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1.
Parents seldom seek help directly for infant mental health problems. Parents enter the health care system seeking advice for identified or presumed biological problems in their infants. Many of these biological problems, however, have major psychosocial components of importance to infant mental health. It is important that physicians deal directly with the psychosocial issues and avoid converting them into biological medical problems unintentionally. Three common types of problems and appropriate methods of management are discussed to ensure special recognition and effective handling by the physician of psychosocial problems and the promotion of mental health. The problems discussed are the following: Infants seen with defined medical conditions that generally have associated psychosocial problems including child abuse. Infants seen who have fully recovered from critical illnesses but are considered "at risk" for later developmental disability. Infants seen with normal variations of behavior that are misinterpreted by their parents or physicians as due to a medical problem. In infancy medical and psychosocial issues are so closely interwoven that it is critical that physicians learn to recognize the major psychosocial consequences of primary medical problems and the medical manifestations of primary psychosocial problems and their management.  相似文献   

2.
BackgroundChildren exposed to substance use in their families are vulnerable to multiple risk factors in their development and at increased risk for emotional and behavioral problems. The aims of the study were as follows 1) estimate the prevalence of emotional and behavioral problems among children aged 6–11 years old, living with addicted family members in a low-income urban community of São Paulo, Southeastern Brazil; 2) evaluate the children’s exposure to family psychosocial stressors and substance use; and 3) investigate the factors related to the increased risk of emotional and behavioral problems and substance use.MethodsA cross-sectional study was conducted among 101 children aged 6–11 years old (M = 9.16 years, SD = 1.61). The instruments used were a sociodemographic questionnaire, the Child Behavior Checklist (CBCL) and the Psychosocial Stress Factors (PSF).ResultsHigh prevalence of problems was found for this sample: the CBCL showed 26.7% of clinical scores for Internalizing Problems, 40.6% for Externalizing Problems, and 40.6% for Total Problems. Exposure to family psychosocial stressors was also high, including severe disease (33%), physical aggression (28.9%), death (27.8%), psychiatric hospitalization (16.7%), suicide attempts (15.5%), and suicide (9.3%). Exposure to these family stressors was associated with an increase of two to four times in the prevalence of internalizing and externalizing problems.ConclusionsChildren exposed to substance abusers have more mental health problems than general population, even when compared to peers living in similar low-income areas. This is a group that should be target of a selective preventive intervention.  相似文献   

3.
The study examined perceived causes of mental health problems and professional help-seeking behavior among university students in Ethiopia. Data were collected from 370 students from four randomly selected colleges. The results revealed that the majority of the participants were able to recognize major mental health problems such as schizophrenia and major depressive disorder. They attributed mental health problems to psychosocial and biomedical factors and most of the participants had positive attitudes toward seeking professional psychological help.  相似文献   

4.
湖南城乡中学生心理健康状况的调查与比较   总被引：3，自引：0，他引：3  
根据深入开展城乡中学生的心理健康教育的需要,调查湖南城乡中学生的心理健康状况。运用SCL—90量表随机对1570名中学生进行团体施测。结果表明城乡中学生心理问题的总检出率为10.56%,其中严重心理问题学生有3.69%。比较显示,农村与城区中学生心理健康状况中心理问题的总检出率无显著差异,但城乡中学生各年级间心理存在显著差异,农村中学生中心理问题的高发期是初一和高一,而城区中学生中心理问题的高发期是初三和高二。城乡中学生的心理健康状况既不容乐观,也不宜悲观。各因子分中,农村中学生人际关系敏感和敌对两因子显著高于城区中学生,抑郁和精神病性两因子也显著高于城区中学生。与全国中学生常模比较,湖南城乡中学生各因子分明显低于常模,心理健康整体状况高于全国中学生心理健康平均水平。与全国青年常模比较,湖南城乡中学生各因子分明显高于常模,心理健康整体状况低于全国青年心理健康平均水平。  相似文献   

5.
《Child abuse & neglect》2014,38(12):1955-1965
Evidence on the relationship of adolescent exposure to violence (AEV) with adult physical and mental health problems is limited, with studies often focusing on earlier childhood rather than adolescence, and also on short term rather than long term outcomes. Information specifically on the relationship of AEV to seeking help for mental health problems in adulthood from either formal sources such as mental health professionals or informal sources such as friends and clergy is even more difficult to find. The present study investigates how adolescent exposure to violence (AEV), in the form of parental physical abuse, witnessing parental violence, and exposure to violence in the neighborhood, are related to self-reported adult physical problems and seeking formal or informal assistance with mental health, controlling for more general adolescent violent victimization and for self-reports and parent reports of mental health problems in adolescence. This study adds to the literature on AEV and adult physical problems, and provides a rare look at the relationship of AEV to adult help-seeking for mental health problems. The results suggest that AEV is associated with mental health problems in adolescence for both females and males, that for females AEV is related to physical problems and to seeking help for mental health problems in adulthood, but for males the only significant relationship involves inconsistent reports of witnessing parental violence and adult physical problems.  相似文献   

