Aggressive Behavior in School-aged Children: Clusters based on Anger, Empathy and Testosterone and Cortisol Measures.

The aim of this piece of research was to study the existence of clusters based on anger, empathy and cortisol and testosterone measures associated with aggressive behavior in school-aged children. The sample group comprised 139 eight-year-old children (80 boys and 59 girls). Aggressive behavior was measured using the Direct and Indirect Aggression Scale. Both psychological and biological variables were used to determine psychobiological profiles. The psychological variables considered were trait anger, measured using the State-Trait Anger Expression Inventory for Children and Adolescents, and empathy, measured using the Empathy Quotient-Child Version. Testosterone and cortisol concentrations were measured through saliva samples and analyzed using an ELISA (Enzyme-linked immunosorbent assay). A Cluster Analysis revealed three clusters which were clearly different as regards their psychological and biological characteristics. The analysis of variance (ANOVA) revealed that the cluster characterized by having higher anger levels, lower empathy levels and higher testosterone and cortisol levels was more aggressive than the other two (p < .0001, η2 = .19). The results indicate that studying psychological and biological variables together may help establish differentiated aggression patterns among children.

Effectiveness of an intervention for reducing social stigma towards mental illness in adolescents.

AIM: To evaluate the effectiveness of an intervention for reducing social stigma towards mental illness in adolescents. The effect of gender and knowledge of someone with mental illness was measured. METHODS: Two hundred and eighty secondary school students were evaluated using the Community Attitudes towards Mental Illness (CAMI) questionnaire. The schools were randomized and some received the intervention and others acted as the control group. The programme consisted of providing information via a documentary film and of contact with healthcare staff in order to reduce the social stigma within the school environment. RESULTS: The intervention was effective in reducing the CAMI authoritarianism and social restrictiveness subscales. The intervention showed significant changes in girls in terms of authoritarianism and social restrictiveness, while boys only showed significant changes in authoritarianism. Following the intervention, a significant reduction was found in authoritarianism and social restrictiveness in those who knew someone with mental illness, and only in authoritarianism in those who did not know anyone with mental illness. CONCLUSION: The intervention was effective to reduce social stigma towards people with mental illness, especially in the area of authoritarianism. Some differences were found depending on gender and whether or not the subjects knew someone with mental illness.

Spanish validation of the social stigma scale: Community Attitudes towards Mental Illness. / Validación al castellano de la escala de estigma social: Community Attitudes towards Mental Illness en población adolescente.

INTRODUCTION: The stigma against people with mental illness is very high. In Spain there are currently no tools to assess this construct. The aim of this study was to validate the Spanish version of the Community Attitudes towards Mental Illness questionnaire in an adolescent population, and determining its internal consistency and temporal stability. Another analysis by gender will be also performed. MATERIAL AND METHODS: A translation and back-translation of the Community Attitudes towards Mental Illness was performed. A total of 150 students of between 14 and 18 years-old were evaluated with this tool in two stages. Internal consistency was tested using Cronbach α; and intraclass correlation coefficient was used for test-retest reliability. Gender-stratified analyses were also performed. RESULTS: The Cronbach α was 0.861 for the first evaluation and 0.909 for the second evaluation. The values of the intraclass correlation coefficient ranged from 0.775 to 0.339 in the item by item analysis, and between 0.88 and 0.81 in the subscales. In the segmentation by gender, it was found that girls scored between 0.797 and 0.863 in the intraclass correlation coefficient, and boys scored between 0.889 and 0.774. CONCLUSIONS: In conclusion, the Community Attitudes towards Mental Illness is a reliable tool for the assessment of social stigma. Although reliable results have been found for boys and girls, our results found some gender differences in the analysis.

Validation of the Communication Skills Questionnaire (CSQ) in people with schizophrenia.

This present study describes the validation of the Communication Skills Questionnaire (CSQ) in people with schizophrenia. A total of 125 clinically stable people in rehabilitation treatment who were diagnosed with schizophrenia were included. For convergent and discriminant validity the following tests were administered; the Gambrill and Richie (GR) Assertiveness Inventory, the Social Functioning Scale (SFS), Life Skills Profile (LSP), Clinical Global Impression scale for schizophrenia (CGI-S) and the Global Assessment of Functioning (GAF) scale. Internal consistency of the CSQ had a Cronbach׳s alpha of 0.96. Test-retest reliability showed coefficients between 0.60 and 0.70. Convergent validity showed significant relations at p<0.0001 for all instruments assessed. None of the subscales used for assessing discriminant validity showed a significant correlation with the CSQ except for the CGI-S depression subscale. The instrument shows good psychometric properties and demonstrates that it is a useful instrument for evaluating communication skills in people with schizophrenia.

