Effects of Home Environment, Socioeconomic Status, and Health Status on Cognitive Functioning in Children With HIV-1 Infection

Coscia, Juliet M.; Christensen, Bruce K.; Henry, Rolando R.; Wallston, Kenneth A.; Radcliffe, Jerilynn; Rutstein, Richard M.

doi:10.1093/jpepsy/26.6.321

Cited by 62 publications

(62 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Research has established a link between the negative efects of poverty on parental roles and child development [16,[35][36][37][38]. Poverty has also been associated with negative parental health, which independently and jointly impacts the child's cognitive and social-emotional well-being in an adverse manner [15,32]. Furthermore, economic deprivation creates a catalyst for psychological stress and vulnerability among caregivers, which further predisposes them to depression [28].…”

Section: Poverty Psychosocial Risk Factors and Caregivingmentioning

confidence: 99%

“…This is certainly plausible given the reciprocal nature of the child-parent dyad and their environment. Additionally, maternal infection may afect the quality of caregiving which, when combined with poverty, may further frustrate the atachment relationship, resulting in poor child-development outcomes that is even observable in late adolescence [15,30]. Studies focusing on healthy, pre-term, disabled and chronically ill children also support the premise that poverty serves as a risk factor for poor cognitive and socio-emotional functioning outcomes [32].…”

Section: Poverty Psychosocial Risk Factors and Caregivingmentioning

confidence: 99%

“…Therefore, it is plausible to assume parenting for caregivers of children infected with HIV is marked by increased worry, emotional pain and other concerns when compared to caregivers of children without illness [11]. Coscia et al [15], in their study exploring the relationship between home environment and HIV-infected children's cognitive functioning, found an association between parental interaction and disease severity. As the child's disease progressed, the caregiver's interaction became less stimulating and supportive, thus creating a higher vulnerability for poor cognitive development and socio-emotional functioning.…”

Section: Impact Of Hiv On Parental Interactionmentioning

confidence: 99%

“…Furthermore, with more and more perinatally infected infants progressing into childhood and adolescence, the need for empirical data to demonstrate and help understand the impact this pandemic is having on the surviving children and their family structures is underscored. This is especially so given that some surviving children are raised by mothers infected with HIV as well as many being orphans living in abject poverty [15,43]. For example, it has been shown that South Africa has more than 60% of double orphans being raised by grandmothers or relatives other than the biological parent [53] and are living in poverty, which poses additional challenges in caregiving.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Caregiving and Experiences of Health, Illness and Coping in the Context of Paediatric and Adolescent HIV and Poverty

Lentoor¹

2018

Caregiving and Home Care

View full text Add to dashboard Cite

The contextual challenges in the context of HIV negatively impact the social ecology of the families. The consequences of this are that it adversely impacts the psychosocial functioning of caregivers and health and well-being of the children. The indings showed that caregiving is performed, not only in the context of maternal HIV infection, but also in the context of inadequate material and inancial resources and single-head households where women assume the primary caregiving role. Caregiving is also complicated by the issue of maternal death and abandonment, where relatives (i.e. mainly grandparents) assume the role of the primary caregivers of children infected with HIV. On the other hand, emerging studies that started to focus on enhancing resilience in children whose caregiver is HIV positive holds promise to the fact that adequate interventions can have long-lasting beneits on the developmental and psychological trajectory of HIV-positive children and their HIV-positive caregivers. Consequently, the link between poverty and HIV/AIDS has been established, and its impact on perinatal, infancy and early-childhood development outcomes is clearly documented.

show abstract

Section: Poverty Psychosocial Risk Factors and Caregivingmentioning

confidence: 99%

Section: Poverty Psychosocial Risk Factors and Caregivingmentioning

confidence: 99%

Section: Impact Of Hiv On Parental Interactionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Caregiving and Experiences of Health, Illness and Coping in the Context of Paediatric and Adolescent HIV and Poverty

Lentoor¹

2018

Caregiving and Home Care

View full text Add to dashboard Cite

show abstract

“…En ausencia del TARV, la encefalopatía asociada al VIH se presenta frecuentemente antes del año de vida, comprometiendo el neurodesarrollo y la calidad de vida del niño. Se ha demostrado que el défi cit neurocognitivo puede presentar un curso variable, teniendo en cuenta el estado inmunológico del paciente, lo que se modifi ca con el uso del TARV [3][4][5]12 . Sin embargo, las alteraciones en el comportamiento en las edades pediátricas no sólo están determinadas por los VIH/SIDA www.sochinf.cl 249 efectos directos causados por la infi ltración del cerebro; otros factores no menos importantes pueden jugar un papel fundamental en la patogenia de estos trastornos.…”

unclassified

Evaluación neuropsicológica, factores psicosociales y co-morbilidad psiquiátrica en pacientes pediátricos infectados con el VIH

Martínez

et al. 2011

Rev. chil. infectol.

