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Christina S. Meade

Visiting Associate Prof of Psychology & Neuroscience
Psychology & Neuroscience
905 W. Main Street, Box 102848, Durham, NC 27710
905 W. Main Street, Suite 24-E, Durham, NC 27701

Selected Publications


Longitudinal changes in neurocognitive performance related to drug use intensity in a sample of persons with and without HIV who use illicit stimulants.

Journal Article Drug Alcohol Depend · October 1, 2023 BACKGROUND: Illicit stimulant use remains a public health concern that has been associated with multiple adverse outcomes, including cognitive deficits. The effects of stimulant use on cognition may be particularly deleterious in persons with HIV. Stimulan ... Full text Link to item Cite

Cocaine use is associated with cerebral white matter hyperintensities in HIV disease.

Journal Article Ann Clin Transl Neurol · September 2023 BACKGROUND: White matter hyperintensities (WMH), a marker of cerebral small vessel disease and predictor of cognitive decline, are observed at higher rates in persons with HIV (PWH). The use of cocaine, a potent central nervous system stimulant, is disprop ... Full text Link to item Cite

HIV viremia contributes to neurocognitive impairments in persons who use cocaine.

Journal Article Journal of neurovirology · June 2023 Persons with HIV (PWH) who use illicit drugs are at elevated risk for neurocognitive impairment (NCI). This study investigated the effects of HIV disease and HIV viremia on NCI among adults who use cocaine. PWH who were not virologically suppressed showed ... Full text Cite

Cortico-striatal networking deficits associated with advanced HIV disease and cocaine use.

Journal Article Journal of neurovirology · April 2023 Cocaine use is disproportionately prevalent in people with HIV (PWH) and is known to potentiate HIV neuropathogenesis. As both HIV and cocaine have well-documented cortico-striatal effects, PWH who use cocaine and have a history of immunosuppression may ex ... Full text Cite

Imaging of Brain Structural and Functional Effects in People With Human Immunodeficiency Virus.

Journal Article The Journal of infectious diseases · March 2023 Before the introduction of antiretroviral therapy, human immunodeficiency virus (HIV) infection was often accompanied by central nervous system (CNS) opportunistic infections and HIV encephalopathy marked by profound structural and functional alterations d ... Full text Cite

Neuroimaging and immunological features of neurocognitive function related to substance use in people with HIV.

Journal Article J Neurovirol · February 2023 This study sought to identify neuroimaging and immunological factors associated with substance use and that contribute to neurocognitive impairment (NCI) in people with HIV (PWH). We performed cross-sectional immunological phenotyping, neuroimaging, and ne ... Full text Link to item Cite

Additive cortical gray matter deficits in people living with HIV who use cocaine.

Journal Article Journal of neurovirology · February 2023 Cocaine use, which is disproportionately common in people living with HIV (PWH), is known to have neurotoxic effects that may exacerbate HIV neuropathogenesis. While both cocaine use and HIV disease are independently associated with deficits in gray matter ... Full text Cite

The Individualized Prediction of Neurocognitive Function in People Living with HIV Based on Clinical and Multimodal Connectome Data.

Journal Article IEEE journal of biomedical and health informatics · January 2023 Neurocognitive impairment continues to be common comorbidity for people living with HIV (PLWH). Given the chronic nature of HIV disease, identifying reliable biomarkers of these impairments is essential to advance our understanding of the underlying neural ... Full text Cite

Participant perceptions on the acceptability and feasibility of a telemedicine-based HIV PrEP and buprenorphine/naloxone program embedded within syringe services programs: a qualitative descriptive evaluation.

Journal Article Harm Reduct J · December 3, 2022 BACKGROUND: People who inject drugs (PWID) are at risk for HIV and opioid overdose. We piloted PARTNER UP, a telemedicine-based program to provide PWID with access to both oral pre-exposure prophylaxis (PrEP) for HIV prevention and medication for opioid us ... Full text Link to item Cite

Strengthened and posterior-shifted structural rich-club organization in people who use cocaine.

Journal Article Drug Alcohol Depend · June 1, 2022 BACKGROUND: People with cocaine use disorder (CUD) often have abnormal cognitive function and brain structure. Cognition is supported by brain networks that typically have characteristics like rich-club organization, which is a group of regions that are hi ... Full text Link to item Cite

Principal component analysis denoising improves sensitivity of MR diffusion to detect white matter injury in neuroHIV.

Journal Article Journal of neuroimaging : official journal of the American Society of Neuroimaging · May 2022 Background and purposeDiffusion-weighted imaging is able to capture important information about cerebral white matter (WM) structure. However, diffusion data can suffer from MRI and biological noise that degrades the quality of the images and make ... Full text Cite

Effects of substance use on monetary delay discounting among people who use stimulants with and without HIV: An ecological momentary assessment study.

Journal Article Exp Clin Psychopharmacol · February 2022 Exploration of the real-time relationship between substance use and delay discounting may reveal potential mechanisms driving high-risk behaviors. We conducted an ecological momentary assessment (EMA) study to investigate the effects of substance use on de ... Full text Link to item Cite

HIV, psychological resilience, and substance misuse during the COVID-19 pandemic: A multi-cohort study.

Journal Article Drug and alcohol dependence · February 2022 ObjectiveThe COVID-19 pandemic has dramatically impacted mental health, increasing rates of substance misuse. Resilience is a positive adaptation to stress that may act as a buffer against adverse mental health outcomes. Based on prior knowledge, ... Full text Cite

Transmission Of Tuberculosis Among illicit drug use Linkages (TOTAL): A cross-sectional observational study protocol using respondent driven sampling.

Journal Article PloS one · January 2022 People who use illicit drugs (PWUDs) have been identified as a key at-risk group for tuberculosis (TB). Examination of illicit drug use networks has potential to assess the risk of TB exposure and disease progression. Research also is needed to assess mech ... Full text Cite

Human immunodeficiency virus-related decreases in corpus callosal integrity and corresponding increases in functional connectivity.

Journal Article Hum Brain Mapp · October 15, 2021 People living with human immunodeficiency virus (PLWH) often have neurocognitive impairment. However, findings on HIV-related differences in brain network function underlying these impairments are inconsistent. One principle frequently absent from these re ... Full text Link to item Cite

Structural and Functional Brain Abnormalities in Human Immunodeficiency Virus Disease Revealed by Multimodal Magnetic Resonance Imaging Fusion: Association With Cognitive Function.

Journal Article Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · October 2021 BackgroundHuman immunodeficiency virus (HIV)-associated neurocognitive impairment remains a prevalent comorbidity that impacts daily functioning and increases morbidity. While HIV infection is known to cause widespread disruptions in the brain, di ... Full text Cite

On the down-sampling of diffusion MRI data along the angular dimension.

