For today's interview, Dr. Wyatt in addition to I talked a fight almost the research, but by in addition to large nosotros talked almost 2 of the techniques that were used inward the clinical trial. The start was a agency of having couples computer program in addition to savour safe sex. The 2nd had to produce alongside addressing past times histories of abuse inside the context of a consensual sexual relationship. It was at this betoken that the conversation moved away from couples therapy into a conversation almost good for yous sexual behaviors. Dr. Wyatt made the betoken that most wellness in addition to mental wellness providers inquire almost a client's "age of start sexual contact" without distinguishing betwixt consensual in addition to non-consensual sexual contact. She pointed out that adolescents sometimes produce non distinguish betwixt the two. She encouraged providers to live on to a greater extent than precise inward their questions, in addition to to discover out if their clients are electrical flow victims of sexual abuse. We almost how to include adolescent clients inward mandated abuse reporting calls if electrical flow abuse is uncovered, in addition to how to address the number of sexual practice amidst adolescents who are victims of past times or electrical flow sexual abuse. And, every bit usual, I asked Dr. Wyatt if she could render unopen to resources for people who were interested inward learning more, in addition to she was happy to oblige.
Download MP3 [26:58]Bio
(from: UCLA Health)
Academic in addition to Clinic titles:
Professor, Dept. of Psychiatry & Biobehavioral Sciences
UCLA Semel Institute for Neuroscience in addition to Human Behavior
Director, UCLA Sexual Health Program
Director, Center for Culture, Trauma in addition to Mental Health Disparities
Associate Director, UCLA AIDS Institute
Dr. Wyatt is a clinical psychologist, sexual practice therapist in addition to professor inward the Department of Psychiatry in addition to Biobehavioral Sciences at UCLA. She was an NIMH Research Scientist Career Development Awardee for 17 years. Her enquiry examines the consensual in addition to abusive sexual relationships of women in addition to men, the effects of these experiences on their psychological well-being, in addition to the cultural context of risks for sexually-transmitted diseases in addition to HIV. She has conducted national in addition to international enquiry since 1980, funded past times the National Institutes of Mental Health, the National Institute of Drug Abuse, terra firma in addition to private foundations. The recipient of numerous awards, Dr. Wyatt has to her credit to a greater extent than than 110 magazine articles in addition to majority chapters, in addition to has co-edited or written 5 books, including Stolen Women: Reclaiming our Sexuality, Taking Back Our Lives and No More Clueless Sex: 10 Secrets to a Sex Life That Works for Both of You. Dr. Wyatt is an Associate Director of the UCLA AIDS Institute in addition to coordinates a core of behavioral scientists who consult alongside other researchers to recruit underserved populations in addition to behave enquiry that effectively incorporates socio-cultural factors into HIV/AIDS research. Dr. Wyatt has received numerous awards in addition to honors for her scientific accomplishments, mentoring, in addition to teaching. She has likewise testified earlier the US Congress viii times on issues related to wellness policy. She was the start African-American adult woman to live on licensed every bit a psychologist inward the terra firma of California.
