HYPOTHESIS: Having a parent with the human immunodeficiency virus has a significant negative impact on an adolescent child's adjustment. OBJECTIVE: To assess the adjustment of adolescent children to having a parent with the human immunodeficiency virus over 6 years, following the delivery of a coping skills intervention. DESIGN: A randomized controlled trial with repeated evaluations that was analyzed with an intention-to-treat analysis. A skill-based intervention was delivered in 3 modules over 24 sessions, with the third module being delivered only if parents died. SETTING AND PATIENTS: A representative sample of parents with the human immunodeficiency virus (n = 307) and their adolescent children (n = 423) was recruited from the Division of AIDS Services in New York City; 51.5% (n = 158) of the parents died. MAIN OUTCOME MEASURES: Employment and school enrollment, receiving public welfare support, early parenthood, mental health symptoms, and the quality of romantic relationships. RESULTS: Over 6 years, significantly more adolescents in the intervention condition than the control condition were employed or in school (82.58% vs 68.94%), were less likely to receive public welfare payments (25.66% vs 36.65%), were less likely to have psychosomatic symptoms (mean, 0.24 vs 0.31), were more likely to report better problem-solving and conflict resolution skills in their romantic relationships (mean score, 4.38 vs 4.20), expected to have a partner with a good job (mean, 4.57 vs 4.19), and expected to be married when parenting (mean, 3.05 vs 2.40). With marginal significance, the percentage of parents in the intervention condition (34.6%) was less than in the control condition (44.1%). CONCLUSION: Physicians must consider the psychosocial consequences of illness-related challenges on children and provide interventions.
RCT Entities:
HYPOTHESIS: Having a parent with the human immunodeficiency virus has a significant negative impact on an adolescent child's adjustment. OBJECTIVE: To assess the adjustment of adolescent children to having a parent with the human immunodeficiency virus over 6 years, following the delivery of a coping skills intervention. DESIGN: A randomized controlled trial with repeated evaluations that was analyzed with an intention-to-treat analysis. A skill-based intervention was delivered in 3 modules over 24 sessions, with the third module being delivered only if parents died. SETTING AND PATIENTS: A representative sample of parents with the human immunodeficiency virus (n = 307) and their adolescent children (n = 423) was recruited from the Division of AIDS Services in New York City; 51.5% (n = 158) of the parents died. MAIN OUTCOME MEASURES: Employment and school enrollment, receiving public welfare support, early parenthood, mental health symptoms, and the quality of romantic relationships. RESULTS: Over 6 years, significantly more adolescents in the intervention condition than the control condition were employed or in school (82.58% vs 68.94%), were less likely to receive public welfare payments (25.66% vs 36.65%), were less likely to have psychosomatic symptoms (mean, 0.24 vs 0.31), were more likely to report better problem-solving and conflict resolution skills in their romantic relationships (mean score, 4.38 vs 4.20), expected to have a partner with a good job (mean, 4.57 vs 4.19), and expected to be married when parenting (mean, 3.05 vs 2.40). With marginal significance, the percentage of parents in the intervention condition (34.6%) was less than in the control condition (44.1%). CONCLUSION: Physicians must consider the psychosocial consequences of illness-related challenges on children and provide interventions.
Authors: William R Beardslee; Lee E Klosinski; William Saltzman; Catherine Mogil; Susan Pangelinan; Carl P McKnight; Patricia Lester Journal: Clin Child Fam Psychol Rev Date: 2013-12
Authors: Patricia E Lester; Robert E Weiss; Eric Rice; W Scott Comulada; Lynwood Lord; Susan Alber; Mary Jane Rotheram-Borus Journal: Am J Orthopsychiatry Date: 2009-01
Authors: Franziska Kühne; Thomas Krattenmacher; Volker Beierlein; Johann Christian Grimm; Corinna Bergelt; Georg Romer; Birgit Möller Journal: J Palliat Med Date: 2012-08 Impact factor: 2.947
Authors: Irma Eloff; Michelle Finestone; Jennifer D Makin; Alex Boeving-Allen; Maretha Visser; Liesel Ebersöhn; Ronél Ferreira; Kathleen J Sikkema; Margaret J Briggs-Gowan; Brian W C Forsyth Journal: AIDS Date: 2014-07 Impact factor: 4.177