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Long-term effects of a resilience-based intervention on mental health of children affected by parental HIV in China: Testing the mediation effects of emotion regulation and coping

Author

Listed:
  • Jiang, Yanping
  • Li, Xiaoming
  • Harrison, Sayward E.
  • Zhang, JiaJia
  • Qiao, Shan
  • Decker, Scott
  • Zhao, Junfeng
  • Zhao, Guoxiang

Abstract

Resilience-based interventions have been found to improve mental health among children affected by parental HIV. Very few studies, however, have explicitly tested the mechanisms of change underlying the effects of resilience-based interventions on mental health among this group of children. The present study utilized a cluster randomized controlled trial to determine the effects of the Child-Caregiver-Advocacy Resilience (ChildCARE) intervention on mental health for children affected by parental HIV. Specifically, we examined the effects of the intervention on three mental health outcomes (i.e., depressive symptoms, school anxiety, loneliness) and whether emotion regulation and coping played mediating roles in the intervention’s effectiveness. Child-caregiver dyads (N = 790) were randomly assigned by clusters to three intervention groups and a control group. Children reported on mental health outcomes for 36 months at 6-month intervals. Latent growth curve models showed that there were no direct impacts of the ChildCARE intervention on changes in mental health outcomes beyond 18-month follow-up. Mediation analyses showed that the ChildCARE intervention yielded significant improvements in positive coping, but not negative coping or emotion regulation at 18 months. Emotion regulation, positive coping, and negative coping were consistently associated with the intercepts (i.e., mean at 18 months) of mental health outcomes. Negative coping also significantly predicted the rates of change of mental health outcomes over time. Findings provide important implications for the development of resilience-based interventions and highlight the promise of interventions that aim to strengthen emotion regulation and coping skills to improve mental health for children affected by parental HIV.

Suggested Citation

  • Jiang, Yanping & Li, Xiaoming & Harrison, Sayward E. & Zhang, JiaJia & Qiao, Shan & Decker, Scott & Zhao, Junfeng & Zhao, Guoxiang, 2022. "Long-term effects of a resilience-based intervention on mental health of children affected by parental HIV in China: Testing the mediation effects of emotion regulation and coping," Children and Youth Services Review, Elsevier, vol. 133(C).
    • Handle: RePEc:eee:cysrev:v:133:y:2022:i:c:s0190740921004394
    DOI: 10.1016/j.childyouth.2021.106363
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    References listed on IDEAS

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    1. Li, Xiaoming & Harrison, Sayward E. & Fairchild, Amanda J. & Chi, Peilian & Zhao, Junfeng & Zhao, Guoxiang, 2017. "A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up," Social Science & Medicine, Elsevier, vol. 190(C), pages 256-264.
    2. Kumakech, Edward & Cantor-Graae, Elizabeth & Maling, Samuel & Bajunirwe, Francis, 2009. "Peer-group support intervention improves the psychosocial well-being of AIDS orphans: Cluster randomized trial," Social Science & Medicine, Elsevier, vol. 68(6), pages 1038-1043, March.
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