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1.
Artigo em Inglês | MEDLINE | ID: mdl-33182661

RESUMO

The novel coronavirus (COVID-19) outbreak has forced parents and children to adopt significant changes in their daily routine, which has been a big challenge for families, with important implications for family stress. In this study, we aimed to analyze the potential risk and protective factors for parents' and children's well-being during a potentially traumatic event such as the COVID-19 quarantine. Specifically, we investigated parents' and children's well-being, parental stress, and children's resilience. The study involved 463 Italian parents of children aged 5-17. All participants completed an online survey consisting of the Psychological General Well Being Index (PGWB) to assess parental well-being, the Strengths and Difficulties Questionnaire (SDQ) to measure children's well-being, the Parent Stress Scale (PSS) to investigate parental stress, and the Child and Youth Resilience Measure (CYRM-R) to measure children's resilience. The results show that confinement measures and changes in daily routine negatively affect parents' psychological dimensions, thus exposing children to a significant risk for their well-being. Our results also detect some risk factors for psychological maladjustments, such as parental stress, lower levels of resilience in children, changes in working conditions, and parental psychological, physical, or genetic problems. In this study, we attempted to identify the personal and contextual variables involved in the psychological adjustment to the COVID-19 quarantine to identify families at risk for maladjustment and pave the way for ad hoc intervention programs intended to support them. Our data show promising results for the early detection of the determinants of families' psychological health. It is important to focus attention on the needs of families and children-including their mental health-to mitigate the health and economic implications of the COVID-19 pandemic.


Assuntos
Infecções por Coronavirus/psicologia , Pais/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Resiliência Psicológica , Estresse Psicológico/epidemiologia , Adolescente , Betacoronavirus , Criança , Pré-Escolar , Infecções por Coronavirus/epidemiologia , Humanos , Itália/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Inquéritos e Questionários
2.
Prax Kinderpsychol Kinderpsychiatr ; 69(7): 625-642, 2020 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-33146086

RESUMO

Parental Resolution of the Child's Disability Diagnosis in the Reaction to Diagnosis Interview (RDI) and Effects on the Play Interaction with the Child Examining 37 qualitative interviews with mothers and fathers of a child with intellectual disability it was observed that the emotions and traumatic experiences, associated with the child's diagnosis, still burden the relationship with the child even after several years, so that many affected cannot come to resolution. On the other hand, resolution of the diagnosis was indicated for 65 % of the parents, enabling them to reclaim lost space for building a relationship with their child. While these parents significantly more often report purposeless and responsive play interaction with their children, non-resolved parents still seem to be driven to counteract the disability by playing educational games or playing games, which promote the development. In a parallel music therapeutic study, the effects of parental resolution also are monitored in children's free play interaction: Children of resolved parents interact more often in a dialogic relationship, whereas children of non-resolved parents are less able to balance dyadic turn-taking and interaction control in free music play.


Assuntos
Crianças com Deficiência/psicologia , Relações Pais-Filho , Pais/psicologia , Jogos e Brinquedos/psicologia , Criança , Emoções , Pai/psicologia , Feminino , Humanos , Masculino , Mães/psicologia
3.
Epilepsy Behav ; 112: 107493, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33181913

RESUMO

OBJECTIVE: The purpose of this study was to assess parent satisfaction with the management of ketogenic diet therapies (KDTs) through telemedicine using WhatsApp as the main tool. METHODS: Parent satisfaction was longitudinally evaluated through questionnaires. The survey was developed with Google Questionnaire forms and sent via WhatsApp. The questionnaire consisted of 13 items concerning the management of KDTs using telemedicine in the context of the coronavirus disease 2019 (COVID-19) pandemic. Our population of patients has limited financial resources and low levels of education. Given that many families did not have either computers or WIFI, or any other access to information or communication technology, WhatsApp was chosen as a tool as it was available on the cell phones of all families and the professionals. RESULTS: Our survey showed that 96.3% of the parents were satisfied with the management of KDTs through telemedicine. The main benefits observed were the possibility of continuing treatment during the COVID-19 pandemic and the ease of accessing the professional team from the comfort of their home. Overall, 72.2% of the families would recommend using telemedicine for KDTs in any situation regardless of the pandemic. None of the families reported that they would recommend against treatment by telemedicine. The availability of a social support network (parents WhatsApp group) coordinated by professionals from the KDT team was considered to be useful by most respondents (90%). CONCLUSIONS: Our study suggests that management of children with DRE on KDTs through telemedicine is feasible, well accepted by the families, and probably as safe as conventional medicine. WhatsApp may be an interesting telemedicine tool to start and maintain KDTs.


