McKee Laura, Jones Deborah J, Roland Erin, Coffelt Nicole, Rakow Aaron, Forehand Rex
Psychology Department, University of Vermont, Burlington, VT 05405, USA.
Am J Orthopsychiatry. 2007 Apr;77(2):259-66. doi: 10.1037/0002-9432.77.2.259.
This study was designed to examine interactions between psychosocial risk (i.e., maternal depressive symptoms) and protective (i.e., child coping skills and mother-child relationship quality) correlates of depressive symptoms among inner-city African American children of mothers with and without HIV/AIDS. Two primary hypotheses were tested: (a) whether these correlates interact differently in HIV-infected and noninfected samples and (b) whether child coping skills and a positive mother-child relationship interact to protect children from developing depressive symptoms in the context of maternal HIV infection. Results indicated that (a) a positive mother-child relationship, but not child coping skills, was protective in the HIV-infected sample when maternal depressive symptoms were high and (b) the combination of a positive mother-child relationship and child coping skills was associated with the lowest level of child depressive symptoms in the HIV-infected sample. These findings highlight the differential importance of various risk and protective mechanisms for HIV-infected and noninfected African American samples and, as such, have preventative implications for children of HIV-infected women.
本研究旨在探讨心理社会风险（即母亲的抑郁症状）与保护性因素（即儿童应对技能和母子关系质量）之间的相互作用，这些因素与感染和未感染艾滋病毒/艾滋病的母亲所生的市中心非裔美国儿童的抑郁症状相关。检验了两个主要假设：（a）这些相关因素在感染艾滋病毒和未感染艾滋病毒的样本中是否有不同的相互作用；（b）在母亲感染艾滋病毒的情况下，儿童应对技能和积极的母子关系是否相互作用以保护儿童不出现抑郁症状。结果表明：（a）在母亲抑郁症状严重时，积极的母子关系而非儿童应对技能在感染艾滋病毒的样本中具有保护作用；（b）在感染艾滋病毒的样本中，积极的母子关系和儿童应对技能的结合与儿童抑郁症状的最低水平相关。这些发现凸显了各种风险和保护机制对感染艾滋病毒和未感染艾滋病毒的非裔美国样本的不同重要性，因此，对感染艾滋病毒妇女的子女具有预防意义。
