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1.
Youth Violence Juv Justice ; 22(4): 251-276, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39315389

ABSTRACT

Despite efforts to incorporate protective factors or 'strengths' in applied risk assessments for criminal reoffending, there has been limited progress towards a consensus regarding what is meant by such terms, what effects predictors can exert, or how to describe such effects. This proof of concept study was undertaken to address those issues. A structured professional judgment tool was used to create lower and higher historical/static risk groups with a sample of 273 justice-involved male youth with sexual offenses followed over a fixed 3-year period. Using risk and protective poles to create pairs of dichotomous variables from trichotomously rated risk and protective items, risk-based exacerbation and risk-based protective effects were found. These varied in terms of whether the effect on the outcome of a new violent (including sexual) offense was larger, smaller, or absent for youth at higher or lower historical/static risk. Some of these potentially dynamic dichotomous variables were shown to have a protective (or risk) effect after controlling for both historical/static risk and that same item's risk (or protective) effect. Some moderated the association between historical/static risk and recidivism, strengthening or reducing it. Terms for these effects and implications of incorporating strengths in research and applied practice were considered.

2.
J Adv Nurs ; 2024 Sep 22.
Article in English | MEDLINE | ID: mdl-39306832

ABSTRACT

AIM: To explore the actor-partner effect and mediating role of depression on family strength and life satisfaction among children with disabilities and their parent-caregiver dyads. DESIGN: A cross-sectional study using secondary data collected from the 2020 (third) Korea Disability and Life Dynamics Panel. METHODS: This study included 434 Korean dyads of children with disabilities and their parent caregivers. A dyadic analysis was performed using the actor-partner interdependence mediation model. RESULTS: The findings showed significant indirect actor effects of family strength on life satisfaction through depression for children with disabilities and their parent caregivers. The direct partner effects of one's family strengths on a partner's life satisfaction were statistically significant only for children. Additionally, significant indirect partner effects were observed in the association between parents' family strengths and children's life satisfaction through their own and their children's depression. The findings indicated that the life satisfaction of children with disabilities was more likely to be affected by their parent caregivers' perceived family strengths and depression. CONCLUSION: It is significant for health professionals to acknowledge the mediating and cross-over pathways linking family strengths to life satisfaction through depression and, thus, focus on family-based strategies to enhance life satisfaction among children with disabilities and their parent caregivers. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study highlights the need for family-oriented mental health interventions and education to promote life satisfaction among children with disabilities and their parent caregivers. IMPACT: Basic data were provided for establishing efficient healthcare education and counselling protocols and integrated family intervention programmes that can contribute to improving life satisfaction through the reduction of depression by strengthening the family strengths of disabled children-parent caregivers dyads. In future, studies should explore dyadic interdependence among children with disabilities and their parent caregivers. REPORTING METHOD: STROBE guidelines were followed for this study. PATIENT OR PUBLIC CONTRIBUTION: No public or patient contribution was required for this study.

3.
Psychol Res Behav Manag ; 17: 3227-3239, 2024.
Article in English | MEDLINE | ID: mdl-39309520

ABSTRACT

Background and Objective: The mental health of economically disadvantaged college students in China is notably inferior to that of their non-disadvantaged peers. As such, these students necessitate a broader spectrum of psychological support beyond mere financial assistance. Seligman's PERMA theory has established a compelling association between social support and positive emotions with subjective well-being. However, there is a scarcity of research focusing on character strengths within this framework, particularly the mechanisms that underlie their relationship. Hence, this study aims to examine the relationship between character strengths and subjective well-being among Chinese impoverished college students, while also delving into the chain mediating roles of perceived social support and positive emotions. Methods: A convenience sampling method was employed to collect cross-sectional data from impoverished college students. Participants (N=336, Mean age=20.67) were assessed using four instruments: the Chinese Virtues Questionnaire (CVQ-96), the Perceived Social Support Scale (PSSS), the Positive and Negative Affect Scale (PANAS), and the Satisfaction with Life Scale (SWLS). Results: Character strengths, perceived social support, positive emotions, and subjective well-being were all significantly positively correlated with each other (p<0.01). In addition, regression analysis indicated that character strengths positively predicted perceived social support (ß=0.71, p<0.001), positive emotions (ß=0.44, p<0.001), and subjective well-being (ß=0.52, p<0.001). Perceived social support positively predicted positive emotions (ß=0.34, p<0.001), and subjective well-being (ß=0.44, p<0.001). Positive emotions positively predicted subjective well-being (ß=0.88, p<0.001). Furthermore, chain mediation analysis revealed that character strengths influenced subjective well-being both directly and indirectly through perceived social support and positive emotions. Conclusion: Perceived social support and positive emotions play a chain mediating role between character strengths and subjective well-being among impoverished college students.

