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Loneliness, affective disorders, suicidal ideation, and the use of psychoactive substances in a sample of adolescents during the COVID-19 pandemic: A cross-sectional study 2019冠状病毒病大流行期间青少年样本中的孤独、情感障碍、自杀意念和精神活性物质使用:一项横断面研究
IF 1.5 Q2 Nursing Pub Date : 2023-03-08 DOI: 10.1111/jcap.12412
Loredana Cena, Alice Trainini, Sara Zecca, Sofia Bonetti Zappa, Federica Cunegatti, Chiara Buizza

Problem

The global coronavirus (COVID-19) pandemic has been challenging for adolescents. Indeed, with the closure of schools and social centers and reduction of extracurricular activities, increased social isolation has compounded difficulties in and with school performance, loneliness, and social networking. Increased risk of mental health problems, substance abuse, affective disorders, suicidal ideation, and suicide has been reported in adolescents.

Methods

This cross-sectional study assesses the association between loneliness, depression, anxiety, suicidal ideation, the use of social networks, and school achievement in a sample of Italian adolescents during the COVID-19 pandemic. This study also explores emotional dysregulation through the association between affective disorders (depression and anxiety), substance use, and social networks. The sample comprises adolescents in the first and second grades of high school during the pandemic; participants received an email explaining the purpose of the e-research. Data were collected using the Strengths and Difficulties Questionnaire, the Achenbach System of Empirically Based Assessment, and the Loneliness Scale.

Findings

A total of 505 adolescents completed the web survey. Data revealed that students experienced difficulties with loneliness, problems with school achievement, and extracurricular activities. The mean scores for depression and anxiety were close to the borderline range. A total of 14.3% of adolescents intentionally harmed themselves or attempted suicide.

Conclusions

This study raises concerns about the impacts of the pandemic on adolescents that require the attention of adult reference figures who deal with adolescents, such as parents, teachers, and healthcare professionals. Results indicate the necessity of providing early interventions aimed at the prevention of psychopathologies and the promotion of adolescent mental health due to the pandemic.

全球冠状病毒(COVID-19)大流行给青少年带来了挑战。事实上,随着学校和社交中心的关闭以及课外活动的减少,社会孤立的加剧加剧了学习成绩、孤独感和社交网络方面的困难。据报告,青少年出现精神健康问题、药物滥用、情感障碍、自杀意念和自杀的风险增加。方法本横断面研究评估了2019冠状病毒病大流行期间意大利青少年样本中孤独、抑郁、焦虑、自杀意念、社交网络使用和学习成绩之间的关系。本研究还通过情感障碍(抑郁和焦虑)、物质使用和社会网络之间的联系探讨了情绪失调。样本包括大流行期间高中一年级和二年级的青少年;参与者收到一封电子邮件,解释了电子研究的目的。数据收集采用优势与困难问卷、Achenbach实证评估系统和孤独感量表。结果共有505名青少年完成了网络调查。数据显示,学生们在孤独、学业成绩和课外活动方面遇到了困难。抑郁和焦虑的平均得分接近边缘范围。14.3%的青少年故意伤害自己或企图自杀。这项研究引起了人们对流行病对青少年的影响的关注,这需要与青少年打交道的成人参考人物(如父母、教师和卫生保健专业人员)的关注。结果表明,有必要提供早期干预措施,以预防由于大流行造成的精神病理和促进青少年心理健康。
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引用次数: 3
The relationship between basic psychological needs and emotional and behavioral problems in middle school students 中学生基本心理需求与情绪、行为问题的关系
IF 1.5 Q2 Nursing Pub Date : 2023-02-02 DOI: 10.1111/jcap.12411
Emre Ciydem PhD, RN, Dilek Avci PhD, Murat Uyar BSc, Ahmet Seyhan BSc

Background

Basic psychological needs are universal sources of mental growth and development.

Purpose

This study investigated the relationship between basic psychological needs and emotional and behavioral problems in middle school students.

