The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDS
Aim: to identify the effectiveness of rational-emotive-behavior-based therapy (REBT-based therapy) on improved mental health and antiretroviral (ART) therapeutic adherence in women infected with HIV/AIDS (female subjects with HIV/AIDS). Methods: a randomized and single-blinded clinical trial in wom...
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| Format: | Article |
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Interna Publishing
2014-10-01
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| Series: | Acta Medica Indonesiana |
| Online Access: | https://www.actamedindones.org/index.php/ijim/article/view/101 |
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| author | Surilena Surilena R Irawati Ismail Irwanto Irwanto Zubairi Djoerban Budi Utomo Sabarinah Sabarinah Iwan Iwan Arwin A.P. Akip |
| author_facet | Surilena Surilena R Irawati Ismail Irwanto Irwanto Zubairi Djoerban Budi Utomo Sabarinah Sabarinah Iwan Iwan Arwin A.P. Akip |
| author_sort | Surilena Surilena |
| collection | DOAJ |
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Aim: to identify the effectiveness of rational-emotive-behavior-based therapy (REBT-based therapy) on improved mental health and antiretroviral (ART) therapeutic adherence in women infected with HIV/AIDS (female subjects with HIV/AIDS). Methods: a randomized and single-blinded clinical trial in women infected with HIV/AIDS who had their treatment at the outpatient clinic of Pokdiksus AIDS RSCM and at the AIDS Comprehensive Diagnostic Unit of Dharmais Hospital was conducted between October 2011 and March 2012. A block randomization of 160 female subjects with AIDS was performed that resulted in a REBT-based treatment group (n=80) and a control group (n=80). The treatment group received REBT-based intervention of 8 sessions weekly including 6 individual-therapeutic sessions/week and 2 group-therapeutic sessions /week. Instruments used in the study were questionnaires on demography, ART adherence (measured by self report and pill count), and mental health (SRQ-20). Data were analyzed using Chi-Square test, Generalized Linear Model, and Generalized Estimating Equations. Results: there were 148 respondents analyzed including in the REBT-based group (n=72) and in the control group (n=76) with mean age of 33-34 years. After 8 weeks of REBT-based intervention, there was improved (increased) mean value of the self-reported adherence score (self-report) compared to control group (100%; CI 95%,83.3-96.7 vs. 84%; CI 95%,77.5-87.8) and improved (decreased) SRQ-20 mean score in REBT-based treatment group compared to control group (2.9; CI 95%, 2.7-13.0 vs. 5.4; CI 95%: 5.0.-13.6). ART adherence based on viral load titer was not analyzed in both group since most of VL titer were undetected (<400 copies/mL). GLM analysis showed decreased SRQ-20 mean score and increased mean value of self-reported ART adherence (self-report) in the REBT-based treatment group, which were more significant (p<0.000) than control group on the 8th week. GEE analysis showed that 1 point decrement of SRQ-20 would increase self-reported ART adherence as much as 0.722 point and the correlation was statistically significant (p<0.00). Conclusion: after 8 weeks of REBT- based intervention to female subjects with HIV/AIDS, there is a decrease of SRQ-20 mean score which may result in increased ART adherence mean score in the treatment group compared to the control.
Key words: ART adherence, HIV/AIDS, women, mental health, REBT.
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| format | Article |
| id | doaj-art-961724c1f11f4b6ba4f4d5a9b5ebefc2 |
| institution | Matheson Library |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2014-10-01 |
| publisher | Interna Publishing |
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| series | Acta Medica Indonesiana |
| spelling | doaj-art-961724c1f11f4b6ba4f4d5a9b5ebefc22025-07-27T07:03:55ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322014-10-01464The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDSSurilena Surilena0R Irawati Ismail1Irwanto Irwanto2Zubairi Djoerban3Budi Utomo4Sabarinah Sabarinah5Iwan Iwan6Arwin A.P. Akip7Department of Psychiatry, Faculty of Medicine, Atma Jaya Catholic University of Indonesia, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDepartment of Psychology, Faculty of Psychology, Atma Jaya Catholic University of Indonesia, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Public Health, Faculty of Public Health, Universitas Indonesia, Depok, IndonesiaDepartment of Public Health, Faculty of Public Health, Universitas Indonesia, Depok, IndonesiaDepartment of Public Health, Faculty of Public Health, Universitas Indonesia, Depok, IndonesiaDepartment of Pediatric, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia Aim: to identify the effectiveness of rational-emotive-behavior-based therapy (REBT-based therapy) on improved mental health and antiretroviral (ART) therapeutic adherence in women infected with HIV/AIDS (female subjects with HIV/AIDS). Methods: a randomized and single-blinded clinical trial in women infected with HIV/AIDS who had their treatment at the outpatient clinic of Pokdiksus AIDS RSCM and at the AIDS Comprehensive Diagnostic Unit of Dharmais Hospital was conducted between October 2011 and March 2012. A block randomization of 160 female subjects with AIDS was performed that resulted in a REBT-based treatment group (n=80) and a control group (n=80). The treatment group received REBT-based intervention of 8 sessions weekly including 6 individual-therapeutic sessions/week and 2 group-therapeutic sessions /week. Instruments used in the study were questionnaires on demography, ART adherence (measured by self report and pill count), and mental health (SRQ-20). Data were analyzed using Chi-Square test, Generalized Linear Model, and Generalized Estimating Equations. Results: there were 148 respondents analyzed including in the REBT-based group (n=72) and in the control group (n=76) with mean age of 33-34 years. After 8 weeks of REBT-based intervention, there was improved (increased) mean value of the self-reported adherence score (self-report) compared to control group (100%; CI 95%,83.3-96.7 vs. 84%; CI 95%,77.5-87.8) and improved (decreased) SRQ-20 mean score in REBT-based treatment group compared to control group (2.9; CI 95%, 2.7-13.0 vs. 5.4; CI 95%: 5.0.-13.6). ART adherence based on viral load titer was not analyzed in both group since most of VL titer were undetected (<400 copies/mL). GLM analysis showed decreased SRQ-20 mean score and increased mean value of self-reported ART adherence (self-report) in the REBT-based treatment group, which were more significant (p<0.000) than control group on the 8th week. GEE analysis showed that 1 point decrement of SRQ-20 would increase self-reported ART adherence as much as 0.722 point and the correlation was statistically significant (p<0.00). Conclusion: after 8 weeks of REBT- based intervention to female subjects with HIV/AIDS, there is a decrease of SRQ-20 mean score which may result in increased ART adherence mean score in the treatment group compared to the control. Key words: ART adherence, HIV/AIDS, women, mental health, REBT. https://www.actamedindones.org/index.php/ijim/article/view/101 |
| spellingShingle | Surilena Surilena R Irawati Ismail Irwanto Irwanto Zubairi Djoerban Budi Utomo Sabarinah Sabarinah Iwan Iwan Arwin A.P. Akip The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDS Acta Medica Indonesiana |
| title | The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDS |
| title_full | The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDS |
| title_fullStr | The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDS |
| title_full_unstemmed | The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDS |
| title_short | The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDS |
| title_sort | effect of rational emotive behavior therapy rebt on antiretroviral therapeutic adherence and mental health in women infected with hiv aids |
| url | https://www.actamedindones.org/index.php/ijim/article/view/101 |
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