This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (14)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • HIV/AIDS  • Adolescent Medicine  • Prognosis/ Outcomes  • Infectious Diseases  • Alert me on articles by topic  Social Bookmarking   What's this?

Mary Jane Rotheram-Borus, PhD; Martha Lee, PhD; Ying-Ying Lin, MS; Patricia Lester, MD

Arch Pediatr Adolesc Med. 2004;158:742-748.

Hypothesis  Having a parent with the human immunodeficiency virus has a significant negative impact on an adolescent child's adjustment.

Objective  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.

Design  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.

Setting and Patients  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.

Main Outcome Measures  Employment and school enrollment, receiving public welfare support, early parenthood, mental health symptoms, and the quality of romantic relationships.

Results  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%).

Conclusion  Physicians must consider the psychosocial consequences of illness-related challenges on children and provide interventions.

From the AIDS Institute and the Department of Psychiatry, University of California, Los Angeles.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

HIV-positive Mothers' Disclosure of Their Serostatus to Their Young Children: A Review
Murphy
Clin Child Psychol Psychiatry 2008;13:105-122.
ABSTRACT  

Fostering Positive Adolescent Development When a Parent Has HIV
JWatch Pediatrics 2004;2004:3-3.
FULL TEXT  

Helping Adolescent Children of HIV-Positive Parents to Cope
JWatch General 2004;2004:5-5.
FULL TEXT  

The Rewards of Reducing Risk
Brent
Arch Pediatr Adolesc Med 2004;158:824-825.
FULL TEXT