Abstract
Objectives
To examine associations between psychiatric symptomatology and HIV-positive status in adolescents who sought HIV testing at a public health center in Brazil.
Method
In a cross-sectional study, 388 adolescents assessed for their HIV status were also evaluated for psychiatric symptomatology using the Symptom Checklist-90-R (SCL-90-R). The impact of potential confounding variables such as risk behaviors was ascertained using the Brazilian version of the Risk Assessment Battery (RAB).
Results
Overall seropositivity rate was 6.2%. Seropositives had significantly higher scores in all dimensions of psychiatric symptomatology in the SCL-90-R (P < 0.05 and effect sizes > 0.5 in all dimensions). In multiple analyses, with the inclusion of 3 composite variables (sex-risk, drug-risk, and psychiatric symptomatology), only psychiatric symptoms were associated with positive HIV status (OR = 1.88, CI95% = 1.06–3.34; P = 0.032).
Conclusions
Our findings suggest that amongst young people asking for HIV testing in Brazil, seropositivity is associated with psychological symptoms and that screening for the latter would therefore be appropriate in this context.
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References
APA. American Psychiatric Association (2000) Work group on HIV/AIDS: practice guideline for the treatment of patients with HIV/AIDS. Am J Psychiatr 157 (Suppl):1–62
Béria J, Oliveira OMF, Carret MLV (1998) Adolescentes e DST/AIDS: pesquisa formativa em um estudo de intervenção. In: Béria J, ed Ficar, transar...: a sexualidade do adolescente em tempos de AIDS. Porto Alegre Tomo Editorial pp 37–54
Brasil. Ministério da Saúde (2004) Dados epidemiológicos Brasil (Tabelas). Bol Epidemiol AIDST 1:29–32
Bukstein OG, Glancy LJ, Kaminer Y (1992) Patterns of affective comorbidity in a clinical population of dually diagnosed adolescent substance abusers. J Am Acad Child Adolesc Psychiatry 31:1041–1045
Castellón L (2002) Risco Anunciado: mulheres já somam metade dos casos da doença no planeta. Isto é 1731:1746
Chandra PS, Desai G, Ranjan S (2005) HIV and psychiatric disorders. Indian J Med Res 121:451–467
Clark DB, Pollock N, Bukstein OG, Mezzich AC, Bromberger JT, Donovan JE (1997) Gender and comorbid psychopathology in adolescents with alcohol dependence. J Am Acad Child Adolesc Psychiatry 36:1195–1203
Derogatis LR (1977) SCL-90: administration, scoring and procedures manual. Johns Hopkins University, Baltimore
Derogatis LR (2000) Symptom Checklist – 90–Revised (SCL-90-R). In: American Psychiatric Association: handbook of psychiatric measures. American Psychiatric, Washington, pp 81–84
Donenberg GR, Emerson E, Bryan FB, Wilson H, Weber-Shifrin E (2001) Understanding AIDS-risk behavior among adolescents in psychiatric care: links to psychopathology and peer relationships. J Am Acad Child Adolesc Psychiatry 40:642–653
Donenberg GR, Youths Pao M (2005) HIV/AIDS: psychiatry’s role in a changing epidemic. J Am Acad Child Adolescent Psychiatry 44:8
Fleitlich BW, Goodman R (2001) Social factors associated with child mental health problems in Brazil: cross sectional survey. Br Med J 323:599–600
Galduróz JCF, Noto AR, Carlini EA (1997) IV Levantamento sobre o uso de drogas entre estudantes de 1 e 2 graus em 10 capitais brasileiras. São Paulo: CEBRID
Hein K, Dell R, Futtermann D, Rotheram-Borus MJ, Shaffer N (1995) Comparison of HIV + and HIV – adolescents: risk factors and psychosocial determinants. Pediatrics 95:96–104
Henderson R, Colgrove J, Lusk H (1998) A survey of the mental care needs of HIV positive adolescents and young adults. Int Conf AIDS 12:485
