The Complexity of Women’s Lives: Decision-making about Maternal HIV Disclosure

HIV/AIDS has reached epidemic levels in Washington, D.C. and mothers living with HIV increasingly have to make difficult decisions about whether or not to disclose their HIV status to their children. Focus groups were conducted with a sample of women (N = 15) living in Washington, D.C. to investigate maternal decision-making about HIV disclosure, the factors that influenced disclosure, challenges to disclosure, and children’s reactions to disclosure. This was a first step towards the larger goal of developing a culturally sensitive disclosure decision-making intervention. Participants were asked to identify elements to include in such an intervention. We also quantitatively examined participants’ psychosocial outcomes of depression, perceived social support, quality of life, and parenting challenges. Our preliminary findings showed that most participants experienced intense emotional distress after receiving an HIV diagnosis and this distress prevented them from disclosing their HIV status to family members and children. Several specific parenting concerns (e.g., age and gender of child, relationship to child, and number of children) influenced their decisions to disclose. All participants reported that HIV related stigma and discrimination as significant disclosure-related challenges. Health providers were not always perceived as being able to support participants in making a decision about whether or not to disclose their HIV status to their children.     

Paternal autonomy restriction,neighborhood safety,and child anxiety trajectory in community youth

Intrusive parenting, primarily examined among middle to upper-middle class mothers, has been positively associated with the presence and severity of anxiety in children. This study employed cross-sectional linear regression and longitudinal latent growth curve analyses to evaluate the main and interactive effects of early childhood paternal autonomy restriction (AR) and neighborhood safety (NS) on the trajectory of child anxiety in a sample of 596 community children and fathers from the NICHD SECYD. Longitudinal analyses revealed that greater paternal AR at age 6 was actually associated with greater decreases in child anxiety in later childhood. Cross-sectional analyses revealed main effects for NS across childhood, and interactive effects of paternal AR and NS that were present only in early childhood, whereby children living in safer neighborhoods demonstrated increased anxiety when experiencing lower levels of paternal AR. Findings further clarify for whom and when paternal AR impacts child anxiety in community youth.     

Electrophysiological indices of emotion processing during retrieval of autobiographical memories by school-age children

We used event-related potentials (ERPs) to examine emotion processing during retrieval of emotional autobiographical memories by school-age children. We initiated processing of the emotional experiences using neutral cue words. On one-third of trials, children were instructed to think of a memory of a negative event, and on another third of trials, they were instructed to think of a memory of a positive event. We then recorded ERPs from 32 electrode sites as the children processed the emotional memories again later in the testing session. The 7- to 10-year-old children generated memories appropriate to the valences specified in the instructions. Neural responses differed as a function of the emotional valence of the events associated with the cues and as a function of gender. In the sample as a whole, differential processing of positive relative to negative and neutral emotions was apparent at posterior electrode sites 1,000–1,500 ms after stimulus onset. For girls, the effect was apparent beginning at 500 ms. No differences between the neural responses to negative and neutral stimuli were observed. At frontal electrode sites, girls evidenced faster processing of positive than of negative emotion, whereas boys evidenced faster processing of negative than of positive emotion. In conclusion, we discuss the possible origins of gender-differential patterns of neural processing.     

Unrequited love: The role of prior commitment,motivation to remain friends,and friendship maintenance

ABSTRACT

This study tested a moderated mediation model that commitment prior to an unrequited love episode will be related to higher levels of friendship maintenance behaviors after the episode and that this relationship will be mediated by the individual’s motivations to remain friends with the rejecter. We predicted that rejection distress would weaken the mediational model among those reporting high distress. Participants wrote about an unrequited love experience as a pursuer and completed measures of pre-unrequited love commitment, rejection distress, motivations to remain friends, and friendship maintenance behaviors. Our results confirmed the moderated mediation model when the motivations to remain friends measure overall score, the interpersonal connection motivation, or the social connections motivation was the mediator. When covariates were added, only the model with the overall motivations score as mediator was supported. These data can help laypersons and mental health professionals understand and potentially repair friendships following an unrequited love episode.