PEDIATRIC HIV, SOCIAL SUPPORT AND CAREGIVER ADJUSTMENT

本研究旨在探讨家庭社会支持、照顾者疾病适应与HIV阳性儿童认知及心理社会发展之间的关系。具体而言，本研究旨在确定是否调整自己的艾滋病毒感染状况的母亲可以解释在儿童发育水平的差异超出了儿童自己的艾滋病毒感染状况，艾滋病毒症状，结束CD 4细胞计数的解释。儿童的认知发育将通过贝利婴儿发育量表、韦克斯勒学龄前和小学智力量表或韦克斯勒儿童智力量表第三版进行评估。将通过Battelle发育量表的个人-社会适应领域评估心理社会发育。此外，母亲们还必须完成一份简短的问卷，评估家庭社会支持、疾病适应和人口特征。虽然以前的研究试图检查艾滋病毒和心理社会因素可能在艾滋病毒阳性儿童的发展和调整中发挥的作用，很少有缩小调查范围，以检查母亲的调整可能在儿童的发展中发挥的作用。因此，这项研究不仅将增加有关儿科艾滋病毒心理社会方面的极少数研究，而且还将有助于阐明儿科艾滋病毒患者发展中涉及的一些问题。由于这些儿童的预期寿命持续上升，了解这种疾病的心理社会，特别是母亲和孩子的方面似乎特别重要。

The purpose of this study is to determine whether a relationship exists between family social support, caregiver disease adjustment, and cognitive and psychosocial development of HIV-positive children. Specifically, this study aims to determine whether the adjustment of mothers to their own HIV status can explain the variance in child developmental level beyond that explained by the child's own HIV status, HIV symptoms, end CD4 count. The cognitive development of the child will be assessed via the Bayley Scales of Infant Development, the Wechsler Preschool and Primary Scale of Intelligence, or the Wechsler Intelligence Scale for Children-Third Edition. Psychosocial development will be assessed via the Personal-Social Adaptive domain of the Battelle Developmental Inventory. In addition, mothers will have to complete a brief packet of questionnaire measures assessing family social support, disease adjustment, and demographic characteristics. Although previous studies have attempted to examine the role that HIV and psychosocial factors may play in the development and adjustment of HIV-positive children, few have narrowed down the scope of the investigation to examine the role that maternal adjustment may play in the child's development. As such, this study will not only add to the very few studies on the psychosocial aspects of pediatric HIV, but it will also help elucidate some of the issues involved in the development of pediatric HIV patients. Due to the continued rise in the life expectancy of these children, understanding the psychosocial and in particular the mother child aspects of this disorder seems especially important.