title: The specificity of maternal disclosure of HIV/AIDS in relation to children's adjustment.
abstract: Disclosure experience of 58 HIV-seropositive women was examined as a multi-faceted process comprising eight variables: level, seriousness, breadth, frequency, source, secrecy, age at first disclosure, and time since disclosure. The majority of children (57%) were told that their mothers had HIV/AIDS and were given additional information about mothers' health (64%) including prognosis of potential death (68%). Most were disclosed to by their mothers (75%) and were not asked to keep disclosures secret (66%). For most (68%) discussion regarding mother's health was infrequent. Children, on average, were first disclosed information at age 7 and had been aware of information for 3 years. Disclosure characteristics were related to demographics of mothers and children. Hierarchical multiple regression analyses showed that children asked to keep disclosures secret tended to display more behavior problems than children not asked to keep secrets. However, the specificity of disclosure did not otherwise predict children's adaptive functioning.
authors.affiliation: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute/Columbia University, New York 10032, USA. sbkirsh@aol.com
authors.forename: Sheri B
authors.initials: SB
authors.lastname: Kirshenbaum
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Nevid
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D002652:Child Behavior; D002653:Child Behavior Disorders / Q000523:psychology; D002675:Child, Preschool; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009034:Mother-Child Relations; D009519:New York City; D014342:Truth Disclosure