Posttraumatic stress symptoms among adults caring for orphaned children in HIV-endemic South Africa

AIDS and Behavior

Volumn 17, Issue 5, 2013, Pages 1755-1763

  Kuo, Caroline ^a,b   Reddy, Madhavi K ^a   Operario, Don ^a,b   Cluver, Lucie ^c,d   Stein, Dan J ^d  

^a BROWN UNIVERSITY   (United States)

^b BROWN UNIVERSITY   (United States)

^c UNIVERSITY OF OXFORD   (United Kingdom)

^d UNIVERSITY OF CAPE TOWN   (South Africa)

Author keywords

Caregivers; HIV; Orphans; Posttraumatic stress; South Africa

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADULT; ARTICLE; CAREGIVER; CHILD; CROSS-SECTIONAL STUDY; FEMALE; HUMAN; LIFE EVENT; MALE; MORTALITY; ORPHANED CHILD; POSTTRAUMATIC STRESS DISORDER; PSYCHOLOGICAL ASPECT; RISK FACTOR; SOCIOECONOMICS; SOUTH AFRICA; STATISTICAL MODEL; STATISTICS;

ACQUIRED IMMUNODEFICIENCY SYNDROME; ADULT; CAREGIVERS; CHILD; CHILD, ORPHANED; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; LIFE CHANGE EVENTS; LOGISTIC MODELS; MALE; RISK FACTORS; SOCIOECONOMIC FACTORS; SOUTH AFRICA; STRESS DISORDERS, POST-TRAUMATIC;

EID: 84878540147     PISSN: 10907165     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10461-013-0461-9     Document Type: Article

References (70)

