Association between caregiver depression symptoms and child executive functioning. Results from an observational study carried out in four sub-Saharan countries

Familiar Itziar; Chernoff Miriam; Ruisenor-Escudero HoracioLaughton BarbaraJoyce CelesteFairlie LeeVhembo TichaonaKamthunzi PortiaBarlow-Barlow LindaZimmer BonnieMcCarthy KatieBoivin Michael J.

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Association between caregiver depression symptoms and child executive functioning. Results from an observational study carried out in four sub-Saharan countries

机译：Association between caregiver depression symptoms and child executive functioning. Results from an observational study carried out in four sub-Saharan countries

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Depressive symptoms among HIV-positive (HIV+) women may negatively impact their health and possibly that of their young children through risk of compromised caregiving. We evaluated how depression symptoms in predominantly (97%) female caregivers relate to neurodevelopmental outcomes in their HIV affected children. Data come from the IMPAACT P1104s Study, an observational cohort across six sites in four countries: Zimbabwe, South Africa, Uganda and Malawi. Participants (n = 611) were 5-11-year-old children with HIV (HIV), HIV exposed uninfected (HEU), or HIV unexposed uninfected (HUU). Primary caregivers were assessed for depression with the Hopkins Symptom Checklist (HSCL) and children with Behavior Rating Inventory for Executive Function (BRIEF) parent-report, Kauffman Assessment Battery for Children II (KABC), Bruininks-Oseretsky Test of Motor Proficiency 2nd Ed. (BOT-2), Test of Variables of Attention (TOVA), Multiple Indicators Cluster Survey, Child Disability and Development scales (MICS-4). Caregivers with higher depression scores (>1.75 mean HSCL score) reported more executive function problems in their children, regardless of HIV status. All executive function scores were significantly (p < 0.001) associated with depressive symptomatology at baseline and across time. Caregiver depressive symptomatology was not associated with other assessed neurocognitive outcomes. These results highlight the potential impact of caregiver depression on child behavioral outcomes.

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《AIDS care.》 |2020年第4期|486-494|共9页
作者
Familiar Itziar; Chernoff Miriam; Ruisenor-Escudero HoracioLaughton BarbaraJoyce CelesteFairlie LeeVhembo TichaonaKamthunzi PortiaBarlow-Barlow LindaZimmer BonnieMcCarthy KatieBoivin Michael J.;
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Michigan State Univ, Dept Psychiat, 909 Fee Rd West,Fee A322, E Lansing, MI 48824 USA;

Harvard Univ, Ctr Biostat AIDS Res, Boston, MA 02115 USA;

Stellenboch Univ, Dept Pediat & Child Hlth, Tygerberg, South AfricaChris Hani Baragwanath Hosp, PHRU, Johannesburg, South AfricaShandukani Clin, Wits Reprod Hlth & HIV Inst, Johannesburg, South AfricaUniv Zimbabwe, Harare Family Care CRS, Harare, ZimbabweUniv North Carolina Lilongwe, Clin Res Inst, Lilongwe, MalawiMakerere Univ Johns Hopkins Univ Res Collaborat, Kampala, UgandaFrontier Sci Fdn, Amherst, MA USAFHI 360, Durham, NC USA;

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正文语种英语
中图分类传染病;
关键词
Executive functioning; child neuropsychology; HIV; AIDS; sub-Saharan Africa;

Association between caregiver depression symptoms and child executive functioning. Results from an observational study carried out in four sub-Saharan countries

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