scholarly journals Associated health problems in children with hearing impairment: an institutional study

2021 ◽  
Vol 8 (4) ◽  
pp. 699
Author(s):  
Synu Elsa John ◽  
Carol Sara Cherian ◽  
Shanty Mary Koshy
Keyword(s):  
Behavioral Problems ◽  
Motor Skill ◽  
Congenital Heart ◽  
Health Problems ◽  
Refractive Errors ◽  
Qtc Interval ◽  
External Ear ◽  
Scholastic Performance ◽  
Ear Malformations ◽  
Significant Health

Background: Hearing impairment is one of the leading health concerns in the world and various health problems are often found associated in such children. This study was planned to find the nutritional status, health problems and associated disabilities in such children.Methods: A total of 234 children in the age group of 5–18 years with hearing loss, from an educational institution catering to such children in Central Kerala, were studied. Data analysis was done using statistical package for the social sciences (SPSS) software and results interpreted.Results: The present study had 234 children who satisfied the inclusion criteria. More than 75% of the children had underweight. 47% had short stature. Overweight and obesity were present in 9.8% and 2.1% of the children. Nutritional deficiencies like anemia (7.7%) and vitamin A and B complex deficiencies (10.7%) were also observed. The significant health problems found were congenital heart disease 5.3%, prolongation of QTc interval 12.4%, seizure disorder 6%, bronchial asthma 4%, refractive errors 7.3%, strabismus 2%, corneal opacities and blindness 0.8%, psoriasis 0.4%, external ear malformations 3.7% and khyphoscoliosis 1.3%. Behavioral problems (44%), visual impairment (11%), poor scholastic performance (17%), dysgraphia (3%), dyscalculia and motor skill impairment (2.1%) were the common associated disabilities.Conclusions: Significant health problems were observed in these hearing impaired children. The prominent ones being malnutrition, congenital heart diseases, prolongation of QTc interval, seizure disorder, bronchial asthma, refractive errors, external ear malformations, psoriasis, khyphoscoliosis, behavioral problems, poor scholastic performance, dysgraphia, dyscalculia and motor skill impairment.

Ensure Healthy Development for All Youth

2018 ◽  
Author(s):  
Jeffrey M. Jenson ◽  
J. David Hawkins
Keyword(s):  
Young People ◽  
Behavioral Health ◽  
Behavioral Problems ◽  
Strong Evidence ◽  
Health Problems ◽  
Healthy Development ◽  
Receive Treatment

Each year, more than six million young people receive treatment for severe mental, emotional, or behavioral problems. Strong evidence shows us how to prevent many behavioral health problems before they emerge. By unleashing the power of prevention through widespread use of proven approaches, we can help all youth grow up to become healthy and productive adults.

Use of the Creating Opportunities for Parent Empowerment Program to Decrease Mental Health Problems in Ugandan Children Surviving Severe Malaria: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Paul Bangirana ◽  
Annet Birabwa ◽  
Mary Nyakato ◽  
Ann J. Nakitende ◽  
Maria Kroupina ◽  
...  
Keyword(s):  
Mental Health ◽  
Severe Malaria ◽  
Behavioral Problems ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Health Problems ◽  
Control Groups ◽  
Caregiver Depression ◽  
Randomized Controlled

Abstract Background: Severe malaria is associated with long-term mental health problems in Ugandan children. This study investigated the effect of a behavioral intervention for caregivers of children admitted with severe malaria, on the children’s mental health outcomes six months after discharge.Methods: This randomized controlled trial was conducted at Naguru Hospital in Kampala, Uganda from January 2018 to July 2019. Caregiver and child dyads were randomly assigned to either a psychoeducation arm providing information about hospital procedures during admission (control group) or a behavioral arm providing information about the child’s possible emotions and behavior during and after admission and providing age appropriate games for the caregiver and child (intervention group). Pre- and post-intervention assessments for caregiver anxiety and depression (Hopkins Symptom Checklist) and child mental health problems (Strength and Difficulties Questionnaire and the Child Behavioral Checklist) were done during admission and six months after discharge respectively. T-tests, analysis of covariance and Chi-Square were used to compare outcomes between the two treatment arms.Results: There were 120 caregiver-child dyads recruited at baseline with children aged 1.45 years to 4.89 years (mean age 2.85 years, SD = 1.01). The intervention and control groups had similar sociodemographic, clinical and behavioral characteristics at baseline. Caregiver depression at baseline, mother’s education and female sex of the child were associated with behavioral problems in the child at baseline (p<0.05). At six months follow-up, there was no difference in the frequency of behavioral problems between the groups (6.8% vs 10% in intervention vs. control groups, respectively, p = 0.72). Caregiver depression and anxiety scores between the treatment arms did not differ at six months follow-up. Conclusion: This behavioral intervention for caregivers and their children admitted with severe malaria had no effect on the child’s mental health outcomes at six months. Further studies need to develop interventions for mental health problems after severe malaria in children with longer follow-up time.ClinicalTrials.gov Identifier: NCT03432039

