Mania Symptoms and HIV-Risk Behavior Among Adolescents in Mental Health Treatment

Angela J. Stewart, Christina Theodore-Oklota, Wendy Hadley, Larry K. Brown, Geri Donenberg, Ralph DiClemente

Research output: Contribution to journalArticle

Abstract

This study explored whether adolescents with elevated symptoms of mania (ESM+) engage in more HIV risk behaviors than those with other psychiatric disorders and examined factors associated with HIV risk behavior among ESM+ adolescents. Eight hundred forty adolescents (56% female, 58% African American, M age = 14.9 years) who received mental health treatment completed private, computer-based assessments of psychiatric disorders and of sexual and substance use behaviors and provided urine to screen for sexually transmitted infections (STI). Eighty-seven percent met criteria for a psychiatric disorder, and among these youth 21% were considered ESM+. Compared to those with other psychiatric disorders, ESM+ were more likely to be sexually active (61.6% vs. 53.6%), have multiple sexual partners (58.6% vs. 37.5%), have unprotected sex (38.4% vs. 28.0%), exchange sex for money (4.7% vs. 1.2%), and test positive for an STI (14.0% vs. 6.3%). Among ESM+ youth, sexual risk behaviors were primarily associated with individual factors (e.g., self-efficacy, impulsivity, and substance use) and varied depending on the type of sexual behavior (e.g., onset of sex, number of partners, and condom use). Adolescents with ESM should be regularly screened for sexual risk behaviors and receive HIV prevention skills. Efforts to increase self-efficacy for safer sex, reduce impulsivity, and decrease substance use may be effective targets for sexual risk reduction among adolescents with ESM.

Original languageEnglish (US)
Pages (from-to)803-810
Number of pages8
JournalJournal of Clinical Child and Adolescent Psychology
Volume41
Issue number6
DOIs
StatePublished - Nov 1 2012

Fingerprint

Risk-Taking
Bipolar Disorder
Mental Health
HIV
Psychiatry
Sexual Behavior
Impulsive Behavior
Sexual Partners
Self Efficacy
Sexually Transmitted Diseases
Therapeutics
Safe Sex
Unsafe Sex
Condoms
Risk Reduction Behavior
African Americans
Substance-Related Disorders
Urine

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

Cite this

Mania Symptoms and HIV-Risk Behavior Among Adolescents in Mental Health Treatment. / Stewart, Angela J.; Theodore-Oklota, Christina; Hadley, Wendy; Brown, Larry K.; Donenberg, Geri; DiClemente, Ralph.

In: Journal of Clinical Child and Adolescent Psychology, Vol. 41, No. 6, 01.11.2012, p. 803-810.

Research output: Contribution to journalArticle

Stewart, Angela J. ; Theodore-Oklota, Christina ; Hadley, Wendy ; Brown, Larry K. ; Donenberg, Geri ; DiClemente, Ralph. / Mania Symptoms and HIV-Risk Behavior Among Adolescents in Mental Health Treatment. In: Journal of Clinical Child and Adolescent Psychology. 2012 ; Vol. 41, No. 6. pp. 803-810.
@article{27a20a0a1d584ab28374c8024cd06cce,
title = "Mania Symptoms and HIV-Risk Behavior Among Adolescents in Mental Health Treatment",
abstract = "This study explored whether adolescents with elevated symptoms of mania (ESM+) engage in more HIV risk behaviors than those with other psychiatric disorders and examined factors associated with HIV risk behavior among ESM+ adolescents. Eight hundred forty adolescents (56{\%} female, 58{\%} African American, M age = 14.9 years) who received mental health treatment completed private, computer-based assessments of psychiatric disorders and of sexual and substance use behaviors and provided urine to screen for sexually transmitted infections (STI). Eighty-seven percent met criteria for a psychiatric disorder, and among these youth 21{\%} were considered ESM+. Compared to those with other psychiatric disorders, ESM+ were more likely to be sexually active (61.6{\%} vs. 53.6{\%}), have multiple sexual partners (58.6{\%} vs. 37.5{\%}), have unprotected sex (38.4{\%} vs. 28.0{\%}), exchange sex for money (4.7{\%} vs. 1.2{\%}), and test positive for an STI (14.0{\%} vs. 6.3{\%}). Among ESM+ youth, sexual risk behaviors were primarily associated with individual factors (e.g., self-efficacy, impulsivity, and substance use) and varied depending on the type of sexual behavior (e.g., onset of sex, number of partners, and condom use). Adolescents with ESM should be regularly screened for sexual risk behaviors and receive HIV prevention skills. Efforts to increase self-efficacy for safer sex, reduce impulsivity, and decrease substance use may be effective targets for sexual risk reduction among adolescents with ESM.",
author = "Stewart, {Angela J.} and Christina Theodore-Oklota and Wendy Hadley and Brown, {Larry K.} and Geri Donenberg and Ralph DiClemente",
year = "2012",
month = "11",
day = "1",
doi = "10.1080/15374416.2012.675569",
language = "English (US)",
volume = "41",
pages = "803--810",
journal = "Journal of Clinical Child and Adolescent Psychology",
issn = "1537-4416",
publisher = "Routledge",
number = "6",

