Adam Carrico, PhD

Assistant Professor

Overview

My research program focuses broadly on developing and testing behavioral interventions that address the biopsychosocial vulnerabilities to optimizing HIV/AIDS prevention with people who use stimulants such as methamphetamine. My work demonstrates that HIV-positive stimulant users experience substantial difficulties with HIV disease management that lead to higher viral load, greater risk of onward transmission, and faster disease progression. Cognitive-behavioral substance abuse treatment and contingency management are two evidence-based interventions that target stimulant use as a modifiable driver of HIV-related health disparities. In community-engaged research, I have documented the implementation of these substance abuse interventions with stimulant users in domestic and international settings. Building on this research, my team is currently testing novel behavioral approaches to target prevalent comorbidities such as trauma and cultivate psychological resilience to boost the effectiveness of substance abuse interventions for HIV/AIDS prevention.

Interests

Publications

Implementation of Cognitive-Behavioral Substance Abuse Treatment in Sub-Saharan Africa: Treatment Engagement and Abstinence at Treatment Exit. PLoS One. 2016; 11(1):e0147900.
Behavioral interventions for Cambodian female entertainment and sex workers who use amphetamine-type stimulants. J Behav Med. 2016 Jan 18.
Navigating Barriers to Vocational Rehabilitation for HIV-Positive Persons. AIDS Behav. 2015 Dec 22.
HIV testing and sero-prevalence among methamphetamine users seeking substance abuse treatment in Cape Town. Drug Alcohol Rev. 2015 Dec 14.
Unhealthy Alcohol Use is Associated with Monocyte Activation Prior to Starting Antiretroviral Therapy. Alcohol Clin Exp Res. 2015 Oct 28.
Pharmacology, physiology and performance: occupational drug use and HIV risk among female entertainment and sex workers in Cambodia. Harm Reduct J. 2015; 12(1):33.
Declining and rebounding unhealthy alcohol consumption during the first year of HIV care in rural Uganda, using phosphatidylethanol to augment self-report. Addiction. 2015 Sep 18.
Pilot Randomized Controlled Trial of an Integrative Intervention with Methamphetamine-Using Men Who Have Sex with Men. Arch Sex Behav. 2015 Oct; 44(7):1861-7.
The Psychological Context of Sexual Compulsivity Among Men Who Have Sex with Men. AIDS Behav. 2015 May 10.
Development and Validation of the East Africa Alcohol Expectancy Scale (AFEXS). J Stud Alcohol Drugs. 2015 Mar; 76(2):336-43.
Stimulant Use Patterns and HIV Transmission Risk Among HIV-Serodiscordant Male Couples. J Acquir Immune Defic Syndr. 2015 Feb 1; 68(2):147-51.
A text messaging intervention to improve retention in care and virologic suppression in a U.S. urban safety-net HIV clinic: study protocol for the Connect4Care (C4C) randomized controlled trial. BMC Infect Dis. 2014; 14(1):718.
Stimulant use and progression to AIDS or mortality after the initiation of highly active antiretroviral therapy. J Acquir Immune Defic Syndr. 2014 Dec 15; 67(5):508-13.
Pilot trial of an expressive writing intervention with HIV-positive methamphetamine-using men who have sex with men. Psychol Addict Behav. 2015 Jun; 29(2):277-82.
Community-based harm reduction substance abuse treatment with methamphetamine-using men who have sex with men. J Urban Health. 2014 Jun; 91(3):555-67.
Stimulant use and HIV disease management among men in same-sex relationships. Drug Alcohol Depend. 2014 Jun 1; 139:174-7.
Positive affect promotes engagement in care after HIV diagnosis. Health Psychol. 2014 Jul; 33(7):686-9.
Alcohol use and HIV disease management: the impact of individual and partner-level alcohol use among HIV-positive men who have sex with men. AIDS Care. 2014; 26(6):702-8.
Substance use and HIV risk behavior among men who have sex with men: the role of sexual compulsivity. J Urban Health. 2013 Oct; 90(5):948-52.
Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men. AIDS Res Treat. 2013; 2013:121352.
Positive affect and processes of recovery among treatment-seeking methamphetamine users. Drug Alcohol Depend. 2013 Oct 1; 132(3):624-9.
Adversity and syndemic production among men participating in the multicenter AIDS cohort study: a life-course approach. Am J Public Health. 2013 Jan; 103(1):79-85.
Specific psychiatric correlates of acute care utilization among unstably housed HIV-positive adults. AIDS Care. 2012; 24(12):1514-8.
Changes in stimulant drug use over time in the MACS: evidence for resilience against stimulant drug use among men who have sex with men. AIDS Behav. 2012 Jan; 16(1):151-8.
Psychological processes and stimulant use among men who have sex with men. Drug Alcohol Depend. 2012 Jun 1; 123(1-3):79-83.