scholarly journals Mental Health and Functional Outcomes in Young Adulthood of Children With Psychotic Symptoms: A Longitudinal Cohort Study

2019 ◽  
Author(s):  
Antonella Trotta ◽  
Louise Arseneault ◽  
Avshalom Caspi ◽  
Terrie E Moffitt ◽  
Andrea Danese ◽  
...  
Keyword(s):  
Mental Health ◽  
Transition To Adulthood ◽  
Young Adulthood ◽  
Behavioral Problems ◽  
Functional Outcomes ◽  
Mental Health Problems ◽  
Health Problems ◽  
Emotional And Behavioral Problems ◽  
Psychotic Symptoms ◽  
Poor Outcomes

Abstract Background Childhood psychotic symptoms have been associated with various psychiatric disorders in adulthood but their role as early markers of poor outcomes during the crucial transition to adulthood is largely unknown. Therefore, we investigated associations between age-12 psychotic symptoms and a range of mental health problems and functional outcomes at age 18. Methods Data were used from the Environmental Risk Longitudinal Twin Study, a nationally representative birth cohort of 2232 twins born in 1994–1995 in England and Wales, followed to age 18 with 93% retention. Childhood psychotic symptoms were assessed in structured interviews at age 12. At age 18, study members’ mental health problems, functional outcomes, risky behaviors, and offending were measured using self-reports and official records. Results Children with psychotic symptoms (N = 125, 5.9%) were more likely to experience a range of mental health problems in young adulthood than children without such symptoms. They were also more likely to be obese, smoke cigarettes, be lonely, be parents, and report a lower quality of life, but not more likely to commit crimes. Childhood psychotic symptoms predicted these poor outcomes over and above other emotional and behavioral problems during childhood. Nevertheless, twin analyses indicated that these associations were largely accounted for by shared family factors. Conclusions Psychotic symptoms in childhood signal risk for pervasive mental health and functional difficulties in young adulthood and thus may provide a useful screen for an array of later problems. However, early psychotic symptoms and poor outcomes may be manifestations of shared environmental and genetic risks.

scholarly journals Health Predictors of Pain in Elderly—A Serbian Population-Based Study

Diagnostics ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. 47 ◽  
Author(s):  
Milena Kostadinovic ◽  
Dejan Nikolic ◽  
Dragana Cirovic ◽  
Ljubica Konstantinovic ◽  
Milica Mitrovic-Jovanovic ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Pulmonary Disease ◽  
Chronic Diseases ◽  
General Health ◽  
Population Based ◽  
Health Problems ◽  
Musculoskeletal Disease ◽  
Population Based Study ◽  
Health Predictors ◽  
Significant Health

Objectives: The aim of our study was to evaluate the association of health factors with the presence and different degrees of pain in elderly above 65 years of life. Methods: The population-based study included 3540 individuals above 65 years of age of life from twofold stratified household sample representative for Serbia, during 2013 (the average age 73.9 ± 6.3 years; average Body Mass Index was 26.7 ± 4.4, females 56.8%, living with partner 55.5%, with primary education 55.3%, with poor wealth index 55.8% and from rural settings 46.2%). As health predictors of pain, we analyzed further health parameters: self-perceived general health, long-lasting health problems, diagnosed pulmonary disease, cardiovascular disease, musculoskeletal disease, diabetes, hyperlipidemia, hypertension and other chronic diseases. Pain domain of SF-36 version 2.0 was used for pain assessment. Results: Significant health predictors of pain were: self-perceived general health (OR 2.28), where bad perception of self-perceived general health in our study had greater risk of pain with higher degree of severity; long-lasting health problems (OR 1.60), where elderly with long-lasting health problems had almost twice the risk of moderate degree of pain, and above twice the risk for severe degree of pain; pulmonary disease (OR 1.38); musculoskeletal disease (OR 2.98) and other chronic diseases (OR 1.71). The presence of musculoskeletal disease increases the risk for pain, even more than double in severe versus mild degrees of pain. Conclusion: Bad self-perceived general health, long-lasting health problems, pulmonary, musculoskeletal diseases, cardiovascular disease and other chronic disease were significant health-related predictors of various degrees of pain in elderly.