Validación al castellano de la escala de estigma social: community Attitudes towards Mental Illness en población adolescente / Spanish validation of the social stigma scale: Community Attitudes towards Mental Illness

Introducción. El estigma hacia las personas con una enfermedad mental es muy elevado. En España no existen instrumentos actuales para evaluar este constructo. El objetivo del presente estudio es validar la versión española del cuestionario Community Attitudes towards Mental Illness en una población de adolescentes, estudiando la consistencia interna del instrumento, así como la estabilidad temporal. Este último análisis se realizará también por género. Material y métodos. Se llevó a cabo una traducción y retrotraducción del Community Attitudes towards Mental Illness. Se evaluaron con este instrumento un total de 150 alumnos de Enseñanza Secundaria Obligatoria, de entre 14 y 18 años, en 2 momentos. Se analizó la consistencia interna del instrumento mediante el α de Cronbach, y la fiabilidad test-retest con el coeficiente de correlación intraclase. Se realizaron análisis estratificados por género. Resultados. El α de Cronbach fue de 0,861 para la primera evaluación y de 0,909 para la segunda evaluación. Los valores del coeficiente de correlación intraclase oscilan entre 0,775-0,339 en el análisis de ítem por ítem, y entre 0,88-0,81 en las subescalas. En la segmentación por género encontramos que las puntuaciones en el coeficiente de correlación intraclase en el grupo de chicas está entre 0,797-0,863 y en los chicos entre 0,889-0,774. Conclusiones. En conclusión podemos afirmar que el Community Attitudes towards Mental Illness es un instrumento fiable para la evaluación del estigma social. A pesar de resultar fiable de la misma manera para chicos y para chicas, se han encontrado algunas diferencias en el análisis por género (AU)

Introduction. The stigma against people with mental illness is very high. In Spain there are currently no tools to assess this construct. The aim of this study was to validate the Spanish version of the Community Attitudes towards Mental Illness questionnaire in an adolescent population, and determining its internal consistency and temporal stability. Another analysis by gender will be also performed. Material and methods. A translation and back-translation of the Community Attitudes towards Mental Illness was performed. A total of 150 students of between 14 and 18 years-old were evaluated with this tool in two stages. Internal consistency was tested using Cronbach α; and intraclass correlation coefficient was used for test-retest reliability. Gender-stratified analyses were also performed. Results. The Cronbach α was 0.861 for the first evaluation and 0.909 for the second evaluation. The values of the intraclass correlation coefficient ranged from 0.775 to 0.339 in the item by item analysis, and between 0.88 and 0.81 in the subscales. In the segmentation by gender, it was found that girls scored between 0.797 and 0.863 in the intraclass correlation coefficient, and boys scored between 0.889 and 0.774. Conclusions. In conclusion, the Community Attitudes towards Mental Illness is a reliable tool for the assessment of social stigma. Although reliable results have been found for boys and girls, our results found some gender differences in the analysis (AU)

Aggressive behavior in school-aged children: clusters based on anger, empathy and testosterone and cortisol measures

The aim of this piece of research was to study the existence of clusters based on anger, empathy and cortisol and testosterone measures associated with aggressive behavior in school-aged children. The sample group comprised 139 eight-year-old children (80 boys and 59 girls). Aggressive behavior was measured using the Direct and Indirect Aggression Scale. Both psychological and biological variables were used to determine psychobiological profiles. The psychological variables considered were trait anger, measured using the State-Trait Anger Expression Inventory for Children and Adolescents, and empathy, measured using the Empathy Quotient-Child Version. Testosterone and cortisol concentrations were measured through saliva samples and analyzed using an ELISA (Enzyme-linked immunosorbent assay). A Cluster Analysis revealed three clusters which were clearly different as regards their psychological and biological characteristics. The analysis of variance (ANOVA) revealed that the cluster characterized by having higher anger levels, lower empathy levels and higher testosterone and cortisol levels was more aggressive than the other two (p < .0001, η2 = .19). The results indicate that studying psychological and biological variables together may help establish differentiated aggression patterns among children

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Niveles de andrógenos, estilos parentales y conducta agresiva en niños y niñas de 5-6 años de edad / Androgen levels, parenting styles and aggressive behavior in 5-6-year-old boys and girls

