NDLI: Predictors of Mental Health Resilience in Children who Have Been Parentally Bereaved by AIDS in Urban South Africa

Content Provider	Springer Nature Link
Author	Collishaw, Stephan Gardner, Frances Lawrence Aber, J. Cluver, Lucie
Copyright Year	2015
Abstract	Children parentally bereaved by AIDS experience high rates of mental health problems. However, there is considerable variability in outcomes, and some show no mental health problems even when followed over time. Primary aims were to identify predictors of resilient adaptation at child, family and community levels within a group of AIDS-orphaned children, and to consider their cumulative influence. A secondary aim was to test whether predictors were of particular influence among children orphaned by AIDS relative to non-orphaned and other-orphaned children. AIDS-orphaned (n = 290), other-orphaned (n = 163) and non-orphaned (n = 202) adolescents living in informal settlements in Cape Town, South Africa were assessed on two occasions 4 years apart (mean age 13.5 years at Time 1, range = 10–19 years). Self-report mental health screens were used to operationalise resilience in AIDS-orphaned children as the absence of clinical-range symptoms of PTSD, anxiety, depression, conduct problems, and suicidality. A quarter of AIDS-orphaned children (24 %) showed no evidence of mental health problems at either wave. Child physical health, better caregiving quality, food security, better peer relationship quality, and lower exposure to community violence, bullying or stigma at baseline predicted sustained resilience. There were cumulative influences across predictors. Associations with mental health showed little variation by child age or gender, or between orphaned and non-orphaned children. Mental health resilience is associated with multiple processes across child, family and community levels of influence. Caution is needed in making causal inferences.
Starting Page	719
Ending Page	730
Page Count	12
File Format	PDF
ISSN	00910627
Journal	Journal of Abnormal Child Psychology
Volume Number	44
Issue Number	4
e-ISSN	15732835
Language	English
Publisher	Springer US
Publisher Date	2015-09-02
Publisher Place	New York
Access Restriction	Subscribed
Subject Keyword	Resilience Orphan Depression Psychopathology Longitudinal HIV Child and School Psychology
Content Type	Text
Resource Type	Article
Subject	Developmental and Educational Psychology Psychiatry and Mental Health

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