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Journal of Pediatric Psychology 21(3) pp. 379-400, 1996
© 1996 Society of Pediatric Psychology

research-article

Impairment of Expressive Behavior in Pediatric HIV-Infected Patients with Evidence of CNS Disease1

Howard A. Moss2, Pamela L. Wolters, Pim Brouwers, Michael L. Hendricks and Philip A. Pizzo

National Cancer Institute and Medical Illness Counselling Center, National Cancer Institute, National Cancer Institute and Medical Illness Counselling Center, National Cancer Institute

2All correspondence should be addressed to Howard A. Moss, Pediatric Branch, National Cancer Institute, Building 10, Room I3N240, 9000 Rockville Pike, Bethesda, Maryland 20892

Rated observations of videotapes were made of 16 variables representing 5 behavioral domains (task orientation, positive social-emotional, motor skills, expressive speech, and activity) on a sample of 83 HIV-infected children. Comparisons were made on the rated behaviors between children classified as either encephalopathic or nonencephalopathic. Analyses were conducted separately for infants (M age = 1.80 years) and older children (M age = 5.15 years). The nonencephalopathic infants exhibited higher activity levels and were superior in motor and verbal skills and showed more social and emotional responsiveness than did the encephalopathic group. The older nonencephalopathic children functioned in a more adaptive and appropriate manner than did the encephalopathic children in all domains of behavior. Independently made Q-sort ratings of behaviors during developmental testing were highly correlated with conceptually congruent ratings of the videotaped behaviors.

Key words: pediatric HIV-infected; encephalopathy; behavioral ratings; impaired expressive behavior.


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