Abstract
This chapter examines the internalizing, externalizing, and total behavior problems of 119 preschool-age children with HIV/AIDS in Uganda. Variables are examined according to an ecological model of stress and coping consistent with the co-constructivist approach proposed by Li (Psychol Bull 129:171–194, 2003). Specifically, the context in which the child is living (e.g., health variables, demographic variables, home environment, and caregiver variables represented by who is caring for the child, caregiver anxiety and depression, and child outcomes (internalizing, externalizing, and total behavior concerns) are examined. A dynamic relationship between the context and child was discovered. Nearly 45 % of the children within the sample exhibited internalizing behavior concerns. The caregiving environment, as well as caregiver adjustment (anxiety and depression), was predictive of child internalizing behaviors. Furthermore, child characteristics and demographic variables (gender, medication status, and socioeconomic status) contributed to the adjustment of the caregiver. These findings demonstrate the dynamic and reciprocal relationship between young children with HIV/AIDS in Uganda and the context in which they live.
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References
Abubakar, A., Holding, P., Newton, C. R. J. C., Van Baar, A., & Van De Vijver, F. J. R. (2009). The role of weight for age and disease stage in poor psychomotor outcome of HIV-infected children in Kilifi, Kenya. Developmental Medicine and Child Neurology, 51, 968–973.
Abubakar, A., Van Baar, A., Van de Vijver, F. J. R., Holding, P., & Newton, C. R. J. C. (2008a). Paediatric HIV and neurodevelopment in sub-Saharan Africa: A systematic review. Tropical Medicine & International Health, 13, 880–887.
Abubakar, A., Van de Vijver, F., Van Bar, A., Mbonani, L., Kalu, R., Newton, C., et al. (2008b). Socioeconomic status, anthropometric status, and psychomotor development of Kenyan children from resource-limited settings: A path-analytic study. Early Human Development, 84, 613–621.
Achenbach, T. M. (2010). The multicultural supplement to the manual for the ASEBA preschool forms and profiles. Burlington, VT: ASEBA Corporation.
Achenbach, T. M., Becher, A., Dopfner, M., Heiervang, E., Roessner, V., Steinhausen, H. C., et al. (2008). Multicultural assessment of child and adolescent psychopathology with ASEBA and SDQ instruments: Research findings, applications, and future directions. Journal of Child Psychology and Psychiatry, 49, 251–275.
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families.
Armstrong, F. D., Seidel, J. F., & Swales, T. P. (1993). Pediatric HIV infection: A neuropsychological and educational challenge. Journal of Learning Disabilities, 26, 92–103.
Atwine, B., Cantor-Graae, E., & Bajunirwe, F. (2005). Psychological distress among AIDS orphans in rural Uganda. Social Science & Medicine, 61, 555–564.
Bachanas, P. J., Kullgren, K. A., Suzman Schwarz, K., Lanier, B., McDaniel, S., Smith, J., et al. (2001). Predictors of psychological adjustment in school-age children infected with HIV. Journal of Pediatric Psychology, 26, 343–352.
Bangirana, P., Musisi, S., Allebeck, P., Giordani, B., John, C. C., Opoka, R. O., et al. (2009a). A preliminary examination of the construct validity of the KABC-II in Ugandan children with a history of cerebral malaria. African Health Sciences, 19, 186–192.
Bangirana, P., Nakasujja, N., Giordani, B., Opoda, R. O., John, C. C., & Boivin, M. J. (2009b). Reliability of the Luganda version of the child behaviour checklist in measuring behavioural problems after cerebral malaria. Child and Adolescent Psychiatry and Mental Health, 3, 38.
Bass, J., Neugebauer, R., Clougherty, K. F., Verdeli, H., Wickramaratne, P., Ndogoni, L., et al. (2006). Group interpersonal psychotherapy for depression in rural Uganda: 6-month outcome: Randomized controlled trial. The British Journal of Psychiatry, 188, 567–573.
Bateganya, F. H., Kyomuhendo, S., Jagwe-Wadda, G., & Opesen, C. C. (2008). Male involvement in Uganda: Challenges and opportunities. In M. L. Foller & H. Thorn (Eds.), The politics of AIDS: Globalization, the state and civil society (pp. 123–138). New York: Palgrave Macmillan.
Bikaako-Kajura, W., Luyirika, E., Purcell, D. W., Downing, J., Kaharuza, F., Mermin, J., et al. (2006). Disclosure of HIV status and adherence to daily drug regimens among HIV infected children in Uganda. AIDS and Behavior, 10, s85–s93.
Boivin, M. J., & Giordani, B. (2009). Neuropsychological assessment of African children: Evidence for a universal brain/behavior omnibus within a coconstructivist paradigm. Progress in Brain Research, 178, 113–135.
