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 |
| 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 |
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