Abstract
This study presents results of a subgroup analysis from a randomized trial to examine whether Structural Ecosystems Therapy (SET), a family intervention intended to improve medication adherence and reduce drug relapse of HIV-seropositive (HIV+) women recovering from drug abuse, provided benefits for families with children. Data from 42 children and 25 mothers were analyzed at baseline, and 4, 8, and 12 months post-baseline. Results of longitudinal Generalized Estimating Equations analyses suggested that SET was more efficacious than the Health Group (HG) control condition in decreasing children's internalizing and externalizing problems and reducing mothers' psychological distress and drug relapse. Children in SET reported improvements in positive parenting as compared to the children in HG, but there were no differences in mother-reported positive parenting, or parental involvement as reported by either the children or mothers. These findings suggest that family interventions such as SET may be beneficial for mothers and children. An adaptation of SET specifically for families with children could further enhance benefits and improve acceptability and cost-effectiveness.
| Original language | English |
|---|---|
| Pages (from-to) | 746-755 |
| Number of pages | 10 |
| Journal | Journal of Family Psychology |
| Volume | 24 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 1 2010 |
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Keywords
- Children's externalizing and internalizing problems
- Maternal drug abuse
- Maternal HIV
- Structural Ecosystems Therapy
ASJC Scopus subject areas
- Psychology(all)
Cite this
Structural Ecosystems Therapy for Recovering HIV-Positive Women : Child, Mother, and Parenting Outcomes. / Mitrani, Victoria; McCabe, Brian; Robinson, Carleen; Weiss-Laxer, Nomi S.; Feaster, Daniel J.
In: Journal of Family Psychology, Vol. 24, No. 6, 01.12.2010, p. 746-755.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Structural Ecosystems Therapy for Recovering HIV-Positive Women
T2 - Child, Mother, and Parenting Outcomes
AU - Mitrani, Victoria
AU - McCabe, Brian
AU - Robinson, Carleen
AU - Weiss-Laxer, Nomi S.
AU - Feaster, Daniel J
PY - 2010/12/1
Y1 - 2010/12/1
N2 - This study presents results of a subgroup analysis from a randomized trial to examine whether Structural Ecosystems Therapy (SET), a family intervention intended to improve medication adherence and reduce drug relapse of HIV-seropositive (HIV+) women recovering from drug abuse, provided benefits for families with children. Data from 42 children and 25 mothers were analyzed at baseline, and 4, 8, and 12 months post-baseline. Results of longitudinal Generalized Estimating Equations analyses suggested that SET was more efficacious than the Health Group (HG) control condition in decreasing children's internalizing and externalizing problems and reducing mothers' psychological distress and drug relapse. Children in SET reported improvements in positive parenting as compared to the children in HG, but there were no differences in mother-reported positive parenting, or parental involvement as reported by either the children or mothers. These findings suggest that family interventions such as SET may be beneficial for mothers and children. An adaptation of SET specifically for families with children could further enhance benefits and improve acceptability and cost-effectiveness.
AB - This study presents results of a subgroup analysis from a randomized trial to examine whether Structural Ecosystems Therapy (SET), a family intervention intended to improve medication adherence and reduce drug relapse of HIV-seropositive (HIV+) women recovering from drug abuse, provided benefits for families with children. Data from 42 children and 25 mothers were analyzed at baseline, and 4, 8, and 12 months post-baseline. Results of longitudinal Generalized Estimating Equations analyses suggested that SET was more efficacious than the Health Group (HG) control condition in decreasing children's internalizing and externalizing problems and reducing mothers' psychological distress and drug relapse. Children in SET reported improvements in positive parenting as compared to the children in HG, but there were no differences in mother-reported positive parenting, or parental involvement as reported by either the children or mothers. These findings suggest that family interventions such as SET may be beneficial for mothers and children. An adaptation of SET specifically for families with children could further enhance benefits and improve acceptability and cost-effectiveness.
KW - Children's externalizing and internalizing problems
KW - Maternal drug abuse
KW - Maternal HIV
KW - Structural Ecosystems Therapy
UR - http://www.scopus.com/inward/record.url?scp=78650719615&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78650719615&partnerID=8YFLogxK
U2 - 10.1037/a0021638
DO - 10.1037/a0021638
M3 - Article
C2 - 21171773
AN - SCOPUS:78650719615
VL - 24
SP - 746
EP - 755
JO - Journal of Family Psychology
JF - Journal of Family Psychology
SN - 0893-3200
IS - 6
ER -