Causes and consequences of psychological distress among orphans in eastern Zimbabwe
Identifieur interne : 000D04 ( Ncbi/Merge ); précédent : 000D03; suivant : 000D05Causes and consequences of psychological distress among orphans in eastern Zimbabwe
Auteurs : C. A. Nyamukapa [Royaume-Uni, Zimbabwe] ; S. Gregson [Royaume-Uni, Zimbabwe] ; M. Wambe [Zimbabwe] ; P. Mushore [Zimbabwe] ; B. Lopman [Royaume-Uni] ; Z. Mupambireyi [Zimbabwe] ; K. Nhongo [Zimbabwe] ; M. C. H. Jukes [Royaume-Uni, États-Unis]Source :
- AIDS Care [ 0954-0121 ] ; 2010.
Abstract
Substantial resources are invested in psychological support for children orphaned or otherwise made vulnerable in the context of HIV/AIDS (OVC). However, there is still only limited scientific evidence for greater psychological distress amongst orphans and even less evidence for the effectiveness of current support strategies. Furthermore, programmes that address established mechanisms through which orphanhood can lead to greater psychological distress should be more effective. We use quantitative and qualitative data from Eastern Zimbabwe to measure the effects of orphanhood on psychological distress and to test mechanisms for greater distress amongst orphans suggested in a recently published theoretical framework.
Orphans were found to suffer greater psychological distress than non-orphans (sex- and age-adjusted co-efficient: 0.15; 95% CI 0.03–0.26;
These findings and the ideas put forward by children and caregivers in the focus group discussions suggest that community-based programmes that aim to improve caregiver selection, increase support for caregivers, and provide training in parenting responsibilities and skills might help to reduce psychological distress. These programmes should be under-pinned by further efforts to reduce poverty, increase school attendance and support out-of-school youth.
Url:
DOI: 10.1080/09540121003615061
PubMed: 20552465
PubMed Central: 2924569
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<front><div type="abstract" xml:lang="en"><p>Substantial resources are invested in psychological support for children orphaned or otherwise made vulnerable in the context of HIV/AIDS (OVC). However, there is still only limited scientific evidence for greater psychological distress amongst orphans and even less evidence for the effectiveness of current support strategies. Furthermore, programmes that address established mechanisms through which orphanhood can lead to greater psychological distress should be more effective. We use quantitative and qualitative data from Eastern Zimbabwe to measure the effects of orphanhood on psychological distress and to test mechanisms for greater distress amongst orphans suggested in a recently published theoretical framework.</p>
<p>Orphans were found to suffer greater psychological distress than non-orphans (sex- and age-adjusted co-efficient: 0.15; 95% CI 0.03–0.26; <italic>P</italic>
= 0.013). Effects of orphanhood contributing to their increased levels of distress included trauma, being out-of-school, being cared for by a non-parent, inadequate care, child labour, physical abuse, and stigma and discrimination. Increased mobility and separation from siblings did not contribute to greater psychological distress in this study. Over 40% of orphaned children in the sample lived in households receiving external assistance. However, receipt of assistance was not associated with reduced psychological distress.</p>
<p>These findings and the ideas put forward by children and caregivers in the focus group discussions suggest that community-based programmes that aim to improve caregiver selection, increase support for caregivers, and provide training in parenting responsibilities and skills might help to reduce psychological distress. These programmes should be under-pinned by further efforts to reduce poverty, increase school attendance and support out-of-school youth.</p>
</div>
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<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Atwine, B" uniqKey="Atwine B">B. Atwine</name>
</author>
<author><name sortKey="Cantor Graae, E" uniqKey="Cantor Graae E">E. Cantor-Graae</name>
</author>
<author><name sortKey="Banjunirwe, F" uniqKey="Banjunirwe F">F. Banjunirwe</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Barbarin, O A" uniqKey="Barbarin O">O.A. Barbarin</name>
</author>
