Depression due to loss of a parent in a child with HIV
Case report
Keywords:
comprehensive therapy, depression, family support, HIV, medication adherence, relieving depressive symptomsAbstract
HIV-infected and HIV-affected children experience grief from the death of their family, many caregiver transitions, and the potentially traumatic experience of living under stigma. Boy patient, 9 years old, Hindu, Balinese, single, not working, was consulted from the pediatric department and admitted in the Cempaka room of Prof. Dr. I.G.N.G. Ngoerah on April 6, 2023. From auto-anamnesis, he has a depressive mood, loss of interest and excitement, weight loss, fatigue or loss of energy, insomnia, psychomotor agitation, or retardation. The patient was diagnosed with Human Immunodeficiency Virus (HIV) in 2014 when he was a year and six months old. The patient lost his father in February 2023. The patient experienced depression caused by psychosocial stressors because of the loss of his father and was diagnosed with HIV. HIV-infected children are prone to get depression. One of the psychosocial stressors experienced by children with HIV is the prolonged mourning process due to the loss of a family member. Comprehensive treatment is needed in the form of psychopharmacology and psychotherapy. Family support is the most important thing in relieving symptoms of depression and increasing medication adherence.
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Ahidan, M. A., Buende, S., Osei, L., Hcini, N., & Elenga, N. (2023). Sociodemographic characteristics of children born to HIV-infected mothers in Western French Guiana. Journal of Infection and Public Health, 16(6), 870-876. https://doi.org/10.1016/j.jiph.2023.03.027
American Psychiatric Association. (2013). Desk reference to the diagnostic criteria from DSM-5 [TM]. (No Title).
Bingaman, A. R., Hamilton, A. B., Olivero, R., Crowell, C. S., & Fair, C. D. (2022). Literally the hardest part about having a positive child is disclosure”: Child and family stigma management strategies among US parents of internationally adopted children with perinatally-acquired HIV. SSM-Qualitative Research in Health, 2, 100122. https://doi.org/10.1016/j.ssmqr.2022.100122
Breen, L. J., Greene, D., Rees, C. S., Black, A., Cawthorne, M., & Egan, S. J. (2023). A co-designed systematic review and meta-analysis of the efficacy of grief interventions for anxiety and depression in young people. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2023.05.032
Chiriboga, C. A., Fleishman, S., Champion, S., Gaye-Robinson, L., & Abrams, E. J. (2005). Incidence and prevalence of HIV encephalopathy in children with HIV infection receiving highly active anti-retroviral therapy (HAART). The Journal of pediatrics, 146(3), 402-407. https://doi.org/10.1016/j.jpeds.2004.10.021
Fawzi, M. C. S., Eustache, E., Oswald, C., Louis, E., Surkan, P. J., Scanlan, F., ... & Mukherjee, J. S. (2012). Psychosocial support intervention for HIV-affected families in Haiti: implications for programs and policies for orphans and vulnerable children. Social science & medicine, 74(10), 1494-1503. https://doi.org/10.1016/j.socscimed.2012.01.022
Forti-Buratti, M. A., Saikia, R., Wilkinson, E. L., & Ramchandani, P. G. (2016). Psychological treatments for depression in pre-adolescent children (12 years and younger): Systematic review and meta-analysis of randomised controlled trials. European child & adolescent psychiatry, 25, 1045-1054.
Herman, H., Ardani, I. G. A. I., Aryani, L. N. A., Windiani, I. G. A. T., Adnyana, I. G. N. S., & Setiawati, Y. (2022). Signs and symptoms of depression in children and adolescents with type 1 diabetes mellitus: A case report. International Journal of Health and Medical Sciences, 5(1), 150-153.
Higueras, C. V., García, M. M. B., Domínguez-Rodríguez, S., Sáez, B. R., Cuéllar-Flores, I., García-Navarro, C., ... & González-Tomé, M. I. (2022). Prevalence of psychological symptoms and associated risk factors in a Spanish sample of HIV-positive youth compared to uninfected peers. Anales de Pediatría (English Edition), 96(3), 203-212. https://doi.org/10.1016/j.anpede.2020.05.007
Hurst, S. A., Appelgren, K. E., & Kourtis, A. P. (2015). Prevention of mother-to-child transmission of HIV type 1: the role of neonatal and infant prophylaxis. Expert review of anti-infective therapy, 13(2), 169-181.
