Six-year intervention outcomes for adolescent children of parents with the human immunodeficiency virus
Six-year intervention outcomes for adolescent children of parents with the human immunodeficiency virus
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DOI：
10.1001/archpedi.158.8.742
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发表时间：
2004-08-01
影响因子：
--
通讯作者：
Lester, P
中科院分区：
文献类型：
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作者：
Rotheram-Borus, MJ;Lee, M;Lester, P
假设：有一个人免疫缺陷病毒的父母有一个显着的负面影响，对青少年children's adjustment.Objective：为了评估调整的青少年儿童有一个人免疫缺陷病毒的父母超过6年，以下交付的应对技巧intervention.Design：一个随机对照试验，反复评估，分析与意向治疗分析。一个基于技能的干预是在3个模块超过24届交付，与第三个模块被交付，只有当父母死亡。设置和患者：一个具有代表性的样本与人类免疫缺陷病毒的父母（n = 307）和他们的青少年子女（n = 423）是从纽约市艾滋病服务司招募; 51.5%（n = 158）的父母去世。主要结果指标：就业和入学、接受公共福利支持、早期为人父母、心理健康症状和浪漫关系质量。结果：6年后，干预组的青少年就业或在校人数显著多于对照组（82.58%比68.94%），领取公共福利金的可能性较小（25.66%vs36.65%），较少出现心身症状（平均值为0.24比0.31），更有可能报告在他们的浪漫关系中更好的解决问题和解决冲突的技能（平均分4.38比4.20），期望有一个工作好的伴侣（平均分4.57比4.19），期望在养育子女时结婚（平均分3.05比2.40）。边际显著性，干预条件下的父母的百分比（34.6%）是小于在控制condition.Conclusion：医生必须考虑的心理社会后果的疾病相关的挑战对儿童和提供干预措施。
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.