Lee Sung-Jae, Detels Roger, Rotheram-Borus Mary Jane, Duan Naihua
Center for Community Health, University of California, Los Angeles, CA 90024, USA.
Am J Public Health. 2007 Oct;97(10):1820-6. doi: 10.2105/AJPH.2005.084871. Epub 2007 Apr 26.
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.
我们研究了父母感染艾滋病毒/艾滋病或死于艾滋病毒/艾滋病的青少年中，社会支持与心理和行为结果之间的关联。
将家庭（感染艾滋病毒的父母及其青少年子女）随机分为应对技能干预组或标准护理组。干预结束后，对父母和青少年进行了为期2年的评估。
有更多社会支持提供者的青少年报告的抑郁水平显著较低，行为问题较少；受到榜样负面影响较多的青少年报告的行为问题较多。抑郁、多种问题行为和品行问题的减少与更好的社会支持显著相关。
我们的研究结果强调了受艾滋病毒/艾滋病影响的青少年中社会支持与心理和行为结果之间的复杂关系。未来的预防项目必须专注于增加社会支持，以减少受艾滋病毒/艾滋病影响的青少年的负面结果，以及减少负面榜样的影响。
