Predicting depression in mothers with and without HIV: the role of social support and family dynamics.
Many women with HIV are primary caregivers for their children. Social factors, including family dynamics, play a major role in women's depression. We hypothesized an impact of HIV seropositivity on greater depression mediated through poorer family functioning and social support. Participants include 332 Mothers Living with HIV (MLH) and 200 Neighborhood Control Mothers (NCM) recruited in Los Angeles County. The NCM were matched by neighborhood. All had children ages 6 through 20. Analyses using structural equation modeling (SEM) indicated HIV seropositivity was positively correlated with depression and negatively correlated with positive social support and effective family functioning. In a predictive path model, the relationship between having HIV and depressed mood was mediated by social support and family functioning. Findings offer explanation for increased depression resulting from HIV and social and family dynamics, and suggest innovative interventions to abate psychosocial health problems and lower risk for depression among women with HIV.
Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, Room 2234GG, College Park, MD, 20742, USA. typhanye@umd.edu
Typhanye Penniman
TP
Dyer
Judith A
JA
Stein
Eric
E
Rice
Mary Jane
MJ
Rotheram-Borus
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005190:Family; D005195:Family Relations; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006801:Humans; D015141:Los Angeles; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult