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An Analysis on the Relationship Between Premenstrual Syndrome and Aggression Tendencies among Turkish Adolescent Girls 土耳其少女经前综合征与攻击倾向的关系分析
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-07-18 DOI: 10.2174/2210676612666220718140805
Funda Evcili, Gulsen Guclu
Premenstrual syndrome affects women’s physical, psychological, and social health negatively. Moreover it causes behavioral disorders such as anger, crime, and aggression tendencies. However, there is a limited number of studies in the literature which examined the relationship between premenstrual syndrome and crime, aggression, or violence.The objective of this study was to identify the relationship between premenstrual syndrome and aggression tendencies.This is a descriptive study. The 774 voluntary adolescent girls studying at a state university in Turkey constituted the sample of the research.The mean age of adolescent girls was 19.05 ± 1.64. The mean age of first menstruation for the participants was 13.35 ± 1.23. It was determined that 58.3% of the participants had premenstrual syndrome. Premenstrual syndrome intensity levels were higher among adolescent girls whose menstruation interval was < 28 days, those who had “irregular” menstrual cycles, those who found their menstruation-related knowledge “inadequate”, those diagnosed with “anemia” and those who thought their anger / aggression tendencies increased in their “premenstrual period” (p<0.05). And aggression tendencies increased among adolescent girls as the intensity of premenstrual syndrome increased (p<0.05).Health professionals premenstural symptoms were carefully evaluated and individualized care and treatment plans created.
经前综合症对妇女的生理、心理和社会健康都有负面影响。此外,它还会导致行为障碍,如愤怒、犯罪和攻击倾向。然而,文献中关于经前综合症与犯罪、攻击或暴力之间关系的研究数量有限。本研究旨在探讨经前症候群与攻击倾向的关系。这是一项描述性研究。774名自愿在土耳其一所州立大学学习的青春期女孩构成了该研究的样本。青春期女生平均年龄为19.05±1.64岁。受试者首次月经的平均年龄为13.35±1.23岁。研究确定58.3%的参与者有经前综合症。月经间隔< 28天者、月经周期“不规律”者、月经相关知识“不足”者、诊断为“贫血”者和认为自己的愤怒/攻击倾向在“经前期”增加者的经前综合征强度较高(p<0.05)。少女的攻击倾向随经前综合征程度的增加而增加(p<0.05)。保健专业人员仔细评估了经前症状,并制定了个性化的护理和治疗计划。
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引用次数: 1
The Engagement Challenge: Feasibility and Acceptability of Cognitive Remediation for Teenagers in the Care of Youth Protection Services 参与挑战:青少年保护服务中青少年认知补救的可行性和可接受性
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-05-07 DOI: 10.2174/2210676612666220507010146
Élisabeth Thibaudeau, Alexandra R.-Mercier, T. Wykes, C. Reeder, Karianne Guay, Danielle Nadeau, Geneviève Dufour, M. Cella, C. Cellard
History of childhood maltreatment is recognized as an important risk factor for the development of mental health and cognitive difficulties. Cognitive difficulties are associated with impairments in everyday functioning in different domains such as school or work. To date, no study has evaluated the feasibility and acceptability of cognitive remediation therapy (CRT) with teenagers with a history of childhood maltreatment.The objective was to assess the acceptability and feasibility of the CIRCuiTS program for teenagers in youth protection services and to explore the preliminary effect on clinical and neuropsychological outcomes.Ten participants were first assessed with clinical and neuropsychological measures. They then received a mean of 16 CRT sessions with the CIRCuiTS program adapted for teenagers. The same measures as baseline were repeated directly after the end of treatment, as well as 3-months and 1-year post-treatment. Descriptive statistics were used to assess feasibility and acceptability, while the preliminary effect of CIRCuiTS was assessed with Reliable Change Indices (RCIs).CIRCuiTS was considered as acceptable by both participants and therapists for the attractiveness of the program, its easiness of use and understanding and its cultural adaptability. However, the feasibility was limited with only 50% of participants having had completed CIRCuiTS. This was mostly explained by contextual factors. RCIs revealed significant improvements in several neuropsychological domains, as well as a decline in other domains.This pilot study highlights challenges that must be addressed to promote engagement to CRT for teenagers in the care of youth protection services.
