Co-Occuring Psychiatric Symptoms in Children Perinatally Infected With HIV and Peer Comparison Sample
- 1 February 2010
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Developmental & Behavioral Pediatrics
- Vol. 31 (2), 116-128
- https://doi.org/10.1097/dbp.0b013e3181cdaa20
Abstract
Objective: To compare the rates of psychopathology in youths perinatally infected with HIV (N = 319) with a comparison sample of peers (N = 256) either HIV-exposed or living in households with HIV-infected family members. Method: Participants were randomly recruited from 29 sites in the United States and Puerto Rico and completed an extensive battery of measures including standardized DSM-IV-referenced ratings scales. Results: The HIV+ group was relatively healthy (73% with CD4% >25%), and 92% were actively receiving antiretroviral therapy. Youths with HIV (17%) met symptom and impairment criteria for the following disorders: attention-deficit/hyperactivity disorder (12%), oppositional defiant disorder (5%), conduct disorder (1%), generalized anxiety disorder (2%), separation anxiety disorder (1%), depressive disorder (2%), or manic episode (1%). Many youths with HIV (27%) and peers (26%) were rated (either self- or caregiver report) as having psychiatric problems that interfered with academic or social functioning. With the exception of somatization disorder, the HIV+ group did not evidence higher rates or severity of psychopathology than peers, although rates for both groups were higher than the general population. Nevertheless, self-awareness of HIV infection in younger children was associated with more severe symptomatology, and youths with HIV had higher lifetime rates of special education (44 vs 32%), psychopharmacological (23 vs 12%), or behavioral (27 vs 17%) interventions. Youth-caregiver agreement was modest, and youths reported more impairment. Conclusion: HIV infection was not associated with differentially greater levels of current psychopathology; nevertheless, investigation of relations with developmental changes and specific illness parameters and treatments are ongoing.Keywords
This publication has 56 references indexed in Scilit:
- Rates and types of psychiatric disorders in perinatally human immunodeficiency virus‐infected youth and serorevertersJournal of Child Psychology and Psychiatry, 2009
- Mental Health Treatment Patterns in Perinatally HIV-Infected Youth and ControlsPEDIATRICS, 2009
- Prevalence of psychopathology in childhood epilepsy: categorical and dimensional measuresDevelopmental Medicine and Child Neurology, 2009
- Behavioral Outcomes of Extremely Low Birth Weight Children at Age 8 YearsJournal of Developmental & Behavioral Pediatrics, 2009
- Impact of Disclosure of HIV Infection on Health-Related Quality of Life Among Children and Adolescents With HIV InfectionPEDIATRICS, 2009
- The Role of Cognitive Functioning in Medication Adherence of Children and Adolescents with HIV InfectionJournal of Pediatric Psychology, 2008
- Screening for Autism Spectrum Disorder with the Early Childhood Inventory-4Journal of Developmental & Behavioral Pediatrics, 2008
- Prevalence, Recognition, and Treatment of Attention-Deficit/Hyperactivity Disorder in a National Sample of US ChildrenArchives of Pediatrics & Adolescent Medicine, 2007
- Disclosure of an HIV Diagnosis to Children: History, Current Research, and Future DirectionsJournal of Developmental & Behavioral Pediatrics, 2007
- Perceived physical appearance and adjustment of children with newly diagnosed cancer: A path analytic modelJournal of Behavioral Medicine, 1995