scholarly journals Association of parental social network diversity with behaviour problems and resilience of offspring in a large population-based study of Japanese children

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e035100
Author(s):  
Yuna Koyama ◽  
Takeo Fujiwara ◽  
Aya Isumi ◽  
Satomi Doi

ObjectivesThe current study aimed to elucidate the impact of parental social network diversity on the behaviour problems and resilience of offspring.DesignWe used cross-sectional data from the Kochi Child Health Impact of Living Difficulty study in 2016.Setting and participantsParticipants were first, fifth and eighth grade children living in Kochi prefecture, Japan (N=9653). We calculated parental social network diversity by counting the number of people with whom parents connected on a daily basis (ie, structural social network diversity) and by assessing perceived psychosocial support (ie, functional social network diversity).Primary outcome measuresChild behaviour problems and resilience were respectively assessed using the Strengths and Difficulties Questionnaire (SDQ) and the Child’s Resilient Coping Scale (CRCS), as rated by caregivers.ResultsDiversity in parental structural and functional social networks showed an inverse association with SDQ total difficulties score (B=−0.16 (95% CI −0.25 to −0.07) and −0.20 (95% CI −0.27 to −0.13), respectively), and a positive association with prosocial behaviour score (B=0.11 (95% CI 0.08 to 0.15) and 0.09 (95% CI 0.06 to 0.12), respectively) and CRCS score (B=0.75 (95% CI 0.46 to 1.05) and 1.12 (95% CI 0.88 to 1.35), respectively) in the adjusted model. Parental mental health accounted for 36% and 43% of the total effects of structural and functional social network diversity respectively on the total difficulties score. For prosocial behaviour score, parental involvement accounted for 31% of the effects of functional social network diversity.ConclusionThe results shed light on new strategies to enhance child mental health that do not directly involve children but rather focus on parental social networking.

2021 ◽  
pp. 026921632110002
Author(s):  
Ping Guo ◽  
Sawsan Alajarmeh ◽  
Ghadeer Alarja ◽  
Waleed Alrjoub ◽  
Ayman Al-Essa ◽  
...  

Background: Although palliative care is now an essential health service under Universal Health Coverage, ensuring access and appropriate care for refugees is a specific challenge for this large population. Aim: To identify the needs and experiences of adult refugees in Jordan with advanced cancer and informal caregivers. Design: A qualitative study using semi-structured interviews. Setting/participants: Participants were purposively sampled at two Jordanian hospitals to achieve heterogeneity by age, gender, country of origin, and primary diagnosis. Results: Twenty-nine refugees (22 patients, 7 caregivers) participated, and four themes were generated: (1) Psychological distress and sustaining social support. Refugees often experienced unmet psychosocial needs. However, psychosocial support was reported either absent or limited. (2) Knowledge and uncertainty. Lack of information and poor communication between healthcare providers and patients caused significant distress due to uncertainty. (3) Family anxiety and support roles. Being away from the home country cut patients and caregivers off from their wider social support network, which added increased anxiety and responsibilities to caregivers. (4) Compounded trauma and poverty. Many refugees have experienced trauma related to war that may affect their physical and mental health. They faced serious financial crises caused by the rising cost of medicines and treatment. Conclusions: This study reveals the impact of fractured families and networks on social support in advanced cancer, and the compounding trauma of the disease for refugees. Detailed person-centred assessment and emphasis on psychosocial support is essential, and home-based care should not presume community support for patients to remain at home.


2003 ◽  
Vol 11 (2) ◽  
pp. 220-224 ◽  
Author(s):  
Monica Gilbert ◽  
Kathryn Miller ◽  
Lesley Berk ◽  
Velma Ho ◽  
David Castle

Objectives: The psychosocial needs of people with psychotic disorders are not being addressed adequately. The present paper outlines a proposed framework that will help to meet some of this deficit and deliver psychosocial treatments for these individuals, as part of routine clinical practice. Conclusions: The recent Australian study on low prevalence (psychotic) disorders found that, although most Australians (91%) with a psychotic illness were taking medication, few were receiving adequate psychosocial support from mental health services; fully 47% of these saw the need for a particular type of service that was not able to be accessed by them, either because of it simply not being available or not being affordable. The programme described herein will develop, evaluate and disseminate comprehensive modular treatment packages addressing the psychosocial needs of people with psychotic disorders. It is novel in terms of the comprehensiveness of the approach, the rigour of the evaluation (using a controlled experimental design), and the extent of intersectoral and multidisciplinary involvement in mapping needs, developing the interventions, and dissemination. The potential impact for mental health consumers with psychosis is enormous because currently there is no coherent and consistent approach to addressing their psychosocial needs. The impact for the scientific community will be great because there is currently very little by way of controlled trial data in this important area of activity.


2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Wietse A. Tol ◽  
Alastair Ager ◽  
Cecile Bizouerne ◽  
Richard Bryant ◽  
Rabih El Chammay ◽  
...  

Abstract Major knowledge gaps remain concerning the most effective ways to address mental health and psychosocial needs of populations affected by humanitarian crises. The Research for Health in Humanitarian Crisis (R2HC) program aims to strengthen humanitarian health practice and policy through research. As a significant portion of R2HC’s research has focused on mental health and psychosocial support interventions, the program has been interested in strengthening a community of practice in this field. Following a meeting between grantees, we set out to provide an overview of the R2HC portfolio, and draw lessons learned. In this paper, we discuss the mental health and psychosocial support-focused research projects funded by R2HC; review the implications of initial findings from this research portfolio; and highlight four remaining knowledge gaps in this field. Between 2014 and 2019, R2HC funded 18 academic-practitioner partnerships focused on mental health and psychosocial support, comprising 38% of the overall portfolio (18 of 48 projects) at a value of approximately 7.2 million GBP. All projects have focused on evaluating the impact of interventions. In line with consensus-based recommendations to consider a wide range of mental health and psychosocial needs in humanitarian settings, research projects have evaluated diverse interventions. Findings so far have both challenged and confirmed widely-held assumptions about the effectiveness of mental health and psychosocial interventions in humanitarian settings. They point to the importance of building effective, sustained, and diverse partnerships between scholars, humanitarian practitioners, and funders, to ensure long-term program improvements and appropriate evidence-informed decision making. Further research needs to fill knowledge gaps regarding how to: scale-up interventions that have been found to be effective (e.g., questions related to integration across sectors, adaptation of interventions across different contexts, and optimal care systems); address neglected mental health conditions and populations (e.g., elderly, people with disabilities, sexual minorities, people with severe, pre-existing mental disorders); build on available local resources and supports (e.g., how to build on traditional, religious healing and community-wide social support practices); and ensure equity, quality, fidelity, and sustainability for interventions in real-world contexts (e.g., answering questions about how interventions from controlled studies can be transferred to more representative humanitarian contexts).


BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e020180 ◽  
Author(s):  
Atonu Rabbani ◽  
Nabila Rahman Biju ◽  
Ashfique Rizwan ◽  
Malabika Sarker

ObjectivesTo test whether social ties play any roles in mitigating depression and anxiety, as well as in fostering mental health among young men living in a poor urban community.SettingA cohort of all young men living in an urban slum in Dhaka, the capital of Bangladesh.ParticipantsAll men aged 18–29 years (n=824) living in a low-income urban community at the time of the survey.Primary and secondary outcome measuresUnspecified psychological morbidity measured using the General Health Questionnaire, 12-item (GHQ-12), where lower scores suggest better mental status.ResultsThe GHQ scores (mean=9.2, SD=4.9) suggest a significant psychological morbidity among the respondents. However, each additional friend is associated with a 0.063 SD lower GHQ score (95% CI −0.106 to −0.021). Between centrality measuring the relative importance of the respondent within his social network is also associated with a 0.103 SD lower GHQ score (95% CI −0.155 to −0.051), as are other measures of social network ties. Among other factors, married respondents and recent migrants also report a better mental health status.ConclusionsOur results underscore the importance of social connection in providing a buffer against stress and anxiety through psychosocial support from one’s peers in a resource-constraint urban setting. Our findings also suggest incorporating a social network and community ties in designing mental health policies and interventions.


