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孕产妇感染艾滋病毒/艾滋病与青少年抑郁症:“父母与青少年共同应对”(PACT)模型的协方差结构分析

Maternal HIV/AIDS and adolescent depression: A covariance structure analysis of the "Parents and Adolescents Coping Together" (PACT) model.

作者信息

Murphy Debra A, Marelich William D, Amaro Hortensia

机构信息

Health Risk Reduction Projects, Integrated Substance Abuse Programs, Department of Psychiatry, University of California at Los Angeles.

出版信息

Vulnerable Child Youth Stud. 2009 Mar;4(1):67-82. doi: 10.1080/17450120802385729.

Abstract

The current study assessed the efficacy of selected variables from the Parents and children Coping Together (PACT) model, which was designed to predict maternal HIV effects on child/adolescent outcomes. Data from two longitudinal studies applying PACT measures were utilized, encompassing a seven-year assessment timespan for HIV-infected mothers and their children. Both maternal and child-based measures were evaluated, and a sequential longitudinal design was adopted. Structural equation modeling using FIML was performed to assess the proposed model. Results show the PACT model was viable in predicting child/adolescent outcomes of self-concept and depression. Study implications are discussed, including the influences of maternal factors on child's self-concept and depression, and a reconsideration of the affect of family cohesion on child/adolescent outcomes.

摘要

本研究评估了“父母与孩子共同应对”(PACT)模型中选定变量的有效性,该模型旨在预测母亲感染艾滋病毒对儿童/青少年结局的影响。研究使用了两项应用PACT测量方法的纵向研究的数据,对感染艾滋病毒的母亲及其子女进行了为期七年的评估。对基于母亲和孩子的测量方法都进行了评估,并采用了序贯纵向设计。使用全信息极大似然估计法进行结构方程建模,以评估所提出的模型。结果表明,PACT模型在预测儿童/青少年的自我概念和抑郁结局方面是可行的。文中讨论了该研究的意义,包括母亲因素对孩子自我概念和抑郁的影响,以及对家庭凝聚力对儿童/青少年结局影响的重新思考。

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