Journal Article

Attention Deficit Hyperactivity and Oppositional Defiance Disorder in HIV-Infected South African Children

I. Zeegers, H. Rabie, S. Swanevelder, C. Edson, M. Cotton and R. van Toorn

in Journal of Tropical Pediatrics

Volume 56, issue 2, pages 97-102
Published in print April 2010 | ISSN: 0142-6338
Published online August 2009 | e-ISSN: 1465-3664 | DOI: http://dx.doi.org/10.1093/tropej/fmp072
Attention Deficit Hyperactivity and Oppositional Defiance Disorder in HIV-Infected South African Children

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Objective: To determine the prevalence of attention deficit-hyperactivity disorder (ADHD) and oppositional defiance disorder (ODD) in HIV-infected South African children.

Methods: Swanson, Nolan and Pelham (SNAP-IV) questionnaires were used to determine ADHD and ODD severity and a draw-a-person (DAP) test was used to screen for developmental disorders. Associations between behavioural subtypes, psychological functioning, demographic and health variables were investigated.

Results: The SNAP-IV caregiver questionnaires showed a 26% prevalence of ADHD inattentive type; 38% hyperactive type and 24% combined type. The prevalence of ODD was 12% on parent questionnaires and 9.5% on teacher's questionnaires.

Conclusions: Parents/caregiver-only SNAP-IV questionnaires indicate a high prevalence of significant ADHD (all subtypes) and ODD in HIV-infected children. No significant differences were found between the severity of HIV disease and the presence of a behavioural disorder. The SNAP IV questionnaires and DAP test may prove valuable screening tools in HIV children with behavioural problems.

Journal Article.  3088 words. 

Subjects: Paediatrics

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