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1.
PLoS One ; 16(3): e0248008, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33657182

RESUMEN

The COVID-19 pandemic has dramatically impacted lifestyle behaviour as public health initiatives aim to "flatten the curve". This study examined changes in activity patterns (physical activity, sedentary time, sleep), recreational physical activities, diet, weight and wellbeing from before to during COVID-19 restrictions in Adelaide, Australia. This study used data from a prospective cohort of Australian adults (parents of primary school-aged children; n = 61, 66% female, aged 41±6 years). Participants wore a Fitbit Charge 3 activity monitor and weighed themselves daily using Wi-Fi scales. Activity and weight data were extracted for 14 days before (February 2020) and 14 days during (April 2020) COVID-19 restrictions. Participants reported their recreational physical activity, diet and wellbeing during these periods. Linear mixed effects models were used to examine change over time. Participants slept 27 minutes longer (95% CI 9-51), got up 38 minutes later (95% CI 25-50), and did 50 fewer minutes (95% CI -69--29) of light physical activity during COVID-19 restrictions. Additionally, participants engaged in more cycling but less swimming, team sports and boating or sailing. Participants consumed a lower percentage of energy from protein (-0.8, 95% CI -1.5--0.1) and a greater percentage of energy from alcohol (0.9, 95% CI 0.2-1.7). There were no changes in weight or wellbeing. Overall, the effects of COVID-19 restrictions on lifestyle were small; however, their impact on health and wellbeing may accumulate over time. Further research examining the effects of ongoing social distancing restrictions are needed as the pandemic continues.


Asunto(s)
/psicología , Padres/psicología , Cuarentena/psicología , Adulto , Australia/epidemiología , Peso Corporal , Dieta/psicología , Dieta/tendencias , Ejercicio Físico/psicología , Femenino , Monitores de Ejercicio , Humanos , Estilo de Vida , Masculino , Salud Mental , Persona de Mediana Edad , Pandemias/estadística & datos numéricos , Estudios Prospectivos , Conducta Sedentaria , Sueño , Encuestas y Cuestionarios
2.
Psychiatr Hung ; 36(1): 26-39, 2021.
Artículo en Húngaro | MEDLINE | ID: mdl-33686013

RESUMEN

BACKGROUND: Detection of childhood traumas is important both in clinical practice and in research. There is a pressing need for methods that are relatively simple but comprehensive, non-intrusive, and possess adequate psyc - ho metric properties. In this study we translated one of the most widely used and well-studied measure of childhood abuse and neglect and explored the psychometrical properties of this questionnaire. METHODS: The study was based on data from a clinical (N=171) and a normative (N=358) sample. In total 529 adults participated in the testing process. Beside the trauma questionnaire Parental Bonding Inventory, Impact of Events Scale and Dissociative Experiences Scale were administered. RESULTS: We examined the internal consistency of the translated trauma questionnaire. The Cronbach's a coefficients for the five subscales ranged from 0,639 to 0,934. Participants in the clinical sample reached higher scores on all trauma subscales except sexual abuse, than normative adults [PA: t (398)=-2,771; p=0,006; PN: t (398)=-5,990; p=0,000; EA: t (398)=-3,679; p=0,000; EN: t (398)=-4,759; p=0,000; total score: t (398)=-4,669; p=0,000]. Correlations among the trauma questionnaire total score and the scales of Parental Bonding Inventory indicating some medium effects (with maternal care: r=-0,661; p=0,000; with paternal care: r=-0,483; p=0,000). CONCLUSION: Our preliminary findings suggest that this trauma questionnaire is practical and facilitates the systema - tic evaluation of adverse early life events and maximizes the possibility of detecting childhood abuse and neglect.


