Claude Ann Mellins
Datos Biográficos
| ID | 95881 |
|---|---|
| NOMBRE | Claude Ann Mellins |
| NOMBRES | Claude Ann |
| APELLIDO | Mellins |
| FIRMA | MELLINS C A |
| AFILIACIONES | New York Psychoanalytic Society and Institute |
| ORCID | 0000-0002-1978-7638 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 99 |
| TOTAL DE CITAS | 94 |
| TOTAL COMO AUTOR | 99 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1987 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 6 |
Exploring social and environmental mechanisms as predictors of mental health among young adults with perinatal HIV infection and exposure
Young adults living with perinatally acquired HIV (YAPHIV) and those perinatally exposed but uninfected (YAPHEU) can face mental health challenges during the transition to adulthood, including depression, anxiety and life stressors. Social support from family and friends may help attenuate the impact of stress on mental health. This longitudinal study examined whether family relationships and friend support predicted psychiatric disorders and mod…
Qualitative evaluation of the multilevel influences on mental health and barriers and facilitators to care among Mozambican adolescents with HIV
Mental health problems among adolescents with HIV (AWH) serve as a significant barrier to achieving optimal HIV health outcomes, but the mental health treatment gap for AWH remains large, particularly in the highest HIV-burden settings. We examined perceptions of mental health problems, influences on mental health, and barriers and facilitators to mental health care for AWH in Mozambique, a lower-resource, high HIV-burden context. We conducted fo…
Place Security and Mental Health
Maladaptive Coping Strategies Mediate the Relationship Between Depression and Anxiety and Moderate-to-Heavy Alcohol Use in Young South Africans with HIV
Mental Health and Treatment Engagement among Low-Income Women of Color Living with HIV
Low-income women of color are disproportionately more likely to contract HIV, struggle with treatment adherence, and have compromised health as a result of HIV infections in comparison to White and more affluent women. The current study is a secondary analysis aimed at examining the association between stress, symptoms of depression, trauma exposure, healthcare engagement, and adherence self-efficacy, among low-income women of color with human im…
Barriers and facilitators to implementing evidence-based integrated HIV and behavioral health care
The federal Ending the HIV Epidemic (EHE) initiative was created to reduce new US HIV infections, largely through pre-exposure prophylaxis and HIV treatments that reduce HIV transmissibility to zero. Behavioral health disorders (mental health and substance use) remain significant barriers to achieving EHE goals. Addressing behavioral health (BH) disorders within HIV primary care settings has been promoted as a critical EHE strategy. Implementatio…
“We did more than survive”
Despite advances in HIV-treatment, adolescents and young adults (AYA) with HIV (AYAHIV) face myriad challenges. They are less likely than children and older adults to be virally suppressed and are at higher risk for mental health conditions compared to their peers who do not have HIV. AYA are also developing in the context of numerous biomedical, neurocognitive, and psychosocial developmental changes. Normative challenges during this time can be …
HIV-related stigma, disclosure and social support
Young pregnant and postpartum women living with HIV (WLHIV) are at high risk of poor antiretroviral therapy (ART) outcomes, which may be driven partly by HIV-related stigma. We conducted in-depth interviews with 20 pregnant and postpartum WLHIV aged 19–24 years to understand how different forms of HIV-related stigma manifest in their lives, as well as their experiences of HIV-status disclosure and social support. Participants described profound l…
Mental health and ART adherence among adolescents living with HIV in Mozambique
Little is known about the mental health needs of adolescents living with HIV (ALWH) in Mozambique, including the potential relationship between mental health challenges and poor antiretroviral treatment (ART) adherence. We examined mental health problems (anxiety, depression, post-traumatic stress disorder [PTSD] symptoms and impairment) and their association with self-reported ART adherence among ALWH ages 15–19 in Nampula, Mozambique. The assoc…
Hope for the future protects against suicidal ideation among adolescents and young adults affected by perinatal HIV
