RESEARCH PAPER
Self-esteem and self-efficacy among HIV-positive adolescents: an intervention study
 
 
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1
Department of PG Studies and Research in Psychology, SDM College, Ujire, Karnataka, India
 
2
Department of Counselling, School of Social Work, Roshni Nilaya, Mangaluru, India
 
3
Department of Psychology, Christ (Deemed to be University), Hosur Road, Bengaluru, India
 
 
Submission date: 2020-11-07
 
 
Final revision date: 2021-05-07
 
 
Acceptance date: 2021-05-09
 
 
Publication date: 2021-12-30
 
 
HIV & AIDS Review 2022;21(1):37-42
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The aim of the present study was to understand the impact of comprehensive intervention program on self-esteem and self-efficacy among human immunodeficiency virus (HIV)-positive adolescents.

Material and methods:
Participants of the research were perinatally HIV-infected adolescent boys and girls, currently living in HIV care and support center. The study adopts a quasi-experimental non-equivalent control group design. Sample consisted of 97 adolescents (47 boys and 50 girls). Self- esteem was assessed using Morris Rosenberg’s (1965) self-esteem scale, and self-efficacy was assessed using general self-efficacy scale (GSE) (1995) by Ralf Schwarzer & Matthias Jerusalem. It was hypothesized that there would be a significant improvement in the level of self-esteem and self-efficacy among participants of experimental group and no such improvement would be noticed in control group. Group intervention was conducted for experimental group focusing on four domains – physical, cognitive, affective, and social, for 44 hours spread over 6 months. Comprehensive intervention was implemented through innovative expressive strategies. Participants were assessed pre and post-intervention. Results were analyzed using correlated t-test for self-esteem and Wilcoxon signed-rank test for self-efficacy scores.

Results:
There is a significant improvement in the level of self-esteem (t = 21.154; p < 0.001) and self-efficacy (z = 6.036; p < 0.001) post-intervention in the experimental group, and no such improvement was observed on both the variables in control group.

Conclusions:
The current study reveal that post-intervention there is a significant improvement in the level of self-esteem and self-efficacy among HIV-positive adolescents.

 
REFERENCES (33)
1.
CDC. HIV Basics. 2015. Available at: http://www.cdc.gov/hiv/basics/... (Accessed: 14.07.2020).
 
2.
WHO. What is the impact of HIV on families ? Evid Decis 2005. Available from: https://www.euro.who.int/__dat....
 
3.
0009/74664/E87762.pdf (Accessed: 14.07.2020).
 
4.
Vranda MN, Mothi SN. Psychosocial issues of children infected with HIV/AIDS. Indian J Psychol Med 2013; 35: 19-22.
 
5.
Butler AM, Williams PL, Howland LC, Storm D, Hutton N, Seage GR.
 
6.
Impact of disclosure of HIV infection on health-related quality of life among children and adolescents with HIV infection. Pediatrics 2009; 123: 935-943.
 
7.
Ferrand RA, Luethy R, Bwakura F, Mujuru H, Miller RF, Corbett EL.
 
8.
HIV infection presenting in older children and adolescents: a case series from Harare, Zimbabwe. Clin Infect Dis 2007; 44: 874-878.
 
9.
Vreeman RC, Scanlon ML, McHenry MS, Nyandiko WM.
 
10.
The physical and psychological effects of HIV infection and its.
 
11.
treatment on perinatally HIV-infected children. J Int AIDS Soc 2015; 18 (7 Suppl 6): 20258.
 
12.
Lightfoot M, Rotheram-Borus MJ, Tevendale H. An HIV-preventive intervention for youth living with HIV. Behav Modif 2007; 31: 345-363.
 
13.
Naswa S, Marfatia YS. Adolescent HIV/AIDS: issues and challenges. Indian J Sex Transm Dis AIDS 2010; 31: 1-10.
 
14.
Challen AR, Machin SJ, Gillham JE. The UK resilience programme: a school-based universal nonrandomized pragmatic controlled trial. J Consult Clin Psychol 2014; 82: 75-89.
 
