Christina S. Meade

Christina S. Meade

Associate Professor in Psychiatry and Behavioral Sciences

External Address: 
905 W. Main Street, Suite 24-E, Durham, NC 27701
Internal Office Address: 
905 W. Main Street, Box 102848, Durham, NC 27710


Dr. Meade’s domestic research program focuses on predictors of HIV risk behavior in adults with substance use and psychiatric disorders, and the relationship between neuropsychiatric conditions and continued risk behavior in HIV-positive adults. She is particularly interested in how drug addiction and HIV infection impact executive functions, such as decision making, that lead individuals to engage in risky behaviors. Many of her current projects incorporate MRI to isolate the effects of addiction and HIV on both brain function and structure. Dr. Meade is also interested in the development of evidence-based treatments to improve cognitive functioning and reduce risk behaviors among drug users.

Given that most people infected or affected by HIV/AIDS live in Sub-Saharan Africa, Dr. Meade’s international research program is based in South Africa. The Western Cape has experienced a dramatic increase in methamphetamine use since the early 2000s, and there is concern that it may further fuel the HIV epidemic in this country. Current projects focus on characterizing drug addiction and HIV risk behaviors in this understudied group, both in in community and treatment settings, and ultimately increasing uptake of HIV services to improve health outcomes and reduce the continued spread of HIV.

Education & Training

  • Ph.D., Yale University 2006

Meade, Christina S., et al. “Reductions in alcohol and cocaine use following a group coping intervention for HIV-positive adults with childhood sexual abuse histories.Addiction, vol. 105, no. 11, Nov. 2010, pp. 1942–51. Pubmed, doi:10.1111/j.1360-0443.2010.03075.x. Full Text

Meade, Christina S., et al. “HIV risk behavior in treatment-seeking opioid-dependent youth: results from a NIDA clinical trials network multisite study.J Acquir Immune Defic Syndr, vol. 55, no. 1, Sept. 2010, pp. 65–72. Pubmed, doi:10.1097/QAI.0b013e3181d916db. Full Text

Meade, Christina S., et al. “Stress and coping in HIV-positive former plasma/blood donors in China: a test of cognitive appraisal theory.Aids Behav, vol. 14, no. 2, Apr. 2010, pp. 328–38. Pubmed, doi:10.1007/s10461-008-9494-x. Full Text

Sikkema, Kathleen J., et al. “Mental health treatment to reduce HIV transmission risk behavior: a positive prevention model.Aids Behav, vol. 14, no. 2, Apr. 2010, pp. 252–62. Pubmed, doi:10.1007/s10461-009-9650-y. Full Text

Safren, Steven A., et al. “Testing a social-cognitive model of HIV transmission risk behaviors in HIV-infected MSM with and without depression.Health Psychol, vol. 29, no. 2, Mar. 2010, pp. 215–21. Pubmed, doi:10.1037/a0017859. Full Text

Meade, Christina S., et al. “A randomized trial of transcutaneous electric acupoint stimulation as adjunctive treatment for opioid detoxification.J Subst Abuse Treat, vol. 38, no. 1, Jan. 2010, pp. 12–21. Pubmed, doi:10.1016/j.jsat.2009.05.010. Full Text

Copersino, Marc L., et al. “Measurement of self-reported HIV risk behaviors in injection drug users: comparison of standard versus timeline follow-back administration procedures.J Subst Abuse Treat, vol. 38, no. 1, Jan. 2010, pp. 60–65. Pubmed, doi:10.1016/j.jsat.2009.06.004. Full Text

Meade, Christina S., et al. “HIV risk behavior in opioid dependent adults seeking detoxification treatment: an exploratory comparison of heroin and oxycodone users.Am J Addict, vol. 18, no. 4, July 2009, pp. 289–93. Pubmed, doi:10.1080/10550490902925821. Full Text

Meade, Christina S., et al. “A prospective study examining the effects of gender and sexual/physical abuse on mood outcomes in patients with co-occurring bipolar I and substance use disorders.Bipolar Disord, vol. 11, no. 4, June 2009, pp. 425–33. Pubmed, doi:10.1111/j.1399-5618.2009.00682.x. Full Text

Meade, Christina S., et al. “Utilization of medical treatments and adherence to antiretroviral therapy among HIV-positive adults with histories of childhood sexual abuse.Aids Patient Care Stds, vol. 23, no. 4, Apr. 2009, pp. 259–66. Pubmed, doi:10.1089/apc.2008.0210. Full Text