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Citation |
Nassen R, Donald K, Walker K, Paruk S, Vujovic M, Duncan W, Laughton B, Moos B, Eley B, Lachman A, Wilmshurst J. South. Afr. J. HIV Med. 2014; 15(3): 81-96. |
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Copyright |
(Copyright © 2014, AOSIS OpenJournals) |
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DOI |
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PMID |
unavailable |
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Abstract |
HIV-positive children and adolescents are at increased risk of both central nervous system (CNS) sequelae and mental disorders owing to a number of factors, including the impact of HIV infection on the brain, social determinants of health (e.g. poverty and orphanhood) and psychosocial stressors related to living with HIV. Every effort should be made to identify perinatally HIV-infected children and initiate them on antiretroviral therapy early in life. HIV clinicians should ideally screen for mental health and neurocognitive problems, as part of the routine monitoring of children attending antiretroviral clinics. This guideline is intended as a reference tool for HIV clinicians to support the early identification, screening and management of mental health disorders and/or CNS impairment in children and adolescents. This guideline covers mental disorders (section 1) and HIV-associated neurocognitive disorders (section 2) among children and adolescents. Language: en |
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Keywords |
adolescent; human; counseling; mental health; suicide; child; psychotherapy; suicidal ideation; depression; prevalence; aggression; psychosis; patient safety; bereavement; risk assessment; liaison psychiatry; posttraumatic stress disorder; conduct disorder; adolescent health; child health; mental disease; symptomatology; mental health care; neuroleptic agent; differential diagnosis; serotonin uptake inhibitor; Human immunodeficiency virus infection; patient referral; anxiety disorder; grief; psychosocial care; patient compliance; child health care; risperidone; delirium; screening test; mania; attention deficit disorder; medical examination; anti human immunodeficiency virus agent; adjustment disorder; central stimulant agent; Article; Mini Mental State Examination; clinical assessment; oppositional defiant disorder; Human immunodeficiency virus infected patient; disruptive behavior; family attitude; chronic patient; HIV associated dementia; social determinants of health; medication therapy management |