Assuntos
Dieta Cetogênica/métodos , Epilepsia Resistente a Medicamentos/dietoterapia , Pais/psicologia , Telemedicina , Adolescente , Adulto , Argentina , Betacoronavirus , Criança , Pré-Escolar , Coronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Assistência à Saúde , Epilepsia Resistente a Medicamentos/epidemiologia , Feminino , Humanos , Lactente , Masculino , Pandemias , Satisfação Pessoal , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Avaliação de Programas e Projetos de Saúde , Mídias Sociais , Inquéritos e Questionários
4.
PLoS One ; 15(10): e0234693, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33091021

RESUMO

BACKGROUND: The pathogenic and oncogenic roles of papillomavirus (HPV) infections have been documented and shown to occur in women as well as in men. While other countries have already extended their vaccination guidelines to include boys, in 2019 the French National Authority for Health validated implementation of HPV vaccination in the 2020 vaccination schedule. There is, however, a climate of distrust in regard to vaccination in France, and there have been few studies to date regarding the acceptability of HPV vaccination in boys in France. The aim of this study was, therefore, to evaluate the acceptability of extending the recommendations for HPV vaccination in men, among middle and high school students and their parents. METHODS: Our study (HPVac) was a prospective, multicenter, departmental, and descriptive survey applied to a sample of male middle and high school students attending schools in the Loire-Atlantique department and their parents. It took place from January 2017 to January 2018. RESULTS: We analyzed the information obtained from 127 parent questionnaires and 145 children questionnaires. In terms of acceptability, 36.6% (n = 53) of the children and 37.8% (n = 48) of the parents were in favour of being vaccinated or of having their children vaccinated against HPV (51.7% (n = 75) and 50.4% (n = 64), respectively, were undecided). The perception of a risk stemming from HPV infection was positively associated with acceptability of the HPV vaccine. Being against vaccines in general, being discouraged by their parents, parents thinking that their child is not at risk, and the belief that the vaccine is not mandatory were arguments cited and significantly associated with a willingness to be vaccinated. CONCLUSION: This study revealed a lack of information among boys and their parents about HPV and its vaccination. It also clearly showed that taking time to discuss the consequences of an infection and the merits of being vaccinated can help parents overcome their reluctance. The children then generally go along with their parent's choice.


Assuntos
Papillomaviridae/imunologia , Infecções por Papillomavirus/prevenção & controle , Vacinas contra Papillomavirus/administração & dosagem , Pais/psicologia , Aceitação pelo Paciente de Cuidados de Saúde , Estudantes/psicologia , Vacinação/psicologia , Adolescente , Adulto , Criança , Feminino , Seguimentos , França/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Infecções por Papillomavirus/epidemiologia , Infecções por Papillomavirus/virologia , Prognóstico , Estudos Prospectivos , Instituições Acadêmicas , Inquéritos e Questionários , Adulto Jovem
5.
Public Health ; 188: 1-3, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33032239

RESUMO

OBJECTIVES: Parental and peer support can foster adolescents' activity behaviours; however, little is known about how such support are linked with adolescents' active lifestyle in non-Western settings. The study aimed to explore associations of parental and peer support with an active lifestyle of adolescents in Malaysia. STUDY DESIGN: This is a cross-sectional study. METHODS: We used data from the 2012 Malaysian Global School-based Student Health Survey, which covered adolescents aged 11-17 years (51% girls). Adolescents were asked about their physical activity, sitting time, and levels of parental and peer support. Participants with ≥60 min of moderate to vigorous physical activity per day and ≤2 h of sitting time per day were categorised as having an 'active lifestyle'. Binary logistic regression was used to examine the relationships by gender and age group (11-14 and 15-17 years). RESULTS: Of the participating adolescents (n = 12,081), 15.3% reported to have an active lifestyle (boys: 22.0%; girls: 8.8%). About 31% reported to have higher levels of parental support, whereas 47% reported higher levels of peer support. Higher parental and peer support were significantly associated with an active lifestyle of boys across both age groups. Girls with higher parental support had higher odds of reporting an active lifestyle in both age groups, whereas higher peer support was significantly associated with an active lifestyle among girls aged 11-14 years. CONCLUSIONS: This study uniquely extends the current evidence by examining the associations of parental and peer support with physical activity and sitting time combined. More research is needed to understand how different types of social support can influence adolescents' active lifestyle.


Assuntos
Exercício Físico , Estilo de Vida , Pais/psicologia , Grupo Associado , Apoio Social , Adolescente , Criança , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Malásia , Masculino , Instituições Acadêmicas , Postura Sentada , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Fatores de Tempo
6.
PLoS One ; 15(10): e0239728, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33048941

RESUMO

INTRODUCTION: School-aged children become a highly vulnerable group for malaria, yet they are less likely to use malaria prevention interventions. Previous studies exploring perception on cause of malaria mainly focused on pregnant mothers or parents of children under age five years. Exploring parent's perception on cause of malaria and their experiences on the prevention of malaria and associated challenges among school-aged children is important to develop a malaria prevention education package for school-aged children to reduce malaria and malaria related morbidities among school-aged children. METHODS: A descriptive qualitative study is conducted in Kutcha district by recruiting 19 parents of school-aged children for semi-structured interviews, 6 key informants and 6 focus group discussion which consists of parents, health development army and health extension workers. A semi-structured interview guide is used to guide the interview process. The collected data is analyzed thematically with a focus on the three major areas of concern: perceived cause of malaria, experience of malaria prevention and challenges of bed net use for prevention of malaria. RESULTS: Five causes of malaria were identified, namely hunger, mosquito bite, exposure to hot sunshine, poor sanitation and hygiene and eating some sweet foods and unripe maize. Participants perceived that eating sweet foods and unripe maize lead to enlargement of the spleen that ends in malaria while poor hygiene and sanitation leads to either development of the ova of mosquito and the landing of the housefly to contaminate food for consumption. The experiences of malaria prevention were largely influenced by their perceived cause of malaria. The malaria prevention measures undertaken by parents were vectors control measures, homemade herbal remedies and restricting children from eating sweet foods. The challenges of malaria prevention by using bed nets were related to a negative attitude, sleeping behaviors of children; use of bed nets for unintended purposes, shortage of bed nets and delays in the distribution of bed nets. CONCLUSION: There were misconceptions about the cause of malaria and associated experiences of malaria prevention. Control of malaria among school-aged children need health education targeting the challenges and correcting identified misconceptions by parents in Kutcha district and in other similar settings.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde/etnologia , Malária/prevenção & controle , Pais/psicologia , Adulto , Etiópia/epidemiologia , Feminino , Grupos Focais , Educação em Saúde , Humanos , Mordeduras e Picadas de Insetos , Mosquiteiros Tratados com Inseticida , Malária/etiologia , Masculino , Controle de Mosquitos/métodos , Pais/educação , Pesquisa Qualitativa
7.
PLoS One ; 15(10): e0239712, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33112883

RESUMO

Relationship dissolution can cause declines in emotional well-being, particularly if there are children involved. Individuals' capacity to cope with the pragmatics of the situation, such as agreeing childcare arrangements, can be impaired. Before now, there has been no psychometric test to evaluate individuals' emotional readiness to cope with these demands. This paper presents a model of emotional adaptation in the context of relationship dissolution and its key assumptions, and validates the Emotional Adaptation to Relationship Dissolution Assessment (EARDA). In Study 1 (Sample 1, n = 573 separated parents, Sample 2, n = 199 mix of parents and non-parents), factor analyses support the EARDA as a unidimensional scale with good reliability. In Study 2 (using Sample 1, and Sample 3, n = 156 separated parents) the convergent, discriminant, concurrent criterion-related, and incremental validity of the EARDA were supported by tests of association with stress, distress, attachment style, and co-parenting communication and conflict. In Study 3, the nomological network of emotional adaptation to relationship dissolution was explored in Sample 2 using cluster analysis and multi-dimensional scaling (MDS). Emotional adaptation clustered with positive traits and an outward focus, and was negatively associated with negative traits and an inward focus. Emotional adaptation was conceptually located in close proximity to active and adaptive coping, and furthest away from maladaptive coping. In Study 4 (n = 30 separated parents embarking on mediation), high, medium, and low emotional adaptation to relationship dissolution categories correlated highly with mediators' professional judgement, offering triangulated face validity. Finally, in Study 5, EARDA scores were found to mediate between separation characteristics (time since break up, whether it was a shock, and who initiated the break up) and co-parenting conflict in Sample 1, supporting the proposed model. The theoretical innovation of this work is the introduction of a new construct that bridges the gap between relationship dissolution and co-parenting. Practical implications include the use of the measure proposed to triage levels of support in a family law setting.


Assuntos
Ajustamento Emocional/fisiologia , Emoções/fisiologia , Poder Familiar/psicologia , Adaptação Psicológica , Adulto , Análise Fatorial , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Relações Pais-Filho , Pais/psicologia , Psicometria , Reprodutibilidade dos Testes , Estresse Psicológico/psicologia , Inquéritos e Questionários
8.
Lancet Public Health ; 5(11): e583-e591, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33120044

RESUMO

BACKGROUND: Children of parents with mental illness are a vulnerable group, but their numbers and their exposure to adversity have rarely been examined. We examined the prevalence of children with parents with mental illness in Sweden, trends in prevalence from 2006 to 2016, and these children's exposure to socioeconomic adversity. METHODS: We did a population-based cohort study among all children (aged <18 years) born in Sweden between Jan 1, 1991, and Dec 31, 2011, and their parents, followed up between Jan 1, 2006, and Dec 31, 2016. We included children who were identified in the Total Population Register and linked to their birth parents, excluding adopted children and those with missing information on both birth parents. We used a comprehensive register linkage, Psychiatry Sweden, to follow up for indicators of parental mental illness and socioeconomic adversity. Marginal predictions from a standard logistic regression model were used to estimate age-specific, 3-year period prevalence of parental mental illness and trends in prevalence for 2006-16. Using cross-sectional data on each child, indicators of socioeconomic adversity were compared between children with and without concurrent parental mental illness using logistic regression. FINDINGS: Of 2 198 289 children born in Sweden between Jan 1, 1991, and Dec 31, 2011, we analysed 2 110 988 children (96·03% of the total population). The overall prevalence of children with diagnosed parental mental illness between 2006 and 2016 was 9·53% (95% CI 9·50-9·57). This prevalence increased with age of the child, from 6·72% (6·65-6·78) of the youngest children (0 to <3 years) to 10·80% (10·73-10·89) in the oldest (15 to <18 years). The prevalence of diagnosed parental mental illness increased from 8·62% (8·54-8·69) in 2006-09 up to 10·95% (10·86-11·03) in 2013-16. Children with any type of parental mental illness had markedly higher risk of socioeconomic adversity, such as living in poorer households or living separately from their parents. INTERPRETATION: Currently, 11% of all Swedish children have a parent with a mental illness treated within secondary care. These children have markedly higher risk of broad socioeconomic adversity than do other children. There is a need to understand how socioeconomic adversity and parental mental illness influence vulnerability to poor life outcomes in these children. FUNDING: European Research Council, National Institute for Health Research, Region Stockholm, and the Swedish Research Council.


Assuntos
Filho de Pais Incapacitados/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Pais/psicologia , Fatores Socioeconômicos , Adolescente , Adulto , Distribuição por Idade , Criança , Filho de Pais Incapacitados/psicologia , Pré-Escolar , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Transtornos Mentais/psicologia , Prevalência , Suécia/epidemiologia
9.
Niger J Clin Pract ; 23(10): 1333-1338, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33047688

RESUMO

Backround: The fiduciary duty of a managing physician makes paediatric discharges against medical advice (DAMA) particularly challenging as children lack the legal power or authority to make their health decisions. Aim: It is aimed in the present study to determine the prevalence of paediatric DAMA in a mission tertiary hospital. Methods: This was a prospective descriptive study carried out from June 2018 to May 2019 among paediatric inpatients at the Bowen University Teaching Hospital, Ogbomoso, Nigeria whose parent/ care giver signed DAMA, despite adequate counselling. Data was analysed using SPSS version 23. Results: The prevalence of DAMA in the study was of 4.1%, and the neonatal group accounted for the largest bulk of DAMA. Birth asphyxia was the commonest diagnosis among this group. There was a slight female predominance among the patients whose parents signed DAMA. Financial constraint was the commonest reason [13(30.2%)] given for DAMA and none of the children whose parents signed DAMA was enrolled on the National Health Insurance Scheme (NHIS). Conclusion: Rate of DAMA in a private mission tertiary hospital was lower than previously reported from government tertiary hospitals in the present-day Nigeria.


Assuntos
Cuidadores/estatística & dados numéricos , Hospitais Religiosos/estatística & dados numéricos , Pais/psicologia , Alta do Paciente/estatística & dados numéricos , Pediatria , Recusa do Paciente ao Tratamento/estatística & dados numéricos , Cuidadores/psicologia , Criança , Pré-Escolar , Aconselhamento , Feminino , Hospitais Privados , Humanos , Pacientes Internados , Masculino , Nigéria/epidemiologia , Prevalência , Estudos Prospectivos , Fatores Socioeconômicos
10.
Niger J Clin Pract ; 23(10): 1356-1367, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33047691

RESUMO

Background: Neglectful feeding and physical activity (PA) practices by parents are associated with development of adulthood obesity. The Arab world has reported an alarming increase of adulthood obesity and childhood neglect by parents, yet have not studied the association between the two variables. Aims: The objectives of this study were to evaluate two parental negligence parameters (feeding style and social activity) associated with adulthood obesity and to identify the level of parental negligence on a customized parent neglect scale. Methods: In total 450 adult subjects 18-30 were screened for body mass index (BMI) values. 240 subjects fulfilling the criteria for the study were divided into two groups normal weight (N Gp) (n = 150) and overweight/obese (Ov/Ob Gp) (n = 90) groups. A questionnaire was formulated through a dual moderator focus group discussion, which was then tested in a prepilot and a pilot study (qualitative) to determine its validity (content and criterion) and reliability (repeated measurement) before distributing to the parents of both groups. Physical activity and screen time were also recorded for the subjects and their parents. Chi square test for association/difference between two categorical variables and Pearsons correlation coefficient for BMI correlation were employed. Results: Parenting parameters like maternal age, consanguineous marriage, breastfeeding duration, formula food introduction, and maternal smoking were significantly different between studied groups. Higher physical inactivity was observed among parents (father/mother 53%) and subjects (80%). The higher amount of screen time (73% ≥ 60-100 h/week) was found in the Ov/Ob Gp that significantly differed with the other group. Maternal BMI was positively related to the subjects BMI. Parents of obese subjects were found negligent in feeding style and very negligent for social activity on a parent neglect scale as compared to the parents of the normal weight subjects. Conclusion: Parents are responsible for developing healthy eating habits and competitive social behavior among their children. Parents need to practice the same to influence changes in their children during their early childhood, as well as when their children grow into adults. Negligent parenting in the studied parameters were found to increase the risk of developing adulthood obesity and should be considered as a potential marker for adult obesity.


