Document 0616
 DOCN  M9490616
 TI    Families affected by pediatric acquired immunodeficiency syndrome:
       sources of stress and coping.
 DT    9411
 AU    Mellins CA; Ehrhardt AA; HIV Center for Clinical and Behavioral Studies,
       New York State; Psychiatric Institute, New York 10032.
 SO    J Dev Behav Pediatr. 1994 Jun;15(3):S54-60. Unique Identifier : AIDSLINE
       MED/94342486
 AB    This study explores stress and coping among inner-city, ethnically
       diverse families with human immunodeficiency virus (HIV)-infected
       children. Caregivers, siblings, and HIV-infected children from 25
       families responded to a semistructured interview on the psychosocial
       impact of HIV. Families were primarily African-American and Latino and
       from low socioeconomic-status backgrounds. Approximately one third of
       the children lived with an HIV-positive birth parent, one third with a
       grandmother, and one third in foster or adoptive care. The majority of
       caregivers were single mothers who confronted major life events and who
       were overextended with caregiving responsibilities. Compared with
       uninfected caregivers, HIV-infected parents reported more isolation and
       fewer financial and support resources. All children were particularly
       vulnerable to separations and loss, with uninfected siblings reporting
       anger and burden from caregiving tasks. Although some families had
       coping resources, many families might benefit from family-focused mental
       health services, particularly those that reduce isolation, promote
       family functioning and provide respite care.
 DE    *Adaptation, Psychological  Adolescence  Caregivers/PSYCHOLOGY  Child
       Child, Preschool  Family/*PSYCHOLOGY  Family Characteristics  Health
       Status  Human  HIV Infections/CONGENITAL/*PSYCHOLOGY  Interview,
       Psychological  Parent-Child Relations  Sibling Relations  Social
       Adjustment  *Stress, Psychological  Support, Non-U.S. Gov't  Support,
       U.S. Gov't, P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).