Carman and Ann Adams Department of Pediatrics Prevention Research Center, Wayne State University School of Medicine, Detroit, MI 48201, USA.
J Clin Child Adolesc Psychol. 2009 Sep;38(5):731-44. doi: 10.1080/15374410903103601.
Cross-sectional data were gathered from 1,625 children (M age = 12.85, SD = 2.21) which included 755 AIDS orphans, 466 vulnerable children, and 404 comparison children. Participants completed self-report measures of exposure to traumatic events, and psychosocial adjustment including behavior problems, depression, self-esteem, and future orientation. AIDS orphans and vulnerable children reported experiencing a higher total occurrence, density, duration, initial impact and lasting impact of traumatic events compared to comparison children. Scores reflecting adjustment were lower among orphans and vulnerable children than among comparison children. Both orphan status and traumatic events contributed unique variance in the expected direction to the prediction of psychosocial adjustment. The data in the current study suggested that children affected by HIV/AIDS in China are exposed to more trauma and suffer more adjustment problems than children who do not experience HIV/AIDS in their families.
本研究收集了 1625 名儿童（M 年龄=12.85，SD=2.21）的数据，其中包括 755 名艾滋病孤儿、466 名弱势儿童和 404 名对照儿童。参与者完成了自我报告的创伤事件暴露和心理社会适应的测量，包括行为问题、抑郁、自尊和未来取向。艾滋病孤儿和弱势儿童报告的创伤事件总发生率、密度、持续时间、初始影响和持久影响均高于对照儿童。反映适应情况的分数在孤儿和弱势儿童中低于对照儿童。孤儿身份和创伤事件都对心理社会适应的预测有独特的贡献，方向符合预期。本研究的数据表明，中国受 HIV/AIDS 影响的儿童比家庭中没有 HIV/AIDS 的儿童更容易受到创伤，面临更多的适应问题。