Assuntos
Maus-Tratos Infantis/estatística & dados numéricos , Exercício Físico , Poder Familiar/psicologia , Pais/psicologia , Comportamento Social , Adolescente , Adulto , Índice de Massa Corporal , Aleitamento Materno , Criança , Maus-Tratos Infantis/etnologia , Pré-Escolar , Dieta Saudável , Comportamento Alimentar , Feminino , Humanos , Masculino , Mães/psicologia , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Inquéritos e Questionários , Adulto Jovem
11.
PLoS One ; 15(10): e0229316, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33006966

RESUMO

The prevalence of criticism in everyday social situations, and its empirically demonstrated association with psychopathology, highlight the importance of understanding neural mechanisms underlying the perception and response of individuals to criticism. However, neuroimaging studies to date have been limited largely to maternal criticism. The present study aims to investigate neural responses to observing criticism occurring in the context of three different relationship types: romantic partners, friends, and parents-from a third-party perspective. 49 participants were recruited and asked to rate the perceived criticism for these relationships. Functional near-infrared spectroscopy was used to measure changes in oxygenated haemoglobin levels in the prefrontal cortex when participants read vignettes describing three different scenarios of criticism. Participants were randomly assigned to 3 groups where the given description of the relationship of the protagonist to the source of criticism for each vignette was randomised. A significant interaction between relationship type and perceived criticism ratings for mothers was found in the dorsolateral prefrontal cortex. Compared to low perceived criticism, high perceived criticism individuals showed increased activation reading vignettes describing criticism from romantic partners and parents but decreased activation for those from friends. Findings contribute to understanding neural responses to criticism as observed from a third-party perspective. Future studies can look into differentiating neural responses of personalised experiences of criticism and third-party observations.


Assuntos
Emoções/fisiologia , Amigos/psicologia , Pais/psicologia , Córtex Pré-Frontal/fisiologia , Parceiros Sexuais/psicologia , Adolescente , Adulto , Feminino , Hemoglobinas/metabolismo , Humanos , Relações Interpessoais , Masculino , Neuroimagem , Distribuição Aleatória , Adulto Jovem
12.
J Pediatr Psychol ; 45(10): 1114-1123, 2020 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-33068403

RESUMO

OBJECTIVE: Worldwide, the coronavirus disease 2019 (COVID-19) pandemic has generated significant worry, uncertainty, anxiety, sadness, and loneliness. In Italy, these effects have been particularly pronounced. While research on the COVID-19 outbreak has mainly focused on the clinical features of infected patients and the psychological impact on the general population and health professionals, no investigation has yet assessed the psychological impact of the pandemic on parents. In the present research, we conducted a web-based survey of Italian parents to examine the prevalence of parenting-related exhaustion-and to identify its associated risk and protective factors-4 weeks into the lockdown. METHODS: A total of 1,226 parents provided their consent to participate in the study and completed a demographic questionnaire, information relating to particular COVID-19 experiences, and measures of emotional exhaustion, parental resilience, social connections, and psychological distress during the lockdown. RESULTS: Seventeen percent of our sample experienced significant parenting-related exhaustion, with mothers more severely affected. Multiple regression analyses showed that greater parenting-related exhaustion was predicted by psychological distress, lower parental resilience, motherhood, fewer perceived social connections, and being single, as well as having a child with special needs, having a large number of children, and having younger children. CONCLUSION: The findings add further support to the call for preventive programs to support parents throughout the COVID-19 pandemic. Mental health professionals and social workers should be warned of the effects of lockdown and social distancing on parenting and, consequently, the well-being of children.


