Deepak Joshi1, Mithilesh K Tiwari2, Venkatnarayan Kannan3, S S Dalal4, S S Mathai5. 1. Associate Professor, Department of Pediatrics, Armed Forces Medical College, Pune 411040, India. 2. Graded Specialist (Pediatrics), 160 Military Hospital, C/o 99 APO, India. 3. Senior Advisor (Pediatrics), Command Hospital (Southern Command), Pune 411040, India. 4. Professor, Department of Pediatrics, Armed Forces Medical College, Pune 411040, India. 5. Professor and Head, Department of Pediatrics, Armed Forces Medical College, Pune 411040, India.
Abstract
BACKGROUND: To study the emotional and behavioral disturbances (EBD) in school going HIV positive children attending HIV center in a tertiary care hospital. METHOD: This cross-sectional study was conducted on 258 HIV infected children between 6 and 16 years of age, 200 were on Anti-retroviral therapy (ART) and 58 were not on ART. They were evaluated for EBD by using Pictorial Pediatric Symptom Checklist (PPSC) screening tool. A cut-off score of 28 was taken as significant for detecting early EBD. RESULTS: The prevalence of EBD in our study is 11.2%. Demographic and disease related profile were assessed for correlation with EBD. Type of family (p = 0.023), school attendance (p = 0.034), school performance (p = 0.045), and CD4 count (p = 0.015) were detected to have significant association with early manifestation of EBD in the study group. CONCLUSIONS: HIV positive children who have low CD4 count, poor school attendance, and performance are at a higher risk of being detected with EBD. Screening with PPSC to identify EBD in HIV positive children attending HIV clinic in a hospital setting could help in early diagnosis and management.
BACKGROUND: To study the emotional and behavioral disturbances (EBD) in school going HIV positive children attending HIV center in a tertiary care hospital. METHOD: This cross-sectional study was conducted on 258 HIV infectedchildren between 6 and 16 years of age, 200 were on Anti-retroviral therapy (ART) and 58 were not on ART. They were evaluated for EBD by using Pictorial Pediatric Symptom Checklist (PPSC) screening tool. A cut-off score of 28 was taken as significant for detecting early EBD. RESULTS: The prevalence of EBD in our study is 11.2%. Demographic and disease related profile were assessed for correlation with EBD. Type of family (p = 0.023), school attendance (p = 0.034), school performance (p = 0.045), and CD4 count (p = 0.015) were detected to have significant association with early manifestation of EBD in the study group. CONCLUSIONS: HIV positive children who have low CD4 count, poor school attendance, and performance are at a higher risk of being detected with EBD. Screening with PPSC to identify EBD in HIV positive children attending HIV clinic in a hospital setting could help in early diagnosis and management.
Entities:
Keywords:
Anti-retroviral therapy (ART); Emotional and behavioral disturbance (EBD); HIV positive children
Authors: R Christopher Sheldrick; Brandi S Henson; Shela Merchant; Emily N Neger; J Michael Murphy; Ellen C Perrin Journal: Acad Pediatr Date: 2012-08-22 Impact factor: 3.107
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