Journal Article Magnetic resonance imaging · October 2021 BackgroundIt has been established that the diffusion gradient directions in diffusion MRI should be uniformly distributed in 3D spherical space, so that orientation-dependent diffusion properties (e.g., fractional anisotropy or FA) can be properly ... Full text Cite

Using mobile health technologies to test the association of cocaine use with sexual desire and risky sexual behaviors among people with and without HIV who use illicit stimulants.

Journal Article Drug and alcohol dependence · August 2021 BackgroundCocaine use is broadly associated with risky sexual behavior potentially through elevated sexual desire. Understanding the within-person effects of cocaine on sexual desire and risky sexual behavior and the modification of HIV infection ... Full text Cite

Brain multimodal co-alterations related to delay discounting: a multimodal MRI fusion analysis in persons with and without cocaine use disorder.

Journal Article BMC neuroscience · August 2021 BackgroundDelay discounting has been proposed as a behavioral marker of substance use disorders. Innovative analytic approaches that integrate information from multiple neuroimaging modalities can provide new insights into the complex effects of d ... Full text Cite

Cognitive Impairment among People Who Use Heroin and Fentanyl: Findings from the Miami Adult Studies on HIV (MASH) Cohort.

Journal Article Journal of psychoactive drugs · July 2021 Background: Cognitive impairment is common in people living with HIV (PLWH). Opioid drugs exert direct and indirect effects on cognitive processes, which may contribute to cognitive dysfunction among PLWH. This study was designed to determine if opi ... Full text Cite

Longitudinal changes in neurocognitive performance related to drug use intensity in a sample of persons with and without HIV who use illicit stimulants.

Journal Article Drug Alcohol Depend · October 1, 2023 BACKGROUND: Illicit stimulant use remains a public health concern that has been associated with multiple adverse outcomes, including cognitive deficits. The effects of stimulant use on cognition may be particularly deleterious in persons with HIV. Stimulan ... Full text Link to item Cite

Cocaine use is associated with cerebral white matter hyperintensities in HIV disease.

Journal Article Ann Clin Transl Neurol · September 2023 BACKGROUND: White matter hyperintensities (WMH), a marker of cerebral small vessel disease and predictor of cognitive decline, are observed at higher rates in persons with HIV (PWH). The use of cocaine, a potent central nervous system stimulant, is disprop ... Full text Link to item Cite

HIV viremia contributes to neurocognitive impairments in persons who use cocaine.

Journal Article Journal of neurovirology · June 2023 Persons with HIV (PWH) who use illicit drugs are at elevated risk for neurocognitive impairment (NCI). This study investigated the effects of HIV disease and HIV viremia on NCI among adults who use cocaine. PWH who were not virologically suppressed showed ... Full text Cite

Cortico-striatal networking deficits associated with advanced HIV disease and cocaine use.

Journal Article Journal of neurovirology · April 2023 Cocaine use is disproportionately prevalent in people with HIV (PWH) and is known to potentiate HIV neuropathogenesis. As both HIV and cocaine have well-documented cortico-striatal effects, PWH who use cocaine and have a history of immunosuppression may ex ... Full text Cite

Imaging of Brain Structural and Functional Effects in People With Human Immunodeficiency Virus.

Journal Article The Journal of infectious diseases · March 2023 Before the introduction of antiretroviral therapy, human immunodeficiency virus (HIV) infection was often accompanied by central nervous system (CNS) opportunistic infections and HIV encephalopathy marked by profound structural and functional alterations d ... Full text Cite

Neuroimaging and immunological features of neurocognitive function related to substance use in people with HIV.

Journal Article J Neurovirol · February 2023 This study sought to identify neuroimaging and immunological factors associated with substance use and that contribute to neurocognitive impairment (NCI) in people with HIV (PWH). We performed cross-sectional immunological phenotyping, neuroimaging, and ne ... Full text Link to item Cite

Additive cortical gray matter deficits in people living with HIV who use cocaine.

Journal Article Journal of neurovirology · February 2023 Cocaine use, which is disproportionately common in people living with HIV (PWH), is known to have neurotoxic effects that may exacerbate HIV neuropathogenesis. While both cocaine use and HIV disease are independently associated with deficits in gray matter ... Full text Cite

The Individualized Prediction of Neurocognitive Function in People Living with HIV Based on Clinical and Multimodal Connectome Data.

Journal Article IEEE journal of biomedical and health informatics · January 2023 Neurocognitive impairment continues to be common comorbidity for people living with HIV (PLWH). Given the chronic nature of HIV disease, identifying reliable biomarkers of these impairments is essential to advance our understanding of the underlying neural ... Full text Cite

Participant perceptions on the acceptability and feasibility of a telemedicine-based HIV PrEP and buprenorphine/naloxone program embedded within syringe services programs: a qualitative descriptive evaluation.

Journal Article Harm Reduct J · December 3, 2022 BACKGROUND: People who inject drugs (PWID) are at risk for HIV and opioid overdose. We piloted PARTNER UP, a telemedicine-based program to provide PWID with access to both oral pre-exposure prophylaxis (PrEP) for HIV prevention and medication for opioid us ... Full text Link to item Cite

Strengthened and posterior-shifted structural rich-club organization in people who use cocaine.

Journal Article Drug Alcohol Depend · June 1, 2022 BACKGROUND: People with cocaine use disorder (CUD) often have abnormal cognitive function and brain structure. Cognition is supported by brain networks that typically have characteristics like rich-club organization, which is a group of regions that are hi ... Full text Link to item Cite

Principal component analysis denoising improves sensitivity of MR diffusion to detect white matter injury in neuroHIV.

Journal Article Journal of neuroimaging : official journal of the American Society of Neuroimaging · May 2022 Background and purposeDiffusion-weighted imaging is able to capture important information about cerebral white matter (WM) structure. However, diffusion data can suffer from MRI and biological noise that degrades the quality of the images and make ... Full text Cite

Effects of substance use on monetary delay discounting among people who use stimulants with and without HIV: An ecological momentary assessment study.

Journal Article Exp Clin Psychopharmacol · February 2022 Exploration of the real-time relationship between substance use and delay discounting may reveal potential mechanisms driving high-risk behaviors. We conducted an ecological momentary assessment (EMA) study to investigate the effects of substance use on de ... Full text Link to item Cite

HIV, psychological resilience, and substance misuse during the COVID-19 pandemic: A multi-cohort study.

Journal Article Drug and alcohol dependence · February 2022 ObjectiveThe COVID-19 pandemic has dramatically impacted mental health, increasing rates of substance misuse. Resilience is a positive adaptation to stress that may act as a buffer against adverse mental health outcomes. Based on prior knowledge, ... Full text Cite

Transmission Of Tuberculosis Among illicit drug use Linkages (TOTAL): A cross-sectional observational study protocol using respondent driven sampling.

