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M9490623.TXT
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1994-09-24
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Document 0623
DOCN M9490623
TI Psychiatric morbidity in school-age children with congenital human
immunodeficiency virus infection: a pilot study.
DT 9411
AU Havens JF; Whitaker AH; Feldman JF; Ehrhardt AA; Department of
Psychiatry, Columbia University College of; Physicians and Surgeons, New
York, New York.
SO J Dev Behav Pediatr. 1994 Jun;15(3):S18-25. Unique Identifier : AIDSLINE
MED/94342479
AB This study examined the relationship between human immunodeficiency
virus (HIV) infection and psychiatric morbidity within the context of
prenatal drug exposure. Twenty-six HIV-infected, 14 seroreverted, and 20
control (non-HIV-exposed) children were studied; the sample consisted of
nonreferred children living in foster placement who had been exposed to
maternal drug addiction. Each child received a psychiatric diagnostic
evaluation which included completion by the caretaker of a structured
diagnostic interview and a behavior checklist on the child as well as a
child self-report on a pictorial interview. Age, ethnicity, and IQ were
controlled in the analyses because of group differences. There were high
rates of behavioral and psychiatric morbidity, especially with respect
to disruptive behavior disorders, in this sample of school-age children
with HIV infection, but similarly high rates were found in the
seroreverted and non-HIV-exposed children. There was some suggestion
that the HIV-infected children were experiencing higher levels of
subjective distress than either the nonexposed or seroreverted children.
The possible relevance of drug exposure to the behavioral outcomes
observed here is discussed, as well as the importance of using
age-appropriate materials to elicit subjective distress in HIV-infected
school-age children. Clinical implications and directions for further
research are discussed.
DE Anxiety Attention Deficit Disorder with Hyperactivity/ETIOLOGY Child
Child Development Disorders/ETIOLOGY Child, Preschool Female Human
HIV Infections/*CONGENITAL/PSYCHOLOGY Intelligence Tests Male Mental
Disorders/EPIDEMIOLOGY/*ETIOLOGY Observer Variation Pilot Projects
Pregnancy *Prenatal Exposure Delayed Effects Psychiatric Status Rating
Scales Psychophysiologic Disorders/ETIOLOGY Social Alienation Social
Environment Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S.
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).