scholarly journals Sleep disorders in a sample of Lebanese children: the role of parental mental health and child nutrition and activity

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elsa Sfeir ◽  
Chadia Haddad ◽  
Marwan Akel ◽  
Souheil Hallit ◽  
Sahar Obeid

Abstract Background Sleep habits are an important component of a child’s health and it is affected by parent–child relationship. Also, child’s diet and nutrition appear to be an important factor affecting sleep health. Few studies have addressed the effect of parental emotional disturbance that can leave on children’s sleep. Therefore, the objective of our study was to assess the prevalence of sleep disorders in pre- and school-aged children and evaluate its relation with parental mental health and child’s nutrition and activity. Methods A cross-sectional study, conducted between October 2020 and January 2021, which enrolled 402 Lebanese parents from all over Lebanon. The questionnaire was distributed online using the snowball technique. The Pediatric Sleep Questionnaire (PSQ) was used to assess pediatric sleep behaviors and the Family Nutrition and physical activity questionnaire was used to assess parental behaviors that might predispose children for obesity. Results A total of 76 (19%) children had sleep disorders (PSQ scores of 8 or more). The multivariable analysis showed that higher paternal depression (Beta = 0.079, p = 0.010), maternal depression (Beta = 0.089, p = 0.001) and higher anxiety in the father (Beta = 0.064, p = 0.021) were significantly associated with higher PSQ scores (worse sleep) in the child. Higher Family Nutrition and Physical Activity Screening Tool scores in the child (Beta = -0.161, p < 0.001) was significantly associated with lower PSQ scores (better sleep). Conclusion Paternal anxiety and depression, as well as maternal depression, were factors associated with children’s sleeping disorders. Future studies are needed to assess parental influence on child’s development.

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
F Samkange-Zeeb ◽  
H Singh ◽  
M Lakeberg ◽  
J Kolschen ◽  
B Schüz ◽  
...  

Abstract   Disadvantaged populations, including unemployed adults, often exhibit low levels of health literacy. Exploring subjectively perceived health literacy needs in these populations can serve as an entry point for participatory intervention development. We aimed to assess health literacy needs of unemployed adults by triangulating qualitative interviews data and a scoping review. Using a parallel approach, we combined results of an interview study with 10 participants of a job-reintegration program in Germany and a scoping review. The interviews, conducted in early 2021, focused on health topics of interest to the participants and their sources of health-related information. Data were analysed using thematic analysis. For the scoping review, we searched MEDLINE, CINAHL, PsycInfo and SCOPUS up to January 2021 for studies containing “unemployed” AND “health literacy” in titles/abstracts. Study selection and data extraction were done independently by two researchers. Nutrition and physical activity emerged as core themes during the interviews, with some participants referring to the importance of both for mental health. Doctors and the institution running the job-reintegration program were the sources of health-related information often mentioned. The Corona pandemic was reported to have limited physical activity and affected psycho-social well-being. Five out of 2696 studies were included in the review. Four focused on mental health literacy, the fifth assessed information seeking practices in unemployed adults. The qualitative analysis revealed that health literacy needs of unemployed adults go beyond mental health literacy. As nutrition and physical activity impact mental health, interventions targeting such topics might also improve mental health literacy in unemployed adults. Study findings will be discussed with unemployed persons and social workers in co-production workshops that aim to identify and prioritize health literacy needs for intervention development. Key messages Health literacy programs for unemployed adults should target nutrition and physical activity. Workforce re-integration programs play a pivotal role in improving health literacy of unemployed adults.


2009 ◽  
Author(s):  
Michelle A. Ihmels ◽  
Greg J. Welk ◽  
Joey C. Eisenmann ◽  
Sarah M. Nusser

2019 ◽  
Vol 5 (3) ◽  
pp. 220-230
Author(s):  
L. Bailey‐Davis ◽  
S. M. R. Kling ◽  
G. C. Wood ◽  
W. J. Cochran ◽  
J. W. Mowery ◽  
...  

2020 ◽  
Author(s):  
Pedro Zuccolo ◽  
Mariana O. Xavier ◽  
Alicia Matijasevich ◽  
Guilherme Polanczyk ◽  
Daniel Fatori

Background: Pregnancy is strongly associated with increased risk for depression. Approximately 25% of pregnant women develop depression. Treatment for depression during pregnancy has several complexities: the use of psychiatric medications during pregnancy might result in developmental problems in the child and must be used with caution. Psychosocial interventions are effective, but they require specialized professionals. Low- and middle-income countries (LMIC) countries such as Brazil do not have enough mental health professionals needed to meet this demand. In this context, smartphone-based interventions show immense potential. We developed Motherly, a smartphone application (app) designed to treat maternal depression. We aim to test the efficacy of Motherly in addition to brief cognitive-behavioral therapies (CBT) to treat maternal depression. Methods: We will conduct a 2-arm parallel randomized controlled clinical trial in which 70 pregnant women aged between 16-40 years with depression will be randomized to intervention or active control. The intervention group will have access to Motherly, a smartphone app based on three concepts: psychoeducation, behavior monitoring, and gaming elements. Motherly is composed of a package of interventions composed of modules: mental health, sleep, nutrition, physical activity, social support, prenatal/postnatal support, and educational content. The main focus of Motherly is delivering behavioral activation (BA), a brief and structured psychological treatment. The app allows participants to schedule and engage in, and monitor activities according to a plan to avoid acting exclusively according to their mood. The active control group will have access to a simplified version of the app consisting of educational content about various aspects of pregnancy, maternal physical and mental health, and infant development (BA, activity scheduling, sleep hygiene, among other functionalities, will not be present in this version). Both groups will receive four sessions of brief CBT in 8 weeks. Participants will be evaluated by assessors blind to randomization and allocation status. Assessments will occur at baseline (T0), midpoint (T1, week 4-5), posttreatment (T2, week 8), and follow-up (T3, when the child is two months-old). Maternal mental health (prenatal anxiety, psychological well-being, perceived stress, depression, depression severity, and sleep quality), quality of life, physical activity levels, and infant developmental milestones and social/emotional problems will be measured. Our primary outcome is the change in maternal prenatal depression from baseline to posttreatment (8 weeks). Discussion: The potential of digital technology to deliver mental health interventions has been increasingly recognized worldwide. There is a growing literature on interventions using smartphone applications to promote mental health, both with or without the intermediation of a mental health professional. Our study adds to the literature by testing whether an app providing an intervention package, including CBT, psychoeducation, nutrition, physical activity, and social support, can promote maternal and child health and well-being. In particular, we aim to treat depression, for which the use of digital technologies is still scarce. Smartphone applications designed to treat maternal depression are especially relevant because of the potential to circumvent barriers that prevent pregnant women from accessing mental health care.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Ekici ◽  
H Ikiişik ◽  
H Ankarali ◽  
E H Kozan ◽  
M Yetim

