Abstract
Mothers living with HIV (MLH) face unique stressors impacting parenting, parenting stress, and child psychosocial functioning, but longitudinal, bidirectional relations among family processes have not been examined in this population. This study examined relations among parenting quality, parenting stress, and child functioning in 174 MLH-child dyads (aged 6–14, Mage = 9.65, SD = 2.49; 51% female; 57% Black/African American; 35% Latinx). Families completed self-report questionnaires over four waves spanning 15 months. Cross-lagged panel analysis revealed unidirectional and bidirectional relations between parenting stress and child functioning; parenting quality and child functioning; and parenting quality and parenting stress. The findings suggest that prevention and intervention efforts with HIV-affected families should target both parent factors (e.g., communication skills) and child factors (e.g., emotion regulation), emphasizing parenting stress reduction in order to bolster family outcomes.
Similar content being viewed by others
References
Abidin, R. R. (1992). The Determinants of Parenting Behavior. Journal of Clinical Child Psychology. https://doi.org/10.1207/s15374424jccp2104_12
Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4-18 and 1991 profile. University of Vermont, Department of Psychiatry
Armistead, L., Cook, S., Skinner, D., Toefy, Y., Anthony, E. R., Zimmerman, L., Salama, C., Hipp, T., Goodnight, B., & Chow, L. (2014). Preliminary results from a family-based HIV prevention intervention for South African youth. Health Psychology, 33(7), 668–676. https://doi.org/10.1037/hea0000067
Barber, B. K., Stolz, H. E., Olsen, J. A., Collins, W. A., & Olsen, A. (2005). Parental support, psychological control: control, and behavioral assessing relevance across time, and method culture. Monographs of the Society for Research in Child Development, 70, 4
Belsky, J. (1984). The determinants of parenting: a process model. Child Development, 55(1), 83–96
Besemer, S., Loeber, R., Hinshaw, S. P., & Pardini, D. A. (2016). Bidirectional associations between externalizing behavior problems and maladaptive parenting within parent–son dyads across childhood. Journal of Abnormal Child Psychology, 44(7), 1387–1398. https://doi.org/10.1007/s10802-015-0124-6
Brennan, P. A., Le Brocque, R., & Hammen, C. (2003). Maternal depression, parent–child relationships, and resilient outcomes in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 42(12), 1469–1477. https://doi.org/10.1097/00004583-200312000-00014
Centers for Disease Control and Prevention [CDC]. (2014). NCHHSTP State Profiles. Retrieved from http://www.cdc.gov/nchhstp/stateprofiles/usmap.htm
Centers for Disease Control and Prevention. (2019). HIV surveillance report, 2018 (Preliminary). https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-vol-30.pdf
Chi, P., & Li, X. (2013). Impact of parental HIV/AIDS on children’s psychological well-being: a systematic review of global literature. AIDS and Behavior, 17(7), 2554–2574. https://doi.org/10.1007/s10461-012-0290-2
Chi, P., Li, X., Tam, C. C., Du, H., Zhao, G., & Zhao, J. (2015). Parenting mediates the impact of caregivers’ distress on children’s well-being in families affected by HIV/AIDS. AIDS and Behavior, 19(11), 2130–2139. https://doi.org/10.1007/s10461-015-1104-0
Cousino, M. K., & Hazen, R. A. (2013). Parenting stress among caregivers of children with chronic illness: a systematic review. Journal of Pediatric Psychology, 38(8), 809–828. https://doi.org/10.1093/jpepsy/jsto49
Crnic, K., & Ross, E. (2017). Parenting stress and parental efficacy. In K. Deater-Deckard, & R. Panneton (Eds.), Parental stress and early child development: adaptive and maladaptive outcomes (pp. 263–284). Springer International Publishing. https://doi.org/10.1007/978-3-319-55376-4_11
LeCroix, R. H., Chan, W. Y., Henrich, C., Palin, F., Shanley, J., & Armistead, L. (2019). Maternal HIV and adolescent functioning in South Africa: the role of the mother–child relationship. Journal of Early Adolescence, 1–21. https://doi.org/10.1177/0272431618824726
Eccles, J. S. (1999). Children ages 6 to 14. The Future of Children, 9(2), 30–44.