6.
BackgroundChildren in out-of-home care are consistently found to have poor mental health compared to children in the general population. However, UK research has so far failed to disentangle the impact of the care system on children’s mental health outcomes from the effects of the adverse circumstances that led to their admission to care.ObjectiveThis research investigated the association between care placement and the presence of child mental health problems after controlling for children’s pre-care experiences. It also identified factors associated with mental health problems among children in care.Participants and SettingThe sample comprised three groups of children involved with child welfare services due to maltreatment, including children in out-of-home care (n = 122), reunified children (n = 82) and those who had never been in care (n = 159).MethodsThe mental health of the children in the three groups was compared, using information collected from their parents/foster carers and social workers.ResultsThe odds of a child in out-of-home care having a mental health problem were not significantly higher than those of a child who had never been in care (AOR = 1.24; p = 0.462). However, the odds of a child in out-of-home care having reactive attachment disorder (RAD) were significantly higher than those of a child who had never been in care (AOR=1.92; p = 0.032).ConclusionsThese findings make an important contribution to international debates about whether placing children in care is beneficial or detrimental to their wellbeing, and highlight a range of inter-linking factors associated with the mental health of children in out-of-home care.  相似文献   

7.
采用问卷调查法,对400名高考学生的心理健康与应对方式的特点及其关系进行考察。结果表明:(1)高考学生在强迫、焦虑、学习压力感、适应不良和情绪波动性5个因子上都普遍存在轻度的心理健康问题,且应届生学习压力显著大于复读生;(2)对于应届高考学生来说,男生的学习压力显著高于女生;对于复读生来说,男生的心理不平衡显著高于女生;(3)在压抑维度上,应届生和复读生存在显著差异,复读生高于应届生;(4)高考学生的心理健康与消极应对方式呈显著正相关。  相似文献   

8.
Individuals with disabilities encounter practical and social problems beyond those experienced by nondisabled individuals. This extra burden may in turn increase the risk of developing mental health problems. The objective of this article is to disclose the mental health situation among deaf individuals compared to a control sample of hearing individuals. The analyses are based on two separate Norwegian postal surveys, one among the general population (1995-1997) and one among the deaf population (2001). A shortened version of the Hopkins Symptom Checklist was used to disclose the degree of mental distress among the respondents. Three questions common to the studies were analyzed to determine differences between the two groups. Analyses revealed that the deaf respondents showed significantly more symptoms of mental health problems than the hearing respondents. The results point to the need for focussing more attention on the mental health of deaf children and adults. Society must be made aware of the special risks that deaf children and adults encounter with respect to mental health.  相似文献   

9.
采用整群抽样的方法对福建某大学2011-2018年入学的共计33658名新生,使用症状自评量表SCL-90进行调查,分别比较不同性别、学科学生之间心理健康水平的差异,并与全国大学新生常模对比。结果显示,82.7%学生心理健康,16.7%新生存在不同程度的心理问题。男生在敌对、恐怖、偏执因子上显著高于女生(P均<0.05),女生在躯体化等六个因子与总均分上(P均<0.01)显著高于男生。文史类新生除了人际关系敏感、焦虑因子、其他因子外,其余均显著高于经管类新生,而经管类新生在躯体化、抑郁、焦虑、恐怖、其他和总均分上显著高于理工类新生(P均<0.05)。与1997-2007年全国大学新生常模相比,除精神病性症状因子,其余均显著低于常模(P均<0.001)。而情绪压力问题、人际关系和学习问题是历年新生咨询求助的主要类型。可见,近年来大学新生心理健康水平整体较好,与全国大学新生常模相比,心理健康水平有所提升,但在性别、专业上存在显著差异。  相似文献   