}

TY - JOUR

T1 - Mania Symptoms and HIV-Risk Behavior Among Adolescents in Mental Health Treatment

AU - Stewart, Angela J.

AU - Theodore-Oklota, Christina

AU - Hadley, Wendy

AU - Brown, Larry K.

AU - Donenberg, Geri

AU - DiClemente, Ralph

PY - 2012/11/1

Y1 - 2012/11/1

N2 - This study explored whether adolescents with elevated symptoms of mania (ESM+) engage in more HIV risk behaviors than those with other psychiatric disorders and examined factors associated with HIV risk behavior among ESM+ adolescents. Eight hundred forty adolescents (56% female, 58% African American, M age = 14.9 years) who received mental health treatment completed private, computer-based assessments of psychiatric disorders and of sexual and substance use behaviors and provided urine to screen for sexually transmitted infections (STI). Eighty-seven percent met criteria for a psychiatric disorder, and among these youth 21% were considered ESM+. Compared to those with other psychiatric disorders, ESM+ were more likely to be sexually active (61.6% vs. 53.6%), have multiple sexual partners (58.6% vs. 37.5%), have unprotected sex (38.4% vs. 28.0%), exchange sex for money (4.7% vs. 1.2%), and test positive for an STI (14.0% vs. 6.3%). Among ESM+ youth, sexual risk behaviors were primarily associated with individual factors (e.g., self-efficacy, impulsivity, and substance use) and varied depending on the type of sexual behavior (e.g., onset of sex, number of partners, and condom use). Adolescents with ESM should be regularly screened for sexual risk behaviors and receive HIV prevention skills. Efforts to increase self-efficacy for safer sex, reduce impulsivity, and decrease substance use may be effective targets for sexual risk reduction among adolescents with ESM.

AB - This study explored whether adolescents with elevated symptoms of mania (ESM+) engage in more HIV risk behaviors than those with other psychiatric disorders and examined factors associated with HIV risk behavior among ESM+ adolescents. Eight hundred forty adolescents (56% female, 58% African American, M age = 14.9 years) who received mental health treatment completed private, computer-based assessments of psychiatric disorders and of sexual and substance use behaviors and provided urine to screen for sexually transmitted infections (STI). Eighty-seven percent met criteria for a psychiatric disorder, and among these youth 21% were considered ESM+. Compared to those with other psychiatric disorders, ESM+ were more likely to be sexually active (61.6% vs. 53.6%), have multiple sexual partners (58.6% vs. 37.5%), have unprotected sex (38.4% vs. 28.0%), exchange sex for money (4.7% vs. 1.2%), and test positive for an STI (14.0% vs. 6.3%). Among ESM+ youth, sexual risk behaviors were primarily associated with individual factors (e.g., self-efficacy, impulsivity, and substance use) and varied depending on the type of sexual behavior (e.g., onset of sex, number of partners, and condom use). Adolescents with ESM should be regularly screened for sexual risk behaviors and receive HIV prevention skills. Efforts to increase self-efficacy for safer sex, reduce impulsivity, and decrease substance use may be effective targets for sexual risk reduction among adolescents with ESM.

UR - http://www.scopus.com/inward/record.url?scp=84869174420&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84869174420&partnerID=8YFLogxK

U2 - 10.1080/15374416.2012.675569

DO - 10.1080/15374416.2012.675569

M3 - Article

C2 - 22540428

AN - SCOPUS:84869174420

VL - 41

SP - 803

EP - 810

JO - Journal of Clinical Child and Adolescent Psychology

JF - Journal of Clinical Child and Adolescent Psychology

SN - 1537-4416

IS - 6

ER -