Family mechanisms of structural ecosystems therapy for HIV-seropositive women in drug recoveryHealth Psychology
AbstractOBJECTIVE: Examined the effects of Structural Ecosystems Therapy (SET), a family intervention for women living with HIV or AIDS, compared to a psycho-educational health group (HG) intervention, and reciprocal relationships between women and family members. METHOD: Women (n = 126) and their family members (n = 269) were randomized to one of two conditions and assessed every 4 months for 12 months. Family functioning, drug use, and psychological distress was reported by multiple family members. RESULTS: Multilevel growth curve modeling showed a different family functioning trajectory between SET and HG, B = -0.05, SE = 0.02, p < .01. There was no intervention effect on the trajectory of family-level drug abstinence or psychological distress, but there was a significant difference in the trajectory of psychological distress after controlling for change in family functioning, B = -0.28, SE = 0.13, p < .05. There was an indirect effect from treatment through change in family functioning to change in psychological distress, B = 0.29, SE = 0.12, p < .05. With respect to reciprocal effects, family drug abstinence significantly predicted women's abstinence 4 months later, B = 0.22, SE = 0.06, p < .001. CONCLUSION: Findings demonstrated the interdependence of family members and the impact of family in relapse prevention and partially supported SET's potential for maintaining family functioning and well-being for women living with HIV or AIDS in drug recovery.
Citation InformationMyron J. Burns, B.E. McCabe, V.B. Mitrani and D.J. Feaster. "Family mechanisms of structural ecosystems therapy for HIV-seropositive women in drug recovery" Health Psychology Vol. 31 Iss. 5 (2012) p. 591 - 600 ISSN: 0278-6133
Available at: http://works.bepress.com/myron-burns/17/