Asunto(s)
Maltrato a los Niños/diagnóstico , Trauma Psicológico/diagnóstico , Psicometría , Encuestas y Cuestionarios , Adulto , Experiencias Adversas de la Infancia/psicología , Niño , Maltrato a los Niños/psicología , Humanos , Hungría , Lenguaje , Relaciones Padres-Hijo , Padres/psicología , Proyectos Piloto , Trauma Psicológico/psicología
3.
MMWR Morb Mortal Wkly Rep ; 70(11): 369-376, 2021 Mar 19.
Artículo en Inglés | MEDLINE | ID: mdl-33735164

RESUMEN

In March 2020, efforts to slow transmission of SARS-CoV-2, the virus that causes COVID-19, resulted in widespread closures of school buildings, shifts to virtual educational models, modifications to school-based services, and disruptions in the educational experiences of school-aged children. Changes in modes of instruction have presented psychosocial stressors to children and parents that can increase risks to mental health and well-being and might exacerbate educational and health disparities (1,2). CDC examined differences in child and parent experiences and indicators of well-being according to children's mode of school instruction (i.e., in-person only [in-person], virtual-only [virtual], or combined virtual and in-person [combined]) using data from the COVID Experiences nationwide survey. During October 8-November 13, 2020, parents or legal guardians (parents) of children aged 5-12 years were surveyed using the NORC at the University of Chicago AmeriSpeak panel,* a probability-based panel designed to be representative of the U.S. household population. Among 1,290 respondents with a child enrolled in public or private school, 45.7% reported that their child received virtual instruction, 30.9% in-person instruction, and 23.4% combined instruction. For 11 of 17 stress and well-being indicators concerning child mental health and physical activity and parental emotional distress, findings were worse for parents of children receiving virtual or combined instruction than were those for parents of children receiving in-person instruction. Children not receiving in-person instruction and their parents might experience increased risk for negative mental, emotional, or physical health outcomes and might need additional support to mitigate pandemic effects. Community-wide actions to reduce COVID-19 incidence and support mitigation strategies in schools are critically important to support students' return to in-person learning.


Asunto(s)
Salud del Niño/estadística & datos numéricos , Educación a Distancia/estadística & datos numéricos , Salud Mental/estadística & datos numéricos , Padres/psicología , Instituciones Académicas/organización & administración , Adulto , Niño , Preescolar , Femenino , Humanos , Masculino , Medición de Riesgo , Encuestas y Cuestionarios , Estados Unidos/epidemiología
4.
J Pediatr Nurs ; 57: e52-e58, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33750569

RESUMEN

PURPOSE: Epilepsy affects both children and their parents, as it is a chronic disease with recurrent seizures. Parents play a key role in acceptance of the diagnosis of epilepsy by the child and compliance of the child with its treatment. Therefore, the perceptions and experiences of parents about this process are critical. The Epilepsy-Related Fears in Parents Questionnaire is one such instrument, and it has been used to measure the epilepsy-related fear experienced by parents who had children with epilepsy in Germany. This study aimed to analyze the psychometric properties of the Epilepsy-Related Fears in the Parents Questionnaire in Turkey. DESIGN AND METHODS: The study was conducted on 403 parents using a descriptive correlational method. The Sociodemographic Information Form and Epilepsy-Related Fears in Parents Questionnaire were used to gather data. Data analysis and evaluation were performed using factor analysis, Cronbach's alpha, and item-total score correlation. RESULTS: Seventeen items were recorded on the main scale and other items on two subscales. The two subscales recorded a variance of 55.695%. Turkish Cronbach's alpha coefficient recorded a total of 0.929. Because of confirmatory factor analysis, the model fit index results were recorded as follows: 0.94 as the Goodness-of-Fit Index and 0.92 as the Comparative Fit Index. CONCLUSIONS: The study determined that the Turkish version of the Epilepsy-Related Fears in Parents Questionnaire was a valid and reliable measurement tool. PRACTICE IMPLICATIONS: All health professionals can use this scale to evaluate fears of parents who have children diagnosed with epilepsy.


