A model of mother-child coping and adjustment to HIV
A model of mother-child coping and adjustment to HIV
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DOI：
10.1016/s0277-9536(02)00061-8
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发表时间：
2003-02-01
影响因子：
5.4
通讯作者：
Mood, D
中科院分区：
文献类型：
--
作者：
Hough, ES;Brumitt, G;Mood, D
据报告，在新诊断的艾滋病病例中，非洲裔美国城市妇女所占比例越来越大。最近关于母亲的艾滋病毒状况对其未感染子女的心理社会和行为影响的研究以及越来越多的临床证据表明，这些儿童极其脆弱，有可能在心理社会调整方面出现问题。本文件报告的研究结果，旨在研究的途径，母亲的艾滋病毒阳性的状态影响她的未感染的学龄儿童的心理社会调整。该模型的主要预测变量是家庭的社会人口特征，母亲和孩子的社会支持，艾滋病毒相关的症状困扰的母亲，应对策略的母亲和孩子，母亲的情绪困扰，和亲子关系的质量。因变量是儿童的心理社会适应。数据收集了147个母子二人组使用标准化问卷和个人访谈。86%的母亲是非洲裔美国人，超过96%的母亲接受公共援助。采用结构方程模型对所提出的母子应对与适应模型进行检验。添加三条路径后，模型与数据拟合良好（比较拟合指数= 0.94;误差的均方根估计值= 0.06）。五个模型结构占36%的方差在儿童调整。这些构念依重要性排序为：母亲HIV相关压力、母亲情绪困扰、儿童社会支持、儿童因应方式、亲子关系品质。(C)2002爱思唯尔科技有限公司。保留所有权利。
An increasing proportion of newly diagnosed AIDS cases is being reported among African American urban women. Recent research regarding the psychosocial and behavioral impact of a mother's HIV status on her uninfected children as well as a growing body of clinical evidence suggest that these children are extremely vulnerable and at risk for problems in psychosocial adjustment. The present paper reports the results of research designed to examine the pathways by which a mother's HIV-positive status affects the psychosocial adjustment of her uninfected school-age child. The principal predictor variables of the model are family sociodemographic characteristics, social support available to mother and child, HIV-related symptom distress in the mother, coping strategies of both mother and child, emotional distress of the mother, and quality of the parent-child relationship. The dependent variable is the psychosocial adjustment of the child. Data were collected on 147 mother-child dyads using standardized questionnaires and personal interviews. Eighty-six percent of the mothers were African American and over 96% were on public assistance. Structural equation modeling was used to test the proposed model of mother-child coping and adjustment. After adding three paths, the model had a good fit to the data (comparative fit index = 0.94; root mean square estimate of error = 0.06). Five model constructs accounted for 36% of the variance in child adjustment. The constructs in order of importance were maternal HIV-associated stressors, maternal emotional distress, child social support, child coping, and quality of parent-child relationship. (C) 2002 Elsevier Science Ltd. All rights reserved.