Methodology

This study adopted a cross-sectional and correlational research design. The sample consisted of 1099 students from three middle schools with different socioeconomic backgrounds. Data were collected using a sociodemographic characteristics questionnaire, the Strengths and Difficulties Questionnaire, and the Basic Psychological Needs Scale (BPNS). The data were analyzed using multiple linear regression analysis.

Results

A one-unit increase in autonomy, competence, and relatedness led to a 0.312, 0.263, and 0.312 decrease in emotional and behavioral problems, respectively (p < 0.05). The regression analysis showed that gender (female), academic performance (poor), mother's parenting style (authoritarian), and father's parenting style (permissive) were the risk factors affecting participants' emotional and behavioral problems (p < 0.05).

Conclusions

Our results indicate that some basic psychological needs and sociodemographic characteristics make middle school students more likely to develop emotional and behavioral problems. Authorities should develop interventions on basic psychological needs to promote emotional and behavioral development. Researchers should assess the effectiveness of those interventions.

基本心理需求是心理成长和发展的普遍来源。目的探讨中学生基本心理需求与情绪、行为问题的关系。本研究采用横断面相关研究设计。样本由来自三所不同社会经济背景的中学的1099名学生组成。采用社会人口学特征问卷、优势与困难问卷和基本心理需求量表(BPNS)收集数据。数据采用多元线性回归分析。结果自主性、能力和相关性每增加1个单位,情绪和行为问题分别减少0.312、0.263和0.312 (p < 0.05)。回归分析显示,性别(女)、学业成绩(差)、母亲教养方式(权威型)和父亲教养方式(宽容型)是影响被试情绪和行为问题的危险因素(p < 0.05)。结论一些基本的心理需求和社会人口学特征使中学生更容易出现情绪和行为问题。当局应针对基本心理需求制定干预措施,以促进情感和行为的发展。研究人员应该评估这些干预措施的有效性。
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引用次数: 0
Concept analysis of adoption: A hybrid model 采用的概念分析:混合模型
IF 1.5 Q2 Nursing Pub Date : 2023-01-30 DOI: 10.1111/jcap.12410
Zahra Amrollah Majdabadi Kohne, Sahar Keyvanloo Shahrestanaki, Soroor Parvizy, Mahnaz Shoghi

Background

Adoption is a multidimensional concept affected by cultural and social factors. On the other hand, the number of adoptees has recently increased indicating the need to pay more attention to this issue. However, no clear definition of this concept has been provided so far.

Objective

The objective of this study was to analyze the concept of adoption.

Methods

The present study was an analysis using a hybrid model in three phases. During the theoretical phase, using the keyword “adoption,” pertinent articles published between 2010 and 2022 were searched. In the field work phase, eight adoptive parents as the participants were interviewed and the data were analyzed using conventional content analysis method. In the final analysis phase, a general analysis of the two previous phases was performed and a final definition was presented.

Results

Adoption is one of the ways of having children that helps infertile couples to experience parental pleasure. If adoption is done wisely based on the abilities of parents, it can provide the best care setting for the child's growth leading to the consolidation of the family and a purposeful life. In adoption, all of the rights and responsibilities of the child are transferred from the biological parents to the adoptive parents, which is affected by religious and cultural beliefs.

Conclusion

The analysis of the concept of adoption provided a good basis for identifying the various dimensions of adoption and its challenges. The parents need to pay attention to all dimensions of adoption before selecting this path. It also provided a good platform for future research in the field of adoption.

