Mediating pathways between HIV+ status and excellent overall health among Kenyan women: family functioning, meaningfulness of life, social support and the need for integrated care / Mediar vías entre el estado VIH + y excelente estado general de salud ent

This study examined the relationships of family functioning, parenting stress, and social support of caregivers who are parenting children with HIV infection. A family adaptational model integrated the concepts of stress, coping, and ecological systems for understanding the impact of an HIV-infected child on family adaptation and functioning. Data were collected from 48 caregivers of HIV-exposed children. Hierarchical multiple-regression analysis showed that a number of factors contributed significantly to the prediction of parenting stress and family functioning. Results showed significant relationships among parenting stress, children's developmental delay status, children and caregivers' HIV status, and caregiving burden.

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Childhood Trauma and Psychological Distress: A Serial Mediation Model among Chinese Adolescents

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136808 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6808

Author(s):

Lin Zhang ◽

Xueyao Ma ◽

Xianglian Yu ◽

Meizhu Ye ◽

Na Li ◽

...

Keyword(s):

Social Support ◽

Family Functioning ◽

Childhood Trauma ◽

Chinese Adolescents ◽

Mediation Model ◽

Southeast China ◽

General Distress ◽

Long Time ◽

Serial Mediation ◽

Support Family

The consequence of childhood trauma may last for a long time. The purpose of the present study was to examine the effect of childhood trauma on general distress among Chinese adolescents and explore the potential mediating roles of social support and family functioning in the childhood trauma-general distress linkage. A total of 2139 valid questionnaires were collected from two high schools in southeast China. Participants were asked to complete the questionnaires measuring childhood trauma, social support, family functioning, and general distress. Pathway analysis was conducted by using SPSS AMOS 24.0 and PROCESS Macro for SPSS 3.5. Results showed that childhood trauma was positively associated with general distress among Chinese adolescents. Social support and family functioning independently and serially mediated the linkage of childhood trauma and general distress. These findings confirmed and complemented the ecological system theory of human development and the multisystem developmental framework for resilience. Furthermore, these findings indicated that the mental and emotional problems of adolescents who had childhood trauma were not merely issues of adolescents themselves, but concerns of the whole system and environment.

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A Comparison of Psychosocial Factors, Substance Use Behaviors, and Sexual Behaviors by Self-Reported HIV Status Among Middle-Aged Hispanic Men Who Have Sex With Men

Hispanic Health Care International ◽

10.1177/1540415320923568 ◽

2020 ◽

pp. 154041532092356

Author(s):

Beatriz Valdes ◽

Deborah Salani ◽

Joseph P. De Santis

Keyword(s):

Social Support ◽

Substance Use ◽

Depressive Symptoms ◽

Psychosocial Factors ◽

Sexual Behaviors ◽

Hiv Status ◽

Illicit Substance Use ◽

Immunodeficiency Virus ◽

Hispanic Men ◽

Sex With Men

Introduction: Human immunodeficiency virus (HIV) is a significant health issue among Hispanic men who have sex with men (MSM). Despite existing research, no studies have compared psychosocial factors by self-reported HIV antibody status. Method: Participants ( n = 150) completed measures of social support, loneliness, depressive symptoms, substance use, and sexual behaviors. Results: Participants with a self-reported HIV-antibody positive status reported lower levels of social support and higher levels of illicit substance use. Hispanic MSM with an unknown HIV antibody status reported more sexual partners. Conclusion: More research is needed to address psychosocial factors (social support, loneliness, depressive symptoms), substance use, and sexual behaviors among Hispanic MSM.

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Associations of Family Functioning and Social Support With Psychopathology in Children of Mentally Ill Parents: Multilevel Analyses From Different Rating Perspectives

Frontiers in Psychology ◽

10.3389/fpsyg.2021.705400 ◽

2021 ◽

Vol 12 ◽

Author(s):

Marlit Sell ◽

Claus Barkmann ◽

Bonnie Adema ◽

Anne Daubmann ◽

Reinhold Kilian ◽

...