Asunto(s)
Epilepsia/psicología , Miedo , Padres/psicología , Psicometría/estadística & datos numéricos , Encuestas y Cuestionarios/normas , Adulto , Niño , Epilepsia/diagnóstico , Alemania , Humanos , Reproducibilidad de los Resultados , Turquia
5.
Ital J Pediatr ; 47(1): 58, 2021 Mar 09.
Artículo en Inglés | MEDLINE | ID: mdl-33750452

RESUMEN

In response to the coronavirus (COVID-19) pandemic, national governments have imposed urgent sanitary and social measures to control the spread of the virus. One such measure is quarantine, which involves restricting people's movement through the isolation of infected or suspected infected individuals in order to reduce the risk of new infections. Research has shown that quarantine is a psychologically stressful experience. With respect to children, lack of school and interruptions to daily routines could have a negative impact on their physical and mental health. Parents may also pass their psychological distress to children and practice inappropriate parenting behaviors, which could contribute to the development of post-traumatic stress symptoms in children.In order to prevent these negative outcomes, governments must carefully consider any their decision to impose quarantine and family social care services must work together with children's mental health services to ensure that the experience is as tolerable and safe as possible.


Asunto(s)
/epidemiología , Padres/psicología , Cuarentena/psicología , Estrés Psicológico/etiología , Niño , Estado de Salud , Humanos , Pandemias , Responsabilidad Parental , Trastornos por Estrés Postraumático/etiología
6.
Medicine (Baltimore) ; 100(12): e25245, 2021 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-33761719

RESUMEN

ABSTRACT: We compared the knowledge of attention-deficit hyperactivity disorder (ADHD) among the general public, parents of children with ADHD, and primary school teachers and identified factors associated with ADHD knowledge in each group, separately.Secondary data analysis was made on the pre-lecture data from those (122 from the general public, 64 parents of children with ADHD, and 515 primary school teachers) attending education lectures by the Department of Public Health, New Taipei City Government, Taiwan, 2014.ADHD onset age was least known in these 3 groups. Knowledge of ADHD was significantly better among teachers (test score, 75.3%) than among parents (65.5%) and the general public (59.2%). Among the general public, the test score significantly decreased with age and was worst in those who did not know their friends or relatives with ADHD. Among parents, service workers, and retired/unemployed knew significantly less about ADHD than housewife did. Among teachers, men knew significantly less than women; those who taught children with ADHD knew significantly more than those who did not.Primary school teachers knew more about ADHD than parents and the general public. Factors associated with ADHD knowledge varied among the 3 groups.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad , Conocimientos, Actitudes y Práctica en Salud , Padres , Maestros , Percepción Social , Adulto , Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Trastorno por Déficit de Atención con Hiperactividad/epidemiología , Trastorno por Déficit de Atención con Hiperactividad/psicología , Actitud Frente a la Salud , Niño , Conducta Infantil , Estudios Transversales , Femenino , Humanos , Masculino , Evaluación de Necesidades , Padres/educación , Padres/psicología , Opinión Pública , Maestros/psicología , Maestros/normas , Instituciones Académicas/estadística & datos numéricos , Taiwán/epidemiología
7.
Front Public Health ; 9: 636921, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33692984

RESUMEN

Introduction: Amidst the evolving COVID-19 pandemic, understanding the transmission dynamics of the SARS-CoV-2 virus is key to providing peace of mind for the community and informing policy-making decisions. While available data suggest that school-aged children are not significant spreaders of SARS-CoV-2, the possibility of transmission in schools remains an ongoing concern, especially among an aging teaching workforce. Even in low-prevalence settings, communities must balance the potential risk of transmission with the need for students' ongoing education. Through the roll out of high-throughput school-based SARS-CoV-2 testing, enhanced follow-up for individuals exposed to COVID-19 and wellbeing surveys, this study investigates the dynamics of SARS-CoV-2 transmission and the current psychosocial wellbeing impacts of the pandemic in school communities. Methods: The DETECT Schools Study is a prospective observational cohort surveillance study in 79 schools across Western Australia (WA), Australia. To investigate the incidence, transmission and impact of SARS-CoV-2 in schools, the study comprises three "modules": Module 1) Spot-testing in schools to screen for asymptomatic SARS-CoV-2; Module 2) Enhanced surveillance of close contacts following the identification of any COVID-19 case to determine the secondary attack rate of SARS-CoV-2 in a school setting; and Module 3) Survey monitoring of school staff, students and their parents to assess psycho-social wellbeing following the first wave of the COVID-19 pandemic in WA. Clinical Trial Registration: Trial registration number: ACTRN12620000922976.


