Knowledge of Maternal HIV/AIDS and Child Adjustment: The Moderating Role of Children’s Relationships with their Mothers

Jones, Deborah J.; Foster, Sarah E.; Zalot, Alecia A.; Chester, Charlene; King, Antonette

doi:10.1007/s10461-006-9188-1

Cited by 21 publications

(20 citation statements)

References 42 publications

(58 reference statements)

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“…U.S.-based research indicates that children who feel more supported by their mother appear better able to cope with their mother's HIV status and its associated stressors (Hough et al 2003;Kotchick et al 1997). In particular, Jones et al (2007) found that the quality of the mother-child relationship interacted with disclosure of maternal HIV status to predict externalizing, but not internalizing, problems in African American children aged six to eleven. In addition, research suggests that support from additional caregivers is protective for children, as it decreases the potentially detrimental effects of chronic stressors on them (Garmezy 1983).…”

Section: Introductionmentioning

confidence: 93%

Disclosure of Maternal HIV-Infection in South Africa: Description and Relationship to Child Functioning

et al. 2008

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South Africa has one of the highest HIV-infection rates in the world, yet few studies have examined disclosure of maternal HIV status and its influence on children. This study provides descriptive information about HIV disclosure among South African mothers and explores whether family context variables interact with maternal HIV disclosure to affect children's functioning. A total of 103 mothers, who self-identified as living with HIV and who were the primary caregivers of a child between the ages of 11 and 16, were interviewed. A total of 44% of mothers had disclosed, and those who had most typically perceived children's reactions to disclosure to be sadness and worry. Widows and married mothers were more likely than single mothers to disclose their HIV status. Disclosure to children significantly predicted externalizing, but not internalizing, behaviors. Family variables had direct but not interactive effects on child functioning. This study highlights the complexity of disclosure-related decisions and the importance of addressing the family context.

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Section: Introductionmentioning

confidence: 93%

Disclosure of Maternal HIV-Infection in South Africa: Description and Relationship to Child Functioning

et al. 2008

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“…Prior researchers have found parents who delay full disclosure of their illnesses to their children have poor family dynamics and handling of family problems (Lee & RotheramBorus, 2002). Other researchers have recommended parents with poor pre-disclosure parentchild relationships be helped to improve these relationships before disclosure (Jones et al, 2007;Petersen et al, 2010); and that disclosure be delivered before children are teenagers to limit negative outcomes (American Academy of Pediatrics, 1999;Kennedy et al, 2010;Lee & Rotheram-Borus, 2002;Murphy, 2008;Vallerand et al, 2005). In this study, the father already had a poor father-children relationship which further deteriorated upon disclosure.…”

Section: Discussionmentioning

confidence: 74%

“…Some studies have shown no psychological impact on children (Jones et al, 2007;Murphy, Steers, & Stritto, 2001;Shafer et al, 2001). Other studies have shown positive effects such as improved parent-child closeness (Vallerand et al, 2005), fewer behavior problems and aggression (Lee & Rotheram-Borus, 2002;Murphy et al, 2001), and an improved outlook on life (Kennedy et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

A couple’s marital disharmony and its psychological effects on their children during the HIV disclosure process in Kenya

Gachanja

2014

Preprint

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HIV-positive parents are challenged with disclosure to their children. Limited published data exists on how HIV-positive parents perform disclosure to all their children in the household. To start addressing this gap, data is presented on a couple's HIV disclosure experiences to all their children. The couple participated in a larger study conducted to understand the lived experiences of HIV-positive parents and their children during the disclosure process in Kenya. Each underwent an individualized in-depth semi-structured interview. Their interviews were transcribed and transferred into NVivo 8 for analysis using the Van Kaam method. Three themes emerged including HIV testing, full disclosure delivery accompanied by marital disharmony, and post-disclosure psychological effects on the family. The couple's narration of their diagnoses, and disclosure experiences to their children differed significantly. Ongoing poor paternal health caused persistent inquisitive questions from children. A poor paternal-children relationship, accompanied with his avoidance and non-involvement in disclosure matters caused the mother to fully disclose both parents' illnesses to the four oldest children. These children were affected by disclosure and held animosity towards their father. One had an emotional outburst directed at the father, while another still displayed anger and withdrawal years later. Therefore, the couple was hesitant to fully disclose their illnesses to their youngest son and differed in how they wanted to disclose to him. HIV-positive parents with poor relationships among family members before HIV testing and/or disclosure should be provided with intense counseling aimed at increasing family cohesion. Extra support before, during, and after disclosure may be required for these families to increase positive outcomes.

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“…As seen in this case report, prior researchers have also found that parents who delay full disclosure of their illnesses to their children have poor family dynamics and handling of family problems (Lee & RotheramBorus, 2002). Some researchers have recommended that parents with poor pre-disclosure parent-child relationships be helped to improve these relationships before disclosure occurs (Jones et al, 2007;Petersen et al, 2010), and that full disclosure be delivered before children are teenagers to limit negative outcomes (American Academy of Pediatrics, 1999;Kennedy et al, 2010;Lee & Rotheram-Borus, 2002;Murphy, 2008;Vallerand et al, 2005;WHO, 2011). Pre-disclosure, this couple's children already had a poor relationship with their father.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have shown no psychological impact on children (Jones, Foster, Zalot, Chester, & King, 2007;Murphy, Steers, & Stritto, 2001;Shafer, Jones, Kotchick, Forehand, & The Family Health Project Research Group, 2001). Other studies have shown positive effects such as improved parent-child closeness (Gachanja, 2015;Gachanja et al, 2014a;Vallerand et al, 2005), fewer behaviour problems and aggression (Lee & Rotheram-Borus, 2002;Murphy et al, 2001), and an improved outlook on life and the illness (Gachanja, 2015;Gachanja et al, 2014a;Kennedy et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

A Couple’s Marital Disharmony and its Psychological Effects on their Children during the HIV Disclosure Process in Kenya

Gachanja

2015

hcs

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Limited published data exists on how HIV-positive couples perform disclosure of their illnesses to all their children. An HIV-positive couple's disclosure experience to all their five children is presented. They participated in a larger study conducted to understand the lived experiences of HIV-positive parents and their children during the disclosure process in Kenya. Each underwent an individualized in-depth semi-structured interview. Their interviews were transcribed and transferred into NVivo 8 for analysis using the Van Kaam method. Three themes emerged which included HIV testing, full disclosure delivery to children accompanied by marital disharmony, and negative post-disclosure psychological effects on the family. Marital disharmony and non-involvement of the father in dislcosure-related activities caused the mother to fully disclose their illnesses to their four oldest children. The children were affected by disclosure; one had a delayed emotional outburst directed at her father and another was still angry and withdrawn eight years later. As a result, the couple and their four oldest children were hesitant to fully disclose to the youngest son/brother. HIV-positive couples with poor relationships within their families, need intense counseling and support pre, during, and post-disclosure to improve outcomes in all family members. Keywords: HIV/AIDS

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Knowledge of Maternal HIV/AIDS and Child Adjustment: The Moderating Role of Children’s Relationships with their Mothers

Cited by 21 publications

References 42 publications

Disclosure of Maternal HIV-Infection in South Africa: Description and Relationship to Child Functioning

Disclosure of Maternal HIV-Infection in South Africa: Description and Relationship to Child Functioning

A couple’s marital disharmony and its psychological effects on their children during the HIV disclosure process in Kenya

A Couple’s Marital Disharmony and its Psychological Effects on their Children during the HIV Disclosure Process in Kenya

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