<author><name sortKey="Richter, L" uniqKey="Richter L">L. Richter</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Barnett, T" uniqKey="Barnett T">T. Barnett</name>
</author>
<author><name sortKey="Blaikie, P" uniqKey="Blaikie P">P. Blaikie</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Barnett, T" uniqKey="Barnett T">T. Barnett</name>
</author>
<author><name sortKey="Whiteside, A" uniqKey="Whiteside A">A. Whiteside</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Basaza, R" uniqKey="Basaza R">R. Basaza</name>
</author>
<author><name sortKey="Kaija, D" uniqKey="Kaija D">D. Kaija</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Beusenberg, M" uniqKey="Beusenberg M">M. Beusenberg</name>
</author>
<author><name sortKey="Orley, J" uniqKey="Orley J">J. Orley</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Birdthistle, I" uniqKey="Birdthistle I">I. Birdthistle</name>
</author>
<author><name sortKey="Floyd, S" uniqKey="Floyd S">S. Floyd</name>
</author>
<author><name sortKey="Machingura, A" uniqKey="Machingura A">A. Machingura</name>
</author>
<author><name sortKey="Mudziwapasi, N" uniqKey="Mudziwapasi N">N. Mudziwapasi</name>
</author>
<author><name sortKey="Gregson, S" uniqKey="Gregson S">S. Gregson</name>
</author>
<author><name sortKey="Glynn, J R" uniqKey="Glynn J">J.R. Glynn</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Chatterji, M" uniqKey="Chatterji M">M. Chatterji</name>
</author>
<author><name sortKey="Dougherty, L" uniqKey="Dougherty L">L. Dougherty</name>
</author>
<author><name sortKey="Ventimiglia, T" uniqKey="Ventimiglia T">T. Ventimiglia</name>
</author>
<author><name sortKey="Mulenga, Y" uniqKey="Mulenga Y">Y. Mulenga</name>
</author>
<author><name sortKey="Jones, A" uniqKey="Jones A">A. Jones</name>
</author>
<author><name sortKey="Mukaneza, A" uniqKey="Mukaneza A">A. Mukaneza</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Cluver, L" uniqKey="Cluver L">L. Cluver</name>
</author>
<author><name sortKey="Gardner, F" uniqKey="Gardner F">F. Gardner</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Evans, P" uniqKey="Evans P">P. Evans</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Foster, G" uniqKey="Foster G">G. Foster</name>
</author>
<author><name sortKey="Makufa, C" uniqKey="Makufa C">C. Makufa</name>
</author>
<author><name sortKey="Drew, R" uniqKey="Drew R">R. Drew</name>
</author>
<author><name sortKey="Kralovec, E" uniqKey="Kralovec E">E. Kralovec</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gregson, S" uniqKey="Gregson S">S. Gregson</name>
</author>
<author><name sortKey="Garnett, G P" uniqKey="Garnett G">G.P. Garnett</name>
</author>
<author><name sortKey="Nyamukapa, C A" uniqKey="Nyamukapa C">C.A. Nyamukapa</name>
</author>
<author><name sortKey="Hallett, T B" uniqKey="Hallett T">T.B. Hallett</name>
</author>
<author><name sortKey="Lewis, J J C" uniqKey="Lewis J">J.J.C. Lewis</name>
</author>
<author><name sortKey="Mason, P R" uniqKey="Mason P">P.R. Mason</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gregson, S" uniqKey="Gregson S">S. Gregson</name>
</author>
<author><name sortKey="Nyamukapa, C A" uniqKey="Nyamukapa C">C.A. Nyamukapa</name>
</author>
<author><name sortKey="Garnett, G P" uniqKey="Garnett G">G.P. Garnett</name>
</author>
<author><name sortKey="Wambe, M" uniqKey="Wambe M">M. Wambe</name>
</author>
<author><name sortKey="Lewis, J J C" uniqKey="Lewis J">J.J.C. Lewis</name>
</author>
<author><name sortKey="Mason, P R" uniqKey="Mason P">P.R. Mason</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Kang, M" uniqKey="Kang M">M. Kang</name>
</author>
<author><name sortKey="Dunbar, M" uniqKey="Dunbar M">M. Dunbar</name>
</author>
<author><name sortKey="Laver, S" uniqKey="Laver S">S. Laver</name>
</author>
<author><name sortKey="Padian, N S" uniqKey="Padian N">N.S. Padian</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="King, E" uniqKey="King E">E. King</name>
</author>
<author><name sortKey="De Silva, M" uniqKey="De Silva M">M. De Silva</name>
</author>
<author><name sortKey="Stein, A" uniqKey="Stein A">A. Stein</name>
</author>
<author><name sortKey="Patel, V" uniqKey="Patel V">V. Patel</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Makame, V" uniqKey="Makame V">V. Makame</name>
</author>
<author><name sortKey="Ani, C" uniqKey="Ani C">C. Ani</name>
</author>
<author><name sortKey="Grantham Mcgregor, S" uniqKey="Grantham Mcgregor S">S. Grantham-McGregor</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Masten, A" uniqKey="Masten A">A. Masten</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Nampanya Serpell, N" uniqKey="Nampanya Serpell N">N. Nampanya-Serpell</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Neimeyer, R A" uniqKey="Neimeyer R">R.A. Neimeyer</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Nyamukapa, C" uniqKey="Nyamukapa C">C. Nyamukapa</name>
</author>
<author><name sortKey="Gregson, S" uniqKey="Gregson S">S. Gregson</name>
</author>
<author><name sortKey="Lopman, B" uniqKey="Lopman B">B. Lopman</name>
</author>
<author><name sortKey="Saito, S" uniqKey="Saito S">S. Saito</name>
</author>
<author><name sortKey="Watts, H J" uniqKey="Watts H">H.J. Watts</name>
</author>
<author><name sortKey="Monasch, R" uniqKey="Monasch R">R. Monasch</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Oburu, P O" uniqKey="Oburu P">P.O. Oburu</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Summerfield, D" uniqKey="Summerfield D">D. Summerfield</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Thurman, T R" uniqKey="Thurman T">T.R. Thurman</name>
</author>
<author><name sortKey="Brown, L" uniqKey="Brown L">L. Brown</name>
</author>
<author><name sortKey="Richter, L" uniqKey="Richter L">L. Richter</name>
</author>
<author><name sortKey="Maharaj, P" uniqKey="Maharaj P">P. Maharaj</name>
</author>
<author><name sortKey="Magnani, R" uniqKey="Magnani R">R. Magnani</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Watts, H J" uniqKey="Watts H">H.J. Watts</name>
</author>
<author><name sortKey="Lopman, B" uniqKey="Lopman B">B. Lopman</name>
</author>
<author><name sortKey="Nyamukapa, C A" uniqKey="Nyamukapa C">C.A. Nyamukapa</name>
</author>
<author><name sortKey="Gregson, S" uniqKey="Gregson S">S. Gregson</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">AIDS Care</journal-id>
<journal-id journal-id-type="publisher-id">caic</journal-id>
<journal-title-group><journal-title>AIDS Care</journal-title>
</journal-title-group>
<issn pub-type="ppub">0954-0121</issn>
<issn pub-type="epub">1360-0451</issn>
<publisher><publisher-name>Taylor & Francis</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20552465</article-id>
<article-id pub-id-type="pmc">2924569</article-id>
<article-id pub-id-type="doi">10.1080/09540121003615061</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
<subj-group><subject>Aidsimpact Special Issue 2010</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Causes and consequences of psychological distress among orphans in eastern Zimbabwe</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Nyamukapa</surname>
<given-names>C.A.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
<xref ref-type="corresp" rid="COR1">∗</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gregson</surname>
<given-names>S.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wambe</surname>
<given-names>M.</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mushore</surname>
<given-names>P.</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopman</surname>
<given-names>B.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mupambireyi</surname>
<given-names>Z.</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nhongo</surname>
<given-names>K.</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jukes</surname>
<given-names>M.C.H.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<aff id="A1"><sup>a</sup>
Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College London, Norfolk Place, London W2 1PG, UK</aff>
<aff id="A2"><sup>b</sup>
Biomedical Research and Training Institute, Harare, Zimbabwe</aff>
<aff id="A3"><sup>c</sup>
Harvard Graduate School of Education, Harvard University, Cambridge, MA, USA</aff>
</contrib-group>
<author-notes><corresp id="COR1"><sup>∗</sup>
Corresponding author. Email: <email>c.nyamukapa03@imperial.ac.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>14</day>
<month>6</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub"><month>8</month>
<year>2010</year>
</pub-date>
<volume>22</volume>
<issue>8</issue>
<fpage>988</fpage>
<lpage>996</lpage>
<history><date date-type="received"><day>10</day>
<month>6</month>
<year>2009</year>
</date>
<date date-type="rev-recd"><day>30</day>
<month>12</month>
<year>2009</year>
</date>
</history>
