Predictors of Mental Health Resilience in Children who Have Been Parentally Bereaved by AIDS in Urban South Africa

Journal of Abnormal Child Psychology
Stephan CollishawLucie Cluver

Abstract

Children parentally bereaved by AIDS experience high rates of mental health problems. However, there is considerable variability in outcomes, and some show no mental health problems even when followed over time. Primary aims were to identify predictors of resilient adaptation at child, family and community levels within a group of AIDS-orphaned children, and to consider their cumulative influence. A secondary aim was to test whether predictors were of particular influence among children orphaned by AIDS relative to non-orphaned and other-orphaned children. AIDS-orphaned (n = 290), other-orphaned (n = 163) and non-orphaned (n = 202) adolescents living in informal settlements in Cape Town, South Africa were assessed on two occasions 4 years apart (mean age 13.5 years at Time 1, range = 10-19 years). Self-report mental health screens were used to operationalise resilience in AIDS-orphaned children as the absence of clinical-range symptoms of PTSD, anxiety, depression, conduct problems, and suicidality. A quarter of AIDS-orphaned children (24 %) showed no evidence of mental health problems at either wave. Child physical health, better caregiving quality, food security, better peer relationship quality, and lower exposure to communi...Continue Reading

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Citations

Apr 13, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Ana MacedoKathryn Roberts
Aug 9, 2019·International Journal of Adolescent Medicine and Health·Cara HainesNina Higson-Sweeney
Apr 26, 2019·Journal of Child and Adolescent Mental Health·Carol WogrinNicola Willis
Oct 19, 2019·Psychology, Health & Medicine·Yile WuYehuan Sun
Jul 24, 2021·Lancet·Rachel A Kentor, Amanda L Thompson

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