Murphy Debra A, Marelich William D, Graham Jamie, Payne Diana L
Health Risk Reduction Projects, Integrated Substance Abuse Programs, University of California Los Angeles, USA
Department of Psychology, California State University, Fullerton, USA.
Clin Child Psychol Psychiatry. 2015 Jan;20(1):117-33. doi: 10.1177/1359104513499357. Epub 2013 Aug 14.
Past research has shown that young children affected by maternal HIV present with elevated stress/anxiety and negative well-being. This pilot intervention for children aged 7-14 affected by maternal HIV targeted improving positive child-mother communication, improving HIV/AIDS knowledge and reducing anxiety (especially related to transmission), and lessening feelings of stigma. Each of the three child intervention sessions included behavioral skills training and a themed craft exercise; mothers attended an open discussion group while the children attended their sessions. Study participants were 37 child-mother pairs. The study design was a randomized two-group pretest-posttest experimental design. The intervention sessions were audiotaped for transcription. Results showed significant decreases in anxiety and worry for children in the intervention group, and increases in happiness and knowledge regarding HIV/AIDS transmission. Intervention group mothers reported greater social support. Qualitative findings for the intervention group children and mothers also support these findings. Early intervention reduces child stress, and may affect longer-term outcomes.
过去的研究表明，受母亲感染艾滋病毒影响的幼儿存在压力/焦虑加剧和幸福感不佳的情况。这项针对7至14岁受母亲感染艾滋病毒影响儿童的试点干预措施旨在改善亲子之间积极的沟通、提高艾滋病毒/艾滋病知识并减轻焦虑（尤其是与传播相关的焦虑），以及减少耻辱感。三次儿童干预课程中的每一次都包括行为技能培训和一个主题手工活动；母亲们参加一个开放式讨论小组，而孩子们参加他们的课程。研究参与者为37对儿童与母亲。研究设计为随机两组前测-后测实验设计。干预课程进行了录音以便转录。结果显示，干预组儿童的焦虑和担忧显著减少，并在艾滋病毒/艾滋病传播的幸福感和知识方面有所增加。干预组母亲报告获得了更多的社会支持。干预组儿童和母亲的定性研究结果也支持这些发现。早期干预可减轻儿童压力，并可能影响长期结果。
