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Gangs, Inpatients and Outpatients, and Young Mothers: Research on Adolescents in the Community and the Clinic 黑帮、住院病人和门诊病人以及年轻母亲:对社区和诊所青少年的研究
IF 0.4 Q4 PEDIATRICS Pub Date : 2021-02-22 DOI: 10.2174/221067661004210217115200
L. Flaherty
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引用次数: 0
Gang Involvement, Mental Health Difficulties and Exposure to Violence in 11-16-Year-Old School Students 11-16岁中学生帮派参与、心理健康困难与暴力暴露
IF 0.4 Q4 PEDIATRICS Pub Date : 2021-02-22 DOI: 10.2174/2210676610999201229141153
Georgia A. Naldrett, Jane L. Wood
The current study investigated the relationship between gang involvement and multiple mental health difficulties; anxiety, depression, paranoia, victim trauma and perpetrator trauma. Additionally, it examined the mediating influence of an individuals’ exposure to violence within this relationship. One hundred adolescents aged 11-16 years old, completed two questionnaires and an interview which investigated their friendship groups, exposure to violence and mental well-being. Eighteen participants were identified as current or ex-gang members and the other eighty-two were classified as the non-gang comparison group. Findings show that gang members displayed more symptoms of depression and perpetrator trauma compared to non-gang members. The relationship between gang involvement and these mental health difficulties was mediated by exposure to violence. Discussion focuses on the need for researchers, practitioners and policy makers to acknowledge the relationship between gang involvement and mental health difficulties and implement additional strategies to support young people currently or previously involved in gangs.
目前的研究调查了帮派参与与多种心理健康困难之间的关系;焦虑、抑郁、偏执、受害者创伤和施暴者创伤。此外,它还考察了个人在这种关系中暴露于暴力的中介影响。100名11-16岁的青少年完成了两份问卷和一次访谈,调查了他们的友谊群体、暴力暴露和心理健康状况。18名参与者被确定为现任或前任帮派成员,另外82人被归类为非帮派对照组。调查结果显示,与非帮派成员相比,帮派成员表现出更多的抑郁和犯罪者创伤症状。帮派参与与这些心理健康问题之间的关系是通过接触暴力来调节的。讨论的重点是研究人员、从业者和政策制定者需要认识到帮派参与与心理健康困难之间的关系,并实施额外的战略来支持目前或以前参与帮派的年轻人。
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引用次数: 0
Feasibility of Delivering a Cognitive Behavioural Therapy-Based Resilience Curriculum to Young Mothers by Public Health Nurses 公共卫生护士为年轻母亲提供基于认知行为治疗的复原力课程的可行性
IF 0.4 Q4 PEDIATRICS Pub Date : 2021-02-22 DOI: 10.2174/2210676611666210111093742
Thyna Catamaran, C. Savoy, H. Layton, E. Lipman, K. Boylan, R. J. Lieshout
Young mothers have higher rates of mental health problems yet can be difficult to engage in care.Few interventions exist targeting the full range of mental health problems these women face. While transdiagnosticpsychotherapies have been utilized in adolescent groups, they have not been tested in young mothers.Our objective was to examine the feasibility and acceptability of a public health nurse-delivered transdiagnosticCBT-based resilience curriculum for young mothers in a supported school setting, and to determine preliminary estimatesof the program’s effects. 56 mothers 21 years of age or younger were recruited from a supported high school program in Canada. Using apretest/post-test design with no control group, measures of maternal depression, anxiety, emotion regulation, and offspringbehaviour were collected immediately before and after the completion of the weekly 10-session intervention.The intervention was feasible and acceptable to young mothers. While few statistically significant changes werenoted in the complete sample, for those with moderate-severe depression at baseline, program participation resulted inclinically meaningful improvements in depression, anxiety, and emotion regulation.Provision of a transdiagnostic CBT-based resilience building program delivered by public health nurses in asupported school setting was both feasible and well-tolerated. Given the preliminary nature of this study, its clinical utilityis unclear, though it may have benefits for young mothers with more significant mental health problems at baseline.
