Psychiatric Problems Amongst Adolescents Living With HIV at a Tertiary Care Centre in India
- PDF / 524,296 Bytes
- 3 Pages / 612 x 792 pts (letter) Page_size
- 97 Downloads / 208 Views
Psychiatric Problems Amongst Adolescents Living With HIV at a Tertiary Care Centre in India RENU PILANIA,1 ALOK HEMAL,1 SHEETAL AGARWAL,1 RAM PRATAP BENIWAL2 AND SHILPA KHANNA ARORA1 From Departments of 1Pediatrics and 2Psychiatry, Atal Bihari Vajpayee Institute Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India. Correspondence to: Dr Sheetal Agarwal, Associate Professor, Department of Pediatrics, ABVIMS and Dr Ram Manohar Lohia Hospital, New Delhi, India. [email protected] Received: February 01, 2020; Initial review: February 03, 2020; Accepted: July 25, 2020.
Objective: To assess the prevalence of psychiatric problems among adolescents living with HIV (ALHIV). Method: Questionnaire-based cross-sectional study conducted at pediatric HIV clinic of a tertiary care hospital. Participants: 101 ALHIV between 10-18 years of age. Results: Of the 101 ALHIV, 12 (11.88%) met criteria for psychiatric disorders, of which dysthymi (5,41.6%) and oppositional defiant disorder (6,50%) were the commonest. Father of 7 (58.34%) and mother of 8 (66.6%) screen positive patients were dead as compared to 22 (24.7%) and 13 (14.6%) of screen negative patients (P=0.016 and P=0.0003, respectively). Conclusion: Psychiatric problems are common in ALHIV in the age group more than 15 years. Keywords: Depression, Dysthymia, Mental health disorders, Resilience. Published online: August 09, 2020 ; PII: S097475591600224
A
HIV clinic hospital from November, 2017 to March, 2019 after ethical clearance from institutional ethics committee. A sample size of 101 ALHIV with a 10% margin of error and a 5% level of significance was calculated based on the prevalence rates in previous studies [6].
This study was conducted to study the occurrence of psychiatric problems in HIV-positive adolescents attending the HIV clinic at a tertiary care center in India.
ALHIV between 10 and 18 years were consecutively enrolled after taking written informed consent from them or the caregivers (either parent, or accompanying adult in case of orphans). Face-to-face interview was conducted with adolescents and their caregivers and detailed proforma was filled by the investigator. Information collected included socio-demographic data, World Health Organi-zation staging, route of HIV acquisition, and duration of treatment. Details of clinical examination, were recorded, and results of investigations including complete blood count, liver function test, kidney function test and CD4 count were collected from hospital records. The next part of the proforma included MINI KID questionnaire, in which questions were asked to adolescents and their caregivers from the modules addressing 19 psychiatric problems. The scale contained main diagnostic questions at the beginning of each module which if present, was further interviewed for details. All study participants who were positive for psychiatric disorders were referred to the psychiatry clinic at our hospital for further management.
dolescence is associated with increased susceptibility to emotional and m
Data Loading...
