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Anxiety Disorders Among Students of Adolescent Age Group in Selected Schools of Tiruchirappalli, South India: An Analytical Cross-Sectional Study 印度南部tiruchirapalli学校青少年焦虑症学生:一项横断面分析研究
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-04-01 DOI: 10.1177/09731342221118248
Anbarasi Muthusamy, R. Gajendran, Pavithra Thangavel
Background: Anxiety is one of the most common mental disorders among school-going children and adolescents worldwide. Multiple factors like internalization of the symptoms, lack of proper objective assessment, societal stigmatization, and influence of parental pressure may alter the prevalence and incidence. Aim: The current study is done to identify the prevalence of anxiety disorders in school children and their associated risk factors. Method: A total of 550 students (266 boys and 284 girls), studying in grades 8 to 12 in urban and rural schools chosen by stratified random sampling, were subjected to a questionnaire survey by the team of trained investigators using “Screen for Child Anxiety and Emotion-related Disorder (SCARED)—child Version.” Results: Total prevalence of anxiety assessed using the SCARED scale was 51%. The prevalence of subtypes of anxiety disorders was also identified viz, generalized anxiety disorder—16%, panic disorder—23%, school phobia—17%, separation anxiety—31%, and social phobia—13%. All the disorders showed higher incidence in girls (P < .01). Discussion: The anxiety disorders were associated significantly with students from rural schools, those studying in the Tamil medium, those staying in hostels, students who had mothers who were employed, and living in extended family environments. Students who walked to school and who had neither of their parents as caregivers were more likely to have panic disorder, school phobia, social phobia, and separation anxiety disorder. Conclusion: This study documented a higher prevalence of anxiety disorders and subtypes and highlighted the factors associated with anxiety disorders in school students of the adolescent age group.
背景:焦虑是世界各地上学儿童和青少年最常见的心理障碍之一。症状的内在化、缺乏适当的客观评估、社会污名化和父母压力的影响等多种因素可能会改变患病率和发病率。目的:本研究旨在确定在校儿童焦虑症的患病率及其相关的危险因素。方法:采用分层随机抽样的方法,对550名就读于城市和农村学校8-12年级的学生(266名男孩和284名女孩)进行了问卷调查,由训练有素的调查人员组成,使用“儿童焦虑和情绪相关障碍筛查(SCARED)-儿童版”。结果:使用SCARED量表评估的焦虑总患病率为51%。焦虑症亚型的患病率也被确定,即广泛性焦虑症(16%)、恐慌症(23%)、学校恐惧症(17%)、分离焦虑症(31%)和社交恐惧症(13%)。讨论:焦虑症与来自农村学校的学生、在泰米尔语学校学习的学生、住在宿舍的学生、有工作母亲的学生以及生活在大家庭环境中的学生显著相关。步行上学且没有父母照顾的学生更有可能患有恐慌症、学校恐惧症、社交恐惧症和分离焦虑症。结论:本研究记录了焦虑症和亚型的较高患病率,并强调了青少年年龄组学生中与焦虑症相关的因素。
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引用次数: 0
“Persons with Disabilities”: Are We Doing Enough as a Society? “残疾人”:作为一个社会,我们做得够吗?
