An Exploration of the Quality of Primary Caregiving Relationships between Adolescents Orphaned through AIDS and Their Grandmothers, Based on the Narratives of Stakeholders
Authors: Mmapula Petunia Tsweleng
Abstract:
This qualitative study presents an exploration and findings thereof the quality of primary caregiving relationships between adolescents orphaned through Acquired Immune Deficiency Syndrome (AIDS) and their grandmothers. This exploration was based on in-depth narratives of six stakeholders who provided community-based psychosocial support services to children and families affected by AIDS. The narratives show that grandmothers provided high-quality parental care and support to the orphans. Furthermore, stakeholders categorised grandmother caregiving as genuine. Findings also show that the orphans thrived emotionally, socially, and cognitively and performed well academically. However, it was also identified that grandmothers’ caregiving had elements of overprotectiveness as well as susceptibility to manipulation -which appeared to be a threat to the positive development of the orphans. Relevant interventions, with a special focus on strengthening grandmother caregiving, are needed. Special attention should be on equipping grandmothers with a better understanding of adolescent behaviours and abilities to provide appropriate monitoring and supervision.
Keywords: Adolescent orphans, AIDS, caregiving relationships, grandmothers.
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[1] M. Apostolou, “I Am Right for Your Child! Tactics for Manipulating Potential Parents-In-Law”, Human Nature, vol. 26, pp. 378-391, 2015. https://doi-org.ezproxy.uwc.ac.za/10.1007/s12110-015-9241-8
[2] N. Y. F. Bruysters, & P. D. Pilkington, “Overprotective parenting experiences and early maladaptive schemas in adolescence and adulthood: A systematic review and meta‐analysis”, Clinical Psychology & Psychotherapy, vol. 30, no.1, pp. 10-23, 2023. https://doi.org/10.1002/cpp.2776
[3] J. N. Clark, “Youth violence in South Africa: the case for a restorative justice response”, Contemporary Justice Review, vol. 15, no.1, pp. 77-95, 2012. https://doi-org.ezproxy.uwc.ac.za/10.1080/10282580.2011.653521
[4] L. D. Cluver, M. Orkin, F. Gardner, & M. E. Boyes, “Persisting mental health problems among AIDS‐orphaned children in South Africa”, Journal of Child Psychology and Psychiatry, vol. 53, no. 4, pp. 363-370, 2012. https://doi-org.ezproxy.uwc.ac.za/10.1111/j.1469-7610.2011.02459.x
[5] S. Collishaw, F. Gardner, J. Lawrence Aber, & L. Cluver, “Predictors of Mental Health Resilience in Children who Have Been Parentally Bereaved by AIDS in Urban South Africa”, Journal of Abnormal Child Psychology, vol. 44, no. 4, pp. 719-730, 2016. https://doi.org/10.1007/s10802-015-0068-x
[6] M. R. Gigengack, I. M. Hein, R. Lindeboom, & R. J. Lindauer, “Increasing Resource Parents’ Sensitivity towards Child Posttraumatic Stress Symptoms: a Descriptive Study on a Trauma-Informed Resource Parent Training”, Journal of Child & Adolescent Trauma, vol. 12, no. 1, pp. 23-29, 2019. https://doi.org/10.1007/s40653-017-0162-z
[7] H. V. Huynh, S. P. Limber, C. L. Gray, M. P. Thompson, A. I., Wasonga, V. Vann, ... & K. Whetten, “Factors affecting the psychosocial well-being of orphan and separated children in five low-and middle-income countries: Which is more important, quality of care or care setting?”, PloS one, vol. 14, no. 6, e0218100, 2019. https://doi.org/10.1371/journal.pone.0218100
[8] W. A. Kinghorn, C. L. Keyes, H. E. Parnell, D. E. Eagle, B. M. Biru, C. Amanya, ... & R. J. Proeschold-Bell, “Putting virtues in context: engaging the VIA classification of character strengths in caregiving for orphans and vulnerable children across cultures”, The Journal of Positive Psychology, vol. 14, no. 6, pp. 845-853, 2019. https://doi.org/10.1080/17439760.2019.1579363