10.
We compared parent-reported problems and competencies for national samples of 2,600 4-16-year-olds assessed at intake into mental health services and 2,600 demographically matched nonreferred children assessed in a home interview survey. Parents responded to the ACQ Behavior Checklist, which includes 23 competence items, three competence scales, 216 problem items, eight syndrome scales, Internalizing, Externalizing, and total competence and problem scores. Most items and scales discriminated significantly (p less than .01) between referred and nonreferred samples. There were important sex and age differences in problem patterns, but regional and ethnic differences were minimal. Somewhat more problems and fewer competencies were reported for lower- than upper-socioeconomic-status children. Referral rates were similar in the most urban and rural areas, but they were significantly higher in areas of intermediate urbanization. Correlations of problem scores with those obtained 10 years earlier in a regional survey and with surveys in other countries showed considerable consistency in the rank order of prevalence rates among specific problems. Apparently owing to its more differentiated response scales, the ACQ was susceptible to respondent characteristics that reduced its discriminative power below that of the Child Behavior Checklist. Comparisons of procedures for discriminating between the normal and the clinical range supported the value of a borderline category for children who are neither clearly normal nor clearly deviant. Interview data from the survey sample yielded significantly higher ACQ problem scores for children who had fewer related adults in their homes, those who had more unrelated adults in their homes, those whose biological parents were unmarried, separated, or divorced, those whose families received public assistance, and those whose household or family members had received mental health services. Children who scored higher on Externalizing than Internalizing problems tended to have unmarried, separated, or divorced parents and to come from families receiving public assistance. However, among children whose household or family members had received mental health services, there were greater proportions of both Externalizing and Internalizing patterns than among other children.  相似文献   

11.
The prevalence OF mental health problems among youth with hearing loss was assessed with an adjusted version of the Dutch rendition of the Youth Self Report, or YSR (Achenbach, 1991). The sample totaled 202 youth, aged 11-18 years, with auditory disabilities. The prevalence rates of externalizing problems, internalizing problems, and moderate to severe overall mental health problems were found to be 2-3 times higher than in a normative sample. Deaf participants scored significantly higher than hard of hearing participants in these areas. Main-streamed participants scored significantly lower than peers in schools for the deaf or for the hard of hearing. Participants with low IQ scores showed significantly more internalizing and social problems than those with moderate to high scores. The adjusted YSR is recommended for screening in schools and in mental health services for youth with hearing loss for prevention and early intervention.  相似文献   

12.
Mental health problems are common in war-affected areas, but children have different levels of vulnerability. Based on ecological theory (Bronfenbrenner, 2005), this study analyses how factors related to the child (cognitive capacity), their family (parental depression and parenting styles), and their school (teachers’ practices and peer relations) mediate the association between traumatic stress (traumatic war experiences and stressful life-events) and child mental health (posttraumatic stress and psychological distress symptoms). The participants were 303 Palestinian children (51.2% girls) of 10–13 years (M = 10.94 ± 0.50) and their parents from the Gaza Strip. The children filled in questionnaires during school classes and the parents did so at their homes. The results of structural equation modeling substantiated the hypothesis that parental depression, poor parenting and low-quality peer relations mediated between traumatic stress and children’s mental health problems. Contrary to the hypothesis, child-related factors did not mediate that association. To conclude, parents and peers provide important age-salient social resources for children in war conditions, and psychosocial interventions should therefore enhance their beneficial functions.  相似文献   

13.
Little is known about demographic, deafness-related, and diagnostic characteristics of deaf and partially hearing people with psychosocial or psychiatric problems. A study was conducted derived from data from intake assessment interviews of people with hearing loss treated at a Dutch ambulatory mental health center for the deaf between 1987 and 1999. Both sexes were equally represented. People who were postlingually deaf, hard of hearing, below age 22 years, or above age 65 years were less likely to ask for help than other groups in the study. Men presented more psychiatric disorders, and women more psychosocial problems, especially partially hearing women. The authors recommend stronger emphasis on mental health care for postlingually deaf people, severely hard of hearing people, adolescents, and retirement-age people. They also recommend development of skills for rational and emotional self-expression in the education and rearing of children with hearing loss.  相似文献   

14.
BackgroundThe Scottish Child Abuse Inquiry (SCAI) commissioned the research project to document the outcomes of institutional abuse in long-term child care in Scotland.ObjectiveTo profile the experiences of survivors abused in long-term child care in Scotland, and to develop a model which linked maltreatment, risk and protective factors, and outcomes.Participants and Setting225 survivors of historical institutional abuse in Scotland, who made witness statements to SCAI.MethodsData were extracted from witness statements using a coding frame developed through a thematic analysis of a subsample of 52 statements.ResultsSurvivors had been in care in predominantly Catholic and non-religious residential institutions in Scotland for an average of 8 years, having entered at an average age of 6.8 years. They had suffered multiple forms of maltreatment. Maltreatment rates were: physical abuse, 95.6%; emotional abuse, 85.3%; sexual abuse, 60.4%; emotional neglect, 51.1%; and physical neglect, 37.3%. Across the lifespan survivors had negative outcomes in psychosocial adjustment (96%), mental health (84%), and physical health (43%). The effect of maltreatment in care on psychosocial problems was mediated by both risk and protective factors; and on mental health was mediated by risk factors, but not protective factors. Maltreatment in care had a direct effect on physical health which was not mediated by risk or protective factors. The effects of the cumulative number of risk factors on adverse mental health and psychosocial outcomes was greater than that of maltreatment, and protective factors had a limited impact on adverse outcomes.ConclusionsEvidence-based child protection policies and practices should be implemented to prevent institutional abuse and treat child abuse survivors in Scotland.  相似文献   

