The mental health risk of mothers and children - The role of maternal HIV infection
The mental health risk of mothers and children - The role of maternal HIV infection
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DOI：
10.1177/0272431606294824
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发表时间：
2007-02-01
影响因子：
2.1
通讯作者：
Spiegel, Dina
中科院分区：
文献类型：
--
作者：
Brackis-Cott, Elizabeth;Mellins, Claude Ann;Spiegel, Dina
与那些不受孕产妇艾滋病毒影响，但生活在类似的内城，低社会经济地位，主要是少数民族社区的母亲和儿童的心理健康问题的发生率进行了检查。此外，还探讨了母亲和儿童心理健康之间的对应关系。访谈进行了220母亲/儿童二对抑郁症和焦虑症的症状。参与者包括艾滋病毒阴性的早期青少年（10至14岁）及其母亲，其中约一半是艾滋病毒阳性。总的来说，艾滋病毒感染的母亲比未感染的母亲表现出更多的抑郁症。然而，HIV阳性母亲的孩子和HIV阴性母亲的孩子在抑郁症方面没有显著差异。在直接受艾滋病毒影响的家庭中，向孩子透露自己状况的母亲比那些没有透露的母亲认可更大的抑郁症状，而被透露的孩子比那些不知道的孩子更有可能在儿童抑郁量表的临床抑郁范围内得分。拉丁裔母亲及其子女患抑郁症和焦虑症的风险增加，特别是在母亲不是在美国出生的家庭中。这些结果证实了以前对感染艾滋病毒的妇女的调查结果，这些结果强调了感染艾滋病毒的母亲及其子女，特别是知道母亲状况的儿童的心理健康需求。
Rates of mental health problems in mothers and children in families affected by maternal HIV as compared to those not affected by maternal HIV but living in similar inner-city, low-SES, primarily ethnic-minority neighborhoods were examined. In addition, correspondence between mother and child mental health was explored. Interviews were conducted with 220 mother/child dyads regarding symptoms of depression and anxiety. Participants included HIV-negative early adolescents (ages 10 through 14 years) and their mothers, approximately half of whom were HIV-positive. Overall, mothers with HIV exhibited more depressive symptomatology than uninfected mothers. There were no significant differences, however, in depressive symptomatology between children of mothers who were HIV-positive and children of mothers who were HIV-negative. Among families directly affected by HIV, mothers who disclosed their status to their children endorsed greater depressive symptornatology than those who did not disclose and children who had been disclosed to were more likely to score in the clinically depressed range on the Child Depression Inventory than those who did not know. Latina mothers and their children were at increased risk for both depression and anxiety symptoms, particularly in families where the mother was not born in the United States. The results corroborate previous findings with HIV-infected women that highlight the mental health needs of HIV-infected mothers and their children, particularly children that know their mothers' status.