Maternal HIV/AIDS and adolescent depression: A covariance structure analysis of the 'Parents and Children Coping Together' (PACT) Model

This study assessed the efficacy of selected variables from the Parents and Children Coping Together (PACT) model, which was designed to predict maternal HIV effects on child/adolescent outcomes. Data from two longitudinal studies applying PACT measures were utilized, encompassing a 7-year assessment time span for HIV-infected mothers and their children. Both maternal and child-based measures were evaluated, and a sequential longitudinal design was adopted. Structural equation modeling using full information maximum likelihood was performed to assess the proposed model. Results show the PACT model was viable in predicting child/adolescent outcomes of self-concept and depression. Study implications are discussed, including the influences of maternal factors on child's self-concept and depression and a reconsideration of the effect of family cohesion on child/adolescent outcomes.