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1.
Br J Educ Psychol ; 2024 Mar 27.
Artigo em Inglês | MEDLINE | ID: mdl-38537938

RESUMO

BACKGROUND: In the past decades, there has been a growing concern to understand why boys struggle in school. One of the turning points in students' educational trajectories likely to exacerbate boys' academic difficulties is students' enrolment in private or enriched school programmes, as boys are underrepresented in such programmes. METHOD: To better understand this gender imbalance, our research draws on a longitudinal design to examine whether grade 6 students' externalizing behaviours, school engagement and school grades in mathematics and language arts relate to secondary school programme attendance, among a sample size of 577 students (277 boys). RESULTS: Path analysis showed that only language arts grades predicted enrolment in private or selective public programmes and contributed to boys' underrepresentation in these programmes. CONCLUSIONS: Such findings have important implications for understanding boys' underachievement and low persistence in school as well as to guide interventions to promote gender and overall educational equity in school.

2.
J Autism Dev Disord ; 2023 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-37898583

RESUMO

This study investigated how the school experiences and personal characteristics of youth with Intellectual Disabilities (ID) contribute to their longitudinal trajectories of anxiety. To this end, we relied on a sample of 390 youth with mild (48.2%) to moderate (51.8%) levels of ID, aged from 11 to 22 (M = 15.70), and recruited in Canada (n = 140) and Australia (n = 250). Across three yearly time points, all participants completed self-report measures of anxiety, school climate, and victimization. Our results revealed a slight normative decrease in anxiety over time and showed that experiences of school victimization were associated with higher levels of anxiety (initially and momentarily) and increases in victimization were accompanied by increases in anxiety over time. Perceptions of attending a school that fosters security and promotes learning also tended to be accompanied by lower levels of anxiety (initially and momentarily). Momentary increases in perceptions of attending a school that fosters positive peer interactions were associated with momentary decreases in anxiety, whereas momentary increases in perceptions of attending a school characterized by positive teacher-student relationships and an equitable treatment of all students both led to small momentary increases in anxiety once all other components of student school experiences were considered. The theoretical and practical implications of these results are discussed.

3.
J Sch Psychol ; 100: 101228, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37689436

RESUMO

This study utilized a longitudinal person-centered approach to investigate how children's achievement goals combine with the goals held for them by their parents and teachers to form unique achievement goal profiles among a sample of 619 elementary school students (Mage = 9.782; 52.5% female; 79.2% first- and second-generation immigrants) from low SES ethnically diverse neighborhoods. Our results revealed four distinct profiles that proved to be identical from one school year to the next: (a) Low on all Goals, (b) High on all Goals, (c) Mastery-Oriented, and (d) Low Mastery Goals. Students' membership in these profiles was moderate to highly stable over time. Moreover, all profiles were marked by a correspondence between student, parent, and teacher goals, suggesting that elementary students may come to develop a global understanding of the various goal-related messages present in their environment. Higher perceived competence in core academic subjects was associated with membership into profiles characterized by high levels of mastery goals. The Mastery-Oriented profile fared best in terms of academic achievement and anxiety, whereas the Low Mastery Goals profile fared the worst. This Low Mastery Goals profile was unique to our study and represented the largest profile, which could be related to the socioeconomic status of our sample. Our findings provide information regarding the nature and stability of achievement goal profiles among elementary school students and offer new insights into how children interpret goal-related messages in their environment.


Assuntos
Sucesso Acadêmico , Objetivos , Criança , Feminino , Humanos , Masculino , Estudantes , Escolaridade , Pais
4.
J Autism Dev Disord ; 53(4): 1560-1572, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35138559

RESUMO

The objective of the study was to validate adapted versions of the Glasgow Anxiety Scale for people with Intellectual Disabilities (GAS-ID) simultaneously developed in English and French. A sample of 361 youth with mild to moderate intellectual disability (ID) (M = 15.78 years) from Australia (English-speaking) and Canada (French-speaking) participated in this study. The results supported the factor validity and reliability, measurement invariance (between English and French versions), a lack of differential items functioning (as a function of youth's age and ID level, but not sex in the English-Australian sample), temporal stability (over one year interval), and convergent validity (with global self-esteem and school loneliness) of a bi-factor exploratory structural equation modeling representation of the GAS-ID. The present study supports the psychometric properties of the English-Australian and French-Canadian versions of the adapted GAS-ID.


