Factors Contributing to the Psychosocial Adjustment of Ugandan Preschool Children with HIV/AIDS

  • Rachelle A. Busman
  • Connie Page
  • Evelyn Oka
  • Bruno Giordani
  • Michael J. Boivin
Part of the Specialty Topics in Pediatric Neuropsychology book series (STPN)


This chapter examines the internalizing, externalizing, and total behavior problems of 119 preschool-age children with HIV/AIDS in Uganda. Variables are examined according to an ecological model of stress and coping consistent with the co-constructivist approach proposed by Li (Psychol Bull 129:171–194, 2003). Specifically, the context in which the child is living (e.g., health variables, demographic variables, home environment, and caregiver variables represented by who is caring for the child, caregiver anxiety and depression, and child outcomes (internalizing, externalizing, and total behavior concerns) are examined. A dynamic relationship between the context and child was discovered. Nearly 45 % of the children within the sample exhibited internalizing behavior concerns. The caregiving environment, as well as caregiver adjustment (anxiety and depression), was predictive of child internalizing behaviors. Furthermore, child characteristics and demographic variables (gender, medication status, and socioeconomic status) contributed to the adjustment of the caregiver. These findings demonstrate the dynamic and reciprocal relationship between young children with HIV/AIDS in Uganda and the context in which they live.


Cerebral Malaria Psychological Adjustment Psychosocial Adjustment Internalize Behavior Problem Total Behavior Problem 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The work and examples in this chapter were supported in part by grant R34MH082663 (PI: Boivin) from NIMH.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Rachelle A. Busman
    • 1
  • Connie Page
    • 2
  • Evelyn Oka
    • 3
  • Bruno Giordani
    • 4
  • Michael J. Boivin
    • 5
    • 6
  1. 1.Department of Counseling, Educational Psychology, and Special EducationMichigan State UniversityEast LansingUSA
  2. 2.Department of Probability and StatisticsMichigan State UniversityEast LansingUSA
  3. 3.Department of Counseling, Educational Psychology, and Special EducationMichigan State UniversityEast LansingUSA
  4. 4.Neuropsychology Section, Departments of Psychiatry, Neurology, and PsychologyUniversity of MichiganAnn ArborUSA
  5. 5.Departments of Psychiatry and Neurology/OphthalmologyMichigan State UniversityEast LansingUSA
  6. 6.Department of PsychiatryNeuropsychology SectionAnn ArborUSA

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