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Annual Research Review: Mental health and resilience in HIV/AIDS-affected children – a review of the literature and recommendations for future research / Theresa S. BETANCOURT in Journal of Child Psychology and Psychiatry, 54-4 (April 2013)
[article]
Titre : Annual Research Review: Mental health and resilience in HIV/AIDS-affected children – a review of the literature and recommendations for future research Type de document : Texte imprimé et/ou numérique Auteurs : Theresa S. BETANCOURT, Auteur ; Sarah E. MEYERS-OHKI, Auteur ; Alexandra CHARROW, Auteur ; Nathan HANSEN, Auteur Article en page(s) : p.423-444 Mots-clés : HIV/AIDS children families resilience mental health Index. décimale : PER Périodiques Résumé : Background: To date, research on mental health in HIV- affected children (children who have an HIV-positive caregiver or live with the virus themselves) has focused on risk factors associated with the disease. However, simultaneous identification of factors that contribute to resilience in the face of risks is also needed. A greater understanding of modifiable protective processes that contribute to resilience in the mental health of children affected by HIV can inform the design of interventions that bolster naturally occurring supports and contribute to early prevention or better management of risks. Methods: We reviewed the recent literature on mental health and resilience in children and adolescents affected by HIV/AIDS. Literature searches of PsycInfo and PubMed were conducted during July–December 2011 consistent with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Qualitative and quantitative studies were included for review if primary research questions pertained to mental health and coping or protective processes in children and families affected by HIV/AIDS. All studies subject to full review were evaluated for quality using a modified Systematic Assessment of Quality in Observational Research (SAQOR) rating system. Results: One hundred and seventy one unique studies were returned from online searches of the literature and bibliography mining. Of these, 29 were evaluated as pertaining directly to mental health and resilience in families and children living with HIV/AIDS. Eight studies presented qualitative analyses. Ten quantitative studies examined individual resources contributing to child resilience and four quantitative studies looked at family-level resources. Ten studies also investigated community level interactions. Four presented findings from resilience-focused interventions. Conclusions: There is a clear need for rigorous research on mental health and resilience in HIV-affected children and adolescents. The evidence base would greatly benefit from more standardized and robust approaches to thinking about resilience from an ecological perspective inclusive of resources at multiple levels and their interactions. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02613.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=194
in Journal of Child Psychology and Psychiatry > 54-4 (April 2013) . - p.423-444[article] Annual Research Review: Mental health and resilience in HIV/AIDS-affected children – a review of the literature and recommendations for future research [Texte imprimé et/ou numérique] / Theresa S. BETANCOURT, Auteur ; Sarah E. MEYERS-OHKI, Auteur ; Alexandra CHARROW, Auteur ; Nathan HANSEN, Auteur . - p.423-444.
in Journal of Child Psychology and Psychiatry > 54-4 (April 2013) . - p.423-444
Mots-clés : HIV/AIDS children families resilience mental health Index. décimale : PER Périodiques Résumé : Background: To date, research on mental health in HIV- affected children (children who have an HIV-positive caregiver or live with the virus themselves) has focused on risk factors associated with the disease. However, simultaneous identification of factors that contribute to resilience in the face of risks is also needed. A greater understanding of modifiable protective processes that contribute to resilience in the mental health of children affected by HIV can inform the design of interventions that bolster naturally occurring supports and contribute to early prevention or better management of risks. Methods: We reviewed the recent literature on mental health and resilience in children and adolescents affected by HIV/AIDS. Literature searches of PsycInfo and PubMed were conducted during July–December 2011 consistent with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Qualitative and quantitative studies were included for review if primary research questions pertained to mental health and coping or protective processes in children and families affected by HIV/AIDS. All studies subject to full review were evaluated for quality using a modified Systematic Assessment of Quality in Observational Research (SAQOR) rating system. Results: One hundred and seventy one unique studies were returned from online searches of the literature and bibliography mining. Of these, 29 were evaluated as pertaining directly to mental health and resilience in families and children living with HIV/AIDS. Eight studies presented qualitative analyses. Ten quantitative studies examined individual resources contributing to child resilience and four quantitative studies looked at family-level resources. Ten studies also investigated community level interactions. Four presented findings from resilience-focused interventions. Conclusions: There is a clear need for rigorous research on mental health and resilience in HIV-affected children and adolescents. The evidence base would greatly benefit from more standardized and robust approaches to thinking about resilience from an ecological perspective inclusive of resources at multiple levels and their interactions. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02613.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=194 Persisting mental health problems among AIDS-orphaned children in South Africa / Lucie CLUVER in Journal of Child Psychology and Psychiatry, 53-4 (April 2012)