Transcript
Introduction
Jonathan Singer: In today's Social Work Podcast I speak alongside Dr. Gail Wyatt, pioneering sexual practice researcher, respect winning teacher, mentor, in addition to researcher, in addition to the start African-American adult woman to live on licensed every bit a psychologist inward the terra firma of California. I spoke alongside Dr. Wyatt inward Apr 2010 when she was at Temple University giving a utter almost her enquiry alongside African American HIV serodiscordant couples. Serodiscordant couples are those inward which i partner is HIV positive in addition to the other is HIV negative. Dr. Wyatt in addition to her co-investigators had simply concluded an 8-years investigation of a couples therapy intervention that they hoped would trim back HIV/STD adventure behaviors inward African American HIV serodiscordant couples. They called the intervention Eban which is "a traditional African concept important “fence,” a symbol of safety, security, in addition to beloved inside one’s theater unit of measurement in addition to human relationship space" (El-Bassel et al., 2010, p. 1596) The Eban intervention combined components of social cognitive theory, historical in addition to cultural beliefs almost theater unit of measurement in addition to community preservation, in addition to an Afrocentric paradigm. If yous desire to read to a greater extent than almost the Eban intervention or the results of this clinical trial I’ve posted the links to those in addition to related articles on the Social Work Podcast website. So, you’re in all probability wondering, after 8 years did it work? Yes. At the cease of 8 years, in addition to 535 couples later, the couples that were business office of the Eban intervention used condoms to a greater extent than often in addition to to a greater extent than consistently in addition to reported fewer sexual acts without condoms than the couples inward the wellness advertisement comparing group. And I have got no dubiety that when the researchers finished running those analyses, they went "Phew! Thank Goodness!" For today's interview, Dr. Wyatt in addition to I talked a fight almost the research, but by in addition to large nosotros talked almost 2 of the techniques that were used inward the clinical trial. The start was a agency of having couples computer program in addition to savour safe sex. The 2nd had to produce alongside addressing past times histories of abuse inside the context of a consensual sexual relationship. It was at this betoken that the conversation moved away from couples therapy into a conversation almost good for yous sexual behaviors. Dr. Wyatt made the betoken that most wellness in addition to mental wellness providers inquire almost a client’s "age of start sexual contact" without distinguishing betwixt consensual in addition to non-consensual sexual contact. She pointed out that adolescents sometimes produce non distinguish betwixt the two. She encouraged providers to live on to a greater extent than precise inward their questions, in addition to to discover out if their clients are electrical flow victims of sexual abuse. We almost how to include adolescent clients inward mandated abuse reporting calls if electrical flow abuse is uncovered, in addition to how to address the number of sexual practice amidst adolescents who are victims of past times or electrical flow sexual abuse. And, every bit usual, I asked Dr. Wyatt if she could render unopen to resources for people who were interested inward learning more, in addition to she was happy to oblige.
And now, without farther ado, on to episode 83 of the Social Work Podcast, "Sex, Relationships, in addition to HIV: Interview alongside Gail Wyatt, Ph.D."
Wyatt, G. E., Gómez, C. A., Hamilton, A. B., Valencia-Garcia, D., Gant, L. M., & Graham, C. E. (2013). The intersection of gender in addition to ethnicity inward HIV risk, interventions, in addition to prevention: novel frontiers for psychology. The American Psychologist, 68, 247–260. doi:10.1037/a0032744
Wyatt, G. E., Williams, J. K., Gupta, A., & Malebranche, D. (2012). Are cultural values in addition to beliefs included inward U.S. based HIV interventions? Preventive Medicine, 55(5), 362–370. doi:10.1016/j.ypmed.2011.08.021
APA (6th ed) citation for this podcast:
Singer, J. B. (Producer). (2013, August 7). #83 - Sex, relationships, in addition to HIV: Interview alongside Gail Wyatt, Ph.D. [Audio Podcast]. Social Work Podcast. Retrieved from /search?q=gail-wyatt
And now, without farther ado, on to episode 83 of the Social Work Podcast, "Sex, Relationships, in addition to HIV: Interview alongside Gail Wyatt, Ph.D."
