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. 2017 Jan;73(1):18-22.
doi: 10.1016/j.mjafi.2016.12.002. Epub 2017 Jan 7.

Emotional and behavioral disturbances in school going HIV positive children attending HIV clinic

Deepak Joshi  1 , Mithilesh K Tiwari  2 , Venkatnarayan Kannan  3 , S S Dalal  4 , S S Mathai  5
Affiliations

Emotional and behavioral disturbances in school going HIV positive children attending HIV clinic

Deepak Joshi et al. Med J Armed Forces India. 2017 Jan.

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.

Keywords: Anti-retroviral therapy (ART); Emotional and behavioral disturbance (EBD); HIV positive children.

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