Rotheram-Borus Mary Jane, Stein Judith A, Lester Patricia
Department of Psychiatry, University of California, Los Angeles, Los Angeles, California, USA.
J Adolesc Health. 2006 Aug;39(2):174-82. doi: 10.1016/j.jadohealth.2006.02.014.
To assess predictors of adjustment of adolescents of parents with HIV (PWH) at three and six years after the delivery of either a coping skills intervention or a standard care condition.
A randomized controlled intervention trial was conducted with 288 parents with human immunodeficiency virus (HIV) and their adolescent children. Indicators of adolescent adjustment at both three and six years were examined as a function of intervention condition, demographics, prior behaviors, and parental bonds using structural equation modeling (SEM). Adolescent adjustment at six years was also examined as a function of death of the PWH.
Protective factors: Youth in the intervention condition reported significantly less substance use three and six years later. In addition, positive parental bonds reported at baseline reduced emotional distress at three years and increased positive future expectations at six years.
Substance use at three years predicted heightened sexual risk behaviors, continued substance use, and lower future expectations at six years. Early emotional distress and being Latino predicted increased emotional distress at three years. Parental death by three years predicted more sexual risk behavior and lowered future expectations at six years.
A time-limited, family based intervention with adolescents of PWH demonstrated both direct and indirect benefits lasting into early adulthood, especially in decreasing substance use, and identifies key risk factors for problematic adjustment, including the death of a PWH.
评估在应对技能干预或标准护理条件实施三年及六年之后，感染艾滋病毒的父母（PWH）的青少年的适应预测因素。
对288名感染人类免疫缺陷病毒（HIV）的父母及其青少年子女进行了一项随机对照干预试验。使用结构方程模型（SEM），将三年及六年时青少年适应的指标作为干预条件、人口统计学特征、既往行为和亲子关系的函数进行检验。六年时青少年的适应情况也作为PWH死亡情况的函数进行了检验。
保护因素：处于干预条件下的青少年在三年及六年之后报告的物质使用情况明显较少。此外，基线时报告的积极亲子关系在三年时减少了情绪困扰，在六年时增加了对未来的积极期望。
三年时的物质使用预测了六年时更高的性风险行为、持续的物质使用以及更低的未来期望。早期情绪困扰和拉丁裔身份预测了三年时情绪困扰的增加。三年前父母死亡预测了六年时更多的性风险行为和更低的未来期望。
针对感染艾滋病毒父母的青少年开展的限时家庭干预显示出了持续至成年早期的直接和间接益处，尤其是在减少物质使用方面，并确定了适应问题的关键风险因素，包括感染艾滋病毒父母的死亡。
