Caregiver and youth self-reported emotional and behavioural problems in Ugandan HIV-infected children and adolescents
South African Journal of Psychiatry
| Field | Value | |
| Title | Caregiver and youth self-reported emotional and behavioural problems in Ugandan HIV-infected children and adolescents | |
| Creator | van den Heuvel, Leigh L. Levin, Jonathan Mpango, Richard S. Gadow, Kenneth D. Patel, Vikram Nachega, Jean B. Seedat, Soraya Kinyanda, Eugene | |
| Description | 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. | |
| Publisher | AOSIS | |
| Date | 2018-09-20 | |
| Identifier | 10.4102/sajpsychiatry.v24i0.1265 | |
| Source | South African Journal of Psychiatry; Vol 24 (2018); 1 page 2078-6786 1608-9685 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/1265/1209
https://sajp.org.za/index.php/sajp/article/view/1265/1208
https://sajp.org.za/index.php/sajp/article/view/1265/1210
https://sajp.org.za/index.php/sajp/article/view/1265/1207
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