Rates and predictors of anxiety and depressive disorders in adolescents of parents with HIV
Rates and predictors of anxiety and depressive disorders in adolescents of parents with HIV
复制标题
DOI：
10.1080/17450120600659028
复制
发表时间：
2006-01-01
影响因子：
1.1
通讯作者：
Lin, Ying Ying
中科院分区：
文献类型：
--
作者：
Lester, Patricia;Rotheram-Borus, Mary Jane;Lin, Ying Ying
父母中有艾滋病毒携带者的儿童（PWH）预计患焦虑和抑郁症的风险会增加，因为父母艾滋病毒疾病和死亡的潜在影响。威尔斯亲王医院及其青少年儿童最初是在随机干预试验的背景下招募的，超过60%的青少年在评估之前经历了父母的死亡。使用复合国际诊断访谈，终身和最近的焦虑和抑郁障碍进行了测量后4年的登记。PWH青少年有很高的比例，任何一生和最近的焦虑症。特别是，终生和近期创伤后应激障碍的发病率都很高。终生焦虑障碍与年龄较大、基线情绪困扰和既往创伤暴露显著相关，而终生抑郁障碍与女性性别、父母丧亲和既往创伤暴露相关。这些发现显示有需要为患有威尔斯亲王医院的青少年进行适当的甄别和治疗。
Children with a parent with HIV (PWH) are expected to be at increased risk for anxiety and depressive disorders because of the potential impact of parental HIV illness and death. PWH and their adolescent children were initially recruited in the context of a randomized intervention trial, with more than 60% of adolescents experiencing death of a parent prior to assessment. Using the Composite International Diagnostic Interview, lifetime and recent anxiety and depressive disorders were measured 4 years following enrollment. Adolescents of PWH had high rates of any lifetime and recent anxiety disorders. In particular, both lifetime and recent rates of post-traumatic stress disorder were high. Lifetime anxiety disorders were significantly associated with older age, baseline emotional distress and prior traumatic exposure, while lifetime depressive disorders were associated with female gender, parental bereavement and prior traumatic exposure. These findings demonstrate the need for appropriate screening and treatment of adolescents of PWH.