Journal Article PloS one · January 2022 People who use illicit drugs (PWUDs) have been identified as a key at-risk group for tuberculosis (TB). Examination of illicit drug use networks has potential to assess the risk of TB exposure and disease progression. Research also is needed to assess mech ... Full text Cite

Human immunodeficiency virus-related decreases in corpus callosal integrity and corresponding increases in functional connectivity.

Journal Article Hum Brain Mapp · October 15, 2021 People living with human immunodeficiency virus (PLWH) often have neurocognitive impairment. However, findings on HIV-related differences in brain network function underlying these impairments are inconsistent. One principle frequently absent from these re ... Full text Link to item Cite

Structural and Functional Brain Abnormalities in Human Immunodeficiency Virus Disease Revealed by Multimodal Magnetic Resonance Imaging Fusion: Association With Cognitive Function.

Journal Article Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · October 2021 BackgroundHuman immunodeficiency virus (HIV)-associated neurocognitive impairment remains a prevalent comorbidity that impacts daily functioning and increases morbidity. While HIV infection is known to cause widespread disruptions in the brain, di ... Full text Cite

On the down-sampling of diffusion MRI data along the angular dimension.

Journal Article Magnetic resonance imaging · October 2021 BackgroundIt has been established that the diffusion gradient directions in diffusion MRI should be uniformly distributed in 3D spherical space, so that orientation-dependent diffusion properties (e.g., fractional anisotropy or FA) can be properly ... Full text Cite

Using mobile health technologies to test the association of cocaine use with sexual desire and risky sexual behaviors among people with and without HIV who use illicit stimulants.

Journal Article Drug and alcohol dependence · August 2021 BackgroundCocaine use is broadly associated with risky sexual behavior potentially through elevated sexual desire. Understanding the within-person effects of cocaine on sexual desire and risky sexual behavior and the modification of HIV infection ... Full text Cite

Brain multimodal co-alterations related to delay discounting: a multimodal MRI fusion analysis in persons with and without cocaine use disorder.

Journal Article BMC neuroscience · August 2021 BackgroundDelay discounting has been proposed as a behavioral marker of substance use disorders. Innovative analytic approaches that integrate information from multiple neuroimaging modalities can provide new insights into the complex effects of d ... Full text Cite

Cognitive Impairment among People Who Use Heroin and Fentanyl: Findings from the Miami Adult Studies on HIV (MASH) Cohort.

Journal Article Journal of psychoactive drugs · July 2021 Background: Cognitive impairment is common in people living with HIV (PLWH). Opioid drugs exert direct and indirect effects on cognitive processes, which may contribute to cognitive dysfunction among PLWH. This study was designed to determine if opi ... Full text Cite

Hypoactivation in the precuneus and posterior cingulate cortex during ambiguous decision making in individuals with HIV.

Journal Article Journal of neurovirology · June 2021 People with human immunodeficiency virus (HIV) often have neurocognitive impairment. People with HIV make riskier decisions when the outcome probabilities are known, and have abnormal neural architecture underlying risky decision making. However, ambiguous ... Full text Cite

Examining the Potential of Pre-exposure Prophylaxis (PrEP) for HIV Prevention in a Community Sample of Persons Who Use Stimulants Living in the Southern United States.

Journal Article AIDS Behav · May 2021 Pre-exposure prophylaxis (PrEP), a highly effective HIV prevention strategy, is currently underutilized by several at-risk groups, including both persons who inject drugs and those who use drugs via other routes. Stimulant use is associated with increased ... Full text Link to item Cite

Web-Based Cognitive Training to Improve Working Memory in Persons with Co-Occurring HIV Infection and Cocaine Use Disorder: Outcomes from a Randomized Controlled Trial.

Journal Article AIDS and behavior · May 2021 Neurocognitive impairment (NCI) remains a persistent complication of HIV disease that nearly half of persons with HIV experience, and rates are even higher in persons who use substances such as cocaine. Cognitive training is a promising intervention for HI ... Full text Cite

Food Insecurity and Cognitive Impairment in the Miami Adult Studies on HIV (MASH) Cohort.

Journal Article The Journal of nutrition · April 2021 BackgroundFood insecurity is a social determinant of health associated with cognitive impairments in older adults and people living with HIV (PLWH). Few studies have examined this relation longitudinally, and no studies have explored how the frequ ... Full text Cite

Experiences With Smoking Cessation Attempts and Prior Use of Cessation Aids in Smokers With HIV: Findings From a Focus Group Study Conducted in Durham, North Carolina.

Journal Article AIDS Educ Prev · April 2021 Cigarette smoking remains disproportionately prevalent and is increasingly a cause of death and disability among people with HIV (PWH). Many PWH are interested in quitting, but interest in and uptake of first-line smoking cessation pharmacotherapies are va ... Full text Open Access Link to item Cite

Cigarette Smoking and Cessation-Related Interactions With Health Care Providers in the Context of Living With HIV: Focus Group Study Findings.

Journal Article J Assoc Nurses AIDS Care · March 2021 Smoking is disproportionately prevalent among people living with HIV (PLWH) compared with the general population. We conducted five focus groups (n = 24) using semi-structured interview guides to explore perceptions and experiences of smoking and cessation ... Full text Open Access Link to item Cite

Machine learning prediction of neurocognitive impairment among people with HIV using clinical and multimodal magnetic resonance imaging data.

Journal Article J Neurovirol · February 2021 Diagnosis of HIV-associated neurocognitive impairment (NCI) continues to be a clinical challenge. The purpose of this study was to develop a prediction model for NCI among people with HIV using clinical- and magnetic resonance imaging (MRI)-derived feature ... Full text Link to item Cite

Synergistic effects of HIV and marijuana use on functional brain network organization.

Journal Article Progress in neuro-psychopharmacology & biological psychiatry · January 2021 HIV is associated with disruptions in cognition and brain function. Marijuana use is highly prevalent in HIV but its effects on resting brain function in HIV are unknown. Brain function can be characterized by brain activity that is correlated between regi ... Full text Cite

Perceived Healthcare Access among Persons with and without HIV Who Use Illicit Stimulants: The Role of Cumulative Risk.

Journal Article Substance use & misuse · January 2021 Background: Persons who use stimulant drugs have greater morbidity and mortality relative to non-users. HIV infection has the potential to contribute to even great disparity in health outcomes among persons who use stimulants. These health dispariti ... Full text Cite

Reciprocal Influences of HIV and Cannabinoids on the Brain and Cognitive Function.

Journal Article Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · December 2020 Globally, cannabis is the most commonly used illicit drug, with disproportionately high use among persons with HIV. Despite advances in HIV care, nearly half of persons living with HIV continue to experience neurocognitive deficits or impairments that may ... Full text Cite

Tryptophan degradation is associated with risk-taking propensity in methamphetamine users with treated HIV infection.

Journal Article Journal of neurovirology · October 2020 Few studies have examined neuroimmune pathways that could contribute to impulsivity in people living with HIV who use substances. Eighty-four methamphetamine-using, sexual minority men with an undetectable HIV viral load were administered the Balloon Analo ... Full text Cite

HIV Prevalence and Associated Risks in a Respondent-Driven Sample of Illicit Stimulant Users in a Southern United States City.

