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Construction and Statistical Validation of a Path Model of the Factors Influencing Non-suicidal Self Injury (NSSI) among Female Adolescents 女性青少年非自杀自伤影响因素路径模型的构建与统计验证
Q4 PEDIATRICS Pub Date : 2023-09-13 DOI: 10.1177/09731342231191609
Aparajita Chakraborty, Atanu Kumar Dogra, Ruby Paul, Anindita Mukherjee, Asmita Karmakar, Asoke Kumar Saha, Jishnu Bhattacharya
Introduction: Despite having innumerable literatures, there has been dearth of comprehensive model of the manifestation of non-suicidal self-injury (NSSI). Aim and Objectives: The current study aims to construct a statistically validated model to explore the theoretical connections and the pathway to NSSI among female adolescents. Material and Method: A model was proposed based on the constructs empirically associated with NSSI. The research aims to explore the direct effects of external shame, hated self, and self-compassion on NSSI, and whether this relationship is mediated by borderline personality traits and menstrual phase. A total of 168 female adolescents completed the survey, including informed assent from the adolescents. The Other as Shamer Scale-2, the Forms of Self-Criticism/Self-Reassuring Scale, Self-Compassion Scale, the Risk-Taking and Self-Harm Inventory for Adolescents, and Borderline Personality Features Scale for Children were administered to the participants. Analysis of data involved descriptive statistics and path analysis. Result: The pathway shows hated self, disturbed intrapersonal relationship, and the inability to direct compassion for self may increase NSSI. Borderline personality traits and premenstrual dysphoria form indirect but contributory factors to strengthen the association between internal traits and NSSI. Conclusion: Thus it may be concluded from the present finding that external shame has significant negative effect on self-compassion and external shame has a significant positive effect on hated self. Also, self-compassion has a significant negative effect, and hated self as well external shame have significant positive effects on borderline traits. Thus, exploring this path would help to plan a suitable preventive action.
引言:尽管有无数的文献,但缺乏非自杀性自伤(non- suicide self injury, NSSI)表现的综合模型。目的与目的:本研究旨在构建一个经统计验证的模型,探讨女性青少年自伤行为的理论联系和途径。材料与方法:基于自伤相关的经验构念,提出了一个模型。本研究旨在探讨外部羞耻感、憎恨自我和自我同情对自伤行为的直接影响,以及这种关系是否受边缘性人格特质和经期的调节。共有168名女性青少年完成了调查,包括青少年的知情同意。对被试进行自我批评/自我安慰量表、自我同情量表、青少年冒险与自残量表和儿童边缘性人格特征量表。数据分析包括描述性统计和通径分析。结果:该通路表现出自我憎恨、人际关系紊乱、无法直接同情自我等可能增加自伤行为。边缘型人格特质和经前焦虑症是加强内在特质与自伤之间关系的间接因素。结论:外部羞耻对自我同情有显著的负向作用,而外部羞耻对自我厌恶有显著的正向作用。此外,自我同情对边缘特征有显著的负面影响,憎恨自我和外部羞耻对边缘特征有显著的积极影响。因此,探索这一途径将有助于规划适当的预防行动。
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引用次数: 0
Red Flags for Early Referral for Infant Mental Health: Content Validation of a Tool 婴儿心理健康早期转诊的危险信号:一种工具的内容验证
IF 0.6 Q4 PEDIATRICS Pub Date : 2023-08-07 DOI: 10.1177/09731342231179828
Shweta Narayan, M. Kishore, S. Seshadri, H. Thippeswamy
There is growing evidence about the psychological distress and mental health issues experienced by infants with developmental problems. Problems related to developmental issues can be mitigated with early identification and intervention. A simple screening measure is needed to identify infants at risk for mental health issues to make informed decisions about further assessment and interventions. In this background, the present study aimed to develop a checklist to identify infants with psychological distress and at risk for mental health issues without the need to administer full-scale socioemotional tools and intended to be used by primary care professionals for early identification of risk factors followed by intervention to reduce the risk. Early identification of infants at risk in view of the limited resources would help in reducing the impact of early trajectories on the socioemotional health of any infant. The present study aims to develop a checklist for rapid screening. In view of the limited resources of low-income countries, early identification of infants at risk is important. This would help in reducing the impact of early trajectories on the socioemotional health of infants. The checklist was based on the “functional and emotional developmental approach” and a literature review of early indicators of psychological distress and mental health issues in infants. The checklist was prepared using objective terms which were further evaluated by mental health experts using standard methods. Accordingly, a content validity index (CVI) was calculated to determine the relevance and clarity of the items. Based on the CVI, 16 items were retained in the final checklist, which was reported to have excellent relevance (CVI = 0.91) and clarity (CVI = 0.84). The checklist is concise with adequate content validity and has the potential to be used in primary care settings to screen infants at risk for psychological distress and mental health issues and make appropriate referrals.
