A randomized clinical trial of a coping improvement group intervention for HIV-infected older adults.


Journal Article

This research tested if a 12-session coping improvement group intervention (n = 104) reduced depressive symptoms in HIV-infected older adults compared to an interpersonal support group intervention (n = 105) and an individual therapy upon request (ITUR) control condition (n = 86). Participants were 295 HIV-infected men and women 50-plus years of age living in New York City, Cincinnati, OH, and Columbus, OH. Using A-CASI assessment methodology, participants provided data on their depressive symptoms using the Geriatric Depression Screening Scale (GDS) at pre-intervention, post-intervention, and 4- and 8-month follow-up. Whether conducted with all participants (N = 295) or only a subset of participants diagnosed with mild, moderate, or severe depressive symptoms (N = 171), mixed models analyses of repeated measures found that both coping improvement and interpersonal support group intervention participants reported fewer depressive symptoms than ITUR controls at post-intervention, 4-month follow-up, and 8-month follow-up. The effect sizes of the differences between the two active interventions and the control group were greater when outcome analyses were limited to those participants with mild, moderate, or severe depressive symptoms. At no assessment period did coping improvement and interpersonal support group intervention participants differ in depressive symptoms.

Full Text

Duke Authors

Cited Authors

  • Heckman, TG; Sikkema, KJ; Hansen, N; Kochman, A; Heh, V; Neufeld, S; AIDS and Aging Research Group,

Published Date

  • April 2011

Published In

Volume / Issue

  • 34 / 2

Start / End Page

  • 102 - 111

PubMed ID

  • 20857188

Pubmed Central ID

  • 20857188

Electronic International Standard Serial Number (EISSN)

  • 1573-3521

International Standard Serial Number (ISSN)

  • 0160-7715

Digital Object Identifier (DOI)

  • 10.1007/s10865-010-9292-6


  • eng