El presente estudio explora la relación entre los niveles de andrógenos, el estilo educativo parental y medidas de agresión física, verbal e indirecta en niños y niñas de 5-6 años. 129 niños (60 chicos y 69 chicas) fueron evaluados respecto a sus niveles de agresión a través de una técnica de estimación por pares. Los padres cumplimentaron el Parenting Styles Dimensions Questionnaire, a partir del cual se obtuvieron los estilos educativos parentales. Los niveles de testosterona, androstenediona y dehidroepiandrosterona (DHEA) fueron evaluados utilizando una técnica de enzimoinmunoensayo en muestras de saliva. Un análisis de regresión indicó que la interacción madre directiva-androstenediona a los 5 años fue predictiva de la agresión física a los 6 años. De forma específica, se observó que en los chicos con altos niveles de androstenediona, la conducta maternal directiva se asoció con la agresión física. Se discuten los resultados a la luz de planteamientos relacionados con la educación y la crianza característicos de la psicología del desarrollo, y se sugiere una posible relación de los resultados con la hipótesis de la dominancia maternal (AU)

This study explores the relationship between androgen levels, parenting styles, and physical, verbal, and indirect aggression measures in 5-6-year-old children. 129 children (60 boys and 69 girls) were assessed in relation to their aggression levels using a peer-rating technique. Parents completed the Parenting Styles and Dimensions Questionnaire, from which the different parenting styles were obtained. Testosterone, androstenedione and dehydroepiandrosterone (DHEA) were measured using an enzymoimmunoassay technique in saliva samples. A regression analysis indicated that the directive mother-androstenedione interaction at the age of 5 was predictive of physical aggression at the age of 6. In specific terms, the results showed that, in boys with high androstenedione levels, directive maternal behavior is associated with physical aggression. The results are subsequently discussed in light of postulates related to parenting characteristic of developmental psychology and we suggest a potential link of our results with the hypothesis of maternal dominance (AU)

Plan de cuidados estandarizados para pacientes con cirugía percutánea (nefrolitotomía) Aplicación en el programa informático Gacela / No disponible

La aparición de nuevas tecnologías trae añadida nuevas formas de abordaje quirúrgico. En el Hospital Universitario «Río Hortega» de Valladolid, desde el año 1988 se han tratado aproximadamente 780 pacientes con cirugía percutánea. Cirugía con abordaje percutáneo se definiría como el acto quirúrgico sobre la estructura, en este caso, renal y ureteral cuya vía de acceso o de entrada al órgano se efectúa a través de la piel, concretamente una nefrostomía. En nuestra Unidad, un 77% de los casos de cirugía percutánea es aplicada en el tratamiento de litiasis renales-ureterales cuando otros tratamientos fallan o no son factibles, por ejemplo litotricias fallidas, cálculos ureterales de mal abordaje, cálculos renales coraliformes, etc. También se aplica en tratamientos tumorales, endopielotomías, etc. A priori esta cirugía es de elección preferente por ser mínimamente invasiva. Por otra parte, la implantación del programa informático GACELA permite estandarizar los cuidados enfermeros, lo que facilita la creación de un plan de cuidados específico para este tipo de pacientes, ya que los diagnósticos y acciones cuidadoras descritas son comunes en un alto porcentaje de casos tratados (próximo al 100%).La taxonomía empleada en la descripción de diagnósticos enfermeros corresponde a la clasificación NANDA y las acciones se encuentran en la base de datos del programa GACELA (AU)

In the University Hospital «Río Hortega» in Valladolid, since 1988 approximately 780 patients have been treated with percutaneous surgery. Surgery with percutaneous approach would be defined as the surgical act on the structure, in this case, renal and uretheral, which access tract to the organ is carried out through the skin, precisely a nephrostomy. In our Unit 77% of the cases of percutaneous surgery it is applied in the treatment of renal lithiasis-uretheral when other treatments fail or are not feasible, for example unsuccessful lithotripsy, ureteral calculus of difficult approach, coralliform kidney calculis, etc. It is also applied in tumoral treatments, endopyelotomy, etc. A priori this surgery is of preferential choice because it is minimally invasive. On the other hand, the introduction of the GAZELLE computer program allows standardizing the Nursing Cares, what facilitates the creation of a specific cares plan for this type of patients, since the diagnoses and care actions described are common in a high percentage of cases treated (close to 100%). The taxonomy used in the description of nursing diagnoses corresponds to the classification NANDA and the actions are found in the database of the GAZELLE program (AU)