Journal Article AIDS and behavior · August 2020 Stimulant abuse is a major contributor to HIV transmission in the United States, yet HIV prevalence among persons who use illicit stimulants remains unknown. We implemented respondent driven sampling (RDS) to estimate the prevalence of HIV infection in thi ... Full text Cite

Neural sensitivity to risk in adults with co-occurring HIV infection and cocaine use disorder.

Journal Article Cognitive, affective & behavioral neuroscience · August 2020 Persons with co-occurring HIV infection and cocaine use disorder tend to engage in riskier decision-making. However, the neural correlates of sensitivity to risk are not well-characterized in this population. The purpose of this study was to examine the ne ... Full text Cite

Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance.

Journal Article The International journal on drug policy · January 2020 BackgroundIn Kenya, the prevalence of alcohol use disorder (AUD) is close to 6%, but a notable treatment gap persists. AUD is especially pronounced among men, leading to negative consequences at both individual and family levels. This study examin ... Full text Cite

Cocaine-related alterations in fronto-parietal gray matter volume correlate with trait and behavioral impulsivity.

Journal Article Drug and alcohol dependence · January 2020 BackgroundChronic cocaine use is associated with structural brain abnormalities within prefrontal regions implicated in impulsivity. Despite high levels of impulsivity among persons who use cocaine, it is not known how reductions in gray matter vo ... Full text Cite

Synergistic effects of marijuana abuse and HIV infection on neural activation during a cognitive interference task.

Journal Article Addict Biol · November 2019 Marijuana use, which is disproportionately prevalent among human immunodeficiency virus (HIV)-infected persons, can alter activity in fronto-parietal regions during cognitively demanding tasks. While HIV is also associated with altered neural activation, i ... Full text Link to item Cite

Sexual Orientation, Religious Coping, and Drug Use in a Sample of HIV-Infected African-American Men Living in the Southern USA.

Journal Article Journal of religion and health · August 2019 Religiosity and spirituality are associated with reduced drug use in the general population, but it is unclear whether this relationship generalizes to sexual minorities. This study investigated the relationship between religious coping, drug use, and sexu ... Full text Cite

Reward and executive control network resting-state functional connectivity is associated with impulsivity during reward-based decision making for cocaine users.

Journal Article Drug and alcohol dependence · January 2019 BackgroundCocaine addiction is related to impulsive decision making that is mediated by brain circuitry involved in reward processing and executive functions, such as cognitive control and attentional salience. Resting-state functional connectivit ... Full text Cite

A Comparison of Motivations for Marijuana Use in HIV-Positive and HIV-Negative Adults.

Journal Article AIDS and behavior · September 2018 While medicinal marijuana use is common among persons with HIV, it is not known whether persons with HIV are more motivated to use marijuana medically compared to HIV-negative counterparts. This study examined motivations for marijuana use in a sample of 9 ... Full text Cite

Structural connectome differences in HIV infection: brain network segregation associated with nadir CD4 cell count.

Journal Article J Neurovirol · August 2018 This study investigated structural brain organization using diffusion tensor imaging (DTI) in 35 HIV-positive and 35 HIV-negative individuals. We used global and nodal graph theory metrics to investigate whether HIV was associated with differences in brain ... Full text Link to item Cite

Memory Impairment in HIV-Infected Individuals with Early and Late Initiation of Regular Marijuana Use.

Journal Article AIDS and behavior · May 2018 Marijuana use is disproportionately prevalent among HIV-infected individuals. The strongest neurocognitive effect of marijuana use is impairment in the domain of memory. Memory impairment is also high among HIV-infected persons. The present study examined ... Full text Cite

Facilitators and Barriers to Naloxone Kit Use Among Opioid-Dependent Patients Enrolled in Medication Assisted Therapy Clinics in North Carolina.

Journal Article North Carolina medical journal · May 2018 BACKGROUND Naloxone-an opioid antagonist that reverses the effects of opioids-is increasingly being distributed in non-medical settings. We sought to identify the facilitators of, and barriers to, opioid users using naloxone kits in North Carolina.< ... Full text Cite

Cocaine and HIV are independently associated with neural activation in response to gain and loss valuation during economic risky choice.

Journal Article Addict Biol · March 2018 Stimulant abuse is disproportionately common in HIV-positive persons. Both HIV and stimulants are independently associated with deficits in reward-based decision making, but their interactive and/or additive effects are poorly understood despite their prev ... Full text Link to item Cite

Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making.

Journal Article Drug Alcohol Depend · September 1, 2017 BACKGROUND: Both HIV infection and chronic cocaine use alter the neural circuitry of decision making, but the interactive effects of these commonly comorbid conditions have not been adequately examined. This study tested how cocaine moderates HIV-related n ... Full text Link to item Cite

The role of substance use coping in the relation between childhood sexual abuse and depression among methamphetamine users in South Africa.

Journal Article Psychological trauma : theory, research, practice and policy · July 2017 ObjectiveChildhood sexual abuse (CSA) is a critical global health issue associated with poor psychosocial outcomes. Individuals with CSA histories are at risk for drug use, which is a growing problem in the Western Cape of South Africa. The presen ... Full text Cite

The Acceptability and Potential Utility of Cognitive Training to Improve Working Memory in Persons Living With HIV: A Preliminary Randomized Trial.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2017 HIV-associated neurocognitive impairments that impact daily function persist in the era of effective antiretroviral therapy. Cognitive training, a promising low-cost intervention, has been shown to improve neurocognitive functioning in some clinical popula ... Full text Cite

Cocaine dependence does not contribute substantially to white matter abnormalities in HIV infection.

Journal Article J Neurovirol · June 2017 This study investigated the association of HIV infection and cocaine dependence with cerebral white matter integrity using diffusion tensor imaging (DTI). One hundred thirty-five participants stratified by HIV and cocaine status (26 HIV+/COC+, 37 HIV+/COC- ... Full text Open Access Link to item Cite

Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa.

Journal Article Substance use & misuse · May 2017 BackgroundSouth Africa has experienced a tremendous rise in methamphetamine use since the year 2000. Sex trading is a global phenomenon that has been observed in active drug users and has been associated with risks for HIV infection and violence.< ... Full text Cite

Food Insecurity Is Associated with Cognitive Deficits Among HIV-Positive, But Not HIV-Negative, Individuals in a United States Sample.

Journal Article AIDS and behavior · March 2017 People living with HIV/AIDS (PLWHA) in the United States (US) have disproportionately high rates of food insecurity (FI). In the general population, FI has been associated with cognitive impairment among older adults and may exacerbate HIV-associated neuro ... Full text Cite

Resting state functional connectivity among cocaine users

Conference Drug and Alcohol Dependence · February 2017 Full text Cite

Heterosexual Anal Sex Among Men and Women in Substance Abuse Treatment: Secondary Analysis of Two Gender-Specific HIV-Prevention Trials.

