The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDS

Authors

  • Surilena Surilena Department of Psychiatry, Faculty of Medicine, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
  • R Irawati Ismail Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Irwanto Irwanto Department of Psychology, Faculty of Psychology, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
  • Zubairi Djoerban Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Budi Utomo Department of Public Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
  • Sabarinah Sabarinah Department of Public Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
  • Iwan Iwan Department of Public Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
  • Arwin A.P. Akip Department of Pediatric, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

Abstract

Aim: to identify the effectiveness of rational-emotive-behavior-based therapy (REBT-based therapy) on improved mental health and antiretroviral (ART) therapeutic adherence in women infected with HIV/AIDS (female subjects with HIV/AIDS). Methods: a randomized and single-blinded clinical trial in women infected with HIV/AIDS who had their treatment at the outpatient clinic of Pokdiksus AIDS RSCM and at the AIDS Comprehensive Diagnostic Unit of Dharmais Hospital was conducted between October 2011 and March 2012. A block randomization of 160 female subjects with AIDS was performed that resulted in a REBT-based treatment group (n=80) and a control group (n=80). The treatment group received REBT-based intervention of 8 sessions weekly including 6 individual-therapeutic sessions/week and 2 group-therapeutic sessions /week. Instruments used in the study were questionnaires on demography, ART adherence (measured by self report and pill count), and mental health (SRQ-20). Data were analyzed using Chi-Square test, Generalized Linear Model, and Generalized Estimating Equations. Results: there were 148 respondents analyzed including in the REBT-based group (n=72) and in the control group (n=76) with mean age of 33-34 years. After 8 weeks of REBT-based intervention, there was improved (increased) mean value of the self-reported adherence score (self-report) compared to control group (100%; CI 95%,83.3-96.7 vs. 84%; CI 95%,77.5-87.8) and improved (decreased) SRQ-20 mean score in REBT-based treatment group compared to control group (2.9; CI 95%, 2.7-13.0 vs. 5.4; CI 95%: 5.0.-13.6). ART adherence based on viral load titer was not analyzed in both group since most of VL titer were undetected (<400 copies/mL). GLM analysis showed decreased SRQ-20 mean score and increased mean value of self-reported ART adherence (self-report) in the REBT-based treatment group, which were more significant (p<0.000) than control group on the 8th week. GEE analysis showed that 1 point decrement of SRQ-20 would increase self-reported ART adherence as much as 0.722 point and the correlation was statistically significant (p<0.00). Conclusion: after 8 weeks of REBT- based intervention to female subjects with HIV/AIDS, there is a decrease of SRQ-20 mean score which may result in increased ART adherence mean score in the treatment group compared to the control. Key words: ART adherence, HIV/AIDS, women, mental health, REBT.

Downloads

Published

2014-10-01

How to Cite

Surilena, S., Ismail, R. I., Irwanto, I., Djoerban, Z., Utomo, B., Sabarinah, S., Iwan, I., & Akip, A. A. (2014). The Effect of Rational Emotive Behavior Therapy (REBT) on Antiretroviral Therapeutic Adherence and Mental Health in Women Infected with HIV/AIDS. Acta Medica Indonesiana, 46(4). Retrieved from https://www.actamedindones.org/index.php/ijim/article/view/101

Issue

Vol. 46 No. 4 (2014)

Section

ORIGINAL ARTICLE

License

Copyright

The authors who publish this journal agree to the following requirements:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. (See The Effect of Open Access)
Privacy Statement

The names and email addresses entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.