scholarly journals FENILKETONURIJA SERGANČIŲ VAIKŲ EMOCIJŲ IR ELGESIO PROBLEMOS

Psichologija ◽  
2002 ◽  
Vol 25 ◽  
pp. 28-42
Author(s):  
Roma Jusienė ◽  
Rasa Bieliauskaitė ◽  
Loreta Cimbalistienė

Ankstyvas ir tinkamas fenilketonurijos gydymas yra būtinas norint užtikrinti normalią psichinę ir fizinę šia liga sergančių vaikų raidą. Net tinkamai gydomi fenilketonurija sergantys vaikai turi elgesio problemų, tiesiogiai nekylančių dėl pačios ligos. Mūsų tyrimo tikslas buvo įvertinti fenilketonurija sergančių ir nuo jos gydomų vaikų elgesio problemas ir tai, kaip jos susijusios su psichologiniu ligos poveikiu šeimai bei tai, kaip tėvai reagavo į vaiko ligą, kokie yra jų santykiai su sergančiu vaiku. Tyrimo rezultatai parodė, kad sergantys fenilketonurija vaikai turi daugiau emocijų ir elgesio problemų nei sveiki jų bendraamžiai. Patikimiausiai fenilketonurija sergančių vaikų internalios, socialinės ir dėmesio bei visos emocijų ir elgesio problemos siejosi su mamų reagavimu į vaiko ligą kaltės ir pykčio jausmais, į emocijas orientuotų streso įveikos strategijų naudojimu, nuolaidžiaujančiais santykiais su sergančiu vaiku. EMOTIONAL AND BEHAVIORAL PROBLEMS OF CHILDREN WITH PHENYLKETONURIA  Roma Jusienė, Rasa Bieliauskaitė, Loreta Cimbalistienė SummaryPhenylketonuria (PKU) is an inherited genetic metabolic disorder in which the enzyme required to digest phenylanine (Phe) is missing. If untreated, individuals with PKU will develop high levels of Phe in their blood which can affect brain development and function. That's why low protein diet must be introduced as early as possible from the birth. Nevertheless, several studies show higher incidence of behavioral problems, especially internalizing, in early treated PKU children. Parental maladjustment to their child's chronic illness and everyday stress related to the burden of special diet can be reasons for psychological problems of PKU children. The aim of our study is to evaluate the psychological adjustment of PKU children (as compared to healthy controls) and analyze it in the context of psychological impact of PKU on the family.Parents of 37 early-treated PKU children (age 4-14 years old) and of 37 matched controls answered the Child Behavior Checklist (CBCL, Achenbach, 1991) and questionnaire on stress coping strategies (Elklit, 1996). Parents of PKU children also answered the questionnaire on reactions to child's disease and it's impact on the family.The results of present study indicate that PKU children have significantly more behavioral problems than healthy controls. They are more withdrawn, anxious /depressive, aggressive, have more social and attention problems. The higher rates of internalizing and overall problems are related to parental maladjustment (feelings of guilty and anger) together with maladaptive (emotional) everyday stress coping strategies. Two latter factors further indulging the child, that also predicts the psychological maladjustment of PKU children.

Psichologija ◽  
2003 ◽  
Vol 27 ◽  
pp. 7-18
Author(s):  
Roma Jusienė ◽  
Vaida Platkevičiūtė