Interview
(forthcoming)References in addition to Resources
El-Bassel, N., Jemmott, J. B., Landis, J. R., Pequegnat, W., Wingood, G. M., Wyatt, G. E., … NIMH Multisite HIV/STD Prevention Trial for African American Couples Group. (2010). National Institute of Mental Health Multisite Eban HIV/STD Prevention Intervention for African American HIV Serodiscordant Couples: a cluster randomized trial. Archives of Internal Medicine, 170, 1594–1601. doi:10.1001/archinternmed.2010.261BACKGROUND: Human immunodeficiency virus (HIV) has disproportionately affected African Americans. Couple-level interventions may live on a promising intervention strategy. METHODS: To create upward one's take away heed if a behavioral intervention tin sack trim back HIV/sexually transmitted illness (STD) adventure behaviors amidst African American HIV serodiscordant couples, a cluster randomized controlled trial (Eban) was conducted inward Atlanta, Georgia; Los Angeles, California; New York, New York; in addition to Philadelphia, Pennsylvania; alongside African American HIV serodiscordant heterosexual couples who were eligible if both partners were at to the lowest degree eighteen years quondam in addition to reported unprotected intercourse inward the previous xc days in addition to awareness of each other’s serostatus. One M 70 participants were enrolled (mean age, 43 years; 40% of manly somebody participants were HIV positive). Couples were randomized to 1 of 2 interventions: couple-focused Eban HIV/STD risk-reduction intervention or attention-matched individual-focused wellness advertisement comparison. The primary outcomes were the proportion of condom-protected intercourse acts in addition to cumulative incidence of STDs (chlamydia, gonorrhea, or trichomonas). Data were collected preintervention in addition to postintervention, in addition to at 6- in addition to 12-month follow-ups. RESULTS: Data were analyzed for 535 randomized couples: 260 inward the intervention grouping in addition to 275 inward the comparing group; 81.9% were retained at the 12-month follow-up. Generalized estimating equation analyses revealed that the proportion of condom-protected intercourse acts was larger amidst couples inward the intervention grouping (0.77) than inward the comparing grouping (0.47; adventure ratio, 1.24; 95% confidence interval [CI], 1.09 to 1.41; P = .006) when adjusted for the baseline standard measure. The adjusted percent of couples using condoms consistently was higher inward the intervention grouping (63%) than inward the comparing grouping (48%; adventure ratio, 1.45; 95% CI, 1.24 to 1.70; P <.001). The adjusted hateful number of (log)unprotected intercourse acts was lower inward the intervention grouping than inward the comparing grouping (mean difference, -1.52; 95% CI, -2.07 to -0.98; P < .001). The cumulative STD incidence over the 12-month follow-up did non differ betwixt couples inward the intervention in addition to comparing groups. The overall HIV seroconversion at the 12-month follow-up was 5 (2 inward the intervention group, three inward the comparing group) of 535 individuals, which translates to 935 per 100,000 population. CONCLUSION: To our knowledge, this is the start randomized controlled intervention trial to written report important reductions inward HIV/STD adventure behaviors amidst African American HIV serodiscordant couples. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00644163.Loeb, T. B., Gaines, T., Wyatt, G. E., Zhang, M., & Liu, H. (2011). Associations betwixt kid sexual abuse in addition to negative sexual experiences in addition to revictimization amidst women: does measuring severity matter? Child Abuse & Neglect, 35, 946–955. doi:10.1016/j.chiabu.2011.06.003. Free Article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3262588/
ABSTRACT: Women alongside histories of kid sexual abuse (CSA) are to a greater extent than probable than those without such experiences to written report a multifariousness of negative sexual outcomes. This study examines the explanatory mightiness of a CSA summed composite versus dichotomous (presence/absence) measure inward predicting a comprehensive negative sexual behaviour outcome. Study participants were obtained from a community based sample examining women’s sexual decision-making. The continuous CSA measure reflects cumulative histories of CSA through a composite score capturing abuse specific characteristics. Using a cross-validation approach, the sample (n=835) was randomly carve upward in addition to the explanatory mightiness of each mensurate was examined through a serial of multiple linear regressions comparing model fit indexes in addition to performing a formal likelihood ratio essay out of i model against another. All CSA measures explained a similar percent