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A Short-term Psychological Intervention for People Living with HIV During the First Wave of COVID-19
Lisa Koski1,2,3,4,5, Marie-Josée Brouillette6,7,8, Nancy E Mayo9,10,11
1Department of Psychology, McGill University Health Centre (MUHC), Montreal, Canada.
Insights
People aging with HIV experienced significant distress during COVID-19. Cognitive-behavioral interventions effectively reduced distress in this vulnerable group, offering a model for future crisis support.
Area of Science:
- Psychology
- Public Health
- Infectious Diseases
Background:
- COVID-19 has caused widespread psychosocial distress.
- Individuals aging with HIV are a vulnerable population facing unique health challenges.
- The pandemic presents a new infectious threat to the wellbeing of people with HIV.
Purpose of the Study:
- To describe supportive and cognitive-behavioral interventions for individuals aging with HIV experiencing COVID-19 related distress.
- To present data on changes in distress levels within this case series.
- To provide a model for identifying at-risk groups and implementing timely psychological interventions during crises.
Main Methods:
- Longitudinal observational study design.
- Identification of participants with heightened distress requiring clinical intervention.
- Description of individualized supportive and cognitive-behavioral interventions.
- Case series data collection on distress changes.
Main Results:
- A subset of middle-aged and older adults living with HIV reported heightened distress during the COVID-19 pandemic.
- Provided interventions led to measurable changes in distress levels.
- The study successfully identified individuals in need of psychological support.
Conclusions:
- Cognitive-behavioral interventions are effective in mitigating COVID-19 related distress among people aging with HIV.
- An individualized clinical response model can be safely delivered during health crises.
- This approach can be adapted for future public health emergencies.
Abstract:
Research on the psychosocial impact of COVID-19 has found significant levels of distress among the general population, and among those especially vulnerable due to chronic social or health challenges. Among these are individuals aging with HIV infection, who are encountering COVID-19 as a new infectious threat to their health and wellbeing. In a longitudinal observational study of the psychosocial impact of COVID-19 in middle-aged and older people living with HIV, we identified a subset of participants who expressed heightened levels of distress and were referred for clinical intervention. This paper describes the supportive and contemporary cognitive-behavioral interventions that were provided and presents data on changes in distress in this case series. This work provides a model for identifying people in at-risk groups in acute need of psychological intervention and for implementing an individualized clinical response that can be safely delivered in the context of COVID-19 and future crisis situations.
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