View full text Add to dashboard Cite

IntroducciónE n el mundo, 2 millones de niños estaban infectados por el virus de la inmunodefi ciencia humana en el año 2008; aproximadamente 45% de las nuevas infecciones ocurrieron en personas jóvenes entre 15 y 24 años 1 . Sin tratamiento específi co, la mitad de los niños con exposición prenatal fallecen en los primeros años de la vida. Al igual que en el adulto, el tratamiento en las edades pediátricas ha experimentado notables cambios en los últimos años hacia una intervención más precoz y con terapias combinadas más potentes [2][3][4][5][6] . El tratamiento anti-retroviral (TARV) ha supuesto un cambio radical en la evolución de los niños infectados por el VIH, transformando la evolución, de ser una enfermedad mortal a corto plazo, en una elevada proporción de casos, a seguir una evolución crónica. Por lo que en la actualidad se plantean nuevos retos frente a la infección por el virus y las complicaciones asociadas a la terapéutica.El Programa de Prevención y Control del VIH/SIDA en Cuba incorporó desde el año 1986 medidas profi lácticas Evaluación neuropsicológica, factores psicosociales y co-morbilidad psiquiátrica en pacientes pediátricos infectados con el VIH Marta Castro P., Yaquelin Martínez V., Ida González N., Juana Velásquez A., Gladys Castillo I. y Lizet Sánchez V.Neuropsychological evaluation, psychosocial factors, and psychiatric comorbidity of children with HIV infection Antiretroviral therapy has marked a change in the course of HIV infection, posing new challenges to improve quality of life in pediatric patients. Objective: The goal of this paper was to identify psychosocial aspects of HIV-infected children and adolescents, and to evaluate their neuropsychological development and psychiatric comorbidity. Patients and Methods: A descriptive study was conducted, evaluating the neurocognitive performance of patients attending at the Pediatric Department of Instituto de Medicina Tropical Pedro Kourí of La Habana, Cuba, between February and July of 2008. For that purpose, interviews to the patients and their relatives were done with the application of appropriate tests for each age. Results: Twenty-three patients ages 3-17 years (57% female) were studied. Sixteen (69.5%) were infected through vertical transmission, and 7 (30.5%) through other routes. School children infected through vertical transmission showed the most symptoms. Hyperactivity, anxiety, and learning disorders were the most frequently observed symptoms as well as hyperkinetic disorders, temporary tic disorders and mental retardation. Conclusion: This study shows the neuropsychological characterization of HIV-positive children and adolescents, considering the route of acquisition of the infection and the stage of the disease. It also describes psychiatric comorbidity of HIV-infected children.Key words: HIV/AIDS, psychosocial, neuropsychological disorders, psychiatric comorbidity, family, Cuba. Palabras clave: VIH, síndrome de inmunodefi ciencia humana, psicosocial, trastornos neuropsicológicos, comorbilidad psiquiátrica, Cuba. Mart...

show abstract

Health Psychology: Children and Development

Cassidy¹,

Wood²,

Littleton³

et al. 2006

Developmental Psychology in Action

View full text Add to dashboard Cite

Effects of Home Environment, Socioeconomic Status, and Health Status on Cognitive Functioning in Children With HIV-1 Infection

Abstract: The home environment is associated with cognitive functioning among children with HIV-1 infection. Moreover, interventions aimed at enhancing the quality of the home environment may have a positive impact on these children's cognitive development.

Cited by 62 publications

References 19 publications

Caregiving and Experiences of Health, Illness and Coping in the Context of Paediatric and Adolescent HIV and Poverty

Caregiving and Experiences of Health, Illness and Coping in the Context of Paediatric and Adolescent HIV and Poverty

Evaluación neuropsicológica, factores psicosociales y co-morbilidad psiquiátrica en pacientes pediátricos infectados con el VIH

Health Psychology: Children and Development

Contact Info

Product

Resources

About