3 recherche sur le mot-clé 'HIV'

Children and Adolescents Living with HIV and AIDS: A Review / Larry K. BROWN in Journal of Child Psychology and Psychiatry, 41-1 (January 2000)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 41-1 (January 2000) . - p.81-96 Titre : Children and Adolescents Living with HIV and AIDS: A Review Type de document : Texte imprimé et/ou numérique Auteurs : Larry K. BROWN, Auteur ; Kevin J. LOURIE, Auteur ; Maryland PAO, Auteur Année de publication : 2000 Article en page(s) : p.81-96 Langues : Anglais (eng) Mots-clés : Pediatric  HIV  AIDS  consultation-liaison Index. décimale : PER Périodiques Résumé : Worldwide, more than one million children are infected with human immunodeficiency virus (HIV) and in the United States it has become the sixth leading cause of death among 15–24-year-olds. Despite the trend of increasing rates of infection, advances in therapies have led to survival past 5 years of age for more than 65% of infected children. This global health threat will therefore continue to have a significant impact on child and adolescent psychiatry and psychology. This paper reviews current studies and reports on the consequences of the acquired immunodeficiency syndrome (AIDS) epidemic in the psychiatric care and development of children and adolescents infected by HIV. From a search of all the English-language-based literature on pediatric AIDS, 140 studies are reviewed which address HIV infection and its psychological and social implications. Several topics of mental health significance are examined: (1) the epidemiology of HIV, (2) neurocognitive development among those infected, (3) psychological impact of infection, and (4) the family and social context of HIV. The transition of HIV from an acute, lethal disease to a subacute, chronic disease has enormous implications for the neurocognitive and psychosocial development of children and families. As children and adolescents infected with HIV continue to live longer, normal developmental milestones and educational needs will take on new significance. Many children will continue to be adversely impacted by non-HIV factors such as poverty, inadequate medical services, and a lack of social support. This review outlines recent developments that hold promise to effectively reduce the treatment burden on the infected, their families, and health care providers and to decrease the incidence of transmission to the uninfected. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125 [article] Children and Adolescents Living with HIV and AIDS: A Review [Texte imprimé et/ou numérique] / Larry K. BROWN, Auteur ; Kevin J. LOURIE, Auteur ; Maryland PAO, Auteur . - 2000 . - p.81-96. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 41-1 (January 2000) . - p.81-96 Mots-clés : Pediatric  HIV  AIDS  consultation-liaison Index. décimale : PER Périodiques Résumé : Worldwide, more than one million children are infected with human immunodeficiency virus (HIV) and in the United States it has become the sixth leading cause of death among 15–24-year-olds. Despite the trend of increasing rates of infection, advances in therapies have led to survival past 5 years of age for more than 65% of infected children. This global health threat will therefore continue to have a significant impact on child and adolescent psychiatry and psychology. This paper reviews current studies and reports on the consequences of the acquired immunodeficiency syndrome (AIDS) epidemic in the psychiatric care and development of children and adolescents infected by HIV. From a search of all the English-language-based literature on pediatric AIDS, 140 studies are reviewed which address HIV infection and its psychological and social implications. Several topics of mental health significance are examined: (1) the epidemiology of HIV, (2) neurocognitive development among those infected, (3) psychological impact of infection, and (4) the family and social context of HIV. The transition of HIV from an acute, lethal disease to a subacute, chronic disease has enormous implications for the neurocognitive and psychosocial development of children and families. As children and adolescents infected with HIV continue to live longer, normal developmental milestones and educational needs will take on new significance. Many children will continue to be adversely impacted by non-HIV factors such as poverty, inadequate medical services, and a lack of social support. This review outlines recent developments that hold promise to effectively reduce the treatment burden on the infected, their families, and health care providers and to decrease the incidence of transmission to the uninfected. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125

