Effect of HIV diagnosis disclosure on psychosocial outcomes in Thai children with perinatal HIV infection

Autor: Kulkanya Chokephaibulkit, Vitharon Boon-yasidhi, Mitchell I. Wolfe, Chotpitayasunond T, Pimsiri Leowsrisook, Rangsima Lolekha, Thananda Naiwatanakul
Rok vydání: 2015
Předmět:
Zdroj: International Journal of STD & AIDS. 27:288-295
ISSN: 1758-1052
0956-4624
DOI: 10.1177/0956462415579590
Popis: A provider-assisted, counselling-based, paediatric HIV disclosure model was developed and implemented at two tertiary-care hospitals in Bangkok, Thailand. All undisclosed perinatally acquired HIV-infected children, aged 7–18 years, and their caretakers were offered the four-step disclosure service, including: screening, readiness assessments and preparation, disclosure sessions, and follow-up evaluations. To assess psychosocial outcomes of disclosure, we compared the scores of the Children Depression Inventory and the PedsQL 4.0™ at baseline and at two-month and six-month follow-up visits, and compared the scores of the Child Behavioral Checklist at baseline and at six-month follow-up. Disclosure was made to 186 children, 160 of whom completed post-disclosure assessments. The median Children’s Depression Inventory score in 135 children decreased significantly from 11 at baseline to 8 at two-month and six-month follow-up ( p
Databáze: OpenAIRE