收养是一个受文化和社会因素影响的多维概念。另一方面,最近被收养的人数有所增加,这表明需要更加注意这个问题。但是,迄今为止还没有对这一概念给出明确的定义。目的本研究的目的是分析收养的概念。方法采用混合模型分三个阶段进行分析。在理论阶段,使用关键词“采用”搜索2010年至2022年间发表的相关文章。在实地工作阶段,对8名养父母进行访谈,采用常规内容分析法对数据进行分析。在最后的分析阶段,对前两个阶段进行了总体分析,并给出了最终的定义。结果收养是不育夫妇体验父母乐趣的一种方式。如果根据父母的能力明智地进行收养,它可以为孩子的成长提供最好的照顾环境,从而巩固家庭和有目的的生活。在收养中,孩子的所有权利和责任都从亲生父母转移到养父母身上,这受到宗教和文化信仰的影响。结论通过对收养概念的分析,为识别收养的各个维度及其面临的挑战提供了良好的基础。在选择这条道路之前,父母需要注意收养的各个维度。为今后在收养领域的研究提供了良好的平台。
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引用次数: 0
The effect of risk perception, mask use, and social distance behavior on perceived stress in the COVID-19 process: A sectional study 风险感知、口罩使用和社会距离行为对COVID-19过程中感知压力的影响:一项分段研究
IF 1.5 Q2 Nursing Pub Date : 2023-01-27 DOI: 10.1111/jcap.12409
Gülsün Ayran PhD, RN, Hamide Nur Çevik Özdemir PhD, RN, Ece Yaman

Purpose

This study was carried out to determine the effect of high school students' perception of risk of COVID-19, wearing masks and social distance behavior on stress during the COVID-19 pandemic.

Method

This descriptive study was performed on 1034 participants between the ages of 15 and 18 between June 21 and July 2, 2021. “Descriptive Questionnaire,” “COVID-19 Risk Perception Form,” “Mask Wear Behavior Form,” “Social Distance Behavior Form,” and “Perceived Stress Scale” were used in data collection.

Results

It was determined that 81.4% of the students used disposable medical masks, and 50.6% of them used the mask they wore for one day. In the characteristics of the risk perception of COVID-19, 31% have a risk perception, 45% are afraid to contact people returning from abroad, 58.8% avoid going to crowded places, 66.8% are afraid of contacting people with flu symptoms. It was found that they always kept sufficient distance while communicating with others. As a result of the multiple regression, it was determined that gender, mask type, mask usage frequency, risk perception, social distance behavior, and mask-wearing behavior had a statistically significant effect on the perceived stress level (p < 0.05).

Conclusions

These results provide theoretical inferences for public health policies targeting the high school students to develop accurate risk perception and protective behaviors.

目的研究新冠肺炎大流行期间高中生对新冠肺炎风险感知、佩戴口罩和社交距离行为对压力的影响。方法于2021年6月21日至7月2日对1034名年龄在15至18岁之间的参与者进行描述性研究。数据收集采用“描述性问卷”、“COVID-19风险感知表”、“口罩佩戴行为表”、“社会距离行为表”和“感知压力量表”。结果81.4%的学生使用一次性医用口罩,50.6%的学生使用一天口罩。在新冠肺炎风险认知特征中,31%的人有风险认知,45%的人害怕接触从国外归来的人,58.8%的人避免去人多的地方,66.8%的人害怕接触有流感症状的人。我们发现他们在与他人交流时总是保持足够的距离。多元回归结果显示,性别、口罩类型、口罩使用频率、风险感知、社会距离行为、口罩佩戴行为对感知应激水平有统计学意义(p < 0.05)。结论本研究结果为制定针对高中生的公共卫生政策,培养正确的风险认知和保护行为提供了理论依据。
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引用次数: 3
The relationship between the COVID-19 pandemic and children's emotional and behavioral problems 新冠肺炎疫情与儿童情绪和行为问题的关系
IF 1.5 Q2 Nursing Pub Date : 2023-01-23 DOI: 10.1111/jcap.12408
Meltem Özcan, Kamile Akça, Fatih Aydoğdu

Purpose

This research was conducted to determine the relationship of the COVID-19 pandemic with the emotional and behavioral problems of children.

Method

In this study, carried out using the descriptive survey model, the Strengths and Difficulties Questionnaire was used with 205 mothers.

Results

Significant differences were observed in the emotional and behavioral problems of children according to their mother's working status, having COVID-19 in the family, and being in contact. According to mothers' perceptions, the level of emotional and behavioral problems differed before and after the pandemic.

Conclusions

It can be concluded that the pandemic and related factors have an effect on children's emotional and behavioral problems.

