Impact of Adverse Childhood Events on the Psychosocial Functioning of Children Affected by Parental HIV in Rural China.
Impact of Adverse Childhood Events on the Psychosocial Functioning of Children Affected by Parental HIV in Rural China.
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DOI：
10.3389/fpsyg.2020.617048
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发表时间：
2020
影响因子：
3.8
通讯作者：
Li X
中科院分区：
文献类型：
--
作者：
Ezell J;Harrison SE;Jiang Y;Li X
与未受影响的同龄人相比，受父母艾滋病毒影响的儿童更有可能经历创伤，并面临负面心理和社会后果的风险。本研究旨在探讨父母感染艾滋病毒的儿童的不良童年事件与心理社会功能之间的关系。方法：共有790名来自中国河南的6-17岁儿童参加了一项基于弹性的心理社会干预的纵向随机对照试验。在基线时，儿童报告了许多社会心理因素，包括创伤暴露、焦虑和抑郁症状以及同伴社会功能。我们使用线性回归分析来检验创伤暴露对同伴社会功能的直接影响。然后，我们测试了抑郁和焦虑症状是否在创伤暴露和同伴社会功能之间的关联中充当两个潜在的平行中介。结果：在控制关键协变量时，创伤暴露与同伴社会功能不良显著相关（β = - 0.10, p = 0.005）。当抑郁和焦虑症状被添加到模型中时，创伤暴露和同伴社会功能之间的关联变得不显著。相反，创伤暴露对同伴社会功能有显著的间接影响，包括抑郁（β = - 0.06, 95%CI[- 0.09, - 0.03]）和焦虑（β = - 0.02, 95%CI[- 0.04, - 0.00]）。结论：本研究是第一个将创伤暴露与父母感染艾滋病毒的儿童的同伴社会功能缺陷联系起来的研究之一，并证明焦虑和抑郁症状介导了这种关系。调查结果强调需要为受艾滋病毒影响的儿童提供全面的社会心理支持，包括对创伤暴露和精神健康障碍进行筛查。
Introduction: Children affected by parental HIV are more likely than unaffected peers to experience trauma and are at-risk for negative psychological and social outcomes. This study aimed to examine the relationship between adverse childhood events and psychosocial functioning among children affected by parental HIV. Methods: A total of 790 children ages 6–17 from Henan, China were enrolled in a longitudinal, randomized controlled trial of a resilience-based psychosocial intervention. At baseline, children reported on numerous psychosocial factors, including trauma exposure, symptoms of anxiety and depression, and peer social functioning. We used linear regression analysis to test the direct effect of trauma exposure on peer social functioning. We then tested whether depression and anxiety symptoms served as two potential parallel mediators in the association between trauma exposure and peer social functioning. Results: Trauma exposure was significantly associated with poor peer social functioning (β = −0.10, p = 0.005) when controlling for key covariates. When depression and anxiety symptoms were added to the model, the association between trauma exposure and peer social functioning became nonsignificant. Instead, there were significant indirect effects from trauma exposure to peer social functioning via depression (β = −0.06, 95%CI[−0.09, −0.03]) and anxiety (β = −0.02, 95%CI[−0.04, −0.00]). Conclusion: This study is among the first to link trauma exposure to peer social functioning deficits for children affected by parental HIV and demonstrates that symptoms of anxiety and depression mediate this relationship. Findings underscore the need for comprehensive psychosocial support for children affected by HIV, including screening for trauma exposure and mental health disorders.
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影响因子：
4.6
作者：
ASHER, SR;HYMEL, S;RENSHAW, PD
通讯作者：
RENSHAW, PD
影响因子：
3.2
作者：
Du, Hongfei;Li, Xiaoming;Zhao, Guoxiang
通讯作者：
Zhao, Guoxiang
DOI：
10.1080/09540120600986578
发表时间：
2007-03-01
影响因子：
1.7
作者：
Cluver, L.;Gardner, F.
通讯作者：
Gardner, F.
影响因子：
4.4
作者：
Chi, Peilian;Li, Xiaoming
通讯作者：
Li, Xiaoming
影响因子：
5.4
作者：
Cluver, Lucie;Orkin, Mark;Nikelo, Joy
通讯作者：
Nikelo, Joy