儿童虐待史被认为是心理健康和认知困难发展的重要危险因素。认知困难与不同领域的日常功能受损有关,如学校或工作。到目前为止,还没有研究评估认知补救疗法(CRT)对有童年虐待史的青少年的可行性和可接受性。目的是评估青少年在青少年保护服务中的可接受性和可行性,并探讨其对临床和神经心理学结果的初步影响。首先对10名参与者进行临床和神经心理学评估。然后,他们平均接受了16次针对青少年的电路项目的CRT治疗。治疗结束后直接重复与基线相同的测量,以及治疗后3个月和1年。采用描述性统计评估可行性和可接受性,采用可靠变化指数(rci)评估电路的初步效果。参与者和治疗师都认为电路是可以接受的,因为它具有吸引力,易于使用和理解,并且具有文化适应性。然而,可行性是有限的,只有50%的参与者完成了电路。这主要是由环境因素来解释的。rci在一些神经心理学领域显示出显著的改善,而在其他领域则有所下降。这项试验研究强调了必须解决的挑战,以促进青少年参与青少年保护服务。
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引用次数: 0
Working with Schools to Support Trans Youth: Seen, Safe and Supported 与学校合作支持跨性别青年:被看到、安全和支持
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-05-07 DOI: 10.2174/2210676612666220507011156
Joel Baum
As one of the primary places of socialization for a young person, school is a critical part of any transgender student’s life. Mental health providers can play a fundamental role supporting these vulnerable young people as they navigate the hallways and classrooms of their schools.This article provides mental health personnel with information and resources for supporting transgender youth in the school setting.Some general principles for working effectively with educational institutions serving transgender youth are provided. In addition, three critical tools are introduced for maximizing conditions for a successful experience at school for these students.Educational institutions have adopted a range of specific structures found effective in anticipating and managing various issues a transgender child may encounter at school. These include structured approaches for initial discussions with school officials about a child’s gender, and Gender Support Plans and a Gender Communication Plans designed to codify ways a school will support a student around their emerging gender status. Awareness of these resources will help mental health providers effectively partner with patients and their families as they navigate educational institutions.For many transgender and other gender diverse students, the day-to-day tumult of school can be a source of great anxiety and concerns that they have no control over their circumstances. Using gender support and gender communication plans can diminish these feelings. Mental health providers must have a firm understanding of these plans and their implementation to provide the necessary support for gender diverse students.
作为年轻人社交的主要场所之一,学校是任何跨性别学生生活的重要组成部分。心理健康提供者可以在支持这些弱势年轻人在学校的走廊和教室里穿行时发挥根本作用。本文为心理健康人员提供了在学校环境中支持跨性别青年的信息和资源。提供了与为变性青年服务的教育机构有效合作的一些一般原则。此外,还引入了三个关键工具,以最大限度地为这些学生创造成功的学校体验条件。教育机构采用了一系列特定的结构,有效地预测和管理跨性别儿童在学校可能遇到的各种问题。其中包括与学校官员就儿童性别进行初步讨论的结构化方法,以及旨在编纂学校围绕学生新出现的性别地位支持学生的方式的性别支持计划和性别沟通计划。对这些资源的认识将有助于心理健康提供者在患者及其家人进入教育机构时与他们有效合作。对于许多跨性别和其他性别多样化的学生来说,学校的日常混乱可能是他们无法控制自己处境的巨大焦虑和担忧的根源。使用性别支持和性别沟通计划可以减少这些感觉。心理健康提供者必须对这些计划及其实施有坚定的理解,为性别多样化的学生提供必要的支持。
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引用次数: 0
The Prevalence of Major Depressive Disorder and Anxiety Disorder among Iranian Adolescents and their Association with Video Gaming and Internet Use 伊朗青少年中重度抑郁症和焦虑症的患病率及其与视频游戏和互联网使用的关系
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-04-15 DOI: 10.2174/2210676612666220415114504
F. Heidari, S. Norouzi, M. Kazemi-shishvan, H. Rezaei
Depression and anxiety are among the most common psychological disorders in adolescents. Studies have suggested a positive correlation between mental health problems and using the internet.This study aimed to determine the burden of anxiety and major depressive disorder (MDD) and their association with internet use and video gaming in adolescents.This community-based cross-sectional study was conducted on adolescents aged 13 to 18 years referred to the 33-Laleh health center at West Tabriz from March to September 2019. The short form Beck Depression Inventory (BDI-SF) and Screen for Child Anxiety Related Disorders (SCARED) scales were used. The data for demographic characteristics and the number of hours of internet use and video gaming per day were collected. The logistic regression test was applied.In this study, 150 adolescents were included with a male to female ratio of 1:1. Anxiety and mild, moderate, and severe depressive disorder were detected in 39 (26%), 16 (10.7%), 20 (13.3%), and 6 (4.0%) cases by screening tools, respectively. The mean age (SD) of participants was 14.8 (1.54) years. The mean duration (SD) of internet use and video gaming per day was 2.10 (±2.6) and 1.15 (± 1.7) hours, respectively. The odds of severe depressive symptoms increased by 42% per hour of video gaming (p=0.003) and 31% per hour of internet use (p=0.016).: Considering the significant positive association between depressive symptoms and video gaming and internet use, there is a necessity to call for actions to plan and implement psychological screening and subsequent supporting and treatment policies for those in need.