目的本研究旨在确定新冠肺炎大流行与儿童情绪和行为问题的关系。方法采用描述性调查模式,采用优势与困难问卷对205名母亲进行调查。结果根据母亲的工作状况、家庭中患有新冠肺炎和接触情况,儿童的情绪和行为问题存在显著差异。根据母亲们的看法,疫情前后情绪和行为问题的程度有所不同。结论疫情及其相关因素对儿童的情绪和行为问题有一定影响。
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引用次数: 1
Family oriented intervention for families of adolescents with attention deficit hyperactivity disorder: A feasibility study 青少年注意缺陷多动障碍家庭干预的可行性研究
IF 1.5 Q2 Nursing Pub Date : 2023-01-21 DOI: 10.1111/jcap.12405
Ingibjorg M. Baldursdottir RN, M.Ed, PhD(s), Asta B. Petursdottir RN, PhD, Erla K. Svavarsdottir RN, PhD, FAAN

Purpose

Based on eight research criteria, this study examines the feasibility of a 5-week Family Strength-Oriented Therapeutic Conversation (FAM-SOTC) for caregivers of adolescents diagnosed with attention deficit hyperactivity disorder (ADHD); this intervention aims to improve outcomes of both caregivers and adolescents.

Design and Methods

The FAM-SOTC intervention was implemented at an adolescent psychiatric outpatient unit with 10 caregivers of 10 adolescents diagnosed with ADHD. The feasibility criteria were addressed through survey responses, diary reports, and a one-group pre- and posttest quasi-experimental design.

Findings

The assessment of eight feasibility criteria showed promising results for the further evaluation of the intervention.

Practical Implications

This feasibility study has produced promising results, which represent a step toward a more extensive study, designed to evaluate a protocol that may offer educational and supportive programs for families of adolescents with ADHD, enhancing their self-management behavior. Further studies are warranted to test the FAM-SOTC intervention using a larger sample.

目的基于8项研究标准,探讨为期5周的以家庭力量为导向的治疗性谈话(FAM-SOTC)对诊断为注意缺陷多动障碍(ADHD)的青少年照顾者的可行性;这项干预措施旨在改善照顾者和青少年的结果。设计与方法采用FAM-SOTC干预在一个青少年精神科门诊进行,10名护理人员对10名诊断为ADHD的青少年进行干预。可行性标准通过调查回答、日记报告和一组测试前和测试后准实验设计来解决。结果对8项可行性标准的评估为进一步评估干预措施提供了有希望的结果。这项可行性研究已经产生了有希望的结果,这代表着朝着更广泛的研究迈出了一步,旨在评估一项协议,该协议可能为患有ADHD的青少年家庭提供教育和支持计划,增强他们的自我管理行为。进一步的研究需要使用更大的样本来测试FAM-SOTC干预。
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引用次数: 0
Sociodemographic factors associated with weight perception of adolescents: A systematic review and meta-analysis 与青少年体重感知相关的社会人口因素:一项系统回顾和荟萃分析
IF 1.5 Q2 Nursing Pub Date : 2023-01-17 DOI: 10.1111/jcap.12406
Kaihan Yang PhD, RN, Anqi Zhao BSN, RN, Yujie Xie BSN, RN, Zhanyi Xu BSN, RN, Yubinxin Peng BSN, RN, Haiyang Tang BSM

Purpose

To systematically assess the main sociodemographic factors associated with weight perception of adolescents.

Methodology

All studies related to adolescents’ weight perception were retrieved from seven databases from January 2001 to July 2022. A total of 13 Medical Subject Headings (MeSH) and keywords were used to identify qualified studies, and reference lists included in the retrieved studies were manually searched to identify potentially relevant publications. Two evaluators independently assessed the eligibility and extracted data of each study. Agency for Healthcare Research and Quality (AHRQ) risk of bias evaluation tool was used to evaluate the quality and bias risk of included studies. RevMan (version: 5.3) software was used to conduct heterogeneity test and meta-analysis.