Holi MM, Sammallahti PR, Aalberg VA (1998) A Finnish validation study of the SCL- 90. Acta Psychiatr Scand 97:42–46
Kelly B, Raphael B, Judd F, Perdices M, Kernutt G, Burrows GD, et al (1998) Psychiatric disorder in HIV infection. Aust N Z J Psychiatry 32:441–453
Lowry R, Holtzman D, Truman BI, Kann L, Collins JL, Kolbe LJ (1994) Substance use and related sexual behaviors among US high school students: are they related? Am J Public Health 84:1116–1122
Mannuzza S, Klein RG, Bessler A, Malloy P, LaPadula M (1993) Adult outcome of hyperactive boys: educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry 50: 565–576
Martin CA, Kelly TH, Rayens MK, Brogli BR, Brenzel A, Smith WJ, et al. (2002) Sensation seeking, puberty, and nicotine, alcohol and marijuana use in adolescence. J Am Acad Child Adolesc Psychiatry 41:1495–1502
Metzger DS (1993) The risk assessment battery (RAB) validity and reliability. Sixth Annual Meeting of the National Cooperative Vaccine Development Groups for AIDS. Alexandria
Moscicki AB, Millstein SG, Broering J, Irwin CE Jr (1993) Risks of human immunodeficiency virus infection among adolescents attending three diverse clinics. J Pediatr 122: 813–820
Myers K, Winters NC (2002) Ten-year review of rating scales. I: overview of scale functioning, psychometric properties, and selection. J Am Acad Child Adolesc Psychiatry 41(2):114–122
Pechansky F, Hirakata V, Metzger D (2002) Adaptation and validation of a questionnaire about risk behaviors for AIDS among drug users. Rev Bras Psiquiatr 24:130–136
Pechansky F (1998) Um estudo sobre situações de risco para contaminação pelo vírus HIV em usuários de drogas da cidade de Porto Alegre (thesis). Porto Alegre: Universidade Federal do Rio Grande do Sul
Ramrakha S, Caspi A, Dickson N, Moffit TE, Paul C (2000) Psychiatric disorders and risky sexual behavior in young adulthood: cross sectional study in birth cohort. Br Med J 321:263–266
Scivoletto S, Tsuji RK, Abdo CHN, Queirós S, Andrade AG, Gattaz W (1999) Relação entre consumo de drogas e comportamento sexual de estudantes de 2 grau de São Paulo. Rev Bras Psiquiatr 21:87–94
Tapert SF, Baratta MV, Abrantes AM, Brown SA (2002) Attention dysfunction predicts substance involvement in community youths. J Am Acad Child Adolesc Psychiatry 41(6):680–686
Thompson SC, Checkley GE, Hocking JS, Crofts N, Mijch AM, Judd FK (1997) HIV risk behaviour and HIV testing of psychiatric patients in Melbourne. Aust N Z J Psychiatry 31:566–576
UNAIDS. Latin America and the Caribbean fact sheets. Available at http://www.unaids.org [accessed 2002 January]
UNAIDS/WHO. Aids epidemic update. Available at http://www.unaids.org [accessed 2003 December]
Whaley AL. Preventing the high-risk sexual behavior of adolescents: focus on HIV/AIDS transmission, unintended pregnancy, or both? J Adolesc Health [online journal] 1999. Available at http://www.64.4.14.250/cgi-bin/dasp/offhm.asp?_lang = BR [accessed 2001 May]
Zuckerman M (1994) Behavioral expressions and biosocial bases of sensation seeking. New York: Cambridge University Press
Acknowledgements
The authors wish to thank Statistician Vania Gomes Hirakata for performing analyses and database management.
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Bassols, A.M.S., Santos, R.A., Rohde, L.A. et al. Exposure to HIV in Brazilian adolescents: the impact of psychiatric symptomatology. Eur Child Adolesc Psychiatry 16, 236–242 (2007). https://doi.org/10.1007/s00787-006-0595-7
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DOI: https://doi.org/10.1007/s00787-006-0595-7