4.
NIHR Open Res ; 4: 19, 2024.
Article in English | MEDLINE | ID: mdl-39282471

ABSTRACT

Background: There has been increasing emphasis towards adopting strengths-based practice (SBP) within adult social care in England. Whilst there is agreement that SBP is the right approach to discharge adult social care duties, there is limited evidence regarding the implementation of SBP. This paper presents findings from the evaluation of the implementation of SBP in fourteen local authorities in one region in England. Methods: We employed a mixed methods research design, drawing on data from a scoping review, 36 interviews with practice leaders and two surveys, one with wider adult social care staff and the other, with external organisations like independent care providers and community and voluntary organisations. Our data collection and analysis were guided by two well established implementation theories: the Consolidated Framework for Implementation Research (CFIR) and Normalisation Process Theory (NPT). Interviews were analysed deductively, and surveys were analysed descriptively. Results: Local authorities are at different stages in their implementation journey. The Care Act 2014 and support for SBP demonstrated by key professional groups were seen as major drivers for implementing SBP. Whilst SBP resonated with the professional principles of social workers and occupational therapists, staff did not always have the confidence and skills to adapt to SBP. Changing paperwork and recording systems, providing training opportunities to develop staff competencies, establishing new care pathways, genuine co-production, and senior management buy-in were key enablers supporting implementation. Conclusions: To successfully implement SBP, a whole system approach that meaningfully collaborates with key professionals across sectors is essential. When implemented well, SBP has the potential to empower individuals by focusing on what matters to them.

5.
Psychol Sci ; : 9567976241271330, 2024 Sep 10.
Article in English | MEDLINE | ID: mdl-39254958

ABSTRACT

Independent of overall achievement, girls' intraindividual academic strength is typically reading, whereas boys' strength is typically mathematics or science. Sex differences in intraindividual strengths are associated with educational and occupational sex disparities in science, technology, engineering, and mathematics (STEM) fields. Paradoxically, these sex differences are larger in more gender-equal countries, but the stability of this paradox is debated. We assessed the stability of the gender-equality paradox in intraindividual strengths, and its relation to wealth, by analyzing the academic achievement of nearly 2.5 million adolescents across 85 countries and regions in five waves (from 2006 to 2018) of the Programme for International Student Assessment (PISA). Girls' intraindividual strength in reading and boys' strength in mathematics and science were stable across countries and waves. Boys' advantage in science as an intraindividual strength was larger in more gender-equal countries, whereas girls' advantage in reading was larger in wealthier countries. The results have implications for reducing sex disparities in STEM fields.

6.
Data Brief ; 56: 110859, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39286421

ABSTRACT

This dataset aims to evaluate the use of multiple trait-based selection methods with multi-trait genotype-ideotype distance index (MGIDI) models to identify superior summer F1 tomato hybrids suitable for the climatic conditions of countries like Bangladesh. The dataset was generated using 14 cross combinations from a Line × Tester mating design, along with seven parental lines and two tester parents of tomatoes with diverse genetic bases and heat tolerance qualities in a randomized complete block (RCB) design. The likelihood ratio (LR) test indicated highly significant genotype effects for most of the analyzed traits. A heatmap of correlation analyses between 16 traits identified a highly significant positive correlation (r > 0.8) between NFrPC and NFPC and between AFW and FW, preliminarily indicating a clear trace of multicollinearity among these traits. The traits NFPP, YPP, and Yield showed the highest predicted genetic gains, indicating their potential for substantial improvement through selection. Additionally, the heritability estimates ranged from 0.54 to 0.99, highlighting high heritability across the traits, which suggests favourable conditions for effective selection strategies. The strengths and weaknesses of hybrids AVTOV1002×C41 and AVTOV1010×C41 were evaluated based on their contributions to MGIDI across four major factors. These hybrids demonstrated strong performance, particularly excelling in traits associated with FA1, FA2, and FA4. The dataset of MGIDI can be universally applied to rank treatments based on desired values of multiple traits, with its potential for rapid expansion in evaluating various types of plant experiments.

