Psychiatric diagnoses in adolescents seropositive for the human immunodeficiency virus.
Arch Pediatr Adolesc Med
; 154(3): 240-4, 2000 Mar.
Article
in En
| MEDLINE
| ID: mdl-10710020
ABSTRACT
OBJECTIVE:
To provide a descriptive analysis of the prevalence of past and current psychiatric disorders in adolescents positive for the human immunodeficiency virus (HIV).DESIGN:
Structured interview in a convenience sample in a primary care urban adolescent clinic in Washington, DC.PARTICIPANTS:
Thirty-four HIV-seropositive adolescents ranging in age from 16 to 21 years. MAIN OUTCOMEMEASURES:
The Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition (SCID-P) was administered by a child psychiatrist or a clinical child psychologist. Extensive review of medical records was also conducted.RESULTS:
A majority of the HIV-infected adolescents in our sample had received psychiatric diagnoses prior to their treatment at the clinic (53%), had a documented history of sexual abuse (50%), and had a history of substance use (82%). Psychiatric diagnoses determined by the SCID-P indicated that 85% of the sample had a current Axis I disorder, with 44% reporting ongoing depressive disorders.CONCLUSIONS:
The majority of subjects in this sample had had a previous psychiatric diagnosis, and almost half had a current affective disorder. Psychiatric disorders, especially affective disorders, may be a risk factor for high-risk sexual behaviors and substance use that increases the risk for HIV infection in adolescent populations.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urban Population
/
HIV Seropositivity
/
Mental Disorders
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
Arch Pediatr Adolesc Med
Journal subject:
PEDIATRIA
Year:
2000
Document type:
Article
Affiliation country:
United States
Country of publication:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA