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Randomized Clinical Trial of Cognitive Behavioral Stress Management on Human Immunodeficiency Virus Viral Load in Gay Men Treated With Highly Active Antiretroviral Therapy

Michael H. Antoni, PhD, Adam W. Carrico, MS, Ron E. Durán, PhD, Susan Spitzer, PhD, Frank Penedo, PhD, Gail Ironson, MD, PhD, Mary Ann Fletcher, PhD, Nancy Klimas, MD and Neil Schneiderman, PhD

From the Department of Psychology (M.H.A., A.W.C., R.E.D., S.S., F.P., G.I., N.S.), Department of Psychiatry (M.H.A., G.I., N.S.), and Department of Medicine (M.A.F., N.K., N.S.), University of Miami, Coral Gables, FL.


Figure 122
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  		Figure 1. Participant flow diagram for the present randomized clinical trial.

 

Figure 222
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  		Figure 2. Predicted change in log10 HIV viral load throughout the investigation period in HIV+ men assigned to CBSM + MAT versus those assigned to MAT-Only.

 

Figure 322
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  		Figure 3. Structural equation model explaining associations between changes in depressed mood, medication adherence, and HIV viral load over the study period. The model explained 86.3% of the variance in slope of HIV viral load over the 15-month investigation period. Parameter estimates are unstandardized.

 




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