7.
J Adolesc Health ; 75(4S): S47-S61, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39293877

ABSTRACT

PURPOSE: Substantial progress in adolescent health research has been made over recent decades, but important knowledge gaps remain. METHODS: Informed by targeted reviews of the literature, expert consultation, and authors' collective experiences, we propose future directions in adolescent health research. RESULTS: We identified five key principles on how future research must be approached alongside what technical investments are required to act on them. PRINCIPLES: 1. Research with adolescents must be decolonizing in practice, dismantling systems of oppression, exploitation, and cultural dominance; 2. Research must recognize socio-political, structural, and commercial determinants of adolescent health; 3. Research must be developmentally and contextually appropriate, reflecting adolescents' evolving capacities and increasingly complex and intersecting determinants of health; 4. Research must be strengths-based - moving away from problematizing adolescents and/or their behaviours toward focusing on their strengths as levers for change; and 5. Research must be built on a foundation of respectful partnershipsas a right, and because adolescents have unique knowledge and skills to contribute. Technical investments: 1. Sampling techniques and approaches that provide equity of opportunity for all to participate; 2. High-quality descriptive studies from all nations to understand adolescents' ever-evolving contexts, needs and assets; 3. Investment in what works within each context and for whom through trials and robust assessments/evaluations; and 4. Implementation science research strategies. DISCUSSION: Adolescent health research will require reorientation and innovation in both how we approach research and what technical investments are required to improve the health and wellbeing of adolescents now and into the future.


Subject(s)
Adolescent Health , Humans , Adolescent
8.
Psychosoc Interv ; 33(3): 133-146, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39234357

ABSTRACT

Objective: Covitality is a meta-construct of positive intra/interpersonal self-schemas that organize and process life experiences. Its synergy favors psychosocial adjustment and prevents mental health problems during adolescence. At these ages, suicide is one of the leading causes of death worldwide. The purpose of this study was to determine which psychosocial strengths of the covitality model could combat adolescent suicide spectrum. Method: Participants were 5,528 Spanish adolescents aged 12-18 years, 50.74% females. The assessment protocol was completed in schools, under the supervision of the research staff. Statistical analyses were conducted using hurdle models, i.e., modeling zero-inflated count data. This process provided two sets of outcomes: the association - in probabilistic terms - between psychosocial strengths and the absence of suicide indicators (i.e., non-occurrence) and the association of these assets - via regression coefficients - with increased experimentation (i.e., duration/quantity). Results: All psychosocial strengths of the covitality model were related to the non-ocurrence of suicidal thoughts and behaviors, but not all to a shorter duration/quantity of their phenotypic manifestations. Covitality obtained greater association values on suicidal tendencies than its components analyzed independently. Belief in self and engaged living were the second-order factors with the higher estimating capacity. Specifically, emotional self-awareness, enthusiasm, gratitude, family support, and behavioral self-control were key first-order assets. Conclusions: These findings suggest that training adolescents in covitality assets could be an effective strategy for universal prevention against premature suicide. Moreover, this study provide evidence on which psychosocial strengths could counteract each phenotypic manifestation of suicide in order to customize selective and indicated preventive actions.


Subject(s)
Suicidal Ideation , Suicide Prevention , Suicide , Humans , Adolescent , Female , Male , Suicide/psychology , Child , Adolescent Behavior/psychology , Self Concept , Spain/epidemiology , Models, Psychological
9.
Article in English | MEDLINE | ID: mdl-39240448