Journal Article Journal of sex research · January 2017 Receptive anal sex has high human immunodeficiency virus (HIV) transmission risk, and heterosexual substance-abusing individuals report higher anal sex rates compared to their counterparts in the general population. This secondary analysis evaluated the ef ... Full text Cite

Intimate partner violence among men and women who use methamphetamine: A mixed-methods study in South Africa.

Journal Article Drug and alcohol review · January 2017 IntroductionThe prevalence of methamphetamine use has risen dramatically in parts of South Africa. Globally, methamphetamine has been linked to intimate partner violence (IPV) and other forms of aggression. The aim of this mixed-methods study was ... Full text Cite

Utility of a brief computerized battery to assess HIV-associated neurocognitive impairment in a resource-limited setting.

Journal Article Journal of neurovirology · December 2016 Despite the persistently high prevalence of neurocognitive impairment in HIV-positive patients, routine HIV care in many resource-limited settings does not include neuropsychological assessment. The objective of this study was to examine the utility of a b ... Full text Cite

HIV Risk Behavior Among Methamphetamine Users Entering Substance Abuse Treatment in Cape Town, South Africa.

Journal Article AIDS and behavior · October 2016 South Africa is experiencing a growing methamphetamine problem, and there is concern that methamphetamine use may accelerate HIV transmission. There has been little research on the HIV prevention needs of methamphetamine users receiving substance abuse tre ... Full text Cite

HIV testing and sero-prevalence among methamphetamine users seeking substance abuse treatment in Cape Town.

Journal Article Drug and alcohol review · September 2016 Introduction and aimsMethamphetamine use is highly prevalent in parts of South Africa, and there is concern this will contribute to the country's substantial HIV epidemic. We examined the feasibility of implementing routine HIV testing at a commun ... Full text Cite

Compensatory activation in fronto-parietal cortices among HIV-infected persons during a monetary decision-making task.

Journal Article Hum Brain Mapp · July 2016 HIV infection can cause direct and indirect damage to the brain and is consistently associated with neurocognitive disorders, including impairments in decision-making capacities. The tendency to devalue rewards that are delayed (temporal discounting) is re ... Full text Link to item Cite

"Nothing Is Free": A Qualitative Study of Sex Trading Among Methamphetamine Users in Cape Town, South Africa.

Journal Article Arch Sex Behav · May 2016 South Africa is facing an established epidemic of methamphetamine, known locally as "tik." Globally, methamphetamine has been linked to high rates of sexual risk behaviors, including sex trading. The goal of this study was to qualitatively examine the expe ... Full text Link to item Cite

A qualitative study of methamphetamine initiation in Cape Town, South Africa.

Journal Article The International journal on drug policy · April 2016 BackgroundDespite a significant rise in methamphetamine use in low- and middle-income countries, there has been little empirical examination of the factors that contribute to individuals' initiation of methamphetamine use in these settings. The go ... Full text Cite

The Impact of Marijuana Use on Memory in HIV-Infected Patients: A Comprehensive Review of the HIV and Marijuana Literatures.

Journal Article Current drug abuse reviews · January 2016 BackgroundThe most robust neurocognitive effect of marijuana use is memory impairment. Memory deficits are also high among persons living with HIV/AIDS, and marijuana is the most commonly used drug in this population. Yet research examining neuroc ... Full text Cite

Adaptation of the Monetary Choice Questionnaire to accommodate extreme monetary discounting in cocaine users.

Journal Article Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · December 2015 Delay discounting, which refers to the phenomenon that rewards decrease in subjective value as the delay associated with their receipt increases, is a paradigm that has been used extensively in substance abuse research to understand impulsive decision maki ... Full text Cite

Primary and Secondary HIV Prevention Among Persons with Severe Mental Illness: Recent Findings.

Journal Article Current HIV/AIDS reports · December 2015 Persons with severe mental illness (SMI) have been disproportionately affected by the HIV epidemic, with higher rates of HIV prevalence and morbidity than the general population. Recent research has advanced our understanding of the complex factors that in ... Full text Cite

The mental health experiences and needs of methamphetamine users in Cape Town: A mixed methods study.

Journal Article South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · September 2015 BackgroundSouth Africa has a burgeoning problem of methamphetamine use, particularly in the Western Cape. Although methamphetamine has been associated with elevated psychological distress, there has been little examination of the mental health nee ... Full text Cite

Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: A mixed-methods study.

Journal Article Drug Alcohol Depend · July 1, 2015 BACKGROUND: Since 2000, there has been a dramatic increase in methamphetamine use in South Africa, but little is known about the experiences of out-of-treatment users. This mixed-methods study describes the substance use histories, addiction symptoms, and ... Full text Link to item Cite

Independent effects of HIV infection and cocaine dependence on neurocognitive impairment in a community sample living in the southern United States.

Journal Article Drug and alcohol dependence · April 2015 BackgroundPrior studies have established that methamphetamine and HIV can have additive deleterious effects on neurocognitive functioning, but there has been relatively little research on other stimulants like cocaine. This study investigated the ... Full text Cite

Mediators of interpersonal violence and drug addiction severity among methamphetamine users in Cape Town, South Africa.

Journal Article Addict Behav · March 2015 South Africa has high rates of interpersonal violence and a rapidly growing methamphetamine epidemic. Previous research has linked experiences of interpersonal violence to higher rates of substance use, and identified mental health constructs as potential ... Full text Link to item Cite

HIV testing behaviors and attitudes among community recruited methamphetamine users in a South African township.

Journal Article AIDS Behav · January 2015 Methamphetamine users in South Africa are at high risk for HIV infection and transmission, but little is known about HIV testing in this population. We examined HIV testing behaviors and attitudes in 362 methamphetamine users recruited using chain referral ... Full text Link to item Cite

Appetite regulatory hormones in women with anorexia nervosa: binge-eating/purging versus restricting type.

Journal Article The Journal of clinical psychiatry · January 2015 ObjectiveAnorexia nervosa is a psychiatric illness characterized by low weight, disordered eating, and hallmark neuroendocrine dysfunction. Behavioral phenotypes are defined by predominant restriction or bingeing/purging; binge-eating/purging type ... Full text Cite

Respondent driven sampling is an effective method for engaging methamphetamine users in HIV prevention research in South Africa.

Journal Article Drug Alcohol Depend · October 1, 2014 BACKGROUND: South Africa, in the midst of the world's largest HIV epidemic, has a growing methamphetamine problem. Respondent driven sampling (RDS) is a useful tool for recruiting hard-to-reach populations in HIV prevention research, but its use with metha ... Full text Link to item Cite

IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.

