RESEARCH PAPER
The effect of cognitive-behavioural therapy on the reproductive health of women with HIV: a randomised controlled trial
 
More details
Hide details
 
Submission date: 2017-11-05
 
 
Final revision date: 2017-11-13
 
 
Acceptance date: 2017-11-18
 
 
Publication date: 2017-12-05
 
 
HIV & AIDS Review 2017;16(4):236-243
 
KEYWORDS
TOPICS
ABSTRACT
Introduction: Acquired immune deficiency syndrome (AIDS) is generally re-lated to reproductive health and is most commonly transmitted through injection ad-diction, sexual relationship, pregnancy, and breastfeeding. Therefore, the promotion of reproductive health of women with human immunodeficiency virus (HIV) is very important. The aim of this study was to investigate the effect of counselling on cogni-tive-behavioural therapy (CBT) on reproductive health in women with HIV.
Material and methods: This randomised controlled trial was conducted in 2017. Sixty HIV-infected women who referred to Imam Khomeini Hospital Consultation Centre for clients with risky behaviour in Tehran participated in this study. The sampling method was census, and samples were randomly assigned to two groups: control and intervention. In addition to routine care, the intervention group received seven cognitive-behavioural counselling sessions on reproductive health. The questionnaire used in this study was a reproductive health assessment scale for HIV-positive women.
Results: There was no statistically significant difference between the demographic characteristics in the control and intervention groups. The result of repeated measures test showed that the length of time affects the total score of reproductive health (p < 0.000) and there was a significant difference between the two groups (p < 0.000).
Conclusions: It is suggested that CBT counselling approaches be included in educational programs for the health of women with HIV. Given the widespread di-mensions of reproductive health, counselling with a cognitive therapy approach in each dimension with the number of further sessions is suggested.
 
REFERENCES (46)
1.
World Health Organization, 2017. Consolidated guideline on sexual and reproductive health and rights of women living with HIV. Available from: http://www.who.int/reproductiv....
 
2.
Centers for disease control and prevention, 2017. Unpublished AIDS report. Ministry of Health and Medical Education.
 
3.
Teixeira LB, Pilecco FB, Vigo A, et al. Sexual and reproductive health of women living with HIV in Southern Brazil. Cadernos de Saúde Pública 2013; 29: 609-620.
 
4.
Kendall T. Falling short of universal access to reproductive health: unintended pregnancy and contraceptive use among Mexican women with HIV. Cult Health Sex 2013; 15 Suppl 2: S166-S179.
 
5.
Behboodi-Moghadam Z, Esmaelzadeh-Saeieh S, Ebadi A, et al. Development and Psychometric Evaluation of a Reproductive Health Assessment Scale for HIV-Positive Women. Shiraz E-Medical J 2016; 17: e38489.
 
6.
Messersmith LJ, Semrau K, Anh TL, et al. Women living with HIV in Vietnam: desire for children, use of sexual and reproductive health services, and advice from providers. Reprod Health Matters 2012; 20 (39 Suppl): 27-38.
 
7.
Wessman M, Aho I, Thorsteinsson K, et al. Perception of sexuality and fertility in women living with HIV: a questionnaire study from two Nordic countries. J Int AIDS Soc 2015; 18: 19962.
 
8.
Siegfried N, Narasimhan M, Kennedy CE, et al. Using GRADE as a framework to guide research on the sexual and reproductive health and rights (SRHR) of women living with HIV – methodological opportunities and challenges. AIDS Care 2017; 29: 1088-1093.
 
9.
Coleman SM, Rajabiun S, Cabral HJ, et al. Sexual risk behavior and behavior change among persons newly diagnosed with HIV: the impact of targeted outreach interventions among hard-to-reach populations. AIDS Patient Care STDS 2009; 23: 639-645.
 
10.
Moradi G, Khoshravesh S, Hosseiny M. Situation of linkage between sexual and reproductive health and HIV-related policies in Islamic Republic of Iran – a rapid assessment in 2011-2. Int J Health Policy Manag 2015; 4: 131-136.
 
