       Document 0637
 DOCN  M9630637
 TI    Psychological response to HIV positivity in hemophilia.
 DT    9603
 AU    Drotar DD; Agle DP; Eckl CL; Thompson PA; Department of Psychiatry, Case
       Western Reserve, University School; of Medicine, USA.
 SO    Pediatrics. 1995 Dec;96(6):1062-9. Unique Identifier : AIDSLINE
       MED/96095155
 AB    OBJECTIVE. To compare the psychological and family adaptation of
       children and adolescents with hemophilia who were seropositive for human
       immunodeficiency virus type 1 (HIV-1) with an HIV-negative group of
       comparable age, demographic characteristics, and disease severity in a
       multi-site study. DESIGN. Cross-sectional, controlled study. SETTING.
       Thirty-three hemophilia treatment centers throughout the United States.
       SAMPLE. Ninety-one children and adolescents with hemophilia who were
       seropositive for HIV and 92 children and adolescents with hemophilia who
       were seronegative and of comparable age, demographic characteristics,
       and disease severity. RESULTS. HIV-seropositive children and adolescents
       reported less positive affect [(lower well being) (P < .05)], and more
       frequent hemophilia-related school absences were identified among
       HIV-infected patients (P < .005). However, the two groups demonstrated
       surprisingly comparable levels of psychological, social,
       hemophilia-related adjustment, general family relations, and
       hemophilia-related family adaptation, as reported by patients and
       parents. However, mothers of HIV-seropositive children and adolescents
       reported higher levels of general psychological distress (P < .008) and
       higher levels of distress related to hemophilia (P < .0002) than parents
       of HIV-negative children. CONCLUSIONS. Seropositive children and
       adolescents with hemophilia demonstrate psychological resilience and
       levels of psychological adjustment that were comparable to seronegative
       counterparts. However, mothers of seropositive children were more
       distressed than mothers of HIV-negative children. Practitioners should
       ensure that stressed mothers obtain necessary psychological support.
 DE    Adaptation, Psychological  Adolescence  Adolescent Psychology/STATISTICS
       & NUMER DATA  Adult  Analysis of Variance  Child  Child
       Psychology/STATISTICS & NUMER DATA  Comparative Study  Cross-Sectional
       Studies  Family/PSYCHOLOGY  Female  Hemophilia/*PSYCHOLOGY  Human  HIV
       Seronegativity  HIV Seropositivity/*PSYCHOLOGY  HIV-1/*IMMUNOLOGY  Male
       Mothers/PSYCHOLOGY/STATISTICS & NUMER DATA  Social Adjustment  Support,
       U.S. Gov't, P.H.S.  United States  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

