Anxiety and intrafamilial stress in children with hemophilia after the HIV crisis.
OBJECTIVE
The 12-month prevalence of DSM-III-R anxiety disorders and intrafamilial stress ratings were determined in 23 children with hemophilia, 37 children with asthma, and 31 healthy children.


METHODS
Diagnoses were made using the parent and child versions of the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS), and intrafamilial stress ratings were obtained using the Index of Family Relations (IFR).


RESULTS
HIV-positive boys with hemophilia had significantly higher rates of anxiety disorders than did the other comparison groups (p = 0.05), mainly owing to a high rate of separation anxiety disorder. Intrafamilial stress ratings were highest in the asthma group, where 29.7% of the children and 24.3% of the parents reached clinically significant scores.


CONCLUSIONS
Anxiety disorders appear to be common in HIV-positive children with hemophilia; however, they report little intrafamilial stress.
Department of Psychiatry, University of Florida, Gainesville.
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Bussing
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Burket
D000223:Adaptation, Psychological; D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology*; D001249:Asthma / Q000523:psychology; D001294:Attitude to Health; D002648:Child; D005190:Family; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology*; D006467:Hemophilia A / Q000523:psychology*; D006801:Humans; D008297:Male; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D013315:Stress, Psychological / Q000453:epidemiology*