A randomized clinical trial of a coping improvement group intervention for HIV-infected older adults
Open accessAbstract
This research tested if a 12-session coping improvement group intervention (n = 104) reduced depressive symptoms in HIV-infected older adults compared to an interpersonal support group intervention (n = 105) and an individual therapy upon request (ITUR) control condition (n = 86). Participants were 295 HIV-infected men and women 50-plus years of age living in New York City, Cincinnati, OH, and Columbus, OH. Using A-CASI assessment methodology, participants provided data on their depressive symptoms using the Geriatric Depression Screening Scale (GDS) at pre-intervention, post-intervention, and 4- and 8-month follow-up. Whether conducted with all participants (N = 295) or only a subset of participants diagnosed with mild, moderate, or severe depressive symptoms (N = 171), mixed models analyses of repeated measures found that both coping improvement and interpersonal support group intervention participants reported fewer depressive symptoms than ITUR controls at post-intervention, 4-month follow-up, and 8-month follow-up. The effect sizes of the differences between the two active interventions and the control group were greater when outcome analyses were limited to those participants with mild, moderate, or severe depressive symptoms. At no assessment period did coping improvement and interpersonal support group intervention participants differ in depressive symptoms.
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Studies focusing on the effects of group therapy on comorbid depression or adjustment disorder in physically ill patients are relatively rare; the few existing studies report significant treatment effects but inconsistent effect sizes.
“Studies focusing on the effects of group therapy on comorbid depression or adjustment disorder in physically ill patients are relatively rare. The few existing studies report significant treatment effects but inconsistent effect sizes.”
From Immediate help through group therapy for patients with somatic diseases and depressive or adjustment disorders in outpatient care: study protocol for a randomized controlled trial. (2015) · cites this paper as [28]
The Introduction (page unavailable) says mental health interventions tailored to older adults with HIV are essentially nonexistent, and the Results report reduced depressive symptoms and different effect sizes across this trial’s analyses. The paper does not establish that group-therapy studies are rare across physically ill patients generally or those with adjustment disorder, nor does it compare effect sizes across the few existing studies. (LLM, conf=0.84)
Experimental — accuracy not yet measuredHeckman et al. reported a small effect size for a coping improvement group intervention (12 sessions) for patients with HIV and mild to severe depressive symptoms.
“Heckman et al. [28] reported a small effect size for a coping improvement group intervention (12 sessions) for patients with HIV and mild to severe depressive symptoms.”
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- Authors
- The AIDS and Aging Research Group, Heckman, T. G., Sikkema, K. J., Hansen, N., Kochman, A., Heh, V., & Neufeld, S.
- Affiliations
- Ohio University (US)
- Duke University (US)
- Yale University (US)
- Corresponding author
- Heckman, Timothy G.
- Venue
- Journal of Behavioral Medicine
- Published
- 2010-09-21
- Volume
- 34
- Issue
- 2
- Pages
- 102-111
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- PMC
- PMC3247911
- OpenAlex
- W2070021701
- Cited by
- 53
- References
- 36
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 7 · 2016: 2 · 2015: 4 · 2014: 9 · 2013: 7 · 2012: 4
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- DukeSpace (Duke University) (submittedVersion, cc-by-nc-nd)
- Funders
- National Institute of Mental Health (R01MH078749, R01MH067568, R01MH087462)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- HIV infection, older adults, depressive symptoms, group intervention, individual psychotherapy, depression treatment
- MeSH terms
- Acquired Immunodeficiency Syndrome, Adaptation, Psychological, Aged, Depression, Female, Humans, Male, Middle Aged, Psychotherapy, Psychotherapy, Group, Self-Help Groups, Severity of Illness Index, Geriatric Assessment, HIV Infections
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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