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1996-02-27
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Document 0637
DOCN M9630637
TI Psychological response to HIV positivity in hemophilia.
DT 9603
AU Drotar DD; Agle DP; Eckl CL; Thompson PA; Department of Psychiatry, Case
Western Reserve, University School; of Medicine, USA.
SO Pediatrics. 1995 Dec;96(6):1062-9. Unique Identifier : AIDSLINE
MED/96095155
AB OBJECTIVE. To compare the psychological and family adaptation of
children and adolescents with hemophilia who were seropositive for human
immunodeficiency virus type 1 (HIV-1) with an HIV-negative group of
comparable age, demographic characteristics, and disease severity in a
multi-site study. DESIGN. Cross-sectional, controlled study. SETTING.
Thirty-three hemophilia treatment centers throughout the United States.
SAMPLE. Ninety-one children and adolescents with hemophilia who were
seropositive for HIV and 92 children and adolescents with hemophilia who
were seronegative and of comparable age, demographic characteristics,
and disease severity. RESULTS. HIV-seropositive children and adolescents
reported less positive affect [(lower well being) (P < .05)], and more
frequent hemophilia-related school absences were identified among
HIV-infected patients (P < .005). However, the two groups demonstrated
surprisingly comparable levels of psychological, social,
hemophilia-related adjustment, general family relations, and
hemophilia-related family adaptation, as reported by patients and
parents. However, mothers of HIV-seropositive children and adolescents
reported higher levels of general psychological distress (P < .008) and
higher levels of distress related to hemophilia (P < .0002) than parents
of HIV-negative children. CONCLUSIONS. Seropositive children and
adolescents with hemophilia demonstrate psychological resilience and
levels of psychological adjustment that were comparable to seronegative
counterparts. However, mothers of seropositive children were more
distressed than mothers of HIV-negative children. Practitioners should
ensure that stressed mothers obtain necessary psychological support.
DE Adaptation, Psychological Adolescence Adolescent Psychology/STATISTICS
& NUMER DATA Adult Analysis of Variance Child Child
Psychology/STATISTICS & NUMER DATA Comparative Study Cross-Sectional
Studies Family/PSYCHOLOGY Female Hemophilia/*PSYCHOLOGY Human HIV
Seronegativity HIV Seropositivity/*PSYCHOLOGY HIV-1/*IMMUNOLOGY Male
Mothers/PSYCHOLOGY/STATISTICS & NUMER DATA Social Adjustment Support,
U.S. Gov't, P.H.S. United States JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).