家庭环境因素与围生期感染 HIV 的男童和女童的抑郁症状存在差异关联。
Family Contextual Factors are Differentially Associated with Depressive Symptoms among Boys and Girls with Perinatally Acquired HIV.
机构信息
Department of Psychology, Temple University, Philadelphia, PA, USA.
Department of Psychology, Temple University, Weiss Hall, 1701 N 13th Street, Philadelphia, PA, 19122-6085, USA.
出版信息
AIDS Behav. 2021 Jan;25(1):259-268. doi: 10.1007/s10461-020-02966-3.
Youth with perinatally acquired HIV (PHIV) are at risk for depressive symptoms, which are associated with a range of adverse outcomes. Although family contextual factors associated with depressive symptoms differ among boys and girls without PHIV, it is unclear whether this is also the case among youth with PHIV. Participants included 314 youth with PHIV (M = 12.88, SD = 3.08 years old; 51% male; 85% Black/Latinx) and their caregivers. Higher levels of caregivers' own depressive symptoms, caregiver-child detachment, and family conflict were associated with higher levels of caregiver-reported youth depressive symptoms. Less consistent discipline was associated with higher levels of youth-reported depressive symptoms. Higher youth-reported depressive symptoms were associated with greater family cohesion among boys and greater caregiver detachment among girls. Consideration of contextual variables is essential for interventions for depressive symptoms among youth with PHIV, but attention to sex differences with family contextual factors is also important.
患有围产期获得性 HIV（PHIV）的年轻人有抑郁症状的风险，而抑郁症状与一系列不良后果有关。尽管与无 PHIV 的男孩和女孩的抑郁症状相关的家庭环境因素不同，但在 PHIV 青少年中是否也是如此尚不清楚。参与者包括 314 名患有 PHIV 的年轻人（M = 12.88，SD = 3.08 岁；51%为男性；85%为黑人和拉丁裔）及其照顾者。照顾者自身抑郁症状、照顾者与孩子分离以及家庭冲突程度较高，与照顾者报告的青少年抑郁症状水平较高有关。不太一致的纪律与青少年自我报告的抑郁症状水平较高有关。青少年自我报告的抑郁症状水平较高与男孩的家庭凝聚力更大以及女孩的照顾者分离程度更大有关。考虑到背景变量对于 PHIV 青少年的抑郁症状干预至关重要，但也需要关注与家庭环境因素相关的性别差异。
Zotero 插件