Attitudes and beliefs about anti-retroviral therapy are associated with high risk sexual behaviors among the general population of Kisumu, Kenya. AIDS Care. 2011 Dec; 23(12):1668-75.
Psychiatric correlates of HAART utilization and viral load among HIV-positive impoverished persons. AIDS. 2011 May 15; 25(8):1113-8.
Psychiatric risk factors for HIV disease progression: the role of inconsistent patterns of antiretroviral therapy utilization. J Acquir Immune Defic Syndr. 2011 Feb 1; 56(2):146-50.
Substance use and HIV disease progression in the HAART era: implications for the primary prevention of HIV. Life Sci. 2011 May 23; 88(21-22):940-7.
Suicidal ideation is associated with HIV transmission risk in men who have sex with men. J Acquir Immune Defic Syndr. 2010 Aug; 54(4):e3-4.
Antiretroviral therapy adherence among transgender women living with HIV. J Assoc Nurses AIDS Care. 2010 May-Jun; 21(3):256-64.
Elevated suicide rate among HIV-positive persons despite benefits of antiretroviral therapy: implications for a stress and coping model of suicide. Am J Psychiatry. 2010 Feb; 167(2):117-9.
Association of attitudes and beliefs towards antiretroviral therapy with HIV-seroprevalence in the general population of Kisumu, Kenya. PLoS One. 2009; 4(3):e4573.
Affective correlates of stimulant use and adherence to anti-retroviral therapy among HIV-positive methamphetamine users. AIDS Behav. 2010 Aug; 14(4):769-77.
Increases in positive reappraisal coping during a group-based mantram intervention mediate sustained reductions in anger in HIV-positive persons. Int J Behav Med. 2009; 16(1):74-80.
A behavioral intervention reduces HIV transmission risk by promoting sustained serosorting practices among HIV-infected men who have sex with men. J Acquir Immune Defic Syndr. 2008 Dec 15; 49(5):544-51.
Internalized heterosexism among HIV-positive, gay-identified men: implications for HIV prevention and care. J Consult Clin Psychol. 2008 Oct; 76(5):829-39.
Stimulant use is associated with immune activation and depleted tryptophan among HIV-positive persons on anti-retroviral therapy. Brain Behav Immun. 2008 Nov; 22(8):1257-62.
Randomized controlled trial of a cognitive-behavioral intervention for HIV-positive persons: an investigation of treatment effects on psychosocial adjustment. AIDS Behav. 2009 Jun; 13(3):555-63.
Effects of psychological interventions on neuroendocrine hormone regulation and immune status in HIV-positive persons: a review of randomized controlled trials. Psychosom Med. 2008 Jun; 70(5):575-84.
Predictors of sports motivation among gay and bisexual men. J Homosex. 2008; 54(4):449-68.
Affect regulation, stimulant use, and viral load among HIV-positive persons on anti-retroviral therapy. Psychosom Med. 2007 Nov; 69(8):785-92.
Correlates of suicidal ideation among HIV-positive persons. AIDS. 2007 May 31; 21(9):1199-203.
Spirituality/religiosity promotes acceptance-based responding and 12-step involvement. Drug Alcohol Depend. 2007 Jun 15; 89(1):66-73.
A path model of the effects of spirituality on depressive symptoms and 24-h urinary-free cortisol in HIV-positive persons. J Psychosom Res. 2006 Jul; 61(1):51-8.
Reductions in depressed mood and denial coping during cognitive behavioral stress management with HIV-Positive gay men treated with HAART. Ann Behav Med. 2006 Apr; 31(2):155-64.
Randomized clinical trial of cognitive behavioral stress management on human immunodeficiency virus viral load in gay men treated with highly active antiretroviral therapy. Psychosom Med. 2006 Jan-Feb; 68(1):143-51.
Cognitive-behavioural stress management with HIV-positive homosexual men: mechanisms of sustained reductions in depressive symptoms. Chronic Illn. 2005 Sep; 1(3):207-15.
Cognitive behavioral stress management effects on mood, social support, and a marker of antiviral immunity are maintained up to 1 year in HIV-infected gay men. Int J Behav Med. 2005; 12(4):218-26.
Increases in a marker of immune system reconstitution are predated by decreases in 24-h urinary cortisol output and depressed mood during a 10-week stress management intervention in symptomatic HIV-infected men. J Psychosom Res. 2005 Jan; 58(1):3-13.
Variability in diagnostic criteria for chronic fatigue syndrome may result in substantial differences in patterns of symptoms and disability. Eval Health Prof. 2003 Mar; 26(1):3-22.
Symptom occurrence in persons with chronic fatigue syndrome. Biol Psychol. 2002 Feb; 59(1):15-27.
Physicians' diagnoses of psychiatric disorders for people with chronic fatigue syndrome. Int J Psychiatry Med. 2002; 32(2):109-24.
A community-based study of seasonal variation in the onset of chronic fatigue syndrome and idiopathic chronic fatigue. Chronobiol Int. 2001 Mar; 18(2):315-9.
Adam Carrico
+1 415 502-0955
2 Koret Way, Nursing, Rm 511M
UCSF Box 0608
San Francisco, CA 94143
United States
United States