Hope for the future has been found protective against suicidal ideation (SI) in adolescents and young adults (AYA) yet has not been examined in AYA with perinatal HIV-infection (PHIV) or AYA who were perinatally HIV-exposed but uninfected (PHEU), who are at higher risk for SI than general populations. Using data from a New York City-based longitudinal study of AYAPHIV and AYAPHEU enrolled when 9-16 years old, we examined associations between hope…
Perinatal alcohol use among young women living with HIV in South Africa
Perinatal alcohol use is common in South Africa, including among young women living with HIV (WLHIV), but there are few insights into the drivers of alcohol use in this population. Following the completion of a pilot trial of a peer support intervention for WLHIV aged 16-24 years in Cape Town, we purposively selected participants who had reported perinatal alcohol use at ≥1 study visits to complete a qualitative in-depth interview exploring their…
Measuring ART Adherence Among Young Adults with Perinatally Acquired HIV
Acceptability and Feasibility of Providing Adherence Feedback Based on Tenofovir Diphosphate in Dried Blood Spots
Condomless Sex Among HIV-affected AYA in an Era of Undetectable = Untransmittable and Pre-exposure Prophylaxis
Why do Integrated Maternal HIV and Infant Healthcare Services work? A Secondary Analysis of a Randomised Controlled Trial in South Africa
In a randomised trial, we found that integrated maternal HIV and infant health services through the end of breastfeeding were significantly associated with the primary outcome of engagement in HIV care and viral suppression at 12 months postpartum, compared to the standard of care. Here, we quantitatively explore potential psychosocial modifiers and mediators of this association. Our findings suggest that the intervention was significantly more e…
Durable Viral Suppression Among Young Adults Living with HIV Receiving Ryan White Services in New York City
Associations Between Low-Household Income and First-Generation Status With College Student Belonging, Mental Health, and Well-Being
Completing college can be difficult and students who are first-generation (FG) or low-income (LI) or both (FGLI) encounter unique structural challenges. We conducted a population-based survey (N=1671) at two interconnected highly-selective institutions of higher education and examined measures related to belonging, mental health, and well-being. Means and standard deviations for continuous measures and proportions for categorical measures were ca…
The Long-term (5-year) Impact of a Family Economic Empowerment Intervention on Adolescents Living with HIV in Uganda
Using a Daily Diary Approach to Examine Substance Use and Negative Sexual Experiences Among College Students
“When my children see their father is sober, they are happy”
Background: Men's alcohol misuse does not occur in a vacuum but has a cascade of consequences for families and children, with ties to violence, poor parenting, and poor partner and child mental health. Despite the intersection of individual and interpersonal problems associated with men's alcohol use, studies exploring the impact of men's completion of alcohol misuse treatment on family and family member outcomes are scarce. Here we begin to expl…
Construct Validity Supports Use of a Novel, Tablet-Based Neurocognitive Assessment for Adolescents and Young Adults Affected by Perinatal HIV from Vulnerable Communities in the United States
Sociodemographic and psychosocial predictors of longitudinal antiretroviral therapy (ART) adherence among first-time ART initiators in Cape Town, South Africa
First-time antiretroviral therapy (ART) initiators may be more vulnerable to poor ART adherence because they may be coping with a new HIV diagnosis, facing logistical challenges to accessing and adhering to ART for the first time, and have not yet developed support networks or the skills to support long-term adherence. We recruited 324 participants in two HIV clinics near Cape Town, South Africa. Sociodemographic/psychosocial factors were measure…
“You are not alone”
In South Africa, despite universal antiretroviral therapy (ART) availability, 60% of persons living with HIV (PLWH) ages 15-24 are not on treatment. This qualitative study aimed to identify barriers to ART initiation and the implications for a proposed community-based Youth Treatment Club to improve ART initiation for young PLWH in limited-resource, high HIV-prevalence communities in Cape Town, South Africa. Recruiting participants at community t…
Behavioral impairment and cognition in Thai adolescents affected by HIV
Behavioral impairment and poor executive functioning are present in adolescents with well-controlled pHIV compared to HIV-uninfected matched peers. The SNAP-IV questionnaire may be a useful tool to identify those with attentional impairment who may benefit from further cognitive testing in resource-limited settings
