New Michelle J, Lee Sonia S, Elliott Brenda M
Children's National Medical Center, 111 Michigan Avenue, NW, Washington, DC 20010-2970, USA.
J Pediatr Psychol. 2007 Mar;32(2):123-31. doi: 10.1093/jpepsy/jsj121. Epub 2006 May 11.
To assess psychological adjustment in children living with human immunodeficiency virus (HIV) and their primary caregivers.
The study protocol included use of standardized questionnaires to assess emotional and behavioral health of 57 children and 54 caregivers (Phase 1). Positive screening led to standardized interviews to assess current psychiatric diagnoses (Phase 2).
Of the 16 children who entered Phase 2, 6 (38%) met the criteria for a psychiatric diagnosis. Of the 15 adults who met the screening criteria, 13 completed a computerized psychiatric interview and all 13 (100%) met the criteria for a psychiatric diagnosis.
While important mental health needs were identified in families with HIV, the majority of families did not exhibit mental health disorders. These results might reflect the substantial psychosocial resilience of these families. Further study is needed to determine to what extent the mental health needs of children and their caregivers are being met. In addition, identification of protective factors in resilience and coping in families living with a chronic illness is warranted.
评估感染人类免疫缺陷病毒（HIV）儿童及其主要照料者的心理调适情况。
研究方案包括使用标准化问卷评估57名儿童和54名照料者的情绪和行为健康（第一阶段）。筛查呈阳性则进行标准化访谈以评估当前的精神疾病诊断（第二阶段）。
进入第二阶段的16名儿童中，6名（38%）符合精神疾病诊断标准。在15名符合筛查标准的成年人中，13名完成了计算机化精神科访谈，且所有13名（100%）均符合精神疾病诊断标准。
虽然在HIV感染家庭中发现了重要的心理健康需求，但大多数家庭并未表现出精神疾病。这些结果可能反映了这些家庭强大的心理社会适应能力。需要进一步研究以确定儿童及其照料者的心理健康需求在多大程度上得到了满足。此外，有必要确定慢性病家庭适应能力和应对中的保护因素。