of variance but overall the CSA summed composite explained the information significantly meliorate inward damage predicting negative sexual experiences in addition to revictimization than a binary mensurate every bit demonstrated alongside the likelihood ratio test. The results were replicated past times cross-validating the predictive mightiness of the CSA composite score betwixt the carve upward samples. Consistency of CSA regression estimates for the summed composite betwixt preparation in addition to validation samples were likewise confirmed. Given the superiority of the CSA summed composites over the binary variable, nosotros recommend using this mensurate when examining associations betwixt CSA histories in addition to negative sexual experiences in addition to revictimization.Williams, J. K., Glover, D. A., Wyatt, G. E., Kisler, K., Liu, H., & Zhang, M. (2013). H5N1 Sexual Risk in addition to Stress Reduction Intervention Designed for HIV-Positive Bisexual African American Men With Childhood Sexual Abuse Histories. American Journal of Public Health, 103, 1476–1484. doi:10.2105/AJPH.2012.301121
ABSTRACT: Objectives. HIV transmission adventure is high amidst men who have got sexual practice alongside men in addition to women (MSMW), in addition to it is farther heightened past times a history of childhood sexual abuse (CSA) in addition to electrical flow traumatic stress or depression. Yet, traumatic stress is rarely addressed inward HIV interventions. We tested a stress-focused sexual adventure reduction intervention for African American MSMW alongside CSA histories. Methods. This randomized controlled trial compared a stress-focused sexual adventure reduction intervention alongside a full general wellness advertisement intervention. Sexual adventure behaviors, psychological symptoms, stress biomarkers (urinary cortisol in addition to catecholamines), in addition to neopterin (an indicator of HIV progression) were assessed at baseline in addition to at 3- in addition to 6-month follow-ups. Results. Both interventions decreased in addition to sustained reductions inward sexual adventure in addition to psychological symptoms. The stress-focused intervention was to a greater extent than efficacious than the full general wellness advertisement intervention inward decreasing unprotected anal insertive sexual practice in addition to reducing depression symptoms. Despite randomization, baseline grouping differences inward CSA severity, psychological symptoms, in addition to biomarkers were found in addition to linked to subsequent intervention outcomes. Conclusions. Although interventions designed specifically for HIV-positive African American MSMW tin sack atomic number 82 to improvements inward wellness outcomes, hereafter enquiry is needed to examine factors that influence intervention effects.NIMH Multisite HIV/STD Prevention Trial for African American Couples Group. (2008). Eban wellness advertisement intervention: conceptual soil in addition to procedures. Journal of Acquired Immune Deficiency Syndromes (1999), 49 Suppl 1, S28–34. doi:10.1097/QAI.0b013e3181842548 Free Article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2814167/
OBJECTIVE: This article concerns the wellness advertisement intervention that served every bit the comparing status inward Project Eban, the NIMH Multisite HIV/STD Prevention Trial for African American Couples. Considerable enquiry has documented the high rates of chronic diseases, including catch disease, cancer, stroke, in addition to diabetes, amidst African Americans. Many of these diseases are tied to behavioral adventure factors-the things that people produce or produce non do, their diet, the amount of exercise they get, in addition to their amount role practices. DESIGN: The Eban Health Promotion Intervention was designed to increase healthful behaviors, including physical activity, healthful dietary practices, ceasing cigarette smoking in addition to alcohol abuse, practicing early on detection in addition to screening behaviors, in addition to improving medication adherence. As a comparing condition, the Eban Health Promotion Intervention was designed to live on structurally similar to the Eban HIV/STD Risk Reduction Intervention. METHODS: This article describes the intervention in addition to how it was developed, integrating social cognitive theory alongside information collected inward formative enquiry to ensure that the intervention was appropriate for African Americans affected past times HIV. CONCLUSION: Project Eban non solely tests the efficacy of an HIV/STD adventure reduction intervention for African American serodiscordant couples, but likewise tests the efficacy of an intervention addressing many of the other wellness problems mutual inward this population.