Impact of adverse childhood experiences on women’s psychosocial and HIV-related outcomes and early child development in their offspring
Adverse childhood experiences (ACEs) may have a critical influence on adult outcomes and subsequent offspring development, but few data have explored the effects of ACEs in low-resource settings where the burdens of childhood adversity and HIV are high. Among mothers living with HIV in Cape Town, we examined the effects of ACEs on maternal psychosocial and HIV-related outcomes, as well as early child development in their offspring aged 36-60 mont…
I Didn't Want To Be 'That Girl
This article deploys ethnographic data to explain why some students do not label experiences as sexual assault or report those experiences. Using ideas of social risks and productive ambiguities, it argues that not labeling or reporting assault can help students (1) sustain their current identities and allow for several future ones, (2) retain their social relationships and group affiliations while maintaining the possibility of developing a wide…
Communication About HIV and Risk Behaviors Among Mothers Living With HIV and Their Early Adolescent Children
Little is known about how mothers living with HIV communicate to their children about HIV risk. The current study explored communication between mothers and children about prevention and risk behaviors, the impact of maternal HIV infection and child knowledge of HIV, and concordance in reports from mothers and their children. The sample comprised 220 mothers and their early adolescent children (10-14 years old) who resided in socioeconomically di…
Cross-cultural adaptation of the Child Depression Inventory for use in Tanzania with children affected by HIV
Understanding the impact of the acquired immune deficiency syndrome (AIDS) epidemic is critical for developing appropriate interventions to create supportive environments for orphans and vulnerable children (OVC). Unfortunately, there are very few studies on the psychosocial wellbeing of children orphaned by AIDS in Africa, and even fewer in Tanzania. It has been difficult to make generalizations across studies and to identify and track children …
The Social Organization of Sexual Assault
In this review, we provide an overview of the literature on sexual assault. First, we define sexual assault, noting its multiple dimensions and the consequences for operationalization—including reviewing strategies for such operationalization. Second, we outline different approaches to sexual assault, critically assessing those frameworks that rely upon a model of sociopathy; instead, we propose focusing on more sociological and ecological unders…
Current Life Concerns of Early Adolescents and Their Mothers
Focus group discussions were conducted with inner-city ethnic minority families with regard to current life concerns, mother/child communication of concerns, and the influence of maternal HIV on both of those issues. Participants included early adolescents who were HIV-negative and their mothers (one-half were HIV-positive and one-half HIV-negative). Early adolescents were most concerned about sexual activity, pregnancy, safety and violence, and …
The influence of individual and family characteristics upon career aspirations of girls during childhood and adolescence
Sexual Behavior and Perceived Peer Norms
The Mental Health Risk of Mothers and Children
Rates of mental health problems in mothers and children in families affected by maternal HIV as compared to those not affected by maternal HIV but living in similar inner-city, low-SES, primarily ethnic-minority neighborhoods were examined. In addition, correspondence between mother and child mental health was explored. Interviews were conducted with 220 mother/child dyads regarding symptoms of depression and anxiety. Participants included HIV-ne…
A Comparison of Audio Computer-Assisted Self-Interviews to Face-to-Face Interviews of Sexual Behavior Among Perinatally HIV-Exposed Youth
Predicting the Onset of Sexual and Drug Risk Behaviors in HIV-Negative Youths with HIV-Positive Mothers
Evaluating potential mediators for the impact of a family-based economic intervention (Suubi+Adherence) on the mental health of adolescents living with HIV in Uganda
Residential summer camp for youth with special needs
A Prospective Study of the Onset of Sexual Behavior and Sexual Risk in Youth Perinatally Infected with HIV
