A preliminary study of spiritual self-schema (3-S(+)) therapy for reducing impulsivity in HIV-positive drug users
Department of Psychiatry
Medical Subject Headings
Adult; Buddhism; Cognitive Therapy; Female; HIV Seropositivity; *Holistic Health; Humans; Male; Methadone; Middle Aged; Motivation; Patient Compliance; *Religion and Psychology; Risk-Taking; Spiritual Therapies; *Spirituality; Substance-Related Disorders; therapy; Treatment Outcome
Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology
The purpose of this study was twofold. First, pretreatment correlations are presented among impulsivity, intoxicant use, HIV risk behavior, spirituality, and motivation in a sample of 38 HIV-positive drug users. Second, treatment outcomes are presented from a preliminary study of spiritual self-schema (3-S(+)) therapy - a manual-guided psychotherapy integrating cognitive and Buddhist psychologies - for increasing motivation for abstinence, HIV prevention, and medication adherence. Impulsivity was negatively correlated with spiritual practices and motivation for recovery, and was positively related to intoxicant use and HIV risk behavior. Relative to a standard care comparison condition, patients completing 3-S(+) therapy reported greater decreases in impulsivity and intoxicant use, and greater increases in spiritual practices and motivation for abstinence, HIV prevention, and medication adherence.
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Citation: J Clin Psychol. 2007 Oct;63(10):979-99. Link to article on publisher's site
Margolin, Arthur; Schuman-Olivier, Zev; Beitel, Mark; Arnold, Ruth M.; Fulwiler, Carl E.; and Avants, S. Kelly, "A preliminary study of spiritual self-schema (3-S(+)) therapy for reducing impulsivity in HIV-positive drug users" (2007). Systems and Psychosocial Advances Research Center Publications and Presentations. Paper 3.