This application proposes to extend and expand a prospective longitudinal assessment study (R01-MH 57201) of mothers with AIDS (MWAs) and their well children age 6 - 11. The cohort of children will be transitioning to early and middle adolescence, and the MWAs and children would continue to be followed, with additional new measures to investigate behaviors associated with this developmental period. We have little information about the effects of maternal HIV on early and middle adolescents, particularly minority youth. Early adolescence is a developmental period when problem behaviors first emerge, and findings from our original study suggest that having an MWA may increase negative outcomes. The goal of this competing renewal is to continue to follow the sample, every 6 months for an additional 36 months.
Specific aims are to: 1. Evaluate the youth's adjustment (i.e., mental health indicators, behavioral problems, social outcomes) and other outcomes not previously assessed (i.e., experimentation with cigarettes, alcohol, and substance use; initiation of sexual behavior and sexual risk behavior; participation in delinquent acts; school connectedness); 2. Evaluate early adolescent characteristics that may moderate the impact of MWAs' chronic illness on the youth, including: background factors of age, gender, ethnicity, stigma related to mother's HIV; intermediate factors and skills (e.g., self-valuing), family cohesion and the parent-child relationship, and other characteristics not previously assessed, including HIV/AIDS knowledge, gender role and identity formation, development of autonomy, and development of romantic relationships; 3. Evaluate maternal characteristics that may moderate the impact of the MWAs' chronic illness on the youth (e.g., illness severity and medication adherence, mental health status, social support); and 4. Evaluate the timing of maternal disclosure of HIV status on the early/middle adolescents' adjustment.
| Murphy, Debra A; Marelich, William D; Herbeck, Diane M et al. (2016) Career readiness and externalizing behaviors of children affected by maternal HIV/AIDS: 15-year outcomes of the PACT study. Vulnerable Child Youth Stud 11:223-237 |
| Murphy, Debra A; Roberts, Kathleen Johnston; Herbeck, Diane M (2013) Adolescent response to having an HIV-infected mother. AIDS Care 25:715-20 |
| Marelich, William D; Murphy, Debra A; Payne, Diana L et al. (2012) Self-competence Among Early and Middle Adolescents Affected by Maternal HIV/AIDS. Int J Adolesc Youth 17:21-33 |
| Murphy, Debra A; Roberts, Kathleen Johnston; Herbeck, Diane M (2012) HIV-positive mothers with late adolescent/early adult children: ""empty nest"" concerns. Health Care Women Int 33:387-402 |
| Murphy, Debra A; Marelich, William D; Lanza, H Isabella et al. (2012) Effects of Maternal HIV on Children's Psychosocial Adjustment with Peers and with Their Mother. Vulnerable Child Youth Stud 7:357-370 |
| Murphy, Debra A; Marelich, William D; Herbeck, Diane M (2012) Impact of maternal HIV health: a 12-year study of children in the Parents And Children Coping Together project. J Adolesc Health 51:313-8 |
| Murphy, Debra A; Roberts, Kathleen Johnston; Herbeck, Diane M (2012) HIV-positive Mothers' Communication About Safer Sex And STD Prevention With Their Children. J Fam Issues 33:136-157 |
| Murphy, Debra A; Roberts, Kathleen Johnston; Herbeck, Diane M (2011) HIV Disease Impact on Mothers: What They Miss During Their Children's Developmental Years. J Child Fam Stud 20:361-369 |
| Murphy, Debra A; Herbeck, Diane M; Marelich, William D et al. (2010) Predictors of Sexual Behavior Among Early and Middle Adolescents Affected by Maternal HIV. Int J Sex Health 22:195-204 |
| Murphy, Debra A; Marelich, William D; Herbeck, Diane M et al. (2009) Family routines and parental monitoring as protective factors among early and middle adolescents affected by maternal HIV/AIDS. Child Dev 80:1676-91 |
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