J Assoc Nurses AIDS Care. 2010 Jul-Aug;21(4):335-44. doi: 10.1016/j.jana.2009.12.001. Epub 2010 Feb 4.
This study compares psychosocial well-being between paternal and maternal orphans in rural China in a sample (n = 459) of children who had lost one parent to HIV and who were in family-based care. Measures included academic marks, education expectation, trusting relationships with current caregivers, self-reported health status, depression, loneliness, posttraumatic stress, and social support. No significant differences were reported between maternal and paternal orphans, except that paternal orphans reported better trusting relationships with caregivers than maternal orphans. Children with a healthy surviving parent reported significantly better scores for depression, loneliness, posttraumatic stress, and social support than children with a sick parent. Analyses showed significance with regard to orphan status on academic marks and trusting relationships with caregivers while controlling for age, gender, surviving parent's health status, and family socioeconomic status. Results underscore the importance of psychosocial support for children whose surviving parent is living with HIV or another illness.
本研究比较了中国农村地区因 HIV 而失去父母一方的孤儿（n=459）的心理社会幸福感，这些孤儿都处于家庭寄养中。评估指标包括学习成绩、教育期望、与当前照顾者的信任关系、自我报告的健康状况、抑郁、孤独、创伤后应激和社会支持。研究报告称，在除了与照顾者的信任关系外，父/母系孤儿之间没有显著差异，与母系孤儿相比，父系孤儿报告与照顾者的信任关系更好。与父母健在的孩子相比，有健康的健在父母的孩子的抑郁、孤独、创伤后应激和社会支持得分显著更高。分析表明，在控制年龄、性别、健在父母的健康状况和家庭社会经济地位后，孤儿身份对学习成绩和与照顾者的信任关系有显著影响。研究结果强调了为那些健在父母患有 HIV 或其他疾病的孩子提供心理社会支持的重要性。
