Longitudinal Dyadic Interdependence in Depression Symptoms of Caregivers Living with HIV in Uganda and Their Dependent Children's Neurodevelopment and Executive Behavior Outcomes.

Journal: AIDS and behavior

Volume: 25

Issue: 11

Year of Publication: 2021

Affiliated Institutions:  Department of Psychiatry, Michigan State University, Wilson Rd. A, East Lansing, MI, USA. familiar@msu.edu. Visiting Nurse Service of New York, New York City, NY, USA. Departments of Psychiatry and Statistics, Michigan State University, East Lansing, MI, USA. Departments of Psychiatry and Neurology, Michigan State University, East Lansing, MI, USA. Department of Psychiatry College of Health Sciences, Makerere University, Kampala, Uganda. Mental Health Department, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.

Abstract summary 

We tested a model of dyadic interdependence in depression symptoms experienced by female caregivers living with HIV in Uganda (n = 288) and behavioral problems of their HIV-infected (n = 92) and perinatally HIV-exposed uninfected (HEU) children (n = 196). Three repeated measures of caregiver depression symptoms and child neurodevelopment and behavioral outcomes were related to their own outcomes at a previous time point (actor effects), and the outcomes of the other member of the dyad (partner effects). Caregiver depression and child behavioral problem were interdependent over the 24 months of observation. Caregiver depression at T predicted child's behavioral problems at T (coefficient = 0.1220, SE = 0.0313, p < 0.01); child behavioral problems at T predicted maternal depression at T (coefficient = 0.0984, SE = 0.0253, p < 0.01). Results suggest the importance of services addressing behavioral needs of affected children and mental health of their mothers.

Authors & Co-authors:  Familiar Itziar I Majumder Atreyee A Sikorskii Alla A Boivin Michael M Nakasujja Noeline N Bass Judith J

Study Outcome 

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Statistics
Citations :  Morrison MF, Petitto JM, Have TT, Gettes DR, Chiappini MS, Weber AL, et al. Depressive and anxiety disorders in women with HIV infection. Am J Psychiatry. 2002;159(5):789–96.
Authors :  6
Identifiers
Doi : 10.1007/s10461-021-03192-1
SSN : 1573-3254
Study Population
Female
Mesh Terms
Caregivers
Other Terms
Child behavior;Dyads;HIV;Interdependence;Maternal depression;Mixed modeling
Study Design
Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
United States