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Peer-group support intervention improves the psychosocial well-being of AIDS orphans: Cluster randomized trial

Kumakech, Edward; Cantor-Graae, Elizabeth LU ; Maling, Samuel and Bajunirwe, Francis LU (2009) In Social Science and Medicine 68(6). p.1038-1043
Abstract
Accumulating evidence suggests that AIDS orphanhood status is accompanied by increased levels of psychological distress such as anxiety, depression, intense guilt, shame, and anger. However, few studies have examined the possible reduction of psychological distress in AIDS orphans through the help of interventions that promote well-being. The objective of the study was to evaluate the effects of a school-based peer-group support intervention combined with periodic somatic health assessments and treatment on the psychosocial well-being of AIDS orphans in the Mbarara District of southwestern Uganda. In a cluster randomized controlled design, 326 AIDS orphans aged 10-15 years were assigned to either peer-group support intervention combined... (More)
Accumulating evidence suggests that AIDS orphanhood status is accompanied by increased levels of psychological distress such as anxiety, depression, intense guilt, shame, and anger. However, few studies have examined the possible reduction of psychological distress in AIDS orphans through the help of interventions that promote well-being. The objective of the study was to evaluate the effects of a school-based peer-group support intervention combined with periodic somatic health assessments and treatment on the psychosocial well-being of AIDS orphans in the Mbarara District of southwestern Uganda. In a cluster randomized controlled design, 326 AIDS orphans aged 10-15 years were assigned to either peer-group support intervention combined with monthly somatic healthcare (n = 159) or control group (n 167) for follow-up assessment. Baseline and 10 week follow-up psychological assessments were conducted in both groups using self-administered Beck Youth Inventories. Complete data were available for 298 orphans. After adjusting for baseline scores, follow-up scores for the intervention group in comparison with controls showed significant improvement in depression, anger, and anxiety but not for self-concept. This study demonstrated that peer-group support intervention decreased psychological distress, particularly symptoms of depression, anxiety and anger. Thus, the use of peer-group support interventions should be incorporated into existing school health programs. (C) 2008 Elsevier Ltd. All rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Uganda, distress, Psychological, Intervention, Peer-group support, AIDS, Orphans, Schools
in
Social Science and Medicine
volume
68
issue
6
pages
1038 - 1043
publisher
Elsevier
external identifiers
  • wos:000265003400008
  • scopus:61649112424
ISSN
1873-5347
DOI
10.1016/j.socscimed.2008.10.033
language
English
LU publication?
yes
id
a22f9437-75f7-4ac3-b125-e2f3f0ff4119 (old id 1400476)
date added to LUP
2009-06-15 13:56:20
date last changed
2017-11-19 03:34:57
@article{a22f9437-75f7-4ac3-b125-e2f3f0ff4119,
  abstract     = {Accumulating evidence suggests that AIDS orphanhood status is accompanied by increased levels of psychological distress such as anxiety, depression, intense guilt, shame, and anger. However, few studies have examined the possible reduction of psychological distress in AIDS orphans through the help of interventions that promote well-being. The objective of the study was to evaluate the effects of a school-based peer-group support intervention combined with periodic somatic health assessments and treatment on the psychosocial well-being of AIDS orphans in the Mbarara District of southwestern Uganda. In a cluster randomized controlled design, 326 AIDS orphans aged 10-15 years were assigned to either peer-group support intervention combined with monthly somatic healthcare (n = 159) or control group (n 167) for follow-up assessment. Baseline and 10 week follow-up psychological assessments were conducted in both groups using self-administered Beck Youth Inventories. Complete data were available for 298 orphans. After adjusting for baseline scores, follow-up scores for the intervention group in comparison with controls showed significant improvement in depression, anger, and anxiety but not for self-concept. This study demonstrated that peer-group support intervention decreased psychological distress, particularly symptoms of depression, anxiety and anger. Thus, the use of peer-group support interventions should be incorporated into existing school health programs. (C) 2008 Elsevier Ltd. All rights reserved.},
  author       = {Kumakech, Edward and Cantor-Graae, Elizabeth and Maling, Samuel and Bajunirwe, Francis},
  issn         = {1873-5347},
  keyword      = {Uganda,distress,Psychological,Intervention,Peer-group support,AIDS,Orphans,Schools},
  language     = {eng},
  number       = {6},
  pages        = {1038--1043},
  publisher    = {Elsevier},
  series       = {Social Science and Medicine},
  title        = {Peer-group support intervention improves the psychosocial well-being of AIDS orphans: Cluster randomized trial},
  url          = {http://dx.doi.org/10.1016/j.socscimed.2008.10.033},
  volume       = {68},
  year         = {2009},
}