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Journal of Pediatric Psychology Advance Access originally published online on May 11, 2006
Journal of Pediatric Psychology 2007 32(2):123-131; doi:10.1093/jpepsy/jsj121
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Psychological Adjustment in Children and Families Living with HIV

Michelle J. New, PhD, Sonia S. Lee, PhD and Brenda M. Elliott, PhD

Children’s National Medical Center

All correspondence concerning this article should be addressed to Michelle J. New, Children’s National Medical Center, 111 Michigan Avenue, NW, Washington, DC 20010-2970. E-mail: mnew{at}cnmc.org


  Abstract

Objective To assess psychological adjustment in children living with human immunodeficiency virus (HIV) and their primary caregivers. Methods The study protocol included use of standardized questionnaires to assess emotional and behavioral health of 57 children and 54 caregivers (Phase 1). Positive screening led to standardized interviews to assess current psychiatric diagnoses (Phase 2). Results Of the 16 children who entered Phase 2, 6 (38%) met the criteria for a psychiatric diagnosis. Of the 15 adults who met the screening criteria, 13 completed a computerized psychiatric interview and all 13 (100%) met the criteria for a psychiatric diagnosis. Conclusions While important mental health needs were identified in families with HIV, the majority of families did not exhibit mental health disorders. These results might reflect the substantial psychosocial resilience of these families. Further study is needed to determine to what extent the mental health needs of children and their caregivers are being met. In addition, identification of protective factors in resilience and coping in families living with a chronic illness is warranted.

Key words: children and families; HIV; psychological adjustment.

Received June 3, 2005; revision received September 19, 2005; revision received March 21, 2005; accepted March 31, 2006


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