1. Stein D, Seedat S, Herman A, Moomal H, Heeringa S, Kessler R, et al. Lifetime prevalence of psychiatric disorders in South Africa. Br J Psychiatr. 2008;192:112-7.
2. Martin L, Kagee A. Lifetime and HIV-related PTSD among persons recently diagnosed with HIV. AIDS Behav. 2011;15:125-31.
3. Olley B, Seedat S, Stein D. Persistence of psychiatric disorders in a cohort of HIV/AIDS patients in South Africa: a 6-month follow-up study. J Psychosom Res. 2006;61:479-84.
4. Myer L, Smit J, Le Roux L, Parker S, Stein D, Seedat S. Common mental disorders among HIV-infected individuals in South Africa: prevalence, predictors, and validation of brief psychiatric rating scales. AIDS Patient Care STDS. 2008;22(2):147-58.
5. Cluver L, Gardner F, Operario D. Psychological distress amongst AIDS-orphaned children in urban South Africa. J Child Psychiatr Psychol Allied Discipl. 2007;48(8):755-63.
6. Cluver L, Operario D, Gardner F. Parental illness, caregiving factors and psychological distress among children orphaned by acquired immune deficiency syndrome (AIDS) in South Africa. Vulnerable Child Youth Stud. 2009;4(3):185-98.
7. UNAIDS. UN Report on the Global AIDS Epidemic. UNAIDS: Geneva. 2010.
8. UNICEF. The state of the world's children 2011: Adolescence an age of opportunity. UNICEF: New York. 2011.
9. UNAIDS. Country Factsheet: South Africa. UNAIDS: Geneva. 2012.
10. Monasch R, Boerma J. Orphanhood and childcare patterns in sub-Saharan Africa: an analysis of national surveys from 40 countries. AIDS. 2004;18(suppl 2):55-65.
11. Oburu PO, Palmerus K. Parenting stress and self-reported discipline strategies of Kenyan caregiving grandmothers. Int J Behav Dev. 2003;27(6):505-12.
12. Rotheram-Borus M, Leonard N, Lightfood M, Franzke L, Tottenham N, Lee S. Picking up the pieces: caregivers of adolescents bereaved by parental AIDS. Clin Child Psychol Psychiatr. 2002;1:115-24.
13. Strug D, Burr C. Service needs of male caretakers of HIV-infected and affected children: policy and practice implications. Soc Work Health Care. 2003;38(2):73-92.
14. Ssengonzi R. The plight of older persons as caregivers to people infected/affected by HIV/AIDS: evidence from Uganda. J Cross Cult Gerontol. 2007;22(4):339-53.
15. Joslin D, Harrison R. Physical health and emotional well-being. In: Joslin D, editor. Invisible caregivers: older adults raising children in the wake of HIV/AIDS. New York: Columbia University Press; 2002. p. 90-112.
16. Joslin D, Mevi-Triano D, Berman J. Grandparents raising children orphaned by HIV/AIDS: Health risks and service needs. Cincinnati: The Gerontological Society of America; 1997.
17. Hirschowitz R, Orkin M. Trauma and mental health in South Africa. Soc Indic Res. 1997;41(1/3):169-82.
18. Kagee A. Symptoms of distress and posttraumatic stress among South African former political detainees. Ethnic Health. 2005;10:169-79.
19. Halvorsen J, Kagee A. Predictors of psychological sequelae of torture among South African former political prisoners. J Interpers Viol. 2010;25(6):989-1005.
20. Kaminer D, Stein D, Mbanga I, Zungu-Dirwayi N. The truth and reconciliation commission in South Africa: relation to psychiatric status and forgiveness among survivors of human rights abuses. Br J Psychiatr. 2001;178:373-7.
21. South African Department of Health. National Antenatal Sentinel HIV and Syphilis Prevalence Survey in South Africa, 2009. South African National Department of Health: Pretoria. 2010.
22. South African Police Services (SAPS). Annual report 2008/2009: SAPS Strategic Management. SAPS: Pretoria. 2009.
23. Statistics South Africa. Profile of children living in South Africa. http://www.statssa.gov.za/PublicationsHTML/Report-03-19-002009/html/ Report-03-19-002009-13.html. Accessed 20 Jul 2011.
24. Census 2001: Census in brief. http://www.statssa.gov.za/census01/html/ CInBrief/CIB2001.pdf. Accessed 15 Jun 2006.
25. Lopman B, Barnabas R, Boerma JT, Chawira G, Gaitskell K, Harrop T, et al. Creating and validating an algorithm to measure AIDS mortality in the adult population using verbal autopsy. PLoS Med. 2006;3(8):1273-81.
26. Lopman B, Cook A, Smith J, Chawira G, Urassa M, Kumogola Y, et al. Verbal autopsy can consistently measure AIDS mortality: a validation study in Tanzania and Zimbabwe. J Epidemiol Commun Health. 2010;64:330-4.
27. Gray M, Litz B, Hsu J, Lombardo T. The psychometric properties of the Life Events Checklist. Assessment. 2004;11:330-41.
28. Mollica R, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J. The Harvard Trauma Questionnaire. Validating a cross-cultural instrument for measuring torture, trauma and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Disord. 1992;180:111-6.
29. Ward C, Flisher A, Zissis C, Muller M, Lombard C. Exposure to violence and its relationship to psychopathology in adolescents. Inj Prev. 2001;7:297-301.
30. Smit J, Myer L, Middelkoop K, Seedat S, Wood R, Bekker L, et al. Mental health and sexual behaviours in a South African township: a community-based cross-sectional study. Public Health. 2006;120:534-42.
31. Mollica R, McInnes K, Sarajlic N. Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia. J Am Med Assoc. 1999;282(2):433-9.
32. Miyazaki T, Dewaraja R, Kawamura N. Reliability and validity of the scales related to post traumatic stress disorder of Sri Lankan version. Int Congr Ser. 2006;1287:82-5.
33. Smit J, van der Berg C, Bekker L, Seedat S, Stein D. Translation and cross-cultural adaptation of a mental health battery in an African setting. Afr Health Sci. 2006;6(4):215-22.
34. Patel L, Triegaardt J, editors. South Africa: social security, poverty alleviation and development. New York: Palgrave Macmillan; 2008.
35. Plagerson S, Patel V, Harpham T, Kielmann K, Mathee A. Does money matter for mental health? Evidence from the child support grants in Johannesburg, South Africa. Glob Public Health. 2010;11:1-17.
36. Zimet G, Dahlem N, Zimet S, Farley G. The multidimensional scale of perceived social support. J Pers Assess. 1988;52:30-41.
