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Auteur Elizabeth BRACKIS-COTT |
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Rates and types of psychiatric disorders in perinatally human immunodeficiency virus-infected youth and seroreverters / Claude Ann MELLINS in Journal of Child Psychology and Psychiatry, 50-9 (September 2009)
[article]
Titre : Rates and types of psychiatric disorders in perinatally human immunodeficiency virus-infected youth and seroreverters Type de document : Texte imprimé et/ou numérique Auteurs : Claude Ann MELLINS, Auteur ; Elizabeth BRACKIS-COTT, Auteur ; Cheng-Shiun LEU, Auteur ; Katherine S. ELKINGTON, Auteur ; Curtis DOLEZAL, Auteur ; Andrew WIZNIA, Auteur ; Mary MCKAY, Auteur ; Mahrukh BAMJI, Auteur ; Elaine J. ABRAMS, Auteur Année de publication : 2009 Article en page(s) : p.1131-1138 Langues : Anglais (eng) Mots-clés : Perinatal-HIV-infection seroreverters adolescents psychiatric-disorder AIDS behavior-problems psychiatric-practice mental-health Index. décimale : PER Périodiques Résumé : Background: The purpose of this study was to examine 1) the prevalence of psychiatric and substance use disorders in perinatally HIV-infected (HIV+) adolescents and 2) the association between HIV infection and these mental health outcomes by comparing HIV+ youths to HIV exposed but uninfected youths (HIV-) from similar communities.
Methods: Data for this paper come from the baseline interview of a longitudinal study of mental health outcomes in 9-16 year old perinatally HIV-exposed youths (61% HIV+) and their caregivers. Three hundred forty youths and their primary adult caregivers were recruited from four medical centers and participated in separate individual interviews. Youth psychiatric disorder was assessed using the caregiver and youth versions of The Diagnostic Interview Schedule for Children (DISC-IV).
Results: According to caregiver or youth report, a high percentage of HIV+ and HIV- youths met criteria for a non-substance use psychiatric disorder, with significantly higher rates among the HIV+ youths (61% vs. 49%, OR = 1.59; CI = 1.03,2.47; p < .05). The most prevalent diagnoses in both groups were anxiety disorders (46% for total sample) which included social phobia, separation anxiety, agoraphobia, generalized anxiety disorder, panic disorder, obsessive- compulsive disorder, and specific phobias. One quarter of the sample met criteria for a behavioral disorder (ADHD, conduct disorders, and oppositional defiant disorders), with ADHD being most prevalent. HIV+ youths had significantly higher rates of ADHD (OR = 2.45; CI = 1.20, 4.99, p < .05). Only 7% of youths met criteria for a mood disorder and 4% for a substance abuse disorder. Several caregiver variables (caregiver type and HIV status) were also associated with both child HIV status and mental health outcomes.
Conclusions: Our data suggest that HIV+ youths are at high risk for mental health disorders. Further longitudinal research is necessary to understand the etiology, as well as potential protective factors, in order to inform efficacy-based interventions.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02069.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=829
in Journal of Child Psychology and Psychiatry > 50-9 (September 2009) . - p.1131-1138[article] Rates and types of psychiatric disorders in perinatally human immunodeficiency virus-infected youth and seroreverters [Texte imprimé et/ou numérique] / Claude Ann MELLINS, Auteur ; Elizabeth BRACKIS-COTT, Auteur ; Cheng-Shiun LEU, Auteur ; Katherine S. ELKINGTON, Auteur ; Curtis DOLEZAL, Auteur ; Andrew WIZNIA, Auteur ; Mary MCKAY, Auteur ; Mahrukh BAMJI, Auteur ; Elaine J. ABRAMS, Auteur . - 2009 . - p.1131-1138.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 50-9 (September 2009) . - p.1131-1138
Mots-clés : Perinatal-HIV-infection seroreverters adolescents psychiatric-disorder AIDS behavior-problems psychiatric-practice mental-health Index. décimale : PER Périodiques Résumé : Background: The purpose of this study was to examine 1) the prevalence of psychiatric and substance use disorders in perinatally HIV-infected (HIV+) adolescents and 2) the association between HIV infection and these mental health outcomes by comparing HIV+ youths to HIV exposed but uninfected youths (HIV-) from similar communities.
Methods: Data for this paper come from the baseline interview of a longitudinal study of mental health outcomes in 9-16 year old perinatally HIV-exposed youths (61% HIV+) and their caregivers. Three hundred forty youths and their primary adult caregivers were recruited from four medical centers and participated in separate individual interviews. Youth psychiatric disorder was assessed using the caregiver and youth versions of The Diagnostic Interview Schedule for Children (DISC-IV).
Results: According to caregiver or youth report, a high percentage of HIV+ and HIV- youths met criteria for a non-substance use psychiatric disorder, with significantly higher rates among the HIV+ youths (61% vs. 49%, OR = 1.59; CI = 1.03,2.47; p < .05). The most prevalent diagnoses in both groups were anxiety disorders (46% for total sample) which included social phobia, separation anxiety, agoraphobia, generalized anxiety disorder, panic disorder, obsessive- compulsive disorder, and specific phobias. One quarter of the sample met criteria for a behavioral disorder (ADHD, conduct disorders, and oppositional defiant disorders), with ADHD being most prevalent. HIV+ youths had significantly higher rates of ADHD (OR = 2.45; CI = 1.20, 4.99, p < .05). Only 7% of youths met criteria for a mood disorder and 4% for a substance abuse disorder. Several caregiver variables (caregiver type and HIV status) were also associated with both child HIV status and mental health outcomes.
Conclusions: Our data suggest that HIV+ youths are at high risk for mental health disorders. Further longitudinal research is necessary to understand the etiology, as well as potential protective factors, in order to inform efficacy-based interventions.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02069.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=829