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Couple-Focused Interventions for HIV-Serodiscordant Couples During Transition to Motherhood

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Abstract

When HIV is transmitted between spouses or partners it is a major life trauma for both members of the couple. In Portugal, most women become aware of infection during routine prenatal examinations. A significant proportion of these women simultaneously face pregnancy, a deadly disease, and HIV-serodiscordance. In the context of maternity, there is a growing consensus that psychological intervention should address the couple as a unit. Couple-focused HIV interventions reinforce the importance of addressing relational dynamics within dyads, including communication, problem-solving skills, disclosure, and relationship quality issues. Immediate reproductive decisions, the possibility of mother-to-child transmission, and future perspectives impose additional challenges. Two case examples illustrate the application of couple-focused interventions. Also addressed are the specific problems and potentialities of this type of intervention.

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Authors and Affiliations

  1. Foundation for Science and Technology (SFRH/BPD/44435/2008), Institute of Cognitive Psychology, Vocational and Social Development, University of Coimbra, Rua do Colégio Novo, Apartado 6153, 3001-802, Coimbra, Portugal

    Marco Pereira

  2. Department of Psychiatry, Harvard Medical School, Boston, MA, USA

    Frank M. Dattilio

  3. Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal

    Maria Cristina Canavarro

  4. Faculty of Psychology, University of Lisbon, Lisbon, Portugal

    Isabel Narciso

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  1. Marco Pereira
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Correspondence to Marco Pereira.

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Pereira, M., Dattilio, F.M., Canavarro, M.C. et al. Couple-Focused Interventions for HIV-Serodiscordant Couples During Transition to Motherhood. Contemp Fam Ther 33, 143–160 (2011). https://doi.org/10.1007/s10591-011-9152-8

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