Symptom Profiles of CD and ODD Among Youth With Perinatally Acquired HIV.

Objective: Youth with perinatally acquired human immunodeficiency virus (PHIV) face increased risk for conduct disorder (CD) and oppositional defiant disorder (ODD) symptoms, and heterogeneous findings indicate that there may be subgroups of youth with PHIV differing in the quality and/or frequency...

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Publicado en:Journal of Pediatric Psychology Vol. 45; no. 1; pp. 72 - 81
Autores principales: Osigwe, Ijeoma, Gadow, Kenneth D, Nachman, Sharon, Drabick, Deborah A G
Formato: Journal Article
Publicado: Oxford University Press / USA Jan/Feb2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2020
      vid: 45
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      pub: Oxford University Press / USA
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        10.1093/jpepsy/jsz074
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        atl: Symptom Profiles of CD and ODD Among Youth With Perinatally Acquired HIV.
      aug:
        au:
          Osigwe, Ijeoma
          Gadow, Kenneth D
          Nachman, Sharon
          Drabick, Deborah A G
        affil: Temple University
      sug:
        subj:
          HIV Infections Complications
          Mental Disorders Diagnosed in Childhood Diagnosis
          Child
          Adolescence
          Mental Disorders Diagnosed in Childhood Complications
          Symptoms Diagnosis
          HIV Infections Psychosocial Factors
          Male
          Family Relations
          Female
          Ferrans and Powers Quality of Life Index
          Questionnaires
          Scales
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Objective: Youth with perinatally acquired human immunodeficiency virus (PHIV) face increased risk for conduct disorder (CD) and oppositional defiant disorder (ODD) symptoms, and heterogeneous findings indicate that there may be subgroups of youth with PHIV differing in the quality and/or frequency of symptoms. The present study examined symptom profiles of CD and ODD among youth with PHIV and whether profiles differed in terms of parent-child and family correlates.Methods: Participants included 314 youth with PHIV, aged 6-17 years (M = 12.88 years, SD = 3.08; 51% male; 85% Black or Latinx), and their caregivers who were recruited from 29 clinics in the US involved in the International Maternal Pediatrics Adolescent AIDS Clinical Trials (IMPAACT) Group's P1055 study. Caregivers reported on youth CD and ODD symptoms, parent-child interactions, and family environment.Results: Latent class analysis indicated that a four-class model (i.e., moderate CD/high ODD, high ODD, moderate ODD, low CD/ODD) best fit the data. Ancillary analyses to validate these classes revealed differences for family cohesion and conflict; and child-centeredness, detachment, guilt-induced control, and consistency in parent-child interactions. The low CD/ODD class generally differed from other classes with additional differentiation between some higher risk profiles.Conclusions: Findings suggest that homogeneous classes of CD/ODD symptoms can be identified among youth with PHIV, and these profiles differ in terms of family processes, consistent with previous work among chronically ill youth.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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