Assuntos
Betacoronavirus , Esgotamento Psicológico/epidemiologia , Infecções por Coronavirus/psicologia , Poder Familiar/psicologia , Pais/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Adulto , Esgotamento Psicológico/psicologia , Criança , Infecções por Coronavirus/prevenção & controle , Feminino , Humanos , Itália/epidemiologia , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Inquéritos e Questionários
13.
Rev. neurol. (Ed. impr.) ; 71(8): 285-291, 16 oct., 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-194287

RESUMO

INTRODUCCIÓN: Los niños con trastorno del espectro autista (TEA) a menudo experimentan el cambio de rutinas como un desafío importante. La necesidad de adaptación durante la pandemia por la COVID-19 puede haber causado problemas a estos niños. OBJETIVO: Conocer cómo vivieron los niños con TEA y sus familias el aislamiento social durante la cuarentena. Sujetos y métodos. Se realizó un estudio observacional, transversal y analítico. Se aplicó un cuestionario anónimo que incluía las características demográficas y clínicas de los niños, junto con el impacto que tuvo la pandemia en diferentes aspectos de la vida diaria de las familias. RESULTADOS: De los 99 cuestionarios obtenidos, 43 eran niños con TEA y 56 niños del grupo control. Los niños con TEA tuvieron predominantemente cambios en el comportamiento, a diferencia de los del grupo control. La mayoría de los niños con TEA tuvo un impacto negativo en el manejo de las emociones frente a los del grupo control, que expresaron un impacto mayoritariamente positivo/nulo. Los cuidadores puntuaron niveles de ansiedad más altos en ellos mismos que en sus hijos. Los niños con TEA y sus padres tenían niveles más altos de ansiedad que los controles. En el grupo con TEA, los niños que no mantuvieron las rutinas tuvieron niveles de ansiedad más altos. CONCLUSIÓN: Los resultados muestran un potencial impacto psicológico de la pandemia de la COVID-19 no sólo en los niños con trastornos del neurodesarrollo, sino también en sus cuidadores. Debe estarse preparado para la vigilancia de los trastornos mentales en las familias tras la pandemia de la COVID-19


INTRODUCTION. Children with autism spectrum disorder (ASD) often experience changing routines as a major challenge. For that reason, the need for adaptation during COVID-19 pandemic may have brought major problems to families with children with this pathology. AIM. To explore how children with ASD and their parents experienced the social isolation during COVID-19 outbreak period. SUBJECTS AND METHODS. We conducted an observational, cross-sectional and analytical study. We applied an anonymous questionnaire that included children’s demographic and clinical characteristics, along with the impact of the COVID-19 outbreak in different aspects of family’s daily life. RESULTS. Out of 99 questionnaires obtained, 43 were related to children with ASD and 56 to control group. Children with ASD predominantly had changes in behavior, while children from control group mostly found no changes. The majority of parents of ASD children reported a negative impact in emotion management against those in control group reporting mostly positive or no impact. Caregivers reported higher mean scores of anxiety levels in themselves than in their children. ASD children and their parents had higher levels of anxiety than healthy ones. In the group with ASD, children that did not maintain routines had higher mean levels of anxiety than children that maintained routines. CONCLUSION. Our results show a potential important psychological impact of the COVID-19 pandemic not only in children with neurodevelopmental disorders but in their caregivers as well. Physicians must be prepared for the post-pandemic surveillance of mental disorders among families


Assuntos
Humanos , Masculino , Feminino , Criança , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Pandemias , Transtorno do Espectro Autista/psicologia , Inquéritos e Questionários , Estresse Psicológico/etiologia , Quarentena/psicologia , Pais/psicologia , Emoções , Estudos Transversais , Cuidadores/psicologia , Adaptação Psicológica , Ansiedade/psicologia
14.
Psychiatr Danub ; 32(Suppl 3): 337-342, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33030448

RESUMO

INTRODUCTION: Child neglect is one of the most prevalent forms of child abuse. Neglect can be defined as a lack of sufficient attention, responsibility and protection that matches the age and needs of the child. There is no theory that fully explains why neglect of children happens. Three different causal models of neglect are given: parental deficit model, ecological deficit model and ecological-transaction model. Exposure to neglect in childhood may have a negative impact on the development of the child and cause short-term and long-term health, emotional, cognitive, academic and social difficulties. The aim of this paper was to provide a comprehensive theoretical overview of neglect of children causes and consequences. METHODS: In this paper, we used review articles and meta-analyzes about child neglect causes and consequences published on Medline. RESULTS: Child neglect has a relatively high prevalence rate compared to other types of child abuse. Several studies suggest that the impact of neglect on the health and development of the child is just as negative as the impact of other types of abuse. Children who experience neglect in early childhood are more likely to have health, cognitive, emotional and social consequences in later life. A significant number of studies suggest the existence of a link between child neglect and risk factors related to parents, the child and the environment. CONCLUSIONS: Child neglect is determined by multiple risk areas and is considered as the result of a complex interaction of risk factors present in children and in their care environment. Neglect may have long-term consequences for all aspects of the health and functioning of the child.


