Home-based care for parents with AIDS: Impact on children's psychological functioning
Journal of Child and Adolescent Mental Health
School of Human and Community Development, University of the Witwatersrand, PO Box 3, Johannesburg 2050, South Africa
Objective: This study explored the concept of home-based care for people living with full-blown AIDS and the impact of this on their children's psychological functioning. There were 30 children in the study whose parents had full-blown AIDS. The comparison group comprised 30 children. The parents of the children in the comparison group reported that they did not have full-blown AIDS and were not registered as AIDS patients with their community home-based care group. Method: The children's psychological functioning and performance on cognitive tasks were examined, using the Impact of Event Scale - Revised, the Secondary Traumatic Stress Scale (STSS), the Stress Symptoms Checklist, the Child Behaviour Checklist (CBCL), the British Ability Scales and Daniel and Diack's Graded Spelling Test. Result: The results of the study showed that children whose parents had full-blown AIDS showed mental distress and low cognitive performance on numerical and spelling skills. Conclusion: The findings of the study seem to suggest that although the home-based care concept is a noble and global idea, it should be accompanied by psychological support mechanisms to mitigate the effects of traumatic stress that normally follow exposure to a traumatic event. Suggestions for further research on the topic are discussed. Copyright © NISC Pty Ltd.
acquired immune deficiency syndrome; adolescent; adult; Africa; article; caregiver; child advocacy; child behavior; child care; cognition; controlled study; fear; health program; home care; human; infection risk; memory; mental disease; mental performance; posttraumatic stress disorder; psychologic assessment; rating scale; risk factor; socioeconomics; symptom; task performance; world health organization