Williams, J. K., Wyatt, G. E., & Wingood, G. (2010). The iv Cs of HIV prevention alongside African Americans: crisis, condoms, culture, in addition to community. Current HIV/AIDS reports, 7(4), 185–193. doi:10.1007/s11904-010-0058-0. Free Article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2938440/
ABSTRACT: HIV/AIDS continues to live on a devastating epidemic alongside African American communities carrying the brunt of the impact. Despite extensive biobehavioral research, electrical flow strategies have got non resulted inward significantly decreasing HIV/AIDS cases amidst African Americans. The side past times side generation of HIV prevention in addition to adventure reduction interventions must displace beyond basic sexual practice instruction in addition to prophylactic role in addition to availability. Successful interventions targeting African Americans must optimize strategies that integrate socio-cultural factors in addition to address institutional in addition to historical barriers that hinder or back upward HIV adventure reduction behaviors. Community-based participatory enquiry to decrease the HIV/AIDS disparity past times edifice community capacity in addition to infrastructure in addition to advocating for in addition to distributing equitably, mightiness in addition to resources, must live on promoted. Recommendations for epitome shifts inward using innovative theories in addition to conceptual frameworks in addition to for preparation researchers, clinicians, grant in addition to magazine reviewers, in addition to community members are made in addition to hence that culturally congruent interventions may live on tested in addition to implemented at the community level.Wyatt, G. E. (2009). Enhancing cultural in addition to contextual intervention strategies to trim back HIV/AIDS amidst African Americans. American Journal of Public Health, 99, 1941–1945. doi:10.2105/AJPH.2008.152181 Free Article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2759808/
ABSTRACT: I depict 4 protective strategies that African Americans employ that may challenge electrical flow HIV prevention efforts: (1) an adaptive duality that protects identity, (2) personal command influenced past times external factors, (3) long-established indirect communication patterns, in addition to (4) a mistrust of “outsiders.” I suggest the Sexual Health Model every bit a conceptual framework for HIV prevention interventions because it incorporates established adaptive coping strategies into novel HIV-related protective skills. The Sexual Health Model promotes interconnectedness, sexual ownership, in addition to trunk awareness, three concepts that stand upward for the context of the African American historical in addition to cultural sense in addition to that lift rather than contradict hereafter prevention efforts.
Wyatt, G. E., Gómez, C. A., Hamilton, A. B., Valencia-Garcia, D., Gant, L. M., & Graham, C. E. (2013). The intersection of gender in addition to ethnicity inward HIV risk, interventions, in addition to prevention: novel frontiers for psychology. The American Psychologist, 68, 247–260. doi:10.1037/a0032744
ABSTRACT: This article articulates a contextualized agreement of gender in addition to ethnicity every bit interacting social determinants of HIV adventure in addition to acquisition, alongside special focus on African Americans in addition to Hispanics/Latinos--2 ethnic groups currently at most adventure for HIV/AIDS acquisition inward the United States. First, sexual practice in addition to gender are defined. Second, a conceptual model of gender, ethnicity, in addition to HIV adventure in addition to resilience is presented. Third, a historical backdrop of gender in addition to ethnic disparities is provided, alongside attending to fundamental moments inward history when notions of the intersections betwixt gender, ethnicity, in addition to HIV have got taken of import shifts. Finally, novel frontiers inward psychology are presented, alongside recommendations every bit to how psychology every bit a dependent tin sack meliorate comprise considerations of gender in addition to ethnicity every bit non solely HIV adventure factors but likewise every bit potential avenues of resilience inward ethnic families in addition to communities. Throughout the article, nosotros promulgate the notion of a syndemic intersectional approach, which provides a critical framework for agreement in addition to edifice the weather condition that create in addition to sustain overall community wellness past times locating gendered lived experiences in addition to expectations inside the layered conceptual model ranging from the biological self to broader societal structures that define in addition to constrain personal decisions, behaviors, actions, resources, in addition to consequences. For ethnic individuals in