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Psychological distress amongst AIDS-orphaned children in urban South Africa

Identifieur interne : 000118 ( PascalFrancis/Checkpoint ); précédent : 000117; suivant : 000119

Psychological distress amongst AIDS-orphaned children in urban South Africa

Auteurs : Lucie Cluver [Royaume-Uni, Afrique du Sud] ; Frances Gardner [Royaume-Uni] ; Don Operario [Royaume-Uni]

Source :

RBID : Pascal:07-0533418

Descripteurs français

English descriptors

Abstract

Background: South Africa is predicted to have 2.3 million children orphaned by Acquired Immune Deficiency Syndrome (AIDS) by 2020 (Actuarial Society of South Africa, 2005). There is little knowledge about impacts of AIDS-related bereavement on children, to aid planning of services. This study aimed to investigate psychological consequences of AIDS orphanhood in urban township areas of Cape Town, South Africa, compared to control groups of children and adolescents orphaned by other causes, and non-orphans. Method: One thousand and twenty-five children and adolescents (aged 10-19) were interviewed using socio-demographic questionnaires and standardised scales for assessing depression, anxiety, post-traumatic stress, peer problems, delinquency and conduct problems. Results: Controlling for socio-demographic factors such as age, gender, formal/informal dwelling and age at orphanhood, children orphaned by AIDS were more likely to report symptoms of depression, peer relationship problems, post-traumatic stress, delinquency and conduct problems than both children orphaned by other causes and non-orphaned children. Anxiety showed no differences. AIDS-orphaned children were more likely to report suicidal ideation. Compared to Western norms, AIDS-orphaned children showed higher levels of internalising problems and delinquency, but lower levels of conduct problems. Conclusions: Children orphaned by AIDS may be a particularly vulnerable group in terms of emotional and, to a lesser extent, behavioural problems. Intervention programs are necessary to ameliorate the psychological sequelae of losing a parent to AIDS.


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Le document en format XML

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<div type="abstract" xml:lang="en">Background: South Africa is predicted to have 2.3 million children orphaned by Acquired Immune Deficiency Syndrome (AIDS) by 2020 (Actuarial Society of South Africa, 2005). There is little knowledge about impacts of AIDS-related bereavement on children, to aid planning of services. This study aimed to investigate psychological consequences of AIDS orphanhood in urban township areas of Cape Town, South Africa, compared to control groups of children and adolescents orphaned by other causes, and non-orphans. Method: One thousand and twenty-five children and adolescents (aged 10-19) were interviewed using socio-demographic questionnaires and standardised scales for assessing depression, anxiety, post-traumatic stress, peer problems, delinquency and conduct problems. Results: Controlling for socio-demographic factors such as age, gender, formal/informal dwelling and age at orphanhood, children orphaned by AIDS were more likely to report symptoms of depression, peer relationship problems, post-traumatic stress, delinquency and conduct problems than both children orphaned by other causes and non-orphaned children. Anxiety showed no differences. AIDS-orphaned children were more likely to report suicidal ideation. Compared to Western norms, AIDS-orphaned children showed higher levels of internalising problems and delinquency, but lower levels of conduct problems. Conclusions: Children orphaned by AIDS may be a particularly vulnerable group in terms of emotional and, to a lesser extent, behavioural problems. Intervention programs are necessary to ameliorate the psychological sequelae of losing a parent to AIDS.</div>
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<fC07 i1="06" i2="X" l="SPA">
<s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Homme</s0>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Human</s0>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Hombre</s0>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Immunodéficit</s0>
<s5>37</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Immune deficiency</s0>
<s5>37</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Inmunodeficiencia</s0>
<s5>37</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Immunopathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG">
<s0>Immunopathology</s0>
<s5>39</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA">
<s0>Inmunopatología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Environnement social</s0>
<s5>40</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Social environment</s0>
<s5>40</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Contexto social</s0>
<s5>40</s5>
</fC07>
<fC07 i1="11" i2="X" l="FRE">
<s0>Trouble humeur</s0>
<s5>41</s5>
</fC07>
<fC07 i1="11" i2="X" l="ENG">
<s0>Mood disorder</s0>
<s5>41</s5>
</fC07>
<fC07 i1="11" i2="X" l="SPA">
<s0>Trastorno humor</s0>
<s5>41</s5>
</fC07>
<fC07 i1="12" i2="X" l="FRE">
<s0>Affect affectivité</s0>
<s5>42</s5>
</fC07>
<fC07 i1="12" i2="X" l="ENG">
<s0>Affect affectivity</s0>
<s5>42</s5>
</fC07>
<fC07 i1="12" i2="X" l="SPA">
<s0>Afecto afectividad</s0>
<s5>42</s5>
</fC07>
<fC07 i1="13" i2="X" l="FRE">
<s0>Trouble anxieux</s0>
<s5>43</s5>
</fC07>
<fC07 i1="13" i2="X" l="ENG">
<s0>Anxiety disorder</s0>
<s5>43</s5>
</fC07>
<fC07 i1="13" i2="X" l="SPA">
<s0>Trastorno ansiedad</s0>
<s5>43</s5>
</fC07>
<fC07 i1="14" i2="X" l="FRE">
<s0>Stress</s0>
<s5>44</s5>
</fC07>
<fC07 i1="14" i2="X" l="ENG">
<s0>Stress</s0>
<s5>44</s5>
</fC07>
<fC07 i1="14" i2="X" l="SPA">
<s0>Estrés</s0>
<s5>44</s5>
</fC07>
<fC07 i1="15" i2="X" l="FRE">
<s0>Trouble comportement social</s0>
<s5>45</s5>
</fC07>
<fC07 i1="15" i2="X" l="ENG">
<s0>Social behavior disorder</s0>
<s5>45</s5>
</fC07>
<fC07 i1="15" i2="X" l="SPA">
<s0>Trastorno comportamiento social</s0>
<s5>45</s5>
</fC07>
<fN21>
<s1>344</s1>
</fN21>
</pA>
</standard>
</inist>
<affiliations>
<list>
<country>
<li>Afrique du Sud</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Angleterre</li>
<li>Oxfordshire</li>
</region>
<settlement>
<li>Oxford</li>
</settlement>
<orgName>
<li>Université d'Oxford</li>
</orgName>
</list>
<tree>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Cluver, Lucie" sort="Cluver, Lucie" uniqKey="Cluver L" first="Lucie" last="Cluver">Lucie Cluver</name>
</region>
<name sortKey="Gardner, Frances" sort="Gardner, Frances" uniqKey="Gardner F" first="Frances" last="Gardner">Frances Gardner</name>
<name sortKey="Operario, Don" sort="Operario, Don" uniqKey="Operario D" first="Don" last="Operario">Don Operario</name>
</country>
<country name="Afrique du Sud">
<noRegion>
<name sortKey="Cluver, Lucie" sort="Cluver, Lucie" uniqKey="Cluver L" first="Lucie" last="Cluver">Lucie Cluver</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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