ABSTRACT

Literature on the Inventory of Callous-Unemotional (ICU) traits has suggested different versions of the instrument for assessing these traits during development. However, consensus on the instrument version and the best factorial solution remains a matter of debate, with only a few studies having validated ICU versions from a longitudinal perspective. The current study aims to contribute to the literature by comparing ICU models in a longitudinal sample of early adolescents (N = 739; 70.6% of eligible subjects, 371 females and 368 males, in the 6th grade at baseline assessment and in the 8th grade at the second assessment). We tested the validity of various versions of the ICU scales and their respective dimensions by conducting a series of confirmatory factor analyses to verify the factor structure, alongside assessments of internal consistency. For the best-fitting structure, we then analyzed gender and longitudinal invariance in addition to construct and predictive validity, using internalizing and externalizing criteria as well as prosocial behavior. From the comparative analysis, it emerged that the abbreviated 11-item ICU scale version displayed overall better data fit than the full 24-item version. Moreover, its confirmed gender invariance underscores its applicability across genders within the studied age group. With regard to longitudinal invariance, our findings advise caution when comparing ICU scores across early adolescence. Practical implications are discussed.

10.
Cancers (Basel) ; 16(17)2024 Aug 28.
Article in English | MEDLINE | ID: mdl-39272853

ABSTRACT

People with cancer may suffer negative psychosocial outcomes due to the challenges of cancer. LGBTQ2S+ people routinely experience negative psychosocial outcomes in health care settings, but have showcased resilience in the face of discrimination; however, this has never been studied in a cancer context. Thus, this study aims to assess coping and resilience in LGBTQ2S+-identifying people diagnosed with cancer using a strengths-based approach. A qualitative exploratory design was used. Ten self-identified LGBTQ2S+ people who have completed their cancer treatment were recruited. Participants completed clinical, health, and demographic questionnaires and, subsequently, semi-structured qualitative interviews. Conceptualizations of coping and resilience in the semi-structured interviews were analyzed using interpretative phenomenological analysis (IPA). Participants were members of various gender identities and sexual orientations. In addition to identifying needed LGBTQ2S+-specific resources, four narratives emerged: support networks, regaining control in life, conflicting identities, and traditional coping methods. Most participants' cancer journeys were characterized by a 'Second Coming-Out' phenomenon, where LGBTQ2S+ people with cancer use coping strategies, similar to those used when coming out, to produce resilience throughout their cancer journey. This work provides exploratory insight into LGBTQ2S+ people with cancer, but more research is required with a larger sample.

11.
Int J Prev Med ; 15: 37, 2024.
Article in English | MEDLINE | ID: mdl-39239306

ABSTRACT

Background: A decade after the implementation of the Urban Family Physician Program (UFFP) in Fars province, southern Iran, we aimed to reveal people's opinions regarding the strengths and challenges of this program, which help policymakers for evidence-based improvement of this program. Methods: In this thematic content analysis qualitative study, which was performed in 2023, one adult individual of each family under the coverage of UFPP was selected using a purposeful sampling method. Then, an in-depth and semi-structured phone interview was conducted with each participant. Interviews were continued until the achievement of data saturation. The trustworthiness of data was checked according to Guba and Lincoln criteria. Data analysis was accomplished using MAXQDA software version 10. Results: A total of 25 participants with a mean age of 41 ± 12 years old were interviewed. Extracted strengths points of UFPP consisted of 390 meaning units, 41 open codes, 16 subcategories, 9 categories, and 3 themes, of which the main themes consisted of proper governance, adequate service provision, and promoting community health. In contrast, the challenges of this program comprised 127 meaning units, 54 open codes, 17 subcategories, 7 categories, and 3 themes, the main themes of which included weak governance, inefficient service provision, and limitation of resources. Conclusions: After a decade of implementation, people demonstrated contradictory opinions about many aspects of UFPP. Strength points should encourage policymakers to advocate more for this program and extend it to the other provinces of Iran, whereas weak points should be used for its revisions and improvement.