<permissions><copyright-statement>© 2010 Taylor & Francis</copyright-statement>
<copyright-year>2010</copyright-year>
<license license-type="open-access" xlink:href="http://www.informaworld.com/mpp/uploads/iopenaccess_tcs.pdf"><license-p>This is an open access article distributed under the <ext-link ext-link-type="uri" xlink:href="http://www.informaworld.com/mpp/uploads/iopenaccess_tcs.pdf">Supplemental Terms and Conditions for iOpenAccess articles published in Taylor & Francis journals</ext-link>
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Substantial resources are invested in psychological support for children orphaned or otherwise made vulnerable in the context of HIV/AIDS (OVC). However, there is still only limited scientific evidence for greater psychological distress amongst orphans and even less evidence for the effectiveness of current support strategies. Furthermore, programmes that address established mechanisms through which orphanhood can lead to greater psychological distress should be more effective. We use quantitative and qualitative data from Eastern Zimbabwe to measure the effects of orphanhood on psychological distress and to test mechanisms for greater distress amongst orphans suggested in a recently published theoretical framework.</p>
<p>Orphans were found to suffer greater psychological distress than non-orphans (sex- and age-adjusted co-efficient: 0.15; 95% CI 0.03–0.26; <italic>P</italic>
= 0.013). Effects of orphanhood contributing to their increased levels of distress included trauma, being out-of-school, being cared for by a non-parent, inadequate care, child labour, physical abuse, and stigma and discrimination. Increased mobility and separation from siblings did not contribute to greater psychological distress in this study. Over 40% of orphaned children in the sample lived in households receiving external assistance. However, receipt of assistance was not associated with reduced psychological distress.</p>
<p>These findings and the ideas put forward by children and caregivers in the focus group discussions suggest that community-based programmes that aim to improve caregiver selection, increase support for caregivers, and provide training in parenting responsibilities and skills might help to reduce psychological distress. These programmes should be under-pinned by further efforts to reduce poverty, increase school attendance and support out-of-school youth.</p>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>OVC</kwd>
<kwd>psychological distress</kwd>
<kwd>Zimbabwe</kwd>
<kwd>theoretical framework</kwd>
<kwd>determinants</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Royaume-Uni</li>
<li>Zimbabwe</li>
<li>États-Unis</li>
</country>
<region><li>Massachusetts</li>
</region>
<settlement><li>Cambridge (Massachusetts)</li>
</settlement>
<orgName><li>Université Harvard</li>
</orgName>
</list>
<tree><country name="Royaume-Uni"><noRegion><name sortKey="Nyamukapa, C A" sort="Nyamukapa, C A" uniqKey="Nyamukapa C" first="C. A." last="Nyamukapa">C. A. Nyamukapa</name>
</noRegion>
<name sortKey="Gregson, S" sort="Gregson, S" uniqKey="Gregson S" first="S." last="Gregson">S. Gregson</name>
<name sortKey="Jukes, M C H" sort="Jukes, M C H" uniqKey="Jukes M" first="M. C. H." last="Jukes">M. C. H. Jukes</name>
<name sortKey="Lopman, B" sort="Lopman, B" uniqKey="Lopman B" first="B." last="Lopman">B. Lopman</name>
</country>
<country name="Zimbabwe"><noRegion><name sortKey="Nyamukapa, C A" sort="Nyamukapa, C A" uniqKey="Nyamukapa C" first="C. A." last="Nyamukapa">C. A. Nyamukapa</name>
</noRegion>
<name sortKey="Gregson, S" sort="Gregson, S" uniqKey="Gregson S" first="S." last="Gregson">S. Gregson</name>
<name sortKey="Mupambireyi, Z" sort="Mupambireyi, Z" uniqKey="Mupambireyi Z" first="Z." last="Mupambireyi">Z. Mupambireyi</name>
<name sortKey="Mushore, P" sort="Mushore, P" uniqKey="Mushore P" first="P." last="Mushore">P. Mushore</name>
<name sortKey="Nhongo, K" sort="Nhongo, K" uniqKey="Nhongo K" first="K." last="Nhongo">K. Nhongo</name>
<name sortKey="Wambe, M" sort="Wambe, M" uniqKey="Wambe M" first="M." last="Wambe">M. Wambe</name>
</country>
<country name="États-Unis"><region name="Massachusetts"><name sortKey="Jukes, M C H" sort="Jukes, M C H" uniqKey="Jukes M" first="M. C. H." last="Jukes">M. C. H. Jukes</name>
</region>
</country>
</tree>
</affiliations>
</record>
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