Agreement and discrepancy on emotional and behavioral problems between caregivers and HIV-infected children and adolescents from Uganda

dc.contributor.authorVan den Heuvel, Leigh L.en_ZA
dc.contributor.authorLevin, Jonathanen_ZA
dc.contributor.authorMpango, Richard S.en_ZA
dc.contributor.authorGadow, Kenneth D.en_ZA
dc.contributor.authorPatel, Vikramen_ZA
dc.contributor.authorNachega, Jean B.en_ZA
dc.contributor.authorSeedat, Sorayaen_ZA
dc.contributor.authorKinyanda, Eugeneen_ZA
dc.date.accessioned2019-07-31T09:28:47Z
dc.date.available2019-07-31T09:28:47Z
dc.date.issued2019
dc.descriptionCITATION: Van Den Heuvel, L. L., et al. 2019. Agreement and discrepancy on emotional and behavioral problems between caregivers and HIV-infected children and adolescents from Uganda. Frontiers in Psychiatry, 10:460, doi:10.3389/fpsyt.2019.00460.
dc.descriptionThe original publication is available at https://www.frontiersin.org
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund
dc.description.abstractBackground: HIV-infected children and adolescents (CA-HIV) face significant mental health challenges related to a broad range of biological and psychosocial factors. Data are scarce on the agreement and discrepancy between caregivers and CA-HIV regarding emotional and behavioral problems (EBPs) in CA-HIV. Objectives: We determined agreement between self- versus caregiver- reported EBPs and describe factors associated with informant discrepancy among caregiver–youth dyads who participated in the “Mental health among HIV-infected CHildren and Adolescents in KAmpala and Masaka, Uganda” (CHAKA) study. 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. Adolescents were questioned about experiences of HIV stigma. Caregiver psychological distress was assessed with the Self-Reporting Questionnaire (SRQ-20). Linear regression models were applied to identify variables associated with discrepancy scores. Results: Self-reported emotional problems (EPs) were present in 28.8% of adolescents and 36.9% of children, and 14.5% of adolescents self-reported behavioral problems (BPs). There was only a modest correlation (r ≤ 0.29) between caregiver- and CA-HIVreported EBPs, with caregivers reporting more EPs whereas adolescents reported more BPs. Informant discrepancy between adolescents and caregivers for BPs was associated with adolescent age and caregiver’s employment and HIV status. Among adolescents, EP discrepancy scores were associated with adolescent’s WHO HIV clinical stage, caregiver level of education, and caregivers caring for other children. Among children, EP discrepancy scores were associated with child and caregiver age, caregiver level of education, and caregiver self-rated health status. HIV stigma and caregiver psychological distress were also associated with discrepancy, such that adolescents who experienced HIV stigma rated their EPs as more severe than their caregivers did and caregivers with increased psychological distress rated EBPs as more severe than CA-HIV self-rated. Conclusions: EBPs are frequently endorsed by CA-HIV, and agreement between informants is modest. Informant discrepancy is related to unique psychosocial and HIVrelated factors. Multi-informant reports enhance the evaluation of CA-HIV and informant discrepancies can provide additional insights into the mental health of CA-HIV.en_ZA
dc.description.urihttps://www.frontiersin.org/articles/10.3389/fpsyt.2019.00460/full
dc.description.versionPublisher's version
dc.format.extent19 pages
dc.identifier.citationVan Den Heuvel, L. L., et al. 2019. Agreement and discrepancy on emotional and behavioral problems between caregivers and HIV-infected children and adolescents from Uganda. Frontiers in Psychiatry, 10:460, doi:10.3389/fpsyt.2019.00460
dc.identifier.issn1664-0640 (online)
dc.identifier.otherdoi:10.3389/fpsyt.2019.00460
dc.identifier.urihttp://hdl.handle.net/10019.1/106333
dc.language.isoen_ZAen_ZA
dc.publisherFrontiers Media
dc.rights.holderAuthors retain copyright
dc.subjectHIV-positive children -- Ugandaen_ZA
dc.subjectHIV-positive youth -- Ugandaen_ZA
dc.subjectParent and child -- Psychological aspectsen_ZA
dc.subjectParent and child -- Health aspectsen_ZA
dc.titleAgreement and discrepancy on emotional and behavioral problems between caregivers and HIV-infected children and adolescents from Ugandaen_ZA
dc.typeArticleen_ZA
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