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-04-01 DOI: 10.1177/09731342221129015
Nitin Gupta, J. Aneja, P. Kathiresan
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引用次数: 0
The Effect of Mindfulness-based Cognitive Therapy on Anxiety and Resilience of the School Going Early Adolescents with Anxiety 正念认知疗法对学龄期早期焦虑青少年焦虑和心理弹性的影响
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-04-01 DOI: 10.1177/09731342221127959
Anoop Peter, R. Srivastava, Alka Agarwal, A. P. Singh
Background: The increasing mental health problems of Indian adolescents are of great concern but child-health mental service is in a nascent stage. Anxiety is the most common psychological problem found in school-going children. The psychological intervention for this high-risk population at an early stage of adolescence can prevent mental health problems. Aim: The study aimed to assess the applicability and effectiveness of mindfulness-based cognitive therapy (MBCT) on resilience and anxiety of early school-going adolescents with anxiety. Method: This study used pre, post, and follow-up with a randomized control group design. Out of 200 samples screened by Preliminary Identification Performa and Clinical Interview Schedule (PI&CI), General Health Questionnaire-12 (GHQ-12), Spence Children’s Anxiety Scale (SCAS), and Brief Psychiatry Rating Scale (BPRS-C), 72 samples aged between 10 to 14 were included in the final study and grouped into two equal groups through a simple randomized method. Psychological intervention based on mindfulness (PIBM) group with N = 36 received 12 sessions of mindfulness-based intervention (MBCT-C) but only 33 completed up to follow-up. Only N = 32 in Treatment Waiting List (TWL) group completed three assessments who received parental counseling about anxiety. The outcome measures were Child and Adolescent Mindfulness Measure (CAMM), SCAS, Bharathiar University Resilience Scale (BURS). Result: The findings suggested that the PIBM group significantly improved in mindfulness and resilience, and anxiety symptoms were reduced. The effect size observed is strong and the post hoc t-test showed significant change in variables in every assessment duration. The TWL group did not have significant change. Thus MBCT-C is an applicable and effective intervention for a early school-going adolescent with anxiety.
背景:印度青少年日益严重的心理健康问题令人关注,但儿童健康心理服务尚处于起步阶段。焦虑是学龄儿童最常见的心理问题。在青少年早期阶段对这些高危人群进行心理干预可以预防心理健康问题。目的:探讨正念认知疗法(MBCT)对学龄期焦虑青少年心理弹性和焦虑的适用性和有效性。方法:采用前后随访法,随机对照组设计。通过初步识别表现和临床访谈表(PI&CI)、一般健康问卷-12 (GHQ-12)、Spence儿童焦虑量表(SCAS)和精神病学简易评定量表(BPRS-C)筛选的200个样本中,有72个年龄在10 - 14岁之间的样本被纳入最终研究,并通过简单随机方法分为两组。基于正念的心理干预(PIBM)组(N = 36)接受了12次基于正念的干预(MBCT-C),但只有33人完成了随访。在治疗等候名单(TWL)组中,只有N = 32人完成了三项评估,接受了父母关于焦虑的咨询。结果测量为儿童和青少年正念测量(CAMM)、SCAS、Bharathiar大学弹性量表(BURS)。结果:PIBM组在正念和弹性方面有显著提高,焦虑症状有所减轻。观察到的效应量很强,事后t检验显示每个评估持续时间的变量都有显著变化。TWL组无明显变化。因此,MBCT-C是一种适用的、有效的早期学龄期青少年焦虑干预方法。
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引用次数: 1
The Show Must Go On! 演出必须继续!
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-01-01 DOI: 10.1177/09731342221109964
N. Gupta
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引用次数: 0
Body Image Dissatisfaction, Depression, and Health-Related Quality of Life Amongst Indian Obese School Children: A Cross-Sectional Study 印度肥胖学校儿童身体形象不满意、抑郁和健康相关生活质量的横断面研究
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-01-01 DOI: 10.1177/09731342221096355
Pitchai Pothiraj, Chopade Shamal, Vijaya Krishnan
Background: Obesity is a growing health problem across the globe. Obesity and psychological well-being have been explored in the Indian adolescent and adult population. However, their association has not been explored in Indian obese school children. Aims: The primary objective of this study is, therefore, to analyze body image dissatisfaction (BID), depression, and health-related quality of life (HRQOL) in obese and normal-weight children and to compare these factors between the 2 groups. Methods: In this cross-sectional study, 100 obese and 100 normal-weight children from Mumbai, between 10 and 12 years of age were recruited by simple random technique. The BID was assessed using Stunkard’s Silhouette Figure Rating Scale. Depressive symptoms were evaluated with the Mood and Feelings Questionnaire: Short Version and HRQOL was examined using the Pediatric Quality of Life Inventory. The statistical analysis was carried out using SPSS statistical software version 24 (SPSS Inc. Chicago, IL USA). Results: The mean body mass index of the normal-weight children was 15.76 ± 1.4 kg/m 2 and 26.62 ± 3.1 kg/m 2 for obese. All obese children demonstrated BID, 54% were depressed and only 33% demonstrated a very good HRQOL. Intergroup analysis revealed a statistically significant difference in the obese group for BID, depression, and HRQOL, where P < .05. Conclusion: Obese school children are more prone to BID, higher depressive symptoms, and poor HRQOL than normal-weight school children. Thus, it demands a multimodal approach in preventing chronic psychological related problems in obese children.
