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South African Journal of Psychiatry

versão On-line ISSN 2078-6786
versão impressa ISSN 1608-9685

S. Afr. j. psyc. vol.24 no.1 Pretoria  2018

http://dx.doi.org/10.4102/sajpsychiatry.v24i0.1265 

CONGRESS ABSTRACT

 

Caregiver and youth self-reported emotional and behavioural problems in Ugandan HIV-infected children and adolescents

 

 

Leigh L. van den HeuvelI; Jonathan LevinII; Richard S. MpangoIII; Kenneth D. GadowIV; Vikram PatelV; Jean B. NachegaVI; Soraya SeedatI; Eugene KinyandaIII

IDepartment of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa
IISchool of Public Health, Faculty of Health Sciences, University of the Witwatersrand, South Africa
IIIMental Health Project, MRC/UVRI Uganda Research Unit on AIDS/Senior Wellcome Trust Fellowship, Entebbe, Uganda
IVDepartment of Psychiatry, Stony Brook University, United States
VDepartment of Global Health and Social Medicine, Harvard Medical School, Massachusetts, United States
VIDepartments of Epidemiology, Infectious Diseases and Microbiology, University of Pittsburgh Graduate School of Public Health, United States

Correspondence

 

 


ABSTRACT

INTRODUCTION: We determined the prevalence of, and factors associated with, self-rated emotional and behavioural problems (EBPs) and assessed the agreement between self-rated and caregiver-rated EBPs in the 'Mental health among HIV-infected Children and Adolescents (CA-HIV) in Kampala and Masaka, Uganda' (CHAKA) study. Existing literature demonstrates that CA-HIV face increased mental health challenges related to a broad range of biological and psychosocial factors. There is scarce data on self-reported EBPs in CA-HIV
METHODS: In a cross-sectional sample, caregiver-reported EBPs were assessed with the Child and Adolescent Symptom Inventory-5 (CASI-5), and self-reported problems were evaluated with the Youth Inventory-4 (YI-4) in 469 adolescents aged 12-17 years and the Child Inventory-4 (CI-4) in 493 children aged 8-11 years. Logistic regression models were utilised to determine factors related to self-reported EBPs.
RESULTS: Self-reported emotional problems (EPs) were present in 28.8% of the adolescents and were associated with caregivers being separated and having a lower level of education. Among adolescents, 14.5% had self-reported behavioural problems (BPs), and these were associated with caregiver unemployment and food insecurity. Self-reported EPs were reported by 36.9% of children and were associated with rural study sites, having missed school and caregivers having a lower level of education. There was only modest agreement (maximum r = 0.29) between caregiver- and CA-HIV-reported EBPS, with caregivers reporting more EPs and adolescents reporting more BPs.
CONCLUSION: Self-reported EBPs are frequently endorsed by CA-HIV, and these problems are related to unique psychosocial factors. Including CA-HIV, self-report measures can assist in identifying problems that caregivers may not be aware of, particularly BPs.


 

 

Correspondence:
Leigh van den Heuvel
llvdh@sun.ac.za
luellaz@gmail.com

 

 

Note: A selected abstract from papers presented at the 19th National Congress of the South African Society of Psychiatrists in ‘Professional Psychiatric Practice: Medical, Socio-Economic & Cultural Perspectives’, 21–24 September 2018, at the CSIR, Pretoria, South Africa. The congress is hosted by South African Society of Psychiatrists (SASOP).

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