Results

A total of 12 studies, published between 2003 and 2020, were selected and included in the systematic review and meta-analysis, consisting of 325,367 adolescents from five countries. The risk of bias evaluation indicated that risk of bias was low in five studies and moderate in seven studies. The results of meta-analysis showed that there were no differences in the weight perception accuracy among adolescents under different gender (odds ratio [OR] = 1.00, 95% confidence interval [CI]: 0.88–1.15, p = 0.940), place of residence (OR = 0.98, 95% CI: 0.83–1.16, p = 0.800), grade (OR = 1.73, 95% CI: 0.68–4.42, p = 0.250), and family economic level (OR = 0.94, 95% CI: 0.86–1.02, p = 0.140). Egger's linear regression showed that there was no significant publication bias in the primary analysis.

Conclusions

The current analysis indicates that gender, place of residence, grade, and family economic level were not identified as influencing factors for adolescents' weight perception accuracy. Due to the limitations of the review and included studies, more robust trials are warranted in different social and economic environments to confirm our findings.

目的系统评价影响青少年体重认知的主要社会人口学因素。方法从2001年1月至2022年7月的7个数据库中检索所有与青少年体重感知相关的研究。共使用13个医学主题标题(MeSH)和关键词来确定符合条件的研究,并手动检索检索到的研究中包含的参考文献列表,以确定可能相关的出版物。两名评估员独立评估每项研究的合格性并提取数据。采用AHRQ偏倚风险评价工具评价纳入研究的质量和偏倚风险。采用RevMan (version: 5.3)软件进行异质性检验和meta分析。结果共选择了2003年至2020年间发表的12项研究,并将其纳入系统评价和荟萃分析,其中包括来自五个国家的325,367名青少年。偏倚风险评价显示,5项研究偏倚风险为低,7项研究偏倚风险为中等。meta分析结果显示,不同性别(比值比[OR] = 1.00, 95%可信区间[CI]: 0.88 ~ 1.15, p = 0.940)、居住地(OR = 0.98, 95% CI: 0.83 ~ 1.16, p = 0.800)、年级(OR = 1.73, 95% CI: 0.68 ~ 4.42, p = 0.250)、家庭经济水平(OR = 0.94, 95% CI: 0.86 ~ 1.02, p = 0.140)的青少年体重知觉正确率无差异。Egger's线性回归分析显示,初步分析不存在显著的发表偏倚。结论目前的分析表明,性别、居住地、年级和家庭经济水平并不是青少年体重感知准确性的影响因素。由于综述和纳入研究的局限性,需要在不同的社会和经济环境中进行更有力的试验来证实我们的发现。
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引用次数: 0
Child mental health issues to watch in 2023 2023年需要关注的儿童心理健康问题
IF 1.5 Q2 Nursing Pub Date : 2023-01-16 DOI: 10.1111/jcap.12407
Kathleen Delaney
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引用次数: 0
Children and adolescents' mental health during the COVID-19 pandemic: A qualitative study of their experiences COVID-19大流行期间儿童和青少年的心理健康:对其经历的定性研究
IF 1.5 Q2 Nursing Pub Date : 2022-12-25 DOI: 10.1111/jcap.12404
Marjorie Montreuil RN, PhD, Lauranne Gendron-Cloutier BA, Emilie Laberge-Perrault MSc, Geneviève Piché PhD, Ps.éd., Christine Genest RN, PhD, Jessica Rassy Inf., PhD, Catherine Malboeuf-Hurtubise PhD, Elsa Gilbert PhD, Aline Bogossian SW, M.Sw, PhD, Chantal Camden Pht, PhD, Trinity Mastine BA, Geneveave Barbo RN, MN, MClSc

Topic

Public health measures implemented in response to the COVID-19 pandemic severely disrupted children and adolescents' (C&A) lives, affecting their sense of structure, predictability, and security.

Purpose

To examine C&A' experiences during the COVID-19 pandemic to better understand how this context and its associated public health measures affected them and their mental health, and to identify helpful coping strategies.

Sources used

The study was guided by a participatory hermeneutic framework. Semistructured interviews were conducted with 25 C&A aged 6–17 years during the first and second pandemic waves. Participants' interviews were analyzed following a narrative synthesis approach, through which C&A' experiences were contrasted and contextualized to highlight relevant themes.