11.
Loutfy M, Khosla R, Narasimhan M. Advancing the sexual and reproductive health and human rights of women living with HIV. J Int AIDS Soc 2015; 18 (6 Suppl 5): 20760.
 
12.
Amin A. Addressing gender inequalities to improve the sexual and reproductive health and wellbeing of women living with HIV. J Int AIDS Soc 2015; 18 (6 Suppl 5): 20302.
 
13.
Wekesa E. A new lease of life: sexual and reproductive behaviour among PLWHA in the ART era in Nairobi slums. London School of Economics and Political Science, London 2012.
 
14.
Crepaz N, Passin WF, Herbst JH, et al.; HIV/AIDS Prevention Research Synthesis Team. Meta-analysis of cognitive-behavioral interventions on HIV-positive persons’ mental health and immune functioning. Health Psychol 2008; 27: 4-14.
 
15.
Sudak DM. Cognitive behavioral therapy for depression. Psychiatr Clin North Am 2012; 35: 99-110.
 
16.
Nguyen AL, Lake JE, Reid MC, et al. Attitudes towards exercise among substance using older adults living with HIV and chronic pain. AIDS Care 2017; 29: 1149-1152.
 
17.
Brown LK, Kennard BD, Emslie GJ, et al. Effective treatment of depressive disorders in medical clinics for adolescents and young adults living with HIV: a controlled trial. J Acquir Immune Defic Syndr 2016; 71: 38-46.
 
18.
Karamouzian M, Nasirian M, Sedaghat A, et al. HIV in Iran. Lancet 2014; 383: 1040.
 
19.
Taylor SW, Psaros C, Pantalone DW, et al. “Life-Steps” for PrEP Adherence: Demonstration of a CBT-Based Intervention to Increase Adherence to Preexposure Prophylaxis (PrEP) Medication Among Sexual-Minority Men at High Risk for HIV Acquisition. Cogn Behav Pract 2017; 24: 38-49.
 
20.
Hofmann SG, Asnaani A, Vonk IJ, et al. The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognit Ther Res 2012; 36: 427-440.
 
21.
Orza L, Crone T, Mellin J, et al. Searching for the second R in sexual and reproductive health and… rights. J Adolescent Health 2017; 60: S10-S14.
 
22.
Nedjat S, Moazen B, Rezaei F, et al. Sexual and reproductive health needs of HIV-positive people in Tehran, Iran: a mixed-method descriptive study. Int J Health Policy Manag 2015; 4: 591.
 
23.
Behboodi-Moghadam Z, Nikbakht-Nasrabadi A, Ebadi A, et al. Fertility Desire in Iranian Women with HIV: A Qualitative Study. Iran J Public Health 2015; 44: 1126-1134.
 
24.
Sanders LB. Women’s voices: The lived experience of pregnancy and motherhood after diagnosis with HIV. J Assoc Nurses AIDS Care 2008; 19: 47-57.
 
25.
Jones DL, Lopez M, Simons H, et al. Translation of a comprehensive health behavior intervention for women living with HIV: the SMART/EST Women’s Program. Transl Behav Med 2013; 3: 416-425.
 
26.
Oramasionwu CU, Daniels KR, Labreche MJ, et al. The environmental and social influences of HIV/AIDS in sub-Saharan Africa: a focus on rural communities. Int J Environ Res Public Health 2011; 8: 2967-2979.
 
27.
Tshuma N, Muloongo K, Setswe G, et al. Potential barriers to rapid testing for human immunodeficiency virus among a commuter population in Johannesburg, South Africa. HIV/AIDS (Auckland, NZ) 2015; 7: 11.
 
28.
Barroso J, Relf MV, Williams MS, et al. A randomized controlled trial of the efficacy of a stigma reduction intervention for HIV-infected women in the Deep South. AIDS Patient Care STDS 2014; 28: 489-498.
 