Abstract Background In this study, it was aimed to determine the family nutrition and physical activity status of primary school students and some affecting factors. Methods In this descriptive and correlation-seeking research, mixed sampling methods were used. The sample size was not calculated, it was aimed to reach all students in three primary schools with different socioeconomic status (high, medium, low) in Uskudar, Istanbul. Data from 727 subjects were collected through an introductory information form and The Family Nutrition and Physical Activity Screening Tool (FNPA). Results In the study, data from 294 (49.7%) girls and 297 (50.3%) boys from three primary schools who studied first grade (n = 321, 54.3%) and 4th grade (n = 270, 45.7%), a total of 591 children were used. The total FNPA score of students in schools with high or middle socioeconomic status was significantly higher than the socioeconomically low school (P &lt; 0.001). The mean score of the scale was significantly higher in those who doesn’t eat junkfood or snacks (P = 0.001), who had regular breakfast (P = 0.001) and people with regular meal time (P = 0.001). The mean BMI of children in the middle socioeconomic status school was found to be significantly higher than that of students in the low socioeconomic status school (P = 0.013). There was also a significant correlation between the mean BMI of mothers and the total FNPA score (P &lt; 0.001). Conclusions In the study, as the socioeconomic status of schools increased, FNPA total score increased as well. Although some studies suggest that family income and socioeconomic status are inversely related to childhood obesity, in this research the mean BMI of children in the socioeconomically middle school was significantly higher than the students in the socioeconomically low school. Key messages The evaluation of the nutritional and physical activity status of the family as an element of the obesogenic environment, may be effective on identifying the causes of childhood obesity. Studies to determine the nutritional and physical activity of the family in preventing childhood obesity are essential.


Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Pedro Fonseca Zuccolo ◽  
Mariana O. Xavier ◽  
Alicia Matijasevich ◽  
Guilherme Polanczyk ◽  
Daniel Fatori

Abstract Background Pregnancy is strongly associated with increased risk for depression. Approximately 25% of pregnant women develop depression. Treatment for depression during pregnancy has several complexities: the use of psychiatric medications during pregnancy might result in developmental problems in the child and must be used with caution. Psychosocial interventions are effective, but they require specialized professionals. Low- and middle-income countries (LMIC) such as Brazil do not have enough mental health professionals needed to meet this demand. In this context, smartphone-based interventions show immense potential. We developed Motherly, a smartphone application (app) designed to treat maternal depression. We aim to test the efficacy of Motherly in addition to brief cognitive-behavioral therapies (CBT) to treat maternal depression. Methods We will conduct a 2-arm parallel-randomized controlled clinical trial in which 70 pregnant women aged between 16 and 40 years with depression will be randomized to intervention or active control. The intervention group will have access to Motherly, a smartphone app based on three concepts: psychoeducation, behavior monitoring, and gaming elements. Motherly is composed of a package of interventions composed of modules: mental health, sleep, nutrition, physical activity, social support, prenatal/postnatal support, and educational content. The main focus of Motherly is delivering behavioral activation (BA), a brief and structured psychological treatment. The app allows participants to schedule and engage in, and monitor activities according to a plan to avoid acting exclusively according to their mood. The active control group will have access to a simplified version of the app consisting of educational content about various aspects of pregnancy, maternal physical and mental health, and infant development (BA, activity scheduling, sleep hygiene, among other functionalities, will not be present in this version). Both groups will receive four sessions of brief CBT in 8 weeks. Participants will be evaluated by assessors blind to randomization and allocation status. Assessments will occur at baseline (T0), midpoint (T1, week 4–5), posttreatment (T2, week 8), and follow-up (T3, when the child is 2 months old). Maternal mental health (prenatal anxiety, psychological well-being, perceived stress, depression, depression severity, and sleep quality), quality of life, physical activity levels, and infant developmental milestones and social/emotional problems will be measured. Our primary outcome is the change in maternal prenatal depression from baseline to posttreatment (8 weeks). Discussion The potential of digital technology to deliver mental health interventions has been increasingly recognized worldwide. There is a growing literature on interventions using smartphone applications to promote mental health, both with or without the intermediation of a mental health professional. Our study adds to the literature by testing whether an app providing an intervention package, including CBT, psychoeducation, nutrition, physical activity, and social support, can promote maternal and child health and well-being. In particular, we aim to treat depression, for which the use of digital technologies is still scarce. Smartphone applications designed to treat maternal depression are especially relevant because of the potential to circumvent barriers that prevent pregnant women from accessing mental health care. Trial registration ClinicalTrials.gov NCT04495166. Prospectively registered on July 29, 2020.


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