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Psychological outcomes after pediatric hospitalization: the role of trauma type 儿科住院后心理结局:创伤类型的作用
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-16 DOI: 10.1080/02739615.2021.1890077
M. G. Meentken, J. van der Ende, R. del Canho, I. V. van Beynum, Elisabeth W. C. Aendekerk, J. Legerstee, R. Lindauer, M. Hillegers, W. Helbing, H. Moll, E. Utens
ABSTRACT Physical injury and illness are common potentially traumatic events during childhood and adolescence. Many children experience psychosocial difficulties after medical events. The sample consisted of 399 children aged 4 to 15 who had been hospitalized for physical illness or injury. Elevated psychological symptomatology (PTSS, depression, anxiety) was more frequent after multiple (type II) compared to single (type I) medical events, but only a few differences were statistically significant. The strongest risk factor of child PTSS was parental stress. Type II trauma and low parental education were significant risk factors only for parent report of child PTSS (not for child report). The analyzed risk factors did not differ for type I versus II trauma. We recommend standardized screening and monitoring for mental health in the standard pediatric health care. Furthermore, pediatricians should be trained in signaling stress signs of parents.
身体损伤和疾病是儿童和青少年时期常见的潜在创伤性事件。许多儿童在医疗事件后经历心理社会困难。样本包括399名4至15岁的儿童,他们因身体疾病或受伤而住院。与单次(I型)医疗事件相比,多次(II型)医疗事件后心理症状(ptsd、抑郁、焦虑)升高的频率更高,但只有少数差异具有统计学意义。儿童创伤后应激障碍的最大危险因素是父母压力。II型创伤和父母教育程度低是家长报告的儿童创伤后应激障碍的显著危险因素(对儿童报告没有影响)。分析的风险因素在I型和II型创伤中没有差异。我们建议在标准的儿科卫生保健中对心理健康进行标准化筛查和监测。此外,儿科医生应该接受关于父母压力信号的培训。
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引用次数: 5
Internalized stigma and self esteem of mothers of children diagnosed with attention deficit hyperactivity disorder 被诊断为注意缺陷多动障碍儿童的母亲的内化耻辱和自尊
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-04 DOI: 10.1080/02739615.2021.1891071
Ahmet Özaslan, Murat Yıldırım
ABSTRACT Evidence suggests that caregivers of children with attention deficit hyperactivity disorder (ADHD) experience greater internalized stigmatization. However, there is no evidence of how self-esteem influences the levels of internalized stigma among parents of children with ADHD in Turkey. This study investigated for the first time the relationship between internalized stigma and self-esteem of mothers of children with ADHD and examined the relationship between mothers’ internalized stigma and ADHD severity of children. The sample included mothers of 86 children (65 boys and 21 girls) diagnosed with ADHD. Age of children was between 6 and 17 years old (M = 11.05, SD = 2.62). Participants completed the Conners’ Parent Rating Scale–Revised Short Form, the Clinical Global Impression, the Parents’ Internalized Stigma of Mental Illness Scale and the Rosenberg Self-Esteem Scale. The results showed that mothers with higher education level reported lower internalized stigma, while ADHD severity of children was positively correlated with mothers’ internalized stigma level. The results also indicated that children with ADHD severity predicted a significant amount of variance in stigma. Furthermore, self-esteem uniquely predicted mother’s internalized stigma over and above the mother’s education level and ADHD severity of children. The results suggest the importance of self-esteem on internalized stigma and contribute to development of interventions focusing on the role of self-esteem on parents’ internalized stigma.
