Individuals living with HIV/AIDS are disproportionately afflicted by sexual victimization. Furthermore, the negative sequelae of sexual trauma are deleterious to individuals with compromised immune systems and understanding the impact of trauma may inform interventions that significantly affect health outcomes in this population. This cross-sectional study explored the relationship of sexual trauma, social support, and posttraumatic stress disorder and depression in 64 HIV-positive individuals enrolled in a larger parent studying examining group therapy effects. Participants completed baseline questionnaires assessing demographics, sexual trauma histories, PTSD and depression, and social support satisfaction. Most participants (56.3%) reported experiencing a sexual trauma in their lifetime, as well as PTSD (M=36.78, SD= 14.4) and depression (M= 23.6, SD =4.2) levels indicating formal diagnoses. Analyses of psychiatric symptoms indicated that PTSD was negatively related to adulthood sexual trauma (r = -.25,p

The Comprehensive Textbook of AIDS Psychiatry: A Paradigm for Integrated Care is the first book to provide insight into the interface between the psychiatric, medical, and social dimensions of HIV and AIDS and the need for a compassionate, integrated approach to the HIV pandemic with an emphasis on humanizing and destigmatizing HIV. Drawing from the expertise of 135 contributors in clinical and evidence-based medicine, the book provides information on the prevalence, incidence, medical and psychiatric aspects of HIV, as well as on the prevention and care of persons with HIV/AIDS.

This innovative collection offers a wide-ranging palette of psychological, public health, and sociopolitical approaches toward addressing the multi-level prevention needs of gay men living with HIV and AIDS. This book advances our understanding of comprehensive health care, risk and preventive behaviors, sources of mental distress and resilience, treatment adherence, and the experiences of gay men’s communities such as communities of color, youth, faith communities, and the house ball community. Interventions span biomedical, behavioral, structural, and technological approaches toward critical goals, including bolstering the immune system, promoting safer sexual practices, reducing HIV-related stigma and discrimination, and eliminating barriers to care. The emphasis throughout these diverse chapters is on evidence-based, client-centered practice, coordination of care, and inclusive, culturally responsive services. Included in the coverage: Comprehensive primary health care for HIV positive gay men From pathology to resiliency: understanding the mental health of HIV positive gay men Emerging and innovative prevention strategies for HIV positive gay men Understanding the developmental and psychosocial needs of HIV positive gay adolescent males Social networks of HIV positive gay men: their role and importance in HIV prevention HIV positive gay men, health care, legal rights, and policy issues Understanding Prevention for HIV Positive Gay Men will interest academics, researchers, prevention experts, practitioners, and policymakers in public health. It will also be important to research organizations, nonprofit organizations, and clinical agencies, as well as graduate programs related to public health, consultation, and advocacy.

Depression is frequently associated with other psychiatric disorders and is often related to chronic health problems. Depressive symptoms are also common in chronically distressed close relationships and severe interpersonal difficulties in families and at work. The topic of depressive comorbidity is clearly very important, and while recent research in this area has been methodologically sophisticated, well presented, and inherently interesting, there has not been a comprehensive, academic resource that covers recent developments in this area. The Oxford Handbook of Depression and Comorbidity brings together scholarly contributions from world-class researchers to present a careful and empirically based review of depressive comorbidity. Cutting-edge chapters address theory, research, and practice, while capturing the diversity, evidence-base, and importance of depressive comorbidity. Specific topics include the comorbidity between depression and PTSD, alcohol use, and eating, anxiety, panic, bipolar, personality, and sleep disorders, as well as schizophrenia, suicide, cardiovascular disease, cancer, pain, obesity, intimate relationships, and many more. The Oxford Handbook of Depression and Comorbidity is a unique and much-needed resource that will be helpful to a broad range of researchers and practitioners including clinical and counseling psychologists, psychiatrists, marital and family therapists, social workers, and counselors working in mental-health and general health-care settings, as well as students in these areas.

The Deep South has seen a 36 percent increase in AIDS cases while the rest of the nation has seen a 2 percent decline. Many of the underlying reasons for the disease’s continued spread in the region—ignorance about HIV, reluctance to get tested, non-adherence to treatment protocols, resistance to behavioral changes—remain unaddressed by policymakers. In this extensively revised second edition, Kathryn Whetten and Brian Wells Pence present a rich discussion of twenty-five ethnographic life stories of people living with HIV in the South. Most importantly, they incorporate research from their recent quantitative study, “Coping with HIV/AIDS in the Southeast” (CHASE), which includes 611 HIV-positive patients from North Carolina, South Carolina, Georgia, Alabama, and Louisiana. This new edition continues to bring the participants’ voices to life while highlighting how the CHASE study confirmed many of the themes that originally emerged from the life histories. This is the first cohesive compilation of up-to-date evidence on the unique and difficult aspects of living with HIV in the Deep South.