Asunto(s)
/estadística & datos numéricos , /psicología , Padres/psicología , Instituciones Académicas/estadística & datos numéricos , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , Adolescente , Adulto , Australia , Niño , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Pandemias/estadística & datos numéricos , Prevalencia , Estudios Prospectivos , Australia Occidental/epidemiología
8.
Recenti Prog Med ; 112(3): 207-215, 2021 03.
Artículo en Italiano | MEDLINE | ID: mdl-33687359

RESUMEN

OBJECTIVES: The recent lockdown, resulting from the SARS-CoV-2 pandemic, has had a strong social and psychological impact on the most fragile individuals and family structures. In the present work we investigated the experience of families without specific elements of social or health vulnerability during the quarantine period that occurred in the spring of 2020. MATERIALS AND METHODS: Between May and July 2020, 22 primary care pediatricians belonging to AUSL Romagna administered to a number of families a questionnaire to detect changes that occurred, during the lockdown, in family environment, school attendance and personal attitudes. RESULTS: A total of 721 questionnaires were collected, analyzing the associations between variables relating to home environment, daily rhythms, school and warning signs in relation to the age of children. As a result of the lockdown, family habits changed in 31% of cases, with a greater presence of the reference figure in 68% of these. Three out of four families reported they had sufficient domestic spaces, and nine out of ten had access to an outdoor, private or condominium space. Daily rhythms were preserved in 56.7% of cases; mood disorders appeared in 30% of adolescent children, followed by sleep, appetite and psychosomatic disorders. One in three children has made progress in terms of evolution and behavior, and one in 5 children has seen their relationships improve. The overall resilience of families during the lockdown period was considered good in 66.3%, sufficient in 31.3% and not satisfactory in only 2.4% of cases. CONCLUSIONS: Our data show that, in the interviewed families, the simultaneous presence of adults and children at home has generally intensified. Families refer, on the whole, a positive and resilient behavior in the lockdown period, even if initial emotional problems are reported in one out of three children-adolescents. The ability to maintain a family organized structure seems to be partially compromised. Forced cohabitation leads to competition for the same resources of time and space and affects the entire family unit. The school institution emerges as a protective factor for children, young people and also for the well-being of families themselves.


Asunto(s)
/prevención & control , Medicina Comunitaria , Relaciones Familiares/psicología , Pandemias , Pediatras , Psicología del Adolescente , Psicología Infantil , Cuarentena/psicología , Adolescente , Adulto , Actitud , Niño , Preescolar , Aglomeración/psicología , Emigrantes e Inmigrantes/psicología , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Trastornos de Alimentación y de la Ingestión de Alimentos/etiología , Femenino , Encuestas de Atención de la Salud , Vivienda , Humanos , Lactante , Recién Nacido , Masculino , Trastornos del Humor/epidemiología , Trastornos del Humor/etiología , Padres/psicología , Trastornos Psicofisiológicos/epidemiología , Trastornos Psicofisiológicos/etiología , Instituciones Académicas , Trastornos del Sueño-Vigilia/epidemiología , Trastornos del Sueño-Vigilia/etiología
10.
Value Health ; 24(3): 404-412, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33641775

