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Psychosocial Factors Associated with Adaptation in HIV-Infected Mothers

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Abstract

Factors associated with the mental health of 40 HIV-infected mothers were examined in a sample of primarily African-American and Latina, socioeconomically disadvantaged single mothers with histories of substance use recruited from pediatric HIV clinics. Structured questionnaires on stress, social support, family functioning, psychiatric disorder, psychological distress, and substance abuse were individually administered. Different dimensions of stressful experiences (particularly losses due to death and victimization), social support, and family functioning combined in different ways to influence the mother's mental health. The combined influence of stress and social support accounted for at least half the variance in both psychiatric symptoms and psychological distress. This study supports models of stress and protective factors in understanding the mental health of HIV+ mothers, particularly models that examine stress in different life domains and different positive and negative components of social support and family functioning.

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References

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington DC: Author.

    Google Scholar 

  • Bauman, L. (1997). The Multidimensional Social Support Inventory. Unpublished manuscript.

  • Belle, D. (1990). Poverty and women's health. American Psychologist, 45, 385–389.

    Article  Google Scholar 

  • Brown, G. W., and Harris, T. (1978). The social origins of depression. New York: Free Press.

    Google Scholar 

  • Conger, R. D., Elder, G. H., Simons, R. L., and Ge, X. (1993). Husband and wife differences in response to undesirable life events. Journal of Health and Social Behavior, 34, 71–88.

    PubMed  Google Scholar 

  • Dean, A., and Lin, N. (1977). The stress-buffering role of social support. Journal of Nervous and Mental Disease, 165, 403–417.

    PubMed  Google Scholar 

  • Dohrenwend, B. S., Krasnoff, L., Ashehasy, A., and Dohrenwend, B. P. (1978). Exemplification of a method for scaling life events: The PERI Life Events Scale. Journal of Health and Social Behavior, 19, 205–229.

    PubMed  Google Scholar 

  • Dohrenwend, B. P., Levav, I., Shrout, P., Schwatrz, S., Naveh, G., Link, B. G., Skidol, A. E., and Tueve, A. (1992). Socioeconomic status and psychiatric disorder: The causation- selection link. Science, 255, 946–952.

    PubMed  Google Scholar 

  • Dohrenwend, B., and Shrout, P. E. (1981). Toward the development of a two stage procedure for case identification and classification in psychiatric epidemiology. In R. G. Simmons (Ed.), Research In community and mental health: A research annual (pp. 295–323). Conneticut: JAI Press.

    Google Scholar 

  • Dohrenwend, B. P., Shrout, P. E., Egri, G., and Mendelsohn, F. S. (1980). Nonspecific psychological distress and other dimensions of psychopathology: Measures for use in the general population. Archives of General Psychiatry, 37, 1229–1236.

    PubMed  Google Scholar 

  • Franke, G. H., Jager, H., Thomann, B., and Beyer, B. (1992). Assessment and evaluation of psychological distress in HIVinfected women. Psychology and Health, 6, 297–312.

    Google Scholar 

  • Gad, M. T., and Johnson, J. H. (1980). Correlates of adolescent life stress as related to race, SES, and levels of perceived social support. Journal of Clinical Child Psychology, 9, 13–16.

    Google Scholar 

  • Goodenow, C., Reisine, S. T., and Grady, K. E. (1990). Quality of social support and associated social and psychological functioning in women with rheumatoid arthritis. Health Psychology, 9, 266–284.

    PubMed  Google Scholar 

  • Gore, S., and Colton, M. E. (1991). Gender stress, and distress: Social-relational influences. In J. Eckenrod (Ed.), The social context of coping (pp. 139–163). New York: Plenum Press.

    Google Scholar 

  • Greenwood, D., Szapocznik, J., McIntosh, S., and Ironson, G. (1995). Stress, coping, and family functioning in HIV_ and HIV_ African American women. Presented at the Annual Conference of the National Institute of Mental Health: Role of families in preventing and adapting to HIV/AIDS, Chantilly, Virginia.