年轻母亲的心理健康问题发生率较高,但很难参与护理。很少有针对这些妇女面临的各种心理健康问题的干预措施。虽然跨诊断心理治疗师已在青少年群体中使用,但尚未在年轻母亲中进行测试。我们的目标是检查公共卫生护士在支持学校环境中为年轻母亲提供基于跨诊断CBT的恢复力课程的可行性和可接受性,并确定该计划效果的初步评估。56名21岁或以下的母亲从加拿大的一个支持高中项目中被招募。采用无对照组的试验前/试验后设计,在每周10次干预完成前后立即收集母亲抑郁、焦虑、情绪调节和子女行为的测量结果。这种干预措施是可行的,年轻母亲也能接受。虽然在完整的样本中几乎没有观察到统计学上的显著变化,但对于那些在基线时患有中度-重度抑郁症的人来说,项目参与导致了抑郁、焦虑和情绪调节的倾向性有意义的改善。由公共卫生护士在支持的学校环境中提供基于CBT的跨诊断复原力建设计划是可行的,而且耐受性良好。鉴于这项研究的初步性质,其临床实用性尚不清楚,尽管它可能对基线时有更严重心理健康问题的年轻母亲有益。
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引用次数: 1
Improvement in Cognitive Abilities, Mental and Emotional Well-being of Teenagers following a Meditation Retreat: An Open-Trial pilot study 冥想静修后青少年认知能力、心理和情感健康的改善:一项开放试验性试点研究
IF 0.4 Q4 PEDIATRICS Pub Date : 2021-02-10 DOI: 10.2174/2210676611666210210104431
D. Kanchibhotla, Saumya Subramanian, S. Kulkarni
Background: Today’s teenagers face several challenges that result in poor mental health, depression and anxiety. Several studies in the past decade have explored meditation as an adjunctive therapy for mental illness however the long term residual benefits of meditation have rarely been studied. The aim of the study was to investigate the benefits of a four day meditation retreat on cognitive abilities, mental and emotional well-being of teenagers. 303 teenagers participated in this study. Cognitive abilities of the students were measured using theSix letter cancellation test (SLCT). Mental and emotional well-being was measured using World Health Organization Well-being index (WHO-5) and Strength and Difficulties questionnaire (SDQ) respectively. Data analysis was performed using paired sample t-test and repeated measure ANOVA. Teenagers demonstrated a 33% increase in average accuracy for SLCT post intervention. WHO-5 mental well-being index scores also increased significantly (p <1). The participants experienced significant reduction in emotional problems and hyperactivity as measured by SDQ. The benefits of the retreat continued to persist, when measured after 40 days of the intervention. A well-structured meditation retreat has significant and long term benefits on teenagers’ mental well-being, emotional stability and cognitive capacity.
背景:如今的青少年面临着一些挑战,这些挑战会导致心理健康状况不佳、抑郁和焦虑。在过去的十年里,有几项研究探讨了冥想作为精神疾病的辅助疗法,但很少研究冥想的长期残余益处。这项研究的目的是调查为期四天的冥想静修对青少年认知能力、心理和情绪健康的益处。303名青少年参与了这项研究。采用六个字母消除测验(SLCT)测量学生的认知能力。分别采用世界卫生组织健康指数(WHO-5)和力量和困难问卷(SDQ)对精神和情绪健康进行测量。使用配对样本t检验和重复测量方差分析进行数据分析。干预后,青少年SLCT的平均准确率提高了33%。WHO-5心理健康指数评分也显著升高(p<1)。通过SDQ测量,参与者的情绪问题和多动症显著减少。当在干预40天后进行测量时,撤退的好处继续存在。结构良好的冥想静修对青少年的心理健康、情绪稳定和认知能力有着重大而长期的好处。
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引用次数: 0
Challenges of Covid-19 on Adolescent Psychiatric Service Provision in an Independent Inpatient and Outpatient Setting 新冠肺炎在独立住院和门诊环境中对青少年精神病服务提供的挑战
IF 0.4 Q4 PEDIATRICS Pub Date : 2021-02-02 DOI: 10.2174/2210676611666210202090610
L. Bond, A. Murtagh, S. Morgan
COVID-19 is one of the most challenging and devastating public health emergencies we have experienced in our lifetimes. There is a growing concern that the pandemic and its imposed public health restrictions may be harming a generation of young people. This is concerning for child and adolescent psychiatry as there is already a mismatch between resources and demand.This paper will outline the day to day working challenges encountered by the SPMHS adolescent service, staffstaff, and patients in the initial months of the COVID-19 crisis and some of the strategies implemented to deal with these. In St. Patrick’s University Hospital in Ireland, significant challenges in the adolescent service were encountered in the initial months of the COVID-19 crisis. These included cessation of face-to-face patient interactions, therapeutic leave and visiting restrictions, school closure, social restrictions, difficulties in organizing medical appointments and investigations, family stress and increased workload for staff. Strategies including telepsychiatry have enabled the delivery of an efficient and accessible adolescent service during this crisis. Future research into how best we can support children and adolescents during COVID-19 particularly those with existing mental illness is crucial.