RESUMEN

OBJECTIVES: The aim of this study was to evaluate the psychometric performance of the patient- and parent-reported measures in the International Consortium for Health Outcomes Measurement (ICHOM) Standard Set for Cleft Care, and to identify ways of improving concept coverage. METHODS: Data from 714 patients with cleft lip and/or palate, aged 8 to 9, 10 to 12.5, and 22 years were collected between November 2015 and April 2019 at Erasmus University Medical Center, Boston Children's Hospital, Duke Children's Hospital, and from participating sites in the CLEFT-Q Phase 3 study. The Standard Set includes 9 CLEFT-Q scales, the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire, the Child Oral Health Impact Profile-Oral Symptoms Scale (COHIP-OSS), and the Intelligibility in Context Scale (ICS). Targeting, item-fit statistics, thresholds for item responses, and measurement precision (PSI) were analyzed using Rasch measurement theory. RESULTS: The proportion of the sample to score within each instruments range of measurement varied from 69% (ICS) to 92% (CLEFT-Q teeth and COHIP-OSS). Specific problems with individual items within the NOSE and COHIP-OSS questionnaires were noted, such as poor item fit to the Rasch model and disordered thresholds (6 of 10). Reliability measured with PSI was above 0.82 for the ICS and all but one CLEFT-Q scale (speech distress). PSIs were lowest for the COHIP-OSS (0.43) and NOSE questionnaire (0.35). CONCLUSION: The patient- and parent-reported components within the facial appearance, psychosocial function, and speech domains are valid measures; however, the facial function and oral health domains are not sufficiently covered by the CLEFT-Q eating and drinking, NOSE, and COHIP-OSS, and these questionnaires may not be accurate enough to stratify cleft-related outcomes.


Asunto(s)
Labio Leporino/psicología , Fisura del Paladar/psicología , Medición de Resultados Informados por el Paciente , Encuestas y Cuestionarios/normas , Adolescente , Niño , Labio Leporino/cirugía , Fisura del Paladar/cirugía , Humanos , Relaciones Interpersonales , Padres/psicología , Satisfacción del Paciente , Psicometría , Calidad de Vida , Reproducibilidad de los Resultados , Adulto Joven
11.
Am J Nurs ; 121(3): 15, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33624997

RESUMEN

Odorless e-cigarettes and other smokeless tobacco products make use harder to detect.


Asunto(s)
Sistemas Electrónicos de Liberación de Nicotina , Padres/psicología , Fumar/psicología , Uso de Tabaco/prevención & control , Tabaco sin Humo , Adolescente , Conducta del Adolescente , Niño , Humanos
13.
J Hand Surg Asian Pac Vol ; 26(1): 24-30, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33559574

RESUMEN

Background: Congenital hand differences (CHD) exhibit enormous diversity and heterogeneity. Surgeons and parents often have different concepts of severity, making things difficult during parental consultation. This study aims to align surgeon/parental views on the severity of the child's CHD using a novel severity classification. Methods: Parents of affected children were asked to score the severity of their child's abnormality pre- and post-consultation using a subjective scale (1-4) without any explanation. Furthermore, parents were asked to rate their concerns about the future function and appearance of their child's hand condition using a similar scale of 1-4. They were then asked to rate the severity of the CHD post-consultation and three months post-operatively following explanation of the 4-point scale, as follows: 1 = treatment possible to normal; 2 = treatment possible to near normal; 3 = treatment possible but always some hand differences; 4 = treatment not possible. The surgeon also independently scored all children using his perception of the scale. Results: Forty-three children with a range of CHD were recruited into the sample. Linear weighted kappa analyses comparing inter-rater agreement showed no agreement between surgeon and parents during the initial scoring without any explanations. However, with explanations added, agreement rose significantly (kappa = 0.437 post-consultation and kappa = 0.706 three months post-op). No correlation was found between severity with both appearance and function (r = 0.277 and r = -0.184, respectively). Conclusions: This study demonstrated that the use of a simple scoring system was able to improve parental understanding of the severity and prognosis of CHD. The system demonstrated a good correlation between surgeon and parents. Such a scoring system can be easily utilised in the outpatient department to manage expectations and reduce anxiety.