背景:肥胖是全球范围内日益严重的健康问题。肥胖和心理健康已经在印度青少年和成人人口中进行了探索。然而,它们之间的联系尚未在印度肥胖学龄儿童中进行研究。目的:因此,本研究的主要目的是分析肥胖和正常体重儿童的身体形象不满意(BID)、抑郁和健康相关生活质量(HRQOL),并比较两组之间的这些因素。方法:采用简单随机方法,选取孟买10 ~ 12岁肥胖儿童100例,正常体重儿童100例。BID采用斯图卡德轮廓身材评定量表进行评估。抑郁症状用简短版情绪和感觉问卷进行评估,HRQOL用儿童生活质量量表进行检查。采用SPSS统计软件第24版(SPSS Inc.)进行统计分析。芝加哥,伊利诺伊州,美国)。结果:正常体重儿童平均体重指数为15.76±1.4 kg/ m2,肥胖儿童平均体重指数为26.62±3.1 kg/ m2。所有肥胖儿童均表现为BID, 54%表现为抑郁,只有33%表现为非常好的HRQOL。组间分析显示,肥胖组在BID、抑郁、HRQOL方面差异有统计学意义,P < 0.05。结论:肥胖学龄儿童比正常体重学龄儿童更易发生BID、抑郁症状加重、HRQOL差。因此,需要多模式的方法来预防肥胖儿童的慢性心理相关问题。
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引用次数: 1
Contribution of Excessive Gestational Weight Gain to the Increased Risk of Autism Spectrum Disorder Occurrence in Offspring 妊娠期体重过度增加对后代患自闭症谱系障碍风险增加的影响
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-01-01 DOI: 10.1177/09731342221096480
S. Kheirouri, Tohid Farazkhah
Background: According to epidemiological studies, the number of children affected by autism spectrum disorder (ASD) has elevated notably in recent years, which increases the importance of identifying and controlling modifiable risk factors of ASD. Aim: We aim to explore the association of maternal gestational weight gain (GWG) with the risk of ASD in offspring. Methods: This case-control study was conducted in Tabriz, Iran, from October 2019 to July 2020. Data of 426 children (208 with ASD and 218 healthy) were collected using medical records and face-to-face interviews with their mothers. Results: Maternal GWG was significantly higher in the ASD group (P = .002). The percentage of inadequate (3.4% vs 0.5%) and excess (85.6% vs 56.0%) GWG was significantly higher in the ASD group (P < .001). Maternal (P < .001) and paternal (P = .004) ages were significantly lower in the ASD group compared with the healthy group. Boys were shown to be more affected by ASD than girls (P < .001). Results of multivariate regression indicated that maternal GWG [OR (95% CI): 1.10 (1.03, 1.19), P = .005], gestational age [OR (95% CI): 1.21 (1.05, 1.41), P= .009], maternal age [OR (95% CI): 0.82 (0.73, 0.91), P < .001], child male sex [OR (95% CI): 3.82 (2.31, 6.30), P < .001], and low education of father [OR (95% CI): 4.96 (1.56, 15.72), P = .006] were independently associated with increased risk of ASD. Conclusion: The results indicate that maternal excessive GWG, maternal and gestational age, parental low education level, and male sex of infant may independently increase the risk of ASD in offspring.