2019冠状病毒病是我们一生中经历的最具挑战性和破坏性的突发公共卫生事件之一。人们越来越担心,这一大流行病及其强加的公共卫生限制可能正在伤害一代年轻人。这是儿童和青少年精神病学关注的问题,因为资源和需求之间已经存在不匹配。本文将概述SPMHS青少年服务、工作人员和患者在COVID-19危机的最初几个月里遇到的日常工作挑战,以及为应对这些挑战而实施的一些策略。在爱尔兰圣帕特里克大学医院,在COVID-19危机的最初几个月里,青少年服务遇到了重大挑战。其中包括停止与病人面对面交流、治疗休假和探视限制、学校关闭、社会限制、安排医疗预约和调查困难、家庭压力和工作人员工作量增加。包括远程精神病学在内的各种战略使在这场危机期间能够提供有效和可获得的青少年服务。未来研究如何在COVID-19期间为儿童和青少年提供最好的支持,特别是那些患有精神疾病的儿童和青少年,这一点至关重要。
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引用次数: 0
Science Up in Smoke: One Psychiatrist’s Journey Through the Politics of Cannabis Legalization 烟雾中的科学:一位精神病学家的大麻合法化政治之旅
IF 0.4 Q4 PEDIATRICS Pub Date : 2021-01-25 DOI: 10.2174/2210676611666210125085400
D. Rettew
Many states are currently considering legislature that would legalize and commercialize cannabisfor medical and recreational purposes. Physicians and other health professionals are frequently called upon to offer an expertopinion on the public health implications of these bills. For many, the role as a scientific expert and advocate in a politicalprocess is new.To outline themes and lessons learned for science-minded clinicians engaged in deliberations over cannabislegislation.To describe how science can get used and misused in the political process.This article describes the experience of a psychiatrist who was actively involved in one state’s deliberations throughcannabis legalization bills.Major themes that emerged during the process are described as are recommendationsfor other health professionals who may find themselves involved in similar processes related to cannabis legalization andother controversial initiatives that rely on the interpretation of scientific information.Psychiatrists and other clinicians can make important contributions to the political process for legislativedebates that involve science-based mental health information.
许多州目前正在考虑立法,将用于医疗和娱乐目的的大麻合法化并商业化。医生和其他卫生专业人员经常被要求就这些法案对公共卫生的影响提供专业意见。对许多人来说,在政治过程中担任科学专家和倡导者的角色是新的。为参与大麻立法审议的具有科学头脑的临床医生概述主题和经验教训。描述科学在政治过程中是如何被利用和滥用的。这篇文章描述了一位精神科医生的经历,他积极参与了一个州对大麻合法化法案的审议。在这一进程中出现的主要主题被描述为对其他卫生专业人员的建议,这些专业人员可能发现自己参与了与大麻合法化有关的类似进程和其他依赖于科学信息解释的有争议的倡议。精神科医生和其他临床医生可以为涉及基于科学的心理健康信息的立法辩论的政治进程做出重要贡献。
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引用次数: 1
The Relationship between Life Events and Personality Style to the Development of Depressive and Anxiety Disorders Among Adolescents 青少年生活事件、人格风格与抑郁、焦虑障碍发展的关系
IF 0.4 Q4 PEDIATRICS Pub Date : 2020-12-08 DOI: 10.2174/2210676610999201208214837
Noga Oschry-Bernstein, N. Horesh-Reinman, Adar Avnon, Tomer Mevorach, A. Apter, S. Fennig
The separateness of anxiety disorder and depressive disorder as two distinct disorders is often questioned. The aim of the current study is to examine whether there is a different profile of life events and personality characteristics for anxiety and depression disorders in adolescents.One hundred forty-six adolescents participated in the study, 57 boys and 89 girls, ranging in age from 11-18 years (mean=15.08+1.97). The study group included 92 adolescents with a clinical diagnosis of depression or anxiety, and the comparison group included 54 teenagers with no known psychopathology.Multinomial logistic regression produced different predictive profiles for anxiety disorder and for depressive disorders. Life event variables, especially minor life events and early traumas, were found to be predictors for depression. Furthermore, interaction was found between early trauma and minor life events in the prediction of depression, such that the existence of trauma weakened the statistical correlation between minor life events and the onset of depression.In addition, contrary to the literature regarding adults, it was found that during adolescence personality variables have a unique contribution as predictive factors for vulnerability to the onset of anxiety and depression, thus reducing the significance of life events.Our findings suggest that different profile of life events and personality characteristics can be identified for the two disorders. In addition, it appears that early traumas are a dominant factor that overshadows more recent life events at the onset of depression among adolescents.