Journal Article East African medical journal · May 2014 BackgroundPrimary School Action for Better Health (PSABH) became the national HIV prevention curriculum of Kenya in 2005.ObjectiveTo examined implementation of PSABH and student risk behaviour s.SettingMuhuru, a rural division of ... Cite

IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.

Journal Article East African medical journal · May 2014 Primary School Action for Better Health (PSABH) became the national HIV prevention curriculum of Kenya in 2005.To examined implementation of PSABH and student risk behaviour s.Muhuru, a rural division of Nyanza Province.One thousand one hundred and forty s ... Cite

The impact of methamphetamine ("tik") on a peri-urban community in Cape Town, South Africa.

Journal Article Int J Drug Policy · March 2014 BACKGROUND: Over the last decade, South Africa's Western Cape has experienced a dramatic increase in methamphetamine ("tik") use. Our study explored local impressions of the impact of tik use in a peri-urban township community in Cape Town, South Africa. M ... Full text Link to item Cite

Concurrent substance abuse is associated with sexual risk behavior among adults seeking treatment for prescription opioid dependence.

Journal Article The American journal on addictions · January 2014 BackgroundIncreasingly, new HIV infections among people who use drugs are attributed to sexual risk behavior. However, HIV prevention research targeting persons with opioid dependence continues to focus on drug injection practices. Moreover, despi ... Full text Cite

Coping styles and illicit drug use in older adults with HIV/AIDS.

Journal Article Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · December 2013 The prevalence of HIV infection in older adults is increasing; by 2015, over half of adults living with HIV/AIDS in the United States will be over 50. This study describes the prevalence of drug use and examines psychosocial predictors of drug use in a sam ... Full text Cite

Gender differences in heterosexual anal sex practices among women and men in substance abuse treatment.

Journal Article AIDS and behavior · September 2013 Heterosexual anal intercourse (HAI) is an understudied risk behavior among women and men in substance abuse treatment. Rates of HAI for women (n = 441) and men (n = 539) were identified for any, main and casual partners. More men (32.8 %) than women (27.1  ... Full text Cite

Risk patterns preceding diagnosis among newly HIV-diagnosed men who have sex with men in New York City.

Journal Article AIDS patient care and STDs · June 2013 Men who have sex with men (MSM) are at high risk for contracting and transmitting HIV. They are increasingly encouraged to get tested, but understanding of the interplay between HIV testing and risk behavior is limited. One hundred fifty newly HIV-diagnose ... Full text Cite

Reductions in traumatic stress following a coping intervention were mediated by decreases in avoidant coping for people living with HIV/AIDS and childhood sexual abuse.

Journal Article Journal of consulting and clinical psychology · April 2013 ObjectiveTo examine whether (a) Living in the Face of Trauma (LIFT), a group intervention to address coping with HIV and childhood sexual abuse (CSA), significantly reduced traumatic stress over a 1-year follow-up period more than an attention-mat ... Full text Cite

Racial/ethnic differences in the rates and correlates of HIV risk behaviors among drug abusers.

Journal Article Am J Addict · 2013 BACKGROUND: HIV infection disproportionately impacts minorities; yet research on racial/ethnic differences in the prevalence and correlates of HIV risk behaviors is limited. OBJECTIVE: This study examined racial/ethnic differences in the rates of HIV risk ... Full text Link to item Cite

Changes in religious coping and relapse to drug use among opioid-dependent patients following inpatient detoxification.

Journal Article Journal of religion and health · December 2012 Relapse rates remain high among people with opioid dependence. Identifying psychosocial factors associated with outcomes is important for informing behavioral treatments. This study examined religious coping, opioid use, and 12-step participation among 45 ... Full text Cite

Bipolar disorder is associated with HIV transmission risk behavior among patients in treatment for HIV.

Journal Article AIDS and behavior · November 2012 This study examined HIV transmission risk behavior among 63 patients with bipolar disorder (BD), major depressive disorder, and no mood disorder; half had substance use disorders (SUDs). Patients with BD were more likely than others to report unprotected i ... Full text Cite

Methamphetamine use is associated with childhood sexual abuse and HIV sexual risk behaviors among patrons of alcohol-serving venues in Cape Town, South Africa.

Journal Article Drug and alcohol dependence · November 2012 BackgroundSouth Africa's Western Cape has experienced a dramatic increase in methamphetamine ("meth") use over the past decade. There is concern that meth may further fuel the HIV epidemic in this country because of its association with risky sexu ... Full text Cite

Posttraumatic stress disorder symptoms mediate the relationship between traumatic experiences and drinking behavior among women attending alcohol-serving venues in a South African township.

Journal Article Journal of studies on alcohol and drugs · July 2012 ObjectiveSouth Africa has high rates of traumatic experiences and alcohol abuse or dependence, especially among women. Traumatic experiences often result in symptoms of posttraumatic stress disorder (PTSD), and PTSD has been associated with hazard ... Full text Cite

The relationship of manic episodes and drug abuse to sexual risk behavior in patients with co-occurring bipolar and substance use disorders: a 15-month prospective analysis.

Journal Article AIDS and behavior · November 2011 Risky sexual behavior is common among individuals with bipolar and substance use disorders. This 15-month prospective study examined the effects of between-subject differences and within-subject changes in mood symptoms and drug use on sexual risk behavior ... Full text Cite

Individual- and family-level psychosocial correlates of HIV risk behavior among youth in rural Kenya.

Journal Article AIDS and behavior · August 2011 Associations between individual- and family-level psychosocial factors and sexual behavior were examined among 325 adolescents ages 10-18 in rural Kenya. History of sexual activity was reported by 51% of males and 30% of females. Among those reporting sex ... Full text Cite

Mental health and HIV sexual risk behavior among patrons of alcohol serving venues in Cape Town, South Africa.

Journal Article Journal of acquired immune deficiency syndromes (1999) · July 2011 BackgroundAlcohol-serving venues in South Africa provide a location for HIV prevention interventions due to risk factors of patrons in these establishments. Understanding the association between mental health and risk behaviors in these settings m ... Full text Cite

fMRI brain activation during a delay discounting task in HIV-positive adults with and without cocaine dependence.

Journal Article Psychiatry research · June 2011 Cocaine use is associated with poorer HIV clinical outcomes and may contribute to neurobiological impairments associated with impulsive decision making. This study examined the effect of cocaine dependence on brain activation during a delay discounting tas ... Full text Cite

Neurocognitive impairment and medication adherence in HIV patients with and without cocaine dependence.

Journal Article Journal of behavioral medicine · April 2011 Cocaine abuse among HIV patients is associated with faster disease progression and mortality. This study examined the relationship between neurocognitive functioning and medication adherence in HIV patients with (n = 25) and without (n = 39) current cocain ... Full text Cite

Gender differences in the rates and correlates of HIV risk behaviors among drug abusers.