背景:根据流行病学研究,近年来受自闭症谱系障碍(ASD)影响的儿童数量显著增加,这增加了识别和控制自闭症谱系疾病可改变危险因素的重要性。目的:我们旨在探讨母亲妊娠期体重增加(GWG)与后代ASD风险的关系。方法:本病例对照研究于2019年10月至2020年7月在伊朗大不里士进行。426名儿童(208名ASD儿童和218名健康儿童)的数据是通过医疗记录和与母亲的面对面访谈收集的。结果:ASD组的母亲GWG显著升高(P=0.002)。ASD组GWG不足(3.4%对0.5%)和过量(85.6%对56.0%)的百分比显著升高(P<.001)。与健康组相比,ASD组母亲(P<0.001)和父亲(P=.004)的年龄显著降低。男孩比女孩更容易受到ASD的影响(P<.001)。多变量回归结果表明,母亲的GWG[OR(95%CI):1.10(1.03,1.19),P=.005],胎龄[OR(95%CI):1.21(1.05,1.41),P=009],母亲年龄[OR(95%CI):0.82(0.73,0.91),P<.001],儿童男性[OR(95%CI):3.82(2.31,6.30),P<.001],父亲受教育程度低[OR(95%CI):4.96(1.56,15.72),P=0.006]与ASD风险增加独立相关。结论:研究结果表明,母亲GWG过高、母亲和胎龄、父母教育水平低以及婴儿的男性可能独立增加后代患ASD的风险。
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引用次数: 1
Role of Naltrexone in Treatment of Refractory Self-Injurious Behavior in a Child With Intellectual Disability: A Case Report 纳曲酮在治疗智力残疾儿童难治性自伤行为中的作用:一例报告
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-01-01 DOI: 10.1177/09731342221096410
Hiral Kotadia, K. Rawat, Ankita Maheshwari
Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons AttributionNonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-Commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Introduction
知识共享非商业CC BY-NC:本文根据知识共享属性非商业4.0许可条款分发(http://www.creativecommons.org/licenses/by-nc/4.0/)允许作品在未经进一步许可的情况下非商业用途、复制和分发,前提是原始作品的归属符合SAGE和开放获取页面的规定(https://us.sagepub.com/en-us/nam/open-access-at-sage)。介绍
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引用次数: 0
Association Between Sleep and Temperament of Preschool Children in Malaysia 马来西亚学龄前儿童睡眠与气质的关系
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-01-01 DOI: 10.1177/09731342221096484
M. Fujii, Masayuki Hayashi, C. Teng
Background: Unhealthy sleep patterns have been linked to a variety of adverse effects in children, and temperament could be an influencing factor in poor sleep quality. Aim: This study examined the association between temperament and sleep quality among preschoolers. Methods: The participants of the study were 35 children aged 3 years to 6 years in Northern Peninsular Malaysia. Observational sleep was recorded across 14 days. Further, a self-administered questionnaire was used to capture the children’s sleep-related issues. The Children’s Behavior Questionnaire-Very-Short-Form was used to measure the temperament of the children. The relationship between sleep patterns and sleep-related issues and temperament was assessed. Results: No significant differences were found between the 3 subscales of temperament sleep duration, and sleep and wake times, for both night sleep and naps. Concerning the association between temperament and children’s sleep issues, a negative weak correlation was found between negative affect and children’s difficulty falling asleep, as well as frequent night-time waking. Effortful control was found to have a weak positive correlation with “sufficient sleep” and “earliness of the sleep,” with a negative correlation for the topic “a child’s bad mood and crying through the day.” Conclusions: The results of this study did not show positive correlations between temperament and quality of sleep among preschool children in Malaysia, though some children’s sleep issue was correlated with temperament. Similar to other studies, these results might be an indication that a child’s difficult temperament could be a factor affecting sleep quality though further large-scale studies will be needed.
