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Journal of Pediatric Psychology Advance Access originally published online on February 4, 2008
Journal of Pediatric Psychology 2008 33(10):1065-1075; doi:10.1093/jpepsy/jsn004
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Mental Health of Early Adolescents from High-risk Neighborhoods: The Role of Maternal HIV and Other Contextual, Self-Regulation, and Family Factors

Claude A. Mellins, PhD, Elizabeth Brackis-Cott, PhD, Curtis Dolezal, PhD, Cheng Shiun Leu, PhD, Cidna Valentin, MA and Heino F.L. Meyer-Bahlburg, Dr rer nat

HIV Center for Clinical and Behavioural Studies, New York State Psychiatric Institute and Columbia University

All correspondence concerning this article should be addressed to Claude Ann Mellins, PhD, New York State Psychiatric Institute, Unit 15, 1051 Riverside Drive, New York, NY 10032, USA. Phone: 212-543-5383; Fax: 212-543-6003; E-mail: cam14{at}columbia.edu


  Abstract

Objectives To examine the effect of maternal HIV infection, as well as other individual, family, and contextual factors on the mental health of inner-city, ethnic minority early adolescents. Methods Participants included 220 HIV-negative early adolescents (10–14 years) and their mothers, half of whom were HIV-infected. Individual interviews were conducted regarding youth depression, anxiety, externalizing and internalizing behaviour problems, as well as a range of correlates of youth mental health guided by a modified version of Social Action Theory, a theoretical model of behavioral health. Results Although the HIV status of mothers alone did not predict youth mental health, youth knowledge of mother's HIV infection and mother's overall health were associated with worse youth mental health outcomes, as were contextual, self-regulation, and family interaction factors from our theoretical model. Conclusions There is a need for family-based mental health interventions for this population, particularly focusing on parent–child relationships, disclosure, and youth self-esteem.

Key words: HIV-affected children; HIV; mental health; parent–child relationship.

Received May 31, 2007; revision received January 3, 2008; accepted January 8, 2008


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