Cognitive Behavioral Therapy for Body Image and Self-Care (CBT-BISC) Among Sexual Minority Men Living with HIV: Skills-Based Treatment Mediators

Cognitive Therapy and Research - 2019
Patrycja Klimek1, Sabine Wilhelm2, Steven A. Safren3, Aaron J. Blashill1,4
1San Diego State University, University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, USA
2Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, USA
3Department of Psychology, University of Miami, Coral Gables, USA
4San Diego State University, San Diego, USA

Tóm tắt

Individuals develop coping skills in response to body image distress; however, the degree to which body image improvements are mediated by skill acquisition is unknown. The current study assessed skills-based mediators of CBT-BISC (n = 22) versus enhanced treatment-as-usual (n = 22) for sexual minority men with HIV and body image disturbance. Skills-based mediators included avoidance, appearance fixing, and acceptance and cognitive reappraisal. Results revealed that CBT-BISC significantly reduced body image disturbance and improved coping skills. Latent difference score mediation indicated that changes in acceptance and cognitive reappraisal significantly predicted body image disturbance changes (b = −.96, p = .001). These strategies may, therefore, have a unique role in reducing body image disturbance in sexual minority men with HIV. Clinicians may wish to prioritize these strategies in CBT-BISC. Future treatment research, with methodologically rigorous mediation designs, is needed to assess mechanisms of change and consequently improve efficacy.

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