抑郁和焦虑是青少年中最常见的心理障碍。研究表明,心理健康问题与使用互联网之间存在正相关关系。本研究旨在确定青少年焦虑和重度抑郁障碍(MDD)负担及其与网络使用和视频游戏的关系。这项以社区为基础的横断面研究是在2019年3月至9月期间对西大不里士33-Laleh卫生中心转诊的13至18岁青少年进行的。采用贝克抑郁量表(BDI-SF)和儿童焦虑相关障碍筛查量表(SCARED)。收集了人口统计特征、每天上网和玩视频游戏的时间。采用logistic回归检验。本研究以150名青少年为研究对象,男女比例为1:1。通过筛查工具分别检测出39例(26%)、16例(10.7%)、20例(13.3%)和6例(4.0%)的焦虑和轻度、中度和重度抑郁障碍。参与者的平均年龄(SD)为14.8(1.54)岁。每天上网和玩视频游戏的平均持续时间(SD)分别为2.10(±2.6)小时和1.15(±1.7)小时。每玩一小时视频游戏,出现严重抑郁症状的几率增加42% (p=0.003),每使用一小时互联网,出现严重抑郁症状的几率增加31% (p=0.016)。考虑到抑郁症状与视频游戏和互联网使用之间的显著正相关,有必要呼吁采取行动,计划和实施心理筛查,并随后为有需要的人提供支持和治疗政策。
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引用次数: 0
Imagery- and Verbally-Based Brooding Rumination in Adolescence: Differential Associations with Depressive Symptoms. 青少年以意象和言语为基础的沉思反刍:与抑郁症状的不同关联。
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-04-15 DOI: 10.2174/2210676612666220415121824
H. Lawrence, G. Siegle, R. Schwartz-Mette
Brooding rumination, or perseverative dwelling on negative cognitions, prolongs negative affect and is associated with heightened risk for depressive symptoms. Emerging research suggests that brooding rumination may be associated with more severe depressive symptoms when individuals brood in the form of mental imagery relative to verbal thoughts.The present study tested whether rumination was more highly associated with depressive symptom severity when adolescents ruminated in the form of mental imagery compared with verbal thoughts.Adolescents (N = 145) were recruited from the community surrounding a public university in the Northeastern United States. Of these adolescents, 136 were retained in analyses based on their reports of engaging in brooding rumination at least some of the time [age range: 13-17 years; M(SD)age = 15.40(1.24) years; 60.29% female, 32.35% male, 4.41% transgender, 2.94% other genders). In this cross-sectional study, adolescents reported on their trait levels of brooding rumination, whether they tend to ruminate in the form of mental imagery, verbal thought, or both, and completed a measure of depressive symptom severity. Moderated regression analyses were used to test whether the strength of the relation between brooding rumination and depressive symptom severity varied based on rumination style.Imagery-based brooding rumination occurred in the majority of adolescents, and imagery-based rumination was more highly associated with depressive symptom severity than verbally-based rumination for female adolescents and those adolescents high in trait brooding rumination.Findings emphasize the potential utility of assessing and intervening on imagery-based rumination.
