Psychiatric diagnoses in adolescents seropositive for the human immunodeficiency virus

Maryland Pao, Maureen Lyon, Lawrence J. D'Angelo, Wendy B. Schuman, Tisha Tipnis, David A. Mrazek

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To provide a descriptive analysis of the prevalence of past and current psychiatric disorders in adolescents positive for the human immunodeficiency virus (HIV). Design: Structured interview in a convenience sample in a primary care urban adolescent clinic in Washington, DC. Participants: Thirty-four Hiv-seropositive adolescents ranging in age from 16 to 21 years. Main Outcome Measures: The Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition (SCID-P) was administered by a child psychiatrist or a clinical child psychologist. Extensive review of medical records was also conducted. Results: A majority of the HIV-infected adolescents in our sample had received psychiatric diagnoses prior to their treatment at the clinic (53%), had a documented history of sexual abuse (50%), and had a history of substance use (82%). Psychiatric diagnoses determined by the SCID-P indicated that 85% of the sample had a current Axis I disorder, with 44% reporting ongoing depressive disorders. Conclusions: The majority of subjects in this sample had had a previous psychiatric diagnosis, and almost half had a current affective disorder. Psychiatric disorders, especially affective disorders, may be a risk factor for high- risk sexual behaviors and substance use that increases the risk for HIV infection in adolescent populations.

Original languageEnglish (US)
Pages (from-to)240-244
Number of pages5
JournalArchives of Pediatrics and Adolescent Medicine
Volume154
Issue number3
DOIs
StatePublished - Mar 2000

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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