Murphy Debra A, Marelich William D, Lanza H Isabella, Herbeck Diane M
Health Risk Reduction Projects, Integrated Substance Abuse Programs, University of California Los Angeles.
Vulnerable Child Youth Stud. 2012 Dec 1;7(4):357-370. doi: 10.1080/17450128.2012.708461. Epub 2012 Aug 13.
A longitudinal assessment was undertaken of young adolescents' psychosocial outcomes affected by maternal HIV/AIDS, focusing on both parent-child psychosocial ties and peer relationships. Data were taken from the Parents and Children Coping Together study (PACT), a 15-year study assessing mothers with HIV/AIDS and their well children every 6 months. Families (N = 118) who participated in PACT II and PACT III are included in the current analyses, who were assessed every 6 months for 36 months in PACT II, and every 6 months for 18 months in PACT III (providing 11 time points of data across 8 years). Growth curve modeling was applied to assess the associations of maternal health on adolescent psychosocial outcomes. In terms of their relationship with their mother living with HIV (MLH), adolescent psychosocial functioning was negatively impacted by maternal illness, specifically viral load count and vitality levels, while several indicators of increased maternal illness (including viral load, vitality, illness symptoms, health-related anxiety) predicted less attachment with peers. In addition, MLH increased illness was associated with more adolescent autonomy.
对受母亲感染艾滋病毒/艾滋病影响的青少年心理社会结果进行了纵向评估，重点关注亲子心理社会关系和同伴关系。数据取自“父母与孩子共同应对”研究（PACT），这是一项为期15年的研究，每6个月对感染艾滋病毒/艾滋病的母亲及其健康子女进行评估。参与PACT II和PACT III的家庭（N = 118）纳入了当前分析，这些家庭在PACT II中每6个月评估一次，共36个月，在PACT III中每6个月评估一次，共18个月（提供了8年中11个时间点的数据）。应用生长曲线模型来评估母亲健康状况与青少年心理社会结果之间的关联。就与感染艾滋病毒的母亲（MLH）的关系而言，母亲的疾病，特别是病毒载量和活力水平，对青少年心理社会功能产生了负面影响，而母亲疾病增加的几个指标（包括病毒载量、活力、疾病症状、与健康相关的焦虑）预示着与同伴的依恋减少。此外，MLH疾病增加与青少年更多的自主性有关。