Conclusions

Participants described a distinct pattern related to their mental health as the pandemic unfolded, which followed the severity of the pandemic in the province. Negative repercussions on their mental health were linked to the loss of social activities, imposed public health measures, transition to online learning, and challenges with family relationships. Certain youth shared positive societal and moral reflections triggered by the pandemic context. Coping strategies reported include: having a variety of hobbies; expressing their emotions; and accessing financial and material resources.

This study highlights the importance of supporting C&A' mental health during crisis situations such as a pandemic. Their perspectives are vital for clinical practice and policy improvement, particularly to find means for social engagement while maintaining safety.

为应对COVID-19大流行而实施的公共卫生措施严重扰乱了儿童和青少年的生活,影响了他们的结构感、可预测性和安全感。目的研究美国在2019冠状病毒病大流行期间的经历,以更好地了解这一背景及其相关的公共卫生措施如何影响他们及其心理健康,并确定有益的应对策略。本研究以参与式解释学框架为指导。在第一波和第二波大流行期间,对25名6-17岁的儿童进行了半结构化访谈。参与者的访谈是按照叙事综合方法进行分析的,通过这种方法,对C& a的经历进行对比和背景化,以突出相关主题。随着大流行的展开,参与者描述了一种与他们的心理健康相关的独特模式,这种模式紧随该省大流行的严重程度。对他们心理健康的负面影响与社交活动的减少、强制性的公共卫生措施、向在线学习的过渡以及家庭关系的挑战有关。某些青年分享了疫情背景下引发的积极的社会和道德思考。报告的应对策略包括:拥有各种各样的爱好;表达他们的情感;获取财政和物质资源。这项研究强调了在流行病等危机情况下支持儿童心理健康的重要性。他们的观点对于临床实践和政策改进至关重要,特别是对于寻找在保持安全的同时进行社会参与的方法。
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引用次数: 3
Street and drug use experiences among sheltered children and adolescents in the Federal District of Brazil 巴西联邦区受庇护儿童和青少年的街头和吸毒经历
IF 1.5 Q2 Nursing Pub Date : 2022-12-01 DOI: 10.1111/jcap.12403
Nadja Maryelly de Oliveira Gomes, Eloisa Dutra Caldas

Problem

The use of drugs by street children and adolescents is a problem found in most large cities around the world.

Methods

This is a cross-sectional study of street children and adolescents living in shelters in the Federal District, Brazil. An objective questionnaire was applied to 84 individuals from September 2016 to October 2017; 14 of them participated in the qualitative study.

Findings

Most participants were adolescents (84.5%) and males (64.3%), with a history of abandonment, domestic violence, and family drug abuse. All spent some time on the street; boys had a higher chance of being behind the school level and using drugs than girls. Over 60% had used drugs in the previous year, mainly alcohol and marijuana. Over 70% understand the health consequences of this behavior, but most have never tried or failed to stop. About 40% consider themselves dependent on drugs.

Conclusions

The results showed that street-life experience, peer pressure, and exposure to drugs within the family had an important impact on respondent's drug use behavior, reinforcing the importance of education programs that focus on the family.

街头儿童和青少年吸毒是世界上大多数大城市都存在的一个问题。方法对巴西联邦区收容所里的街头儿童和青少年进行横断面研究。2016年9月至2017年10月对84名个体进行客观问卷调查;其中14人参与了定性研究。结果大多数参与者为青少年(84.5%)和男性(64.3%),有遗弃史、家庭暴力史和家庭药物滥用史。他们都在街上呆过一段时间;男孩比女孩有更高的机会落后于学校水平和吸毒。超过60%的人在前一年使用过毒品,主要是酒精和大麻。超过70%的人了解这种行为对健康的影响,但大多数人从未尝试过或未能停止。大约40%的人认为自己依赖毒品。结论街头生活经历、同辈压力和家庭内接触毒品对被调查者的吸毒行为有重要影响,强调了以家庭为重点的教育项目的重要性。
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引用次数: 1
期刊
Journal of Child and Adolescent Psychiatric Nursing
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