背景:不健康的睡眠模式与儿童的各种不良影响有关,气质可能是睡眠质量差的一个影响因素。目的:本研究探讨了学龄前儿童的气质与睡眠质量之间的关系。方法:研究对象为马来西亚北部半岛35名3 ~ 6岁的儿童。观察性睡眠记录为期14天。此外,一份自我管理的问卷被用来捕捉孩子们的睡眠相关问题。采用《儿童行为问卷-极短表格》来测量儿童的气质。评估了睡眠模式、睡眠相关问题和性情之间的关系。结果:气质、睡眠持续时间、睡眠和醒来时间3个分量表在夜间睡眠和小睡中均无显著差异。在气质与儿童睡眠问题的关系上,消极情绪与儿童入睡困难、夜间频繁醒来呈负相关。研究发现,努力控制与“睡眠充足”和“早睡”有微弱的正相关,与“孩子一整天的坏情绪和哭闹”有负相关。结论:本研究结果并未显示马来西亚学龄前儿童的气质与睡眠质量呈正相关,尽管一些儿童的睡眠问题与气质相关。与其他研究类似,这些结果可能表明,孩子的难相处气质可能是影响睡眠质量的一个因素,尽管还需要进一步的大规模研究。
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引用次数: 0
Development of a Scale to Measure Psychosocial Risks and Protective Factors in Adolescents 青少年心理社会风险和保护因素量表的编制
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-01-01 DOI: 10.1177/09731342221096475
Praballa Ashmitha, N. Annalakshmi
Background: Resilience among adolescents can best be understood by examining the risk and protective factors in the lives of at-risk adolescents. A standardized tool to identify adolescent psychosocial risk and protective factors may help better understand the strengths, vulnerabilities, and the potential for resilience among adolescents. Hence, the present study aims to identify and measure the risk and protective factors in the lives of adolescents. Methods: A sequential exploratory mixed-methods design was used to develop a tool that measures risk and protective factors among adolescents. The qualitative study explored psychosocial risk and protective factors among high-risk adolescents using 4 major domains: individual, family, school, and community. To develop the tool, prisoners (N = 12), caregivers of the prisoners’ children (N = 12), teachers of the prisoners’ children (N = 12), and prison authorities (N = 12) were interviewed about their experiences with prisoners’ children. The interview data were analyzed, and items reflecting the risk and protective factors in the lives of the adolescent children of incarcerated parents were generated. The item pool consisting of 239 items was administered to a sample of 312 rural adolescent students. To validate the risk factors scale and protective factors scale, self-report scales measuring behavior problems, adjustment, well-being, and positivity were used. Results: The new tool developed to measure the risk and protective factors for adolescent psychosocial development was found to have adequate test-retest reliability, content validity, convergent validity, and divergent validity. Conclusion: In this study, a scale to identify psychosocial risk and protective factors was developed and standardized. The tool will be helpful to psychologists and counselors working with adolescents to understand the risks and protective factors present in their lives and design interventions to nurture resilience in them.
背景:通过检查高危青少年生活中的风险因素和保护因素,可以最好地理解青少年的复原力。确定青少年社会心理风险和保护因素的标准化工具可能有助于更好地了解青少年的优势、脆弱性和复原力潜力。因此,本研究旨在识别和测量青少年生活中的风险和保护因素。方法:采用顺序探索性混合方法设计,开发一种测量青少年风险和保护因素的工具。定性研究从个人、家庭、学校和社区四个主要领域探讨高危青少年的心理社会风险和保护因素。为了开发这个工具,我们采访了囚犯(N = 12)、囚犯子女的照顾者(N = 12)、囚犯子女的教师(N = 12)和监狱当局(N = 12),了解他们与囚犯子女相处的经历。对访谈数据进行分析,生成反映父母被监禁青少年子女生活风险和保护因素的项目。问卷共239项,对312名农村青少年学生进行问卷调查。为了验证风险因素量表和保护因素量表,我们使用了测量行为问题、适应能力、幸福感和积极性的自我报告量表。结果:该工具具有足够的重测信度、内容效度、收敛效度和发散效度。结论:本研究编制并规范了社会心理风险及保护因素量表。该工具将有助于与青少年一起工作的心理学家和咨询师了解他们生活中存在的风险和保护因素,并设计干预措施以培养他们的适应力。
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引用次数: 0
Journey of JIACAM: Vision, Challenges and Opportunities 嘉嘉之旅:愿景、挑战与机遇
IF 0.6 Q4 PEDIATRICS Pub Date : 2022-01-01 DOI: 10.1177/09731342221096471
N. Nebhinani, J. Aneja, Suravi Patra, Navratan Suthar, P. Kuppili, Tanu Gupta, Swati Choudhary, Kartik Singhai
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引用次数: 0
期刊
Journal of Indian Association for Child and Adolescent Mental Health
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