Assuntos
Transtorno do Espectro Autista , Deficiência Intelectual , Adolescente , Humanos , Deficiência Intelectual/diagnóstico , Reprodutibilidade dos Testes , Canadá , Austrália , Psicometria , Ansiedade/diagnóstico
5.
J Autism Dev Disord ; 2022 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-36342629

RESUMO

This study investigates the nature of the social interaction profiles observed among youth with intellectual disabilities (ID), defined while considering their relationships with their parents, peers, and teachers, as well as the implication of these profiles for self-esteem, aggressive behaviors, and prosocial behaviors. A sample of 393 youth with mild (48.2%) to moderate (51.8%) levels of ID, aged between 11 and 22 (M = 15.70), was recruited in Canada (n = 141) and Australia (n = 253). Our results revealed four profiles, corresponding to Socially Isolated (23.24%), Socially Integrated (39.83%), Socially Rejected (28.37%) and Socially Connected (8.57%) youth with ID. The socially integrated and connected profiles both presented higher self-esteem, more prosocial behaviors, and less aggressive behaviors than the socially isolated and rejected profiles.

6.
J Autism Dev Disord ; 2022 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-36436145

RESUMO

This study investigates associations between initial levels and change in the quality of the relationships youth with intellectual disabilities (ID) share with their parents and teachers, and changes in their levels of depression over time. A sample of 395 youth with mild (48.3%) and moderate (51.7%) ID, aged between 11 and 22 (M = 15.69), were recruited in Canada (n = 142) and Australia (n = 253). Youth completed self-report measures of relationship quality and depression twice over a one-year period. Initial levels of warmth (ß = - .109) and conflict (ß = - .302) predicted decreases in depression. Increases in warmth predicted decreases in depression (ß = - .179), while increases in conflict predicted increases in depression (ß = .268). Discrepancies between youth relationships with their parents and teachers predicted decreases in depression (ßwarmth = - .732; ßconflict = - .608).

7.
J Sch Psychol ; 93: 138-153, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35934448

RESUMO

Developmental theorists emphasize the existence of reciprocal influences between children's peer experiences and their early classroom behavioral engagement. For school practitioners who must identify relevant intervention targets to design educational activities, estimating precisely how aspects of peer experiences and behavioral engagement jointly unfold over time is of key interest. In addition, it is important to differentiate between intraindividual and interindividual effects. Nevertheless, evidence of these reciprocal links or intra- and interindividual effects during the early stages of schooling is scarce. This study (N = 638 children) used a Latent Curve Model with Structured Residuals (LCM-SR) to disentangle interindividual differences (stable trait-like) from intraindividual changes (dynamic state-like) in the associations between peer experiences (social acceptance and friendship involvement) and children's classroom behavioral engagement from the beginning of kindergarten through Grade 2. Results indicated that the links between children's peer experiences and their behavioral engagement reflect their steady tendency to be well adjusted in the classroom as well as with peers, rather than highlighting reciprocal associations between these factors over time. However, results also underscored that children who showed high engagement tended to be concurrently more accepted by peers in the same school year in Grade 1 or Grade 2, beyond stable aspects of engagement and social acceptance. These findings support the need to develop educational practices to improve social acceptance as a way to foster behavioral engagement. They also indicate that behavioral engagement should be considered a concrete intervention target for school practitioners seeking to improve children's social acceptance during the school year.


