Search

Your search keyword '"Firpo-Perretti, Yudelki M."' showing total 6 results
Start Over Author "Firpo-Perretti, Yudelki M."
6 results on '"Firpo-Perretti, Yudelki M."'

1. Parent-reported stigma and child anxiety: A mixed methods research study

Author

Chavira, Denise A, Bantados, Brenda, Rapp, Amy, Firpo-Perretti, Yudelki M, Escovar, Emily, Dixon, Louise, Drahota, Amy, and Palinkas, Lawrence A

Subjects
Social Work, Sociology, Human Society, Behavioral and Social Science, Pediatric, Mental Health, Clinical Research, Brain Disorders, 7.1 Individual care needs, Management of diseases and conditions, Mental health, Good Health and Well Being, Stigma, Child anxiety, Service utilization, Ethnic minority youth, Mixed methods research, Applied Economics, Social work
Abstract

BackgroundStigma has been frequently cited as a barrier to service use for various mental health problems. Studies suggest that stigma may be greater for childhood mental health problems that are perceived as more atypical.AimsThis study utilized a mixed methods research design (qual + QUAN) to examine parental endorsement of stigma and its impact on service utilization among children with significant anxiety-a common childhood problem frequently perceived as normative.MethodsSemi-structured qualitative interviews were conducted with 29 parents of anxious children. Qualitative data were coded using a grounded theory approach, and stigma-related responses were examined for emergent themes. Quantitative data was analyzed with frequency counts and chi-square analysis.ResultsStigma related to children's anxiety symptoms and seeking mental health services was reported by 41.3% (n = 12) of parents. Emergent themes included: 1) Parental Concern for Negative Consequences, 2) Parent Internalized Stigma, and 3) Negative Associations with Mental Health Treatment. Latino parents discussed stigma more frequently than non-Latino White parents (70% vs. 17.6%, respectively, X2(1, N = 27) = 5.33, p < 0.05).ConclusionsAlthough anxiety is a common childhood problem, stigma is still frequently reported by parents and may be an important barrier to mental health service use, especially among Latino youth.

Published
2017

2. Past, present or future? Word tense and affect in autobiographical narratives of women with HIV in relation to health indicators

Author

Firpo-Perretti, Yudelki M., Cohen, Mardge H., Weber, Kathleen M., and Brody, Leslie R.

Subjects
HIV patients -- Records and correspondence -- Psychological aspects, Word choice -- Social aspects -- Psychological aspects, Women patients -- Records and correspondence -- Social aspects, Autobiographies -- Psychological aspects -- Authorship, Tense -- Social aspects -- Psychological aspects, HIV -- Patient outcomes, Psychology and mental health
Abstract

This study examined how the expression of positive and negative affect words and word tense in autobiographical narratives of 98 HIV+ women, predominantly African American, predicted undetectable HIV viral load (UDVL), CD4+ cells/mm.sup.3 counts and antiretroviral therapy medication (ART) adherence assessed concurrently (T1) and at 3 to 9-month follow-up (T2). Logistic regressions revealed that higher past tense words predicted worse odds of UDVL, CD4+ cells/mm.sup.3 above 350 at T1, and worse odds of 95% ART adherence at T2. However, using both high past tense words and high positive affect words predicted better odds of CD4+ cells/mm.sup.3 > 350 at T2. Higher future tense words predicted better odds of CD4+ cells/mm.sup.3 > 350 at T1. Additionally, using both high present tense words and negative affect words predicted better odds of UDVL at T1. These findings provide preliminary evidence that the quality of affect expression significantly interacts with temporal context to relate to the health of women with HIV., Author(s): Yudelki M. Firpo-Perretti [sup.1] , Mardge H. Cohen [sup.2] , Kathleen M. Weber [sup.2] , Leslie R. Brody [sup.1] Author Affiliations: (Aff1) 0000 0004 1936 7558, grid.189504.1, Department of [...]

Published
2018
Full Text
View/download PDF

6. Mother-child relationships, self-silencing, caregiving burden, and health outcomes among HIV+ and HIV− women

Author

Firpo-Perretti, Yudelki M.

Subjects
Psychology, Depression, HIV, Motherhood, Health-outcomes, Parent-child relationships
Abstract

Since the advent of antiretroviral therapy (ART), few studies have examined how mother-child relationships relate to physical and mental health in HIV+ and demographically-similar uninfected mothers. The present three studies investigated the relationships of mother-child relationship quality (MCRQ: measured qualitatively with autobiographical narratives) with HIV status, domestic violence, substance use, childcare burden, self-silencing, and mental and physical health outcomes. Health outcomes were measured at two time points, concurrent with the autobiographical narratives (T1) and 11 months later (T2). Participants were recruited from the Chicago Women’s Interagency HIV Study and included 87 HIV+ mothers and 38 demographically matched HIV‒ mothers (M age=43.8, SD=9.4) who were primarily African American (89.6%) and low income. Study 1 used analyses of covariance to examine relationships between MCRQ and concurrent HIV status, self-reported self-silencing, substance use, domestic violence, caregiving (i.e., number of children and time spent caregiving) and childcare burden (i.e., mother’s opinion of parenting, perceived difficulty of parenting, help received from children). Relative to HIV‒ mothers, HIV+ mothers spent fewer hours caregiving and cared for fewer children. Negative mother-child relationships related to higher substance use and self-silencing, and positive mother-child relationships related to more time caregiving and more children cared for. In Study 2, multiple and logistic regressions were used to examine MCRQ as predicting T1 and T2 self-reported depression symptoms and health-related quality of life among HIV+ and HIV‒ mothers, and self-reported ART adherence and viral load and CD4+ counts assessed through blood specimens in HIV+ mothers. Negative MCRQ predicted higher depression symptoms at T1, as well as lower health-related quality of life at T1 and T2. Positive MCRQ predicted lower viral load at T1. Study 3 examined the potential moderation of MCRQ on the relationship between time spent caregiving and health indicators in HIV+ and HIV‒ mothers. At higher levels of positive and negative MCRQ, more hours caring for children related to better odds of being 95% adherent to ART medications at T1. Together these studies suggest that mother-child relationships are integrally related to the health of HIV+ and HIV− mothers and may be important areas to consider in treating this population.

Published
2018

Catalog

Books, media, physical & digital resources
See catalog results