Faculty Articles
Family mechanisms of structural ecosystems therapy for HIV-seropositive women in drug recovery
Document Type
Article
Publication Title
Health Psychology
ISSN
0278-6133
Publication Date
1-1-2012
Abstract
OBJECTIVE:
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.
DOI
10.1037/a0028672
Volume
31
Issue
5
First Page
591
Last Page
600
NSUWorks Citation
Burns, M. J.,
McCabe, B.,
Mitrani, V.,
Feaster, D.
(2012). Family mechanisms of structural ecosystems therapy for HIV-seropositive women in drug recovery. Health Psychology, 31(5), 591-600.
Available at: https://nsuworks.nova.edu/cps_facarticles/1068
