Caring for perinatally HIV-infected children: call for mental care for the children and the caregivers
Caring for perinatally HIV-infected children: call for mental care for the children and the caregivers
复制标题
DOI：
10.1080/09540121.2017.1307917
复制
发表时间：
2017-01-01
影响因子：
1.7
通讯作者：
Jimba, Masamine
中科院分区：
文献类型：
--
作者：
Kikuchi, Kimiyo;Poudel, Krishna C.;Jimba, Masamine
抗逆转录病毒疗法大大提高了围产期艾滋病毒感染儿童的存活率。为了让他们茁壮成长，有必要更好地了解他们的心理健康问题。照顾者在儿童的日常照顾中扮演着重要的角色，照顾者的心理健康可能与儿童的心理健康有关。然而，这种关联很少被研究。因此，本研究探讨抑郁症的照顾者和围产期艾滋病毒感染的儿童在卢旺达基加利之间的关联。我们对475名7-14岁的围产期HIV感染儿童及其照顾者进行了横断面研究。我们通过与儿童面对面的访谈收集儿童的抑郁评分数据，使用贝克抑郁量表青年。我们还收集了社会人口学数据，使用半结构式问卷与照顾者。此外，我们还测量了儿童的体重、身高，并收集了他们的临床记录。通过线性和逻辑回归分析来分析数据。在所有儿童中，22%有抑郁症状。在那些有抑郁症状的人（n=105）中，49%的人从未接受过心理支持。在线性和Logistic回归分析中，照顾者的高抑郁评分与儿童的高抑郁评分呈正相关（AOR：3.064，95%CI：1.723，4.855，AOR：1.759，95%CI：1.129，2.740）。服用依非韦伦和低年龄身高也与艾滋病毒感染儿童的较高抑郁评分呈正相关。需要解决心理健康问题，以提高围产期艾滋病毒感染儿童的生活质量。照顾者的抑郁与儿童的抑郁症状呈正相关。同时关心孩子和照顾者的心理健康可以防止抑郁的相互促进。
Antiretroviral therapy has dramatically improved the survival rate of perinatally HIV-infected children. For them to thrive, it is necessary to understand better their mental health issues. Caregivers play an important role in children's daily care and caregiver mental health may relate to children's mental health. However, this association has rarely been studied. Accordingly, the present study examined the associations between depression of caregivers and that of perinatally HIV-infected children in Kigali, Rwanda. We conducted a cross-sectional study of 475 perinatally HIV-infected children aged 7-14 years and their caregivers. We collected children's depression score data via face-to-face interviews with children using the Beck Depression Inventory for Youth. We also collected sociodemographic data using a semi-structured questionnaire with caregivers. In addition, we measured children's weight, height, and collected their clinical records. Data were analyzed via linear and logistic regression analyses. Of all children, 22% had symptoms of depression. Among those who had depressive symptoms (n=105), 49% had never received psychological support. In both the linear and logistic regression analysis, caregiver's high depression scores were positively associated with children's higher depression scores (AOR: 3.064, 95% CI: 1.723, 4.855, and AOR: 1.759, 95% CI: 1.129, 2.740, respectively). Taking Efavirenz and low height-for-age were also positively associated with higher depression scores among HIV-infected children. Mental health needs to be addressed to improve quality of life of perinatally HIV-infected children. Caregiver's depression was positively associated with children's depressive symptoms. Caring for both children and the caregivers' mental health may prevent the mutual fostering of depression.