Assuntos
Relações Interpessoais , Grupo Associado , Criança , Pré-Escolar , Escolaridade , Amigos , Humanos , Instituições Acadêmicas
8.
J Adolesc ; 94(3): 462-476, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35390195

RESUMO

INTRODUCTION: Adolescents with an immigrant background, whether first-generation (born abroad) or second-generation (at least one parent born abroad), face challenges that could compromise their psychological adjustment compared to their third-plus generation peers. Yet, many are developing positively despite the presence of adversity. To understand what contributes to these adolescents' resilience, it can be useful to study the coping strategies they use. METHODS: A total of 1036 Canadian secondary school students participated in this quantitative cross-sectional study (Mage = 12.9; 56% females; 26% first-generation; 34% second generation; 39% third-plus generation). Coping strategies (coping orientation to problems experienced inventory) were assessed and their differentiated associations with self-esteem, anxiety (Screen for Child Anxiety Related Emotional Disorders), and depressive symptoms (Center for Epidemiologic Studies Depression Scale) were analyzed through path analysis and invariance testing. RESULTS: First-generation adolescents reported more acceptance/reinterpretation and substance use than second- and third-plus generation adolescents. First- and second-generation adolescents reported using religion more than third-plus generation adolescents. First-generation adolescents used self-distraction more often than second-generation adolescents, who used it more often than third-plus generation. The use of humor was more prevalent in second-generation adolescents compared with their third-plus generation peers. In addition, some associations between coping strategies and psychological adjustment differed across generations. In first-generation adolescents, behavioral disengagement was significantly associated with fewer anxiety symptoms. The same trend was observed in second-generation adolescents who used self-distraction. These avoidant strategies are generally associated with poor psychological adjustment. CONCLUSIONS: This study adds new knowledge about differences across generations in the coping strategies used by adolescents to deal with stress. Further practical implications are discussed.


Assuntos
Depressão , Ajustamento Emocional , Adaptação Psicológica , Adolescente , Ansiedade/epidemiologia , Ansiedade/psicologia , Canadá/epidemiologia , Criança , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Estresse Psicológico/psicologia
9.
J Youth Adolesc ; 51(3): 570-584, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35038084

RESUMO

Most existing studies investigating profiles of anxious and depressive symptoms in adolescent boys and girls do not consider the high cooccurrence between them, which prevents from identifying how heterogeneous groups might distinctly use coping strategies. To address this gap, the current study relies on a sample of 976 adolescents (56.0% girls (n = 547), aged 12-15 y.o., M = 12.92, SD = 0.75) to identify profiles of self-reported internalizing symptoms while properly disaggregating youth's global levels of internalizing symptoms from their specific levels of anxious and depressive symptoms. The study also assesses whether similar profiles will be identified with the same frequency among boys and girls, as well as the associations between profile membership and coping strategies (problem-solving, social support, cognitive restructuring, cognitive avoidance, and behavioral avoidance) and whether these associations vary between sexes. Bifactor-confirmatory factor analyses confirmed the presence of a global internalizing factor and six specific factors reflecting anxious and depressive symptoms. Latent profile analyses identified three similar profiles among boys and girls but with different prevalence: Low internalizing symptoms (29.97% (n = 164) girls; 70.77% (n = 304) boys), Internalizing and specific anxious symptoms (40.15% (n = 220) girls, 14.75% (n = 63) boys), and Internalizing and specific depressive symptoms (29.86% (n = 163) girls, 14.48% (n = 62) boys). Girls in the Internalizing and specific anxious profile reported more frequent use of four coping strategies compared to boys (problem-solving, social support, cognitive restructuring, and cognitive avoidance). Among boys and girls, the Internalizing and specific depressive profile was associated with the least strategic use of coping strategies (low problem-solving, social support, and cognitive restructuring, and high cognitive and behavioral avoidance). The Internalizing and specific anxious profile was associated with high levels of all coping strategies (except behavioral avoidance). Overall, the study demonstrates that disaggregating global and specific internalizing symptoms allow identifying qualitatively distinct profiles, which then raised questions on the efficacy of the coping strategies used by youth with an Internalizing and specific anxious profile. These results support the adoption of a transdiagnostic approach of treatment based on a holistic representation of all aspects of adolescent boys' and girls' internalizing symptoms to better accompany them in the selection of their coping strategies.


