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August 2001, Vol 91, No. 8 | American Journal of Public Health 1294-1302
© 2001 American Public Health Association

RESEARCH

An Intervention for Parents With AIDS and Their Adolescent Children

Mary Jane Rotheram-Borus, PhD, Martha B. Lee, PhD, Marya Gwadz, PhD and Barbara Draimin, Dsw

Mary Jane Rotheram-Borus, Martha B. Lee, and Marya Gwadz are with the Department of Psychiatry, University of California, Los Angeles. Barbara Draimin is with The Family Center, New York, NY.

Correspondence: Requests for reprints should be sent to Mary Jane Rotheram-Borus, PhD, 10920 Wilshire Blvd, Suite 350, Los Angeles, CA 90024 (e-mail: rotheram{at}ucla.edu).

Objectives. This study evaluated an intervention designed to improve behavioral and mental health outcomes among adolescents and their parents with AIDS.

Methods. Parents with AIDS (n = 307) and their adolescent children (n = 412) were randomly assigned to an intensive intervention or a standard care control condition. Ninety-five percent of subjects were reassessed at least once annually over 2 years.

Results. Adolescents in the intensive intervention condition reported significantly lower levels of emotional distress, of multiple problem behaviors, of conduct problems, and of family-related stressors and higher levels of self-esteem than adolescents in the standard care condition. Parents with AIDS in the intervention condition also reported significantly lower levels of emotional distress and multiple problem behaviors. Coping style, levels of disclosure regarding serostatus, and formation of legal custody plans were similar across intervention conditions.

Conclusions. Interventions can reduce the long-term impact of parents' HIV status on themselves and their children.




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