Perinatally HIV-infected (PHIV+) youth are surviving into adolescence and young adulthood. Understanding the sexual development of PHIV+ youth is vital to providing them with developmentally appropriate HIV-prevention programs. Using pooled data (N = 417) from two longitudinal studies focused on HIV among youth (51% female; 39% HIV+) and their caregivers (92% female; 46% HIV+), the rate of sexual onset during adolescence across four youth-caregiv…
Perceptions of Adolescents’ Sexual Behavior Among Mothers Living With and Without HIV
The Advisory Board Perspective from a Campus Community-Based Participatory Research Project on Sexual Violence
Based on the experience of board members this article outlines four recommendations for the construction of CBPR studies: meeting frequently, co-education of board members and researchers, addressing power and privilege, and prioritizing highly valued participation, with mutual respect for and recognition of distinct roles and expertise
Disadvantaged neighborhood influences on depression and anxiety in youth with perinatally acquired human immunodeficiency virus
Children living with perinatal HIV illness (PHIV+) disproportionately reside in disadvantaged neighborhoods and contend with persistent mental health challenges. This study examined the influences of disadvantaged residential neighborhood on anxiety and depression, and potential resources that buffer against internalizing problems when youths were exposed to neighborhood stressors. Multilevel analysis of 196 PHIV+ and 129 perinatally HIV‐exposed …
Socio-Ecologically Constituted Types of Sexual Assault
Despite the burden of sexual assault on college campuses, few effective prevention programs exist. Understanding the socio-ecological context in which sexual assaults occur may illuminate novel pathways to augment prevention. We examined data from 349 students at two inter-connected urban universities who completed a population-based survey ( N = 1,671) and described at least one incident of sexual assault victimization. Using latent class analys…
A qualitative exploration of psychosocial challenges of perinatally HIV-infected adolescents and families in Bangkok, Thailand
Thailand has the highest HIV prevalence in Asia, with 9,600 HIV+ adolescents and thousands additional younger HIV+ children (World Bank, 2015; UNICEF, 2015). Studies from other settings suggest perinatally HIV-infected (PHIV+) adolescents are at high risk for mental health problems and engagement in risk behaviors that threaten individual and public health. Yet, few studies exist in Thailand, and few evidence-based psychosocial interventions have…
An Exploration of Family and Juvenile Justice Systems to Reduce Youth HIV / STI Risk
Using in-depth interviews with 20 probation youth (60% female; 35% white; 30% Hispanic; mean age 15years, range=13-17), their caregivers (100% female; mean age 44years, range=34-71) and 12 female probation officers (100% white; mean age 46years, range=34-57), we explored how family and probation systems exacerbate or mitigate sexual risk. We conducted thematic analyses of interviews, comparing narratives of families of sexually risky ( n= 9) vers…
HIV+ and HIV– youth living in group homes in South Africa need more psychosocial support
Orphans and vulnerable youth who live in group homes are at risk of poor mental health and sexual and drug-using behaviors that increase the risk of HIV transmission. This study explores factors related to this risk among youth living in group homes ("children's homes") for orphans and vulnerable children in South Africa, a country afflicted by high levels of parental loss due to HIV. The study explores 1) knowledge and attitudes about HIV, 2) so…
Asking Only “Did You Use a Condom?” Underestimates the Prevalence of Unprotected Sex Among Perinatally HIV Infected and Perinatally Exposed But Uninfected Youth
Among young adults who use condoms, incomplete condom use (putting a condom on after beginning or taking a condom off before finishing sex) and condom failure (condom breaking or slipping off during sex) are common. Therefore, sexual behavior surveys that ask only if a condom was used are likely to underestimate the actual prevalence of unprotected sex. This study examined data from 135 sexually active perinatally HIV-infected (PHIV+) youth and p…
The influence of individual and family characteristics upon career aspirations of girls during childhood and adolescence
The impact of pediatric HIV on infected children and their uninfected siblings
Psychiatric Symptomatology and Psychological Functioning in HIV-Infected Mothers
Psychosocial Factors Associated with Adaptation in HIV-Infected Mothers
Current Life Concerns of Early Adolescents and Their Mothers