Journal Article Subst Use Misuse · December 2010 This study examined gender differences in the rates and correlates of HIV risk behaviors among 1,429 clients participating in multi-site trials throughout the United States between 2001 and 2005 as part of the National Institute on Drug Abuse-funded Clinic ... Full text Link to item Cite

Let's stay together: relationship dissolution and sexually transmitted diseases among parenting and non-parenting adolescents.

Journal Article Journal of behavioral medicine · December 2010 Relationships influence sexual risk and maternal-child health. Few studies have assessed relationship dissolution and its association with sexually transmitted diseases (STD) among adolescent parents. Our study aimed to describe relationship dissolution am ... Full text Cite

Reductions in alcohol and cocaine use following a group coping intervention for HIV-positive adults with childhood sexual abuse histories.

Journal Article Addiction (Abingdon, England) · November 2010 AimsFew interventions exist to reduce alcohol and non-injection drug use among people living with HIV/AIDS. This study tested the effects of a coping group intervention for HIV-positive adults with childhood sexual abuse histories on alcohol, coca ... Full text Cite

HIV risk behavior in treatment-seeking opioid-dependent youth: results from a NIDA clinical trials network multisite study.

Journal Article Journal of acquired immune deficiency syndromes (1999) · September 2010 ObjectiveTo assess baseline rates of and changes in HIV drug and sexual risk behavior as a function of gender and treatment in opioid-dependent youth.MethodsOne hundred fifty participants were randomly assigned to extended buprenorphine/n ... Full text Cite

Mental health treatment to reduce HIV transmission risk behavior: a positive prevention model.

Journal Article AIDS and behavior · April 2010 Secondary HIV prevention, or "positive prevention," is concerned with reducing HIV transmission risk behavior and optimizing the health and quality of life of people living with HIV/AIDS (PLWHA). The association between mental health and HIV transmission r ... Full text Cite

Stress and coping in HIV-positive former plasma/blood donors in China: a test of cognitive appraisal theory.

Journal Article AIDS and behavior · April 2010 Throughout the 1990s, many villagers in rural China were infected with HIV through commercial plasma/blood donation. These former plasma/blood donors (FPDs) experienced many HIV-related stressors. This study tested a cognitive appraisal model of stress and ... Full text Cite

Testing a social-cognitive model of HIV transmission risk behaviors in HIV-infected MSM with and without depression.

Journal Article Health psychology : official journal of the Division of Health Psychology, American Psychological Association · March 2010 ObjectiveSocial-cognitive models have been used to explain health risk behaviors in numerous populations, including people with HIV. However, these models generally do not account for the influence of clinically significant psychological problems ... Full text Cite

A randomized trial of transcutaneous electric acupoint stimulation as adjunctive treatment for opioid detoxification.

Journal Article Journal of substance abuse treatment · January 2010 This pilot study tested the effectiveness of transcutaneous electric acupoint stimulation (TEAS) as an adjunctive treatment for inpatients receiving opioid detoxification with buprenorphine-naloxone at a private psychiatric hospital. Participants (N = 48) ... Full text Cite

Measurement of self-reported HIV risk behaviors in injection drug users: comparison of standard versus timeline follow-back administration procedures.

Journal Article Journal of substance abuse treatment · January 2010 This study compares the frequencies of retrospective self-reported HIV high-risk drug use and sexual behaviors in 127 out-of-treatment injection drug users using the HIV Risk Questionnaire (HRQ) across two administration methods: (a) a brief standard quant ... Full text Cite

HIV risk behavior in opioid dependent adults seeking detoxification treatment: an exploratory comparison of heroin and oxycodone users.

Journal Article The American journal on addictions · July 2009 Heroin users are at high risk for HIV infection, but little is known about HIV risk in oxycodone users. This study examined HIV risk behaviors in heroin (n = 27) and oxycodone (n = 23) users seeking inpatient detoxification at a private psychiatric hospita ... Full text Cite

A prospective study examining the effects of gender and sexual/physical abuse on mood outcomes in patients with co-occurring bipolar I and substance use disorders.

Journal Article Bipolar disorders · June 2009 ObjectivesPrior research suggests possible gender differences in the longitudinal course of bipolar disorder. This study prospectively examined gender differences in mood outcomes and tested the effects of sexual/physical abuse and posttraumatic s ... Full text Cite

Utilization of medical treatments and adherence to antiretroviral therapy among HIV-positive adults with histories of childhood sexual abuse.

Journal Article AIDS patient care and STDs · April 2009 HIV is a chronic, life-threatening illness that necessitates regular and consistent medical care. Childhood sexual abuse (CSA) is a common experience among HIV-positive adults and may interfere with treatment utilization. This study examined rates and corr ... Full text Cite

Long-term correlates of childhood abuse among adults with severe mental illness: adult victimization, substance abuse, and HIV sexual risk behavior.

Journal Article AIDS and behavior · April 2009 The prevalence of childhood sexual and physical abuse among persons with severe mental illness (SMI) is disproportionately high. Adults with SMI also engage in high rates of HIV risk behaviors. This study examined the association between childhood abuse an ... Full text Cite

Psychosocial predictors of sexual HIV transmission risk behavior among HIV-positive adults with a sexual abuse history in childhood.

Journal Article Archives of sexual behavior · February 2009 Childhood sexual abuse (CSA) is associated with HIV sexual risk behavior. Although many psychosocial correlates of sexual risk among HIV-positive persons have been identified, studies predicting continued risk among HIV-positive adults with histories of CS ... Full text Cite

Depression precipitated by alcohol use in patients with co-occurring bipolar and substance use disorders.

Journal Article The Journal of clinical psychiatry · February 2009 ObjectiveBipolar disorder and substance use disorder frequently co-occur. However, little is known about the near-term effects of substance use on bipolar disorder. Thus, the present study tests whether alcohol use precipitates depression among pa ... Full text Cite

The intergenerational cycle of teenage motherhood: an ecological approach.

Journal Article Health psychology : official journal of the Division of Health Psychology, American Psychological Association · July 2008 ObjectiveDaughters of teenage mothers have increased risk for teenage childbearing, perpetuating intergenerational cycles. Using Ecological Systems Theory, this study prospectively examined risk factors for teenage childbearing among a national sa ... Full text Cite

HIV risk behavior among patients with co-occurring bipolar and substance use disorders: associations with mania and drug abuse.

Journal Article Drug and alcohol dependence · January 2008 BackgroundBipolar and substance use disorders frequently co-occur, and both are associated with impulsivity, impaired judgment, and risk-taking.ObjectivesThis study aimed to: (1) describe the rates of HIV sexual and drug risk behaviors am ... Full text Cite

Psychiatric and psychosocial correlates of sexual risk behavior among adults with severe mental illness.