[9] S. Li, X. Xu, S. Lai, S. Song, & Q. Liu, “Depression and sleep disorders among AIDS orphans in an HIV/AIDS high‐epidemic area in China”, Child: Care, Health and Development, vol. 48, no. 4, pp. 595-604, 2022. https://doi.org/10.1111/cch.12964
[10] H. N. MacGregor, “Mapping the body: Tracing the personal and the political dimensions of HIV/AIDS in Khayelitsha, South Africa”, Anthropology & Medicine, vol. 16, no. 1, pp. 85-95, 2009. https://doi-org.ezproxy.uwc.ac.za/10.1080/13648470802426326
[11] T. Malinga‐Musamba, “The nature of relationships between orphans and their kinship carers in B otswana”, Child & Family Social Work, vol. 20, no. 3, pp. 257-266, 2015. https://doi-org.ezproxy.uwc.ac.za/10.1111/cfs.12121
[12] L. Maradik Harris, & B. J. Kim, “Problem-focused coping: Skipped-generation caregivers affected by HIV/AIDS in Vietnam”, Qualitative Health Research, vol. 24, no. 8, pp. 1048-1056, 2014. https://doi.org/10.1177/1049732314541010
[13] S. Mason, & V. O. Saltzman, “Stigma as Experienced by Children of HIV-Positive Parents: A Narrative Review”, AIDS Care, vol. 31, pp. 1049-1060, 2019. https://doi.org/10.1080/09540121.2019.1573968
[14] L. Mathijs, B. Mouton, G. Zimmermann, & S. Van Petegem, “Overprotective parenting and social anxiety in adolescents: The role of emotion regulation”, Journal of Social and Personal Relationships, 02654075231173722, 2023. https://doi-org.ezproxy.uwc.ac.za/10.1177/02654075231173722.
[15] B. Meini, & M. Tognetti Bordogna, “The impact of HIV-related stigma on children orphaned by AIDS or living with seropositive caregivers”, International Review of Sociology, vol. 28, no. 3, pp. 541-555, 2018. https://doi.org/10.1080/03906701.2018.1529090
[16] T. Nyoni, P. Nabunya, & F. M. Ssewamala, “Perceived social support and psychological wellbeing of children orphaned by HIV/AIDS in Southwestern Uganda”, Vulnerable children and youth studies, vol. 14, no. 4, pp. 351-363, 2019. https://doi.org/10.1080/17450128.2019.1634855
[17] H. L. Osuji, P. Nabunya, W. Byansi, T. M. Parchment, F. Ssewamala, M. M. McKay, & K. Y. Huang, “Social support and school outcomes of adolescents orphaned and made vulnerable by HIV/AIDS living in South Western Uganda”, Vulnerable children and youth studies, vol. 13, no. 3, pp. 228-238, 2018. https://doi.org/10.1080/17450128.2018.1439211
[18] D. R. Phetlhu, & M. Watson, “Challenges faced by grandparents caring for AIDS orphans in Koster, North West Province of South Africa: HIV/AIDS management and care”, African Journal for Physical Health Education, Recreation and Dance vol. 2, sup-1, pp. 348-359, 2014. https://hdl-handle-net.ezproxy.uwc.ac.za/10520/EJC164795
[19] J. M. Raymond, & T. R. Zolnikov, “AIDS-affected orphans in sub-Saharan Africa: a scoping review on outcome differences in rural and urban environments”, AIDS and Behavior, vol. 22, pp. 3429-3441, 2018. https://doi.org/10.1007/s10461-018-2134-1
[20] J. Ringson, “The impact of inheritance experiences in orphans and vulnerable children support in Zimbabwe: A caregivers' perspective”, Child & Family Social Work, vol. 24, no. 4, 503-511, 2019. https://doi.org/10.1111/cfs.12630
[21] C. Sharp, P. Kulesz, L., Marais, C. Shohet, K. Rani, M. Lenka, ... & M. Boivin, “Mediational intervention for sensitizing caregivers to improve mental health outcomes in orphaned and vulnerable children”, Journal of Clinical Child & Adolescent Psychology, vol. 51, no. 5, pp. 764-779, 2022. https://doi.org/10.1080/15374416.2021.1881903
[22] G. Thupayagale-Tshweneagae, & Z. Mokomane, “Needs of South African adolescents orphaned by AIDS: evidence from photography and photo-elicitation”, International Nursing Review, vol. 60, pp. 88-95, 2013. https://doi-org.ezproxy.uwc.ac.za/10.1111/j.1466-7657.2012.00996.x
[23] P. Tsweleng, & N. Roman, “My mother has AIDS: Stories of adolescents living in Khayelitsha, South Africa”, Journal of Community and Health Sciences, vol. 8, no. 1, pp. 47-56, 2013.
