Posttraumatic Stress Symptoms Among Adults Caring for Orphaned Children in HIV-Endemic South Africa

Posttraumatic Stress Symptoms Among Adults Caring for Orphaned Children in HIV-Endemic South Africa
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DOI:
10.1007/s10461-013-0461-9
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发表时间:
2013-06-01
期刊:
影响因子:
4.4
通讯作者:
Stein, Dan J.
Stein, Dan J.
中科院分区:
医学2区
文献类型:
--
作者:
Kuo, Caroline;Reddy, Madhavi K.;Stein, Dan J.

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越来越多的证据表明,在父母因艾滋病死亡的家庭中,心理健康是一个重大问题。目前的研究检查了创伤后应激症状,并确定了在南非艾滋病毒流行社区照顾艾滋病孤儿和其他孤儿的成年人的风险因素。从Umlazi镇招募了一个有代表性的社区成年人照顾儿童样本(N = 1 599)。在116名报告创伤事件仍在困扰他们的参与者中,19%的人报告了临床上显著的创伤后应激症状。在116名参与者中,艾滋病孤儿和其他孤儿的照顾者比非孤儿的照顾者(10%)更有可能达到PTSD的阈值标准(28%)。家庭领取养老金被认为是孤儿照顾者中PTSD症状的一个可能的保护因素。需要提供服务,以解决孤儿照顾者的创伤后应激障碍症状。
There is growing evidence that mental health is a significant issue among families affected by AIDS-related parental deaths. The current study examined posttraumatic stress symptoms and identified risk factors among adults caring for AIDS-orphaned and other-orphaned children in an HIV-endemic South African community. A representative community sample of adults caring for children (N = 1,599) was recruited from Umlazi Township. Of the 116 participants who reported that a traumatic event was still bothering them, 19 % reported clinically significant posttraumatic stress symptoms. Of the 116 participants, caregivers of AIDS-orphaned and other-orphaned children were significantly more likely to meet threshold criteria for PTSD (28 %) compared to caregivers of non-orphaned children (10 %). Household receipt of an old age pension was identified as a possible protective factor for PTSD symptoms among caregivers of orphaned children. Services are needed to address PTSD symptoms among caregivers of orphaned children.