addition to populations, wellness disparities, stress in addition to depression, amount abuse, in addition to violence in addition to trauma are of considerable concern, especially alongside regard to HIV risk, infection, in addition to treatment. The conceptual model poses novel frontiers for psychology inward HIV policy, research, interventions, in addition to training.Wyatt, G. E., Loeb, T. B., Williams, J. K., Zhang, M., & Davis, T. D. (2012). H5N1 illustration study of sexual abuse in addition to psychological correlates amidst an HIV-serodiscordant couple. Couple in addition to Family Psychology: Research in addition to Practice, 1, 146–159. doi:10.1037/a0028773 Free Article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3731162/
ABSTRACT: Childhood sexual abuse (CSA), adult sexual abuse (ASA), in addition to intimate partner violence (IVP) are documented adventure factors for HIV infection in addition to are often implicated inward the presentation of mental wellness disorders inward both males in addition to females, including those who are vulnerable to HIV infection (African Americans; trauma survivors). As such, these issues may contribute to health-related challenges amidst couples, especially if the individuals are impacted past times histories of trauma in addition to HIV. Presented hither is a illustration study of i distich alongside self-reported histories of CSA in addition to clinically important symptoms of posttraumatic stress disorder (PTSD) in addition to depression. This distich was selected from a larger National Institute of Mental Health (NIMH)-funded study of 535 African-American HIV-serodiscordant heterosexual couples (see El Bassel et al., 2010). The study distich completed viii sessions of an HIV sexual adventure reduction intervention computer program to increase prophylactic use. Although the distich reported an initial increase inward prophylactic role at the immediate ship service intervention assessment, prophylactic role decreased to baseline assessment levels at the 12-month ship service intervention assessment. The decrease inward HIV-transmission protective behaviors over fourth dimension (i.e., prophylactic use), inward part, may live on attributable to the clinically important psychological distress symptoms of PTSD in addition to depression that were maintained from baseline, throughout the trial, in addition to at follow-up assessments. We suggest that the success of sexual adventure reduction interventions may live on attenuated in addition to compromised over fourth dimension past times the presence of sexual trauma histories in addition to the residuum mental wellness issues. We utter over clinical implications for wellness attention professionals inward their move alongside couples, especially those from racially various groups.
OBJECTIVE: To create upward one's take away heed the extent to which electrical flow US based human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) prevention in addition to adventure reduction interventions address in addition to include aspects of cultural beliefs inward definitions, curricula, measures in addition to related theories that may contradict electrical flow safer sexual practice messages.
METHOD: H5N1 comprehensive literature review was conducted to create upward one's take away heed which published human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) prevention in addition to adventure reduction interventions incorporated aspects of cultural beliefs.
RESULTS: This review of 166 human immunodeficiency virus (HIV) prevention in addition to adventure reduction interventions, published betwixt 1988 in addition to 2010, identified 34 interventions that varied inward cultural definitions in addition to the integration of cultural concepts.
CONCLUSION: human immunodeficiency virus (HIV) interventions demand to displace beyond targeting specific populations based upon race/ethnicity, gender, sexual, drug and/or adventure behaviors in addition to comprise cultural beliefs in addition to experiences pertinent to an individual’s risk. Theory based interventions that comprise cultural beliefs inside a contextual framework are needed if prevention in addition to adventure reduction messages are to plough over targeted at adventure populations. Implications for the lack of uniformity of cultural definitions, measures in addition to related theories are discussed in addition to recommendations are made to ensure that cultural beliefs are acknowledged for their potential conflict alongside safer sexual practice skills in addition to practices.
|
APA (6th ed) citation for this podcast:
Singer, J. B. (Producer). (2013, August 7). #83 - Sex, relationships, in addition to HIV: Interview alongside Gail Wyatt, Ph.D. [Audio Podcast]. Social Work Podcast. Retrieved from /search?q=gail-wyatt
Buat lebih berguna, kongsi:
