TY - JOUR T1 - PSychiatric diagnoses in adolescents seropositive for the human immunodeficiency virus AU - Pao M, Lyon M, D'Angelo LJ, Schuman WB, Tipnis T, Mrazek DA Y1 - 2000/03/01 N1 - 10.1001/archpedi.154.3.240 JO - Archives of Pediatrics & Adolescent Medicine SP - 240 EP - 244 VL - 154 IS - 3 N2 - Objective  To provide a descriptive analysis of the prevalence of past and current psychiatric disorders in adolescents positive for the human immunodeficiency virus (HIV).Design  Structured interview in a convenience sample in a primary care urban adolescent clinic in Washington, DC.Participants  Thirty-four HIV-seropositive adolescents ranging in age from 16 to 21 years.Main Outcome Measures  The Structured Clinical Interview for DSM-IV Axis I Disorders–Patient Edition (SCID-P) was administered by a child psychiatrist or a clinical child psychologist. Extensive review of medical records was also conducted.Results  A majority of the HIV-infected adolescents in our sample had received psychiatric diagnoses prior to their treatment at the clinic (53%), had a documented history of sexual abuse (50%), and had a history of substance use (82%). Psychiatric diagnoses determined by the SCID-P indicated that 85% of the sample had a current Axis I disorder, with 44% reporting ongoing depressive disorders.Conclusions  The majority of subjects in this sample had had a previous psychiatric diagnosis, and almost half had a current affective disorder. Psychiatric disorders, especially affective disorders, may be a risk factor for high-risk sexual behaviors and substance use that increases the risk for HIV infection in adolescent populations. SN - 1072-4710 M3 - doi: 10.1001/archpedi.154.3.240 UR - http://dx.doi.org/10.1001/archpedi.154.3.240 ER -