12.
Article in English | MEDLINE | ID: mdl-39228099

ABSTRACT

BACKGROUND: Strengths-based approaches to health care are often seen as an alternative to deficit-based approaches and are common in Aboriginal health settings. Despite this, there is little existing research that describes Aboriginal peoples' perspectives about the strengths of their communities. This paper describes cultural strengths and resources as understood by Aboriginal people living in western Sydney. METHODS: In-depth interviews were used to collect qualitative data from two communities on Dharug and Dharrawal Country in western Sydney Australia. Data come from a larger study, which focused on how cultural strengths supported sexual well-being. Fifty-two interviews were conducted with Aboriginal young people (aged 16-24 years) by trained peer interviewers. Additionally, 16 interviews with Aboriginal adults (25 years and older) were conducted by members of the research team. FINDINGS AND DISCUSSION: While opinions varied, four key areas of cultural strength were identified: (1) strong kinship relationships; (2) knowledge sharing; (3) shared experiences, identities, and values; and (4) knowing Country. Throughout these four themes, the sense of connection and belonging is viewed as an important overarching theme. CONCLUSION: Communities are not homogenous with regard to what they view as cultural strengths. Knowing Country and practising culture meant different things to different individuals while providing a similar sense of belonging, connection, and identity. SO WHAT: Health service providers, policies, and programs can use this information to understand the continuing impacts of past policies and events whilst recognising that each community has strengths that can be drawn upon to improve service engagement, knowledge sharing, and health outcomes.

13.
Soc Work Public Health ; 39(7): 785-793, 2024 Oct 02.
Article in English | MEDLINE | ID: mdl-39120053

ABSTRACT

This article introduces a conceptual framework rooted in social work principles to support the mental well-being of Black males within the nurturing and supportive setting of the Black Church. It addresses how historical trauma, societal views of Black masculinity, and social determinants of health have made Black men more likely to experience mental health challenges. The framework combines vulnerability theory and social work theory to focus on Black men's strengths and cultural sensitivities. It emphasizes the Black Church as a critical resource for promoting mental wellness and resilience. The approach includes implementing effective interventions to challenge stigma, improve the availability of mental health services, and encourage Black men to seek assistance. This article presents a holistic approach aimed at addressing mental health disparities experienced by Black males. It proposes using the strengths of the Black Church to promote resilience, facilitate healing, and encourage Black men to prioritize their mental well-being.


Subject(s)
Black or African American , Mental Health , Social Work , Humans , Male , Black or African American/psychology , Social Stigma , Masculinity
14.
Behav Sci (Basel) ; 14(8)2024 Jul 24.
Article in English | MEDLINE | ID: mdl-39199029

ABSTRACT

Drawing on conservation of resources theory, this study aims to explore the mediating role of employees' strengths use and the moderating role of employees' ambitions in the relationship between empowering leadership and employees' taking charge behaviors. A total of 333 Chinese employees from various organizations across China (including industries such as manufacturing, IT, and education) completed our survey at two time points, with a two-week lag. We used structural equation modeling and moderated mediation path analysis to test our hypotheses. The research revealed that strengths use partially mediated the relationship between empowering leadership and employees' taking charge behaviors, and ambition positively moderated the relationship between empowering leadership and strengths use, as well as the indirect relationship between empowering leadership and employees' taking charge behaviors through strengths use. It extends the application field of strengths use, providing a new theoretical perspective on behavioral mechanisms for understanding the empowering leadership-employees' taking charge behaviors relationship, and offers valuable strategies for organizations and leaders to promote employees' taking charge behaviors more effectively.

15.
Behav Sci (Basel) ; 14(8)2024 Aug 01.
Article in English | MEDLINE | ID: mdl-39199060

ABSTRACT

In this study, a brief measure of four internal attributes found to protect against the impact of adverse life events on mental health was developed and validated. In addition, profiles of internal strengths that significantly predict mental health outcomes in young Chinese adults were identified. The results of exploratory and confirmatory factor analyses on data from 831 Chinese university students supported the proposed four-factor model of the ISALES. Participants in the current study fell into two clusters, with one cluster being higher than the other in all four internal strengths, with the former cluster demonstrating better overall mental health than those in the latter cluster. The ISALES is a promising instrument for use in clinical settings and may be used to identify individuals who are more 'at risk' of developing poor mental health in the aftermath of a negative life event. The use of the ISALES may permit tailored interventions and timely support to be provided to individuals within clinical settings.

