Swipe om te navigeren naar een ander artikel
Little is known about parenting in the context of HIV and psychosis, two co-existing conditions affecting many mothers in South Africa. In this study a mixed methods approach was used to firstly do qualitative investigation of the illness and parenting experiences of a case group of mothers living with HIV/AIDS and psychosis (n = 41). Secondly, the support networks of this group are compared with a control group of mothers with HIV/AIDS without psychosis (n = 44). Integrating qualitative and quantitative data highlight the emotional and physical disruption experienced by the case group that contribute to dysfunctional mother–child interactions. This experience may be detrimental to the child’s well-being and formation of attachment relationships. Healthy support networks may buffer these adversities. The availability of support figures is similar between the groups, but the case group has less spousal support. Paranoia associated with the case group predicted fewer support figures, thus emphasizing the vulnerability of this group of mothers and children.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Alvarez-Segura, M., Villero, S., Portugal, E., Mayoral, M., Montilla, P., & Fraguas, D. (2008). Psychosis induced by decreased CD4+ T cell and high viral load in human immunodeficiency virus infection: A case report. Biological Psychiatry, 64(9), e3–e4. doi: 10.1016/j.biopsych.2008.07.016. CrossRefPubMed
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Vol. 4). Washington, DC: American Psychiatric Publishing, Inc.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. CrossRef
Chazan, M. (2008). Seven “deadly” assumptions: Unravelling the implications of HIV/AIDS among grandmothers in South Africa and beyond. Ageing and Society, 28(7), 935–958. CrossRef
Creswell, J. W., & Plano Clarke, V. L. (2007). Designing and conducting mixed methods research. California: Sage.
De Ronchi, D., Bellini, F., Cremante, G., Ujkaj, M., Tarricone, I., & Selleri, R., et al. (2006). Psychopathology of first-episode psychosis in HIV-positive persons in comparison to first-episode schizophrenia: A neglected issue. AIDS Care, 18(8), 872–878. doi: 10.1080/09540120500307842. CrossRefPubMed
Driscoll, D. L., Appiah-Yeboah, A., Salib, P., & Rupert, D. J. (2007). Merging qualitative and quantitative data in mixed methods research: How to and why not. Ecological and Environmental Anthropology, 3(1), 19–28.
Konings, M., Bak, M., Hanssen, M., van Os, J., & Krabbendam, L. (2006). Validity and reliability of the CAPE: A self-report instrument for the measurement of psychotic experiences in the general population. Acta Psychiatrica Scandinavica, 114(1), 55–61. doi: 10.1111/j.1600-0447.2005.00741.x. CrossRefPubMed
Lester, P., Stein, J. A., Bursch, B., Rice, E., Green, S., Penniman, T., & Rotheram-Borus, M. J. (2010). Family-based processes associated with adolescent distress, substance use and risky sexual behavior in families affected by maternal HIV. Journal of Clinical Child and Adolescent Psychology, 39(3), 328–340. CrossRefPubMedPubMedCentral
Lund, C., Petersen, I., Kleintjes, S., & Bhana, A. (2012). Mental health services in South Africa: Taking stock. African Journal of Psychiatry, 15(6), 402–405. doi: 10.4314/ajpsy.v15i6.48.
McKee, L., Jones, D. J., Roland, E., Coffelt, N., Rakow, A., & Forehand, R. (2007). Maternal HIV/AIDS and depressive symptoms among inner-city African-American youth: The role of maternal depressive symptoms, mother-child relationship quality, and child coping. American Journal of Orthopsychiatry, 77(2), 259–266. doi: 10.1037/0002-94184.108.40.2069. CrossRefPubMed
Moss, E., Cyr, C., & Dubois-Comtois, K. (2004). Attachment at early school age and developmental risk: Examining family contexts and behavior problems of controlling-caregiving, controlling-punitive, and behaviorally disorganized children. Developmental Psychology, 40(4), 519–532. doi: 10.1037/0012-16220.127.116.119. CrossRefPubMed
Ncama, B. P., McInerney, P. A., Bhengu, B. R., Corless, I. B., Wantland, D. J., & Nicholas, P. K., et al. (2008). Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa. International Journal of Nursing Studies, 45(12), 1757–1763. doi: 10.1016/j.ijnurstu.2008.06.006. CrossRefPubMed
Papalia, D. E., & Feldman, R. D. (2012). Experience human development. New York: McGraw Hill. (12th edn. Vol. 1).
Patton, M. (1990). Qualitative evaluation and research methods. Beverly Hills, CA: Sage.
Peterson, I., & Lund, C. (2011). Mental health service delivery in South Africa from 2000 to 2010: One step forward, one step back. South African Medical Journal, 101(10), 751–757. doi: 10.7196/samj.4841.
Sandelowski, M., & Barroso, J. (2003). Motherhood in the context of maternal HIV infection. Research in Nursing & Health, 26, 470–482. CrossRef
Solomon, S., George, C., & De Jong, A. (1995). Children classified as controlling at age six: Evidence of disorganized representational strategies and aggression at home and at school. Development and Psychopathology, 7(3), 447–463. doi: S0954579400006623. CrossRef
Tracy, S. J. (2010). Qualitative quality: Eight “big-tent” criteria for excellent qualitative research. Qualitative Inquiry, 16(10), 837–851. CrossRef
UNAIDS (2012). Global AIDS response progress reporting 2012. Switzerland.
- HIV/AIDS and Psychosis: Needs, Challenges, and Support of Affected Mothers
Paula S. Sterkenburg
Esmé van Rensburg
- Springer US