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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

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Unsafe sex: do feelings matter?

Celia M Lescano¹, Larry K Brown, Paul M Miller

¹Brown University School of Medicine, Bradley/Hasbro Research Center, Providence, RI 02903, USA. clescano@lifespan.org

Journal of Prevention & Intervention in the Community

|February 15, 2007

Summary

Adolescents with psychiatric disorders showed that self-efficacy for condom use during distress (SE-Condom Distress) is key for HIV prevention. Higher SE-Condom Distress was linked to more protective behaviors and consistent condom use.

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Area of Science:

Adolescent Health
Psychiatric Disorders
HIV Prevention

Background:

Adolescents with psychiatric disorders face unique challenges in HIV prevention.
Understanding self-efficacy's role in condom use during distress is crucial for this population.

Purpose of the Study:

To examine the associations between self-efficacy for condom use during distress (SE-Condom Distress), general HIV prevention skills (SE-HIV), and HIV risk behaviors.
To identify predictors of consistent condom use among adolescents with psychiatric disorders.

Main Methods:

Survey administered to 222 adolescents (13-18 years) with psychiatric disorders.
Measures included HIV Self-Efficacy, HIV Attitudes, and Sexual Behaviors.
Multiple logistic regression analysis was used to assess predictors of consistent condom use.

Main Results:

Self-efficacy for condom use during distress (SE-Condom Distress) was significantly associated with more HIV protective behaviors.
SE-Condom Distress was the only significant predictor of consistent condom use (OR=2.43) after controlling for covariates.
Self-efficacy related to condom use during distress showed strong links with HIV-related attitudes and behaviors.

Conclusions:

Self-efficacy for condom use during distress is a critical factor in promoting consistent condom use among adolescents with psychiatric disorders.
Clinicians should assess and address distress-related condom use self-efficacy in HIV prevention counseling for this vulnerable group.
Targeting SE-Condom Distress may enhance the effectiveness of HIV prevention interventions for adolescents with psychiatric conditions.