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Smith, Lila; Feaster, Daniel J.; Prado, Guillermo; Kamin, Marisa; Blaney, Nancy T.; Szapocznik, José

doi:10.1023/a:1011336525599

Cited by 16 publications

(4 citation statements)

References 42 publications

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“…The Hassles Scale (DeLongis et al, 1988), revised for African American women, was used to assess daily hassles in a number of areas. In the version of the scale used in this study, we omitted items that would not be relevant to poor, urban African American women (e.g., financial investments) and added items not in the original scale that would apply to the current sample (e.g., your ex-spouse; see Smith et al, 2001). The family hassles score was obtained by counting the number of family-related hassles items that the woman had endorsed (maximum 12).…”

Section: Methodsmentioning

confidence: 99%

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Structural Ecosystems Therapy for HIV-Seropositive African American Women: Effects on Psychological Distress, Family Hassles, and Family Support.

Szapocznik¹,

Feaster²,

Mitrani³

et al. 2004

Journal of Consulting and Clinical Psychology

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105

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This study tests the efficacy of Structural Ecosystems Therapy (SET), a family-ecological intervention, in improving psychosocial functioning when compared with an attention-comparison person-centered condition and a community control condition. A sample of 209 HIV-seropositive, urban, low-income, African American women was randomized into 1 of the 3 conditions. Results of growth curve analyses over 5 time points revealed that SET was more efficacious than either of the control conditions in reducing psychological distress and family-related hassles. However, contrary to hypotheses, SET was not more efficacious in increasing family support. Latent growth mixture modeling analyses indicated that SET was most efficacious for women who, on average, were at or near the clinical threshold for psychological distress and for women with high levels of family hassles. Implications for further intervention development are discussed.

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Section: Methodsmentioning

confidence: 99%

“…This social context includes, among others, family members, friends, neighborhood, and health care providers. The family, in particular, can be a source of support for inner-city African American women (Boyd-Franklin, 1989; Smith et al, 2001).…”

mentioning

confidence: 99%

Structural Ecosystems Therapy for HIV-Seropositive African American Women: Effects on Psychological Distress, Family Hassles, and Family Support.

Szapocznik¹,

Feaster²,

Mitrani³

et al. 2004

Journal of Consulting and Clinical Psychology

Self Cite

105

View full text Add to dashboard Cite

show abstract

“…The Hassles Scale (DeLongis, Folkman, & Lazarus, 1988), revised for African American women, was used to assess daily hassles in a number of areas. In the version of the scale used in this study, we omitted items that would not be relevant to poor, urban women (e.g., financial investments) and added items not in the original scale that would apply to the current sample (e.g., your ex-spouse; see Smith et al, 2001). The family hassles score was obtained by counting the number of family-related hassles items that the woman endorsed (maximum 12).…”

Section: Methodsmentioning

confidence: 99%

The efficacy of Structural Ecosystems Therapy for HIV medication adherence with African American women.

Feaster¹,

Brincks²,

Mitrani³

et al. 2010

Journal of Family Psychology

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A systemic family therapy intervention, Structural Ecosystems Therapy (SET), has been shown to promote adaptation to living with HIV by reducing psychological distress and family hassles. This investigation examines the effect of SET on HIV medication adherence relative to a person-centered condition and a community control condition. Medication adherence was assessed on 156 trial participants. Results of a two-part model showed that SET was significantly more likely to move women to high levels of adherence (defined as at least 95% adherence) than a person-centered therapy. Family hassles was also significantly reduced by SET, though the effect of SET on medication adherence did not appear related to this change in family hassles.

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“…The scale has 14 subscales consisting of 2 items each which measure different coping strategies. These coping strategies can be grouped in two sub-scales namely active and avoidant coping (Smith et al, 2001). The following coping strategies can be categorised as active coping: active coping, planning, humour, positive framing, acceptance, religion, use of emotional support, and use of instrumental (practical) support.…”

Section: Brief Copementioning

confidence: 99%

Maternal HIV status disclosure to young uninfected children: psychological variables of the mother

Visser

Hlungwani

2020

African Journal of AIDS Research

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Mothers living with HIV are faced with the dilemma of when and how to disclose their HIV-positive status to their young uninfected children. In this study, a South African sample of mothers living with HIV, with young uninfected children (6-10 years) in the city of Tshwane was studied. In the sample of 406 mothers, 11.6% reported that they disclosed their HIV status to their young uninfected children. The research compared 47 mothers who disclosed (29 full disclosure and 18 partial disclosure) and a random sample of 50 mothers who did not disclose to their children, in terms of depression symptoms, parenting stress and coping strategies. The results showed that single and widowed mothers disclosed significantly more to their uninfected young children than mothers who had partners or were married. Mothers in the three disclosure groups did not differ in their experience of depression symptoms, parental distress and coping styles. Mothers who disclosed partially reported less parent-child dysfunctional interaction. Time since disclosure did not influence level of disclosure and was not significantly related to psychological outcome of mothers. Mothers who disclosed reported significantly more emotional and instrumental support as coping strategies than mothers who did not disclose. Mothers thus mostly disclose their status to their children to get support and family closeness. Mothers who disclosed and had not disclosed did not differ in terms of psychological variables. Some mothers perceived partial disclosure as age-appropriate for young children. It is recommended that HIVpositive mothers receive psychosocial support services to equip them to disclose their health status in an age appropriate way to their children, as it is documented that maternal disclosure benefits both mother and child.

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Cited by 16 publications

References 42 publications

Structural Ecosystems Therapy for HIV-Seropositive African American Women: Effects on Psychological Distress, Family Hassles, and Family Support.

Structural Ecosystems Therapy for HIV-Seropositive African American Women: Effects on Psychological Distress, Family Hassles, and Family Support.

The efficacy of Structural Ecosystems Therapy for HIV medication adherence with African American women.

Maternal HIV status disclosure to young uninfected children: psychological variables of the mother

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