1.5 CE credits earned with successful completion of the Post Webinar Evaluation and Post Webinar Quiz
Thursday, May 17th, 2018
11am – 12:30 pm Eastern/ 10am – 11:30 am Central/ 9 am – 10:30 am Mountain/ 8 am – 9:30 am Pacific
Title: Intersecting Epidemics: Evidenced Based Approaches for Treating Depression and HIV/AIDS
Audience Level: Intermediate
Presenter and Affiliation: Steve Safren, PhD
- The prevalence of depression and other psychiatric disorders is elevated in medical illness in general and HIV in particular. Additionally, depression, in the context of chronic illness, is associated with worse self-care and adherence behaviors, which therefore can lead to increased morbidity. Evidenced based psychosocial interventions can be a useful component to managing depression and self-care in the context of medical illness, and approaches used in HIV can be applied to other illnesses. In HIV, the major self-care behaviors are adherence to daily medications and managing sexual transmission risk. The present webinar will first review data on depression comorbid with HIV, including prevalence estimates, and data on its association with adherence. It will then provide an overview of one studied intervention, Cognitive-behavioral therapy for adherence and depression (CBT-AD), and review data on its efficacy. It will also discuss other approaches to managing depression in HIV, including medications, and data on the outcomes of these approaches. It will conclude by discussion depression and additional comorbidities in individuals living with HIV who do not benefit from antiretroviral therapy.
At the conclusion of this webinar, participants will be able to:
1. Learn specific information about the prevalence of depression in HIV and its effect on adherence.
2. Understand the rationale and need for using integrated interventions that address both health behavior change and comorbid mental health challenges to maximize benefit in health promotion and care.
3. Learn data on outcomes of interventions that address depression and adherence to HIV treatment in diverse settings.
About the Presenter:
Dr. Steven Safren is a clinical psychologist with expertise in health-related behavior change and a particular focus on psychosocial (mental health and substance use) comorbidities related to HIV prevention and treatment both domestically and internationally. He earned his Ph.D. from SUNY Albany, and did internship and post-doctoral fellowship at Massachusetts General Hospital/Harvard Medical School. Currently he is a Professor of Psychology at the University of Miami (UM) and the Co-Director of the UM Center for AIDS Research (CFAR) Behavioral/Social Sciences and Community Outreach Core. Before moving to the University of Miami in August 2015, he was the founding Director of the current MGH Behavioral Medicine Service at Massachusetts General Hospital (MGH) and of the Harvard University Behavioral and Social Science Core for the Harvard University CFAR. He has been, at the time of writing, PI or protocol chair of 15 NIH-funded grants and has authored over 275 peer-reviewed publications in his professional areas of interest. In addition to studies where he has served as PI, he has regularly served as co-PI or mentor on studies related to HIV prevention and treatment, work with other medical illnesses, and on cognitive behavioral approaches to managing adult and adolescent ADHD. Dr. Safren has co-authored books on CBT with LGBT individuals, integrating CBT with motivational interviewing, has an edited book on behavioral medicine interventions across various illnesses. He has co-authored two sets of published treatment manuals on CBT for treating depression and adherence in chronic illness and on treating adult ADHD respectively. Additionally, Dr. Safren is currently the Publications Coordinator for ABCT and an Associate Editor for Journal of Consulting and Clinical Psychology, and he has served as Editor and Associate Editor for ABCT’s clinical journal, Cognitive and Behavioral Practice.
Books and clinical resources for Cognitive Behavioral Therapy with Depression and Chronic Illness
1.Safren SA, Gonzalez JS, Soroudi N. Coping with Chronic Illness: Cognitive behavioral therapy for adherence and depression in individuals with chronic illness, Client Workbook. 2007, Oxford University Press.
2.Safren SA, Gonzalez JS, Soroudi N. Coping with Chronic Illness: Cognitive behavioral therapy for adherence and depression in individuals with chronic illness, Therapist Guide. 2007, Oxford University Press.
3.Newcomb ME, Bedoya CA, Blashill A, Lerner JA, O’Cleirigh C, Pinkston MM, Safren SA. Description and demonstration of cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV-infected adults. Cognitive and Behavioral Practice. 2015; 22(4): 430-438.
- Safren SA, O’Cleirigh CM, Bullis JR, Otto MS, Stein MD, Pollack MH. Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in HIV-infected Injection Drug Users: A Randomized Controlled Trial. Journal of Consulting and Clinical Psychology. 2012; 80(3): 404-415.
- Safren SA, Bedoya CA, O'Cleirigh C, Biello KB, Pinkston MM, Stein MD, Traeger L, Kojic E, Robbins GK, Lerner JA, Herman DS, Mimiaga MJ, & Mayer KH. Cognitive behavioural therapy for adherence and depression in patients with HIV: a three-arm randomised controlled trial. Lancet HIV. 2016; 3(11): e529-538.