15.
De Santis JP, Gonzalez-Guarda RM, Vasquez EP. Psychosocial and cultural correlates of depression among Hispanic men with HIV infection: a pilot study. J Psychiatr Ment Health Nurs 2012; 19: 860-869.
 
16.
Simoni JM, Huang B, Goodry EJ, Montoya HD. Social support and depressive symptomatology among HIV-positive women: the mediating role of self-esteem and mastery. Women Health 2005; 42: 1-15.
 
17.
Varni SE, Miller CT, McCuin T, Solomon S. Disengagement and engagement coping with HIV/AIDS stigma and psychological well-.
 
18.
being of people with HIV/AIDS. J Soc Clin Psychol 2012; 31: 123-150.
 
19.
Mavhu W, Berwick J, Chirawu P, et al. Enhancing psychosocial support for HIV positive adolescents in Harare, Zimbabwe. PLoS One 2013; 8: e70254; doi: 10.1371/journal.pone.0070254.
 
20.
Van Dyk AC. HIV AIDS Care & Counselling: a Multidisciplinary Approach. Cape Town: Pearson Education South Africa; 2008.
 
21.
Marshall R, Beach MC, Saha S, et al. Patient activation and improved outcomes in HIV-infected patients. J Gen Intern Med 2013; 28: 668-674.
 
22.
Naar-King S, Templin T, Wright K, Frey M, Parsons JT, Lam P. Psychosocial factors and medication adherence in HIV-positive youth. AIDS Patient Care STDS 2006; 20: 44-47.
 
23.
Lee TY, Cheung CK, Kwong WM. Resilience as a positive youth development construct: a conceptual review. Sci World J 2012; 2012: 390450; doi: 10.1100/2012/390450.
 
24.
Louthrenoo O. Evaluation of psychosocial adjustment and self-esteem in perinatally HIV-infected adolescents. Biomed J Sci Tech Res 2018; 2: 2166-2170.
 
25.
Ross AC, Camacho-Gonzalez A, Henderson S, Abanyie F, Chakraborty R. The HIV-infected adolescent. Curr Infect Dis Rep 2010; 12: 63-70.
 
26.
Atwine B, Cantor-Graae E, Bajunirwe F. Psychological distress among AIDS orphans in rural Uganda. Soc Sci Med 2005; 61: 555-564.
 
27.
Grassi L, Righi R, Sighinolfi L, Makoui S, Ghinelli F. Coping styles and psychosocial-related variables in HIV-infected patients. Psychosomatics 1998; 39: 350-359.
 
28.
Senyonyi R, Underwood L, Suarez E, Musisi S, Grande T. Cognitive behavioral therapy group intervention for HIV transmission risk behavior in perinatally infected adolescents. Health 2012; 4: 1334-1345.
 
29.
Zhao J, Chi P, Li X, Tam CC, Zhao G. Extracurricular interest as a resilience building block for children affected by parental HIV/AIDS. AIDS Care 2014; 26: 758-762.
 
30.
Wu L, Li X. Community-based HIV/AIDS interventions to promote psychosocial well-being among people living with HIV/AIDS: a literature review. Heal Psychol Behav Med 2013; 1: 31-46.
 
31.
Hyun MS, Nam KA, Kim MA. Randomized controlled trial of a cognitive–behavioral therapy for at-risk Korean male adolescents. Arch Psychiatr Nurs 2010; 24: 202-211.
 
32.
L’Etang S. A cognitive-behavioural-based counselling intervention programme: a rationale for the counselling of adolescents and youth living with HIV & AIDS in a rural South African town. South African J Psychol 2011; 41: 218-227.
 
33.
Rodkjaer L, Seeberg K, Laursen T, et al. The impact of a holistic intervention on self-efficacy and risk of depression in HIV-infected individuals in Denmark. J HIV Clin Sci Res 2014; 1: 011-018; doi: 10.17352/2455-3786.000003.
 
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ISSN:1730-1270
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