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Emotional and behavioral problems and mental health service utilization of youth living with HIV acquired perinatally or later in life.

机译：围生期或以后出生的艾滋病毒青年的情绪和行为问题以及精神卫生服务的利用。

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This study sought to examine predictors of psychological symptoms and psychiatric service receipt among youth with HIV. Data were from the baseline assessment of Adolescent Impact, a study of 13-21-year-old youth with HIV in three US cities. Between August 2003 and February 2005, participants completed the age-appropriate youth or adult self-report symptom checklists (Achenbach system of empirically based assessment) and reported their psychiatric treatment history. Psychiatric diagnoses were abstracted from medical records. The 164 participating youth living with HIV were Black (81%), female (52%), Heterosexually identified (62%), and perinatally HIV-infected (60%). Thirty-one percentage reported levels of internalizing (i.e., self-focused/emotional), externalizing (i.e., outwardly focused/behavioral), or overall symptoms consistent with clinical psychopathology. In multivariate analyses, questioning one's sexual identity was associated with greater internalizing problems, whereas identifying as Bisexual was associated with greater externalizing problems (p<0.05). Symptoms were not associated with HIV transmission group. Participants with > or =1 composite score within the clinical range were more likely to have received > or =1 psychiatric service (Odds ratio (OR): 2.51; 95% confidence interval (CI): 1.22, 5.13) and a psychiatric diagnosis in the past year (OR: 2.16; 95% CI: 1.09, 4.27). However, 27% with clinically elevated scores had never received psychiatric care. Results suggest that among youth with HIV, those who identify as Bisexual or Questioning are at greatest risk for emotional and behavioral problems. Despite available mental health services, some youth with HIV are not receiving needed mental health care. Enhanced evaluation, referral and mental health service linkage is needed for these high-risk youth.
机译：这项研究试图检查艾滋病毒青年中心理症状和接受精神科服务的预测因素。数据来自《青少年影响》的基线评估，该研究在美国三个城市对13-21岁的艾滋病毒青年进行了研究。在2003年8月至2005年2月之间，参与者填写了适合年龄的青年或成人自我报告症状清单（基于经验的Achenbach系统评估），并报告了他们的精神病治疗史。精神病学诊断摘自病历。 164名参加艾滋病毒的青年为黑人（81％），女性（52％），经异性恋识别（62％）和围产期感染了艾滋病毒（60％）。有31％的人报告了与临床心理病理学一致的内在化（即自我专注/情感），外在化（即外向专注/行为）或总体症状水平。在多变量分析中，质疑一个人的性身份与更大的内在化问题相关，而被识别为双性恋则与更大的内在化问题相关（p <0.05）。症状与HIV传播人群无关。在临床范围内综合得分>或= 1的参与者更有可能接受精神病服务>或= 1（赔率（OR）：2.51; 95％置信区间（CI）：1.22，5.13）并在过去一年（OR：2.16; 95％CI：1.09，4.27）。但是，有27％的临床分数较高的人从未接受过精神病治疗。结果表明，在患有艾滋病毒的年轻人中，被识别为双性恋或询问的人面临情绪和行为问题的风险最高。尽管可以提供心理保健服务，但一些艾滋病毒青年仍未获得所需的心理保健。这些高危青年需要加强评估，转诊和精神卫生服务的联系。

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