Does Maternal HIV Disclosure Self-Efficacy Enhance Parent–Child Relationships and Child Adjustment?
| Autor: | Rebecca Hill LeCroix, Lisa Armistead, William D. Marelich, Marya T. Schulte, Debra A. Murphy, Nada M. Goodrum |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Self Disclosure Social Psychology media_common.quotation_subject Psychological intervention Human immunodeficiency virus (HIV) Mothers HIV Infections Intention Anxiety Maternal hiv medicine.disease_cause Article 03 medical and health sciences 0302 clinical medicine medicine Humans 0501 psychology and cognitive sciences 030212 general & internal medicine Parent-Child Relations Child Depression (differential diagnoses) media_common Self-efficacy Depression Public health 05 social sciences Public Health Environmental and Occupational Health Self Concept Self Efficacy Health psychology Infectious Diseases Child Preschool Quality of Life Female Worry Psychology 050104 developmental & child psychology Clinical psychology |
| Zdroj: | AIDS and Behavior. 22:3807-3814 |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-018-2042-4 |
| Popis: | Nondisclosure of maternal HIV status to young children can negatively impact child functioning; however, many mothers do not disclose due to lack of self-efficacy for the disclosure process. This study examines demographic variations in disclosure self-efficacy, regardless of intention to disclose, and assesses the relationship between self-efficacy and child adjustment via the parent–child relationship among a sample of HIV+ mothers and their healthy children (N = 181 pairs). Mothers completed demographic and self-efficacy measures; children completed measures assessing the parent–child relationship and child adjustment (i.e., worry, self-concept, depression). Across demographics, few mothers reported confidence in disclosure. Results from covariance structural modeling showed mothers endorsing higher self-efficacy had children who reported better relationship quality, and, in turn, reported fewer adjustment difficulties; higher levels of disclosure self-efficacy also directly predicted fewer adjustment problems. Findings offer support for interventions aimed at providing mothers with skills to enhance confidence for disclosing their HIV status. |
| Databáze: | OpenAIRE |
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