Focus group discussions were conducted with inner-city ethnic minority families with regard to current life concerns, mother/child communication of concerns, and the influence of maternal HIV on both of those issues. Participants included early adolescents who were HIV-negative and their mothers (one-half were HIV-positive and one-half HIV-negative). Early adolescents were most concerned about sexual activity, pregnancy, safety and violence, and …
Adherence in people living with HIV/Aids, mental illness, and chemical dependency
Adherence to antiretroviral medications is central to reducing morbidity and mortality among people living with HIV/AIDS. Relatively few studies published to date address HIV adherence among special populations. The purpose of this article is to review the existing literature on HIV antiretroviral adherence, with an emphasis on studies among the triply diagnosed population of people living with HIV/AIDS, mental illness, and chemical dependency. I…
Multiple Dimensions of HIV Stigma and Psychological Distress Among Asians and Pacific Islanders Living With HIV Illness
Communication About HIV and Risk Behaviors Among Mothers Living With HIV and Their Early Adolescent Children
Little is known about how mothers living with HIV communicate to their children about HIV risk. The current study explored communication between mothers and children about prevention and risk behaviors, the impact of maternal HIV infection and child knowledge of HIV, and concordance in reports from mothers and their children. The sample comprised 220 mothers and their early adolescent children (10-14 years old) who resided in socioeconomically di…
Developmental, Ethnic, and Social Influences on Participation in Sexual Possibility Situations for Youth With HIV-Positive and HIV-Negative Mothers
This cross-sectional study examined the relationship among maternal HIV, pubertal development, gender, ethnicity, and spirituality and adolescent participation in sexual possibility situations (SPSs) and in sexual activity. SPSs are social encounters with cross-gender peers that afford the opportunity to engage in sexual activity. Heterosexual African American and Latino adolescents (10 to 14 years) and their HIV-positive or HIV-negative mothers …
Disclosure of an HIV Diagnosis to Children
Disclosing the diagnosis of human immunodeficiency virus (HIV) or AIDS to a child is a controversial and emotionally charged issue among both the health care communities and parents and caregivers of these children. This paper provides a systematic review of research on disclosure of pediatric HIV infection. It begins with a brief discussion of disclosure drawing from research on pediatric cancer. Next, we review the available research including …
The Mental Health Risk of Mothers and Children
Rates of mental health problems in mothers and children in families affected by maternal HIV as compared to those not affected by maternal HIV but living in similar inner-city, low-SES, primarily ethnic-minority neighborhoods were examined. In addition, correspondence between mother and child mental health was explored. Interviews were conducted with 220 mother/child dyads regarding symptoms of depression and anxiety. Participants included HIV-ne…
Predicting the Onset of Sexual and Drug Risk Behaviors in HIV-Negative Youths with HIV-Positive Mothers
Adherence to antiretroviral treatment among pregnant and postpartum HIV-infected women
Among women with HIV infection, pregnancy is a time when maintenance of maternal health and reduction of vertical HIV transmission are primary concerns. Few studies have examined adherence to Antiretroviral Treatment (ART) during pregnancy and in the postpartum period when the demands of childcare may significantly interfere with women's self-care behaviors. This study examined ART use and adherence in HIV-infected pregnant and postpartum women p…
Adherence to antiretroviral medications and medical care in HIV-infected adults diagnosed with mental and substance abuse disorders
This paper examines factors associated with adherence to antiretroviral medications (ARVs) in an HIV-infected population at high risk for non-adherence: individuals living with psychiatric and substance abuse disorders. Data were examined from baseline interviews of a multisite cohort intervention study of 1138 HIV-infected adults with both a psychiatric and substance abuse disorder (based on a structured psychiatric research interview using DSM-…
Power and empowerment
In sub-Saharan Africa, HIV/AIDS has resulted in a rapidly growing population of orphans and vulnerable children (OVC). These OVC have strained the traditional safety net provided by extended families to its breaking point. Increasingly, community-based initiatives are emerging to fill the gap. However, relatively little is known about these efforts and their effectiveness. This article looks at one such initiative in rural Tanzania, and explores …