越来越多的证据表明,有发育问题的婴儿会经历心理困扰和心理健康问题。与发展问题有关的问题可以通过早期识别和干预来缓解。需要一种简单的筛查措施来识别有心理健康问题风险的婴儿,以便就进一步的评估和干预做出明智的决定。在这种背景下,本研究旨在制定一份清单,在不需要使用全面的社会情感工具的情况下,识别有心理困扰和心理健康风险的婴儿,并供初级保健专业人员用于早期识别风险因素,然后进行干预以降低风险。鉴于资源有限,尽早识别有风险的婴儿将有助于减少早期轨迹对任何婴儿社会情绪健康的影响。本研究旨在制定一份快速筛查检查表。鉴于低收入国家的资源有限,尽早识别有风险的婴儿很重要。这将有助于减少早期轨迹对婴儿社会情绪健康的影响。该检查表基于“功能和情绪发展方法”以及对婴儿心理困扰和心理健康问题早期指标的文献综述。检查表是使用客观术语编制的,心理健康专家使用标准方法对这些术语进行了进一步评估。因此,计算内容有效性指数(CVI)以确定项目的相关性和清晰度。根据CVI,最终检查表中保留了16个项目,据报道,该检查表具有良好的相关性(CVI=0.91)和清晰度(CVI=0.084)。该检查表简洁明了,内容有效,有可能在初级保健环境中用于筛查有心理困扰和心理健康问题风险的婴儿,并进行适当的转诊。
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引用次数: 0
Parental Mental Health and Challenges in Parenting of Pre-schoolers During the COVID-19 Pandemic 新冠肺炎大流行期间家长心理健康与学龄前儿童养育面临的挑战
IF 0.6 Q4 PEDIATRICS Pub Date : 2023-08-03 DOI: 10.1177/09731342231187234
Aasim Ur Rehman Ganie, Krishna Jayanthi P.M., Priyanka P. Nambiar, K. Jangam
This study aimed to understand the parental stress, psychological distress, and parenting practices of parents of pre-schoolers during the COVID-19 pandemic. An online cross-sectional survey was conducted with the parents of preschool children aged 3–6 years. Researchers used the Parental Stress Scale, Self-Reporting Questionnaire, and Parent Practice Interview to collect data from parents in the Southern Indian city of Bengaluru. A total of 60 responses were obtained from the online survey. Moderate to a high level of parental stress and mild to moderate levels of psychological distress were found among the parents. Around 21 (35%) of parents were found in need of mental health consultation. The study found no group differences in parental stress and psychological distress among various socio-demographic variables. The study found a significant association between parental stress and the parenting practices of participants. Higher mean scores were observed on mothers in setting clear expectations of pre-schoolers. Parenting young pre-schoolers is a difficult task. COVID-19 pandemic has made the parenting process challenging for parents. Parents must engage the children at home, and helping them cope with the new environment is a tightrope walk. Such uncertainties are supposed cause distress and lead to poor parenting parents among the parents, especially with pre-schoolers who are more demanding. There is a need to address parents’ concerns and train them to deal with the situations effectively.
本研究旨在了解新冠肺炎大流行期间学龄前儿童父母的压力、心理困扰和育儿实践。对3-6岁学龄前儿童的家长进行在线横断面调查。研究人员使用父母压力量表、自我报告问卷和父母实践访谈从印度南部城市班加罗尔的父母那里收集数据。在线调查共收到60份回复。父母中存在中度至高度的压力和轻度至中度的心理困扰。约21%(35%)的父母需要心理健康咨询。研究发现,在各种社会人口变量中,父母压力和心理困扰没有群体差异。研究发现,父母的压力和参与者的育儿方式之间存在着显著的联系。在为学龄前儿童设定明确期望方面,母亲的平均得分较高。养育学龄前儿童是一项艰巨的任务。COVID-19大流行给父母带来了育儿过程的挑战。父母必须让孩子在家里参与进来,帮助他们适应新环境就像走钢丝一样。这种不确定性被认为会造成困扰,并导致父母对孩子的管教不力,尤其是对那些要求更高的学龄前儿童。有必要解决家长的担忧,并培训他们有效地处理这些情况。
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引用次数: 0
Attention Deficit Hyperactivity Disorder: What The Eyes Don’t See!! 注意力缺陷多动障碍:眼睛看不到的东西!!
