IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v133y2022ics0190740921004394.html
   My bibliography  Save this article

Long-term effects of a resilience-based intervention on mental health of children affected by parental HIV in China: Testing the mediation effects of emotion regulation and coping

Author

Listed:
  • Jiang, Yanping
  • Li, Xiaoming
  • Harrison, Sayward E.
  • Zhang, JiaJia
  • Qiao, Shan
  • Decker, Scott
  • Zhao, Junfeng
  • Zhao, Guoxiang

Abstract

Resilience-based interventions have been found to improve mental health among children affected by parental HIV. Very few studies, however, have explicitly tested the mechanisms of change underlying the effects of resilience-based interventions on mental health among this group of children. The present study utilized a cluster randomized controlled trial to determine the effects of the Child-Caregiver-Advocacy Resilience (ChildCARE) intervention on mental health for children affected by parental HIV. Specifically, we examined the effects of the intervention on three mental health outcomes (i.e., depressive symptoms, school anxiety, loneliness) and whether emotion regulation and coping played mediating roles in the intervention’s effectiveness. Child-caregiver dyads (N = 790) were randomly assigned by clusters to three intervention groups and a control group. Children reported on mental health outcomes for 36 months at 6-month intervals. Latent growth curve models showed that there were no direct impacts of the ChildCARE intervention on changes in mental health outcomes beyond 18-month follow-up. Mediation analyses showed that the ChildCARE intervention yielded significant improvements in positive coping, but not negative coping or emotion regulation at 18 months. Emotion regulation, positive coping, and negative coping were consistently associated with the intercepts (i.e., mean at 18 months) of mental health outcomes. Negative coping also significantly predicted the rates of change of mental health outcomes over time. Findings provide important implications for the development of resilience-based interventions and highlight the promise of interventions that aim to strengthen emotion regulation and coping skills to improve mental health for children affected by parental HIV.

Suggested Citation

  • Jiang, Yanping & Li, Xiaoming & Harrison, Sayward E. & Zhang, JiaJia & Qiao, Shan & Decker, Scott & Zhao, Junfeng & Zhao, Guoxiang, 2022. "Long-term effects of a resilience-based intervention on mental health of children affected by parental HIV in China: Testing the mediation effects of emotion regulation and coping," Children and Youth Services Review, Elsevier, vol. 133(C).
    • Handle: RePEc:eee:cysrev:v:133:y:2022:i:c:s0190740921004394
    DOI: 10.1016/j.childyouth.2021.106363
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0190740921004394
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.childyouth.2021.106363?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Li, Xiaoming & Harrison, Sayward E. & Fairchild, Amanda J. & Chi, Peilian & Zhao, Junfeng & Zhao, Guoxiang, 2017. "A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up," Social Science & Medicine, Elsevier, vol. 190(C), pages 256-264.
    2. Kumakech, Edward & Cantor-Graae, Elizabeth & Maling, Samuel & Bajunirwe, Francis, 2009. "Peer-group support intervention improves the psychosocial well-being of AIDS orphans: Cluster randomized trial," Social Science & Medicine, Elsevier, vol. 68(6), pages 1038-1043, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Qi Zhao & Hui He & Huang Gu & Junfeng Zhao & Peilian Chi & Xiaoming Li, 2021. "Facial Expression Processing of Children Orphaned by Parental HIV/AIDS: A Cross-Sectional ERP Study with Rapid Serial Visual Presentation," IJERPH, MDPI, vol. 18(19), pages 1-11, September.
    2. Ran, Liuyi & Wang, Wo & Ai, Ming & Kong, Yiting & Chen, Jianmei & Kuang, Li, 2020. "Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic," Social Science & Medicine, Elsevier, vol. 262(C).
    3. Sarkar, Kaushik & Dasgupta, Aparajita & Sinha, Multipada & Shahbabu, Bhaskar, 2017. "Effects of health empowerment intervention on resilience of adolescents in a tribal area: A study using the Solomon four-groups design," Social Science & Medicine, Elsevier, vol. 190(C), pages 265-274.
    4. Smith Fawzi, Mary C. & Eustache, Eddy & Oswald, Catherine & Louis, Ermaze & Surkan, Pamela J. & Scanlan, Fiona & Hook, Sarah & Mancuso, Anna & Mukherjee, Joia S., 2012. "Psychosocial support intervention for HIV-affected families in Haiti: Implications for programs and policies for orphans and vulnerable children," Social Science & Medicine, Elsevier, vol. 74(10), pages 1494-1503.
    5. Cristina J. González-Flores & Guillermo García-García & Abel Lerma & Héctor Pérez-Grovas & Rosa M. Meda-Lara & Rebeca M. E. Guzmán-Saldaña & Claudia Lerma, 2021. "Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
    6. Yanagisawa, Satoko & Poudel, Krishna C. & Jimba, Masamine, 2010. "Sibling caregiving among children orphaned by AIDS: Synthesis of recent studies for policy implications," Health Policy, Elsevier, vol. 98(2-3), pages 121-130, December.
    7. Li, Xiaoming & Harrison, Sayward E. & Fairchild, Amanda J. & Chi, Peilian & Zhao, Junfeng & Zhao, Guoxiang, 2017. "A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up," Social Science & Medicine, Elsevier, vol. 190(C), pages 256-264.
    8. Katsonga-Phiri, Tiamo & Lewis, Jarrett T. & Murray, Maxwell & DuBois, David L. & Grant, Kathryn E., 2021. "Mental health interventions for African children: A meta-analytic review," Children and Youth Services Review, Elsevier, vol. 127(C).
    9. Johnson, Blair T. & Acabchuk, Rebecca L., 2018. "What are the keys to a longer, happier life? Answers from five decades of health psychology research," Social Science & Medicine, Elsevier, vol. 196(C), pages 218-226.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:cysrev:v:133:y:2022:i:c:s0190740921004394. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/childyouth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.