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

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Title: Psychosocial Adjustment in Ugandan Children: Coping with Human Immunodeficiency Virus Exposure, Lifetime Adversity, and Importance of Social Support
Language: English
Authors: 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. (ORCID 0000-0003-2164-8802)
Source: New Directions for Child and Adolescent Development. May 2020 (171):55-75.
Availability: 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
Peer Reviewed: Y
Page Count: 21
Publication Date: 2020
Document Type: Journal Articles
Reports - Research
Descriptors: 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
Geographic Terms: Uganda
DOI: 10.1002/cad.20354
ISSN: 1520-3247
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.
Abstractor: As Provided
Entry Date: 2020
Accession Number: EJ1265336
Database: ERIC
FullText Text:
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  Data: Psychosocial Adjustment in Ugandan Children: Coping with Human Immunodeficiency Virus Exposure, Lifetime Adversity, and Importance of Social Support
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  Data: <searchLink fieldCode="AR" term="%22Tuke%2C+Robert%22">Tuke, Robert</searchLink><br /><searchLink fieldCode="AR" term="%22Sikorskii%2C+Alla%22">Sikorskii, Alla</searchLink><br /><searchLink fieldCode="AR" term="%22Zalwango%2C+Sarah+K%2E%22">Zalwango, Sarah K.</searchLink><br /><searchLink fieldCode="AR" term="%22Webster%2C+Kyle+D%2E%22">Webster, Kyle D.</searchLink><br /><searchLink fieldCode="AR" term="%22Ismail%2C+Alexander%22">Ismail, Alexander</searchLink><br /><searchLink fieldCode="AR" term="%22Pobee%2C+Ruth+A%2E%22">Pobee, Ruth A.</searchLink><br /><searchLink fieldCode="AR" term="%22Barkin%2C+Jennifer+L%2E%22">Barkin, Jennifer L.</searchLink><br /><searchLink fieldCode="AR" term="%22Boivin%2C+Michael+J%2E%22">Boivin, Michael J.</searchLink><br /><searchLink fieldCode="AR" term="%22Giordani%2C+Bruno%22">Giordani, Bruno</searchLink><br /><searchLink fieldCode="AR" term="%22Ezeamama%2C+Amara+E%2E%22">Ezeamama, Amara E.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-2164-8802">0000-0003-2164-8802</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22New+Directions+for+Child+and+Adolescent+Development%22"><i>New Directions for Child and Adolescent Development</i></searchLink>. May 2020 (171):55-75.
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  Data: 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
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  Data: 21
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  Data: 2020
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Social+Adjustment%22">Social Adjustment</searchLink><br /><searchLink fieldCode="DE" term="%22Emotional+Adjustment%22">Emotional Adjustment</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Esteem%22">Self Esteem</searchLink><br /><searchLink fieldCode="DE" term="%22Acquired+Immunodeficiency+Syndrome+%28AIDS%29%22">Acquired Immunodeficiency Syndrome (AIDS)</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Disadvantaged%22">Disadvantaged</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Support+Groups%22">Social Support Groups</searchLink><br /><searchLink fieldCode="DE" term="%22Resilience+%28Psychology%29%22">Resilience (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Prediction%22">Prediction</searchLink><br /><searchLink fieldCode="DE" term="%22Correlation%22">Correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+Patterns%22">Psychological Patterns</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Coping%22">Coping</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Concept%22">Self Concept</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Uganda%22">Uganda</searchLink>
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  Data: 10.1002/cad.20354
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  Data: 1520-3247
– Name: Abstract
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  Data: 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.
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  Data: 2020
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        Value: 10.1002/cad.20354
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      – Text: English
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        PageCount: 21
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      – SubjectFull: Social Adjustment
        Type: general
      – SubjectFull: Emotional Adjustment
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      – SubjectFull: Self Esteem
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      – SubjectFull: Resilience (Psychology)
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      – SubjectFull: Prediction
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      – SubjectFull: Correlation
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      – SubjectFull: Psychological Patterns
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      – SubjectFull: Uganda
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