Among U. S. racial and ethnic minority populations, African American communities are the most disproportionately impacted and affected by HIV/AIDS (CDC, 2009; CDC, 2008). The chapters in this volume seek to explore factors that contribute to this disparity as well as methods for intervening and positively impacting the e- demic in the U. S. The book is divided into two sections. The first section includes chapters that explore specific contextual and structural factors related to HIV/AIDS transmission and prevention in African Americans. The second section is composed of chapters that address the latest in intervention strategies, including best-evidence and promising-evidence based behavioral interventions, program evaluation, cost effectiveness analyses and HIV testing and counseling. As background for the book, the Introduction provides a summary of the context and importance of other infectious disease rates, (i. e. , sexually transmitted diseases [STDs] and tubercu- sis), to HIV/AIDS prevention and treatment in African Americans and a brief introductory discussion on the major contextual factors related to the acquisition and transmission of STDs/HIV. Contextual Chapters Johnson & Dean author the first chapter in this section, which discusses the history and epidemiology of HIV/AIDS among African Americans. Specifically, this ch- ter provides a definition for and description of the US surveillance systems used to track HIV/AIDS and presents data on HIV or AIDS cases diagnosed between 2002 and 2006 and reported to CDC as of June 30, 2007.

Posttraumatic Stress in Physical Illness explores the development of posttraumatic stress reactions and other psychological symptoms in people suffering from physical illnesses. It looks at the differentiating factors in patients with illnesses such as myocardial infarction, cancer, HIV, vascular and neurological diseases, respiratory diseases and autoimmune diseases. Posttraumatic Stress in Physical Illness also analyses factors such as demographic and disease-related characteristics, previous trauma or PTSD due to previous trauma, subjective experience of the illness, personality traits and coping strategies of the individual that contribute to the severity, likelihood of distress, or PTSD symptoms associated with the illness. These symptoms are not only experienced by the patients themselves but are also significant for their family members or loved ones. Both understanding the symptoms or pathological features and exploring the development of posttraumatic growth in both patients and reatives play major roles in this book. As psychopathological and positive psychological responses to adversity can influence the formulation of psychological interventions, Posttraumatic Stress in Physical Illness provides essential guidance for those involved with the treatment and wellbeing of patients.

This handbook will be a concise guide to important topics in psychiatry with an international focus. It constitutes a pr(r)cis of the field of psychiatry with emphases on the therapeutic approach to the patient and on the proper diagnosis of major psychiatric disorders.All psychiatric diagnoses are encoded using both the US Diagnostic and Statistical Manual (DSM) and the International Statistical Classification of Diseases and Related Health Problems (ICD). Treatment options for psychiatric disorders will include approaches used in developed nations in North America, Europe, Asia, as well as in the developing world. Furthermore an invaluable brief history of psychiatry allows readers to trace the beginnings of their chosen field and gain awareness of the ethical and legal contexts.This handbook will provide a comprehensive introduction to psychiatry appropriate for students, trainees, and practitioners seeking an international approac

Pregnancy, childbirth, childhood, adolescence, and aging can be beset with adverse changes in psychobiology and behavior. Handbook of Lifespan Cognitive Behavioral Therapy: Childhood, Adolescence, Pregnancy, Adulthood, and Aging will better readers' understanding of a variety of conditions and the applicability of CBT therapy as a treatment. Featuring chapters on postnatal anxiety and depression, insomnia, and dysmorphia, the book discusses in detail the use of cognitive behavioral therapies in the treatment of these issues affecting individuals at the start and end of their lives. With expert authors from the clinical field, the book has applicability for behavioral scientists, psychologists, cognitive and behavioral neuroscientists, and anyone working to better understand and treat using cognitive behavioral therapies. - Summarizes cognitive behavioral therapies for a variety of conditions - Contains chapter abstracts, practice and procedures, application to other areas, key facts, dictionary of terms, and summary points - Covers anxiety, depression, insomnia, and autism - Includes conditions in pregnancy, childbirth, children, and adolescence

Integrating scientific knowledge with today's most effective treatment options, Addiction Medicine: Science and Practice, 2nd Edition, provides a wealth of information on addictions to substances and behavioral addictions. It discusses the concrete research on how the brain and body are affected by addictions, improving your understanding of how patients develop addictions and how best to personalize treatment and improve outcomes. This essential text is ideal for anyone who deals with patients with addictions in clinical practice, including psychiatrists, health psychologists, pharmacologists, social workers, drug counselors, trainees, and general physicians/family practitioners. - Clearly explains the role of brain function in drug taking and other habit-forming behaviors, and shows how to apply this biobehavioral framework to the delivery of evidence-based treatment. - Provides clinically relevant details on not only traditional sources of addiction such as cocaine, opiates, and alcohol, but also more recently recognized substances of abuse (e.g., steroids, inhalants) as well as behavioral addictions (e.g., binge eating, compulsive gambling, hoarding). - Discusses current behavioral and medical therapies in depth, while also addressing social contexts that may affect personalized treatment. - Contains new information on compliance-enhancing interventions, cognitive behavioral treatments, behavioral management, and other psychosocial interventions. - Includes neurobiological, molecular, and behavioral theories of addiction, and includes a section on epigenetics. - Contains up-to-date information throughout, including a new definition of status epilepticus, a current overview of Lennox Gastaut syndrome, and updates on new FDA-approved drugs for pediatric neurological disorders. - Features expanded sections on evidence-based treatment options including pharmacotherapy, pharmacogenetics, and potential vaccines. - Addresses addiction in regards to specific populations, including adolescents, geriatric, pregnant women, and health care professionals. - Includes contributions from expert international authors, making this a truly global reference to addiction medicine.