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Published on: June 30, 2013
Psychological aspects of HIV infection in children
1Department of Pediatrics, Yale University School of Medicine, 333 Cedar Street, Post Office Box 208064, New Haven, CT 06520-8064, USA. Brian.Forsyth@Yale.edu
Insights
Children affected by HIV disease face significant psychological challenges due to parental illness, stigma, and substance abuse associations. Optimal intervention requires multidisciplinary, holistic programs addressing social and psychological needs for care stability.
Area of Science:
- Pediatrics
- Psychology
- Public Health
Background:
- Advances in HIV treatment have increased life expectancy, leading to more children and adolescents being personally affected by the epidemic.
- The psychological impact on children is substantial, influenced by parental health status and mortality risk.
- Societal stigma and the association of HIV with substance abuse exacerbate the psychological burden on affected children.
Observation:
- Children's psychological well-being is significantly impacted by parental HIV illness and the threat of death.
- The disease's association with substance abuse and pervasive stigma creates additional psychological distress for children.
- Existing support systems may not fully address the complex social and psychological needs of children affected by HIV.
Findings:
- Psychological effects on children are multifaceted, stemming from parental illness, stigma, and substance abuse links.
- The pervasive stigma surrounding HIV significantly impacts the mental health of affected children and adolescents.
- Lack of consistent caregiving and unresolved social issues compound the psychological challenges faced by these children.
Implications:
- Multidisciplinary programs are essential for optimal intervention for children affected by HIV.
- A holistic approach is necessary to address the specific social and psychological issues these children face.
- Ensuring stability in caregiving is crucial for mitigating the negative psychological effects of HIV on children.
Abstract:
Despite advances in the pharmaceutical treatment of HIV disease, there are still an increasing number of people living with the disease, and an increasing number of children and adolescents are personally affected by the epidemic. The psychological effects on these children are significant and relate not only to a parent's degree of illness and the threat of death but also to the association of the disease with substance abuse and the pervasive effects of the stigma that surround it. To intervene optimally on behalf of these children, programs must be multidisciplinary and take a holistic approach to address specific social and psychological issues and ensure stability in a child's care giving.
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