2021 ◽  
Vol 3 (3) ◽  
pp. 281-288
Author(s):  
Dipa Ghosh

The emergence of a new Coronavirus Disease 2019-2022 has turned the globe down and disrupted main determinants of health. The world constitutes by more than 2.2 billion children, which is approximately 28% of the world's population. Compare to adult, this pandemic has a long -term adverse consequences among children and adolescents. The objective of this literature review was to examine the impact of COVID-19 pandemic on children and adolescent’s mental health. PubMed and Google Scholar databases were searched from 07 April 2021 to 22 April 2021. A systematic literature search was performed in accordance with PRISMA and 07 literatures were selected. Among 16,169 samples, the mean percentage of male was higher 5 by 6.11% than female of 43.89%. Depression was mentioned in three studies and the percentages were 43.7% (n=8079), 22.6% (n=2330), and 22.8% (n=3613). Anxiety was mentioned in four studies and the percentages were 37.4% (n=8079), 18.9% (n=2330), and 23.87 ± 15.79 and 29.27 ± 19.79 (n=3613) and in one study according to CAQ and NRS, the level of anxiety was 19.4% and 21.8%. The combination of anxiety and depression was 31.3%. One study mentioned that pro social behaviour score was higher in females than males. In other two studies, various psychological symptoms are mentioned such as worry, fear, helplessness, boredom, difficulty in concentration, irritability, restlessness, nervousness, feeling of loneliness and uneasiness. These psychological symptoms have long-term effect on child’s health. Therefore, as a nurse, we should take care of the child and aware that the child and their parents regarding various psychological problems and its management.


Author(s):  
Ammara Ajmal ◽  
Kumi Watanabe ◽  
Emiko Tanaka ◽  
Yuko Sawada ◽  
Taeko Watanabe ◽  
...  

Objectives: Eating behaviour in early childhood serves as a foundation for future health outcomes. Diet patterns can have long-term beneficial or adverse effects on social behaviour development. Therefore, the objective of this study was to evaluate food consumption frequency in 1- to 6-year-olds as an eating behaviour-related predictor of behaviour problems six years later. Methods: This longitudinal study involved 124 mother-child dyads from a project named ‘Community Empowerment and Care for Wellbeing and Health Longevity’ initiated in 1991 and conducting surveys every three years. We studied children aged 1–6 years in July 2011, with a follow-up assessment in August 2017. The primary exposure examined was the frequency of food items intake. The primary outcome was behaviour problems as assessed by the Strengths and Difficulties Questionnaire (SDQ). Results: The adjusted results suggested that a higher intake of leafy green and light-coloured vegetables were significantly associated with decreased odds of conduct problems and prosocial behaviour problems in Japanese children. However, no associations were observed among fruits, milk, small fish, eggs, soybeans, seaweed, and any SDQ subscales. Conclusion: This study shows that eating leafy green and light-coloured vegetables may have a protective effect on a child’s conduct and prosocial behaviour problems. Due consideration should be given to children’s eating habits in the early stages of their lives, to ensure better mental health. Keywords: Child; Diet; Impulsive Behaviour; Longitudinal Studies; Mental Health; Nutrients; Sugars; Vegetables.


2018 ◽  
Vol 3 (2) ◽  
pp. e000471 ◽  
Author(s):  
Mohamed F Jalloh ◽  
Wenshu Li ◽  
Rebecca E Bunnell ◽  
Kathleen A Ethier ◽  
Ann O’Leary ◽  
...  

