Department of Psychiatry, Michigan State University, 909 Wilson Rd. A322, East Lansing, MI, USA.
Visiting Nurse Service of New York, New York City, NY, USA.
AIDS Behav. 2021 Nov;25(11):3828-3835. doi: 10.1007/s10461-021-03192-1. Epub 2021 Feb 19.
We tested a model of dyadic interdependence in depression symptoms experienced by female caregivers living with HIV in Uganda (n = 288) and behavioral problems of their HIV-infected (n = 92) and perinatally HIV-exposed uninfected (HEU) children (n = 196). Three repeated measures of caregiver depression symptoms and child neurodevelopment and behavioral outcomes were related to their own outcomes at a previous time point (actor effects), and the outcomes of the other member of the dyad (partner effects). Caregiver depression and child behavioral problem were interdependent over the 24 months of observation. Caregiver depression at T predicted child's behavioral problems at T (coefficient = 0.1220, SE = 0.0313, p < 0.01); child behavioral problems at T predicted maternal depression at T (coefficient = 0.0984, SE = 0.0253, p < 0.01). Results suggest the importance of services addressing behavioral needs of affected children and mental health of their mothers.
我们在乌干达（n=288）测试了一个与 HIV 感染者共同生活的女性照顾者经历的抑郁症状的二元相互依赖模型，以及他们感染 HIV（n=92）和围产期 HIV 暴露未感染（HEU）的孩子（n=196）的行为问题。照顾者抑郁症状和儿童神经发育及行为结果的三个重复测量与他们之前的结果相关（主体效应），以及二元体中另一个成员的结果（伙伴效应）。在 24 个月的观察期内，照顾者的抑郁和儿童的行为问题是相互依存的。T 期照顾者的抑郁预测了 T 期儿童的行为问题（系数=0.1220，SE=0.0313，p<0.01）；T 期儿童的行为问题预测了母亲的抑郁（系数=0.0984，SE=0.0253，p<0.01）。结果表明，需要关注受影响儿童的行为需求和其母亲心理健康的服务的重要性。
