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A comparative assessment of generalized anxiety, conduct and peer relationship problems among AIDS and other orphaned
Prem Kumar Sg1, Anil Kumar G2, Ramgopal Sp2
1Public Health Foundation of India, Plot 47, Sector 44, Gurgaon, 122 002, India. kumarsg.prem@gmail.com.
Insights
Children orphaned by HIV/AIDS in India experience significantly higher rates of generalized anxiety and behavioral issues compared to other orphans. These findings underscore the urgent need for targeted mental health interventions for vulnerable children.
Area of Science:
- Child Psychology
- Mental Health Research
- Epidemiology
Background:
- Limited data exists on the mental health of orphaned children in India.
- This study compares mental health outcomes in children orphaned by HIV/AIDS versus other causes in Hyderabad.
Purpose of the Study:
- To compare generalized anxiety, conduct, and peer relationship problems among children orphaned by HIV/AIDS (COA) and other reasons (COO).
- To identify associated risk factors for these mental health issues in orphaned children.
Main Methods:
- A cross-sectional study involving 400 orphaned children aged 12-16 years in Hyderabad.
- Standardized scales assessed generalized anxiety, conduct, and peer relationship problems.
- Multiple classification analysis (MCA) examined risk factors, including co-existing depression.
Main Results:
- Children orphaned by AIDS (COA) showed significantly higher prevalence of generalized anxiety (74.4%), conduct problems (33.2%), and peer relationship problems (27.6%) compared to COO.
- Higher depression scores significantly impacted all three problem areas.
- Being a child orphaned by AIDS and female gender were significant risk factors for generalized anxiety.
Conclusions:
- AIDS orphans face a disproportionately high burden of mental health challenges, including anxiety and behavioral issues.
- The findings highlight an urgent need for improved mental health support systems for orphaned children in India.
Background:
Data on mental health among orphaned children in India are scanty. We compared the generalized anxiety, conduct and peer relationship problems and their associated risk factors among children orphaned by HIV/AIDS and those due to other reasons in the Indian city of Hyderabad.
Methods:
Four hundred orphaned children aged 12 to 16 years residing in orphanages in Hyderabad were sampled, half being AIDS orphans (COA) and the rest orphaned due to other reasons (COO). Interviews were done using standardized scales to assess generalized anxiety, conduct and peer relationship problems. A score >8, >4, and >5 was considered as indicator of generalized anxiety, conduct problem and peer relationship problem, respectively. Variations in the intensity of these three conditions due to possible factors including co-existing depression were assessed using multiple classification analysis (MCA).
Results:
A total of 396 (99.3 %) orphans participated of whom 199 (50.3 %) were COA. The mean generalized anxiety, conduct and peer relationship problem scores were 11.1 (SD 5.2), 3.8 (SD 2.5) and 3.8 (SD 2.5) for COA; and 7.6 (SD 4), 2.6 (SD 2) and 2.3 (SD 1.8) for COO, respectively. Among COA, the prevalence of generalized anxiety score of >8 was 74.4 % (95 % CI 67.8-80.0 %), of conduct problem score of >4 was 33.2 % (95 % CI 26.9-40.1 %), and of peer relationship problem score of >5 was 27.6 %, (95 % CI 21.8-34.3 %), with these being significantly lower in COO. In MCA, a higher mean depression score had the highest effect on the intensity of generalized anxiety, conduct and peer relationship problem (Beta 0.477; 0.379 and 0.453 respectively); being COA and a girl had the most impact on generalized anxiety (0.100 and 0.115, respectively).
Conclusions:
A significantly high proportion of AIDS orphans deal with generalized anxiety, conduct and peer relationship problem as compared with other orphans highlighting the need to address the poor mental health of orphans in India.
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