دورية أكاديمية
Emotional and behavioural difficulties among children and adolescents attending "ART teen clubs" in Mzuzu City in northern Malawi: a cross-sectional study.
العنوان: | Emotional and behavioural difficulties among children and adolescents attending "ART teen clubs" in Mzuzu City in northern Malawi: a cross-sectional study. |
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المؤلفون: | Kaseka PU; Paediatric Department, Mzuzu Central Hospital, Private Bag 209, Mzuzu, Malawi. kasekapaul2016@gmail.com., Zgambo M; School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia., Mbakaya BC; Public Health, University of Livingstonia, Mzuzu, Malawi.; Nursing and Midwifery Department, Mzuzu University, Mzuzu, Malawi., Lazarus M; Basic Department, Kamuzu University for Health Sciences, Lilongwe, Malawi., Nkhata O; Investigations Department, Nurses and Midwives Council of Malawi, Mzuzu, Malawi., Kalembo FW; School of Nursing, Curtin University, Bentley, Western Australia. |
المصدر: | BMC pediatrics [BMC Pediatr] 2024 Jan 13; Vol. 24 (1), pp. 41. Date of Electronic Publication: 2024 Jan 13. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100967804 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2431 (Electronic) Linking ISSN: 14712431 NLM ISO Abbreviation: BMC Pediatr Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
مواضيع طبية MeSH: | HIV Infections*/drug therapy , HIV Infections*/psychology, Male ; Child ; Female ; Humans ; Adolescent ; Cross-Sectional Studies ; Malawi/epidemiology ; Surveys and Questionnaires ; Mental Health |
مستخلص: | Background: While triple anti-retroviral therapy (ART) has improved HIV-infected children surviving into adolescence and adulthood, these children remain vulnerable to HIV-related psychological disturbance due to both the direct HIV infection effects on the brain and indirect effects related to coping with a range of medical, psychological and social stresses associated with HIV, which makes it vital to identify their mental health needs. This study assessed the emotional and behavioural challenges of HIV perinatally infected children and adolescents with a completed disclosure process attending "ART teen club" in Malawi. Methods: A cross-sectional descriptive study design was conducted to obtain quantitative descriptive descriptions of emotional and behavioural challenges among HIV-infected children and adolescents between 10 and 22 years of age. They were interviewed on their family socio-demographic characteristics, clinical characteristics as well as emotional, conduct, hyperactivity, peer and prosocial problems using the Chichewa version of the Strengths and Difficulties Questionnaire. Data were analyzed using descriptive analysis and logistic regression. Results: Based on the four-band categorization of the SDQ, higher scores for total difficulties score were observed in 72.9% of the children. According to the subscales of the SDQ, results show that children had higher scores in peer problems (62.8%), emotional (68.2%), conduct (68.6%) and prosocial (57.8%) subscales while lower scores were identified in the hyperactivity (16.6%) subscale. Results show that within each level, males are having lower frequencies as compared to females. Results from multivariate binary logistic regression indicate that those with a single parent or not as well as the WHO HIV clinical stage had an impact on the mental health status of the children. Children who do not have a single parent (AOR 3.404; 95% CI:1.563-7.416, p = 0.002) had 3.404 odds of having abnormal mental health status unlike those children with a single parent and children who were in WHO HIV clinical stage 2 (AOR 2.536; 95% CI:1.005-6.395, p = 0.049) or 3 and 4 (AOR 8.459; 95% CI:1.5.820-10.544, p < 0.001) had more odds of having the mental disorder as compared with those children in WHO HIV clinical stage 1. Conclusion: The findings of this research underscore the multifaceted nature of mental well-being among children and adolescents