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RESEARCH |
Mary Jane Rotheram-Borus, Martha B. Lee, and Marya Gwadz are with the Department of Psychiatry, University of California, Los Angeles. Barbara Draimin is with The Family Center, New York, NY.
Correspondence: Requests for reprints should be sent to Mary Jane Rotheram-Borus, PhD, 10920 Wilshire Blvd, Suite 350, Los Angeles, CA 90024 (e-mail: rotheram{at}ucla.edu).
Objectives. This study evaluated an intervention designed to improve behavioral and mental health outcomes among adolescents and their parents with AIDS.
Methods. Parents with AIDS (n = 307) and their adolescent children (n = 412) were randomly assigned to an intensive intervention or a standard care control condition. Ninety-five percent of subjects were reassessed at least once annually over 2 years.
Results. Adolescents in the intensive intervention condition reported significantly lower levels of emotional distress, of multiple problem behaviors, of conduct problems, and of family-related stressors and higher levels of self-esteem than adolescents in the standard care condition. Parents with AIDS in the intervention condition also reported significantly lower levels of emotional distress and multiple problem behaviors. Coping style, levels of disclosure regarding serostatus, and formation of legal custody plans were similar across intervention conditions.
Conclusions. Interventions can reduce the long-term impact of parents' HIV status on themselves and their children.
This article has been cited by other articles:
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 J Rwemisisi, B Wolff, A Coutinho, H Grosskurth, and J Whitworth 'What if they ask how I got it?' Dilemmas of disclosing parental HIV status and testing children for HIV in Uganda Health Policy Plan., January 1, 2008; 23(1): 36 - 42. [Abstract] [Full Text] [PDF]
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 D. A. Murphy HIV-positive Mothers' Disclosure of Their Serostatus to Their Young Children: A Review Clinical Child Psychology and Psychiatry, January 1, 2008; 13(1): 105 - 122. [Abstract] [PDF]
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 S. T. Hawk Disclosures of maternal HIV infection to seronegative children: A literature review Journal of Social and Personal Relationships, October 1, 2007; 24(5): 657 - 673. [Abstract] [PDF]
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 S.-J. Lee, R. Detels, M. J. Rotheram-Borus, and N. Duan The Effect of Social Support on Mental and Behavioral Outcomes Among Adolescents With Parents With HIV/AIDS Am J Public Health, October 1, 2007; 97(10): 1820 - 1826. [Abstract] [Full Text] [PDF]
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 M. J. Rotheram-Borus, M. Lee, Y.-Y. Lin, and P. Lester Six-Year Intervention Outcomes for Adolescent Children of Parents With the Human Immunodeficiency Virus Arch Pediatr Adolesc Med, August 1, 2004; 158(8): 742 - 748. [Abstract] [Full Text] [PDF]
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M. J. Rotheram-Borus, P. Lester, P.-W. Wang, and Q. Shen Custody Plans Among Parents Living With Human Immunodeficiency Virus Infection Arch Pediatr Adolesc Med, April 1, 2004; 158(4): 327 - 332. [Abstract] [Full Text] [PDF]
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S. P. Varnell, D. M. Murray, J. B. Janega, and J. L. Blitstein Design and Analysis of Group-Randomized Trials: A Review of Recent Practices Am J Public Health, March 1, 2004; 94(3): 393 - 399. [Abstract] [Full Text] [PDF]
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 E. Brackis-Cott, C. A. Mellins, and M. Block Current Life Concerns of Early Adolescents and Their Mothers:: Influence of Maternal Hiv The Journal of Early Adolescence, February 1, 2003; 23(1): 51 - 77. [Abstract] [PDF]
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