有证据表明,注意缺陷多动障碍(ADHD)儿童的照顾者经历了更大的内化污名化。然而,没有证据表明自尊如何影响土耳其多动症儿童父母的内化耻辱程度。本研究首次探讨了ADHD儿童母亲的内化耻辱与自尊的关系,并探讨了母亲的内化耻辱与儿童ADHD严重程度的关系。样本包括86名被诊断患有多动症的孩子(65名男孩和21名女孩)的母亲。儿童年龄为6 ~ 17岁(M = 11.05, SD = 2.62)。被试完成了Conners父母评定量表(修订简表)、临床总体印象量表、父母精神疾病内化污名量表和Rosenberg自尊量表。结果显示,受教育程度越高的母亲内化污名水平越低,而儿童ADHD严重程度与母亲内化污名水平呈正相关。研究结果还表明,患有ADHD严重程度的儿童在耻辱感方面有很大的差异。此外,自尊比母亲的教育水平和儿童的多动症严重程度更能预测母亲的内化耻辱。研究结果提示自尊对内化病耻感的重要性,并有助于研究自尊对父母内化病耻感的影响。
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引用次数: 10
A multidisciplinary approach to the management of phagophobia 一个多学科的方法来管理吞噬恐惧症
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-02-17 DOI: 10.1080/02739615.2020.1870117
Andrea M. Begotka, A. Silverman, P. Goday
ABSTRACT Choking phobia, better referred to as phagophobia, leads to significant dietary restriction or complete refusal to eat and drink, which may result in dehydration, and/or malnutrition. Current literature is limited to case reports. Therefore, the current study is a summary of the outcomes from a multidisciplinary approach including medical and behavioral intervention to treat phagophobia. Participants included eight children (4 females) with a mean age of 9.63 years, who consumed nothing to minimal intake orally. A medical workup and appropriate interventions were completed prior to behavioral treatment. Participants completed outpatient behavioral feeding treatment with one requiring intensive outpatient therapy. Three of eight participants started an anti-anxiolytic medication due to significant anxiety. There was a statistically significant increase in food consumption (t = -4.275, p = .004) and weight pre- to post-treatment (t = -4.004, p = .005). The present study is a preliminary investigation supporting the use of a brief multidisciplinary treatment for children with phagophobia so they can resume an age-appropriate diet again. Limitations of this study include a small sample size, convenience sampling, and protocol that is not yet standardized.
摘要窒息恐惧症,更确切地说是吞噬恐惧症,会导致严重的饮食限制或完全拒绝进食和饮水,从而可能导致脱水和/或营养不良。目前的文献仅限于病例报告。因此,目前的研究是对包括医学和行为干预在内的多学科方法治疗吞噬恐惧症的结果的总结。参与者包括8名平均年龄为9.63岁的儿童(4名女性),他们只摄入少量的食物。在行为治疗之前完成医学检查和适当的干预措施。参与者完成了门诊行为喂养治疗,其中一项需要门诊强化治疗。八名参与者中有三人因严重焦虑而开始服用抗焦虑药物。治疗前后的食物消耗量(t=-4.275,p=0.004)和体重(t=-4.004,p=0.005)在统计学上显著增加。本研究是一项初步调查,支持对患有吞噬恐惧症的儿童进行简短的多学科治疗,以便他们能够再次恢复适龄饮食。本研究的局限性包括样本量小、采样方便以及尚未标准化的方案。
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引用次数: 2
Postpartum depressive symptoms as a linking mechanism between maternal sleep and parenting stress: the conditional indirect effect by social support 产后抑郁症状在母亲睡眠与育儿压力之间的关联机制:社会支持的条件间接效应
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-01-02 DOI: 10.1080/02739615.2020.1824675
E. Camisasca, P. Di Blasio, Luca Milani, Sarah Miragoli
ABSTRACT Research has shown the associations between maternal depressive symptoms, sleep difficulties, and parenting competences and supports the importance of social support during the post-partum period. Nevertheless, the investigation of sleep difficulties as antecedents of depressive symptoms and parenting and the exploration of perceived social support in these links is a new research topic. Using a sample of 95 mothers, the present study explored: the effects of maternal sleep difficulties on parenting stress through the mediation of depressive symptoms; and the protective role of social support in these associations. Results suggested indirect effects of maternal sleep difficulties on parenting stress through depressive symptoms that were conditioned by social support. Implications for clinical care are discussed.
摘要研究表明,母亲的抑郁症状、睡眠困难和养育能力之间存在关联,并支持产后社会支持的重要性。然而,将睡眠困难作为抑郁症状和养育子女的前因进行调查,并探索这些环节中感知到的社会支持是一个新的研究课题。本研究以95名母亲为样本,探讨了母亲睡眠困难通过调节抑郁症状对养育压力的影响;以及社会支持在这些协会中的保护作用。结果表明,母亲睡眠困难通过社会支持条件下的抑郁症状对父母压力产生间接影响。讨论了对临床护理的影响。
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引用次数: 4
Effectiveness of dental visual aids in behavior management of children with autism spectrum disorder: a systematic review 牙科视觉辅助在自闭症谱系障碍儿童行为管理中的有效性:系统回顾
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-01-02 DOI: 10.1080/02739615.2020.1831389
Ala Aljubour, M. AbdElBaki, O. E. El Meligy, Basma Al Jabri, H. Sabbagh
ABSTRACT Autism Spectrum Disorder is a developmental disorder that affects communication and behavior. We aimed to evaluate the effectiveness of the dental visual aids in behavior management of children with ASD. Electronic search for English scientific papers was accomplished using ScienceDirect, Wiley, Scopus, Cochrane, Google Scholar and PubMed. Search terms were “Autism Spectrum Disorder,” “Dental visual aids,” “Dental visual guide,” and “Dental audiovisual modeling.” Full text and their references were reviewed and evaluated. Due to its effectiveness in increasing cooperation, modeling behavior and reducing anxiety, visual aids are effective during dental treatment of children with ASD compared to Tell–Show–Do.