15.
采用量表法对100名少年犯的心理健康状况进行了测查。结果表明，少年犯的心理健康水平要远远低于同龄人，但真正有心理问题的人数只占7．4％。从各因子的检出率来看，敌对因子的检出率最高，恐怖因子的检出率最低。在其影响因素上，少年犯的心理健康状况在家庭结构上表现出显著性的差异，离异家庭少年犯的强迫、敌对症状要高于单亲家庭和双亲家庭。  相似文献   

16.
This study sought to investigate the predictive relationship that dimensions of attachment shared with an array of indicators of psychosocial well-being and mental health in a sample of students making the transition to higher education. One hundred and thirty-one students completed the Vulnerable Attachment Styles Questionnaire (VASQ) prior to enrolment in their first semester of university education. Subsequently, the students completed measures related to perceived loneliness, institutional integration, psychological need satisfaction, depressive symptoms and ways of coping during their first semester. Results suggested that higher scores in relation to the insecurity dimension of the VASQ were instrumental in predicting negative psychosocial well-being and mental health. The results discussed the key vulnerability dimensions of attachment when seeking to predict indices of psychosocial well-being and mental health.  相似文献   

17.
The objective of this article is to investigate how psychosocial difficulties, functional level and school factors affect social security dependence among former students with special needs (N = 373). These individuals have been followed prospectively from their teens and into their late twenties. The study is theoretically inspired by life-course perspectives, with emphases on transitions, linked lives, geographical and historical location and human agency. More than one-third of the study participants are dependent on social security. The logistic regression analyses show how each of the seven independent variables – while simultaneously controlling for the other covariates – impacts adult adaptation to social security. Women have almost a threefold higher risk of social security dependence than men. The covariates affect males and females differently. For men, the risk is especially high if they have psychosocial problems, are supported by teaching assistants in class or experienced delayed educational transitions. For women, the risk is elevated if their functional level is low or school results are poor.  相似文献   

18.
Although the association between adverse childhood experiences (ACEs) and adult mental health is becoming well established, less is known about the complex and multiple pathways through which ACEs exert their influence. Growing evidence suggests that adversity early in life conveys not only early impacts, but also augments risk of stress-related life course cascades that continue to undermine health. The present study aims to test pathways of stress proliferation and stress embodiment processes linking ACEs to mental health impairment in adulthood. Data are from the 2011 Behavioral Risk Factor Surveillance Survey, a representative sample of Washington State adults ages 18 and over (N = 14,001). Structural equation modeling allowed for testing of direct and indirect effects from ACEs though low income status, experiences of adversity in adulthood, and social support. The model demonstrated that adult low income, social support and adult adversity are in fact conduits through which ACEs exert their influence on mental health impairment in adulthood. Significant indirect pathways through these variables supported hypotheses that the effect of ACEs is carried through these variables. This is among the first models that demonstrates multiple stress-related life course pathways through which early life adversity compromises adult mental health. Discussion elaborates multiple service system opportunities for intervention in early and later life to interrupt direct and indirect pathways of ACE effects.  相似文献   

19.
Previous research has found links between older adults' future orientation—hope, optimism, and death anxiety—and their physical and mental health; however, these relationships may be confounded by other psychosocial variables such as locus of control and social support. The purpose of the present study was to isolate the effects of future orientation in order to determine which future orientation variable or variables predict physical and mental health among older adults. Older adults (n = 182) completed a survey. After controlling for the effects of sociodemographic and psychosocial variables, hope emerged as the sole predictor of both physical health and mental health. This indicates that hope is a reliable predictor of physical and mental health among older adults.  相似文献   

20.
OBJECTIVE: The objective of this study was to document the psychosocial adjustment of young refugees during their adolescence and its association with the war-related trauma experienced by their family before migration. METHOD: Data were collected on 57 young Khmer resettled in Montreal and followed from early to late adolescence. The associations between premigratory exposure to political violence and postmigratory mental health and social adjustment were estimated for early, mid-, and late adolescence. RESULTS: The associations between premigratory exposure to political violence and postmigratory psychosocial adjustment fluctuated over the adolescence period. Overall, the adolescents whose families were more highly exposed to political violence tended to report a more positive social adjustment and less mental health symptoms than those less exposed. CONCLUSION: The high expectations of Cambodian parents towards their children and the preservation of traditional values despite the Khmer rouge attempts to eradicate them might contribute to explain the paradoxical association between the families' exposure to political violence and the adolescents' psychosocial adjustment in the host country. Although children and adult refugees seen in clinical setting are reminders of the negative effects of adversity, resilience should be more systematically explored in community samples to further our understanding of the long-term effects of trauma.  相似文献   

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