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Alcohol use as a mediator of the effect of two alcohol reduction interventions on mental health symptoms of ART clients in Vietnam.

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Title: Alcohol use as a mediator of the effect of two alcohol reduction interventions on mental health symptoms of ART clients in Vietnam.
Authors: Nguyen, M. X., Reyes, H. L., Pence, B. W., Muessig, K. E., Hutton, H., Latkin, C. A., Dowdy, D., Chander, G., Lancaster, K. E., Frangakis, C., Sripaipan, T., Tran, H. V., Go, V. F.
Source: AIDS Care. Nov2023, Vol. 35 Issue 11, p1691-1699. 9p.
Subjects: Prevention of mental depression, Anxiety prevention, Alcoholism treatment, Structural equation modeling, Confidence intervals, Motivational interviewing, Treatment effectiveness, Temperance, Alcohol drinking, Questionnaires, Descriptive statistics, Psychology of HIV-positive persons, Psychotherapy, Secondary analysis, Cognitive therapy
Geographic Terms: Vietnam
Abstract: We aimed to examine the mediating role of alcohol use in the pathway from the interventions to depression and anxiety symptoms using data from a randomized controlled trial among people living with HIV (PWH) with hazardous alcohol use (n = 440) in Thai Nguyen, Vietnam. Participants were randomized into either a combined intervention (CoI), a brief intervention (BI) and a standard of care arm. Both interventions were based on cognitive behavioral therapy and motivational enhancement therapy. Alcohol use was measured as the percentage of days abstinent from alcohol in the last 30 days. Symptoms of depression and anxiety were measured with the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 scales. Alcohol use was a significant mediator of the effects of two alcohol interventions on depression symptoms, but not anxiety symptoms. There were significant indirect effects via alcohol use of both interventions on depression symptoms at 12 months (CoI: mean difference (MD) = −0.134; 95%CI: −0.251, −0.035); (BI: MD = −0.141; 95%CI: −0.261, −0.038). There were no significant direct or total effects of the interventions on either symptoms at 12 months. Interventions with a dual focus on mental health and alcohol disorders are needed to determine optimal ways to tackle these common comorbidities among PWH. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Alcohol use as a mediator of the effect of two alcohol reduction interventions on mental health symptoms of ART clients in Vietnam.
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  Data: <searchLink fieldCode="AR" term="%22Nguyen%2C+M%2E+X%2E%22">Nguyen, M. X.</searchLink><br /><searchLink fieldCode="AR" term="%22Reyes%2C+H%2E+L%2E%22">Reyes, H. L.</searchLink><br /><searchLink fieldCode="AR" term="%22Pence%2C+B%2E+W%2E%22">Pence, B. W.</searchLink><br /><searchLink fieldCode="AR" term="%22Muessig%2C+K%2E+E%2E%22">Muessig, K. E.</searchLink><br /><searchLink fieldCode="AR" term="%22Hutton%2C+H%2E%22">Hutton, H.</searchLink><br /><searchLink fieldCode="AR" term="%22Latkin%2C+C%2E+A%2E%22">Latkin, C. A.</searchLink><br /><searchLink fieldCode="AR" term="%22Dowdy%2C+D%2E%22">Dowdy, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Chander%2C+G%2E%22">Chander, G.</searchLink><br /><searchLink fieldCode="AR" term="%22Lancaster%2C+K%2E+E%2E%22">Lancaster, K. E.</searchLink><br /><searchLink fieldCode="AR" term="%22Frangakis%2C+C%2E%22">Frangakis, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Sripaipan%2C+T%2E%22">Sripaipan, T.</searchLink><br /><searchLink fieldCode="AR" term="%22Tran%2C+H%2E+V%2E%22">Tran, H. V.</searchLink><br /><searchLink fieldCode="AR" term="%22Go%2C+V%2E+F%2E%22">Go, V. F.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Nov2023, Vol. 35 Issue 11, p1691-1699. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Prevention+of+mental+depression%22">Prevention of mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety+prevention%22">Anxiety prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Alcoholism+treatment%22">Alcoholism treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Structural+equation+modeling%22">Structural equation modeling</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Motivational+interviewing%22">Motivational interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Temperance%22">Temperance</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+drinking%22">Alcohol drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink>
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  Data: We aimed to examine the mediating role of alcohol use in the pathway from the interventions to depression and anxiety symptoms using data from a randomized controlled trial among people living with HIV (PWH) with hazardous alcohol use (n = 440) in Thai Nguyen, Vietnam. Participants were randomized into either a combined intervention (CoI), a brief intervention (BI) and a standard of care arm. Both interventions were based on cognitive behavioral therapy and motivational enhancement therapy. Alcohol use was measured as the percentage of days abstinent from alcohol in the last 30 days. Symptoms of depression and anxiety were measured with the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 scales. Alcohol use was a significant mediator of the effects of two alcohol interventions on depression symptoms, but not anxiety symptoms. There were significant indirect effects via alcohol use of both interventions on depression symptoms at 12 months (CoI: mean difference (MD) = −0.134; 95%CI: −0.251, −0.035); (BI: MD = −0.141; 95%CI: −0.261, −0.038). There were no significant direct or total effects of the interventions on either symptoms at 12 months. Interventions with a dual focus on mental health and alcohol disorders are needed to determine optimal ways to tackle these common comorbidities among PWH. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/09540121.2023.2183378
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 1691
    Subjects:
      – SubjectFull: Prevention of mental depression
        Type: general
      – SubjectFull: Anxiety prevention
        Type: general
      – SubjectFull: Alcoholism treatment
        Type: general
      – SubjectFull: Structural equation modeling
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Motivational interviewing
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Temperance
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      – SubjectFull: Alcohol drinking
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      – SubjectFull: Questionnaires
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
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      – SubjectFull: Psychotherapy
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      – SubjectFull: Secondary analysis
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      – SubjectFull: Cognitive therapy
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      – SubjectFull: Vietnam
        Type: general
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      – TitleFull: Alcohol use as a mediator of the effect of two alcohol reduction interventions on mental health symptoms of ART clients in Vietnam.
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              Text: Nov2023
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