Assuntos
Maus-Tratos Infantis/psicologia , Criança , Humanos , Metanálise como Assunto , Pais/psicologia , Prevalência , Literatura de Revisão como Assunto , Medição de Risco , Fatores de Risco
15.
Psychiatr Danub ; 32(Suppl 3): 346-348, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33030450

RESUMO

The scientific and clinical interest in children with mentally ill parents increased in the last years. Those children belong to a high risk population so that prevention is urgently indicated. Due to genetic influences and partly to an impairment of the parent-child interaction because of the parent's illness there exists a higher risk for child abuse. They show a three to five time increased risk to develop mental problems which require treatment over the course of their lives. They show abnormalities in social, cognitive and emotional areas. Untreated mental disorders and associated behavioral problems in children often chronify and lead to permanent impairment of the emotional, social and also intellectual development. Early detection and treatment are indicated and of high relevance.


Assuntos
Filho de Pais Incapacitados/psicologia , Pessoas Mentalmente Doentes/psicologia , Pais/psicologia , Criança , Humanos , Modelos Psicológicos , Relações Pais-Filho , Fatores de Risco
16.
Psychiatr Danub ; 32(Suppl 3): 353-359, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33030452

RESUMO

Divorce is a life event with a high level of stress for the entire family. Research shows that the number of divorces is on a steady rise. Family is very important for development of the children and changes within the family, after the divorce, could make consequences on them. Children are dependent on parents and disadvantaged during divorce because it is out of their control. They cannot predict how long will it take and what will be the outcome of divorce which includes separation from close family members, school change, change of home, change of life style and so on. Children often lack information and skills to overcome the challenges that the divorce carries. Conflicting relationships between parents make up the biggest obstacle that makes it difficult for a child to successfully deal with changes in the family. Even though parents deal with heavy feelings, it is desirable to put them the child and his interests in the first place. In order to stabilize the family system it is needed 2 up to 4 years. Children differ from one another in the reactions to the divorce, but there are some emotional reactions that are characteristic for most children of divorced parents, and the most often children reactions are of depressive symptoms, anxiety, anger, lower self-esteem and so on. The emotional reactions of children during the divorce can vary relative to the gender and age of the child. However, the divorce of a parent does not necessarily have to be so negative for children, especially if parents behave in an adequate way and they endeavor to act in such a way to make this process as painless as possible for children.


Assuntos
Divórcio/psicologia , Psicologia da Criança , Autoimagem , Adolescente , Transtornos de Ansiedade/prevenção & controle , Transtornos de Ansiedade/psicologia , Depressão/prevenção & controle , Depressão/psicologia , Feminino , Humanos , Masculino , Pais/psicologia
17.
PLoS One ; 15(10): e0240962, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33064778

RESUMO

Due to the COVID- 19 outbreak in the Netherlands (March 2020) and the associated social distancing measures, families were enforced to stay at home as much as possible. Adolescents and their families may be particularly affected by this enforced proximity, as adolescents strive to become more independent. Yet, whether these measures impact emotional well-being in families with adolescents has not been examined. In this ecological momentary assessment study, we investigated if the COVID-19 pandemic affected positive and negative affect of parents and adolescents and parenting behaviors (warmth and criticism). Additionally, we examined possible explanations for the hypothesized changes in affect and parenting. To do so, we compared daily reports on affect and parenting that were gathered during two periods of 14 consecutive days, once before the COVID-19 pandemic (2018-2019) and once during the COVID-19 pandemic. Multilevel analyses showed that only parents' negative affect increased as compared to the period before the pandemic, whereas this was not the case for adolescents' negative affect, positive affect and parenting behaviors (from both the adolescent and parent perspective). In general, intolerance of uncertainty was linked to adolescents' and parents' negative affect and adolescents' positive affect. However, Intolerance of uncertainty, nor any pandemic related characteristics (i.e. living surface, income, relatives with COVID-19, hours of working at home, helping children with school and contact with COVID-19 patients at work) were linked to the increase of parents' negative affect during COVID-19. It can be concluded that on average, our sample (consisting of relatively healthy parents and adolescents) seems to deal fairly well with the circumstances. The substantial heterogeneity in the data however, also suggest that whether or not parents and adolescents experience (emotional) problems can vary from household to household. Implications for researchers, mental health care professionals and policy makers are discussed.


