Depression,Mothers' Concerns and Life-Events Experienced by HIV-Positive,HIV-Negative and Mothers with Unknown HIV Status in Soweto

Abstract

The study was quasi-experimental in design and was aimed at investigating the differences between two groups of mothers, regarding their concern's depressive symptoms, life-events, and social standing. The sample comprised 40 mothers, each with at least one child aged 3 years or less, selected from the Chris Hani Baragwanath Hospital in Johannesburg. Twenty mothers were HIV-positive and were attending an HIV clinic for mothers and babies, and the other 20 were either HIV-negative or did not know their status (and live a seemingly normal life). The latter group served as the control group and was comparable to the study group in terms of demographic characteristics. The study revealed no significant difference between the two groups in all the variables included in the study. The results suggest that a positive HIV status is not a significant stressor in relation to the other stressors. It is recommended that interventions for mothers in Soweto need to address the broad spectrum of life-events experienced by Soweton mothers.

Keywords

depression HIV status life-events mothers' concerns parenting social standing

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References

Andrews

Williams

Neil

(1993). The mother-child relationship in the HIV-positive family. Image: Journal of Nursing Scholarship, 25, 193–198.

Antoni

M.H.

Schneiderman

La Perrier

O'Sullivan

Marks

Efantis

Skyler

Fletcher

(1992). Mothers with AIDS. In Ahmed

P.I.

(ed.). Living and dying with AIDS. New York: Plenum Press.

Armistead

Forehand

(1995). For whom the Bell Tolls: Parenting decisions and challenges raced by mothers who are HIV seropositive. Clinical Psychology: Science and Practice, 2, 239–250.

Auer

(1996). Women, children and HIV/AIDS. In Long

L.D.

Andrah

E.M.

(eds), Women's experiences with HIV/AIDS: An international perspective. New York: Columbia University.

Barlow

(1992). Social issues: An overview. In Bury

Morrison

McLachlan

(eds), Working with women and AIDS. London: Tavistock/Routledge.

Beck

A.T.

Steer

R.A.

Brown

G.K.

(1996). Beck Depression Inventory annual, 2nd edn. USA: The Psychological Corporation.

Blaney

N.T.

Goodkin

Feaster

Morgan

Millon

Szapocznik

Eisdorfer

(1997). A psychosocial model of distress over time in early HIV-a infection: The role of life stressors, social support and coping. Psychology and Health, 12, 633–653.

Brouwer

C.N.M.

Lok

C.L.

Wolffers

Sebagalls

(2000). Psychosocial and economic aspects of HIV/AIDS and counselling of caretakers of HIV-infected children in Uganda, AIDS Care, 12, 535–540.

Brown

G.W.

(1976). Depression and Loss. British Journal of Psychiatry, 130, 3.

10.

Christie

M.G.

(1990). Applications of Clinical Health Psychology to Sexually Transmitted Diseases (specifically AIDS). In Schlebusch

(ed.), Clinical Health Psychology: A behavioural medicine perspective. Pretoria: Sigma Press.

11.

Corea

(1992). The invisible epidemic. New York: Harper-Collins.

12.

DeMatteo

Wells

L.M.

Salter

G. R.

King

S.M.

(2002) The ‘family’ context of HIV: A need for comprehensive Health and Social Policy. AIDS Care, 14, 261–278.

13.

Department of Health (DoH) (2001). National HIV and syphilis sero-prevalence survey of women attending public antenatal clinic in South Africa. Pretoria: Department of Health.

14.

Faithful

(1997). HIV-positive and AIDS-infected women: Challenges and difficulties of mothering. American Journal of Orthopsychiatry, 67, 144–151.

15.

Faure

Loxton

(2003). Anxiety, depression and self-efficacy in women undergoing first trimester abortion. South African Journal of Psychology, 33, 28–38.

16.

Friedland

Renwick

McColl

(1996). Coping and Social Support as determinants of quality of life. AIDS Care, 8, 15–31.

17.

Gerhardt

(1976). Coping and social action: Theoretical reconstruction of the life event approach. Sociology of health and illness, 1, 196–225.

18.

Human Sciences Research Council (HSRC) (2002). Nelson Mandela/HSRC study of HIV/AIDS: South Africa national prevalence, behavioural risk and mass media: Household survey 2002. Cape Town: HSRC.

19.