29.
Baipluthong B, Anekthananon T, Munsakul W, et al. Implementation and assessment of a prevention with positives intervention among people living with HIV at five hospitals in Thailand. PLoS One 2017; 12: e0170558.
 
30.
Saadat M, Behboodi ZM, Saadat E. Comparison of depression, anxiety, stress, and related factors among women and men with human immunodeficiency virus infection. J Hum Reprod Sci 2015; 8: 48-51.
 
31.
31 Senyonyi RM, Underwood LA, Suarez E, et al. Cognitive behavioral therapy group intervention for HIV transmission risk behavior in perinatally infected adolescents. Health 2012; 4: 1334.
 
32.
Mupambireyi Z, Bernays S, Bwakura-Dangarembizi M, et al. “I don’t feel shy because I will be among others who are just like me…”: The role of support groups for children perinatally infected with HIV in Zimbabwe. Children and Youth Services Review 2014; 45: 106-113.
 
33.
Parker L, Maman S, Pettifor A, et al. Feasibility analysis of an evidence-based positive prevention intervention for youth living with HIV/AIDS in Kinshasa, Democratic Republic of the Congo. AIDS Educ Prev 2013; 25: 135-150.
 
34.
De Ryck I, Van Laeken D, Nöstlinger C, et al. Sexual satisfaction among men living with HIV in Europe. AIDS Behav 2012; 16: 225-230.
 
35.
Siegel K, Schrimshaw EW, Lekas HM. Diminished sexual activity, interest, and feelings of attractiveness among HIV-infected women in two eras of the AIDS epidemic. Arch Sex Behav 2006; 35: 437-449.
 
36.
Courtenay-Quirk C, Pals SL, Colfax G, et al. Factors associated with sexual risk behavior among persons living with HIV: gender and sexual identity group differences. AIDS Behav 2008; 12: 685.
 
37.
Keegan A, Lambert S, Petrak J. Sex and relationships for HIV-positive women since HAART: a qualitative study. AIDS Patient Care STDS 2005; 19: 645-654.
 
38.
Jones DL, Ross D, Weiss SM, et al. Influence of partner participation on sexual risk behavior reduction among HIV-positive Zambian women. J Urban Health 2005; 82: iv92-iv100.
 
39.
Walusaga HA, Kyohangirwe R, Wagner GJ. Gender differences in determinants of condom use among HIV clients in Uganda. AIDS Patient Care STDS 2012; 26: 694-699.
 
40.
Saeieh SE, Nasrabadi AN, Ebadi A, et al. Contraception use among Iranian women with HIV: a qualitative study. Glob J Health Sci 2016; 8: 199.
 
41.
Lightfoot MA, Kasirye R, Comulada WS, et al. Efficacy of a culturally adapted intervention for youth living with HIV in Uganda. Prevention Science 2007; 8: 271-273.
 
42.
Futterman D, Shea J, Besser M, et al. Mamekhaya: a pilot study combining a cognitive-behavioral intervention and mentor mothers with PMTCT services in South Africa. AIDS Care 2010; 22: 1093-1100.
 
43.
Klein CH, Lomonaco CG, Pavlescak R, et al. WiLLOW: Reaching HIV-positive African-American women through a computer-delivered intervention. AIDS Behav 2013; 17: 3013-3023.
 
44.
Sarnquist CC, Moyo P, Stranix-Chibanda L, et al. Integrating family planning and prevention of mother to child HIV transmission in Zimbabwe. Contraception 2014; 89: 209-214.
 
45.
Matthews LT, Crankshaw T, Giddy J, et al. Reproductive decision-making and periconception practices among HIV-positive men and women attending HIV services in Durban, South Africa. AIDS Behav 2013; 17: 461-470.
 
46.
Robinson JL, Narasimhan M, Amin A, et al. Interventions to address unequal gender and power relations and improve self-efficacy and empowerment for sexual and reproductive health decision-making for women living with HIV: A systematic review. PLoS One 2017; 12: e0180699.
 
eISSN:1732-2707
ISSN:1730-1270
Journals System - logo
Scroll to top