Sexual Behavior and Perceived Peer Norms
Perceptions of Adolescents’ Sexual Behavior Among Mothers Living With and Without HIV
Psychosocial challenges and protective influences for socio-emotional coping of HIV+ adolescents in South Africa
INTRODUCTION: While the roll-out of antiretroviral therapy in South Africa should lead to a reduction in mother to child transmission, mortality and orphaning, it will also be accompanied by a large number of children entering adolescence and adulthood with a chronic infectious disease. Adolescence is a particularly vulnerable period for HIV-infected people in relation to mental health problems and engagement in high-risk behaviours, including no…
Cross-cultural adaptation of the Child Depression Inventory for use in Tanzania with children affected by HIV
Understanding the impact of the acquired immune deficiency syndrome (AIDS) epidemic is critical for developing appropriate interventions to create supportive environments for orphans and vulnerable children (OVC). Unfortunately, there are very few studies on the psychosocial wellbeing of children orphaned by AIDS in Africa, and even fewer in Tanzania. It has been difficult to make generalizations across studies and to identify and track children …
Mental health functioning among children and adolescents with perinatal HIV infection and perinatal HIV exposure
Mental health problems (MHPs) among children with perinatal HIV infection have been described prior to and during the highly active antiretroviral therapy (HAART) era. Yet child, caregiver and socio-demographic factors associated with MHPs are not fully understood. We examined the prevalence of MHPs among older children and adolescents with perinatal HIV exposure, including both perinatally HIV-infected (PHIV +) and perinatally HIV-exposed but un…
“I feel like I'm carrying a weapon.” Information and motivations related to sexual risk among girls with perinatally acquired HIV
Some adolescent girls perinatally infected with HIV (PIH) engage in sexual behavior that poses risks to their own well-being and that of sexual partners. Interventions to promote condom use among girls PIH may be most effective if provided prior to first sexual intercourse. With in-depth interviews, we explored gender- and HIV-specific informational and motivational factors that might be important for sexual risk reduction interventions designed …
Disadvantaged neighborhood influences on depression and anxiety in youth with perinatally acquired human immunodeficiency virus
Children living with perinatal HIV illness (PHIV+) disproportionately reside in disadvantaged neighborhoods and contend with persistent mental health challenges. This study examined the influences of disadvantaged residential neighborhood on anxiety and depression, and potential resources that buffer against internalizing problems when youths were exposed to neighborhood stressors. Multilevel analysis of 196 PHIV+ and 129 perinatally HIV‐exposed …
A Prospective Study of the Onset of Sexual Behavior and Sexual Risk in Youth Perinatally Infected with HIV
Perinatally HIV-infected (PHIV+) youth are surviving into adolescence and young adulthood. Understanding the sexual development of PHIV+ youth is vital to providing them with developmentally appropriate HIV-prevention programs. Using pooled data (N = 417) from two longitudinal studies focused on HIV among youth (51% female; 39% HIV+) and their caregivers (92% female; 46% HIV+), the rate of sexual onset during adolescence across four youth-caregiv…
Prevalence and change in psychiatric disorders among perinatally HIV-infected and HIV-exposed youth
As the pediatric HIV epidemic in resource-rich countries evolves into an adolescent epidemic, there is a substantive need for studies elucidating mental health needs of perinatally HIV-infected (PHIV +) youth as they transition through adolescence. This article examines the role of perinatal HIV infection in influencing mental health by comparing the changes in psychiatric disorders and substance use disorders (SUD) in PHIV + and perinatally HIV-…
Reproductive Health Decision-Making in Perinatally HIV-Infected Adolescents and Young Adults
Medicine (89 obras) · HIV/AIDS Research and Interventions (70 obras) · Psychology (66 obras) · Psychiatry (61 obras) · Adolescent Sexual and Reproductive Health (60 obras) · Clinical Psychology (40 obras) · Family medicine (38 obras) · Public health (37 obras) · Human immunodeficiency virus (HIV (33 obras) · Environmental health (32 obras)