Gamarel, K. E., Kuo, C. C., Boyes, M. E., & Cluver, L. D. (2017). The dyadic effects of HIV stigma on the mental health of children and their parents in South Africa. Journal of HIV/AIDS and Social Services, 16(4), 351–366. https://doi.org/10.1080/15381501.2017.1320619
Gleeson, J. P., Hsieh, C. M., & Cryer-Coupet, Q. (2016). Social support, family competence, and informal kinship caregiver parenting stress: the mediating and moderating effects of family resources. Children and Youth Services Review, 67, 32–42. https://doi.org/10.1016/j.childyouth.2016.05.012
Goodrum, N. M., Jones, D. J., Kincaid, C. Y., Cuellar, J., & Parent, J. M. (2012). Youth externalizing problems in African American single-mother families: a culturally relevant model. Couple and Family Psychology: Research and Practice, 1(4), 294–305. https://doi.org/10.1037/a0029421
Goodrum, N. M., Armistead, L. P., Tully, E. C., Cook, S. L., & Skinner, D. (2017). Parenting and youth sexual risk in context: the role of community factors. Journal of Adolescence, 57, 1–12. https://doi.org/10.1016/j.adolescence.2017.02.013
Goodrum, N. M., Masyn, K. E., Armistead, L. P., Schulte, M., Marelich, W., & Murphy, D. A. (2021). A mixed-methods longitudinal investigation of mothers’ disclosure of HIV to their children. Child Development. https://doi.org/10.1111/cdev.13493
Harrison, S. E., Li, X., Zhang, J. J., Zhao, J., & Zhao, G. (2019). A cluster randomized controlled trial to evaluate a resilience-based intervention for caregivers of HIV-affected children in China. AIDS, 33, S81–S91. https://doi.org/10.1097/QAD.0000000000002181
Haskett, M. E., Ahern, L. S., Ward, C. S., & Allaire, J. C. (2006). Factor structure and validity of the parenting stress index-short form. Journal of Clinical Child and Adolescent Psychology, 35(2), 302–312. https://doi.org/10.1207/s15374424jccp3502_14
Hipwell, A., Keenan, K., Kasza, K., Loeber, R., Stouthamer-Loeber, M., & Bean, T. (2008). Reciprocal influences between girls’ conduct problems and depression, and parental punishment and warmth: a six year prospective analysis. Journal of Abnormal Child Psychology, 36(5), 663–677. https://doi.org/10.1007/s10802-007-9206-4
Johnson, E. R., Davies, S. L., Aban, I., Mugavero, M. J., Shrestha, S., & Kempf, M.-C. (2015). Improving parental stress levels among mothers living with HIV: a randomized control group intervention study. AIDS Patient Care and STDs, 29(4), 220–228. https://doi.org/10.1089/apc.2014.0187
Kashdan, T. B., Jacob, R. G., Pelham, W. E., Lang, A. R., Hoza, B., Blumenthal, J. D., & Gnagy, E. M. (2004). Depression and Anxiety in Parents of Children With ADHD and Varying Levels of Oppositional Defiant Behaviors: Modeling Relationships With Family Functioning. Journal of Clinical Child and Adolescent Psychology, 33(1), 169–181. https://doi.org/10.1207/S15374424JCCP3301_16
Kovacs, M. (2011). Children’s Depression Inventory (CDI). In Encyclopedia of Child Behavior and Development (Vol. 21, Issue 4, pp. 360–360). https://doi.org/10.1007/978-0-387-79061-9_4285
Lachman, J. M., Cluver, L. D., Boyes, M. E., Kuo, C., & Casale, M. (2014). Positive parenting for positive parents: HIV/AIDS, poverty, caregiver depression, child behavior, and parenting in South Africa. AIDS Care, 26(3), 304–313. https://doi.org/10.1080/09540121.2013.825368
LeCroix, R. H., Goodrum, N. M., Hufstetler, S., & Armistead, L. P. (2017). Community data collection with children of mothers living with HIV: boundaries of the researcher role. American Journal of Community Psychology, 60(3–4), 368–374. https://doi.org/10.1002/ajcp.12193
Liu, L., & Wang, M. (2015). Parenting stress and children’s problem behavior in China: The mediating role of parental psychological aggression. Journal of Family Psychology, 29(1), 20–28. https://doi.org/10.1037/fam0000047
Loeber, R., Farrington, D. P., Stouthamer-Loeber, M., & Van Kammen, W. B. (1998). Antisocial Behavior and Mental Health Problems. In Antisocial Behavior and Mental Health Problems. Lawrence Erlbaum Associates Publishers. https://doi.org/10.4324/9781410602930
Markham, C. M., Lormand, D., Gloppen, K. M., Peskin, M. F., Flores, B., Low, B., & House, L. D. (2010). Connectedness as a predictor of sexual and reproductive health outcomes for youth. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 46(3 Suppl), S23–41. https://doi.org/10.1016/j.jadohealth.2009.11.214
