Social support in high-risk adolescents: Structural components and adaptive impact

1982 ◽  
Vol 10 (4) ◽  
pp. 417-428 ◽  
Author(s):  
Ana M. Cauce ◽  
Robert D. Felner ◽  
Judith Primavera
2021 ◽  
Author(s):  
John K. Kellerman ◽  
Alexander Millner ◽  
Victoria W. Joyce ◽  
Carol C. Nash ◽  
Ralph Buonopane ◽  
...  

Objective: Cross-sectional studies and prospective studies with long follow-up periods (e.g., years) have shown that lower levels of social support are associated with nonsuicidal self-injury (NSSI) among adolescents. This study examined how short-term changes in social support may contribute to NSSI behavior and whether different sources of support (e.g., friends, family members) provide differential protective effects against NSSI. Methods: We examined fluctuations in NSSI and social support perceived from multiple sources among a sample of 118 high-risk adolescents hospitalized for serious self-harm risk. Participants provided daily reports of social support and any self-injurious behavior for the duration of their inpatient treatment (721 total observations, average observations per participant = 6.11). Multi-level models were used to assess variability in social support and how these fluctuations relate to whether or not an individual engages in NSSI. Results: Over one-third of participants reported engaging in NSSI at least once during inpatient hospitalization and self-reported social support varied considerably within-person across sources of support. Support perceived from family members and inpatient unit staff was inversely associated with NSSI, but no relationship was found between NSSI and support from other patients on the unit or friends outside of the unit. Conclusions: These findings suggest that the protective effects of social support for NSSI vary over short periods of time and that support perceived from adults is particularly relevant among this high-risk clinical sample. This study represents an important step in identifying risk factors to improve the detection and prevention of NSSI among adolescent inpatients.


2019 ◽  
Vol 273 ◽  
pp. 296-302 ◽  
Author(s):  
Zhuo-Hui Huang ◽  
Cai-Lan Hou ◽  
Ying-Hua Huang ◽  
Xiao-Yan He ◽  
Qian-Wen Wang ◽  
...  

Author(s):  
Elizabeth Fountaine ◽  
Patricia Rogers ◽  
Lynn Liu

A majority of women with epilepsy (WWE) will have a normal pregnancy and labor course. The postpartum period is a high risk time for WWE, which is less commonly addressed and arguable more important to discuss and plan for. The best way to have an uneventful labor and postpartum course is to make a care map before a WWE becomes pregnant. Providers should plan comprehensive epilepsy treatment not only during a pregnancy but also for the postpartum period including anticipated changes in AED dosing, breastfeeding discussions, and anticipation of the importance of social support. This includes providing ideas and suggestions to WWE about how to best care for themselves and keep their infant safe in the setting of a possible seizure. This chapter will discuss some of the challenges WWE face in the postpartum period and necessary considerations to ensure a safe and healthy transition to parenthood.


2020 ◽  
Vol 11 ◽  
Author(s):  
Xin-yi Li ◽  
Jin Wang ◽  
Rui-xian Zhang ◽  
Luhua Chen ◽  
Colin K. He ◽  
...  

Background: Coronavirus Disease 2019 (COVID-19) caused by a novel strain of coronavirus (SARS-CoV-2) posed a major threat to public health. Anesthesiologists and operating room (OR) nurses are at high risk of occupational exposure to SARS-CoV-2 and developing COVID-19. We conducted a single-center survey to investigate the psychological status and perceived social support among operation room (OR) medical staffs during the outbreak of Coronavirus Disease 2019 (COVID-19).Methods: A total of 197 OR medical staffs were enrolled in the survey. The authors performed a cohort study during the period of Wuhan lockdown and then conducted a longitudinal follow-up after lifting of lockdown. The Patient Health Questionaire-9 (PHQ-9) was used to assess for depression and Generalized Anxiety Disorder-7 (GAD-7) for anxiety. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess perceived social support. We compared the psychological status of OR medical staffs before and after lifting of Wuhan lockdown.Results: During the period of city lockdown, 177 (89.8%) had close contact with confirmed COVID-19 cases. The prevalence of depression and anxiety in OR medical staffs was 41.6 and 43.1% under Wuhan lockdown, while 13.2 and 15.7% after lifting of lockdown (P = 0.002, P = 0.004). Logistic regression analysis showed that being female, living in suburb areas, shortage of protective equipment and close contact with COVID-19 patients were associated with a higher risk of depression and anxiety. Perceived social support was negatively correlated with depression and anxiety severity in the OR medical staffs (P < 0.05).Conclusions: OR medical staffs exhibited high incidence of anxiety and depression faced with the high risk of exposure to COVID-19 patients. More social support and social recognition for anesthesiologists and OR nurses might potentially help them relieve their psychological pressure.


2011 ◽  
Vol 26 (S1) ◽  
pp. s18-s18
Author(s):  
J.K. Christy

Integration of Psycho-social Social Support and Mental Health Services in to National Disaster Management Guidelines India is vulnerable, in varying degrees, to a large number of natural as well as man-made disasters and also a high risk country for disasters due to expanding population, urbanization and industrialisation, development within high-risk zones, environmental degradation and climate changes. The creation of National Disaster Management Authority (NDMA) in 2005, as the apex body for disaster management, has brought out a paradigm shift in the area of disaster management. One of the important mandate of NDMA is to issue National Disaster Management Guidelines (NDMG) to the ministries/ departments to assist them to formulate their respective Disaster Management (DM) plans. In this direction NDMA has issued number of NDMG on different themes to provide basis of preparation of DM plans at different levels. There are policies & guidelines on Psycho-social Support and Mental Health Services (PSSMHS) in disasters at the international level in the form of Inter Agency Standing Committee guidelines (IASC) which advocates PSSMHS in disasters. In India there was no such policy which streamlines the Psycho-social Support and Mental Health Services in Disasters. During preparation of various National Disaster Management Guidelines, one remarkable factor noticed was the need for psycho-social care, subsequently preparation of NDMG on Medical Preparedness and Mass Causality Management brought out an overwhelming consensus to formulate a separate NDMG for PSSMHS. In order to translate the critical need for psycho-social care and support into guidelines, NDMA adopted a mission-mode approach for integrating PSSMHS in disaster response by involving participatory and multi step methodology to formulate NDMG on Psycho-social Support and Mental Health Services in Disasters.


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