37. Zimet G, Powell S, Farley G, Werkman S, Berkoff K. Psychometric properties of the multidimensional scale of perceived social support. J Pers Assess. 1990;55:610-7.
38. Myint T, Mash B. Coping strategies and social support after receiving HIV-positive results at a South African district hospital. S Afr Med J. 2008;98:276-8.
39. Bruwer B, Emsley R, Kidd M, Lochner C, Seedat S. Psychometric properties of the Multidimensional Scale of Perceived Social Support in youth. Compr Psychiatr. 2008;49(2):195-201.
40. Cecil H, Stanley M, Carrion P, Swann A. Psychometric properties of the MSPSS and NOS in psychiatric outpatients. J Clin Psychol. 1995;51:593-602.
41. Stanley M, Beck J, Zebb B. Psychometric properties of the MSPSS in older adults. Aging Ment Health. 1998;2:186-93.
42. Eker D, Arkar H. Perceived social support, psychometric properties of the MSPSS in normal and pathological groups in a developing country. Soc Psychiatr Psychiatr Epidemiol. 1995;30:121-6.
43. Statistics South Africa. Census 2001 Questionnaire. http://www.statssa. gov.za/additional-services/questionnaires/Questionnaire%20C.pdf. Accessed 2 Oct 2007.
44. Statistics South Africa. General Household Survey. http://www.statssa. gov.za/Publications/statsdownload.asp?ppn=P0318&SCH=3655. 2 Accessed Oct 2007.
45. Medical Research Council of South Africa. South African Demographic and Health Survey. www.mrc.ac.za/bod/sadhs.htm. Accessed 2 Oct 2007.
46. May J. KwaZulu-Natal Income Dynamics Study (KIDS) 1993-1998: A Longitudinal Household Data Set for South African Policy Analysis. Durban: School of Development Studies, University of KwaZulu Natal; 1999.
47. Baron R, Kenny D. The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J Pers Soc Psychol. 1986;51:1173-82.
48. Williams S, Williams D, Stein D, Seedat S, Jackson P, Moomal H. Multiple traumatic events and psychological distress: the South African stress and health study. J Trauma Stress. 2007;20(5):845-55.
49. Haglund K. Parenting a second time around: an ethnography of African American grandmothers parenting grandchildren due to parental cocaine abuse. J Fam Nurs. 2000;6(2):120-35.
50. Minkler M, Fuller-Thompson E, Miller D, Driver D. Grandparent caregiving and depression. In: Hayslip B, Goldberg-Glen R, editors. Grandparents raising grandchildren: Theoretical, empirical, and clinical perspectives. New York: Springer; 2000. p. 207-19.
51. Fuller-Thomson E, Minkler M. African American grandparents raising grandchildren: a national profile of demographic and health characteristics. Health Soc Work. 2000;25(2):109-18.
52. Minkler M, Fuller-Thomson E, Miller D, Driver D. Depression in Grandparents Raising Grandchildren. Arch Fam Med. 1997;6:445-52.
53. Roe K, Minkler M, Thompson R, Saunders F. Health of grandmothers raising children of the crack cocaine epidemic. Med Care. 1996;34:744-51.
54. Cluver L, Fincham D, Seedat S. Posttraumatic stress in AIDS-orphaned children exposed to high levels of trauma: the protective role of perceived social support. of traumatic stress. J Trauma Stress. 2009;22(2):106-12.
55. South Africa Government Services. Older persons grant. http://www.services.gov.za/services/content/Home/ServicesForPeople/ Socialbenefits/oldagegrant/en-ZA. 3 Accessed Nov 2011.
56. Bertrand M, Sendhil M, Miller D. Public policy and extended families: evidence from pensions in South Africa. World Bank Econ Rev. 2003;17(1):27-50.
57. Case A, Deaton A. Large cash transfers to the elderly in South Africa. Econ J. 1998;108(450):1330-61.
58. Lund C, Breen A, Flisher A, Kakuma R, Corrigall J, Joska J, et al. Poverty and common mental disorders in low and middle income countries: a systematic review. Soc Sci Med. 2010;71(3):517-28.
59. Breslau N, Chilcoat H, Kessler R, Davis G. Previous exposure ot trauma and PTSD effects of subsequent trauma: results from the Detroit Area Survey of Trauma. Am J Psychiatr. 1999;156(6):902907.
60. Kuo C, Operario D. Caring for AIDS-orphaned children: an exploratory study of challenges faced by carers in KwaZulu-Natal, South Africa. Vulnerable Child Youth Stud. 2010;5(4):344-52.
61. Cluver L, Orkin M, Boyes M, Gardner F, Meinck F. Transactional sex amongst AIDS-orphaned and AIDS-affected adolescents predicted by abuse and extreme poverty. J Acquir Immune Defic Syndr. 2011;58(3):336-43.
62. Cohen J. Southern Africa: AIDS-affected children face systemic discrimination in accessing education. HIV AIDS Policy Law Rev. 2005;10(3):24-5.
63. Freeman M, Nkomo N. Assistance needed for the integration of orphaned and vulnerable children - views of South African family and community members. J Soc Aspects of HIV/AIDS Res Alliance. 2006;3(3):503-9.
64. Freeman M, Nkomo N. Guardianship of orphans and vulnerable children. A survey of current and prospective South African caregivers. AIDS Care. 2006;18(4):302-10.
65. Jones L. Childcare in poor urban settlements in Swaziland in an era of HIV/AIDS. Afr J AIDS Res. 2006;4(3):161-71.
66. Schroeder E-A, Nichola T. The adoption of HIV/AIDS orphans and food security in rural Ingwavuma, South Africa. Int J Technol Manag Sustain Dev. 2006;5(2):173-87.
67. Raviola G, Becker A, Farmer P. A global scope for global health: including mental health. Lancet. 2011;378(9803):1613-5.
68. Sheriff R, Adams C, Tharyan P, Jayaram M, Duley L. Randomised trials relevant to mental health conducted in low and middle-income countries: a survey. BMC Psychiatr. 2008;6(1):1-6.
69. Kakuma R, Minas H, van Ginneken N, Dal PM, Desiraju K, Morris J, et al. Human resources for mental health care: current situation and strategies for action. Lancet. 2011;378(9803):1654-63.
70. Collins P, Patel V, Joestl S, March D, Insel T, Daar A. Grand challenges in global mental health: a consortium of researchers, advocates and clinicians announces here research priorities for improving the lives of people with mental illness around the world, and calls for urgent action and investment. Nature. 2011;475(7354):27-30.