Streso įveika apibūdinama kaip žmogaus minčių ir veiksmų pastangos suvaldyti specifinius reikalavimus, individo suprantamus kaip išmėginimas arba nesėkmės. Skiriamos į problemą orientuotos, kitaip vadinamos adaptyvios, ir į emocijas orientuotos, vadinamosios neadaptyvios, streso įveikos. Nustatyta, kad neadaptyvių streso įveikimo būdų naudojimas susijęs su emocijų ir elgesio sunkumais. Atlikta keletas streso įveikų reikšmės vaikų raidai tyrimų. Jie parodo, kad tėvų naudojami streso įveikimo būdai gali nusakyti prisitaikymą prie tėvystės ir kartu vaikų psichologinį prisitaikymą.Šio tyrimo tikslas yra patikrinti mamų naudojamų streso įveikų ir vaikų elgesio ryšį bei emocijų sunkumų egzistavimą pilnose ir nepilnose šeimose. 183 vaikų (2?10 metų) mamos pildė du klausimynus: streso įveikimo būdų klausimyną (Elklit, 1996) ir vaikų elgesio klausimyną (Achenbach, 1991).Rezultatai parodė teigiamą neadaptyvių motinų naudojamų streso įveikimo būdų ir vaikų elgesio bei emocijų sunkumų koreliaciją. Buvo nustatyta, kad motinos išsilavinimas yra svarbus kintamasis, susijęs ir su jos įveikomis, ir su vaikų elgesio bei emocijų sunkumais. Labiau išsilavinusios motinos naudoja daugiau adaptyvių streso įveikų nei mažiau išsilavinusios. Vaikai, kurių motinų aukštesnis išsilavinimas, turi mažiau elgesio ir emocijų sunkumų. Pilnų ir nepilnų šeimų vaikų elgesio ir emocijų sunkumai nesiskyrė. Rezultatai parodė, kad vienišos motinos naudoja daugiau adaptyvių streso įveikų nei motinos, gyvenančios pilnoje šeimoje. Rezultatai, gauti pasitelkus regresinę analizę, rodo, kad į emocijas orientuota streso įveika ir motinos išsilavinimas leidžia numatyti vaikų elgesio ir emocijų sunkumus. MATERNAL STRESS COPING AS RELATED TO CHILDREN?S EMOTIONAL AND BEHAVIORAL PROBLEMSRoma Jusienė, Vaida Platkevičiūtė SummaryCoping is defined as the cognitive and behavioral efforts used to manage specific external and internal demands, appraised as taxing or exceeding a person?s resources. Some of coping strategies are considered to be adaptive, while others - maladaptive. Excessive use of maladaptive stress coping strategies is found to correlate with emotional or behavior problems. There are only few attempts to study coping in parenting situation, indicating that the stress and coping model is useful in exploring the complex process of adaptation to parenting, and relating it to the psychological adjustment of the children. On the one hand, children learn stress coping strategies from their parents. On the other hand, the parental mood as mediated by their coping is considered to be the important factor influencing children's psychological adjustment. The present study aims to evaluate the relationship between maternal coping and emotional and behavioral problems of children in intact and divorced families. Mothers of 183 children (age 2 to 10 years) answered two questionnaires: Stress Coping Strategies questionnaire (Elklit, 1996) and Child Behavior Checklist (Achenbach, 1991). The results show the strong positive correlation between maladaptive maternal coping and the psychological adjustment of children. Maternal coping as well as children's emotional and behavior problems are related to mothers' education. Mothers with a lower education degree use more maladaptive coping strategies, particularly avoiding coping. They denote more children's behavioral and emotional problem too. Our results show that psychological adjustment of children who live without father isn't worse, then psychological adjustment of children who live with both parents. The results reveal that single mothers use more adaptive coping, then those, who live in intact families. The results of regression analysis show that emotional coping used by mother and her lower education level predict higher rates of children's emotional and behavioral problems. Mothers were the only informant about children's psychological adjustment in this study. Further steps related to this topic could be analyzing whether the relation between maternal stress coping and children's emotional and behavioral problems remains when the latter are indicated by other informants. Keywords: stress coping, children's emotional and behavioral problems, and psychological adjustment.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Jonathan L. Hess ◽  
Nicholas H. Nguyen ◽  
Jesse Suben ◽  
Ryan M. Meath ◽  
Avery B. Albert ◽  
...  

Abstract The U.S. National Institute of Mental Health (NIMH) introduced the research domain criteria (RDoC) initiative to promote the integration of information across multiple units of analysis (i.e., brain circuits, physiology, behavior, self-reports) to better understand the basic dimensions of behavior and cognitive functioning underlying normal and abnormal mental conditions. Along those lines, this study examined the association between peripheral blood gene expression levels and emotional and behavioral problems in school-age children. Children were chosen from two age- and sex-matched groups: those with or without parental reports of any prior or current psychiatric diagnosis. RNA-sequencing was performed on whole blood from 96 probands aged 6–12 years who were medication-free at the time of assessment. Module eigengenes were derived using weighted gene co-expression network analysis (WGCNA). Associations were tested between module eigengene expression levels and eight syndrome scales from parent ratings on the Child Behavior Checklist (CBCL). Nine out of the 36 modules were significantly associated with at least one syndrome scale measured by the CBCL (i.e., aggression, social problems, attention problems, and/or thought problems) after accounting for covariates and correcting for multiple testing. Our study demonstrates that variation in peripheral blood gene expression relates to emotional and behavioral profiles in children. If replicated and validated, our results may help in identifying problem or at-risk behavior in pediatric populations, and in elucidating the biological pathways that modulate complex human behavior.


2018 ◽  
Vol 6 (10) ◽  
pp. 35 ◽  
Author(s):  
Ihab Zubeidat ◽  
Waleed Dallasheh ◽  
Antonio Fernández-Parra ◽  
Juan Carlos Sierra ◽  
José María Salinas

The Youth Self-Report (YSR/11-18) is a widely used child-report measure that assesses problem behaviors along two “broadband scales”: internalizing and externalizing. It also scores eight empirically based syndromes and DSM-oriented scales and provides a summary of total problems. Although the YSR was designed for youths ages 11-18, no studies have systematically evaluated whether youths under the age of 11 can make valid reports using the YSR broad-band, syndrome and DSM-oriented scales. It is a parallel form to the caretaker-completed Child Behavior Checklist (CBCL) and teacher-completed Teacher Report Form (TRF). Few studies related to YSR/11-18 (Achenbach, & Rescorla, 2000, 2001) factor structure were carried out in Spanish children and adolescent population. This study analyses the factor structure of this assessment tool, in 961 Spanish adolescents attending school from 13 to 18 years old. A principal components method was used to extract the factors followed by a Varimax rotation. According to current research, each sex was treated separately, and only items referred to misbehavior (105 out of 119) were included. Seven first-order common factors were found in both, boys and girls: Anxious/Depressed, Somatic Complaints, Delinquent Behavior, Aggressive Behavior, Attention Problems, Thought Problems and Relational Problems. Factoring of these seven syndromes led to a single second-order factor in younger males. Older males and females showed labeled internalize and externalize symptoms. These results resembled that obtained in former studies with Spanish population.


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