焦虑障碍和抑郁障碍作为两种不同的障碍的分离性经常受到质疑。本研究的目的是检验青少年焦虑和抑郁障碍的生活事件和性格特征是否不同。146名青少年参与了这项研究,其中57名男孩和89名女孩,年龄在11-18岁之间(平均值=15.08+1.97)。研究组包括92名临床诊断为抑郁症或焦虑症的青少年,对照组包括54名没有已知精神病理学的青少年。多项逻辑回归对焦虑症和抑郁症产生了不同的预测特征。生活事件变量,尤其是轻微的生活事件和早期创伤,被发现是抑郁症的预测因素。此外,在抑郁症的预测中,早期创伤和轻微生活事件之间存在相互作用,因此创伤的存在削弱了轻微生活事件与抑郁症发作之间的统计相关性。此外,与关于成年人的文献相反,研究发现,在青春期,人格变量作为易患焦虑和抑郁的预测因素有着独特的作用,从而降低了生活事件的重要性。我们的研究结果表明,这两种疾病可以识别出不同的生活事件和性格特征。此外,在青少年抑郁症发作时,早期创伤似乎是掩盖近期生活事件的主要因素。
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引用次数: 0
Preventing Child and Adolescent Mental Illness - We Got This 预防儿童和青少年精神疾病-我们明白了
IF 0.4 Q4 PEDIATRICS Pub Date : 2020-11-02 DOI: 10.2174/2210676610666200316100146
M. McDonald, J. Shatkin, Zhuorong Li, Emine Kahraman Sevgi Güngör Meltem E. Durgun, Y. Özsoy, Fatemeh Sheikholeslami-Farahani Ashraf Shahvelayati Zohreh Maryam Ghazvini, Saeid Abad, V. Tsanov, Hristo Tsanov, M. Rai, Rehan Qamar, M. Riaz, Yanqi Shi, Peng Liu, Tianyu Xie, Cheng Zhong
International data indicates that up to 20% of the world’s childrenand adolescents have at least one mental health disorder. In the United States, nearly 50% ofteenagers meet DSM criteria for a psychiatric disorder, and over 25% suffer from a “severedisorder.” Mental health and substance use disorders remain two of the greatest contributorsto the global disease burden. Typically, mental health professionals are not trained for prevention;however, over the past 50 years, the field of psychiatry has identified many practicesthat prevent and limit the severity of psychiatric disorders. In this overview, we first address the great degree of cognitive, emotional, andbehavioral suffering that children and adolescents face world-wide. We then describe how ahealth promotion/disease prevention model differs from typical mental health care. Finally,we describe a series of interventions at the individual, community, and societal levels thatcan be utilized to prevent and lessen the burden of mental illness. Given our enhanced understanding of the prevalence of mental illness, the degreeto which it interferes with healthy functioning, and the enormous global burden itcauses, now is the time to engage psychiatrists and psychologists in health promotion anddisease prevention. The field of psychiatry should begin to focus on designing and implementingmental health promotion and disease prevention programs, akin to those describedhere, to combat the onset, development, and progression of mental illness.
国际数据表明,世界上多达20%的儿童和青少年至少有一种心理健康障碍。在美国,近50%的青少年符合DSM精神障碍标准,超过25%的青少年患有“严重障碍”。心理健康和药物使用障碍仍然是造成全球疾病负担的两个最大因素。通常,心理健康专业人员没有接受预防方面的培训;然而,在过去的50年里,精神病学领域已经确定了许多预防和限制精神障碍严重程度的实践。在这篇综述中,我们首先讨论了世界各地儿童和青少年面临的巨大的认知、情感和行为痛苦。然后,我们描述了健康促进/疾病预防模式与典型的心理健康护理的不同之处。最后,我们描述了个人、社区和社会层面的一系列干预措施,这些干预措施可用于预防和减轻精神疾病的负担。鉴于我们对精神疾病的流行率、它对健康功能的干扰程度以及它造成的巨大全球负担有了更好的了解,现在是时候让精神病学家和心理学家参与健康促进和疾病预防了。精神病学领域应该开始专注于设计和实施与本文所述类似的心理健康促进和疾病预防计划,以对抗心理疾病的发作、发展和进展。
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引用次数: 2
Exploration of Psychological Well-Being, Resilience, Ethnic Identity, and Meaningful Events Among a Group of Youth in Northern England: An Autobiographical Narrative Intervention Pilot Study 英格兰北部青年群体的心理健康、弹性、族群认同和有意义事件的探索:一项自传体叙事干预试点研究
IF 0.4 Q4 PEDIATRICS Pub Date : 2020-11-02 DOI: 10.2174/2210676610666200226090427
Caroline S. Clauss-Ehlers
Autobiographical narrative (i.e., the process through writing or storytellingwhere one recalls life experiences and their impact on identity) has been found toeffectively help adolescents cope with a range of medical and psychological issues.The current study addressed the overall preliminary research question: How doesimplementing an autobiographical narrative approach promote resilience, psychologicalwell- being, and ethnic identity among adolescents? A secondary study aim was to explorehow central the memories evoked by each workshop were to participant identity. Thestudy’s third goal was to promote life skill development and self-awareness through participationin the autobiographical narrative intervention.The intervention incorporated a community-based participatory research (CBPR)framework in its partnership with a community centre in Northern England. The interventionconsisted of an 8-week autobiographical program with youth participants from working andlower middle-class backgrounds. Socioeconomic status was operationalized by self-report ona demographic data sheet completed by participants.Analyses indicated that participants viewed the events discussed in the 8-week programas being more central to their lives after their participation. Maladaptive coping appearedto decrease after participation in the intervention.Results suggest interventions that incorporate an autobiographical narrativeapproach within a CBPR framework may promote positive outcomes among adolescentswith limited economic resources.
