Mental Health of Early Adolescents from High-risk Neighborhoods: The Role of Maternal HIV and Other Contextual, Self-Regulation, and Family Factors
Mental Health of Early Adolescents from High-risk Neighborhoods: The Role of Maternal HIV and Other Contextual, Self-Regulation, and Family Factors
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DOI:
10.1093/jpepsy/jsn004
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发表时间:
2008-11-01
影响因子:
3.6
通讯作者:
Meyer-Bahlburg, Heino F. L.
中科院分区:
文献类型:
--
作者:
Mellins, Claude A.;Brackis-Cott, Elizabeth;Meyer-Bahlburg, Heino F. L.
Objectives To examine the effect of maternal HIV infection, as well as other individual, family, and contextual factors on the mental health of inner-city, ethnic minority early adolescents.Methods Participants included 220 HIV-negative early adolescents (1014 years) and their mothers, half of whom were HIV-infected. Individual interviews were conducted regarding youth depression, anxiety, externalizing and internalizing behaviour problems, as well as a range of correlates of youth mental health guided by a modified version of Social Action Theory, a theoretical model of behavioral health.Results Although the HIV status of mothers alone did not predict youth mental health, youth knowledge of mothers HIV infection and mothers overall health were associated with worse youth mental health outcomes, as were contextual, self-regulation, and family interaction factors from our theoretical model.Conclusions There is a need for family-based mental health interventions for this population, particularly focusing on parentchild relationships, disclosure, and youth self-esteem.