Bolton, P., Bass, J., Neugebauer, R., Verdeli, H., Clougherty, K. F., Wickramaratne, P., et al. (2003). Group interpersonal psychotherapy for depression in rural Uganda: A randomized controlled trial. Journal of the American Medical Association, 289, 3117–3124.
Bolton, P., Wilk, C. M., & Ndogoni, L. (2004). Assessment of depression prevalence in rural Uganda using symptom and function criteria. Social Psychiatry and Psychiatric Epidemiology, 39, 442–447.
Brown, L. K., Lourie, K. J., & Pao, M. (2000). Children and adolescents living with HIV and AIDS: A review. Journal of Child Psychology and Psychiatry, 41, 81–96.
Caldwell, B. M., & Bradley, R. H. (1979). Home observation for measurement of the environment. Little Rock, AR: University of Arkansas Press.
Carter, S. L., Rourke, S. B., Murji, S., Shore, D., & Rourke, B. P. (2003). Cognitive complaints, depression, medical symptoms, and their association with neuropsychological functioning in HIV infection: A structural equation model analysis. Neuropsychology, 17, 410–419.
Chandra, P. S., Satyanarayana, V. A., Satishchandra, P., Satish, K. S., & Kumar, M. (2009). Do men and women with HIV differ in their quality of life? A study from South India. AIDS and Behavior, 13, 110–117.
Compas, B. E., Banez, G. A., Malcarne, V., & Worsham, N. (1991). Perceived control and coping with stress: A developmental perspective. Journal of Social Issues, 47, 23–34.
Cook, J., Cohen, M., Burke, J., Grey, D., Anastos, K., Kirstein, L., et al. (2002). Effects of depressive symptoms and mental health quality of life on use of highly active antiviral therapy among HIV-seropositive women. Journal of Acquired Immune Deficiency Syndromes, 30, 401–409.
Cook, P., & Toit, L. D. (2005). Overcoming adversity with children affected by HIV/AIDS in the indigenous south African cultural context. In M. Ungar (Ed.), Handbook for working with children and youth: Pathways to resilience across cultures and contexts (pp. 247–262). Thousand Oaks, CA: Sage.
Cysique, L. A., Jin, H., Franklin, J., Morgan, E. E., Shi, C., Yu, X., et al. (2007). Neurobehavioral effects of HIV-1 infection in China and the United States: A pilot study. Journal of the International Neuropsychological Society, 13, 781–790.
Dawes, A., Bray, R., VanDerMerwe, R. B., & VanDerMerwe, A. (Eds.). (2007). Monitoring child well-being: A South African rights-based approach. Cape Town: HSRC Press.
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974a). The Hopkins Symptom Checklist (HSCL): A measure of primary symptom dimensions. Modern Problems of Pharmacopsychiatry, 7, 79–110.
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974b). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1–15.
Engel, R. G., & Melamed, B. G. (2002). Stress and coping in children at risk for medical problems. In L. L. Hayman, M. M. Mahon, & J. R. Turner (Eds.), Chronic illness in children: An evidence-based approach (pp. 171–198). New York: Springer.
Franklin, S., Lim, H. J., & Havens, P. L. (2007). Longitudinal behavioral and academic adjustment in children with HIV infection. Journal of Clinical Psychology in Medical Settings, 14, 335–343.
Hochhauser, C. J., Gaur, S., Marone, R., & Lewis, M. (2008). The impact of environmental risk factors on HIV-associated cognitive decline in children. AIDS Care, 20, 692–699.
Hodge, M. (2008). HIV/AIDS, demographics and economic development. In E. M. Omwami, S. Commins, & E. J. Keller (Eds.), HIV/AIDS in Africa: Challenges and impact (pp. 7–26). Trenton, NJ: Africa World Press.
Imam, I. (2007). Neurological manifestation of HIV infection in Nigerians. African Journal of AIDS Research, 6, 187–192.
Jones, S. A., Sherman, G. G., & Varga, C. A. (2005). Exploring socio-economic conditions and poor follow-up rates of HIV-exposed infants in Johannesburg, South Africa. AIDS Care, 17, 466–470.
Junqueira, P., Bellucci, S., Rossini, S., & Reimao, R. (2008). Women living with HIV/AIDS: Sleep impairment, anxiety and depression symptoms. Arquivos de Neuro-Psiquiatria, 66, 817–820.
Knight, W. G., Mellins, C. A., Levenson, R. L., Jr., Arpadi, S. M., & Kairam, R. (2000). Brief report: Effects of pediatric HIV infection on mental and psychomotor development. Journal of Pediatric Psychology, 25, 583–587.
