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Published on: November 21, 2013
Behavioural disorders in 6-11-year-old, HIV-infected Indian children
Gurprit Grover1, Tripti Pensi, Tanushree Banerjee
1Department of Statistics, University of Delhi, New Delhi, India.
Insights
HIV-infected children experience significantly more behavior problems and distress compared to their peers. Understanding psychosocial factors is crucial for managing these issues in children living with HIV.
Area of Science:
- Pediatric Psychology
- Infectious Diseases
- Child Psychiatry
Background:
- Human Immunodeficiency Virus (HIV) infection in children has shifted from an acute illness to a chronic condition, impacting psychosocial development.
- HIV-affected children and their families require specialized support systems to address developmental needs.
- Behavioral problems are a significant concern for children living with HIV.
Purpose of the Study:
- To investigate behavioral patterns in HIV-infected children aged 6-11 years.
- To identify factors contributing to psychiatric disorders in HIV-infected children.
- To compare behavioral patterns between HIV-infected and uninfected children.
Main Methods:
- A prospective, random-sampling study involving 140 HIV-infected children and 301 matched controls.
- Socio-demographic characteristics and HIV status were analyzed for their influence on behavior.
- The Child Behaviour Check List (CBCL) was utilized to assess behavior patterns.
Main Results:
- HIV-infected children exhibited higher levels of subjective distress compared to controls.
- Primary caregivers reported behavior problems in 80.7% of HIV-infected children versus 18.3% of controls.
- Psychiatric behavior was identified as a significant risk factor associated with HIV infection (p<0.0001).
Conclusions:
- Behavioral analysis by psycho-medical teams can elucidate the role of psychosocial and demographic factors.
- These factors can exacerbate behavior problems in children with HIV.
- Targeted interventions addressing psychosocial aspects are essential for supporting HIV-infected children.
Background:
HIV-infected children are at risk of behaviour problems. The transition of HIV from an acute, lethal disease to survival with sub-acute, chronic disease has enormous implications for the psychosocial development and requirement for support of affected children and families.
Aim:
To study the behavioural patterns and factors responsible for psychiatric disorders among HIV-infected and uninfected children in the age group 6-11 years.
Methods:
A prospective, random-sampling study was undertaken to examine the unique and combined influences of HIV and socio-demographic characteristics on the behaviour of 140 infected and 301 age- and income-matched controls. Controls were normal children recruited from government schools. The Child Behaviour Check List was used to assess behaviour patterns.
Results:
Multivariate analyses comparing HIV-infected children with their uninfected peers from similar backgrounds showed more subjective distress in the HIV-infected group. Behaviour problems in HIV-infected children were reported by 80.7% of primary caregivers compared with 18.3% for controls. Psychiatric behaviour in HIV-infected children as a risk factor for HIV was also identified in a significant proportion (p<0.0001).
Conclusions:
By analysing behaviour, a psycho-medical team can examine the extent to which psychosocial and demographic factors are involved in causing and exacerbating behaviour problems in HIV-infected children.
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