  • Havens, J. F., Mellins, C. A., and Pilowsky, D. (1996). Mental health issues in HIV-affected women and children. International Review of Psychiatry, 8, 217–225.

    Google Scholar 

  • Havens, J. F., Mellins, C. A., and Ryan, S. (1997). The mental health treatment of children and families affected by HIV/ AIDS. In L. Wicks (Ed.), AIDS and psychotherapy (pp. 101–114). Washington, DC: Taylor and Francis

    Google Scholar 

  • Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65, 599–610.

    PubMed  Google Scholar 

  • Holmes, T. H., and Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11, 213–218.

    Article  PubMed  Google Scholar 

  • Jenkins, S. R., and Coons, H. L. (1996). Psychosocial stress and adaptation processes for women coping with HIV/AIDS. In A. O'Leary and L. S. Jemmott (Eds.), Women and AIDS: Coping and care (pp. 33-86). New York: Plenum Press

    Google Scholar 

  • Kessler, C. K., and McLeod, J. D. (1985). Social support and mental health in community samples. In S. Cohen and L. Syme (Eds.), Social support and health. New York: Academic Press.

    Google Scholar 

  • Lin, N. (1986). Modeling the effects of social support. In N. Lin, A. Dean, and W. Ensel (Eds.), Social support, life events, and depression(pp. 173–214). Orlando, FL: Academic Press

    Google Scholar 

  • Lin, N., Dean, A., and Ensel, W., (Eds.). (1986). Social support, life events, and depression. Orlando, FL: Academic Press.

    Google Scholar 

  • Lipsitz, J. D., Williams, J. B. W., Rabkin, J. G., Remien, R. H., Bradbury, M., el Sadr, W., Goetz, R., Sorrell, S., and Gorman, J. (1994). Psychopathology in male and female intravenous drug users with and without HIV infection. American Journal of Psychiatry, 151, 1662–1668.

    PubMed  Google Scholar 

  • Matsuoka, J. K., and Benson, M. (1996). Economic change, family cohesion, and mental health in a rural Hawaii community. Families in Society, 77, 108–116.

    Google Scholar 

  • Mazure, C. M., and Druss, B. G. (1995). A historical perspectiveon stress and psychiatric illness. In C. M. Mazure (Eds.), Doesstress cause psychiatric illness (pp. 1–41). Washington DC:American Psychiatric Press.

    Google Scholar 

  • McDaniel, J. S., Fowlie, E., Summerville, M. B., Farber, Eugene, W., and Cohen-Cole, S. A. (1995). Assessment rates of psychiatric morbidity and functioning in HIV disease. General Hospital Psychiatry, 17, 346–352.

    PubMed  Google Scholar 

  • McLoyd, V. C. (1990). The impact of economic hardship on Black families and children: Psychological distress, parenting, and socioemotional development. Child Development, 61, 311–346.

    PubMed  Google Scholar 

  • Mellins, C. A., and Ehrhardt, A. A. (1994). Families affected by pediatric AIDS: Sources of stress and coping. Journal of Developmental and Behavioral Pediatrics, 15, S54–S60.

    PubMed  Google Scholar 

  • Mellins, C. A., Ehrhardt, A. A., and Grant, W. F. (1997). Psychiatric symptomatology and psychological distress in HIV-infected mothers. AIDS and Behavior, 1, 233–245.

    Google Scholar 

  • Najavits, L. M., Weiss, R. D., and Shaw, S. R. (1997). The link between substance abuse and posttraumatic stress disorder in women: A research review. American Journal on Addictions, 6, 273–283.

    PubMed  Google Scholar 

  • New York Department of Health: Bureau of HIV/AIDS Epidemiology (2000). AIDS surveillance update (First Quarter, 2000). New York.

  • Olson, D. H., Bell, R., and Porter, J. (1992). FACES II manual. St. Paul, MN: University of Minnesota.

