caa a22 4500 445304588 CHVBK 20180317142608.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10880-011-9231-x doi (NATIONALLICENCE)springer-10.1007/s10880-011-9231-x Using the Millon Behavioral Medicine Diagnostic (MBMD) to Evaluate the Need for Mental Health Services in Association with Biomarkers of Disease Status Among HIV Positive Men and Women [Elektronische Daten] [Caitlin Burbridge, Dean Cruess, Michael Antoni, Sarah Meagher] Psychological distress states have been related to rate of disease progression among HIV-positive individuals. However, the measures that have been used in this research as well as the treatment context of the populations studied are highly variable, making it challenging for clinicians to incorporate such measures into screening batteries. The present study examined the association of two summary scales of the Millon Behavioral Medicine Diagnostic (MBMD; Millon et al., Millon Behavioral Medicine Diagnostic. NCS Assessments, Minneapolis, 2001), with markers of HIV disease status (CD4 and CD8 cell counts, viral load) among an ethnically diverse sample of 147 HIV-positive individuals (52 men who have sex with men, 34 men who have sex with women, and 51 women) who had recently initiated Highly Active Antiretroviral Therapy (HAART). After controlling for age and months since HIV diagnosis, we found that higher scores on the overall MBMD Psych Referral Summary Scale, reflecting a need for mental health treatment, were related to greater HIV viral load but did not relate to CD4 or CD8 cell counts. Subgroup analyses revealed that Psych Referral scores were related to greater HIV viral load only for the men who have sex with men (MSM) subgroup. These results suggest that the MBMD may help in identifying psychosocial characteristics associated with some markers of disease status in persons with HIV and perhaps may also be useful in identifying individual differences in response to treatment and eventual disease outcome. Springer Science+Business Media, LLC, 2011 HIV nationallicence MBMD nationallicence Disease status nationallicence Burbridge Caitlin Department of Psychology, University of Connecticut, 406 Babbidge Road, Unit 1020, 06268-1020, Storrs, CT, USA aut Cruess Dean Department of Psychology, University of Connecticut, 406 Babbidge Road, Unit 1020, 06268-1020, Storrs, CT, USA aut Antoni Michael Department of Psychology, University of Miami, Coral Gables, FL, USA aut Meagher Sarah Institute of Advanced Studies in Personology and Psychopathology, Port Jervis, NY, USA aut Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/1(2011-03-01), 30-38 1068-9583 18:1<30 2011 18 10880 https://doi.org/10.1007/s10880-011-9231-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10880-011-9231-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Burbridge Caitlin Department of Psychology, University of Connecticut, 406 Babbidge Road, Unit 1020, 06268-1020, Storrs, CT, USA aut NATIONALLICENCE 700 1- Cruess Dean Department of Psychology, University of Connecticut, 406 Babbidge Road, Unit 1020, 06268-1020, Storrs, CT, USA aut NATIONALLICENCE 700 1- Antoni Michael Department of Psychology, University of Miami, Coral Gables, FL, USA aut NATIONALLICENCE 700 1- Meagher Sarah Institute of Advanced Studies in Personology and Psychopathology, Port Jervis, NY, USA aut NATIONALLICENCE 773 0- Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/1(2011-03-01), 30-38 1068-9583 18:1<30 2011 18 10880 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer