNDS & injuries – History
Creator
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Junglen Angela G; Smith Brian C; Coleman Jennifer A; Pacella Maria L; Boarts Jessica M; Jones Tracy; Feeny Norah C; Ciesla Jeffrey A; Delahanty Douglas L
Description
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People living with HIV (PLWH) have extensive interpersonal trauma histories and higher rates of posttraumatic stress disorder (PTSD) than the general population. Prolonged exposure (PE) therapy is efficacious in reducing PTSD across a variety of trauma samples; however, research has not examined factors that influence how PTSD symptoms change during PE for PLWH. Using multi-level modeling, we examined the potential moderating effect of number of previous trauma types experienced, whether the index trauma was HIV-related or not, and years since HIV diagnosis on PTSD symptom reduction during a 10-session PE protocol in a sample of 51 PLWH. In general, PTSD symptoms decreased linearly throughout the PE sessions. Experiencing more previous types of traumatic events was associated with a slower rate of PTSD symptom change. In addition, LOCF analyses found that participants with a non-HIV-related versus HIV-related index trauma had a slower rate of change for PTSD symptoms over the course of PE. However, analyses of raw data decreased this finding to marginal. Years since HIV diagnosis did not impact PTSD symptom change. These results provide a better understanding of how to tailor PE to individual clients and aid clinicians in approximating the rate of symptom alleviation. Specifically, these findings underscore the importance of accounting for trauma history and index trauma type when implementing a treatment plan for PTSD in PLWH.
Identifier
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<a href="http://doi.org/10.1080/09540121.2017.1300625" target="_blank" rel="noreferrer noopener">10.1080/09540121.2017.1300625</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*HIV/AIDS
*prolonged exposure therapy
*PTSD
*trauma history
2017
Adult
AIDS care
Boarts Jessica M
Ciesla Jeffrey A
Coleman Jennifer A
Delahanty Douglas L
Descriptive Statistics
Feeny Norah C
Female
HIV Infections/*psychology
HIV-Infected Patients – Psychosocial Factors
Human
Humans
Implosive Therapy/*methods
Jones Tracy
Junglen Angela G
LONGITUDINAL method
Male
Middle Aged
Pacella Maria L
Post-Traumatic – Symptoms
Post-Traumatic – Therapy
POST-traumatic stress disorder
Post-Traumatic/diagnosis/*psychology/*therapy
Prospective Studies
Psychological/*psychology/therapy
PSYCHOLOGY of HIV-positive people
Smith Brian C
Stress
Stress Disorders
Time
Time Factors
Trauma – Classification
Trauma – History
TREATMENT effectiveness
TREATMENT of post-traumatic stress disorder
Treatment Outcome
Treatment Outcomes – Evaluation
United States
WOUNDS & injuries – Classification
WOUNDS & injuries – History