Covert fears, anxiety and depression in congenital heart disease

1998 ◽  
Vol 8 (4) ◽  
pp. 491-499 ◽  
Author(s):  
S. Gupta ◽  
R.M. Giuffre ◽  
S. Crawford ◽  
J. Waters
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Behavioral Problems ◽  
Congenital Heart ◽  
Heart Diseases ◽  
The State ◽  
Anxiety Scale ◽  
Maternal Anxiety ◽  
Congenital Heart Diseases ◽  
Medical Fears

AbstractThis study compared anxiety, fears, depression and behavioural problems as occurring in children with congenital heart disease, comparing them with samples of normal children. It further considered the influence of maternal anxiety, as well as analyzing a subgroup of children with cyanotic forms of congenital heart disease to determine if they were at higher risk than acyanotic children for the problems identified.MethodWe recruited 40 consecutive children with congenital heart disease without obvious psychoso-cial problems from the Cardiology clinic at the Alberta Children‘s Hospital. Of the 40 children, 39 families consented to have the children participate, of which 24 were cyanotic and 15 acyanotic. Children completed the revised versions of the Fear Survey Scale-Revised and the Child Manifest Anxiety Scale as well as the Child Depression Inventory. Mothers completed the Child Behaviour Checklist, and the State Trait Anxiety Scale.ResultsChildren with congenital heart diseases demonstrated more medical fears, and more physiological anxiety, than the normative samples. More specifically, children with cyanotic forms of congenital heart disease demonstrated more fears of the unknown, physiological anxiety, depression, and delinquent behaviors than the acyanotic children with congenital heart disease. Mothers of the children with cyanotic forms of congenital heart disease scored higher on both the state and trait scales, with higher maternal anxiety correlating with higher anxiety, medical fears and behavioral problems in the child.ConclusionIn a clinical setting, children with congenital heart diseases who do not present with psychological adjustment problems are still at risk for covert physiological anxiety, medical fears, depression and behavioral problems. The children with cyanotic malformations represent a subgroup at higher risk for these problems, which may be further exacerbated by increased maternal anxiety.

scholarly journals Adolescent Victimization and Early-Adult Psychopathology: Approaching Causal Inference Using a Longitudinal Twin Study to Rule Out Noncausal Explanations

2017 ◽  
Vol 6 (3) ◽  
pp. 352-371 ◽  
Author(s):  
Jonathan D. Schaefer ◽  
Terrie E. Moffitt ◽  
Louise Arseneault ◽  
Andrea Danese ◽  
Helen L. Fisher ◽  
...  
Keyword(s):  
Mental Health ◽  
Causal Inference ◽  
Behavioral Problems ◽  
Twin Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Thought Disorders ◽  
Increased Risk ◽  
Psychiatric Conditions ◽  
Longitudinal Twin Study

Adolescence is the peak age for both victimization and mental disorder onset. Previous research has reported associations between victimization exposure and many psychiatric conditions. However, causality remains controversial. Within the Environmental Risk Longitudinal Twin Study, we tested whether seven types of adolescent victimization increased risk of multiple psychiatric conditions and approached causal inference by systematically ruling out noncausal explanations. Longitudinal within-individual analyses showed that victimization was followed by increased mental health problems over a childhood baseline of emotional/behavioral problems. Discordant-twin analyses showed that victimization increased risk of mental health problems independent of family background and genetic risk. Both childhood and adolescent victimization made unique contributions to risk. Victimization predicted heightened generalized liability (the “p factor”) to multiple psychiatric spectra, including internalizing, externalizing, and thought disorders. Results recommend violence reduction and identification and treatment of adolescent victims to reduce psychiatric burden.

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