Six-Year Intervention Outcomes for Adolescent Children of Parents With the Human Immunodeficiency Virus

Division of Adult Psychiatry, University of California, Los Angeles, Los Ángeles, California, United States
Archives of Pediatrics and Adolescent Medicine (Impact Factor: 5.73). 09/2004; 158(8):742-8. DOI: 10.1001/archpedi.158.8.742
Source: PubMed


Having a parent with the human immunodeficiency virus has a significant negative impact on an adolescent child's adjustment.
To assess the adjustment of adolescent children to having a parent with the human immunodeficiency virus over 6 years, following the delivery of a coping skills intervention.
A randomized controlled trial with repeated evaluations that was analyzed with an intention-to-treat analysis. A skill-based intervention was delivered in 3 modules over 24 sessions, with the third module being delivered only if parents died.
A representative sample of parents with the human immunodeficiency virus (n = 307) and their adolescent children (n = 423) was recruited from the Division of AIDS Services in New York City; 51.5% (n = 158) of the parents died.
Employment and school enrollment, receiving public welfare support, early parenthood, mental health symptoms, and the quality of romantic relationships.
Over 6 years, significantly more adolescents in the intervention condition than the control condition were employed or in school (82.58% vs 68.94%), were less likely to receive public welfare payments (25.66% vs 36.65%), were less likely to have psychosomatic symptoms (mean, 0.24 vs 0.31), were more likely to report better problem-solving and conflict resolution skills in their romantic relationships (mean score, 4.38 vs 4.20), expected to have a partner with a good job (mean, 4.57 vs 4.19), and expected to be married when parenting (mean, 3.05 vs 2.40). With marginal significance, the percentage of parents in the intervention condition (34.6%) was less than in the control condition (44.1%).
Physicians must consider the psychosocial consequences of illness-related challenges on children and provide interventions.

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Available from: Mary Jane Rotheram-Borus, Nov 07, 2014
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    • "First, studies highly varied in a number of ways. Intervention duration ranged from a single 1-h session (Winters and Leitten 2007; Winters et al. 2012) to over 30 sessions (Catalano et al. 1999; Rotheram-Borus et al. 2004; 2012), and boosters were added between follow-up measures in a number of studies (Fang and Schinke 2013; Furr-Holden et al. 2004; Spoth et al. 2002). Follow-up times ranged from 2 months (McGillicuddy et al. 2001) to 15 years (Haggerty et al. 2008; Wolchik et al. 2013). "
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