Zhao Junfeng, Chi Peilian, Li Xiaoming, Tam Cheuk Chi, Zhao Guoxiang
a Institute of Behavior and Psychology , Henan University , Kaifeng , China.
AIDS Care. 2014;26(6):758-62. doi: 10.1080/09540121.2013.845290. Epub 2013 Oct 9.
Parental illness and death due to human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) impose challenges to children's psychological adjustment. Positive psychology emphasizes individual's resilience in the face of adversity, trauma, and tragedy. Limited data are available regarding the factors that can cultivate resilience of children affected by HIV/AIDS. This study aims to examine the role of extracurricular interest in strengthening resilience among children affected by HIV/AIDS. Participants included 755 children orphaned by parental HIV/AIDS, 466 vulnerable children living with HIV-positive parent(s), and 404 comparison children from HIV-free families in the same community in rural China. The measures include extracurricular interest (i.e., reading, sports, music, painting, science, and playing chess) and indicators of psychological adjustment (i.e., depression, loneliness, and self-esteem). Having extracurricular interest was positively associated with self-esteem and negatively associated with depression and loneliness. Having extracurricular interest attenuated the negative effect of parental HIV/AIDS on children's self-esteem and loneliness, after controlling for children's age, gender, and family socioeconomic status. The findings underscore the importance of nurturing extracurricular interest and make available of such activities to promote resilience for children affected by HIV/AIDS in resource-limited settings.
父母因人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS）患病和死亡给儿童的心理调适带来了挑战。积极心理学强调个体面对逆境、创伤和悲剧时的复原力。关于能够培养受HIV/AIDS影响儿童复原力的因素，现有数据有限。本研究旨在探讨课外兴趣在增强受HIV/AIDS影响儿童复原力方面的作用。研究对象包括755名因父母患HIV/AIDS而成为孤儿的儿童、466名与HIV阳性父母生活在一起的弱势儿童，以及来自中国农村同一社区无HIV家庭的404名对照儿童。测量指标包括课外兴趣（即阅读、体育、音乐、绘画、科学和下棋）以及心理调适指标（即抑郁、孤独和自尊）。拥有课外兴趣与自尊呈正相关，与抑郁和孤独呈负相关。在控制了儿童的年龄、性别和家庭社会经济地位后，拥有课外兴趣减弱了父母患HIV/AIDS对儿童自尊和孤独的负面影响。研究结果强调了培养课外兴趣的重要性，并表明在资源有限的环境中，开展此类活动有助于促进受HIV/AIDS影响儿童的复原力。