Keyword(s):

Social Support ◽

Family Functioning ◽

Mentally Ill ◽

Externalizing Problems ◽

Child Psychopathology ◽

Multilevel Analyses ◽

Cross Sectional ◽

Internalizing And Externalizing Problems ◽

Internalizing And Externalizing ◽

Mentally Ill Parents

Offspring of mentally ill parents is at heightened risk for psychological symptoms. The identification of environmental factors that predict their mental health is crucial for the development of preventive and therapeutic measures. In the current study, we addressed the combined role of family functioning and social support by taking mentally ill patients’, their partners’, and children’s perspectives into account. The cross-sectional sample included n=195 families (195 patients, 127 partners, and 295 children). Family members completed questionnaires related to family functioning, social support as well as parental and child psychopathology. We conducted multilevel analyses to investigate the associations with internalizing and externalizing problems in children. Family functioning and social support were significantly associated with child internalizing and externalizing problems. However, results varied depending on the rating perspective. We found significant interaction effects of family functioning and social support on child psychopathology. The findings point to the importance of family functioning and social support as potential targets for interventions. Findings should be replicated in future longitudinal studies.

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Evaluation of HIV counselling and testing, self-disclosure, social support and sexual behaviour change among a rural sample of HIV reactive patients in South Africa

Curationis ◽

10.4102/curationis.v28i1.912 ◽

2005 ◽

Vol 28 (1) ◽

Cited By ~ 27

Author(s):

E Sethosa ◽

K Peltzer

Keyword(s):

Social Support ◽

South Africa ◽

Hiv Disclosure ◽

Hiv Status ◽

Self Disclosure ◽

Hiv Test ◽

Post Test ◽

Hiv Counselling And Testing ◽

Rural Sample

The aim of this study was to evaluate HIV counselling and testing, self-disclosure, social support and sexual behavior change among HIV reactive patients among a rural sample of HIV reactive patients in South Africa. The sample consisted at the post-test counselling exit interview of 55 participants (41 women and 14 men) who tested HIV-positive conveniently selected from a rural hospital and at five months follow-up at their homes 47. Results indicated that most patients had an HIV test because of medical reasons. At follow-up only 36% had disclosed their HIV status and half of the participants had had sex without condoms in the past three weeks. Major reason for not disclosing of their HIV status were being afraid of negative reactions, fear of discrimination, fear of violence, concerns about confidentiality and not yet ready. Social support was found to be significantly related to disclosure of HIV status, while counselling context and content and counselling satisfaction were not related with HIV disclosure.

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When Ambiguous Loss Becomes Ambiguous Grief: Clinical Work with Bereaved Dementia Caregivers

Health & Social Work ◽

10.1093/hsw/hlaa026 ◽

2020 ◽

Author(s):

Abigail Nathanson ◽

Madeline Rogers

Keyword(s):

Social Support ◽

Family Functioning ◽

Clinical Work ◽

Ambiguous Loss ◽

Dementia Caregivers ◽

Dementia Caregiving ◽

Person With Dementia

Abstract The experience of caring for someone with dementia can be heartbreaking. The losses inherent to caregiving itself can be difficult to reconcile after the death of a person with dementia, causing challenges in the bereavement stage. Although there is often significant social support to help people process the death of someone close to them, clinicians can struggle to help bereaved dementia caregivers integrate their ambiguous losses from caregiving, such as loss of roles, functions, and relationships, into a postdeath bereavement process. Many socioeconomic, personality, and family functioning factors impact an individual caregiver’s experience, and there are more global influences from the nature of dementia caregiving itself that must be understood to best support a caregiver. Using the lens of the dementia grief model and examples from a case study, this article seeks to illustrate the dynamics inherent in integrating ambiguous losses following the death of a person from dementia, and it proposes clinical goals for working effectively with this population.

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