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1. Family Group Psychotherapy to Support the Disclosure of HIV Status to Children and Adolescents

Author

Cinzia Storace, Emanuele Nicastro, Annunziata Officioso, Carmela Mango, Grazia Isabella Continisio, Alfredo Guarino, Eugenia Bruzzese, Ilaria Liguoro, Nicastro, Emanuele, Continisio, GRAZIA ISABELLA, Storace, Cinzia, Bruzzese, Eugenia, Mango, C, Liguoro, I, Guarino, Alfredo, and Officioso, Annunziata

Subjects
Male, Parents, Family therapy, medicine.medical_specialty, Psychotherapist, Adolescent, Anti-HIV Agents, HIV Infections, Anxiety, Truth Disclosure, Medication Adherence, law.invention, Social support, Randomized controlled trial, Quality of life, law, Adaptation, Psychological, medicine, Humans, Adaptation, Preschool, Child, Psychiatry, Psychiatric Status Rating Scales, business.industry, Public Health, Environmental and Occupational Health, Social Support, virus diseases, Viral Load, Child, Preschool, Family Therapy, Female, Follow-Up Studies, Italy, Quality of Life, Socioeconomic Factors, Treatment Outcome, Infectious Diseases, Behavioral and Psychosocial Research, Psychological, medicine.symptom, business, Psychosocial, Viral load, Clinical psychology
Abstract

Disclosure of the HIV status to infected children is often delayed due to psychosocial problems in their families. We aimed at improving the quality of life in families of HIV-infected children, thus promoting disclosure of the HIV status to children by parents. Parents of 17 HIV-infected children (4.2-18 years) followed at our Center for pediatric HIV, unaware of their HIV status, were randomly assigned to the intervention group (8 monthly sessions of family group psychotherapy, FGP) or to the control group not receiving psychotherapy. Changes in the Psychological General Well-Being Index (PGWB-I) and in the Short-Form State-Trait Anxiety Inventory (Sf-STAI), as well as the HIV status disclosure to children by parents, were measured. Ten parents were assigned to the FGP group, while 7 parents to the controls. Psychological well-being increased in 70% of the FGP parents and none of the control group (p=0.017), while anxiety decreased in the FGP group but not in controls (60% vs. 0%, p=0.03). HIV disclosure took place for 6/10 children of the intervention group and for 1/7 of controls. Family group psychotherapy had a positive impact on the environment of HIV-infected children, promoting psychological well-being and the disclosure of the HIV status to children.

Published
2013
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2. Family group psychotherapy to support the disclosure of HIV status to children and adolescents.

Author

Nicastro E, Continisio GI, Storace C, Bruzzese E, Mango C, Liguoro I, Guarino A, and Officioso A

Subjects
Adaptation, Psychological, Adolescent, Anti-HIV Agents therapeutic use, Anxiety, Child, Child, Preschool, Female, Follow-Up Studies, HIV Infections diagnosis, HIV Infections therapy, Humans, Italy, Male, Medication Adherence psychology, Psychiatric Status Rating Scales, Quality of Life, Social Support, Socioeconomic Factors, Treatment Outcome, Viral Load, Family Therapy methods, HIV Infections psychology, Parents psychology, Truth Disclosure
Abstract

Disclosure of the HIV status to infected children is often delayed due to psychosocial problems in their families. We aimed at improving the quality of life in families of HIV-infected children, thus promoting disclosure of the HIV status to children by parents. Parents of 17 HIV-infected children (4.2-18 years) followed at our Center for pediatric HIV, unaware of their HIV status, were randomly assigned to the intervention group (8 monthly sessions of family group psychotherapy, FGP) or to the control group not receiving psychotherapy. Changes in the Psychological General Well-Being Index (PGWB-I) and in the Short-Form State-Trait Anxiety Inventory (Sf-STAI), as well as the HIV status disclosure to children by parents, were measured. Ten parents were assigned to the FGP group, while 7 parents to the controls. Psychological well-being increased in 70% of the FGP parents and none of the control group (p=0.017), while anxiety decreased in the FGP group but not in controls (60% vs. 0%, p=0.03). HIV disclosure took place for 6/10 children of the intervention group and for 1/7 of controls. Family group psychotherapy had a positive impact on the environment of HIV-infected children, promoting psychological well-being and the disclosure of the HIV status to children.

Published
2013
Full Text
View/download PDF

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