Assuntos
Ansiedade , Depressão , Adaptação Psicológica , Adolescente , Ansiedade/psicologia , Criança , Depressão/psicologia , Feminino , Humanos , Masculino , Autorrelato , Apoio Social
10.
J Autism Dev Disord ; 52(10): 4554-4567, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34716523

RESUMO

This study proposes a revision (R) of the Center for Epidemiologic Studies Depression Scale for youth with ID (CESD-ID) in English and French. 346 youth (36.02% girls) with mild (51.26%) and moderate (48.78%) ID (11-22 years; M = 15.69), enrolled in secondary schools in Canada (French-speaking; n = 115), and Australia (English-speaking; n = 231), as well as their parents and teachers, participated in this study. Results support the reliability, factor validity, equivalence (sex, ID level, comorbidities, and country), and convergent validity (with youth-, parent-, and teacher-rated measures of depression, anxiety, and loneliness/social isolation) of the CESD-ID-R. The CESD-ID-R allows youth with ID to provide a reliable and valid assessment of their depressive mood and happiness suitable for epidemiological studies.


Assuntos
Transtorno do Espectro Autista , Deficiência Intelectual , Adolescente , Depressão/diagnóstico , Depressão/epidemiologia , Feminino , Humanos , Deficiência Intelectual/diagnóstico , Deficiência Intelectual/epidemiologia , Masculino , Psicometria/métodos , Reprodutibilidade dos Testes
11.
J Interpers Violence ; 37(17-18): NP15095-NP15129, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-33719703

RESUMO

Student involvement in peer aggression is assumed to include the uninvolved, victims, aggressors, and victim-aggressor groups. Yet, evidence supporting this four-group configuration is equivocal. Although most studies report the four groups, several of the aggressor groups could have been labeled as moderate victim-aggressors. This study first reviews studies identifying subgroups of students involved in verbal, relational, and physical aggression. The study then assesses students' perceived involvement in elementary (n = 2,071; Grades 4-6) and secondary school (n = 1,832; Grades 7-10), as well as the associations with outcomes (school belonging, depressive thoughts, and perceived school violence). Latent profile analysis identified three profiles (uninvolved, victim-only, and victim-aggressor) across all grades and genders. In primary school, the uninvolved, victim, and victim-aggressor respectively included 54.56%, 37.51%, and 7.83% of the girls, and 44.23%, 31.92%, and 23.85% of the boys. In secondary school, the uninvolved, victim, and victim-aggressor respectively included 80.16%, 14.93% and 4.91% of the girls, and 64.31%, 22.95% and 12.74% of the boys. Victims and victim-aggressors reported poorer adjustment than uninvolved students. Victims and victim-aggressors reported lower levels of school belonging and higher levels of depressive thoughts than uninvolved students. Also, victim-aggressors perceived more violence in their school than victims and uninvolved students, and victims perceived more violence than uninvolved students. These findings question the existence of an aggressor-only profile, at least, according to student perception, suggesting the need for a new perspective when intervening with students involved in peer aggression.


Assuntos
Bullying , Vítimas de Crime , Agressão , Feminino , Humanos , Masculino , Grupo Associado , Percepção , Instituições Acadêmicas
12.
J Autism Dev Disord ; 52(6): 2670-2688, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34185237

RESUMO

This study proposes a multi-informant (youth, teachers, and parents) measure of relationship quality with adults for youth with intellectual disabilities (ID). A sample of 395 youth with mild (49.15%) and moderate (50.85%) ID, aged 11-22 (M = 15.82) was recruited in Canada (French-speaking, N = 142), and Australia (English-speaking, N = 253). Results support the reliability, factor validity, discriminant validity (in relation to sex, ID level, country, and comorbidity), convergent validity (depression, anxiety, aggressiveness, and prosocial behaviors), and one-year longitudinal stability of the measure. Youth self-reports provide a complementary perspective on relationship quality with adults relative to teachers' or parents' reports, whereas teachers and parents seem unable to differentiate their own perspective from that of the target youth.


