Telling stories and adding scores: Measuring resilience in young children affected by maternal HIV and AIDS

Afr J AIDS Res. 2015;14(3):219-27. doi: 10.2989/16085906.2015.1052822. Epub 2015 Aug 20.

Abstract

"Telling stories and adding scores: Measuring resilience in young children affected by maternal HIV and AIDS", demonstrates how a concurrent mixed method design assisted cross-cultural comparison and ecological descriptions of resilience in young South African children, as well as validated alternative ways to measure resilience in young children. In a longitudinal randomised control trial, which investigated psychological resilience in mothers and children affected by HIV/AIDS, we combined a qualitative projective story-telling technique (Düss Fable) with quantitative data (Child Behaviour Checklist). The children mostly displayed adaptive resilience-related behaviours, although maladaptive behaviours were present. Participating children use internal (resolve/agency, positive future expectations, emotional intelligence) and external protective resources (material resources, positive institutions) to mediate adaptation. Children's maladaptive behaviours were exacerbated by internal (limited problem-solving skills, negative emotions) and external risk factors (chronic and cumulative adversity).

Keywords: HIV and AIDS; adaptation; cross-cultural comparison; indigenisation; protective resources; risk factors.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acquired Immunodeficiency Syndrome / psychology*
  • Acquired Immunodeficiency Syndrome / transmission
  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Emotional Intelligence
  • Female
  • HIV Infections / psychology*
  • HIV Infections / transmission
  • Humans
  • Infectious Disease Transmission, Vertical
  • Longitudinal Studies
  • Male
  • Resilience, Psychological*
  • Young Adult