Landau, S., & Pryor, J. B. (1995). Pediatric HIV: School-based sequelae and curricular interventions for infection prevention and social acceptance. School Psychology Review, 24, 213–230.
Li, S. (2003). Biocultural orchestration of developmental plasticity across levels: The interplay of biology and culture in shaping the mind and behavior across the life span. Psychological Bulletin, 129, 171–194.
Liebenberg, L., & Ungar, M. (Eds.). (2008). Resilience in action: Working with youth across cultures and contexts. Toronto, ON: University of Toronto Press.
Masten, A. (2006). Developmental psychopathology: Pathways to the future. International Journal of Behavioral Development, 30, 47–54.
Mellins, C. A., Smith, R., O’Driscoll, P., Lawrence, M. S., Brouwers, P., Chase, C., et al. (2003). High rates of behavioral problems in perinatally HIV-infected children are not linked to HIV disease. Pediatrics, 111, 384–393.
Mrus, J. M., Williams, P. L., Tsevat, J., Cohen, S. E., & Wu, A. W. (2005). Gender differences in health-related quality of life in patients with HIV/AIDS. Quality of Life Research, 14, 479–491.
Mullen, E. M. (1995). Mullen scales of early learning (AGSth ed.). Circle Pines, MN: American Guidance Services.
Nyesigomwe, L. (2006). Strengthening the capacity of grandparents in providing care to young children affected by HIV/AIDS. Journal of Intergenerational Relationships, 4, 55–63.
Owens, E. B., & Shaw, D. S. (2003). Poverty and early childhood adjustment. In S. S. Luthar (Ed.), Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 267–292). New York: Cambridge University Press.
Papola, P., Alvarez, M., & Cohen, H. J. (1994). Developmental and service needs of school-age children with human immunodeficiency virus infection: A descriptive study. Pediatrics, 94, 914–918.
Pelton, J., & Forehand, R. (2005). Orphans of the AIDS epidemic: An examination of clinical level problems in children. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 585–591.
Richter, L. M., Manegold, J., & Pather, R. (2004). Family and community interventions for children affected by AIDS. Cape Town: HSRC Press.
Ronald, A. R., & Sande, M. A. (2005). HIV/AIDS care in Africa today. Clinical Infectious Disease, 40, 1045–1048.
Rouet, G., Sakarovitch, C., Msellati, P., Elenga, N., Montcho, C., Viho, I., et al. (2003). Pediatric viral human immunodeficiency virus type 1 RNA levels, timing of infection, and disease progression in children. Pediatrics, 112, e289–e297.
Smith, R., Malee, K., Leighty, R., Brouwers, P., Mellins, C., Hittelman, J., et al. (2006). Effects of perinatal HIV infection and associated risk factors on cognitive development among young children. Pediatrics, 117, 851–862.
Smith, R. A., & Rimal, R. (2009). The impact of social capital on HIV-related actions as mediated by personal and proxy efficacies in Namibia. AIDS and Behavior, 13, 133–144.
Speigel, H. M. L., & Bonwit, A. M. (2002). HIV infection in children. In M. Batshaw (Ed.), Children with disabilities (5th ed., pp. 123–139). Baltimore: Brookes.
U.S. Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Rockville, MD: Author.
UNICEF. (2008). Children and HIV/AIDS. Retrieved April 26, 2008, from http://www.unicef.org/aids/
Wachsler-Felder, J. L., & Golden, C. J. (2002). Neuropsychological consequences of HIV in children. A review of current literature. Clinical Psychology Review, 22, 441–462.
Wertlieb, D., Weigel, C., & Feldstein, M. (1987). Measuring children’s coping. The American Journal of Orthopsychiatry, 57, 548–560.
Wiener, L. S., Battles, H. B., & Heilman, N. (2000). Public disclosure of a child’s HIV infection: Impact on children and families. AIDS Patient Care and STDs, 14, 485–497.
Woodrich, D. L., Swerdlik, M. E., Chenneville, T., & Landau, S. (1999). HIV/AIDS among children and adolescents: Implications for the changing roles of school psychologists. School Psychology Review, 28, 228–241.
Zickler, P. (2009). When the body suffers, the mind suffers. Monitor on Psychology, 40, 31–34.
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The work and examples in this chapter were supported in part by grant R34MH082663 (PI: Boivin) from NIMH.
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Busman, R.A., Page, C., Oka, E., Giordani, B., Boivin, M.J. (2013). Factors Contributing to the Psychosocial Adjustment of Ugandan Preschool Children with HIV/AIDS. In: Boivin, M., Giordani, B. (eds) Neuropsychology of Children in Africa. Specialty Topics in Pediatric Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6834-9_5
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