Momplaisir, F. M., Brady, K. A., Fekete, T., Thompson, D. R., Roux, A. D., & Yehia, B. R. (2015). Time of HIV diagnosis and engagement in prenatal care impact virologic outcomes of pregnant women with HIV. PLoS ONE, 10(7). https://doi.org/10.1371/journal.pone.0132262
Morgan, J., Robinson, D., & Aldridge, J. (2002). Parenting stress and externalizing child behavior. Child and Family Social Work, 7, 219–225
Murphy, D. A., Armistead, L., Marelich, W. D., & Herbeck, D. M. (2015). Parenting deficits of mothers living with HIV/AIDS who have young children. Vulnerable Children and Youth Studies, 10(1), 41–54. https://doi.org/10.1080/17450128.2014.931614
Murphy, D. A., Armistead, L., Marelich, W. D., Payne, D. L., & Herbeck, D. M. (2011). Pilot trial of a disclosure intervention for HIV+ mothers: the TRACK program. Journal of Consulting and Clinical Psychology, 79(2), 203–214. https://doi.org/10.1037/a0022896
Murphy, D. A., Armistead, L., Payne, D. L., Marelich, W. D., & Herbeck, D. M. (2017). Pilot trial of a parenting and self-care intervention for HIV-positive mothers: the IMAGE program. AIDS Care, 29(1), 40–48. https://doi.org/10.1080/09540121.2016.1204416
Neece, C. L., Green, S. A., & Baker, B. L. (2012). Parenting stress and child behavior problems: a transactional relationship across time. American Journal on Intellectual and Developmental Disabilities, 117(1), 48–66. https://doi.org/10.1352/1944-7558-117.1.48
Paschall, K. W., & Mastergeorge, A. M. (2016). A review of 25 years of research in bidirectionality in parent–child relationships. International Journal of Behavioral Development, 40(5), 442–451. https://doi.org/10.1177/0165025415607379
Prinz, R. J., Foster, S., Kent, R. N., & O’Leary, K. D. (1979). Multivariate assessment of conflict in distressed and nondistressed mother–adolescent dyads. Journal of Applied Behavior Analysis, 12(4), 691–700
Qiao, S., Li, X., & Stanton, B. (2013). Disclosure of parental HIV infection to children: a systematic review of global literature. AIDS and Behavior, 17(1), 369–389. https://doi.org/10.1007/s10461-011-0069-x
Reitz, E., Dekovic, M., & Meijer, A. M. (2006). Relations between parenting and externalizing and internalizing problem behaviour in early adolescence: child behaviour as moderator and predictor. Journal of Adolescence, 29(3), 419–436. https://doi.org/10.1016/j.adolescence.2005.08.003
Remien, R. H., Stirratt, M. J., Nguyen, N., Robbins, R. N., Pala, A. N., & Mellins, C. A. (2019). Mental health and HIV/AIDS: the need for an integrated response. AIDS, 33(9), 1411–1420. https://doi.org/10.1097/QAD.0000000000002227
Rochat, T., Netsi, E., Redinger, S., & Stein, A. (2017). Parenting and HIV. Current Opinion in Psychology, 15, 155–161. https://doi.org/10.1016/j.copsyc.2017.02.019
Rochat, T. J., Houle, B., Stein, A., Pearson, R. M., Newell, M. L., & Bland, R. M. (2018). Psychological morbidity and parenting stress in mothers of primary school children by timing of acquisition of HIV infection: A longitudinal cohort study in rural South Africa. Journal of Developmental Origins of Health and Disease, 9(1), 41–57. https://doi.org/10.1017/S204017441700068X
Sameroff, A. (2010). A unified theory of development: a dialectic integration of nature and nurture. Child Development, 81(1), 6–22. https://doi.org/10.1111/j.1467-8624.2009.01378.x
Sameroff, A. (2009). The transactional model. In The transactional model of development: how children and contexts shape each other, (pp. 3–21). American Psychological Association. https://doi.org/10.1037/11877-001
Sander, J. B., & McCarty, C. A. (2005). Youth depression in the family context: familial risk factors and models of treatment. Clinical Child and Family Psychology Review, 8(3), 203–219. https://doi.org/10.1007/s10567-005-6666-3
Sangaramoorthy, T., Jamison, A., & Dyer, T. (2017). Intersectional stigma among midlife and older Black women living with HIV. Culture, Health and Sexuality, 19(12), 1329–1343. https://doi.org/10.1080/13691058.2017.1312530
