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Peer-group support intervention improves the psychosocial well-being of AIDS orphans: Cluster randomized trial

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  • Kumakech, Edward
  • Cantor-Graae, Elizabeth
  • Maling, Samuel
  • Bajunirwe, Francis

Abstract

Accumulating evidence suggests that AIDS orphanhood status is accompanied by increased levels of psychological distress such as anxiety, depression, intense guilt, shame, and anger. However, few studies have examined the possible reduction of psychological distress in AIDS orphans through the help of interventions that promote well-being. The objective of the study was to evaluate the effects of a school-based peer-group support intervention combined with periodic somatic health assessments and treatment on the psychosocial well-being of AIDS orphans in the Mbarara District of southwestern Uganda. In a cluster randomized controlled design, 326 AIDS orphans aged 10-15 years were assigned to either peer-group support intervention combined with monthly somatic healthcare (n = 159) or control group (n = 167) for follow-up assessment. Baseline and 10 week follow-up psychological assessments were conducted in both groups using self-administered Beck Youth Inventories. Complete data were available for 298 orphans. After adjusting for baseline scores, follow-up scores for the intervention group in comparison with controls showed significant improvement in depression, anger, and anxiety but not for self-concept. This study demonstrated that peer-group support intervention decreased psychological distress, particularly symptoms of depression, anxiety and anger. Thus, the use of peer-group support interventions should be incorporated into existing school health programs.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:6:p:1038-1043
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    1. Atwine, Benjamin & Cantor-Graae, Elizabeth & Bajunirwe, Francis, 2005. "Psychological distress among AIDS orphans in rural Uganda," Social Science & Medicine, Elsevier, vol. 61(3), pages 555-564, August.
    2. Oleke, Christopher & Blystad, Astrid & Rekdal, Ole Bjørn, 2005. ""When the obvious brother is not there": Political and cultural contexts of the orphan challenge in northern Uganda," Social Science & Medicine, Elsevier, vol. 61(12), pages 2628-2638, December.
    3. Power, C. & Stansfeld, S. A. & Matthews, S. & Manor, O. & Hope, S., 2002. "Childhood and adulthood risk factors for socio-economic differentials in psychological distress: evidence from the 1958 British birth cohort," Social Science & Medicine, Elsevier, vol. 55(11), pages 1989-2004, December.
    4. Lee, S.-J. & Detels, R. & Rotheram-Borus, M.J. & Duan, N., 2007. "The effect of social support on mental and behavioral outcomes among adolescents with parents with HIV/AIDS," American Journal of Public Health, American Public Health Association, vol. 97(10), pages 1820-1826.
    5. Deininger, Klaus & Garcia, Marito & Subbarao, K., 2003. "AIDS-Induced Orphanhood as a Systemic Shock: Magnitude, Impact, and Program Interventions in Africa," World Development, Elsevier, vol. 31(7), pages 1201-1220, July.
    6. Nyamukapa, C.A. & Gregson, S. & Lopman, B. & Saito, S. & Watts, H.J. & Monasch, R. & Jukes, M.C.H., 2008. "HIV-associated orphanhood and children's psychosocial distress: Theoretical framework tested with data from Zimbabwe," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 133-141.
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    2. 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.
    3. 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.
    4. 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).
    5. 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.

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