BackgroundThe mental health impact of the 2014–2016 Ebola epidemic has been described among survivors, family members and healthcare workers, but little is known about its impact on the general population of affected countries. We assessed symptoms of anxiety, depression and post-traumatic stress disorder (PTSD) in the general population in Sierra Leone after over a year of outbreak response.MethodsWe administered a cross-sectional survey in July 2015 to a national sample of 3564 consenting participants selected through multistaged cluster sampling. Symptoms of anxiety and depression were measured by Patient Health Questionnaire-4. PTSD symptoms were measured by six items from the Impact of Events Scale-revised. Relationships among Ebola experience, perceived Ebola threat and mental health symptoms were examined through binary logistic regression.ResultsPrevalence of any anxiety-depression symptom was 48% (95% CI 46.8% to 50.0%), and of any PTSD symptom 76% (95% CI 75.0% to 77.8%). In addition, 6% (95% CI 5.4% to 7.0%) met the clinical cut-off for anxiety-depression, 27% (95% CI 25.8% to 28.8%) met levels of clinical concern for PTSD and 16% (95% CI 14.7% to 17.1%) met levels of probable PTSD diagnosis. Factors associated with higher reporting of any symptoms in bivariate analysis included region of residence, experiences with Ebola and perceived Ebola threat. Knowing someone quarantined for Ebola was independently associated with anxiety-depression (adjusted OR (AOR) 2.3, 95% CI 1.7 to 2.9) and PTSD (AOR 2.095% CI 1.5 to 2.8) symptoms. Perceiving Ebola as a threat was independently associated with anxiety-depression (AOR 1.69 95% CI 1.44 to 1.98) and PTSD (AOR 1.86 95% CI 1.56 to 2.21) symptoms.ConclusionSymptoms of PTSD and anxiety-depression were common after one year of Ebola response; psychosocial support may be needed for people with Ebola-related experiences. Preventing, detecting, and responding to mental health conditions should be an important component of global health security efforts.


Author(s):  
Serena L. Orr ◽  
Beth K. Potter ◽  
Jinhui Ma ◽  
Ian Colman

AbstractObjective: To explore the relationship between migraine and anxiety disorders, mood disorders and perceived mental health in a population-based sample of adolescents. Methods: The Canadian Community Health Survey (CCHS) is a cross-sectional health survey sampling a nationally representative group of Canadians. In this observational study, data on all 61,375 participants aged 12-19 years from six survey cycles were analyzed. The relationships between self-reported migraine, perceived mental health, and mood/anxiety disorders were modeled using univariate and multivariate logistic regression. The migraine–depression association was also explored in a subset of participants using the Composite International Diagnostic Interview–Short Form (CIDI–SF) depression scale. Results: The odds of migraine were higher among those with mood disorders, with the strongest association in 2011-2 (adjusted odds ratio [aOR]=4.59; 95% confidence interval [CI95%]=3.44-6.12), and the weakest in 2009-10 (aOR=3.06, CI95%=2.06-4.55). The migraine–mood disorders association was also significant throughout all cycles, other than 2011-2, when the CIDI–SF depression scale was employed. The odds of migraine were higher among those with anxiety disorders, with the strongest association in 2011-2 (aOR=4.21, CI95%=3.31-5.35) and the weakest in 2010 (aOR=1.87, CI95%=1.10-3.37). The inverse association between high perceived mental health and the odds of migraine was observed in all CCHS cycles, with the strongest association in 2011-2 (aOR=0.58, CI95%=0.48-0.69) and the weakest in 2003-4 (aOR=0.75, CI95%=0.62-0.91). Conclusions: This study provides evidence, derived from a large population-based sample of adolescents, for a link between migraine and mood/anxiety disorders.


Author(s):  
Consolata Uzzi ◽  
Bolaji Yoade ◽  
Victoria Iyanu Olateju ◽  
Mary Olowere ◽  
Gibson Anugwom ◽  
...  

Background: As COVID-19 pandemic continues to affect every nation, Healthcare Workers (HCW) who care for the patients are psychologically impacted. This study aims to assess the psychological impact experienced by HCW and the psychosocial support they received. Methods: Using PubMed, google scholar and Embase from December 2019 through June 2021, we found 376 studies on the impact of the COVID-19 pandemic on the mental health of HCW. Using our inclusion criteria, 325 studies were excluded. 51 full-text articles were assessed for eligibility. 9 articles which met our criteria and eligibility criteria reported on 19,232 HCW, and 75.2% of the study participants were women. Results: The study participants reported high levels of stress, hypervigilance, fatigue, sleep problems, PTSD symptoms, poor concentration, depression, anxiety, burnout, emotional exhaustion, depersonalization, suicide and self-harm ideations and somatic symptoms due to the COVID-19 pandemic. The psychosocial support provided to HCW includes counseling and psychotherapy-based sessions on stress adaptation, onsite mindfulness-based crisis intervention, online form of emotional freedom technique, and Effort-reward system.  Conclusion: Multiple interventions found in our review were effective in mitigating psychological stress among HCWs. These interventions should be considered as part of support provided to HCW with psychosocial challenges.


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