Psychological distress among AIDS orphans in rural Uganda
Psychological distress among AIDS orphans in rural Uganda
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DOI：
10.1016/j.socscimed.2004.12.018
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发表时间：
2005-08-01
影响因子：
5.4
通讯作者：
Bajunirwe, F
中科院分区：
文献类型：
--
作者：
Atwine, B;Cantor-Graae, E;Bajunirwe, F
在撒哈拉以南非洲，1 100多万15岁以下的儿童至少有一位父母死于艾滋病。在乌干达，大约有200万儿童是孤儿，父母一方或双方都已死亡。本研究的目的是调查乌干达农村地区艾滋病感染的社会心理后果，并确定未来干预的潜在领域。这项研究是在乌干达Bushenyi区随机选择的一个县进行的。研究人群包括123名年龄在11至15岁之间的儿童，据报告，他们的父母（一方或双方）死于艾滋病，以及110名年龄和性别相似的儿童，他们生活在同一社区的完整家庭中。心理困扰的症状进行了评估，使用贝克青年情绪和社会损害清单（BYI）。标准化面谈还包括有关目前和过去生活条件的问题。对可能与BYI结局相关的因素进行多变量分析，结果显示孤儿身份是唯一显著的结局预测因子。孤儿（与非孤儿相比）有更高的焦虑（比值比（OR）= 6.4），抑郁（OR = 6.6）和愤怒（OR = 5.1）风险。此外，在贝克青年抑郁量表中，孤儿在个别项目上的得分显著高于非孤儿，这些项目被认为对抑郁症的可能存在特别“敏感”，即植物人症状、绝望感和自杀意念。在艾滋病孤儿中发现的高度心理痛苦表明，对这些儿童来说，仅仅物质支助是不够的。(c)2005爱思唯尔有限公司保留所有权利。
More than 11 million children under 15 years in sub-Saharan Africa have lost at least one parent to AIDS. In Uganda, about 2 million children are orphans, with one or both parents dead. The objective of this study was to investigate the psychosocial consequences of AIDS orphanhood in a rural district in Uganda and to identify potential areas for future interventions. The study was conducted in a randomly selected sub-county in Bushenyi District in Uganda. The study population consisted of 123 children aged 11-15 years whose parents (one or both) were reported to have died from AIDS and 110 children of similar age and gender living in intact households in the same neighbourhood. Symptoms of psychological distress were assessed using the Beck Youth Inventories of Emotional and Social Impairment (BYI). The standardized interview also included questions concerning current and past living conditions. A multivariate analysis of factors with possible relevance for BYI outcome showed that orphan status was the only significant outcome predictor. Orphans had greater risk (vs. non-orphans) for higher levels of anxiety (odds ratios (OR) = 6.4), depression (OR = 6.6), and anger (OR = 5.1). Furthermore, orphans had significantly higher scores than non-orphans on individual items in the Beck Youth Depression Inventory that are regarded as particularly "sensitive" to the possible presence of a depressive disorder, i.e. vegetative symptoms, feelings of hopelessness, and suicidal ideation. High levels of psychological distress found in AIDS orphans suggest that material support alone is not sufficient for these children. (c) 2005 Elsevier Ltd. All rights reserved.