Caregiver mental health and HIV-infected child wellness: perspectives from Ugandan caregivers
Caregiver mental health and HIV-infected child wellness: perspectives from Ugandan caregivers
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DOI：
10.1080/09540121.2016.1263722
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发表时间：
2017-06-01
影响因子：
1.7
通讯作者：
Bass, J. K.
中科院分区：
文献类型：
--
作者：
Murray, S. M.;Familiar, I.;Bass, J. K.
先前的研究表明，母亲抑郁症和幼儿健康之间存在着实质性的联系，但对这种关系的方向或发生的背景考虑有限。我们试图通过半结构化的访谈，与妇女的生活经验，照顾一个艾滋病毒感染的儿童，同时应对抑郁和焦虑症状，创造一个上下文知情的概念框架，这种关系。照顾者解释说，他们在抚养健康儿童方面的作用是复杂的，而且由于贫困、耻辱和孤立而变得更加复杂。照顾者讨论了他们自己的心理健康对儿童福祉的影响，主要是情感和行为，并解释了照顾孩子如何带来痛苦，特别是当无法为生病的孩子提供所需的照顾时。我们的研究结果表明，需要调查儿童疾病对照顾者健康的相互影响，以及全面解决受艾滋病毒影响家庭需求的综合方案。
Prior studies indicate a substantial link between maternal depression and early child health but give limited consideration to the direction of this relationship or the context in which it occurs. We sought to create a contextually informed conceptual framework of this relationship through semi-structured interviews with women that had lived experience of caring for an HIV-infected child while coping with depression and anxiety symptoms. Caregivers explained their role in raising healthy children as complex and complicated by poverty, stigma, and isolation. Caregivers discussed the effects of their own mental health on child well-being as primarily emotional and behavioral, and explained how looking after a child could bring distress, particularly when unable to provide desired care for sick children. Our findings suggest the need for investigation of the reciprocal effects of child sickness on caregiver wellness and for integrated programs that holistically address the needs of HIV-affected families.