This study will examine the emotional and behavioral aspects of long-term survival of
HIV/AIDS among adolescents and young adults with HIV infection.
HIV-infected individuals between 13 and 23 years of age may be eligible for this study.
They must be aware of their HIV diagnosis, have been infected for at least 13 years and have
been on an active NIH protocol during the past 5 years.
In addition to the usual stresses of growing up, children with HIV infection may have spent
much of their time in hospitals and may have lost parents, friends and other loved ones.
This study will explore psychological aspects of growing up with HIV, including self esteem,
possible risk behaviors, how disclosure to others changes over time, the commonness of
anxiety and depression, and the impact that losses have had on the adolescents' emotional
health. To gather this information, participants will be interviewed and asked to fill out
a set of forms. Caregivers will also fill out forms.
Patients who are not currently on an active NIH protocol will have the option of having a
physical examination and routine blood work. The results will be sent to their home care
Children and adolescents with HIV/AIDS are living well beyond the life expectancy that was
projected for them in the past. As the number of survivors of vertically or transfusion
associated pediatric HIV disease increases, attention to the psychosocial adjustment of
these adolescents and young adults becomes increasingly important. Studies in the late
1990s described child and adolescent survivors as generally well adjusted, though
difficulties become more apparent as the child approached the age of 18. Nothing is known
about these HIV positive youngsters as they enter late adolescence and young adulthood.
This study will examine psychosocial factors associated with long-term survival of HIV/AIDS,
including the prevalence of psychiatric diagnoses, risk behaviors, evaluation of self
competence, and the impact that multiple losses has on the adolescents' emotional
well-being. In addition, data will be collected from the primary caregivers on the
prevalence of parenting stress compared to national norms. Subjects will include children
who have been infected (either perinatally or through transfusion) for at least eight years
and who are aware of their diagnosis.
HIV-infected adolescents 13-24 years of age with documented HIV infection for greater than
or equal to 13 years.
On active protocol at NIH during the past 5 years.
Willingness to sign informed consent.
Ability to understand and read English.
Presence of psychotic symptoms.
Cognitive impairment or full scale IQ less than or equal to 75.
Not aware of HIV diagnosis.