16.
Environ Geochem Health ; 46(9): 363, 2024 Aug 10.
Article in English | MEDLINE | ID: mdl-39126534

ABSTRACT

Fluoroquinolone antibiotics have been extensively used in clinical treatments for human and animal diseases. However, their long-term presence in the environment increases the risk of producing resistance genes and creates a potential threat to ecosystems and the health of humans and animals. Batch equilibrium experiments were utilized to investigate the adsorption and retention behavior and mechanism of the quinolone antibiotic enrofloxacin (ENR) in farmland soil in North China. The adsorption and desorption kinetics of ENR in soil were best fitted by pseudo-second-order model (R2 > 0.999). Both the adsorption and desorption processes of ENR in soil reached equilibrium in 1 h. The desorption amounts of ENR were significantly lower than the adsorption amounts, with the hysteresis coefficient (HI) being less than 0.7. The adsorption thermodynamic process of ENR followed the Linear and Freundlich models (0.965 < R2 < 0.985). Hydrophobic distribution and heterogeneous multimolecular layer adsorption were identified as critical factors in the adsorption process. The adsorption amount of ENR gradually decreased with increasing temperature and the initial concentration of ENR. The adsorption rate of ENR was above 80%, while the desorption rate remained below 15%, indicating strong retention ability. The adsorption rate of ENR in soil decreased with increasing pH, the adsorption rate reached 98.3% at pH 3.0 but only 31.5% at pH 11. The influence of coexisting ions on adsorption primarily depended on their properties, such as ion radius, ionic strength, and hydrolysis properties, and the inhibition of adsorption increased with increasing ionic strength. These findings contribute to understanding the fate and risk of veterinary antibiotics in loess soil in North China.


Subject(s)
Anti-Bacterial Agents , Enrofloxacin , Soil Pollutants , Soil , Enrofloxacin/chemistry , Adsorption , Soil Pollutants/chemistry , Hydrogen-Ion Concentration , Anti-Bacterial Agents/chemistry , Soil/chemistry , China , Farms , Fluoroquinolones/chemistry , Kinetics , Ions/chemistry
17.
Acta Psychol (Amst) ; 249: 104465, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39173343

ABSTRACT

Teachers play a crucial role in guiding learners through life's challenges. They face educational and socio-economic shifts while striving to teach for a better future. Our study focuses on equipping future teachers, called pre-service teachers, with resilience-building resources during their teacher training program. A potential antecedent to resilience, which facilitates cognitive strategies and attentional processes, is cognitive flexibility. We first tested whether cognitive flexibility predicts resilience. Next, relying on the tenets of positive psychology, which studies resilience, we developed and tested the effectiveness of character strengths intervention in enhancing pre-service teachers' resilience and cognitive flexibility. An individual's belief in their ability to change personal resources could influence how an intervention manifests. Hence, we studied how mindset impacts the intervention's effect on cognitive flexibility and, thus, resilience. We adopted a multi-method approach, guided by Polk's theory of resilience, to test out objectives. Using a cross-sectional design, study one (n = 273) found that cognitive flexibility significantly predicted resilience. Study two (N = 193; nexp = 133, ncont = 60) was a multi-site field experiment. We found that intervention significantly enhanced resilience (experimental group M = 29.62, control group M = 28.33) and cognitive flexibility (experimental group M = 54.42, control group M = 52.01). Further, a growth mindset, was found to moderate the indirect effect of character strengths intervention on resilience via cognitive flexibility. The study contributes to theoretical and practical advancements in resilience. Taken together, the findings highlight the cognitive-affective-behavioural makeup of resilience and, importantly, the role of cognitive flexibility. The intervention can be seamlessly integrated into teacher training curricula for a resilient future.


Subject(s)
Resilience, Psychological , Humans , Female , Male , Adult , School Teachers , Cross-Sectional Studies , Teacher Training/methods , Young Adult , Middle Aged , Cognition/physiology
18.
Pilot Feasibility Stud ; 10(1): 108, 2024 Aug 10.
Article in English | MEDLINE | ID: mdl-39127770

