Krener P, Miller F B
J Am Acad Child Adolesc Psychiatry. 1989 Jul;28(4):596-605. doi: 10.1097/00004583-198907000-00021.
Five clinical situations involving children and adolescents exposed to human immunodeficiency virus illustrate the psychosocial spectrum of the disease. For at-risk gay youth, anxiety and stigma complicate developing sexual practices. Children with perinatal infection may survive for years with a chronic illness, management of which is complicated by parental illness or death. Hemophiliac families must deal with the intrusion of a lethal virus into a long illness course. "Street" adolescents and substance-abusing youth pose particular challenges to public health and education. The range of child psychiatric responses described includes individual and family therapy, neuropsychological assessment, psychopharmacological management, and consultation liaison work.
涉及接触人类免疫缺陷病毒的儿童和青少年的五种临床情况说明了该疾病的社会心理范围。对于有风险的男同性恋青少年，焦虑和耻辱感使性习惯的养成变得复杂。围产期感染的儿童可能会带着慢性病存活数年，而父母的疾病或死亡会使这种疾病的管理变得复杂。血友病家庭必须应对致命病毒侵入漫长病程的情况。“街头”青少年和滥用药物的青年给公共卫生和教育带来了特殊挑战。所描述的儿童精神科应对措施包括个体和家庭治疗、神经心理学评估、精神药物管理以及咨询联络工作。
