Impact of parental HIV/AIDS on children's psychological well-being: a systematic review of global literature.

Impact of parental HIV/AIDS on children's psychological well-being: a systematic review of global literature.
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DOI:
10.1007/s10461-012-0290-2
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发表时间:
2013-09
期刊:
影响因子:
4.4
通讯作者:
Li, Xiaoming
Li, Xiaoming
中科院分区:
医学2区
文献类型:
--
作者:
Chi, Peilian;Li, Xiaoming

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本文回顾了全球关于父母艾滋病毒/艾滋病对儿童心理健康影响的文献。从总共30项研究中检索并回顾了51篇报告定量数据的文章。调查结果好坏参半,但往往表明,与没有艾滋病毒家庭的儿童或因其他原因成为孤儿的儿童相比,艾滋病孤儿和弱势儿童的心理健康状况较差。有限的纵向研究表明,在父母感染艾滋病毒相关疾病的早期阶段,父母感染艾滋病毒对儿童的心理健康有负面影响,这种影响在父母患病期间和父母死亡后持续存在。与艾滋病毒相关的生活压力事件、耻辱和贫困是可能加剧父母艾滋病毒/艾滋病对儿童的负面影响的风险因素。建议个体应对技能、与照顾者的信任关系和社会支持可以保护儿童免受父母艾滋病毒/艾滋病的负面影响。这项审查强调了受艾滋病毒/艾滋病影响的儿童的脆弱性。迫切需要在文化和发展方面适当的循证干预措施,以促进受艾滋病毒/艾滋病影响的儿童的心理健康。
This review examines the global literature regarding the impact of parental HIV/AIDS on children’s psychological well-being. Fifty one articles reporting quantitative data from a total of 30 studies were retrieved and reviewed. Findings were mixed but tended to show that AIDS orphans and vulnerable children had poorer psychological well-being in comparison with children from HIV-free families or children orphaned by other causes. Limited longitudinal studies suggested a negative effect of parental HIV on children’s psychological well-being in an early stage of parental HIV-related illness and such effects persisted through the course of parental illness and after parental death. HIV-related stressful life events, stigma, and poverty were risk factors that might aggravate the negative impact of parental HIV/AIDS on children. Individual coping skills, trusting relationship with caregivers and social support were suggested to protect children against the negative effects of parental HIV/AIDS. This review underlines the vulnerability of children affected by HIV/AIDS. Culturally and developmentally appropriate evidence-based interventions are urgently needed to promote the psychological well-being of children affected by HIV/AIDS.
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