Family-based promotion of mental health in children affected by HIV: a pilot randomized controlled trial / Theresa S. BETANCOURT in Journal of Child Psychology and Psychiatry, 58-8 (August 2017)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 58-8 (August 2017) . - p.922-930 Titre : Family-based promotion of mental health in children affected by HIV: a pilot randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Theresa S. BETANCOURT, Auteur ; Lauren C. NG, Auteur ; Catherine M. KIRK, Auteur ; Robert T. BRENNAN, Auteur ; William R. BEARDSLEE, Auteur ; Sara STULAC, Auteur ; Christine MUSHASHI, Auteur ; Estella NDUWIMANA, Auteur ; Sylvere MUKUNZI, Auteur ; Beatha NYIRANDAGIJIMANA, Auteur ; Godfrey KALISA, Auteur ; Cyamatare F. RWABUKWISI, Auteur ; Vincent SEZIBERA, Auteur Article en page(s) : p.922-930 Langues : Anglais (eng) Mots-clés : HIV  depression  Rwanda  adolescents Index. décimale : PER Périodiques Résumé : Background Children affected by HIV are at risk for poor mental health. We conducted a pilot randomized controlled trial (RCT) of the Family Strengthening Intervention (FSI-HIV), a family home-visiting intervention to promote mental health and improve parent–child relationships in families with caregivers living with HIV, hypothesizing that child and family outcomes would be superior to usual care social work services. Methods Eighty two families (N = 170 children, 48.24% female; N = 123 caregivers, 68.29% female) with at least one HIV-positive caregiver (n = 103, 83.74%) and school-aged child (ages 7–17) (HIV+ n = 21, 12.35%) were randomized to receive FSI-HIV or treatment-as-usual (TAU). Local research assistants blind to treatment conducted assessments of child mental health, parenting practices, and family functioning at baseline, post-intervention, and 3-month follow-up. Multilevel modeling assessed effects of FSI-HIV on outcomes across three time points. Trial Registration: NCT01509573, ‘Pilot Feasibility Trial of the Family Strengthening Intervention in Rwanda (FSI-HIV-R).' https://clinicaltrials.gov/ct2/show/;NCT01509573?term=Pilot+Feasibility+Trial+of+the+Family+Strengthening+Intervention+in+Rwanda+%28FSI-HIV-R%29&rank=1. Results At 3-month follow-up, children in FSI-HIV showed fewer symptoms of depression compared to TAU by both self-report (? = ?.246; p = .009) and parent report (? = ?.174; p = .035) but there were no significant differences by group on conduct problems, functional impairment, family connectedness, or parenting. Conclusions Family-based prevention has promise for reducing depression symptoms in children affected by HIV. Future trials should examine the effects of FSI-HIV over time in trials powered to examine treatment mediators. En ligne : http://dx.doi.org/10.1111/jcpp.12729 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=316 [article] Family-based promotion of mental health in children affected by HIV: a pilot randomized controlled trial [Texte imprimé et/ou numérique] / Theresa S. BETANCOURT, Auteur ; Lauren C. NG, Auteur ; Catherine M. KIRK, Auteur ; Robert T. BRENNAN, Auteur ; William R. BEARDSLEE, Auteur ; Sara STULAC, Auteur ; Christine MUSHASHI, Auteur ; Estella NDUWIMANA, Auteur ; Sylvere MUKUNZI, Auteur ; Beatha NYIRANDAGIJIMANA, Auteur ; Godfrey KALISA, Auteur ; Cyamatare F. RWABUKWISI, Auteur ; Vincent SEZIBERA, Auteur . - p.922-930. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 58-8 (August 2017) . - p.922-930 Mots-clés : HIV  depression  Rwanda  adolescents Index. décimale : PER Périodiques Résumé : Background Children affected by HIV are at risk for poor mental health. We conducted a pilot randomized controlled trial (RCT) of the Family Strengthening Intervention (FSI-HIV), a family home-visiting intervention to promote mental health and improve parent–child relationships in families with caregivers living with HIV, hypothesizing that child and family outcomes would be superior to usual care social work services. Methods Eighty two families (N = 170 children, 48.24% female; N = 123 caregivers, 68.29% female) with at least one HIV-positive caregiver (n = 103, 83.74%) and school-aged child (ages 7–17) (HIV+ n = 21, 12.35%) were randomized to receive FSI-HIV or treatment-as-usual (TAU). Local research assistants blind to treatment conducted assessments of child mental health, parenting practices, and family functioning at baseline, post-intervention, and 3-month follow-up. Multilevel modeling assessed effects of FSI-HIV on outcomes across three time points. Trial Registration: NCT01509573, ‘Pilot Feasibility Trial of the Family Strengthening Intervention in Rwanda (FSI-HIV-R).' https://clinicaltrials.gov/ct2/show/;NCT01509573?term=Pilot+Feasibility+Trial+of+the+Family+Strengthening+Intervention+in+Rwanda+%28FSI-HIV-R%29&rank=1. Results At 3-month follow-up, children in FSI-HIV showed fewer symptoms of depression compared to TAU by both self-report (? = ?.246; p = .009) and parent report (? = ?.174; p = .035) but there were no significant differences by group on conduct problems, functional impairment, family connectedness, or parenting. Conclusions Family-based prevention has promise for reducing depression symptoms in children affected by HIV. Future trials should examine the effects of FSI-HIV over time in trials powered to examine treatment mediators. En ligne : http://dx.doi.org/10.1111/jcpp.12729 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=316

