Article

The effectiveness of cognitive behavioral stress management training on mental health, social interaction and family function in adolescents of families with one Human Immunodeficiency Virus (HIV) positive member.

Resident of child and adolescent psychiatry, Department of Psychiatry, Behavioral Science Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Journal of research in medical sciences (Impact Factor: 0.61). 06/2011; 16(6):741-9.
Source: PubMed

ABSTRACT This study evaluated stress management training to improve mental health, social interaction and family function among adolescents of families with one Human Immunodeficiency Virus (HIV) positive member.
There were 34 adolescents (13-18 years old) with at least one family member living with HIV from whom finally 15 attended the study and participated in 8 weekly sessions of stress management training. The tests used in this study were: Strengths and Difficulties Questionnaire (self and parent report), General Health Questionnare-28 (GHQ-28) and Family Assessment Device (FAD), conducted before, after and three months after the intervention. The collected data were analyzed by repeated measure test using SPSS software (Version 18.0).
Adolescents with one HIV positive family member showed high level of emotional problem (40%) and conduct problem (33.3%). There was a significant difference between before, after and 3months after intervention based on GHQ-28 mean scores and FAD mean sores (p < 0.001). There was a significant difference between mean scores of peers' relationship based on SDQ (self report and parents report forms) before and after intervention, but there was no significant difference between mean scores of pro social behavior based on SDQ (self report and parents report forms) in all three stages (before, after and three months after intervention).
Stress management training is effective in improving mental health, family function and social interaction among adolescents living with parents infected with HIV/AIDS.

1 Bookmark
 · 
152 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to examine the relations between fatigue, family function and self-esteem among middle-aged women in menopausal periods. Data were collected through self-administered questionnaire survey form 133 middle-aged women. The data collection was done from March 2nd to April 10th, 2012. As a results, there were significant differences in fatigue by education level and menstrual status. And, there were significant differences in family function according to education level and marital status. Also, there were significant differences in self-esteem by education level, marital status and monthly income. Fatigue was negatively related to family function and self-esteem. And family function was positively related to self-esteem. These results suggest that nursing intervention should be developed to strengthen family function and self-esteem as a way to regulate fatigue for middle-aged women in menopausal periods. Especially, it is necessary to pay more attention to health management of middle-aged women belonging to menopausal transition, with low-income, low-education level.
    Journal of the Korea Academia-Industrial cooperation Society. 06/2012; 13(6).
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This article was inspired by Rolland's Family Systems-Illness (FSI) model, aiming to predict adolescent stress as a function of parental illness type. Ninety-nine parents with a chronic medical condition, 82 partners, and 158 adolescent children (51 % girls; mean age = 15.1 years) participated in this Dutch study. The Dutch Stress Questionnaire for Children was used to measure child report of stress. Ill parents completed the Beck Depression Inventory. Children filled in a scale of the Inventory of Parent and Peer Attachment measuring the quality of parent attachment. Both parents filled in the Parent-Child-Interaction Questionnaire-Revised. We conducted multilevel regression analyses including illness type, the ill parent's depressive symptoms, family functioning (quality of marital relationship, parent-child interaction, and parent attachment), and adolescents' gender and age. Four regression analyses were performed separately for each illness type as defined by disability (Model 1), and onset (Model 2), course (Model 3), and outcome of illness (Model 4). In all models, higher adolescent stress scores were linked to lower quality of parent-child interaction and parent attachment, and adolescents' female gender. The four models explained approximately 37 % of the variance in adolescent stress between individuals and 43-44 % of the variance in adolescent stress between families. Adolescent stress was not related to parental illness type. Our results partially supported the FSI model stating that family functioning is essential in point of child adjustment to parental illness. In the chronic stage of parental illness, adolescent stress does not seem to vary depending on illness type.
    Journal of Developmental and Physical Disabilities 12/2012; 24(6):591-606. · 0.89 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: OBJECTIVE: The current study aims to explore the association of parents living with HIV (PLHs) and their children's self-esteem, everyday stress, and delinquent behaviors. DESIGN: The study samples included 79 families with 79 PLHs and 79 children. METHODS: Multiple regression analysis was used on baseline data collected in 2009 from a pilot study in Anhui Province, China. RESULTS: The results indicated that children from a family with both parents infected with HIV or children from families having multiple children were more likely to report a higher level of everyday stress. Male PLHs have significant influence on their children's everyday stress compared with female PLHs. Children reporting a lower level of parental care and lower self-esteem were significantly more likely to report a higher level of delinquent behaviors. In addition, we have found a strong positive correlation between families with multiple children and their children's delinquent behaviors. CONCLUSIONS: The findings indicate that the severity of psychological and behavioral problems of children living in different HIV-affected families may be dependent not only on factors related to the children but also on factors related to their parents and families. Therefore, parental and family level factors should be considered when providing care and support to children living in HIV-affected families.
    Vulnerable Children and Youth Studies 09/2012; 7(3):249-259.

Preview

Download
2 Downloads
Available from