Journal of Child and Adolescent Psychiatric Nursing最新文献

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.

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.

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.

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.

Background

Attention deficit hyperactivity disorder is a common psychiatric disorder with a worldwide prevalence of about five percent among children and adolescents. This disorder affects most aspects of their lives e.g., academic performance and social relations, and their overall quality of life is reduced compared to healthy peers. The majority of children with ADHD are treated with medication that potentially has an insufficient effect and/or frequently occurring side effects.

Objectives

To enable nurses and other health care professionals to guide children with ADHD and their families in their choices of treatment, based on the best available literature on the association between nonpharmacological interventions and quality of life.

Data Sources

A literature search was performed in the databases CENTRAL, Embase, PubMed, CINAHL, and PsycINFO. Seven randomized controlled trials were included in this systematic review. They examined the use of polyunsaturated fatty acids, physical activity, psychoeducation, cognitive therapy, cognitive training, hippotherapy, and behavioral therapy.

Conclusions

The study of behavioral therapy in the form of a sleep intervention detected an improvement in quality of life which was statistically significant compared to the control group.

Implications for Practice

Children with ADHD and a sleep disorder may gain improvement in their quality of life from a sleep intervention.

Problem

(1) To identify the factors associated with self-reported smartphone addiction (SRSA) among adolescents in the face of the COVID-19 pandemic; and (2) to analyze the adolescents' perception of these factors related to SRSA.

Methods

A mixed-method study with a sequential explanatory design, carried out with Brazilian adolescents aged between 15 and 18 years old.

Findings

The prevalence of SRSA was 56.37%, and the variables that remained in the final model of association were as follows: public schools; longer smartphone use during the COVID-19 pandemic; number of hours connected to the smartphone; preference for sleeping during the day; use of the device immediately after waking up, smartphone use after 9 p.m., amount of sleep less than 8 h a day; and smartphone use during meals. Sequentially, after analyzing the data obtained in the focus groups, it was possible to describe how adolescents perceive the intensification of smartphone uses, its repercussions, and activities carried out on it during the pandemic.

Conclusions

The pandemic had repercussions on the behavior established with the smartphone, such as time and period of use, being associated with the SRSA. In addition, it was found that such conditions also affect the adolescents' sleep quality, diet, and studies.

Purpose

This feasibility study examined the aggression management training (AMT) interventions on self-esteem, impulsivity, and aggressive behavior among adolescents residing in delinquent or observation homes.

Methods

A quantitative research approach with the quasi-experimental nonequivalent control group (comparison) pretest and Posttest design was adopted. A total of 32 male adolescents (16 each in experimental and comparison groups) residing in two different observation homes in the state of Bihar, India were selected by convenience sampling technique. The study evaluated the following outcome measures: self-esteem, impulsivity, and aggressive behavior for both groups at baseline and 1 month. AMT was administered to the experimental group bi-weekly for 4 weeks covering four components in 8 sessions.

Results

We analysed the data with independent and paired t-tests for between and within the group differences, and Pearson correlation for a relationship. AMT intervention improved self-esteem and reduced aggressive behavior and impulsivity among adolescents residing in delinquent homes. A correlation was found between aggression and impulsivity, and between self-esteem and impulsivity.

Psychiatric nursing Implications

The study had provided initial evidence for practice that can help psychiatric nurses significantly implement these types of interventions among significant, vulnerable, and ignored groups of adolescents detained in observation homes to prevent the occurrence of repeat offenses.

Problem

COVID-19 has profoundly impacted children's behavioral and psychosocial development, especially young children from low-income families. This study examined how caregivers' and preschoolers' lifestyle behaviors (sleep, screen time, physical activity, eating behavior) were related to preschoolers' emotional well-being (sadness, fear, anger, and positive affect).

Methods

Using a cross-sectional design, we recruited low-income caregivers from Head Start organizations and the Qualtrics panel. Participants provided consent and completed an online survey.

Findings

A total of 408 caregivers (mean age = 31) participated: 17% Hispanic, 21% Black, 49% separated/single, 44% unemployed, and 39% with ≤high school education. After adjusting for demographics and preschoolers' lifestyle behaviors, caregivers' sleep disturbance was positively correlated with preschoolers' anger, fear, and sadness, while negatively related to positive affect. Similarly, caregivers' sleep time was positively correlated with preschoolers' sadness and negatively related to positive affect. Preschoolers' sleep time was negatively related to fear and positively related to positive affect. Likewise, preschoolers' physical activity was negatively correlated with fear, sadness, and positively correlated with positive affect. Additionally, preschoolers' fruit/vegetable intake was negatively associated with anger, fear, sadness, and positively associated with positive affect.

Conclusions

The identified behavior-emotion connection provides a foundation for developing family-based lifestyle interventions in promoting mental health among preschoolers.