研究发现,自传式叙事(即通过写作或讲故事来回忆生活经历及其对身份的影响)可以有效地帮助青少年应对一系列医疗和心理问题。目前的研究解决了总体的初步研究问题:实施自传体叙事方法如何促进青少年的弹性、心理健康和种族认同?第二个研究目的是探索每个工作坊唤起的记忆对参与者身份的重要性。本研究的第三个目标是通过参与自传体叙事干预来促进生活技能的发展和自我意识。该干预措施在其与英格兰北部一个社区中心的伙伴关系中纳入了基于社区的参与性研究框架。干预包括一个为期8周的自传体项目,参与者来自工薪阶层和中下层家庭。社会经济地位通过参与者填写的人口统计数据表进行自我报告。分析表明,参与者认为在8周的课程中讨论的事件对他们的生活更加重要。参与干预后,适应不良反应明显减少。结果表明,在CBPR框架内结合自传体叙事方法的干预措施可能会在经济资源有限的青少年中促进积极的结果。
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引用次数: 12
Moving Towards Meaningful and Significant Family Partnerships in Education 迈向有意义和重要的教育家庭伙伴关系
IF 0.4 Q4 PEDIATRICS Pub Date : 2020-11-02 DOI: 10.2174/2210676610666200324113209
S. A. Garbacz, D. Minch, Phoebe Jordan, Kaitlyn Young, M. Weist
Partnerships with families in education settings should emphasizetheir roles as active and engaged co-equal partners. However, common practices in schoolsare to involve families at school-based events and share information with them about theirchild’s education in a manner that does not promote two-way interactions.The objectives of this paper are to describe relevant background on familyschoolconnections; approaches to promote academic performance and mental and behavioralhealth; and a framework to organize family partnerships that support all youth across acontinuum of support intensity.A review based on the relevant family-school partnership and systems change literaturewas conducted. The review focused on prevention, tiered approaches that provide acontinuum of support to students, and partnership-centered family engagement.Research supports family-school partnerships in a tiered prevention framework. Atheory of change was developed to depict the impact of family partnerships on proximal anddistal outcomes. Implications suggest a need for partnership-centered approaches to school reformin state and federal policy to support investments in school and district initiatives. Initiativesshould embed culturally sensitive practices so that all children can thrive. Future directionsfor investigating effective approaches for family partnerships are described.
在教育环境中与家庭的伙伴关系应强调他们作为积极参与的平等伙伴的作用。然而,学校的常见做法是让家庭参与学校活动,并以不促进双向互动的方式与他们分享有关孩子教育的信息。本文的目的是描述家庭与学校关系的相关背景;促进学习成绩以及心理和行为健康的方法;以及一个组织家庭伙伴关系的框架,在持续的支持强度范围内支持所有青年。基于相关的家庭-学校伙伴关系和制度变革文献进行了审查。审查的重点是预防、为学生提供持续支持的分级方法以及以伙伴关系为中心的家庭参与。研究支持在分级预防框架内建立家校伙伴关系。变革理论的发展是为了描述家庭伙伴关系对近端和远端结果的影响。影响表明,在州和联邦政策中,需要以伙伴关系为中心的学校改革方法,以支持对学校和地区倡议的投资。倡议应纳入对文化敏感的做法,以便所有儿童都能茁壮成长。介绍了调查家庭伙伴关系有效方法的未来方向。
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引用次数: 4
期刊
Adolescent Psychiatry
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