Assuntos
Comportamento do Adolescente/psicologia , Betacoronavirus , Bem-Estar da Criança/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Comportamento Materno/psicologia , Poder Familiar/psicologia , Pais/psicologia , Comportamento Paterno/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Adolescente , Adulto , Afeto , Infecções por Coronavirus/virologia , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Saúde Mental , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Pandemias , Pneumonia Viral/virologia , Inquéritos e Questionários , Incerteza
18.
Rev Neurol ; 71(8): 285-291, 2020 10 16.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33034366

RESUMO

INTRODUCTION: Children with autism spectrum disorder (ASD) often experience changing routines as a major challenge. For that reason, the need for adaptation during COVID-19 pandemic may have brought major problems to families with children with this pathology. AIM: To explore how children with ASD and their parents experienced the social isolation during COVID-19 outbreak period. SUBJECTS AND METHODS: We conducted an observational, cross-sectional and analytical study. We applied an anonymous questionnaire that included children's demographic and clinical characteristics, along with the impact of the COVID-19 outbreak in different aspects of family's daily life. RESULTS: Out of 99 questionnaires obtained, 43 were related to children with ASD and 56 to control group. Children with ASD predominantly had changes in behavior, while children from control group mostly found no changes. The majority of parents of ASD children reported a negative impact in emotion management against those in control group reporting mostly positive or no impact. Caregivers reported higher mean scores of anxiety levels in themselves than in their children. ASD children and their parents had higher levels of anxiety than healthy ones. In the group with ASD, children that did not maintain routines had higher mean levels of anxiety than children that maintained routines. CONCLUSION: Our results show a potential important psychological impact of the COVID-19 pandemic not only in children with neurodevelopmental disorders but in their caregivers as well. Physicians must be prepared for the post-pandemic surveillance of mental disorders among families.


Assuntos
Transtorno do Espectro Autista/psicologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/psicologia , Adaptação Psicológica , Adolescente , Ansiedade/etiologia , Cuidadores/psicologia , Criança , Estudos Transversais , Emoções , Feminino , Humanos , Aprendizagem , Masculino , Pais/psicologia , Quarentena/psicologia , Estresse Psicológico/etiologia , Inquéritos e Questionários
19.
Am J Perinatol ; 37(12): 1283-1288, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32911555

RESUMO

The novel coronavirus disease 2019 (COVID-19) pandemic is affecting care for high-risk newborns in ways that will likely be sustained beyond the initial pandemic response. These novel challenges present an urgent imperative to understand how COVID-19 impacts parent, family, and infant outcomes. We highlight three areas that warrant targeted attention: (1) inpatient care: visitation policies, developmental care, and communication practices; (2) outpatient care: high-risk infant follow-up and early intervention programs; and (3) parent psychosocial distress: mental health, social support, and financial toxicity. Changes to care delivery in these areas provide an opportunity to identify and implement novel strategies to provide family-centered care during COVID-19 and beyond. KEY POINTS: · The COVID-19 pandemic is influencing care delivery for high-risk newborns and their families.. · Rapid changes to care delivery are likely to be sustained beyond the initial pandemic response.. · We have an urgent imperative to understand how COVID-19 impacts infant, parent, and family outcomes..


Assuntos
Assistência Ambulatorial , Comunicação , Infecções por Coronavirus , Efeitos Psicossociais da Doença , Assistência à Saúde/métodos , Hospitalização , Pandemias , Pais/psicologia , Assistência Perinatal , Pneumonia Viral , Betacoronavirus , Intervenção Educacional Precoce , Humanos , Lactente , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Saúde Mental , Política Organizacional , Pediatria , Relações Profissional-Família , Risco , Apoio Social , Telemedicina , Telefone , Comunicação por Videoconferência , Visitas a Pacientes
20.
PLoS One ; 15(9): e0238180, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32960893

RESUMO

The majority of existing studies find that Chinese residents would like to send children to study abroad for higher education quality and multiple opportunities. Previous studies have paid little attention to the association of this issue with environmental degradation in recent years. Merging data on adults from the China Family Panel Studies (CFPS) in 2016 with data on children, this paper investigates the effect of environmental concern on the educational level at which Chinese residents are willing to send children to study abroad based on the ordered logit model and Heckman Probit Model (HPM). The results show that environmental concern predicted a positive attitude toward a willingness to send children to study abroad at a decreased schooling level after concerns about the Chinese education system and educational expectations for children and other sociodemographic factors were controlled for. The marginal effects of environmental concern on expectations of sending children to study abroad at different educational levels showed that increasing environmental concern leads to the probability of residents considering sending children to study abroad during junior college or below increasing, while it leads to the probability of residents considering sending their children to study abroad during undergraduate or higher education decreasing. The HPM further verified that environmental concern had a positive effect on residents' willingness of sending their children to study during junior college or below. The study offers an important early step in the empirical testing of the relationship between Chinese residents' environmental concern and the educational level at which they would consider sending children to study abroad.


Assuntos
Meio Ambiente , Internacionalidade , Motivação , Pais/psicologia , Universidades , Adolescente , Adulto , Criança , China , Poluição Ambiental , Feminino , Humanos , Masculino , Inquéritos e Questionários
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