自闭症谱系障碍是一种影响沟通和行为的发育障碍。我们旨在评估牙科视觉辅助在ASD儿童行为管理中的有效性。使用ScienceDirect、Wiley、Scopus、Cochrane、Google Scholar和PubMed完成了对英文科学论文的电子搜索。搜索词为“自闭症谱系障碍”、“牙科视觉辅助工具”、“牙齿视觉指南”和“牙科视听建模”。对全文及其参考文献进行了审查和评估。由于视觉辅助在增加合作、塑造行为和减少焦虑方面的有效性,与Tell–Show–Do相比,视觉辅助在ASD儿童的牙科治疗中是有效的。
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引用次数: 5
Employment and well-being among caregivers of children with autism spectrum disorder 自闭症谱系障碍儿童照顾者的就业和幸福感
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-01-02 DOI: 10.1080/02739615.2020.1810576
Sarah Watson, Fritz Stine, D. Tumin, K. M. Stiles
ABSTRACT We used the 2016–2018 National Survey of Children’s Health to assess restricted work participation among caregivers of children with autism spectrum disorder (ASD) and special health care needs (SHCN). Caregivers of children with ASD (N = 2,041) were especially likely to avoid changing jobs to keep health insurance coverage (20%; 95% CI: 16%, 24%), compared to either caregivers of children with other SHCN (N = 18,189) or children without SHCN (N = 68,499). Identifying effective strategies to mitigate the effects of a child’s ASD diagnosis on parents’ withdrawal from the workforce would add an important piece to comprehensive, family-centered care for this at-risk population.
我们使用2016-2018年全国儿童健康调查来评估自闭症谱系障碍(ASD)和特殊卫生保健需求(SHCN)儿童的照顾者的限制性工作参与。自闭症儿童 的照顾者(N = 2041)尤其有可能避免换工作以保持健康保险(20%;95% CI: 16%, 24%),与患有其他SHCN的儿童(N = 18,189)或没有SHCN的儿童(N = 68,499)的照顾者相比。确定有效的策略来减轻儿童ASD诊断对父母退出工作的影响,将为这一高危人群提供全面的、以家庭为中心的护理。
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引用次数: 1
Pain and internalizing symptoms in youth with gastrointestinal conditions including recurrent abdominal pain, eosinophilic esophagitis, and gastroesophageal reflux disease 青年胃肠道疾病的疼痛和内化症状,包括复发性腹痛、嗜酸性食管炎和胃食管反流病
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-01-02 DOI: 10.1080/02739615.2020.1810575
M. Lynch, K. Thompson, R. Dimmitt, Margaux J. Barnes, B. Goodin
ABSTRACT Pain intensity, pain interference, internalizing symptoms, and quality of life (HRQOL) were explored in three symptomatically similar gastrointestinal disorders: Recurrent Abdominal Pain, Eosinophilic Esophagitis, and Gastroesophageal Reflux Disease. Caregiver-proxy report was gathered for 133 pediatric patients at the time of endoscopy. There was a significant difference in pain intensity and interference between diagnostic groups. Within the full sample there was a significant difference on the combined daytime functioning variable (pain interference and HRQOL) between participants with and without elevated internalizing symptoms. Assessment of internalizing symptoms should help guide intervention efforts for patients treated by gastroenterology specialists to improve functioning.
摘要探讨了三种症状相似的胃肠道疾病的疼痛强度、疼痛干扰、内化症状和生活质量(HRQOL):复发性腹痛、嗜酸性食管炎和胃食管反流病。在进行内窥镜检查时,收集了133名儿科患者的护理人员代理报告。诊断组之间在疼痛强度和干扰方面存在显著差异。在整个样本中,有和没有内化症状升高的参与者在日间综合功能变量(疼痛干扰和HRQOL)方面存在显著差异。对内化症状的评估应有助于指导胃肠病专家治疗的患者的干预工作,以改善功能。
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引用次数: 1
The effect of training of metered-dose inhaler technique on asthma control and quality of life in children with asthma: a randomized trial 训练计量吸入器技术对哮喘儿童哮喘控制和生活质量的影响:一项随机试验
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-01-02 DOI: 10.1080/02739615.2020.1821376
Merve Azak, B. Mutlu, Z. Tamay
ABSTRACT The purpose of the study was to determine the effect of two different training styles (with brochure or video) with follow-ups for metered-dose inhaler (MDI) technique on asthma control and quality of life in children with asthma. Training for MDI technique was provided to 66 children (age 7–11 years) by using an MDI Technique Checklist. On the day of training and 4 weeks later, asthma control level (as assessed using the Childhood Asthma Control Test-C-ACT) and quality of life (as assessed using the Pediatric Asthma Quality of Life Questionnaire-PAQLQ) of the children were assessed. MDI Technique Checklist, C-ACT, and PAQLQ scores showed a statistically significant increase in both groups (p <.001), and technique reached the maximum score in the video group. Two different training methods on MDI technique provided the children with improved asthma control and quality of life. Follow-ups should be continued either to maintain or to improve skills.