沉思,或对负面认知的持续思考,会延长负面情绪,并与抑郁症状的风险增加有关。新兴的研究表明,当个体以心理意象的形式沉思时,沉思可能与更严重的抑郁症状有关,而不是言语思维。本研究测试了与言语思维相比,当青少年以心理意象的形式沉思时,沉思是否与抑郁症状的严重程度更密切相关。青少年(N=145)是从美国东北部一所公立大学周围的社区招募的。在这些青少年中,136人被保留在基于他们至少部分时间参与沉思沉思的报告的分析中[年龄范围:13-17岁;M(SD)年龄=15.40(1.24)年;60.29%为女性,32.35%为男性,4.41%为变性人,2.94%为其他性别)。在这项横断面研究中,青少年报告了他们沉思沉思的特质水平,无论他们是否倾向于以心理意象、言语思维或两者兼有的形式沉思,并完成了抑郁症状严重程度的测量。采用适度回归分析来检验沉思沉思与抑郁症状严重程度之间的关系强度是否因沉思方式而异。基于意象的沉思沉思发生在大多数青少年中,对于女性青少年和那些特质沉思沉思程度高的青少年来说,基于意象的反刍与抑郁症状严重程度的相关性比基于言语的反刍更高。研究结果强调了评估和干预基于图像的沉思的潜在效用。
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引用次数: 0
Hunger Hormones in Disruptive Mood Dysregulation Disorder in Adolescents: An Exploratory Study 青少年破坏性情绪调节障碍中的饥饿激素:一项探索性研究
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-04-15 DOI: 10.2174/2210676612666220415112851
A. Krishna, N. Goyal, D. Ram, Anjanik Kumar Rajan, K. K. Kshitiz
Hunger hormones, including ghrelin and leptin, are associated with appetitive behaviors in various psychiatric disorders. Biochemical and hormonal status in disruptive mood dysregulation disorder (DMDD) in adolescents is largely unexplored.The study aimed to assess levels of leptin and ghrelin and find their association with lipid profiles in adolescents with DMDD.Twenty adolescents with a DSM 5 diagnosis of DMDD with age and gender-matched 19 healthy controls were recruited, followed by clinical assessment. They were assessed for leptin, ghrelin, and lipid profiles, respectively.Adolescents with DMDD were comparable in age, education, family income, domicile status, psychiatric illness in the family, and body mass index (BMI) with matched controls. There was no difference in mean lipid profile and ghrelin in both groups. However, the DMDD group had statistically significant higher mean level of leptin as compared to the control group (t=1.84, p < 0.05). As measured by the Modified Overt Aggression Scale in DMDD, aggression showed a significant positive correlation with measures of lipid profile.Adolescents with DMDD have elevated serum leptin levels. Further research is needed to confirm this finding.
饥饿激素,包括胃饥饿素和瘦素,与各种精神疾病的食欲行为有关。青少年破坏性情绪调节障碍(DMDD)的生化和激素状态在很大程度上尚未被探索。该研究旨在评估青少年DMDD患者的瘦素和胃饥饿素水平,并发现它们与脂质状况的关系。招募了20名年龄和性别匹配的DSM 5诊断为DMDD的青少年19名健康对照,随后进行临床评估。分别评估了它们的瘦素、胃饥饿素和脂质状况。患有DMDD的青少年在年龄、教育程度、家庭收入、户籍状况、家庭精神疾病和体重指数(BMI)方面与匹配的对照组具有可比性。两组的平均脂质水平和胃饥饿素水平没有差异。然而,与对照组相比,DMDD组的瘦素平均水平具有统计学意义(t=1.84,p<0.05)。根据DMDD的改良显性攻击量表测量,攻击性与脂质水平呈正相关。患有DMDD的青少年血清瘦素水平升高。需要进一步的研究来证实这一发现。
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引用次数: 0
Does Exposure to Sexualized Media Lead to Boys’ Objectification of Girls and Women?: A Preregistered, Longitudinal Reanalysis of Rousseau et al. (2019) 暴露在色情媒体中会导致男孩对女孩和女性的客观化吗?:Rousseau等人的预先注册纵向再分析(2019)
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-04-14 DOI: 10.2174/2210676612666220414095544
C. Ferguson
The issue of whether fictional media can socialize male attitudes toward women remains hotly contested. One recent longitudinal study concluded that exposure to sexualized TV was associated with viewing women as sex objects as well as objectification of women. However, it was unclear whether these findings were robust.Original data was obtained. In a preregistered regression design, the association between sexualized television and music videos was longitudinally examined with male sexual dominance, viewing women as sex objects and objectification, controlling for T1 outcome scores and other control variables. The sample included 487 adolescent males from Belgium.No longitudinal association was found between sexualized media variables and any of the outcome variables with proper controls in place.Longitudinal analyses do not support long-term associations between sexualized media and adolescent male objectification of women.