    Google Scholar 

  • Pearlin, L. I., Lieberman, M. A., Menaghan, E. G., and Mullan, J. P. (1981). The stress process. Journal of Health and Social Behavior, 22, 337–356.

    PubMed  Google Scholar 

  • Rabkin, J. C., Johnson, J., Shu-Hsing, L., Lipsitz, J. D., Remien, R. H., Williams, J. B. W., and Gorman, J. M. (1997). Psychopathology in male and female HIV-positive and negative injecting drug users: Longitudinal course over 3 years. AIDS, 11, 507–515.

    PubMed  Google Scholar 

  • Rait, D. S., Ostroff, J. S., Smith, K., Cella, D. F., et al. (1993). Lives in a balance: Perceived family functioning and the psychosocial adjustment of adolescent cancer survivors. Family Process, 31, 383–397.

    Google Scholar 

  • Rosen, L., Mellins, C. A., Ryan, S., and Havens, J. (1997). Family therapy with HIV/AIDS affected families. In L. Wicks (Ed.), AIDS and psychotherapy (pp. 115–141). Washington, DC: Taylor and Francis.

    Google Scholar 

  • Smith, D. K., Warren, D., Solomon, L., Schuman, P., Stein, M., Greenberg, B., and Moore, J. S. (1996). The design, participants, and selected early findings of the HIV epidemiology research (HER) study: A prospective cohort study of the impact of HIV infection on the health of American woman. In A. O'Leary and L. S. Jemmott (Eds.), Women and AIDS: Coping and care (pp. 185–205). New York: Plenum Press.

    Google Scholar 

  • Spitzer, R. L., Williams, J. B. W., Gibbon, M., and First, M. B. (1990). Structured Clinical Interview for DSM-III-R Nonpatient edition (SCID NP, version 1.0). Washington DC: American Psychiatric Press.

    Google Scholar 

  • Stansfeld, A. S., Fuhrer, R., and Shipley, M. J. (1998). Types of social support as predictors of psychiatric morbidity in a cohort of British Civil Servants (Whitehall II study). Psychological Medicine, 28, 881–892.

    PubMed  Google Scholar 

  • Taylor, S. E., Repetti, R. L., and Seeman, T. (1997). Health psychology: What is an unhealthy environment and how does it get under the skin? Annual Review of Psychology, 48, 411–447.

    PubMed  Google Scholar 

  • Thoits, P. A. (1995). Stress, coping, and social support processes: Where are we? What next? Journal of Health and Social Behavior, 1995(Extra Issue), 53–79.

  • Ulbrich, P. M., and Bradsher, J. E. (1993). Perceived support, help seeking, and adaptation to stress among older Black and White women living alone. Journal of Aging and Health, 5, 365–368.

    Google Scholar 

  • Wara, D. (1993). Pediatric AIDS: Part II: Perintal transmission and early diagnosis. AIDS Clinical Care, 5, 21.

    Google Scholar 

  • Weissman, G., and Brown, V. (1996). Drug-using women and HIV: Access to care and treatment issues. In A. O'Leary and L. S. Jemmott (Eds.), Women and AIDS: Coping and care (pp. 109–121). New York: Plenum Press

    Google Scholar 

  • Williams, J. B. W., Gibbon, M., First, M. B., Spitzer, R. L., Davies, M., Borus, J., Howes, M. J., Kane, J., Pope, H. G., Rounsaville, B., and Wittchen, H. (1992). The Structured Clinical Interview for DSM-III-R (SCID), II: Multisite test-retest reliability. Archives of General Psychiatry, 49, 630–636.

    PubMed  Google Scholar 

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Mellins, C.A., Ehrhardt, A.A., Rapkin, B. et al. Psychosocial Factors Associated with Adaptation in HIV-Infected Mothers. AIDS Behav 4, 317–328 (2000). https://doi.org/10.1023/A:1026494221011

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