[24] M. P. Tsweleng, “A Systematic Review Regarding Caregiving Relationships of Adolescents Orphaned by Aids and Primary Caregivers (Abstract)”, International Journal of Psychological and Behavioral Sciences, vol. 16, 2022, (International Conference on Psychology and Psychological Research, Italy, 2022). https://publications.waset.org/abstracts/150776/pdf
[25] C. J. Van Lissa, S. T. Hawk, & W. H. Meeus, “The effects of affective and cognitive empathy on adolescents’ behavior and outcomes in conflicts with mothers”, Journal of experimental child psychology, vol. 158, pp. 32-45, 2017. https://doi.org/10.1016/j.jecp.2017.01.002
[26] S. Verma,, & S. Lata, “Perceived social support of HIV/AIDS orphans: A review”, Vulnerable Children and Youth Studies, vol. 10, no. 3, pp. 243-256, 2015. https://doi.org/10.1080/17450128.2015.1054455
[27] S. Verma,, & S. Lata, “Perceived Social Support in Relation to Psychosocial Distress and Hope among HIV/AIDS Orphans and Non-HIV/AIDS Orphans”, Journal of the Indian Academy of Applied Psychology, vol. 44, no. 2, pp. 218-226, 2018.
[28] M. Witkin, “The ‘M word’… Are children really “manipulating” us, and what does that even mean?”, The Brown University Child and Adolescent Behavior Letter, vol. 38, no. 6, p. 8-8, 2022. https://doi.org/10.1002/cbl.30635
[29] Z. Yassin, C. Erasmus, & J. Frantz, “HIV-related stigma and the psychosocial well-being of children orphaned by AIDS: a systematic review”, Vulnerable Children and Youth Studies, vol. 13, no. 3, pp. 247-258, 2018. https://doi-org.ezproxy.uwc.ac.za/10.1080/17450128.2018.1457193
[30] T. P. Zinyemba, M. Pavlova, & W. Groot, “Effects of HIV/AIDS on children's educational attainment: A systematic literature review”, Journal of Economic Surveys, vol. 34, no. 1, pp. 35-84, 2020. https://doi.org/10.1111/joes.12345
[31] P. Zuo, Y. Wang, J. Liu, S. Hu, G. Zhao, L. Huang, & D. Lin, “Effects of early adversity on the brain: Larger-volume anterior cingulate cortex in AIDS orphans”, PloS one, vol. 14, no 1, e0210489, 2019. https://doi.org/10.1371/journal.pone.0210489
[32] P. N. Doku, M. K. Ananga, N. Jehu-Appiah, K. M. Akohene, T. P. Debrah, & F. Nsatimba, “Child maltreatment mediates the relationship between HIV/AIDS family dysfunction trajectories and psychosocial problems among adolescents”, PLOS global public health, vol. 3, no. 3, e0001599, 2023. https://doi.org/10.1371/journal.pgph.0001599
[33] T. R. Thurman, J. Nice, B. Luckett, & M. Visser, “Can family-centered programing mitigate HIV risk factors among orphaned and vulnerable adolescents? Results from a pilot study in South Africa”, AIDS care, vol. 30, no. 9, pp. 1135-1143, 2018. https://doi.org/10.1080/09540121.2018.1455957