Abstract
Prior investigations suggest that maternal HIV/AIDS poses significant challenges to young children. This study investigates the relationships between mothers’ psychological functioning, parenting, and children’s behavioral outcomes and functioning in a population of women living with HIV (N = 361) with a child between the ages of 6 and 10 years in Tshwane, South Africa. Utilizing path analysis, findings revealed that maternal depression is related to increased parenting stress and parent–child dysfunction, maternal coping is related to parenting style, and maternal coping, parenting style and stress, and parent–child dysfunction are associated with children’s behavior and functioning, with parenting emerging as an important mediator. These findings suggest that interventions for women living with HIV and their children should not only address maternal psychological functioning (depression and coping), but should also focus on parenting, promoting a positive approach.
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References
World Health Organization, UNAIDS, UNICEF. Global HIV/AIDS response: epidemic update and health sector progress towards universal access: progress report 2011.
UNICEF. The state of the world's children 2012; 2012.
Brandt R. Putting mental health on the agenda for HIV+women: a review of evidence from sub-Saharan Africa. Women & Health. 2009;49(2–3):215–28.
Bachmann MO, Booysen F. Economic causes and effects of AIDS in South African households. AIDS. 2006;20:1861–7.
Kalichman SC, Grebler T. Stress and poverty predictors of treatment adherence among people with low-literacy living with HIV/AIDS. Psychosom Med. 2001;72:810–6.
Saxena S, Thronicroft G, Knapp M, Whiteford H. Resources for mental health: scarcity, inequity and inefficiency. The Lancet. 2007;370:878–89.
Evans DL, Ten Have TR, Douglas SD, et al. Association of depression with viral load, CD8 T lymphocytes, and natural killer cells in women with HIV infection. Am J Psychiatry. 2002;159(10):1752–9.
Cook JA, Grey D, Burke J, et al. Depressive symptoms and AIDS-related mortality among a multisite cohort of HIV-positive women. Am J Public Health. 2004;94:1133–40.
Leserman J. HIV disease progression: depression, stress, and possible mechanisms. Biol Psychiatry. 2003;54(3):295–306.
Schuster R, Bornovalova M, Hunt E. The Influence of depression on the progression of HIV: direct and indirect effects. Behav Modif. 2012;36:123–45.
Antelman G, Kaaya S, Wei R, Mbwambo J, Msamanga G, Fawzi W, Smith Fawzi M, et al. Depressive symptoms increase risk of HIV disease progression and mortality among women in Tanzania. J Acquir Immune Defic Syndr. 2007;44:470–7.
Kaharuza FM, Bunnel R, Moss S, et al. Depression and CD4 cell count among persons with HIV infection in Uganda. AIDS Behav. 2006;10(Suppl):S105–11.
Jones DJ, Beach SRH, Forehand R, Family Health Project Research Group. Disease status in African American single mothers with HIV The role of depressive symptoms. Health Psychol. 2001;20:417–23.
Van Servellen G, Sarna L, Nyamathi A, Padilla G, Brecht M, Jablonski KJ. Emotional distress in women with symptomatic HIV disease. Issues Ment Health Nurs. 1998;19(2):173–89.
Ivanova EL, Hart TA, Wagner AC, Aljassem K, Loutfy MR. Correlates of anxiety in women living with HIV of reproductive age. AIDS Behav. 2012;16(8):2181–91.
Dix T, Meunier LN. Depressive symptoms and parenting competence: an analysis of 13 regulatory processes. Dev Rev. 2009;29(1):45–68.
Hoffman C, Crnic KA, Baker JK. Maternal depression and parenting: implications for children’s emergent emotion regulation and behavioral functioning. Parent Sci Pract. 2006;6(4):271–95.
Murray L, Cooper P. Intergenerational transmission of affective and cognitive processes associated with depression: infancy and the preschool years. In: Goodyer I, editor. Unipolar depression: a lifespan perspective. Oxford: Oxford University Press; 2003.
Bauman LJ, Camacho S, Silver EJ, Hudis J, Draimin B. Behavioral problems in school-aged children of mothers with HIV/AIDS. Clin Child Psychol Psychiatry. 2002;7(1):39–54.
Chandan U, Richter L. Strengthening families through early intervention in high HIV prevalence countries. AIDS Care. 2009;21(S1):76–82.
Heyman J, Earle A, Rajaraman D, Miller C, Bogen K. Extended family caring for children orphaned by AIDS: balancing essential work and caregiving in high HIV prevalence nations. AIDS Care. 2007;19(3):337–45.
Green Paper on Families. Promoting family life and strengthening families in South Africa. Government Gazette no. 34657. (2011). https://docs.google.com/viewer?url=http%3A%2F%2Fwww.thepresidency.gov.za%2FMediaLib%2FDownloads%2FHome%2FProfiles%2FPresidentJacobZuma%2FPressStatements%2F201212%2FGreen%2520Paper%2520on%2520Families.pdf. Accessed 3 Oct 2011.
