Randomized controlled trial of a positive affect intervention for people newly diagnosed with HIV

Judith T. Moskowitz*, Adam W. Carrico, Larissa G. Duncan, Michael A. Cohn, Elaine O. Cheung, Abigail Batchelder, Lizet Martinez, Eisuke Segawa, Michael Acree, Susan Folkman

*Corresponding author for this work

Research output: Contribution to journalArticle

56 Scopus citations

Abstract

Objective: We conducted a randomized controlled trial to determine whether IRISS (Intervention for those Recently Informed of their Seropositive Status), a positive affect skills intervention, improved positive emotion, psychological health, physical health, and health behaviors in people newly diagnosed with HIV. Method: One-hundred and fifty-nine participants who had received an HIV diagnosis in the past 3 months were randomized to a 5-session, in-person, individually delivered positive affect skills intervention or an attention-matched control condition. Results: For the primary outcome of past-day positive affect, the group difference in change from baseline over time did not reach statistical significance (p =.12, d =.30). Planned secondary analyses within assessment point showed that the intervention led to higher levels of past-day positive affect at 5, 10, and 15 months postdiagnosis compared with an attention control. For antidepressant use, the between group difference in change from baseline was statistically significant (p =.006, d = -.78 baseline to 15 months) and the difference in change over time for intrusive and avoidant thoughts related to HIV was also statistically significant (p =.048, d =.29). Contrary to findings for most health behavior interventions in which effects wane over the follow up period, effect sizes in IRISS seemed to increase over time for most outcomes. Conclusions: This comparatively brief positive affect skills intervention achieved modest improvements in psychological health, and may have the potential to support adjustment to a new HIV diagnosis.

Original languageEnglish (US)
Pages (from-to)409-423
Number of pages15
JournalJournal of Consulting and Clinical Psychology
Volume85
Issue number5
DOIs
StatePublished - May 2017

Keywords

  • HIV diagnosis
  • positive affect
  • positive emotion
  • randomized controlled trial
  • stress

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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    Moskowitz, J. T., Carrico, A. W., Duncan, L. G., Cohn, M. A., Cheung, E. O., Batchelder, A., Martinez, L., Segawa, E., Acree, M., & Folkman, S. (2017). Randomized controlled trial of a positive affect intervention for people newly diagnosed with HIV. Journal of Consulting and Clinical Psychology, 85(5), 409-423. https://doi.org/10.1037/ccp0000188