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Factors associated with depression among HIV/AIDS children in China
Enpeng Zhou1, Zhengxue Qiao1, Yuewu Cheng2
11Psychology Department of the Public Health Institute of Harbin Medical University, No. 157, Baojian Road, Nangang District, Harbin, 150081 Heilongjiang Province China.
Insights
Depression in children with HIV/AIDS is influenced by psychosocial factors. Social desirability and maladaptive emotion regulation like catastrophizing correlate with higher depression, while social support and positive coping strategies are protective.
Area of Science:
- Psychology
- Public Health
- Pediatrics
Background:
- Depression in children with HIV/AIDS negatively impacts illness progression, quality of life, and societal well-being.
- Understanding psychosocial influences is crucial for effective interventions in this vulnerable population.
Purpose of the Study:
- To investigate the psychosocial factors affecting depression in HIV-infected children in China.
- Key factors examined include social desirability, cognitive emotion regulation, and perceived social support.
Main Methods:
- A cross-sectional study involving 155 children (aged 8-18) diagnosed with HIV/AIDS.
- Data collected using validated scales for depression, emotion regulation, social support, and social desirability.
- Hierarchical linear regression analysis employed to identify predictors of depression.
Main Results:
- Significant linear relationships were observed between psychosocial variables and depression scores.
- Perceived social support and adaptive emotion regulation strategies (planning, positive reappraisal) were negatively associated with depression.
- Social desirability, catastrophizing, and other-blame were positively associated with depression, with social desirability, perceived social support, and catastrophizing emerging as significant predictors.
Conclusions:
- Psychosocial factors significantly influence depression levels in HIV-infected children.
- Interventions targeting personal and subjective psychosocial aspects are recommended to reduce depression in this cohort.
- Findings highlight the need for comprehensive psychosocial support for children living with HIV/AIDS.
Background:
Depression in HIV/AIDS children not only worsens the progression and outcome of illness, but also impacts their quality of life, having a negative influence on society. The present study was conducted from a psychosocial perspective, considering children's social desirability, cognitive emotion regulation, and perceived social support to identify the factors influencing depression in HIV-infected children in China.
Methods:
Participants were 155 children aged 8-18 years who were eligible to participate in this study assessing depression and associated risk factors using the Children's Depression Inventory, Cognitive Emotion Regulation Questionnaire, Multidimensional Scale of Perceived Social Support, and Children's Social Desirability scale. Hierarchical linear regression analysis was conducted to model the effects of social desirability, perceived social support, and cognitive emotion regulation on depression in HIV/AIDS children.
Results:
Statistically significant linear relationships were found among social desirability, perceived social support, partial dimensions of cognitive emotion regulation, and children's depression scores. Perceived social support, planning and positive reappraisal were negatively related to the depression. Conversely, social desirability, catastrophizing and other-blame were positively associated with the depression. Linear regression analysis indicated that children's social desirability, perceived social support, and one dimension of cognitive emotion regulation (catastrophizing) were found to significantly predict depression.
Conclusions:
Psychosocial factors have an important influence on the depression experienced by HIV-infected children. Interventions from personal subjective psychosocial to reduce depression in HIV-infected children in China are warranted.
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