Asunto(s)
Deformidades Congénitas de la Mano/clasificación , Padres , Índice de Severidad de la Enfermedad , Niño , Preescolar , Comunicación , Femenino , Deformidades Congénitas de la Mano/cirugía , Humanos , Lactante , Estudios Longitudinales , Masculino , Padres/psicología , Relaciones Profesional-Familia , Pronóstico , Estudios Prospectivos , Derivación y Consulta
14.
Proc Natl Acad Sci U S A ; 118(9)2021 03 02.
Artículo en Inglés | MEDLINE | ID: mdl-33574041

RESUMEN

To reduce the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), most countries closed schools, despite uncertainty if school closures are an effective containment measure. At the onset of the pandemic, Swedish upper-secondary schools moved to online instruction, while lower-secondary schools remained open. This allows for a comparison of parents and teachers differently exposed to open and closed schools, but otherwise facing similar conditions. Leveraging rich Swedish register data, we connect all students and teachers in Sweden to their families and study the impact of moving to online instruction on the incidence of SARS-CoV-2 and COVID-19. We find that, among parents, exposure to open rather than closed schools resulted in a small increase in PCR-confirmed infections (odds ratio [OR] 1.17; 95% CI [CI95] 1.03 to 1.32). Among lower-secondary teachers, the infection rate doubled relative to upper-secondary teachers (OR 2.01; CI95 1.52 to 2.67). This spilled over to the partners of lower-secondary teachers, who had a higher infection rate than their upper-secondary counterparts (OR 1.29; CI95 1.00 to 1.67). When analyzing COVID-19 diagnoses from healthcare visits and the incidence of severe health outcomes, results are similar for teachers, but weaker for parents and teachers' partners. The results for parents indicate that keeping lower-secondary schools open had minor consequences for the overall transmission of SARS-CoV-2 in society. The results for teachers suggest that measures to protect teachers could be considered.


Asunto(s)
/epidemiología , Docentes/psicología , Padres/psicología , Instituciones Académicas , Adolescente , Niño , Femenino , Humanos , Masculino , Pandemias , Suecia/epidemiología
15.
Zhonghua Liu Xing Bing Xue Za Zhi ; 42(2): 309-315, 2021 Feb 10.
Artículo en Chino | MEDLINE | ID: mdl-33626621

RESUMEN

Objective: To understand the knowledge attitude and practice (KAP) on vaccination among children's parents in Jiangxi, Shanghai, and Qinghai and explore the factors influencing KAP. Methods: The study selected two counties/districts in Jiangxi, Shanghai, and Qinghai, respectively, by stratified sampling and used a unified questionnaire to investigate the parental KAP of vaccination. A structural equation model (SEM) was used to explore factors influencing parental KAP, as well as the relationship between knowledge and behavior. Results: Of the 760 valid questionnaires, the knowledge of vaccination among children's parents was better, and the vaccination knowledge of parents in Qinghai and Shanghai were slightly better than those in Jiangxi. Parents mainly obtained vaccination knowledge through medical staff and vaccination manuals. The fitting degree of SEM was relatively good; the root mean square error of approximation of the model is 0.033. The higher the parents' education level, the better their knowledge of vaccination (ß̂=0.082). Parental vaccination knowledge could influence whether the vaccinated children stay for half an hour in the clinics (ß̂=0.541). It could also impact whether parents giving up vaccinating their children in the face of media reports about the adverse effects of vaccinations (ß̂=0.515). Conclusions: The knowledge of vaccination among the parents in Jiangxi, Shanghai, and Qinghai was quite good. Moreover, we should pay more attention to the mass media programs and vaccination knowledge among parents with low or middle education backgrounds. Vaccination knowledge can be disseminated through medical staff, vaccination manuals, or mobile applications.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Padres , Vacunación , Niño , China , Humanos , Padres/psicología , Encuestas y Cuestionarios
16.
Hastings Cent Rep ; 51(1): 4-5, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33630326

RESUMEN

The Covid-19 pandemic has created a clinical environment in which health care practitioners are experiencing moral distress in numerous and novel ways. In this narrative reflection, a pediatric palliative care physician explores how his hospital's strict visitation policy set the stage for moral distress when, in the early months of the pandemic, it prevented two parents from being together at the bedside of their dying child.


