Congress Abstracts

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

Leigh L. van den Heuvel, Jonathan Levin, Richard S. Mpango, Kenneth D. Gadow, Vikram Patel, Jean B. Nachega, Soraya Seedat, Eugene Kinyanda
South African Journal of Psychiatry | Vol 24 | a1265 | DOI: https://doi.org/10.4102/sajpsychiatry.v24i0.1265 | © 2018 Leigh vd Heuvel, Kenneth D. Gadow, Jean B. Nachega, Soraya Seedat, Eugene Kinyanda | This work is licensed under CC Attribution 4.0
Submitted: 30 August 2018 | Published: 20 September 2018

About the author(s)

Leigh L. van den Heuvel, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa
Jonathan Levin, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, South Africa
Richard S. Mpango, Mental Health Project, MRC/UVRI Uganda Research Unit on AIDS/Senior Wellcome Trust Fellowship, Entebbe, Uganda
Kenneth D. Gadow, Department of Psychiatry, Stony Brook University, United States
Vikram Patel, Department of Global Health and Social Medicine, Harvard Medical School, Massachusetts, United States
Jean B. Nachega, Departments of Epidemiology, Infectious Diseases and Microbiology, University of Pittsburgh Graduate School of Public Health, United States
Soraya Seedat, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa
Eugene Kinyanda, Mental Health Project, MRC/UVRI Uganda Research Unit on AIDS/Senior Wellcome Trust Fellowship, Entebbe, Uganda


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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.


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