Assuntos
Transtorno do Espectro Autista , Deficiência Intelectual , Adolescente , Adulto , Humanos , Pais , Reprodutibilidade dos Testes , Professores Escolares
13.
Res Child Adolesc Psychopathol ; 49(12): 1649-1667, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34255229

RESUMO

Youth with intellectual disability (ID) are at an increased risk of displaying fewer prosocial behaviors and more numerous aggressive behaviors in various environments. This study proposes a new multi-informant (youth, teachers, and parents) measure of social behaviors for youth with ID. The sample includes 348 youth with mild (51.41%) and moderate (48.59%) levels of ID, aged 11-22 years old (M = 15.73, SD = 2.14; including 138 females), enrolled in secondary schools in Canada (French-speaking; N = 116; 33.33%) and Australia (English-speaking; N = 232; 66.67%). Measures were completed by the participants, their teachers, and their parents. Results support the reliability, factor validity, discriminant validity (in relation to sex, ID level, and country), concurrent validity (with measures of victimization, depression, hyperactivity-inattention), and one-year test-retest stability of the measure. Youth, teachers, and parents all provided a complementary perspective on youth social behaviors, consistent with youth adjusting their behaviors to the various environments in which they share social interactions.


Assuntos
Deficiência Intelectual , Adolescente , Adulto , Agressão , Criança , Feminino , Humanos , Pais , Reprodutibilidade dos Testes , Comportamento Social , Adulto Jovem
14.
Psychiatr Q ; 92(3): 1309-1325, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33768414

RESUMO

Adolescence is a time of increased risk for developing symptoms of anxiety and depression, especially for girls. The stress and social isolation experienced during confinement add new threats to already vulnerable adolescents' daily lives. This study is aimed at determining which sociodemographic characteristics (age, family composition, achievement), confinement habits (schedule, new hobby, sleep duration, cellphone and computer use, sports, schoolwork), and sources of support (parents and teachers) are associated with more or less internalized symptoms in Canadian adolescents. Differences between boys and girls are also investigated. Between April 8 and 30 (2020) and through an online survey, 895 Canadian adolescents (74% girls) aged between 12 and 17 years (M = 14.7) were recruited. Path analysis was performed to identify significant associations between sociodemographic characteristics, confinement habits, support variables, and internalized symptoms. Independent samples t-tests and invariance tests were conducted to compare boys and girls. Results suggest that certain confinement habits (time spent using cellphones, doing sports and schoolwork, finding a new hobby) and support variables (parents working outside the home) were significantly and negatively associated with internalized symptoms. Regarding the sex differences, girls used their cellphones more and invariance test results showed that all associations between predictors and symptoms were statistically similar for boys and girls. This study's results help understand better adolescents' experience in confinement. It sheds light on the habits likely to characterize those who are less at risk of experiencing distress, making it possible to better support adolescents during this challenging period.


Assuntos
COVID-19 , Demografia , Hábitos , Pandemias , Isolamento Social , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Inquéritos e Questionários , Adolescente , COVID-19/epidemiologia , Canadá/epidemiologia , Uso do Telefone Celular/estatística & dados numéricos , Criança , Feminino , Humanos , Masculino , Fatores Sexuais
15.
J Youth Adolesc ; 49(11): 2327-2346, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32710241

RESUMO

Students with externalizing or internalizing behavior problems are at increased risk of underachievement and school non-completion, often due to their lower school engagement. Two studies were undertaken to assess the unique and joint (i.e., interactive) associations between behavior problems and engagement during two developmental periods; childhood and adolescence. These studies also aim to disentangle the contribution of global (externalizing and internalizing) and specific (hyperactivity/inattention, opposition/defiance, anxiety, depression) behavior problems on the global and specific aspects of student behavioral, emotional, and cognitive engagement. Study 1 was conducted among a sample of elementary school students (n = 1036; 3rd to 6th grade; mean age = 9.94 y.o.; 47.30% female; majority native Canadians) and Study 2 was conducted in secondary school (n = 1011; 7th and 8th grade; mean age = 12.93 y.o.; 55.77% female; 60.64% from immigrant background). Results of the bifactor-CFA and path analyses from both studies indicate that global externalizing behaviors were associated with lower global and specific behavioral engagement. In Study 1, global internalizing behaviors were also associated with lower global and specific cognitive engagement, whereas specific anxiety was associated with lower global and specific emotional engagement. In Study 2, specific depressive symptoms were associated with lower global and specific emotional engagement. Together, these two studies suggest that externalizing behaviors remain risk factors for student disengagement during childhood and adolescence, but that the risk posed by internalizing behaviors increases in importance for older students.