摘要:本研究的目的是确定两种不同的培训方式(宣传册或视频)以及随访的计量吸入器(MDI)技术对哮喘患儿哮喘控制和生活质量的影响。使用MDI技术检查表对66名儿童(7-11岁)进行了MDI技术培训。在培训当天和4周后,评估儿童的哮喘控制水平(采用儿童哮喘控制测试- c - act)和生活质量(采用儿童哮喘生活质量问卷- paqlq)。两组患者MDI Technique Checklist、C-ACT、PAQLQ评分均有统计学差异(p < 0.001),其中视频组技术得分最高。两种不同的MDI技术训练方法改善了儿童的哮喘控制和生活质量。应继续进行随访,以保持或提高技能。
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引用次数: 1
Longitudinal examination of weight-for-length and developmental screening results in infancy and toddlerhood 对婴幼儿体重身高和发育筛查结果进行纵向检查
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-12-04 DOI: 10.1080/02739615.2020.1848569
C. Odar Stough, Katlyn Garr, Amrik Singh Khalsa, Angela Combs, K. Copeland
ABSTRACT The current study examined whether high infant weight-for-recumbent-length (WFL) percentile (i.e., ≥ 85th percentile) at 6 months of age longitudinally related to motor skills, problem solving, and personal/social outcomes on a developmental screener (Ages and Stages Questionnaire-3) at 9 months and 18 months of age. Data were extracted from the medical record at a primary care clinic serving primarily low income and racial minority infants (n = 538). WFL category at 6 months was not related to developmental screener outcomes at 9 or 18 months in both unadjusted analyses and adjusted analyses controlling for relevant covariates.
摘要:本研究在9个月和18个月大的发育筛查者(年龄和阶段问卷-3)上调查了6个月大时婴儿高卧长(WFL)百分位数(即≥85百分位数)是否与运动技能、问题解决和个人/社会结果纵向相关。数据取自一家主要为低收入和少数民族婴儿服务的初级保健诊所的医疗记录(n=538)。在控制相关协变量的未调整分析和调整分析中,6个月时的WFL类别与9或18个月时发育筛查结果无关。
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引用次数: 0
A comparison study: caregiver functioning and family resilience among families of children with cystic fibrosis, asthma, and healthy controls 一项比较研究:患有囊性纤维化、哮喘和健康对照儿童的家庭的照顾者功能和家庭弹性
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-11-29 DOI: 10.1080/02739615.2020.1842207
Mallory Schneider, Jessica Simpson, K. Zlomke
ABSTRACT Caregivers of children with cystic fibrosis (CF) are at risk for psychosocial difficulties, which has been related to poorer child well-being and medical adherence. The present study utilized the National Survey of Children’s Health (NSCH) to examine self-reported differences in caregiver functioning among a matched sample of caregivers of youth with CF, asthma, and healthy controls (N = 114). CF caregivers reported poorer mental health and more parenting aggravation. Among CF caregivers, poorer caregiver mental health predicted less family resilience, which in turn, predicted more parenting aggravation. Findings have implications for prevention screening and brief interventions within pulmonary medicine.
患有囊性纤维化(CF)儿童的照顾者面临心理社会困难的风险,这与较差的儿童福祉和医疗依从性有关。本研究利用全国儿童健康调查(NSCH)来检查CF、哮喘和健康对照的青少年照顾者自我报告的照顾者功能差异(N = 114)。CF护理人员报告心理健康状况较差,并且更多地加重了养育子女的负担。在CF照顾者中,较差的照顾者心理健康预示着较低的家庭弹性,这反过来又预示着更多的育儿恶化。研究结果对肺部医学的预防筛查和简短干预具有启示意义。
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引用次数: 2
期刊
Childrens Health Care
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