青少年艾滋病感染者和艾滋病影响者的心理健康：照顾者艾滋病的作用。
Mental health in youth infected with and affected by HIV: the role of caregiver HIV.
机构信息
HIV Center for Clinical and Behavioral Sciences, Columbia University and New York State Psychiatric Institute, 1051 Riverside Drive #15, New York, NY 10032, USA.
出版信息
J Pediatr Psychol. 2011 Apr;36(3):360-73. doi: 10.1093/jpepsy/jsq094. Epub 2010 Oct 14.
OBJECTIVE
To examine the association of youth and caregiver HIV status, and other contextual and social regulation factors with youth mental health.
METHOD
Data were from two longitudinal studies of urban youth perinatally infected, affected, and unaffected by HIV (N = 545; 36% PHIV+ youth; 45.7% HIV+ caregivers). Youth mental health was measured using the Child Behavior Checklist, the Child Depression Inventory, and the State-Trait Anxiety Inventory for Children.
RESULTS
HIV+ youth reported elevated scores on the CDI compared with HIV- youth. HIV+ caregivers reported fewer symptoms and were less likely to report scores in the clinical range for their children on the CBCL compared with HIV- caregivers. Caregiver mental health and parent-child communication and involvement were also associated with youth mental health.
CONCLUSIONS
Youth who resided with HIV+ caregivers had better mental health. Future research needs to further explore the role of caregiver HIV infection in youth mental health. Understanding and building upon strengths of HIV-affected families may be an effective focus of interventions for this population.
目的
探讨青年和照顾者 HIV 状况以及其他背景和社会调节因素与青年心理健康之间的关系。
方法
数据来自两项针对城市青年的纵向研究，这些青年经产时感染、受 HIV 影响和不受 HIV 影响（545 名青年，36%为 PHIV+青年，45.7%的照顾者 HIV+）。采用儿童行为检查表、儿童抑郁量表和儿童状态-特质焦虑量表评估青年心理健康。
结果
与 HIV-青年相比，PHIV+青年的 CDI 得分较高。与 HIV-照顾者相比，HIV+照顾者报告的 CBCL 儿童症状较少，且报告儿童处于临床范围得分的可能性较小。照顾者的心理健康以及亲子沟通和参与情况也与青年心理健康相关。
结论
与 HIV+照顾者共同生活的青年心理健康状况较好。未来的研究需要进一步探讨照顾者 HIV 感染对青年心理健康的作用。了解并充分利用受 HIV 影响的家庭的优势，可能是针对该人群干预措施的有效重点。
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