Assuntos
Comportamento Problema , Adolescente , Ansiedade , Canadá , Criança , Feminino , Humanos , Masculino , Instituições Acadêmicas , Estudantes
16.
Br J Educ Psychol ; 90(4): 887-909, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31999841

RESUMO

BACKGROUND: Different teaching practices, such as autonomy support and structure, provide students with a positive learning context supporting their engagement, which can operate through their underlying motivation, including sense of competence and task value. AIMS: This study aims at investigating the best configuration (unique or synergistic) between autonomy support and structure to support student behavioural engagement, including compliance, participation, and misbehaviour, and reading achievement. A second objective is to assess students' sense of competence and task value as mediators linking teaching practices to student engagement and achievement. SAMPLE: The samples included 1,666 7th-grade students and their 85 teachers. Students answered questionnaires and tests at the beginning and the end of the school year. METHODS: Students' perceptions of the use of autonomy support and structure by their Language Arts teacher were aggregated at the classroom level. Students rated their sense of competence and task value in Language Arts class. Twice during the school year, they also reported three facets of their behavioural engagement (compliance, participation, and misbehaviour) and answered a reading comprehension test. Multilevel path analyses using Mplus7 allowed accounting for the nested structure of data. RESULTS: Student sense of competence mediated the association of student classroom-aggregated perceptions of teacher structure and autonomy support with self-reported participation in the classroom. Task value mediated the association between both teaching practices and student misbehaviour and compliance, as reported by students. Sense of competence was directly associated with later reading achievement, but the indirect effect of teaching practices was not significant. We found no significant interaction (synergistic effect) between teacher autonomy support and structure. CONCLUSION: Student classroom-aggregated perception of teacher autonomy support and structure is important to nurture behavioural engagement. However, we found no extra benefit of combining these two dimensions of teaching practices. The processes linking these teaching practices to the three facets of student behavioural engagement were different. As such, to support the various aspects of student engagement, the actions of teachers, as reported by their students, should tap into the mechanisms that are most strongly related to each type of behaviour.


Assuntos
Sucesso Acadêmico , Comportamento do Adolescente/psicologia , Autoeficácia , Estudantes/psicologia , Ensino , Adolescente , Adulto , Feminino , Humanos , Masculino , Autonomia Pessoal , Professores Escolares , Apoio Social
17.
Res Dev Disabil ; 98: 103572, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31954946

RESUMO

BACKGROUND: Students with intellectual disabilities (ID) are at increased risk of peer victimization and depressive symptoms. Little is known about the protective and aggravating factors that influence the association between peer victimization and depressive symptoms among students with ID. AIMS: This study assesses the moderating role of two facets of teacher-student relationships (TSR)-warmth and conflict-on the association between peer victimization and depressive symptoms. METHODS: A sample of 395 students (aged 11-22) with mild and moderate ID was recruited in Canada and Australia. RESULTS: Hierarchical multiple regressions indicated that victimization and TSR conflict were both associated with higher levels of depressive symptoms, and that TSR conflict moderated the associations between both TSR warmth and victimization, and depressive symptoms. TSR warmth was related to lower levels of depression only for students who also reported a low level of TSR conflict. Similarly, associations between victimization and depression were weaker among students exposed to more conflictual TSR. CONCLUSIONS: Students with ID are at increased risk of developing depressive symptoms when exposed to negative social relationships (i.e., peer victimization or TSR conflict). For these students, the benefits of TSR warmth were far less important than the consequences of conflict.