Journal Article Community mental health journal · April 2007 Persons with severe mental illness (SMI) are disproportionately affected by HIV/AIDS. This study examined multivariate correlates of sexual risk among 152 adults with SMI receiving outpatient psychiatric treatment. Structured interviews assessed psychiatri ... Full text Cite

Substance abuse as a risk factor for HIV sexual risk behavior among persons with severe mental illness: Review of evidence and exploration of mechanisms

Journal Article Clinical Psychology: Science and Practice · March 1, 2007 Persons with severe mental illness (SMI) comprise a growing proportion of the HIV-infected population, likely fueled by high rates of substance abuse. This article documents the rate of HIV infection among persons dually diagnosed with SMI and substance us ... Full text Cite

Outcomes from a group intervention for coping with HIV/AIDS and childhood sexual abuse: reductions in traumatic stress.

Journal Article AIDS and behavior · January 2007 Childhood sexual abuse is common among HIV-infected persons, though few empirically supported treatments addressing sexual abuse are available for men and women with HIV/AIDS. This study reports the outcome from a randomized controlled trial of a group int ... Full text Cite

Community-level HIV prevention for persons with severe mental illness living in supportive housing programs: a pilot intervention study.

Chapter · 2007 Individuals with severe mental illness (SMI) are at risk for HIV/AIDS. Despite the availability of supportive community programs for those with SMI, there have been no published evaluations of community-level HIV prevention trials among this population. A ... Full text Cite

Urban teens: Trauma, posttraumatic growth, and emotional distress among female adolescents.

Journal Article Journal of consulting and clinical psychology · October 2006 Urban teens face many traumas, with implications for potential growth and distress. This study examined traumatic events, posttraumatic growth, and emotional distress over 18 months among urban adolescent girls (N = 328). Objectives were to (a) describe ty ... Full text Cite

A randomized controlled trial of a coping group intervention for adults with HIV who are AIDS bereaved: longitudinal effects on grief.

Journal Article Health psychology : official journal of the Division of Health Psychology, American Psychological Association · September 2006 The authors sought to study the longitudinal effects of a cognitive-behavioral group intervention for coping with AIDS bereavement among a diverse sample of adults who were HIV positive. Participants (N = 267) were randomly assigned to receive the 12-week ... Full text Cite

Sexual risk behavior among persons dually diagnosed with severe mental illness and substance use disorder.

Journal Article Journal of substance abuse treatment · March 2006 Persons dually diagnosed with severe mental illness (SMI) and substance use disorder (SUD) have disproportionately high rates of HIV and other sexually transmitted infections (STIs). This study examined the relationship between multiple sexual risk behavio ... Full text Cite

Negotiating risk: knowledge and use of HIV prevention by persons with serious mental illness living in supportive housing.

Journal Article American journal of community psychology · December 2005 As a population, persons with serious mental illness (SMI) have an elevated risk for HIV infection. However, relatively little is known about how the risk of HIV has affected their lives, how persons with SMI evaluate their HIV risk, and what preventive me ... Full text Cite

Voluntary HIV testing among adults with severe mental illness: frequency and associated factors.

Journal Article AIDS and behavior · December 2005 Adults with severe mental illness (SMI) are disproportionately affected by HIV/AIDS. This study describes the frequency and associated factors of HIV testing among psychiatric outpatients (N = 150) in a small Northeastern city. A structured clinical interv ... Full text Cite

HIV risk behavior among adults with severe mental illness: a systematic review.

Journal Article Clinical psychology review · June 2005 Adults with severe mental illness (SMI) have been disproportionately affected by the HIV/AIDS epidemic. This systematic review of the empirical literature on SMI documents the prevalence and correlates of HIV risk behaviors, discusses clinical implications ... Full text Cite

The influence of pregnancy, sexually transmitted diseases, and human immunodeficiency virus perceived susceptibility patterns on sexual risk reduction for adolescent females

Journal Article Journal of Community Psychology · May 1, 2005 Risky sexual behavior can lead to pregnancy, sexually transmitted diseases (STDs), and human immunodeficiency virus (HIV). Our study of 300 adolescent females takes an integrative approach by incorporating these multiple outcomes to assess the influence of ... Full text Cite

Improvements in health-related quality of life following a group intervention for coping with AIDS-bereavement among HIV-infected men and women.

Journal Article Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · May 2005 BackgroundAIDS-related bereavement is a severe life stressor that may be particularly distressing to persons themselves infected with HIV. Increasing evidence suggests that psychological health is associated with disease progression, HIV-related s ... Full text Cite

Systematic review of sexual risk among pregnant and mothering teens in the USA: pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy.

Journal Article Social science & medicine (1982) · February 2005 Behaviors that lead to teen pregnancy also place young women at risk for STDs and repeat pregnancy. Compared to the broad literature on adolescent sexual risk behavior, our understanding of sexual risk in pregnant/mothering teens lags far behind. Primary o ... Full text Cite

Prevalence, course, and predictors of emotional distress in pregnant and parenting adolescents.

Journal Article Journal of consulting and clinical psychology · April 2004 This study examines trajectories and correlates of emotional distress symptoms in pregnant adolescents (n = 203) and nulliparous adolescents (n = 188) from economically disadvantaged communities over an 18-month period. For both groups, the prevalence of s ... Full text Cite

New sex partner acquisition and sexually transmitted disease risk among adolescent females.

Journal Article The Journal of adolescent health : official publication of the Society for Adolescent Medicine · March 2004 PurposeTo determine the association between new sex partner acquisition and incident STDs, to describe predictors of acquiring a new sex partner, and to compare new and established sex partnerships among adolescent females.MethodsIntervie ... Full text Cite

Short and long-term impact of adolescent pregnancy on postpartum contraceptive use: implications for prevention of repeat pregnancy.

Journal Article The Journal of adolescent health : official publication of the Society for Adolescent Medicine · November 2003 PurposeTo describe patterns and changes in contraceptive use among pregnant adolescents in early and later postpartum compared with nonpregnant adolescents.MethodsOne-hundred-seventy-six pregnant and 187 nonpregnant adolescents, recruited ... Full text Cite

Adolescent oral sex, peer popularity, and perceptions of best friends' sexual behavior.

Journal Article Journal of pediatric psychology · June 2003 ObjectiveTo provided initial descriptive information regarding adolescents' engagement in oral sex and to investigate adolescents' perceptions of their best friends' sexual behavior and peer-reported popularity as two social mechanisms that may in ... Full text Cite

Adherence to antiretroviral therapy among patients with HIV: a critical link between behavioral and biomedical sciences.

Journal Article Journal of acquired immune deficiency syndromes (1999) · December 2002 Rapid advances in biomedical science, such as pharmaceutical developments for HIV disease, must be integrated with advances in behavioral science to further our understanding of medication adherence. This article evaluates the current state of the science ... Full text Cite

Adherence to HAART among patients with HIV: breakthroughs and barriers.

Journal Article AIDS care · June 2002 Highly active antiretroviral therapy (HAART) has been a major breakthrough for the treatment of patients with HIV; however, adherence to treatment remains a formidable barrier. This paper evaluates the current state-of-the-science in adherence to HAART. Ba ... Full text Cite