Ignite Creation Date:
2024-05-05 @ 11:08 AM
Last Modification Date:
2024-10-26 @ 9:02 AM
Study NCT ID:
NCT00001435
Status:
COMPLETED
Last Update Posted:
2008-03-04
First Post:
1999-11-03
Brief Title:
Psychosocial Correlates and Coping Strategies Associated With Long-Term Survival of HIV-Infected Children
Sponsor:
National Cancer Institute NCI
Organization:
National Institutes of Health Clinical Center CC
Study Overview
Official Title:
Psychosocial Correlates and Coping Strategies Associated With Long-Term Survival of HIV-Infected Children
Status:
COMPLETED
Status Verified Date:
2000-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Children and adolescents with HIVAIDS are living well beyond life expectancy that was projected for them in the recent past Little is known about the psychosocial variables that coincide with long-term survival of HIVAIDS This longitudinal study examines the psychosocial factors and adaptive coping strategies associated with long-term survival of HIVAIDS in children and how these factors change over a period of two years In addition data is being collected from the primary caretakers on their own psychological well-being as will as their perceptions of their childs adjustment and coping Participants include children who have been infected either perinatally or through transfusion for at least eight years and who were aware of their diagnosis
Detailed Description:
Children and adolescents with HIVAIDS are living well beyond the life expectancy that was projected for them in the recent past Little is known about the psychosocial variables that coincide with long-term survival of HIVAIDS This longitudinal study will examine the psychosocial factors and adaptive coping strategies associated with long-term survival of HIVAIDS and how these factors change over a period of three years In addition data will be collected from the primary caretakers on both their own and their perceptions of their childs adjustment and coping Subjects will include children who have been infected either perinatally or through transfusion for at least eight years and who are aware of their diagnosis
Studies of children with chronic illnesses report that adaptive coping strategies such as maintaining a hopeful attitude social support and information seeking may affect psychological adjustment and help to buffer the negative psychological effects that a chronic illness may have HIV-infected children not only have the added stress of living with debilitating and progressive symptoms in a disease that threatens their life spans but their disease often stigmatizes them and causes them to be ostracized The largest proportion of children with HIV disease acquired it perinatally and therefore the mother is also infected Thus it is expected that these families have at least two infected natural family members causing multigenerational effect in terms of epidemiology multiple separations and the death of close family members As a result children need to develop coping strategies in order to deal effectively with this disease
Preliminary results from a longitudinal study assessing psychiatric disturbances in HIV-infected school-aged children indicate that these children exhibit elevated levels of separation anxiety depression and overanxious disorder Whether similar results will be found in older HIV-infected children is not yet known Research that can identify the coping resources such as social support family communication styles hopefulness and quality of life that 1 buffer the negative effects of stress on the mental health of HIV-infected children and 2 identify areas of vulnerability would be important in our attempts to design early mental health interventions
The HIV-infected childs perceived social support self-esteem psychological adjustment and adaptive coping will be based on self-reports from the child The caretakers will also give ratings of the childs adjustment in addition to providing information on how they feel their child has changed in the past year Caretakers will complete measures regarding family environment their own adjustment and demographic variables The childs health care provider will complete a questionnaire assessing hisher current health status The effects of age and disease progression in both the child and parent will be taken into account for the final analysis of this study
Studies of children with chronic illnesses report that adaptive coping strategies such as maintaining a hopeful attitude social support and information seeking may affect psychological adjustment and help to buffer the negative psychological effects that a chronic illness may have HIV-infected children not only have the added stress of living with debilitating and progressive symptoms in a disease that threatens their life spans but their disease often stigmatizes them and causes them to be ostracized The largest proportion of children with HIV disease acquired it perinatally and therefore the mother is also infected Thus it is expected that these families have at least two infected natural family members causing multigenerational effect in terms of epidemiology multiple separations and the death of close family members As a result children need to develop coping strategies in order to deal effectively with this disease
Preliminary results from a longitudinal study assessing psychiatric disturbances in HIV-infected school-aged children indicate that these children exhibit elevated levels of separation anxiety depression and overanxious disorder Whether similar results will be found in older HIV-infected children is not yet known Research that can identify the coping resources such as social support family communication styles hopefulness and quality of life that 1 buffer the negative effects of stress on the mental health of HIV-infected children and 2 identify areas of vulnerability would be important in our attempts to design early mental health interventions
The HIV-infected childs perceived social support self-esteem psychological adjustment and adaptive coping will be based on self-reports from the child The caretakers will also give ratings of the childs adjustment in addition to providing information on how they feel their child has changed in the past year Caretakers will complete measures regarding family environment their own adjustment and demographic variables The childs health care provider will complete a questionnaire assessing hisher current health status The effects of age and disease progression in both the child and parent will be taken into account for the final analysis of this study
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 95-C-0112 | None | None | None |