关于虚构媒体能否将男性对女性的态度社会化的问题仍然存在激烈的争论。最近的一项纵向研究得出结论,接触色情电视与将女性视为性对象以及将女性物化有关。然而,尚不清楚这些发现是否有力。获得原始数据。在一项预先注册的回归设计中,性化的电视和音乐视频之间的关联与男性性主导、将女性视为性对象和对象化、控制T1结果得分和其他控制变量进行了纵向检验。样本包括487名来自比利时的青少年男性。在适当的控制下,未发现性化媒体变量与任何结果变量之间的纵向关联。纵向分析不支持性化媒体与青少年男性对女性的物化之间的长期联系。
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引用次数: 0
Artificial Intelligence Tools for Suicide Prevention in Adolescents and Young Adults 用于青少年和年轻人自杀预防的人工智能工具
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-04-08 DOI: 10.2174/2210676612666220408095913
Mayank Gupta, D. Ramar, Rekha Vijayan, Nihit Gupta
Artificial Intelligence is making a significant transformation in human lives. Its application in the medical and healthcare field has been also observed making an impact and improving overall outcomes. There has been a quest for similar processes in mental health due to the lack of observable changes in the areas of suicide prevention. In the last five years, there has been an emerging body of empirical research applying the technology of artificial intelligence (AI) and machine learning (ML) in mental health.To review the clinical applicability of the AI/ML-based tools in suicide prevention.The compelling question of predicting suicidality has been the focus of this research. We performed a broad literature search and then identified 36 articles relevant to meet the objectives of this review. We review the available evidence and provide a brief overview of the advances in this field.In the last five years, there has been more evidence supporting the implementation of these algorithms in clinical practice. Its current clinical utility is limited to using electronic health records and could be highly effective in conjunction with existing tools for suicide prevention. Other potential sources of relevant data include smart devices and social network sites. There are some serious questions about data privacy and ethics which need more attention while developing these new modalities in suicide research.
人工智能正在使人类生活发生重大变化。它在医疗保健领域的应用也产生了影响并改善了整体结果。由于自杀预防领域缺乏可观察到的变化,人们一直在寻求心理健康方面的类似过程。在过去的五年里,有一批新兴的实证研究将人工智能(AI)和机器学习(ML)技术应用于心理健康。综述基于AI/ML的工具在自杀预防中的临床适用性。预测自杀这一令人信服的问题一直是这项研究的焦点。我们进行了广泛的文献检索,然后确定了36篇与本综述目标相关的文章。我们回顾了现有的证据,并简要概述了该领域的进展。在过去的五年里,有更多的证据支持这些算法在临床实践中的实施。它目前的临床应用仅限于使用电子健康记录,与现有的自杀预防工具相结合可能非常有效。相关数据的其他潜在来源包括智能设备和社交网站。在自杀研究中开发这些新模式时,有一些关于数据隐私和伦理的严重问题需要更多关注。
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引用次数: 0
Trauma & Disordered Eating in Adolescents: A Review 青少年创伤与饮食失调:综述
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-04-05 DOI: 10.2174/2210676612666220405125502
Maria A. Tocco, Sarah Mohiuddin
Trauma exposure is common, with more than half of children and adolescents experiencing at least one traumatic event prior to adulthood. Although diagnoses of eating disorders are less prevalent, the majority of adolescents re-port engaging in disordered eating behaviors. The association between childhood trauma exposure and disordered eating behaviors has been well documented in adults, however less is known about this association in adolescents. This review summarizes the literature that exists in the adolescent population.Multiple large-scale studies have demonstrated that adolescents who have been exposed to trauma are more likely to engage in disordered eating behaviors. This association was shown to exist in both sexes, although there appears to be a higher prevalence reported in girls. There does not appear to be significant racial or cultural factors that con-tribute to this association. The experience of sexual trauma, increased trauma severity, and repeat victimization confer an increased risk of engaging in disordered eating behaviors. There are multiple mediators that play a role in the development of disordered eating following a traumatic experience.
创伤暴露是常见的,超过一半的儿童和青少年在成年前至少经历过一次创伤性事件。虽然饮食失调的诊断不太普遍,但大多数青少年都报告有饮食失调的行为。儿童期创伤暴露与饮食失调行为之间的联系在成人中已经有了很好的记录,但对青少年的这种联系知之甚少。这篇综述总结了存在于青少年人群的文献。多项大规模研究表明,经历过创伤的青少年更有可能出现饮食失调的行为。这种关联被证明存在于两性中,尽管在女孩中报告的患病率似乎更高。似乎没有明显的种族或文化因素促成这种联系。性创伤的经历,创伤严重程度的增加,以及反复的受害者行为增加了参与饮食失调行为的风险。有多种介质在创伤经历后饮食失调的发展中发挥作用。
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引用次数: 0
Cultivating Spiritual Community for Transgender Youth 培养跨性别青年的精神共同体
IF 0.4 Q4 PEDIATRICS Pub Date : 2022-03-01 DOI: 10.2174/2210676612666220301104845
A. Fornari, Melissa MacNish Nishman
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引用次数: 0
期刊
Adolescent Psychiatry
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