Psychological distress amongst AIDS-orphaned children in urban South Africa
Psychological distress amongst AIDS-orphaned children in urban South Africa
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DOI：
10.1111/j.1469-7610.2007.01757.x
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发表时间：
2007-08-01
影响因子：
7.6
通讯作者：
Operario, Don
中科院分区：
文献类型：
--
作者：
Cluver, Lucie;Gardner, Frances;Operario, Don
工作背景：据预测，到2020年，南非将有230万儿童因艾滋病成为孤儿（南非精算学会，2005年）。人们对艾滋病相关的丧亲之痛对儿童的影响知之甚少，无法帮助规划服务。本研究的目的是调查心理后果的艾滋病孤儿在城市乡镇地区的开普敦，南非相比，控制组的儿童和青少年的其他原因造成的孤儿，和非孤儿。方法：1025名儿童和青少年（10-19岁）进行了访谈，使用社会人口调查问卷和标准化量表评估抑郁，焦虑，创伤后应激，同伴问题，犯罪和行为问题。结果如下：控制社会人口因素，如年龄，性别，正式/非正式住所和成年年龄，艾滋病孤儿更有可能报告抑郁症的症状，同伴关系问题，创伤后应激反应，犯罪和行为问题比其他原因造成的孤儿和非孤儿的儿童。焦虑没有表现出差异。艾滋病孤儿更容易报告自杀意念。与西方规范相比，艾滋病孤儿表现出较高水平的内化问题和犯罪，但较低水平的行为问题。结论：艾滋病致孤儿童可能是一个特别脆弱的群体，在情感方面，在较小程度上，行为问题。干预计划是必要的，以改善心理后遗症失去父母艾滋病。
Background: South Africa is predicted to have 2.3 million children orphaned by Acquired Immune Deficiency Syndrome (AIDS) by 2020 (Actuarial Society of South Africa, 2005). There is little knowledge about impacts of AIDS-related bereavement on children, to aid planning of services. This study aimed to investigate psychological consequences of AIDS orphanhood in urban township areas of Cape Town, South Africa, compared to control groups of children and adolescents orphaned by other causes, and non-orphans. Method: One thousand and twenty-five children and adolescents (aged 10-19) were interviewed using socio-demographic questionnaires and standardised scales for assessing depression, anxiety, post-traumatic stress, peer problems, delinquency and conduct problems. Results: Controlling for socio-demographic factors such as age, gender, formal/informal dwelling and age at orphanhood, children orphaned by AIDS were more likely to report symptoms of depression, peer relationship problems, post-traumatic stress, delinquency and conduct problems than both children orphaned by other causes and non-orphaned children. Anxiety showed no differences. AIDS-orphaned children were more likely to report suicidal ideation. Compared to Western norms, AIDS-orphaned children showed higher levels of internalising problems and delinquency, but lower levels of conduct problems. Conclusions: Children orphaned by AIDS may be a particularly vulnerable group in terms of emotional and, to a lesser extent, behavioural problems. Intervention programs are necessary to ameliorate the psychological sequelae of losing a parent to AIDS.