Schulte, M. T., Armistead, L., Murphy, D. A., & Marelich, W. (2021). Multisite longitudinal efficacy trial of a disclosure intervention (TRACK) for HIV+ mothers. Journal of Consulting and Clinical Psychology, 89(2), 81–95. https://doi.org/10.1037/ccp0000622
Schulte, M. T., Armistead, L., Marelich, W. D., Payne, D. L., Goodrum, N. M., & Murphy, D. A. (2017). Maternal parenting stress and child perception of family functioning among families affected by HIV. Journal of the Association of Nurses in AIDS Care, 28(5), 784–794. https://doi.org/10.1016/j.jana.2017.05.004
Selig, J. P., & Little, T. D. (2012). Autoregressive and cross-lagged panel analysis for longitudinal data. In B. Laursen, T. D. Little & N. A. Card (Eds.), Handbook of Developmental Research Methods (pp. 265–278). Guilford Press
Serbin, L. A., Kingdon, D., Ruttle, P. L., & Stack, D. M. (2015). The impact of children’s internalizing and externalizing problems on parenting: transactional processes and reciprocal change over time. Development and Psychopathology, 27(4 pt 1), 969–986. https://doi.org/10.1017/S0954579415000632
Stein, A., Desmond, C., Garbarino, J., Van IJzendoorn, M. H., Barbarin, O., Black, M. M., Stein, A. D., Hillis, S. D., Kalichman, S. C., Mercy, J. A., Bakermans-Kranenburg, M. J., Rapa, E., Saul, J. R., Dobrova-Krol, N. A., & Richter, L. M. (2014). Predicting long-term outcomes for children affected by HIV and AIDS: perspectives from the scientific study of children’s development. AIDS, 28(Suppl 3), S261–8. https://doi.org/10.1097/QAD.0000000000000328
Tarantino, N., & Armistead, L. P. (2016). A parent-based intervention to prevent HIV among adolescent children of mothers living with HIV: the Ms. Now! Program. Vulnerable Children and Youth Studies, 11(2), 160–172. https://doi.org/10.1080/17450128.2016.1189021
Yap, M. B. H., Pilkington, P. D., Ryan, S. M., & Jorm, A. F. (2014). Parental factors associated with depression and anxiety in young people: a systematic review and meta-analysis. Journal of Affective Disorders, 156, 8–23. https://doi.org/10.1016/j.jad.2013.11.007
Yoo, J. A. (2017). Developmental changes in the bidirectional relationships between parental monitoring and child delinquency. Children and Youth Services Review, 73, 360–367. https://doi.org/10.1016/j.childyouth.2017.01.008
Acknowledgements
We would like to thank Dr Wing Yi Chan and Dr Laura McKee for their input on this project.
Funding
This research was supported by the National Institute of Mental Health Grant Numbers R01MH094233 (PI: L.P.A.), R01MH094148 (PI: M.S.), and F31MH109370 (PI: N.M.G.). N.M.G. is supported by training grant T32MH18869 (PIs: Danielson and Kilpatrick). D.A.M. acknowledges additional support from the National Institute of Mental Health (P30MH58107).
Data Sharing and DeclarationThis manuscript’s data will not be deposited.
Author information
Authors and Affiliations
Contributions
N.M.G. conceived of the study, participated in its design and coordination, performed the statistical analysis, and drafted the manuscript; L.P.A. conceived of the study, participated in its design and coordination, participated in the interpretation of the data, and helped to draft the manuscript; K.M. supervised the statistical analysis and participated in the interpretation of the data; M.S. participated in the study design and coordination and helped to draft the manuscript; D.A.M. participated in the study design and coordination and helped to draft the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare no competing interests.
Ethical Approval
This study was approved by the Institutional Review Boards of Georgia State University and the University of California, Los Angeles. The study was performed in accordance with the ethical standards as described in the 1964 Declaration of Helsinki and its later amendments.
Informed Consent
Informed consent was obtained from all parent participants of this study, and assent was obtained from all child participants.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Goodrum, N.M., Armistead, L.P., Masyn, K. et al. Longitudinal Bidirectional Relations among Parenting Quality, Parenting Stress, and Child Functioning in HIV-affected Families. J Youth Adolescence 50, 1663–1678 (2021). https://doi.org/10.1007/s10964-021-01444-w
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10964-021-01444-w