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Six-year intervention outcomes for adolescent children of parents with the human immunodeficiency virus.
Rotheram-Borus, Mary Jane; Lee, Martha; Lin, Ying-Ying; Lester, Patricia.
Afiliação
  • Rotheram-Borus MJ; AIDS Institute and the Department of Psychiatry, University of California, Los Angeles 90024-6521, USA. Rotheram@ucla.edu
Arch Pediatr Adolesc Med ; 158(8): 742-8, 2004 Aug.
Article em En | MEDLINE | ID: mdl-15289245
HYPOTHESIS: Having a parent with the human immunodeficiency virus has a significant negative impact on an adolescent child's adjustment. OBJECTIVE: To assess the adjustment of adolescent children to having a parent with the human immunodeficiency virus over 6 years, following the delivery of a coping skills intervention. DESIGN: A randomized controlled trial with repeated evaluations that was analyzed with an intention-to-treat analysis. A skill-based intervention was delivered in 3 modules over 24 sessions, with the third module being delivered only if parents died. SETTING AND PATIENTS: A representative sample of parents with the human immunodeficiency virus (n = 307) and their adolescent children (n = 423) was recruited from the Division of AIDS Services in New York City; 51.5% (n = 158) of the parents died. MAIN OUTCOME MEASURES: Employment and school enrollment, receiving public welfare support, early parenthood, mental health symptoms, and the quality of romantic relationships. RESULTS: Over 6 years, significantly more adolescents in the intervention condition than the control condition were employed or in school (82.58% vs 68.94%), were less likely to receive public welfare payments (25.66% vs 36.65%), were less likely to have psychosomatic symptoms (mean, 0.24 vs 0.31), were more likely to report better problem-solving and conflict resolution skills in their romantic relationships (mean score, 4.38 vs 4.20), expected to have a partner with a good job (mean, 4.57 vs 4.19), and expected to be married when parenting (mean, 3.05 vs 2.40). With marginal significance, the percentage of parents in the intervention condition (34.6%) was less than in the control condition (44.1%). CONCLUSION: Physicians must consider the psychosocial consequences of illness-related challenges on children and provide interventions.
Assuntos
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Base de dados: MEDLINE Assunto principal: Terapia Cognitivo-Comportamental / Infecções por HIV / Comportamento do Adolescente Tipo de estudo: Clinical_trials Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: Arch Pediatr Adolesc Med Assunto da revista: PEDIATRIA Ano de publicação: 2004 Tipo de documento: Article País de afiliação: Estados Unidos
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Base de dados: MEDLINE Assunto principal: Terapia Cognitivo-Comportamental / Infecções por HIV / Comportamento do Adolescente Tipo de estudo: Clinical_trials Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: Arch Pediatr Adolesc Med Assunto da revista: PEDIATRIA Ano de publicação: 2004 Tipo de documento: Article País de afiliação: Estados Unidos