Department of Psychology, Georgia State University, P.O. Box 3999, Atlanta, GA, 30303-3999, USA.
University of California-Los Angeles, Los Angeles, USA.
AIDS Behav. 2018 Dec;22(12):3807-3814. doi: 10.1007/s10461-018-2042-4.
Nondisclosure of maternal HIV status to young children can negatively impact child functioning; however, many mothers do not disclose due to lack of self-efficacy for the disclosure process. This study examines demographic variations in disclosure self-efficacy, regardless of intention to disclose, and assesses the relationship between self-efficacy and child adjustment via the parent-child relationship among a sample of HIV+ mothers and their healthy children (N = 181 pairs). Mothers completed demographic and self-efficacy measures; children completed measures assessing the parent-child relationship and child adjustment (i.e., worry, self-concept, depression). Across demographics, few mothers reported confidence in disclosure. Results from covariance structural modeling showed mothers endorsing higher self-efficacy had children who reported better relationship quality, and, in turn, reported fewer adjustment difficulties; higher levels of disclosure self-efficacy also directly predicted fewer adjustment problems. Findings offer support for interventions aimed at providing mothers with skills to enhance confidence for disclosing their HIV status.
不向幼儿透露母亲的 HIV 状况可能会对儿童的功能产生负面影响；然而，许多母亲由于缺乏披露过程的自我效能感而不披露。本研究考察了披露自我效能感在人口统计学上的差异，而不论披露意图如何，并通过对 HIV+母亲及其健康儿童的样本（N=181 对）的亲子关系来评估自我效能感与儿童适应之间的关系。母亲完成了人口统计学和自我效能感的测量；儿童完成了评估亲子关系和儿童适应（即担忧、自我概念、抑郁）的测量。在所有人口统计学特征中，很少有母亲表示对披露有信心。协方差结构建模的结果表明，自我效能感较高的母亲所报告的孩子的关系质量更好，反过来，报告的适应困难也更少；更高水平的披露自我效能感也直接预示着更少的适应问题。这些发现为旨在为母亲提供增强披露 HIV 状况信心的技能的干预措施提供了支持。
