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document
Cognitive-behavioural stress management with HIV-positive homosexual men : mechanisms of sustained reductions in depressive symptoms . BACKGROUND We examined the sustained efficacy of a group-based cognitive-behavioural stress management ( CBSM ) intervention in comparison to a modified wait-list control condition on measures of mood , coping and social support in mildly symptomatic HIV-positive homosexual and bisexual men . Participants were recruited largely during the era prior to highly active antiretroviral therapy ( HAART ; 1992-1997 ) . METHODS Men were randomized to either a 10-week , group-based CBSM intervention ( n = 83 ) or a psychoeducational seminar group ( n = 46 ) . All participants completed a battery of psychosocial questionnaires administered by a research assistant at baseline , immediately following the 10-week CBSM intervention period , and at a 6-month follow-up . RESULTS Men in the CBSM group maintained previously observed effects on depressive symptoms and perceived social support . These sustained effects of CBSM on depressive symptoms were mediated by 10-week increases in cognitive coping ( i.e . positive reframing ) . DISCUSSION CBSM appears to be a potentially efficacious treatment that reduces and maintains lower levels of depressive symptoms and enhances social support in HIV-positive homosexual and bisexual men . In particular , changes in positive reframing during the 10-week intervention period remain a crucial factor contributing to sustained reductions in depressive symptoms .
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Intervention_Educational
Cognitive-behavioural stress management
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Intervention_Educational
group-based cognitive-behavioural stress management ( CBSM ) intervention
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Intervention_Control
wait-list control condition
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Intervention_Educational
CBSM intervention
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Intervention_Control
psychoeducational seminar group
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Intervention_Educational
10-week CBSM intervention
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Outcome_Other
reductions in depressive symptoms
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Outcome_Mental
mood
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Outcome_Mental
coping
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Outcome_Mental
social support
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Outcome_Other
psychosocial questionnaires
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Outcome_Mental
depressive symptoms
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Outcome_Mental
perceived social support
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Outcome_Mental
10-week increases in cognitive coping
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Outcome_Mental
changes in positive reframing
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Outcome_Mental
reductions in depressive symptoms
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Participant_Condition
HIV-positive
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Participant_Sex
men
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Participant_Condition
HIV-positive
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Participant_Sex
Men
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Participant_Sex
Men