Document 0623
 DOCN  M9490623
 TI    Psychiatric morbidity in school-age children with congenital human
       immunodeficiency virus infection: a pilot study.
 DT    9411
 AU    Havens JF; Whitaker AH; Feldman JF; Ehrhardt AA; Department of
       Psychiatry, Columbia University College of; Physicians and Surgeons, New
       York, New York.
 SO    J Dev Behav Pediatr. 1994 Jun;15(3):S18-25. Unique Identifier : AIDSLINE
       MED/94342479
 AB    This study examined the relationship between human immunodeficiency
       virus (HIV) infection and psychiatric morbidity within the context of
       prenatal drug exposure. Twenty-six HIV-infected, 14 seroreverted, and 20
       control (non-HIV-exposed) children were studied; the sample consisted of
       nonreferred children living in foster placement who had been exposed to
       maternal drug addiction. Each child received a psychiatric diagnostic
       evaluation which included completion by the caretaker of a structured
       diagnostic interview and a behavior checklist on the child as well as a
       child self-report on a pictorial interview. Age, ethnicity, and IQ were
       controlled in the analyses because of group differences. There were high
       rates of behavioral and psychiatric morbidity, especially with respect
       to disruptive behavior disorders, in this sample of school-age children
       with HIV infection, but similarly high rates were found in the
       seroreverted and non-HIV-exposed children. There was some suggestion
       that the HIV-infected children were experiencing higher levels of
       subjective distress than either the nonexposed or seroreverted children.
       The possible relevance of drug exposure to the behavioral outcomes
       observed here is discussed, as well as the importance of using
       age-appropriate materials to elicit subjective distress in HIV-infected
       school-age children. Clinical implications and directions for further
       research are discussed.
 DE    Anxiety  Attention Deficit Disorder with Hyperactivity/ETIOLOGY  Child
       Child Development Disorders/ETIOLOGY  Child, Preschool  Female  Human
       HIV Infections/*CONGENITAL/PSYCHOLOGY  Intelligence Tests  Male  Mental
       Disorders/EPIDEMIOLOGY/*ETIOLOGY  Observer Variation  Pilot Projects
       Pregnancy  *Prenatal Exposure Delayed Effects  Psychiatric Status Rating
       Scales  Psychophysiologic Disorders/ETIOLOGY  Social Alienation  Social
       Environment  Support, Non-U.S. Gov't  Support, U.S. Gov't, P.H.S.
       JOURNAL ARTICLE

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