LIVING WITH HIV/AIDS--MOTHER/CHILD COPING AND ADJUSTMENT

描述(改编自摘要)：本研究的目的是 检查艾滋病毒阳性状态对城市、低社会经济地位的影响，主要是 非裔美国母亲和她们未受感染的学龄儿童。这个 主要目的是确定显示前景的变量作为 降低心理社会适应受损风险的干预措施 在这些母亲的孩子的学龄期。为了达到这一目的， 拟议的研究将涉及以下具体目标：(1)提供 HIV阳性母亲和未感染学校的社会人口学描述 (2)评价母婴关系模型 艾滋病毒相关应激源和儿童心理社会适应，包括 母婴应对、母婴支持、 母性情绪调适与母子关系； 考察母亲应对、儿童应对和母亲应对之间的关系 她的孩子的监护权规划程度。研究的特点 包括：通过功率分析确定的样本大小(N=216个母子 配对)；使用可靠和有效的工具；以及多变量数据 分析，包括判别函数、多元回归和潜在分析 变量结构方程模型(SEM)。广泛的协作 与社区艾滋病毒/艾滋病机构建立了网络，为 几乎100%的底特律大都市的目标人口。基于 这项研究的结果，包括对因果模型的检验，认为 对母亲和儿童这一高危人群的干预措施将是 已确认身份。建议的模式将为 心理社会护理干预措施的制定与实施 关注艾滋病毒相关应激源的评估，应对策略 母子、社会支持资源、亲子素质 关系，以及针对家庭的监护权计划。

DESCRIPTION (adapted from the Abstract): The purpose of this research is to examine the effects of HIV-positive status on urban, low SES, primarily African-American mothers, and their uninfected, school-aged children. The primary purpose is to identify variables that show promise as the basis for interventions that will reduce the risk for impaired psychosocial adjustment in the school age children of these mothers. To achieve this purpose, the proposed research will address the following specific aims: (1) provide a sociodemographic description of HIV-positive mothers and uninfected school age children; (2) evaluate a model of the relation between maternal HIV-associated stressors and child psychosocial adjustment that includes the constructs of maternal and child coping, maternal and child support, maternal emotional adjustment, and the mother-child relationship; and (3) examine the relations between maternal coping, child coping, and mother's degree of custody planning for her child. Characteristics of the study include: sample size determined by power analysis (N=216 mother-child pairs); the use of reliable and valid instruments; and multivariate data analyses, including discriminant function, multiple regression, and latent variable structural equation modeling (SEM). Extensive collaborative networks have been established with community HIV/AIDS agencies serving virtually 100% of the target population in metropolitan Detroit. Based on the results of this research, including the test of a causal model, points of intervention in this high-risk population of mothers and children will be identified. The model as proposed will provide information for the development and implementation of psychosocial nursing interventions concerned with the assessment of HIV-related stressors, coping strategies of mothers and children, social support resources, quality of parent-child relationship, and family-specific custody planning.