IF 0.6 Q4 PEDIATRICS Pub Date : 2023-07-20 DOI: 10.1177/09731342231178617
Nidhika Chauhan
Attention deficit hyperactivity disorder (ADHD) is the most common neuro-behavioral disorder characterized by a classical triad of hyperactivity-impulsivity and inattention prevalent in 5% of school-going children, mostly in boys. It is a chronic disorder with persistent of symptoms in a significant proportion of children diagnosed in childhood and impairing in most domains of socio-occupational functioning. Challenges in diagnosis occur due to symptoms domains of ADHD representing extremes of developmental processes of hyperactivity and inattention. Temperament is another construct that is important while evaluating a child with ADHD to avoid misdiagnosis and/or overdiagnosis. There is literature to support that the presentation of ADHD is not just limited to the triad of symptoms described in DSM 5, but it manifests a plethora of symptoms which, in the majority of cases, often go unnoticed. These symptoms may be a result of executive function deficits, emotion dysregulation, the presence of comorbid disorders, and/or psychosocial issues. Impairments of ADHD continue into adolescence and adulthood. However, ADHD in adults is still an under-researched area. The article aims to provide a bird’s eye view of the various hidden difficulties inherent in ADHD but which often is missed in clinical practice.
注意力缺陷多动障碍(ADHD)是最常见的神经行为障碍,其特征是典型的多动症、冲动性和注意力不集中三联征,在5%的在校儿童中普遍存在,主要是男孩。它是一种慢性疾病,在很大一部分儿童时期诊断出症状持续存在,并在大多数社会职业功能领域受损。诊断方面的挑战是由于多动症的症状域代表了多动症和注意力不集中的极端发展过程。气质是评估多动症儿童以避免误诊和/或过度诊断的另一个重要因素。有文献支持,多动症的表现不仅限于DSM 5中描述的三重症状,而且它表现出过多的症状,在大多数情况下,这些症状往往被忽视。这些症状可能是执行功能缺陷、情绪失调、合并症和/或心理社会问题的结果。多动症的损害一直持续到青春期和成年期。然而,成人多动症仍然是一个研究不足的领域。这篇文章旨在对多动症固有的各种隐藏的困难提供一个鸟瞰图,但在临床实践中经常被忽视。
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引用次数: 0
Executive Dysfunctions in Different Learning Disabilities: A Review 不同学习障碍的执行功能障碍:综述
IF 0.6 Q4 PEDIATRICS Pub Date : 2023-07-17 DOI: 10.1177/09731342231179614
Kaaynat Khan, P. Lal
Executive functions (EFs) are a set of cognitive processes required to select and monitor behaviors that facilitate the achievement of desired goals. Many studies reported that students with learning disabilities appear to have impaired EFs and difficulties in performing school-related and daily activities. This review attempts to focus on identifying different components of executive functioning and its relationship with specific learning disabilities from the published literature. A search using 3 databases identified 37 relevant articles that met the inclusion criteria. Many recent studies have found a relation between EFs with specific learning disabilities including meta-analysis and non-experimental comparative studies. Most of the studies were conducted among school children with reading, learning difficulties, and writing difficulties, university students with developmental dyscalculia and adults with or without dyslexia. Working memory is the key component affecting performances in children with learning disabilities whereas emotional control and metacognition skills such as organization of material, monitoring, planning, etc have a more specific role in different skills in performing the act of reading, writing, and mathematical operations. They may play a subdued role, but their involvement cannot be segregated because of the complex interplay between them.
执行功能(EFs)是选择和监控有助于实现预期目标的行为所需的一组认知过程。许多研究报告显示,有学习障碍的学生似乎有受损的ef和在执行学校相关和日常活动方面的困难。本综述试图从已发表的文献中找出执行功能的不同组成部分及其与特定学习障碍的关系。使用3个数据库进行检索,确定了37篇符合纳入标准的相关文章。近年来,包括meta分析和非实验比较研究在内的许多研究都发现了ef与特定学习障碍之间的关系。大多数研究的对象是有阅读、学习和写作困难的在校儿童、有发展性计算障碍的大学生以及有或没有阅读障碍的成年人。工作记忆是影响学习障碍儿童表现的关键因素,而情绪控制和元认知技能,如组织材料、监控、计划等,在阅读、写作和数学运算的不同技能中起着更具体的作用。他们可能扮演一个温和的角色,但由于他们之间复杂的相互作用,他们的参与不能被隔离。
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引用次数: 0
Juveniles Accessing Mental health Services: A Novel Approach to Enhance Mental Health Among Vulnerable Adolescents 青少年获得心理健康服务:促进弱势青少年心理健康的新途径
IF 0.6 Q4 PEDIATRICS Pub Date : 2023-07-12 DOI: 10.1177/09731342231179625
S. Srinivasan, Aloka Datta Behra, Chiranjeevi Arumugam, Protush Panda, Rangeela E., Smriti Smitha Nayak, P. Ramachandran
Background: As a signatory of the United Nations Commission on Child Rights, India has enacted laws and policies to protect the child’s interests. The Juvenile Justice Act of 2015 addresses the needs and well-being of the most vulnerable children, including those who do not have anyone to care for or have experienced a traumatic upbringing and those who are allegedly in conflict with the law. No research from India addresses these vulnerable children’s mental health and well-being. The current paper describes a pilot project to create mental health awareness and improve children’s care access in India’s Juvenile Justice System (JJS). Methods: Permission was obtained from appropriate governmental agencies in Odisha and Tamil Nadu and Child Care Institutions (CCIs) that consented to participate. A co-creation model was utilized to create youth-friendly spaces and methods to deliver mental health literacy for all stakeholders and access to care. Results: Seven CCIs and 278 children across two states participated in the implementation of the project. 37.8% of the children had resided for less than six months and 34.5% for more than two years in the current CCI. Of the various adverse childhood experiences, neglect was the highest at 76.3% followed by parental issues at 32%. Conclusions: Children in the JJS have many risk factors predisposing them to develop mental health issues. This unique pilot project describes implementing a codesigned and co-created model of delivery of mental health literacy and access to care to this vulnerable group of children.
作为联合国儿童权利委员会的签署国,印度制定了保护儿童利益的法律和政策。2015年的《少年司法法》解决了最弱势儿童的需求和福祉,包括那些没有人照顾或经历过创伤成长的儿童,以及那些据称与法律冲突的儿童。印度没有任何研究涉及这些弱势儿童的心理健康和福祉。目前的论文描述了印度青少年司法系统(JJS)中一个旨在提高心理健康意识和改善儿童护理机会的试点项目。获得了奥里萨邦和泰米尔纳德邦相关政府机构以及同意参与的儿童保育机构的许可。利用共同创建模式创建有利于青年的空间和方法,为所有利益攸关方提供心理健康知识和获得护理的机会。来自两个州的7名CCI和278名儿童参与了该项目的实施。37.8%的儿童在当前的CCI居住时间不到六个月,34.5%的儿童居住时间超过两年。在各种不良童年经历中,忽视率最高,为76.3%,其次是父母问题,为32%。JJS中的儿童有许多易患心理健康问题的风险因素。这个独特的试点项目描述了实施一个共同签署和创建的模式,为这一弱势儿童群体提供心理健康知识和获得护理的机会。
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引用次数: 0
Awareness, Knowledge, and Attitude About Sensory Processing and Its Disorders: An Online Survey Among Student Speech-Language Pathologists 感觉加工及其障碍的意识、知识与态度:学生言语语言病理学家的在线调查
IF 0.6 Q4 PEDIATRICS Pub Date : 2023-07-07 DOI: 10.1177/09731342231184305
Anagha Reghu Nair, Arya Geetha
There is not much known about how speech-language pathology students address the sensory processing issues of children in their clientele. Understanding sensory processing disorders (SPD) will help Speech-Language Pathologists (SLP) to understand the root cause of the behavior, avert meltdowns, how to tackle the situation better, and to give adequate referrals so that better progress can be made in intervention. This study aimed at assessing the awareness knowledge and attitude about sensory processing and its disorders among student SLPs from Tamil Nadu, India. A questionnaire was developed and validated, which was used for an online survey among student SLPs. A total of 110 students participated in the study. Although students of speech-language pathology have some awareness about SPD, they lacked thorough understanding of sensory difficulties associated with other neurodevelopmental disorders, which interfered with the implementation of sensory-based activities during therapy. This study provides clinical significance in the field of speech-language pathology, particularly for SLP who work with children experiencing developmental difficulties.