Asunto(s)
/epidemiología , Niño Hospitalizado , Política Organizacional , Padres/psicología , Visitas a Pacientes , /prevención & control , Niño , Humanos , Leucemia/terapia , Masculino
17.
Fam Community Health ; 44(2): 87-98, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33565782

RESUMEN

The COVID-19 pandemic and related quarantine orders will impact the mental health of millions of individuals in the United States. Mental health difficulties, including depression, anxiety, traumatic stress, and other negative mental health sequelae are likely and likely to persist. These challenges will require response from the psychotherapeutic and medical community that addresses the mental health needs of the population. Using binary logistic regression (n = 322 at time 1, and n = 189 at time 2), researchers in the present study examined promotive factors related to having sought medical or behavioral health treatment during a 30-day period in the midst of the COVID-19 pandemic in the United States. Approximately 10% of the sample indicated having sought either type of help. Results from the binary logistic regressions indicated those who sought counseling or medical help were those who reported increased depression symptoms at time 1. The likelihood of help seeking was heightened for those who reported greater caregiving burden, highlighting the need to consider the availability of services for those caring for children during this community-wide crisis.


Asunto(s)
Trastornos de Ansiedad/psicología , Trastorno Depresivo/psicología , Conducta de Búsqueda de Ayuda , Padres/psicología , Aceptación de la Atención de Salud , Estrés Psicológico/psicología , Adolescente , Adulto , Ansiedad/psicología , Niño , Preescolar , Depresión/psicología , Femenino , Humanos , Lactante , Recién Nacido , Modelos Logísticos , Masculino , Salud Mental , Persona de Mediana Edad , Pandemias , Cuestionario de Salud del Paciente , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios , Estados Unidos
18.
Sci Rep ; 11(1): 3042, 2021 02 15.
Artículo en Inglés | MEDLINE | ID: mdl-33589663

RESUMEN

This study aimed to reveal how the COVID-19 stay-at-home period has affected the quality of life (QOL) of children with neurodevelopmental disorders and their parents and to identify possible factors that enabled them to maintain their QOL. We enrolled 136 school-aged children (intellectual quotient ≥ 50) and their parents and administered QOL questionnaires to assess the maladaptive behavior of the children; depression, anxiety, and stress of the parents; and activities of their daily lives. The relationship between their QOL and clinical features was examined. The decrease in QOL of children and parents was associated with the mother's limited job flexibility. Decreased QOL was also associated with changes in the sleep rhythms of the children. Maladaptive behaviors in children were associated with parental stress. However, maintained QOL of some families who faced these same conditions of job stress and sleep disorders was associated with less parental stress, less parental depression and anxiety, and milder maladaptive behavior in children. Both mothers with limited job flexibility and changes in the sleep rhythm of children were associated with reduced QOL of children and their parents. Low parental stress was associated with decreased maladaptive behavior in children and with maintained QOL of the family.


Asunto(s)
/epidemiología , Trastornos del Neurodesarrollo/epidemiología , Calidad de Vida , Estrés Psicológico/epidemiología , Adaptación Psicológica , Adolescente , Adulto , Niño , Niños con Discapacidad/psicología , Niños con Discapacidad/estadística & datos numéricos , Femenino , Humanos , Japón , Masculino , Trastornos del Neurodesarrollo/psicología , Padres/psicología , Sueño
19.
Global Health ; 17(1): 23, 2021 02 25.
Artículo en Inglés | MEDLINE | ID: mdl-33632259