Irira, M., Ngocho, J. S., Youze, J., Shayo, I., Komba, V., Minja, L., ... & Mmbaga, B. T. (2020). Prevalence and outcome of HIV-associated malignancies among HIV-infected children enrolled into care at Kilimanjaro Christian Medical Center 2006-2014: A hospital-based retrospective analytical study. Journal of pediatric hematology/oncology, 42(1), 69.
Mao, Y., Qiao, S., Li, X., Zhao, Q., Zhou, Y., & Shen, Z. (2019). Depression, social support, and adherence to antiretroviral therapy among people living with HIV in Guangxi, China: A longitudinal study. AIDS Education and Prevention, 31(1), 38-50.
Martínez-Caballero, M., Melero, Á., Silió-García, T., Aparicio-Sanz, M., & Ortego-Maté, C. (2023). Grief in children's story books. A systematic integrative review. Journal of Pediatric Nursing. https://doi.org/10.1016/j.pedn.2022.12.012
Medeiros, G. C., Smith, F. A., Trivedi, M. H., & Beach, S. R. (2020). Depressive disorders in HIV/AIDS: a clinically focused narrative review. Harvard review of psychiatry, 28(3), 146-158.
Moreira, M. P. S., Espinoza, L. A. V., Manzaba, F. D. M., & Chávez, L. L. R. (2021). Depression and anxiety in learning of children and adolescents. International Research Journal of Engineering, IT and Scientific Research, 7(4), 107-115.
Nguyen, H. T., & Scott, A. N. (2013). Self-concept and depression among children who experienced the death of a family member. Death Studies, 37(3), 197-211.
Oladunni, A. A., Sina-Odunsi, A. B., Nuga, B. B., Adebisi, Y. A., Bolarinwa, O. A., Adeola, A. A., & Lucero-Prisno, D. E. (2021). Psychosocial factors of stigma and relationship to healthcare services among adolescents living with HIV/AIDS in Kano state, Nigeria. Heliyon, 7(4).
Park, L. T., & Zarate Jr, C. A. (2019). Depression in the primary care setting. New England Journal of Medicine, 380(6), 559-568.
Pilowsky, D. J., Zybert, P. A., Hsieh, P. W., Vlahov, D., & Susser, E. (2003). Children of HIV-positive drug-using parents. Journal of the American Academy of Child & Adolescent Psychiatry, 42(8), 950-956. https://doi.org/10.1097/01.CHI.0000046888.27264.17
Ssewamala, F. M., Neilands, T. B., Waldfogel, J., & Ismayilova, L. (2012). The impact of a comprehensive microfinance intervention on depression levels of AIDS-orphaned children in Uganda. Journal of Adolescent Health, 50(4), 346-352. https://doi.org/10.1016/j.jadohealth.2011.08.008
Thurman, T. R., Luckett, B. G., Nice, J., Spyrelis, A., & Taylor, T. M. (2017). Effect of a bereavement support group on female adolescents' psychological health: a randomised controlled trial in South Africa. The Lancet Global Health, 5(6), e604-e614.
Wang, B., Li, X., Barnett, D., Zhao, G., Zhao, J., & Stanton, B. (2012). Risk and protective factors for depression symptoms among children affected by HIV/AIDS in rural China: A structural equation modeling analysis. Social Science & Medicine, 74(9), 1435-1443. https://doi.org/10.1016/j.socscimed.2012.01.007
Weersing, V. R., Jeffreys, M., Do, M. C. T., Schwartz, K. T., & Bolano, C. (2017). Evidence base update of psychosocial treatments for child and adolescent depression. Journal of Clinical Child & Adolescent Psychology, 46(1), 11-43.
Wogrin, C., Langhaug, L. F., Maruva, C., & Willis, N. (2019). Development and piloting of a novel, peer-led bereavement intervention for young people living with HIV in Zimbabwe. Journal of Child & Adolescent Mental Health, 31(1), 13-24.
Woollett, N., Black, V., Cluver, L., & Brahmbhatt, H. (2017). Reticence in disclosure of HIV infection and reasons for bereavement: impact on perinatally infected adolescents’ mental health and understanding of HIV treatment and prevention in Johannesburg, South Africa. African Journal of AIDS Research, 16(2), 175-184.
Zhou, E., Qiao, Z., Cheng, Y., Zhou, J., Wang, W., Zhao, M., ... & Yang, X. (2019). Factors associated with depression among HIV/AIDS children in China. International Journal of Mental Health Systems, 13, 1-9.
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