[article]
Titre : Persisting mental health problems among AIDS-orphaned children in South Africa Type de document : Texte imprimé et/ou numérique Auteurs : Lucie CLUVER, Auteur ; Mark ORKIN, Auteur ; Frances E. M. GARDNER, Auteur ; Mark E. BOYES, Auteur Année de publication : 2012 Article en page(s) : p.363-370 Langues : Anglais (eng) Mots-clés : HIV/AIDS orphans;adolescents depression anxiety post-traumatic stress Index. décimale : PER Périodiques Résumé : Background: By 2008, 12 million children in sub-Saharan Africa were orphaned by AIDS. Cross-sectional studies show psychological problems for AIDS-orphaned children, but until now no longitudinal study has explored enduring psychological effects of AIDS-orphanhood in the developing world. Methods: A 4-year longitudinal follow-up of AIDS-orphaned children with control groups of other-orphans and non-orphans. 1021 children (M = 13.4 years, 50% female, 98% isiXhosa-speaking) were interviewed in 2005 and followed up in 2009 with 71% retention (49% female, M = 16.9 years), in poor urban South African settlements. Children were interviewed using sociodemographic questionnaires and well-validated standardised scales for assessing depression, anxiety, and post-traumatic stress. Data were analysed using mixed-design ANOVA and backward-stepping regression. Results: AIDS-orphaned children showed higher depression, anxiety, and post-traumatic stress disorder (PTSD) scores in both 2005 and 2009 when compared with other-orphans and non-orphans. Backward-stepping regression, controlling for baseline mental health, and sociodemographic cofactors such as age, gender, and type of bereavement, revealed that being AIDS-orphaned in 2005 was associated with depression, anxiety, and PTSD scores in 2009. This was not the case for other-orphaned or non-orphaned children. Age interacted with orphan status, such that there was a steep rise in psychological distress in the AIDS-orphaned group, but no rise with age amongst other-orphans and non-orphans. Conclusions: Negative mental health outcomes amongst AIDS-orphaned children are maintained and worsen over a 4-year period. It is important that psychosocial support programmes are sustained, and focus on youth as well as young children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02459.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=152
in Journal of Child Psychology and Psychiatry > 53-4 (April 2012) . - p.363-370[article] Persisting mental health problems among AIDS-orphaned children in South Africa [Texte imprimé et/ou numérique] / Lucie CLUVER, Auteur ; Mark ORKIN, Auteur ; Frances E. M. GARDNER, Auteur ; Mark E. BOYES, Auteur . - 2012 . - p.363-370.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 53-4 (April 2012) . - p.363-370
Mots-clés : HIV/AIDS orphans;adolescents depression anxiety post-traumatic stress Index. décimale : PER Périodiques Résumé : Background: By 2008, 12 million children in sub-Saharan Africa were orphaned by AIDS. Cross-sectional studies show psychological problems for AIDS-orphaned children, but until now no longitudinal study has explored enduring psychological effects of AIDS-orphanhood in the developing world. Methods: A 4-year longitudinal follow-up of AIDS-orphaned children with control groups of other-orphans and non-orphans. 1021 children (M = 13.4 years, 50% female, 98% isiXhosa-speaking) were interviewed in 2005 and followed up in 2009 with 71% retention (49% female, M = 16.9 years), in poor urban South African settlements. Children were interviewed using sociodemographic questionnaires and well-validated standardised scales for assessing depression, anxiety, and post-traumatic stress. Data were analysed using mixed-design ANOVA and backward-stepping regression. Results: AIDS-orphaned children showed higher depression, anxiety, and post-traumatic stress disorder (PTSD) scores in both 2005 and 2009 when compared with other-orphans and non-orphans. Backward-stepping regression, controlling for baseline mental health, and sociodemographic cofactors such as age, gender, and type of bereavement, revealed that being AIDS-orphaned in 2005 was associated with depression, anxiety, and PTSD scores in 2009. This was not the case for other-orphaned or non-orphaned children. Age interacted with orphan status, such that there was a steep rise in psychological distress in the AIDS-orphaned group, but no rise with age amongst other-orphans and non-orphans. Conclusions: Negative mental health outcomes amongst AIDS-orphaned children are maintained and worsen over a 4-year period. It is important that psychosocial support programmes are sustained, and focus on youth as well as young children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02459.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=152