YOUNG AIDS ORPHANS--PROSPECTIVE BEREAVEMENT

疾病控制中心(CDC)估计，8万人 1992年在世的感染艾滋病毒的育龄妇女将 使大约125,000至150,000名儿童成为孤儿。父母 除入侵检测系统以外的其他原因导致的死亡一直与 儿童适应能力差，有长期的心理健康症状，以及 行为问题。这些问题很可能会因 因艾滋病而成为孤儿的儿童，由于这种疾病被污名化， 经常没有在世的父母，而且是贫穷的。有 没有关于儿童丧失亲人的任何类型的前瞻性研究 父母死亡，包括死于艾滋病。因此，调整 在120名母亲患有艾滋病的6-11岁儿童中， 随着时间的推移受到监控；儿童和他们的MI将从 洛杉矶(洛杉矶)的初级保健诊所。具体目标 本研究的主要目的是：(1)对心理健康进行纵向跟踪， 蒙古国儿童的行为和社会适应超过36个月， 在大妈生病的整个过程中，她的死亡，以及在孩子 过渡到新的监护人；(2)确定 可能调解父母丧失的影响的孩子，包括 背景因素、技能(解决问题、应对和 自我评价)，以及他们与MWA以及后来与MWA的关系 他们的新监护人；以及(3)评估MWA的特征和 然后是可能调解失去父母的影响的新监护人， 包括背景因素和育儿技巧。这项研究将 对成人和儿童研究人员都有好处。它将提供指导方针 为幼儿的母亲提供如何为人父母的干预 有效改善家庭功能，同时应对多个 应激源，包括身体症状和终末期疾病状态。 更重要的是，这项研究的结果将提供一个 与发展相关的描述随时间推移的丧亲过程 父母死于其他原因的孩子。此外，评估 儿童的长期适应(心理健康，行为，和 社会成果)，将有助于确定复原力因素和 因广告而成为孤儿的儿童的风险因素。

The Centers for Disease Control (CDC) has estimated that 80,000 HIV-infected women of childbearing age who were alive in 1992 will leave approximately 125,000 to 150,000 children orphaned. Parental death from causes other than IDS has been consistently associated with poor child adjustment, long term mental health symptoms, and behavioral problems. These problems are likely to be exacerbated for children orphaned by AIDS, given the stigmatization of the disease, the frequent lack of a surviving parent, and proverty. There have been no prospective studies of child bereavement from any type of parental death, including death from AIDS. Therefore, the adjustment of 120 children age 6-11 who have a mother with AIDS (MWA) will be monitored over time; children and their MWAs will be recruited from primary health care clinics in Los Angeles (LA). The specific goals of this study are to: (1) to longitudinally follow the mental health, behavioral, and social adjustment of children of MWAs over 36 months, throughout the illness of the MWA, her death, and during the child's transition to a new guardian; (2) identify characteristics of the child that may mediate the impact of parental loss, including background factors, skills (problem solving, coping, and self-valuing), and their relationship with the MWA and later with their new guardian; and (3) evaluate characteristics of the MWA and then of the new guardian that may mediate th impact of parental loss, including background factors and parenting skills. This study will benefit both adult and child researchers. It will provide guidelines for interventions for MWAs of young children on how to parent effectively and improve family functioning while coping with multiple stressors, including physical symptoms and end-stage disease state. More importantly, findings from this study will provide a developmentally-linked description over time bereavement process for children whose parents die of other causes. Additionally, evaluation of children's long-term adjustment (mental health, behavioral, and social outcomes), will assist in detemining resiliency factors and risk factors for children who are orphaned by ADS.