Parentification and its impact on adolescent children of parents with AIDS.

Abstract:

:Parentification refers to children or adolescents assuming adult roles before they are emotionally or developmentally ready to manage those roles successfully. We assess predictors and outcomes of parentification among adolescent children of Parents with AIDS (PWAs) in two phases. In Phase 1, relationships among parental AIDS-related illness, parent drug use, parent and adolescent demographics, and parentification indicators (parental, spousal, or adult role-taking) were assessed among 183 adolescent-parent pairs (adolescents: 11 to 18 years, M = 14.8 years, 54% female; parents: 80% female). Adult role-taking was associated with maternal PWAs, female adolescents, and greater parent drug use. Greater parental AIDS-related illness predicted more spousal and parental role-taking. Parent drug use predicted more parental role-taking. In Phase 2, we examined the impact of parentification on later adolescent psychological adjustment (N = 152 adolescents). Adult role-taking predicted more internalized emotional distress; parental role-taking predicted externalized problem behaviors: sexual behavior, alcohol and marijuana use, and conduct problems. Given these dysfunctional outcomes, we discuss interventions to mitigate parentification among children of PWAs.

journal_name

Fam Process

journal_title

Family process

authors

Stein JA,Riedel M,Rotheram-Borus MJ

doi

10.1111/j.1545-5300.1999.00193.x

keywords:

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

193-208

issue

2

eissn

0014-7370

issn

1545-5300

journal_volume

38

pub_type

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