Tuke, RobertSikorskii, AllaZalwango, Sarah K.Webster, Kyle D.Ismail, AlexanderPobee, Ruth A.Barkin, Jennifer L.Boivin, Michael J.Giordani, BrunoEzeamama, Amara E.2021-12-102021-12-102020Tuke, R., Sikorskii, A., Zalwango, SK, Webster, KD, Ismail, A., Pobee, RA, ... & Ezeamama, AE (2020). Psychosocial adjustment in Ugandan children: coping with human immunodeficiency virus exposure, lifetime adversity, and importance of social support. New Directions for Child and Adolescent Development , 2020 (171), 55-75. DOI: 10.1002/cad.2035410.1002/cad.20354https://nru.uncst.go.ug/xmlui/handle/123456789/262Cumulative lifetime adversity and social support were investigated as determinants of psychosocial adjustment (esteem, distress, hopefulness, positive outlook/ future aspirations, and sense of purpose) over 12months in 6–10-years-old HIV-infected, HIV-exposed uninfected and HIV-unexposed uninfected children from Uganda. Each determinant and psychosocial adjustment indicator was self-reported using standardized questionnaires administered at baseline, 6, and 12 months. Linear mixed effects models were used to relate time-varying lifetime adversity and social support to psychosocial adjustment over 12 months. Regardless of HIV status, higher adversity predicted lower esteem (coefficient b = −2.98, 95% confidence interval (CI): [−4.62, −1.35]) and increased distress (b =3.96, 95% CI: [1.29, 6.62]) but was not associated with hopefulness, positive outlook or sense of purpose. Low social support predicted higher distress (b =9.05, 95% CI: [7.36, 10.73]), lower positive outlookenPsychosocial AdjustmentChildrenHuman Immunodeficiency VirusLifetime AdversitySocial SupportArticle