Effects of cognitive-behavioural therapy on anxiety,depression and condom use in people with HIV in Mexico City: a pilot study

Anxiety and depression in people living with HIV (PLWH) are negatively associated with healthy sexual behaviours. We pilot-tested a Cognitive-Behavioural Therapy (CBT)-based intervention to reduce anxiety and depression, aimed to increase serostatus disclosure to sexual partners, quality of sexual life (QoSL) and condom use. The study had a single-case experimental design (AB) with follow-up measures. Eleven PLWH with moderate/severe anxiety/depression received six-module CBT intervention delivered in ten one-hour individual weekly sessions. Anxiety, depression, consistent/correct condom use and QoSL were measured. Depression and anxiety decreased after the intervention (depression baseline [BL] Mdn = 21, final [F] Mdn = 3, z = -2.934, p = .003; anxiety BL Mdn = 30, F Mdn = 4, z = -2.941, p = .003). QoSL improved (BL Mdn = 28, F Mdn = 13, z = -2.625, p = .009), along with participants’ ability to use condoms (57.14 vs.100, z = -2.937, p = .003). Effect size was large, changes were maintained at follow-up measurements. The CBT intervention had positive effects in reducing anxiety and depression, which could facilitate the acquisition of healthy sexual behaviours. Further studies are important to clarify the benefits of targeting emotional variables to improve wellbeing and prevention behaviours in PLWH.     

Experiencing extinction within a task makes nonextinguished information learned within a different task context-dependent

In two experiments with rats, we analyzed the effect of experiencing extinction in one task on the context specificity of a new association learned within a different task. Rats were trained to run in a runway for water in Task 1, and received taste aversion conditioning in Task 2 (the tasks were reversed in Exp. 2). Half of the rats received conditioning and extinction of Task 1 in Context A, whereas the other half received no extinction. Then all animals received training in the alternate task in Context B, prior to testing in Context C. When they were tested in Context C, Task 2 performance was attenuated if Task 1 had been extinguished prior to Task 2. These results are similar to those we have reported in humans, and consistent with the idea that extinction prompts attention to contexts, regardless of whether or not the contexts were involved in extinction.     

被遗忘的《古兰经》文化

文化是否能够改变文明，就像人类一样，个人或家族经历中曾被抑制的因素会留下印记，甚至会在当今引发混乱？对上述两种情况，我们是否可以提出假设：以往未解决的冲突和“被遗忘的”，即被抑制的渊源会在当下以不满、冲突和激情的方式重现显现出来？