Intervention for Treating Depression in Parents of Children with Intellectual Disability of Down's Syndrome: A Sample of Nigerian Parents.

A good number of parents of children with Down syndrome are prone to depressive disorders. The depressive feelings are attributed to negative perceptions of the situation, self, and the future. Given this, we explored the impact of the family health model of rational-emotive behavior therapy on depressive symptoms in parents of children with intellectual disability of Down syndrome in the COVID-19 pandemic era. This is a randomized pretest-posttest control group design that recruited 88 parents of children with intellectual disability of Down syndrome. We measured the depressive symptoms in parents at Time 1, Time 2, and Time 3 using the Beck depressive inventory and Hamilton depression rating scale. We adopted a family health model rational emotive behaviour therapy intervention in treating the depressive symptoms affecting the parents. The analysis of covariate results showed that at initial assessment there was no significant difference between the treatment group and comparison group at baseline evaluation of depressive symptoms in participants. At the posttest, it had a significant effect on the intervention on participants' depressive symptoms. Likewise, a follow-up result still shows that intervention had a significant effect on participants' depressive symptoms of participants. In conclusion, this study suggests that treatment variable accounted for the effect in decreasing depressive symptoms scores of participants.

Particulate air-borne pollutants in Port Harcourt could contaminate recreational pools; toxicity evaluation and children's health risk assessment.

Air pollution in Port Harcourt metropolis exacerbated by ambient air-borne black soot particles in the past 4 years has become a great concern especially for children who indulge in recreational pools' activities. This study was therefore carried out to evaluate the toxicities of recreational pools in Port Harcourt City and hence perform preliminary health risk assessment. Five recreational pools (4 outdoor and 1 indoor) were used out of the randomly selected 8, from 30 that were identified. Toxicity assessment was carried out using "Ostracods-linked mathematical model" while risk assessment was by analysing protein oxidation and hepatotoxicity in the hepatocytes of exposed rats. Questionnaire-based approach was used to elicit relevant information from children (10-13 years) who consistently engaged in recreational pool activities. The pH and temperature and bacteriological examination of the pools were also carried out. Results show that all the pools were in fairly good sanitary conditions based on the highest mean bacterial counts (2.33±0.57/100 ml), while all were slightly acidic and with normal temperature range. The toxicity indices of outdoor pools (SP 1) and (SP 5) are respectively 20.8 and 49.0 units, while that of outdoor pools (SP 2) and (SP 3) are the same (42.5 units). "No-observed-effect-toxicity" (NOET) was observed for the indoor pool (SP 4). Analysis of the structured questionnaires inferred that none of the children traced has or has had any of the recreational water illnesses. However, results of protein oxidation in rats and hepatotoxicity of rats' hepatocytes suggest that the exposed children may be at oxidative stress-related risks in future especially if the children continue, without adequate precaution, in the use of these pools. It is recommended that further monitoring of these children be continued while measures such as frequent changes of the pool water are ensured.

Stress in teachers of children with neuro-developmental disorders: Effect of blended rational emotive behavioral therapy.

BACKGROUND/OBJECTIVES: Neuro-developmental disorders impose a wide range of learning barriers on learners, increasing stress among their teachers. Evidence attests to the heightened stress among teachers teaching children with such conditions. This study tested the efficacy of blended Rational Emotive Behavior Therapy in reducing job stress among teachers of children with neuro-developmental disorders in Abia State, Nigeria. METHOD: The current study adopted a group-randomized waitlist control trial design with pretest, post-test, and follow-up assessments. Participants (N = 83) included teachers of children with neuro-developmental disorders in inclusive and specialized schools. The blended Rational Emotive Behavior Therapy group participated in a 2 h intersession face-to-face and online Rational Emotive Behavior Therapy (REBT) program weekly for 12 weeks. Data were collected using the Single Item Stress Questionnaire, Teachers' Stress Inventory, and Participants' Satisfaction questionnaire. The waitlisted group also received a blended Rational Emotive Behavior Therapy intervention after all data collection. Data collected at baseline; post-test as well as follow-up 1 and 2 evaluations were analyzed using mean, standard deviation, t-test statistics, repeated measures analysis of variance, and charts. RESULTS: Results revealed that the mean perceived stress, stress symptoms, and the total teachers' stress score of the blended Rational Emotive Behavior Therapy group at post-test and follow-up assessments reduced significantly, compared to the waitlisted group. Participants also reported a high level of satisfaction with the therapy and procedures. CONCLUSION: From the findings of this study, we conclude that blended Rational Emotive Behaviour Therapy is efficacious in occupational stress management among teachers of children with neuro-developmental disorders.

Managing job stress in teachers of children with autism: A rational emotive occupational health coaching control trial.

BACKGROUND/OBJECTIVE: Teaching has been found to be 1 of the most stressful occupations worldwide. Stress associated with teaching is more critical among teachers teaching children with special needs in general and those with autism specifically, partly due to the heterogeneous nature of the disorders. The purpose of this study was to investigate the effectiveness of Rational Emotive Occupational Health Coaching (REOHC) in minimizing job stress in teachers of children with autism (CWA). METHODS: A group-randomized waitlist control-trial design was adopted. A sample of 87 teachers of CWA who participated in the study was randomized into the immediate intervention group (IIG) and waitlist group (WLG). Participants were evaluated on 3 occasions: pretest, post-test and follow-up. Three instruments (Occupational Stress Index, Perceived Occupational Stress Scale and Stress Symptom Scale) were used to measure dimensions of job stress. After the pretest exercise, the IIG participated in a 2-hour REOHC programme weekly for a period of 12 weeks. Post- and follow-up evaluations were conducted respectively at 2 weeks and 3 months after the REOHC programme. Those in WLG were exposed to the REOHC after the follow-up assessment. Data collected were analysed using t-test statistics, repeated measures analysis of variance and bar charts. RESULTS: Results revealed that the perceived stress and stress symptoms of the REOHC group reduced significantly over WLG at post-test, and follow-up assessments. Changes in the occupational stress index scores across pre-, post- and follow-up measurements were minimal and could not account for a significant difference between the IIG and WLG. CONCLUSION: It was concluded that REOHC is effective in reducing subjective feelings and physiological symptoms of job stress, even when the objective stressors remain constant among teachers of CWA and other employees who work in stressful occupational environments.