Psychosocial Adjustment in Ugandan Children: Coping with Human Immunodeficiency Virus Exposure, Lifetime Adversity, and Importance of Social Support

Autor/inn/en	Tuke, Robert; Sikorskii, Alla; Zalwango, Sarah K.; Webster, Kyle D.; Ismail, Alexander; Pobee, Ruth A.; Barkin, Jennifer L.; Boivin, Michael J.; Giordani, Bruno; Ezeamama, Amara E.
Titel	Psychosocial Adjustment in Ugandan Children: Coping with Human Immunodeficiency Virus Exposure, Lifetime Adversity, and Importance of Social Support
Quelle	In: New Directions for Child and Adolescent Development, (2020) 171, S.55-75 (21 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Ezeamama, Amara E.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1520-3247
DOI	10.1002/cad.20354
Schlagwörter	Social Adjustment; Emotional Adjustment; Self Esteem; Acquired Immunodeficiency Syndrome (AIDS); Foreign Countries; Disadvantaged; Social Support Groups; Resilience (Psychology); Prediction; Correlation; Psychological Patterns; Intervention; Coping; Outcomes of Treatment; Children; Self Concept; Uganda + Suchen Sie Ihr Suchwort? Soziale Anpassung; Emotionale Anpassung; Self-esteem; Selbstaufmerksamkeit; Ausland; Social support; Soziale Unterstützung; Vorhersage; Korrelation; Bewältigung; Child; Kind; Kinder; Selbstkonzept
Abstract	Cumulative lifetime adversity and social support were investigated as determinants of psychosocial adjustment (esteem, distress, hopefulness, positive outlook/future aspirations, and sense of purpose) over 12 months in 6-10-years-old HIV-infected, HIV-exposed uninfected and HIV-unexposed uninfected children from Uganda. Each determinant and psychosocial adjustment indicator was self-reported using standardized questionnaires administered at baseline, 6, and 12 months. Linear mixed effects models were used to relate time-varying lifetime adversity and social support to psychosocial adjustment over 12 months. Regardless of HIV status, higher adversity predicted lower esteem (coefficient b = -2.98, 95% confidence interval (CI): [-4.62, -1.35]) and increased distress (b =3.96, 95% CI: [1.29, 6.62]) but was not associated with hopefulness, positive outlook or sense of purpose. Low social support predicted higher distress (b =9.05, 95% CI: [7.36, 10.73]), lower positive outlook (b = -10.56, 95% CI: [-2.34, -8.79]) and low sense of purpose (b = -9.90, 95% CI: [-11.44, -8.36]) over 12 months. Pragmatic interventions that enhance coping with adversity and provide emotional/instrumental support should be tested for effectiveness in promoting resilient psychosocial adjustment trajectory in vulnerable children. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01