Kelly

J.A.

St. Lawrence

J.S.

(1988). The AIDS health crisis: Psychological and social interventions. New York: Plenum Press.

20.

Long

L.D.

Ankrah

E.M.

(1996). Women's experiences with HIV/AIDS in South Africa: An international perspective. New York: Columbia University Press.

21.

Macks

(1987). Meeting the psychosocial needs of people with AIDS. In Leukefeld

C.G.

Fimbres

(eds), Responding to AIDS: Psychosocial initiatives. Washington DC: National Association of Social Workers Inc.

22.

Marcenko

Samost

(1999). Living with HIV/AIDS: The voices of HIV-positive mothers. Social Work, 44, 36–45.

23.

Metts

Manns

Kruzic

(1996). Social support structures and predictors of depression in persons who are seropositive. Journal of Health Psychology, 1, 367–382.

24.

Mitchell

(1988). Women, AIDS & Public policy. AIDS and Public Policy, 3, 50–53.

25.

Murphy

D.A.

Marelich

W.D.

DelloSritto

M.E.

Swendeman

Witkin

(2002). Mothers living with HIV/AIDS: Mental, physical and family functioning. AIDS Care, 14, 633–644.

26.

Pauw

Brenner

(1997). Women and AIDS in South Africa. In de la Rey

Duncan

Shefer

van Niekerk

(eds), Contemporary issues in human development. Johannesburg: International Thomson Publishing.

27.

Pequegnat

Stover

(1999). Considering women's contextual cultural issues in HIV/STD prevention research. Cultural Diversity & Ethnic Minority Psychology, 5, 287–291.

28.

Richter

L.M.

(1999). Parenting in poverty: Young children and their families in South Africa. In Eldering

Leseman

(eds), Effective early education: Cross-cultural perspectives. New York: Falmer Press.

29.

Richter

L.M.

(2001). Development and implementation of a primary care model to promote interactions between caregivers and young children in the Eastern and Western Cape Provinces. Department of Health: Directorate of Mental Health and Substance Abuse, South Africa.

30.

Ruddle

(2001). What it means to be an HIV positive mother: The effects of HIV infection on Black South African Mother-child attachment. Unpublished Hons. research report, University of the Witwatersrand, Johannesburg.

31.

SADC FANR Vulnerability Assessment Committee (2003). Towards identifying impacts of HIV/AIDS on Food Insecurity in Southern Africa and implications for Response: Findings from Malawi, Zambia and Zimbabwe. Harare: Zimbabwe.

32.

Serovich

J.M.

Brucker

P.S.

Kimberly

J.A.

(2000). Barriers to social support for persons living with HIV/AIDS. AIDS Care, 12, 651–662.

33.

Shisana

Rehle

Simbayi

L.C.

Parker

Zuma

Bhana

(2005). South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey 2005. Cape Town: HSRC Press.

34.

Simoni

J.M.

Cooperman

N.A.

(2000). Stresses and strengths among women living with HIV/AIDS in New York City. AIDS Care, 12, 291–97.

35.

Strebel

(1992). ‘There's absolutely nothing I can do, just believe in God’: South African women with AIDS. Agenda, 12, 50–62.

36.

Strebel

(1996). Putting discourse analysis to work in AIDS prevention. In Levett

(1997) (ed.), Culture, power and differences: Discourse analysis in South Africa. Cape Town: UCT Press.

37.

Thom

R.G.M.

Zwi

R.M.

Reinach

S.G.

(1993). The prevalence of psychiatric disorders at a primary care clinic in Soweto, Johannesburg. South African Medical Journal, 83, 653–655.

38.

Thompson

S.C.

Nanny

Levine

(1996). The stressors and stress of being HIV-positive. AIDS Care, 8, 5–14.

39.

Tompkins

T.L.

Whalen

C.K.

Axelrod

(1999). Motherhood in the context of HIV infection: Reading between the numbers. Cultural Diversity and Ethnic Minority Psychology, 5, 197–208.

40.

UNAIDS/WHO (2001). AIDS epidemic update. Geneva: Joint United Nations Programme on HIV/AIDS (UNAIDS).

41.

Van Dyk

P. J.

(2003). What is the Point of knowing? : Psychological barriers to HIV/AIDS Voluntary Counselling and Testing Programmes in South Africa. South African Journal of Psychology, 33, 118–125.