关于语言病理学专业的学生如何在他们的客户中解决儿童的感觉处理问题,人们知之甚少。了解感觉处理障碍(SPD)将有助于语言病理学家(SLP)了解行为的根本原因,避免崩溃,如何更好地处理这种情况,并给予适当的转诊,以便在干预中取得更好的进展。本研究旨在评估印度泰米尔纳德邦学生对感觉加工及其障碍的认知、知识和态度。设计并验证了一份调查问卷,并将其用于对学生的在线调查。共有110名学生参与了这项研究。虽然语言病理学专业的学生对SPD有一定的了解,但他们对与其他神经发育障碍相关的感觉困难缺乏全面的了解,这干扰了治疗过程中以感觉为基础的活动的实施。本研究在言语病理学领域具有临床意义,特别是对那些处理有发育困难儿童的语言障碍者。
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引用次数: 0
Adolescence Stress Scale: Development and Standardization 青少年压力量表:发展与标准化
IF 0.6 Q4 PEDIATRICS Pub Date : 2023-05-16 DOI: 10.1177/09731342231173214
M. Hariharan, Meera Padhy, S. Monteiro, Laxmi Priyanka Nakka, Usha Chivukula
The objective of the paper was to develop a comprehensive “Adolescence Stress Scale” and to examine different psychometric issues in the development, initial validation, and standardization of this scale. Exploratory factor analysis was conducted on the data procured from a sample of 634 (11–18 years) school-going adolescents in India. An exploratory analysis provided a 10 factor structure, namely, major loss induced stress, enforcement or conflict induced stress, phobic stress, interpersonal conflict induced stress, punishment induced stress, illness and injury induced stress, performance stress, imposition induced stress, insecurity induced stress, unhealthy environment induced stress. The 10 oblique factor solutions are found to be interrelated and interdependent with good indices of internal consistency, and content validity. This scale development is a novel and powerful measure that taps onto various aspects of stress experienced by school-going adolescents. The scale can facilitate researchers, clinicians, and teachers to identify and quantify the significant sources of stress in adolescents in school, or clinic settings.
本文的目的是开发一个全面的“青少年压力量表”,并在该量表的开发、初步验证和标准化过程中考察不同的心理测量问题。对印度634名(11-18岁)在校青少年的样本数据进行了探索性因素分析。一项探索性分析提供了一个10因素结构,即重大损失引发的压力、强制执行或冲突引发的压力,恐惧压力、人际冲突引发的紧张、惩罚引发的紧张,疾病和伤害引发的应激,表现压力、强加引发的应力、不安全感引发的压力和不健康环境引发的压力。10个倾斜因子解被发现是相互关联和相互依存的,具有良好的内部一致性和内容有效性指数。这种量表的发展是一种新颖而有力的衡量标准,它利用了上学青少年所经历的压力的各个方面。该量表可以帮助研究人员、临床医生和教师识别和量化青少年在学校或诊所环境中的重要压力来源。
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引用次数: 0
National Education Policy: A Holistic Development on the Horizon 国家教育政策:全面发展的前景
Q4 PEDIATRICS Pub Date : 2023-04-01 DOI: 10.1177/09731342231209463
Nitin Gupta, Preethy Kathiresan, Jitender Aneja
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引用次数: 0
Obituary: Dr MV Ashok 讣告:MV Ashok博士
IF 0.6 Q4 PEDIATRICS Pub Date : 2023-01-01 DOI: 10.1177/09731342231187710
S. Malhotra
{"title":"Obituary: Dr MV Ashok","authors":"S. Malhotra","doi":"10.1177/09731342231187710","DOIUrl":"https://doi.org/10.1177/09731342231187710","url":null,"abstract":"","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"19 1","pages":"115 - 115"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47360003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Indian Association for Child and Adolescent Mental Health
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