Article

The Effect of Social Support on Mental and Behavioral Outcomes Among Adolescents With Parents With HIV/AIDS

Center for Community Health, University of California, Los Angeles, CA 90024, USA.
American Journal of Public Health (Impact Factor: 4.55). 11/2007; 97(10):1820-6. DOI: 10.2105/AJPH.2005.084871
Source: PubMed

ABSTRACT

We examined the associations between social support and mental and behavioral outcomes among adolescents whose parents were infected with or died of HIV/AIDS.
Families (parents who were HIV infected and their adolescent children) were randomly assigned to a coping skills intervention or a standard care group. After completing the intervention, the parents and adolescents were assessed for 2 years.
Adolescents who had more social support providers reported significantly lower levels of depression and fewer conduct problems; adolescents who had more negative influence from role models reported more behavior problems. Reductions in depression, multiple problem behaviors, and conduct problems were significantly associated with better social support.
Our findings underscore the complex relations between social support and mental and behavioral outcomes among adolescents affected by HIV/AIDS. Future prevention programs must focus on increasing social support to reduce negative outcomes among adolescents affected by HIV/AIDS as well as the need to reduce influence from negative role models.

Download full-text

Full-text

Available from: Sung-Jae Lee
    • "The family may also face economic pressures due to the long-term impact of the parent's illness on their ability to work that in turn tends to limit the child's opportunities (Coles, Pakenham, & Leech, 2007). The ill parent may be occupied by his/her own health issues and therefore may be unable to provide support and comfort for the child (Laccetti & Vessey, 2007). These shortcomings, in turn, can produce feelings of guilt in the ill parent (De Judicibus & McCabe, 2004; Van DerNoot, 2006). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Young children and adolescents who have a parent with a serious physical illness require information and support to cope with their everyday lives. The purpose of this scoping review was to summarise and disseminate the research findings of interventions that support children in families with a serious physically ill parent. The review also aimed to identify research gaps in the existing literature. Following a comprehensive search, only nine support interventions from 12 studies were identified, indicating that a dearth of intervention research has been conducted in the area. Although positive results were reported from all interventions at some stage, many of the studies were small pilot studies that did not show robust proof of the effectiveness of the interventions. However, the scoping review revealed that the main aim of most interventions is to enhance family functioning for all afflicted families by helping parents to communicate with their children. Further, some interventions offer a comprehensive support for identified “at risk” families. Few interventions examined the improvement within the everyday lives of families facing a serious physical illness other than cancer or HIV. The measures of effectiveness for children were limited to internal psychological symptoms of stress and depression, behavioural problems and issues regarding communication within the family. Few studies evaluated external measures; for example, effects on children's care burden, improved support from social network or school achievements. Implications for practitioners include gaining inspiration from the programmes to enhance communication between parents and children and also, wherever possible, to ask children themselves to evaluate the effectiveness of the support offered to them.
    No preview · Article · Dec 2015 · Child Care in Practice
  • Source
    • "Furthermore, psychopathology can negatively impact interpersonal relationships and psychosocial functioning (Markowitz et al. 2009). Conversely, social support and interpersonal connectedness to caregivers and peers appear to be particularly robust predictors of resilience in the face of trauma exposure whereas a lack of social support increases risk for psychopathology (Bal et al. 2005; Lee et al. 2007; Nooner et al. 2012). These findings therefore suggest that interpersonal factors, such as the ability to build relationships and elicit support from social networks can be compromised by trauma, yet these same social and interpersonal capacities have the ability to promote adaptive responses following exposure to trauma. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Chronic exposure to trauma disrupts the development of capacities that can support current functioning and foster resilience. However, there is little research on interventions that simultaneously enhance resilience and reduce current symptoms. This pilot study utilized a matched assessment-only comparison group design to examine the effectiveness of an adolescent version of Skills Training in Affective and Interpersonal Regulation (Cloitre et al. 2006) delivered in a 16‐week school-based group format. Participants were 46 racial/ethnic minority girls (ages 11–16) who were exposed to an average of 10.71 (SD = 6.19) stressful or traumatic events over their lifetime. Initial results suggest that this skill‐based treatment targeting emotion management and interpersonal skills can successfully enhance resilience while reducing psychopathology. Resiliency factors are important intervention targets for youth exposed to trauma, particularly in terms of improving current functioning and mitigating the impact of future exposure to trauma. Limitations and future directions are discussed.
    Full-text · Article · Oct 2015 · Journal of Child & Adolescent Trauma
  • Source
    • "other children living with healthy parents (Cluver et al. 2007; Rotheram-Borus et al. 2005). Some researchers found that depressive symptoms among children affected by HIV were associated with bereavement, family functioning , social support, poverty, perceived stigma, trauma, child labour, physical abuse, and access to school (Cluver and Gardner 2007; Hong et al. 2010; Lee et al. 2007; Nyamukapa et al. 2010). However, most of the existing research is either qualitative or quantitative studies using a cross-sectional design; few studies have examined linkages between psychosocial factors and depression among children affected by HIV based on prospective longitudinal data. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The current study was designed to examine the trend of depression among children affected by HIV (n = 1,221) in rural China over a period of 3 years and to explore baseline psychosocial factors that can predict depressive symptoms at 1- and 2-year follow-ups. Baseline depression score, trusting relationship with caregivers, perceived public stigma against children affected by HIV, and future expectation at baseline positively predicted the 1-year follow-up depression, while children' self-report health status, self-esteem, and perceived social support negatively predicted depression at 1-year follow-up survey. Depression and self-report health status at baseline significantly predicted depression at the 2-year follow-up. The data in the current study suggested that depressive symptoms were chronic or recurring among some children affected by HIV/AIDS. The findings also underscore the importance of early identification, early intervention, and ongoing counseling for mental health problems among children affected by HIV/AIDS. Future psychological support programs need to target both mental health symptoms and resilient factors that will help these children to cope with adverse life events associated with HIV/AIDS.
    Full-text · Article · Oct 2013 · Journal of Child and Family Studies
Show more