Assuntos
Vítimas de Crime , Depressão , Inteligência Emocional , Deficiência Intelectual/psicologia , Professores Escolares/psicologia , Estudantes/psicologia , Adolescente , Adulto , Austrália/epidemiologia , Bullying/prevenção & controle , Bullying/psicologia , Canadá/epidemiologia , Conflito Psicológico , Vítimas de Crime/educação , Vítimas de Crime/psicologia , Depressão/diagnóstico , Depressão/etiologia , Educação de Pessoa com Deficiência Intelectual , Feminino , Humanos , Deficiência Intelectual/epidemiologia , Relações Interpessoais , Masculino , Influência dos Pares , Medição de Risco
18.
J R Army Med Corps ; 162(2): 125-8, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26661477

RESUMO

The Neuro-Rehabilitation Group at the Defence Medical Rehabilitation Centre (DMRC) has developed an integrated vocational pathway to transition service personnel back into employment. This article describes how vocational rehabilitation at DMRC fits with the wider UK military, in comparison with civilian rehabilitation. It also describes the ongoing development of the vocational pathway, which contributes to improved outcomes from neurological disorders, including traumatic brain injury. We present two cases to highlight how the programme integrates with and influences patient care.


Assuntos
Lesões Encefálicas/reabilitação , Emprego , Militares , Reabilitação Neurológica/métodos , Reabilitação Vocacional/métodos , Retorno ao Trabalho , Humanos , Reino Unido
19.
J Trauma Acute Care Surg ; 79(4 Suppl 2): S197-203, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26406431

RESUMO

BACKGROUND: The Defence Medical Rehabilitation Centre Headley Court is the UK military rehabilitation unit. A pilot study identified the Mayo-Portland Adaptability Inventory-4 (MPAI-4) as the most appropriate rehabilitation outcome measure in young military patients with acquired brain injury. METHODS: MPAI-4 scores were prospectively recorded for patients on admission and discharge. At 4 months, independent living and employment status were recorded. Inclusion criteria were all new admissions with traumatic brain injury (TBI). Before injury, all patients were fully employed and lived independently. RESULTS: In a 3-year period from April 2011, there were 91 TBI patients with complete admission-discharge episodes: by US Department of Defense criteria, 21 were mild, 35 were moderate, and 35 were severe. There was a significant positive relationship between TBI severity and MPAI-4 score on admission (χ = 12.77, df = 2, p = 0.0017).Median age was 27 years, and median duration of admission was 63 days. Employment and independent living status were available for 79 patients at 4 months. Seventy-three patients (92%) were in community-based employment, with 64 (81%) employed in a competitive or transitional work; 6 (8%) were unemployed or in sheltered work. Sixty-nine (87%) were living independently, and 10 (13%) were living with support in their own home, with no one requiring institutional care.Complete MPAI-4 scores were available for 79 patients. There were statistically and clinically significant improvements in MPAI-4 scores between admission and discharge for the overall group: median admission T score was 40.0 (95% confidence interval, 36.0-42.0) and on discharge was 31.0 (95% confidence interval, 27.0-36.0), a nine-point change (Z = 6.53, p < 0.0001). These improvements with rehabilitation were sustained when patients were subdivided by TBI severity or MPAI-4 limitations. CONCLUSION: This study demonstrates significant functional improvements in military TBI patients following intensive inpatient multidisciplinary rehabilitation, which includes substantial vocational rehabilitation. At 4 months, 92% were employed, and 87% were living independently. LEVEL OF EVIDENCE: Therapeutic study, level V; prognostic/epidemiologic study, level IV.


Assuntos
Lesões Encefálicas/reabilitação , Militares , Reabilitação Neurológica , Adulto , Avaliação da Deficiência , Feminino , Escala de Coma de Glasgow , Humanos , Masculino , Prognóstico , Estudos Prospectivos , Recuperação de Função Fisiológica , Reino Unido
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