The impact of HIV/AIDS on families: An overview of recent research.

Bor, Robert; Plessis, Peter du

doi:10.1037/h0089837

Cited by 21 publications

(21 citation statements)

References 49 publications

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“…The literature indicates that stigma and discrimination (Lewis et al, 1994;Meyers & Weitzman, 1991), parental guilt regarding pregnant mother to child (PMTCT) transmission (Cohen, 1994;Lipson, 1993), the disproportionate impact of HIV/AIDS on vulnerable members of society (Lewis et al , 1994;Meyers & Weitzman, 1991) and the multigenerational impact of HIV/AIDS on families that creates a variety of family configurations (as opposed to the nuclear family) (Bor & Du Plessis, 1997;Pfaff, 2004) all present challenges to diagnosis disclosure.…”

Section: Please Scroll Down For Articlementioning

confidence: 97%

Paediatric HIV/AIDS disclosure: towards a developmental and process-oriented approach

et al. 2007

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As antiretroviral therapy becomes more widely available in low-resource settings and children with HIV/AIDS live for longer periods, disclosure of HIV diagnosis to infected children is becoming increasingly important. This article reviews the current literature on HIV-related disclosure in light of theories of cognitive development, and argues for the adoption of a process-oriented approach to discussing HIV with infected children. Disclosure presents unique challenges to healthcare workers and caregivers of children with HIV/AIDS that include controlling the flow of information about the child's HIV status to him/her and deciding on what is in his/her best interest. Health care workers' and caregivers' views regarding disclosure to children may often be contradictory, with healthcare workers likely to support disclosing the diagnosis of HIV/AIDS to children and caregivers more reluctant to discuss the disease with them. There is a clear need for practical interventions to support paediatric HIV disclosure which provide children with age-appropriate information about the disease.

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Section: Please Scroll Down For Articlementioning

confidence: 97%

Paediatric HIV/AIDS disclosure: towards a developmental and process-oriented approach

et al. 2007

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“…Clarifying effective treatments is an important opportunity for child and adolescent psychiatrists and psychologists, since creating successful family therapy for HIV-infected children and their families has been a challenge for health care workers. Barriers have included a lack of consensus on what constitutes a '' family, '' lack of cultural sensitivity to different patterns of social support, lack of longitudinal family studies, limitations of cross-sectional studies on the impact of illness on family, and lack of research in developing countries (Bor & du Plessis, 1997). Given the difficult circumstances that surround individuals with HIV\ AIDS, such as poverty and stigma, clinicians must often be the ones to initiate care for the affected family and actively demonstrate their acceptance and commitment to the treatment.…”

Section: Elements Of Effective Psychosocial Treatmentmentioning

confidence: 99%

Children and Adolescents Living with HIV and AIDS: A Review

Brown

Lourie

Pao

2000

Child Psychology Psychiatry

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Worldwide, more than one million children are infected with human immunodeficiency virus (HIV) and in the United States it has become the sixth leading cause of death among 15-24-year-olds. Despite the trend of increasing rates of infection, advances in therapies have led to survival past 5 years of age for more than 65% of infected children. This global health threat will therefore continue to have a significant impact on child and adolescent psychiatry and psychology. This paper reviews current studies and reports on the consequences of the acquired immunodeficiency syndrome (AIDS) epidemic in the psychiatric care and development of children and adolescents infected by HIV. From a search of all the English-language-based literature on pediatric AIDS, 140 studies are reviewed which address HIV infection and its psychological and social implications. Several topics of mental health significance are examined: (1) the epidemiology of HIV, (2) neurocognitive development among those infected, (3) psychological impact of infection, and (4) the family and social context of HIV. The transition of HIV from an acute, lethal disease to a subacute, chronic disease has enormous implications for the neurocognitive and psychosocial development of children and families. As children and adolescents infected with HIV continue to live longer, normal developmental milestones and educational needs will take on new significance. Many children will continue to be adversely impacted by non-HIV factors such as poverty, inadequate medical services, and a lack of social support. This review outlines recent developments that hold promise to effectively reduce the treatment burden on the infected, their families, and health care providers and to decrease the incidence of transmission to the uninfected.

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“…To date, however, there is little research in the paediatric HIV literature that adopts this longitudinal and family-focused perspective (Bor & du Plessis, 1997 ;F. L. Cohen, 1994).…”

Section: Behavioural and Emotional Aspectsmentioning

confidence: 97%

Annotation: Paediatric HIV Infection

Lwin

Melvin

2001

Child Psychology Psychiatry

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HIV and AIDS have made a huge global impact, permeating the social, cultural, and economic fabric of almost all nations. The first cases of HIV infection in children were reported in the late 1980s and numbers have since risen steadily throughout the world, with some of the poorest and least developed countries experiencing the highest prevalence. Combined drug regimes have changed the course of HIV-related illness and brought increased survival to those for whom treatment is available. With this, however, have come fresh concerns relating to drug resistance, treatment adherence, and the risk of second-generation vertical transmission as HIV-infected children now survive into adulthood and beyond. The psychological literature has addressed issues such as the direct effect of HIV on child development, social and cultural attitudes, family functioning and support, affected children and orphans of HIV-infected parents, sexual health education, disclosure of diagnosis, and long-term clinical management. The outcome for those living in wealthier countries is optimistic, but the spread of this virus in the rest of the world and its impact on family life and social and political systems remains of great concern.

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The impact of HIV/AIDS on families: An overview of recent research.

Cited by 21 publications

References 49 publications

Paediatric HIV/AIDS disclosure: towards a developmental and process-oriented approach

Paediatric HIV/AIDS disclosure: towards a developmental and process-oriented approach

Children and Adolescents Living with HIV and AIDS: A Review

Annotation: Paediatric HIV Infection

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