Rotheram-Borus M, Flannery D, Rice E, Lester P. Families living with HIV. AIDS Care. 2005;17(8):978–87.
Steele RG, Mayes S. Commentary: HIV infection and family processes: toward the next generation of research. J Pediatr Psychol. 2001;26(6):363–6.
Baptiste DR, Bhana A, Peterson I, McKay M, Voisin D, Bell C, Martinez D. Community collaborative youth-focused HIV/AIDS prevention in South Africa and Trinidad: preliminary findings. J Pediatr Psychol. 2006;31(9):905–16.
Rotheram-Borus M, Stein JA, Jiraphongsa C, Khumtong S, Lee S, Li L. Benefits of family and social relationships for Thai parents living with HIV. Prev Sci. 2010;11(3):298–307.
Hong R. Association of maternal HIV infection with increase of infant mortality in Malawi. J Paediatr Child Health. 2008;44:291–6.
Murphy DA, Marelich WD, Armistead L, Herbeck DM, Payne DL. Anxiety/stress among mothers living with HIV: effects on parenting skills and child outcomes. AIDS Care. 2010;22(12):1449–58.
Stein A, Krebs G, Richter L, Tomkins A, Rochat T, Bennish ML. Babies of a pandemic. Arch Dis Child. 2005;90:116–8.
Turney K. Maternal depression and child Health inequalities. J Health Soc Behav. 2011;52:314–32.
Jones DJ, Foreshand R, Rakow A, Colletti C, McKee L, Zalot A. The specificity of maternal parenting behavior and child adjustment difficulties: a study of inner-city African-American families. J Fam Psychol. 2008;22(2):181–92.
Rotheram-Borus M, Stein JA, Lester P. Adolescent adjustment over six years in HIV-affected families. J Adolesc Health. 2006;39(2):174–82.
Tomlinson M, Cooper P, Murray L. The mother–infant relationship and infant attachment in a South African peri-urban settlement. Child Dev. 2005;76(5):1044–54.
Mellins CA, Brackis-Cott E, Dolezal C, Leu C, Valentin C, Meyer-Bahlburg HL. Mental health of early adolescents from high-risk neighborhoods: the role of maternal HIV and other contextual, self-regulation, and family factors. J Pediatr Psychol. 2008;33(10):1065–75.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.
Carver CS. You want to measure coping but your protocol’s too long: consider the Brief COPE. Int J Behav Med. 1997;4:92–100.
Pargament KI, Koenig HG, Perez LM. The many methods of religious coping: development and initial validation of the RCOPE. J Clin Psychol. 2002;56(4):519–43.
Abidin RR. Parenting stress index: professional manual. 3rd ed. New York: Psychological Assessment Resources Inc.; 1995.
Fabes RA, Poulin RE, Eisenberg GN, Madden-Derdich DA. The Coping with Children’s Negative Emotions Scale (CCNES): psychometric properties and relations with children’s emotional competence. In: Fabes RA, editor. Emotionas and the family. New York: Harworth Press; 2002. p. 285–311.
Sparrow SS, Cicchetti DV, Balla DA. Vineland Adaptive Behavior Scales. 2nd ed. Minneapolis: Pearson Assessments; 2005.
Achenbach TM. Integrative Guide to the 1991 CBCL/4-18, YSR, and TRF Profiles. Burlington: University of Vermont, Department of Psychology; 1991. p. 1991.
Jaccard J, Wan CK. LISREL approaches to interaction effects in multiple regression. Thousand Oaks: Sage Publications; 1996.
Hu L, Bentler P. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1–55.
Murphy DA, Marelich WD, Dello Stritto ME, Swendeman D, Witkin A. Mothers living with HIV/AIDS: mental, physical, and family functioning. AIDS Care. 2002;14(5):633–44.
Silver E, Bauman LJ, Camacho S, Hudis J. Factors associated with psychological distress in urban mothers with late-stage HIV/AIDS. AIDS Behav. 2003;7(4):421–31.
Wingood GM, Reddy P, Peterson SH, DiClemente RJ, Nogoduka C, Braxton N, MBewu AD. HIV stigma and mental health status among women living with HIV in the Western Cape, South Africa. S Afr J Sci. 2008;104:237–40.
Murphy DA, Marelich WD. Resiliency in young children whose mothers are living with HIV/AIDS. AIDS Care. 2008;20(3):284–91.
Ebersöhn L, Ferreira R. Coping in an HIV/AIDS-dominated context: teachers promoting resilience in schools. Health Educ Res. 2001;26(4):596–613.
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Allen, A.B., Finestone, M., Eloff, I. et al. The Role of Parenting in Affecting the Behavior and Adaptive Functioning of Young Children of HIV-Infected Mothers in South Africa. AIDS Behav 18, 605–616 (2014). https://doi.org/10.1007/s10461-013-0544-7
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DOI: https://doi.org/10.1007/s10461-013-0544-7