ABSTRACT

BACKGROUND: Interventions focused on cognitive function in neurodivergent children typically focus on single functions, e.g. working memory training. They are often focused on 'deficit' models and lack an emphasis on understanding areas of individual strengths and difficulties as a prerequisite to appropriate support. The multidimensional nature and phenotypic variability of cognitive profiles in these children indicate a need for a multicomponent-tailored intervention programme focused on understanding and supporting an individual child's cognitive functioning. AIMS: The 'EPIC' intervention (Edinburgh Psychoeducation Intervention for Children and Young People) is focused on improving cognition, learning and behaviour in neurodivergent children such as those with attention deficit hyperactivity disorder (ADHD) or who are autistic. Building on our previous co-production work, this study aimed to use a participatory methods approach to develop EPIC practices and materials in relation to our key principles which include psychoeducation, multicomponent, individualised approach, strengths and difficulties profiling and pairing of a child's individual strengths and difficulties with internal and external strategies. We also set out to assess the feasibility and acceptability of EPIC, and pilot this novel tool-kit intervention with neurodivergent children and their parents and teachers. METHODS: The intervention practices, materials and strategies of EPIC were co-produced with neurodivergent children, their parents, teachers and clinicians taking a strengths and difficulties approach. Identification of psychoeducation activities and strategy practices (e.g. mind-maps, chunking), testing of feasibility and collection of pilot data were conducted over a bi-weekly 8-week programme. Eleven neurodivergent children aged 7 to 12 completed the 16-session individualised programme. Acceptability and feasibility were ascertained via qualitative reports elicited within child and teacher interviews and child ratings of enjoyment. Pilot evaluation data was collected pre- and post-intervention participation, and across cognitive assessments (CANTAB, BRIEF), educational attainment (WIAT) and parent and teacher questionnaires measuring clinical symptoms and behaviour (Conners, AQ, SDQ, self-perception). Data was compared with a matched neurodivergent treatment-as-usual control group (N = 9). RESULTS: The co-produced EPIC intervention was both feasible to deliver and acceptable to children, parents and their teachers. Pilot data identified that the 8-week intervention improved cognition (short-term and working memory) and literacy (receptive vocabulary, oral word fluency, listening comprehension). Improvements in the intervention group were also found for parent-reported child behavioural difficulties and aggression, and teacher-reported scholastic competence. Effect sizes generated (Cohen's d) ranged from 0.65 to 2.83. Parents reported continuing to use EPIC strategies when interviewed over a year after participating in the programme. CONCLUSION: The current study met our objectives fully. 'EPIC' (Edinburgh Psychoeducation Intervention for Children and Young People) is feasible in home and school contexts and improves a range of aspects of cognition, learning and behaviour in neurodivergent children. Our findings show EPIC is suitable to be assessed within a full-scale trial.

19.
Article in English | MEDLINE | ID: mdl-39118230

ABSTRACT

Children's mental health status (MHS) is frequently influenced by their primary carers (PCs), underscoring the significance of monitoring disparities longitudinally. This research investigated the association between socio-demographic clusters and mental health trajectories among children and their PCs over time. Data from waves 6-9c2 of the Longitudinal Study of Australian Children (LSAC) were analyzed using Latent Class Analysis (LCA) to identify four socio-demographic classes among children aged 10-11 years at wave 6. Multinomial logistic regression and predictive marginal analysis explored associations between classes and mental health outcomes. PCs in Class 4 (disadvantaged and separated families with indigenous children) exhibited higher odds of borderline and abnormal MHS compared to Class 1 (prosperous and stable working families) across all waves. However, while MHS of PCs' impacted children consistently, the association with socio-demographic classes was significant only in wave 6. Class 4 children had elevated risks of mental illness compared to Class 1, while Class 3, characterized by educated working mothers, had lower risks. Reducing mental health risks entails addressing socio-economic disparities, supporting stable family structures, and offering tailored interventions like counseling and co-parenting support. Longitudinal monitoring and culturally sensitive approaches are crucial for promoting mental well-being across diverse groups.

20.
Curr Opin Behav Sci ; 582024 Aug.
Article in English | MEDLINE | ID: mdl-39157263

ABSTRACT

This article reviews the prevalence of stress and explores resilience factors in children and adolescents with specific learning disabilities (SLDs). We show that the increased stress and emotional challenges faced by this group are likely due to societal pressures and stigma. Recent findings on neuroendocrine changes in this population are discussed, suggesting a predisposition to psychiatric disorders. This review advocates for a societal shift towards the neurodiversity paradigm, which recognizes SLDs as natural variations in brain function, emphasizing individual strengths and promoting a more inclusive approach that values cognitive diversity. Such advocacy is likely important to combat stress and stigma in those with SLDs. This article also reviews recent work identifying resilience-promoting factors, such as perception of self and peer/teacher relationships, for enhancing emotional well-being and mental health for children and adolescents with SLD.

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