Department of Pediatrics, University Federico II, Naples, Italy.
AIDS Patient Care STDS. 2013 Jun;27(6):363-9. doi: 10.1089/apc.2012.0465. Epub 2013 May 21.
Disclosure of the HIV status to infected children is often delayed due to psychosocial problems in their families. We aimed at improving the quality of life in families of HIV-infected children, thus promoting disclosure of the HIV status to children by parents. Parents of 17 HIV-infected children (4.2-18 years) followed at our Center for pediatric HIV, unaware of their HIV status, were randomly assigned to the intervention group (8 monthly sessions of family group psychotherapy, FGP) or to the control group not receiving psychotherapy. Changes in the Psychological General Well-Being Index (PGWB-I) and in the Short-Form State-Trait Anxiety Inventory (Sf-STAI), as well as the HIV status disclosure to children by parents, were measured. Ten parents were assigned to the FGP group, while 7 parents to the controls. Psychological well-being increased in 70% of the FGP parents and none of the control group (p=0.017), while anxiety decreased in the FGP group but not in controls (60% vs. 0%, p=0.03). HIV disclosure took place for 6/10 children of the intervention group and for 1/7 of controls. Family group psychotherapy had a positive impact on the environment of HIV-infected children, promoting psychological well-being and the disclosure of the HIV status to children.
由于受感染者家庭存在心理社会问题，HIV 感染者子女的 HIV 状况披露常常被延迟。我们旨在改善 HIV 感染儿童家庭的生活质量，从而促进父母向子女披露 HIV 状况。我们中心为儿科 HIV 感染者的 17 名家长（年龄 4.2-18 岁）进行了一项研究，他们不知道自己的 HIV 状况，被随机分配到干预组（8 个月的家庭团体心理治疗，FGP）或对照组（未接受心理治疗）。评估了家长的心理总体幸福感指数（PGWB-I）和状态特质焦虑量表（Sf-STAI）的变化，以及父母向子女披露 HIV 状况的情况。10 名家长被分配到 FGP 组，而 7 名家长被分配到对照组。FGP 组 70%的家长心理健康状况得到改善，而对照组无一例改善（p=0.017），而 FGP 组的焦虑程度下降，但对照组没有（60%与 0%，p=0.03）。干预组的 6/10 名儿童和对照组的 1/7 名儿童的 HIV 状况得到了披露。家庭团体心理治疗对 HIV 感染儿童的环境产生了积极影响，促进了心理健康和向儿童披露 HIV 状况。