living with HIV. Elevated scores in total difficulties, emotional, conduct, and peer problems signify areas of concern, while disparities in hyperactivity and prosocial behavior highlight the nuanced nature of their behavioral challenges. Recognizing the inadequacy of a one-size-fits-all approach, the research emphasizes the necessity of a comprehensive strategy, incorporating factors like religious background, family structure, and clinical HIV stage. Furthermore, the role of "ART teen clubs" in this context is pivotal. Beyond addressing identified risk factors, these clubs must actively foster resilience. Creating an inclusive environment, tapping into individual strengths, and nurturing a sense of community are vital components. By adopting such a holistic approach, Teen support clubs can significantly contribute to the overall mental well-being of adolescents living with HIV, enabling them to navigate challenges effectively and thrive amidst their circumstances. (© 2024. The Author(s).) |
References: | Afr J AIDS Res. 2009 Jun;8(2):123-33. (PMID: 25875564) J Relig Health. 2016 Oct;55(5):1688-99. (PMID: 27071797) BMC Psychiatry. 2018 Aug 15;18(1):254. (PMID: 30111300) Glob Soc Welf. 2018 Mar;5(1):29-38. (PMID: 30038880) BMC Psychiatry. 2015 Oct 26;15:264. (PMID: 26503291) PLoS One. 2019 Jun 19;14(6):e0218518. (PMID: 31216327) Eur Child Adolesc Psychiatry. 1998 Sep;7(3):125-30. (PMID: 9826298) J Acquir Immune Defic Syndr. 2010 Sep;55(1):134-6. (PMID: 20733406) Pediatrics. 2006 Mar;117(3):729-40. (PMID: 16510653) Med J Armed Forces India. 2017 Jan;73(1):18-22. (PMID: 28123240) Child Adolesc Psychiatry Ment Health. 2018 Jan 11;12:6. (PMID: 29344084) J Relig Health. 2014 Oct;53(5):1353-73. (PMID: 23674243) BMC Psychiatry. 2019 Feb 8;19(1):60. (PMID: 30736758) Dialogues Clin Neurosci. 2009;11(1):7-20. (PMID: 19432384) BMC Pediatr. 2017 May 12;17(1):123. (PMID: 28499423) J Pediatr Psychol. 2009 Mar;34(2):164-75. (PMID: 18647794) J Int Assoc Provid AIDS Care. 2023 Jan-Dec;22:23259582231172340. (PMID: 37194291) Neuropsychol Rev. 2021 Dec;31(4):683-688. (PMID: 33580467) Glob Ment Health (Camb). 2015 Jun 25;2:e9. (PMID: 28596857) Worldviews Evid Based Nurs. 2017 Apr;14(2):90-98. (PMID: 28178389) Soc Sci Med. 2009 Feb;68(4):689-98. (PMID: 19084312) Int J Ment Health Syst. 2009 Nov 24;3(1):26. (PMID: 19930684) BMC Psychiatry. 2010 Jul 16;10:56. (PMID: 20637090) Pac AIDS Alert Bull. 1999;(18):15-6. (PMID: 12349391) Curr Opin HIV AIDS. 2018 May;13(3):265-273. (PMID: 29528850) Int J Ment Health Syst. 2015 Apr 02;9:18. (PMID: 25901179) Soc Sci Med. 2013 Jun;87:185-93. (PMID: 23631794) AIDS Res Ther. 2023 Jan 4;20(1):2. (PMID: 36600270) AIDS Care. 2020 Jul;32(7):896-900. (PMID: 31535560) PLoS One. 2013 Jun 12;8(6):e65041. (PMID: 23776443) J Acquir Immune Defic Syndr. 2017 May 1;75(1):1-8. (PMID: 28169874) J Int AIDS Soc. 2017 May 16;20(Suppl 3):21497. (PMID: 28530045) West Indian Med J. 2007 Jan;56(1):55-9. (PMID: 17621845) South Afr J HIV Med. 2019 Oct 28;20(1):1002. (PMID: 31745433) Pediatrics. 2014 Aug;134(2):e464-72. (PMID: 25049342) AIDS Res Ther. 2021 Apr 20;18(1):13. (PMID: 33879193) J Adolesc. 2022 Jan;94(1):34-44. (PMID: 35353408) J Infect Public Health. 2019 Nov - Dec;12(6):873-877. (PMID: 31213410) AIDS Res Ther. 2023 Jan 6;20(1):4. (PMID: 36609313) Front Neurol. 2020 Apr 17;11:243. (PMID: 32362864) AIDS Care. 2015;27 Suppl 1:6-17. (PMID: 26616121) J Int AIDS Soc. 2017 Nov;20(3):. (PMID: 29178197) Psychol Health Med. 2007 Jan;12(1):40-7. (PMID: 17129932) |
فهرسة مساهمة: | Keywords: ART Teen Club; Children and adolescents living with HIV; Emotional and behavioural difficulties; Malawi |
تواريخ الأحداث: | Date Created: 20240113 Date Completed: 20240115 Latest Revision: 20240116 |
رمز التحديث: | 20240116 |
مُعرف محوري في PubMed: | PMC10787500 |
DOI: | 10.1186/s12887-023-04504-1 |
PMID: | 38218758 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1471-2431 |
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DOI: | 10.1186/s12887-023-04504-1 |