RESUMEN

OBJECTIVES: The psychological distress caused by COVID-19 may be pronounced among the parents of children with autism spectrum disorder (ASD). This study aimed to investigate psychological distress among parents of children with ASD during the COVID-19 pandemic. METHODS: A total of 1764 parents of children with ASD and 4962 parents of typically developing (TD) children were recruited. The participants completed an online survey which contained demographic information, the impact due to COVID-19 crisis, resilience, coping styles, anxiety and depression. Hierarchical linear regression was used to assess the contributions of these variables to anxiety and depression. RESULTS: After adjusting for demographic variables, the following factors were associated with parents' anxiety and depression symptoms: (i) Whether or not the participants had a child with ASD; (ii) resilience; (iii) coping strategies, and; (iv) the impact due to COVID-19. Among these, the psychological stress caused by COVID-19 played the most important role in parental anxiety (ß = 0.353) and depression (ß = 0.242) symptoms. Parents of children with ASD had lower levels of resilience and positive coping, and used more negative coping strategies than parents of TD children. Among all participants, 8.0 and 24.2% of parents had symptoms of anxiety and depression, respectively. Compared to parents of TD children, more parents of children with ASD exhibited symptoms of anxiety and depression (12.2% vs. 6.6%; 31.0% vs. 21.7%, respectively). CONCLUSIONS: During the COVID-19 pandemic, parents experienced varying levels of anxiety and depression, particularly, parents of children with ASD. More specific attention should be paid to parental mental health and long-term effective intervention programs, that are targeted towards parents of children with ASD, and such programs should be promoted around China in the wake of the COVID-19 crisis.


Asunto(s)
Trastorno del Espectro Autista , Padres/psicología , Distrés Psicológico , Adolescente , Adulto , Ansiedad/epidemiología , Niño , Preescolar , China/epidemiología , Depresión/epidemiología , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , Adulto Joven
20.
Res Dev Disabil ; 111: 103873, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33540358

RESUMEN

BACKGROUND: COVID-19 pandemic has generated anxiety and mental health issues in the common population. In general, anxiety and poor health are higher in parents of children with Autism Spectrum Disorder (ASD) than parents of children without ASD. However, the symptoms of anxiety, depression and poor mental health are likely to be more escalated in parents of children with ASD during COVID-19, possibly due to the emergency measures involving suspension of essential services, closure of schools, work-from-home policy and lack of professional support, etc. AIM: This empirical research aimed to explore the attitude, anxiety and perceived mental health care of parents of children with ASD in the COVID-19 pandemic. METHOD: A total of 211 participants, including mothers and fathers of children with ASD from the Kingdom of Saudi Arabia, participated in this online study. Along with demographic details, data on attitude, anxiety, mental health status and perceived mental health care were obtained using both self-reported questionnaire and reference standard questionnaire. The collected data were analysed using t-test, Pearson correlation analysis and linear regression analysis. The responses to open-ended questions were also collected and analysed qualitatively. RESULTS: The study revealed that attitudes towards taking care of children with ASD were affected by parents' age and child's age, and mothers were more affected. Further, the anxiety of parents during COVID-19 was significantly higher than before the COVID-19 situation. It was found that parents' mental status during COVID-19 mediated the interaction between anxiety and perceived mental health care. Finally, the open-ended questions indicated that parents sought support from teachers, family members and therapists to deal with children with ASD during the pandemic outbreak. In the context of perceived mental health care, besides psychological and financial support, other measures like training sessions, online classes, etc., were recommended. CONCLUSIONS: The findings of this study insisted on the importance of support from government and local health authorities to introduce interventions for parents and children with ASD to improve the overall mental health.


Asunto(s)
Ansiedad , Trastorno del Espectro Autista , Salud Mental , Responsabilidad Parental/psicología , Padres/psicología , Apoyo Social , Adaptación Psicológica , Adulto , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/etiología , Actitud Frente a la Salud , Trastorno del Espectro Autista/epidemiología , Trastorno del Espectro Autista/psicología , /prevención & control , Niño , Conducta Infantil , Educación no Profesional/organización & administración , Femenino , Humanos , Masculino , Evaluación de Necesidades , Arabia Saudita/epidemiología
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