The importance of quality of care: effects of perinatal HIV infection and early institutional rearing on preschoolers’ attachment and indiscriminate friendliness / Natasha A. DOBROVA-KROL in Journal of Child Psychology and Psychiatry, 51-12 (December 2010)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 51-12 (December 2010) . - p.1368-1376 Titre : The importance of quality of care: effects of perinatal HIV infection and early institutional rearing on preschoolers’ attachment and indiscriminate friendliness Type de document : Texte imprimé et/ou numérique Auteurs : Natasha A. DOBROVA-KROL, Auteur ; Marian J. BAKERMANS-KRANENBURG, Auteur ; Marinus H. VAN IJZENDOORN, Auteur ; Femmie JUFFER, Auteur Année de publication : 2010 Article en page(s) : p.1368-1376 Langues : Anglais (eng) Mots-clés : HIV  institutional care  attachment  indiscriminate friendliness  Ukraine Index. décimale : PER Périodiques Résumé : Background:  The rearing environment of human immunodeficiency virus (HIV)-infected children is often compromised, putting these children at additional risks. Positive caregiving may ameliorate the impact of adverse circumstances and promote attachment security. The goal of the present study was to examine the attachment relationships of HIV-infected children in biological families and institutions; to examine the effects of HIV infection and institutional rearing on attachment security and indiscriminate friendliness; and to assess the role of caregiving in the face of HIV-related adversities. Methods:  We studied 64 Ukrainian uninfected and HIV-infected children reared in families and institutions (mean age 50.9 months). Physical and cognitive development of children as well as attachment-related domains and indiscriminate friendliness were assessed. Results:  Institutional care but not the presence of HIV was associated with lower levels of attachment security and higher levels of indiscriminate friendliness. On average, the level of indiscriminate friendliness among institution-reared children was more than twice as high as among family-reared children. Only 24% of institution-reared children had clearly developed attachment patterns, as opposed to 97% among family-reared children. Controlling for physical and cognitive development, type of care (institution or family), and HIV status, positive caregiving was associated with higher levels of attachment security. Indiscriminate friendliness was associated with lower levels of attachment security among family-reared children, but with higher levels of positive caregiving among institution-reared children. Conclusions:  Etiology and function of indiscriminate friendliness may differ for family-reared versus institution-reared children. The findings of this study suggest the necessity of early interventions improving the quality of care for HIV-infected children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02243.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=113 [article] The importance of quality of care: effects of perinatal HIV infection and early institutional rearing on preschoolers’ attachment and indiscriminate friendliness [Texte imprimé et/ou numérique] / Natasha A. DOBROVA-KROL, Auteur ; Marian J. BAKERMANS-KRANENBURG, Auteur ; Marinus H. VAN IJZENDOORN, Auteur ; Femmie JUFFER, Auteur . - 2010 . - p.1368-1376. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 51-12 (December 2010) . - p.1368-1376 Mots-clés : HIV  institutional care  attachment  indiscriminate friendliness  Ukraine Index. décimale : PER Périodiques Résumé : Background:  The rearing environment of human immunodeficiency virus (HIV)-infected children is often compromised, putting these children at additional risks. Positive caregiving may ameliorate the impact of adverse circumstances and promote attachment security. The goal of the present study was to examine the attachment relationships of HIV-infected children in biological families and institutions; to examine the effects of HIV infection and institutional rearing on attachment security and indiscriminate friendliness; and to assess the role of caregiving in the face of HIV-related adversities. Methods:  We studied 64 Ukrainian uninfected and HIV-infected children reared in families and institutions (mean age 50.9 months). Physical and cognitive development of children as well as attachment-related domains and indiscriminate friendliness were assessed. Results:  Institutional care but not the presence of HIV was associated with lower levels of attachment security and higher levels of indiscriminate friendliness. On average, the level of indiscriminate friendliness among institution-reared children was more than twice as high as among family-reared children. Only 24% of institution-reared children had clearly developed attachment patterns, as opposed to 97% among family-reared children. Controlling for physical and cognitive development, type of care (institution or family), and HIV status, positive caregiving was associated with higher levels of attachment security. Indiscriminate friendliness was associated with lower levels of attachment security among family-reared children, but with higher levels of positive caregiving among institution-reared children. Conclusions:  Etiology and function of indiscriminate friendliness may differ for family-reared versus institution-reared children. The findings of this study suggest the necessity of early interventions improving the quality of care for HIV-infected children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02243.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=113