A conceptual model of alcohol use and adherence to antiretroviral therapy: systematic review and theoretical implications for mechanisms of action.

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2022-03-01 DOI:10.1080/17437199.2020.1806722
Sarah E Woolf-King, Alan Z Sheinfil, Jeremy Ramos, Jacklyn D Foley, Dezarie Moskal, Madison Firkey, David Kellen, Stephen A Maisto
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引用次数: 11

Abstract

Alcohol consumption is one of the most prevalent correlates of antiretroviral therapy (ART) adherence, yet causal processes underlying this association remain largely unexplored. The goal of this systematic review was to develop a conceptual model that describes the causal effect of alcohol consumption on ART nonadherence. We reviewed 230 studies that examined the association between alcohol consumption and ART adherence with three primary aims: (1) to replicate and extend previous reviews of the literature, (2) to summarize and critique study designs capable of answering questions about temporal overlap and (3) to summarize potential mechanisms of action. A model of alcohol-associated ART nonadherence was proposed to guide future work, integrating general theories of ART adherence and theory on the psychological and behavioral effects of alcohol intoxication. The conceptual model describes two mechanistic processes-prospective memory impairment and interactive toxicity beliefs/avoidance behaviors-involved in alcohol-associated intentional and unintentional nonadherence, respectively. This model can be used to guide future research on the causal processes involved in the frequently observed correlation between alcohol consumption and adherence.

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酒精使用和抗逆转录病毒治疗依从性的概念模型:系统评价和作用机制的理论含义。
饮酒是抗逆转录病毒治疗(ART)依从性最普遍的相关因素之一,但这种关联背后的因果过程在很大程度上仍未被探索。本系统综述的目的是建立一个概念模型,描述饮酒对抗逆转录病毒治疗不依从性的因果影响。我们回顾了230项研究,这些研究考察了饮酒与抗逆转录病毒治疗依从性之间的关系,主要目的有三个:(1)重复和扩展先前的文献综述,(2)总结和批评能够回答时间重叠问题的研究设计,(3)总结潜在的作用机制。结合ART依从性的一般理论和酒精中毒的心理和行为影响理论,提出了一个与酒精相关的ART不依从性模型来指导未来的工作。概念模型分别描述了与酒精相关的有意和无意不依从性相关的两个机制过程——前瞻性记忆损伤和相互毒性信念/回避行为。这个模型可以用来指导未来关于经常观察到的酒精消费和依从性之间的相关性的因果过程的研究。
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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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