scholarly journals What Contributes to the Development and Maintenance of School Refusal in Chinese Adolescents: A Qualitative Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Liang Liu ◽  
Hong Gu ◽  
Xudong Zhao ◽  
Yanbo Wang
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Social Environment ◽  
Peer Relationships ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
School Refusal ◽  
Chinese Adolescents ◽  
School Life ◽  
Living Space

Objective: Although, there has been a growing number of studies on school refusal in Western cultures, the underlying factors that contribute to school refusal in Chinese adolescents remain unclear. This study aimed to better understand why Chinese adolescents refuse to go to school and to further interpret what they want to express through their school refusal behaviors.Methods: We performed a qualitative study using an interpretative phenomenological analysis. Twenty adolescents with school refusal experiences were recruited from the clinical psychology department of two mental health hospitals in Shanghai, China. They participated in semistructured, face-to-face in-depth interviews. The interviews were transcribed verbatim and analyzed according to the guidelines of interpretative phenomenological analysis.Findings: Five main superordinate themes emerged from data analysis: (a) competition-oriented social environment; (b) family living space dominated by conflicts; (c) personal living space lacking meaningful support; (d) conflict between the pros and cons of being labeled with a psychiatric diagnosis; and (e) reintegration in school life.Conclusions: Our analysis emphasized the complex interacting effects of the social environment, family interpersonal conflicts, personal psychological factors and mental health complaints on the development and maintenance of Chinese adolescents' school refusal. These factors contributed to school refusal at each level and influenced each other's effects on school refusal behaviors. Therefore, interventions for Chinese teenagers with school refusal may need to integrate strategies that inspire reorganization and changes in different ecosystems, such as strategies related to government policy, peer relationships, family systems and individual inner dynamics.

scholarly journals Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a qualitative analysis of the experiences of young people, their parents and clinicians-in-training

2021 ◽  
pp. 1-15
Author(s):  
Lucy Taylor ◽  
Cathy Creswell ◽  
Samantha Pearcey ◽  
Emma Brooks ◽  
Eleanor Leigh ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Young People ◽  
Health Services ◽  
Qualitative Analysis ◽  
Social Anxiety Disorder ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Qualitative Exploration

Abstract Background: Social anxiety disorder (SAD) is common. It usually starts in adolescence, and without treatment can disrupt key developmental milestones. Existing generic treatments are less effective for young people with SAD than with other anxiety disorders, but an adaptation of an effective adult therapy (CT-SAD-A) has shown promising results for adolescents. Aims: The aim of this study was to conduct a qualitative exploration to contribute towards the evaluation of CT-SAD-A for adoption into Child and Adolescent Mental Health Services (CAMHS). Method: We used interpretative phenomenological analysis (IPA) to analyse the transcripts of interviews with a sample of six young people, six parents and seven clinicians who were learning the treatment. Results: Three cross-cutting themes were identified: (i) endorsing the treatment; (ii) finding therapy to be collaborative and active; challenging but helpful; and (iii) navigating change in a complex setting. Young people and parents found the treatment to be useful and acceptable, although simultaneously challenging. This was echoed by the clinicians, with particular reference to integrating CT-SAD-A within community CAMHS settings. Conclusions: The acceptability of the treatment with young people, their parents and clinicians suggests further work is warranted in order to support its development and implementation within CAMHS settings.

Siblings’ Experiences of Everyday Life in a Family Where One Child Is Diagnosed With Blood Cancer: A Qualitative Study

2018 ◽  
Vol 36 (2) ◽  
pp. 131-142 ◽  
Author(s):  
Marieke Van Schoors ◽  
Jan De Mol ◽  
Natacha Laeremans ◽  
Lesley L. Verhofstadt ◽  
Liesbet Goubert ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Family Life ◽  
Interpretative Phenomenological Analysis ◽  
Life Experiences ◽  
Phenomenological Analysis ◽  
Safe Harbor ◽  
Semistructured Interview ◽  
Information Communication ◽  
Blood Cancer ◽  
Non Hodgkin Lymphoma

Background: Childhood cancer not only presents challenges to the life of the child with cancer but also to the siblings’ daily family life. The aim of the current study was to gain a better understanding of siblings’ experiences of living in a family where one child has been diagnosed with blood cancer. Method: Ten siblings of children with leukemia or non-Hodgkin lymphoma completed a semistructured interview about their everyday family life experiences postdiagnosis. The verbatim transcripts of the interviews served as the data for an interpretative phenomenological analysis. Results: The results showed that overall the siblings experienced a continuity in many aspects of their family life: they still experienced their family as an important source of support and information/communication, as warm and loving and as a safe harbor where family members aim to protect each other. However, at the same time, the participating siblings also expressed that some things felt unmistakably different postdiagnosis: They felt that their family as a whole had been ripped apart, with a greater focus on the diagnosed child and changing responsibilities for each family member. Conclusion: This study informs parents and clinicians about the daily family life experiences from the siblings’ perspective, a perspective that is often overlooked. A focus on challenges as well as continuities within family life, the wish for connection expressed by the siblings, and the uniqueness of every sibling’s experiences is what can be taken away from this study by psychosocial workers in the field.

scholarly journals The Embodiment of Discovery: An Adapted Framework for Qualitative Analysis of Lived Experiences

2021 ◽  
Author(s):  
Helen Hernandez ◽  
◽  
Laurie Dringus ◽  
Keyword(s):  
Data Analysis ◽  
Qualitative Study ◽  
Qualitative Analysis ◽  
Research Methodology ◽  
Lived Experiences ◽  
Interpretative Phenomenological Analysis ◽  
Insulin Pump ◽  
Doctoral Student ◽  
Phenomenological Analysis ◽  
Effective Strategy

We reflect on our process of working with an adapted framework as an effective strategy for analyzing and interpreting the results of our qualitative study on the lived experiences of insulin pump trainers. Interpretative Phenomenological Analysis (IPA) was applied as the overarching research methodology and was encapsulated into a framework adapted from Bonello and Meehan (2019) and from Chong (2019). We describe this framework as the “embodiment of discovery” to posit the researcher’s tangible experience of discovering the meaning of data that also brought transparency to the researcher’s process for data analysis and interpretation. We present challenges the doctoral student researcher experienced working with the framework through three phases and various steps performed during the analysis. We recommend the framework may assist novice researchers as a tool for wayfinding and scoping the structure of data analysis and interpretation. We conclude that novice researchers should not fear finding their “embodiment of discovery” in adapting creative or alternate methods for qualitative analysis.

scholarly journals P059 QUALITY OF LIFE IN COMPLEX ABDOMINAL WALL HERNIA PATIENTS

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Olivia Smith ◽  
Srinivas Chintapatla ◽  
Praminthra Chitsabesan
Keyword(s):  
Quality Of Life ◽  
Qualitative Study ◽  
Abdominal Wall ◽  
Interpretative Phenomenological Analysis ◽  
Abdominal Wall Hernia ◽  
Phenomenological Analysis ◽  
Social Processes

Abstract Aim determine themes reported as important to Quality of Life (QoL) in Complex Abdominal Wall Hernia (CAWH) patients Material and Methods 15 purposively sampled CAWH patients were interviewed using topic guides (8 men and 7 women aged between 36 to 85 years [median = 65 years] covering all VHWG grades). All verbatim transcripts were coded and analysed using NVIVO12 software and Interpretative Phenomenological Analysis (IPA) until thematic saturation. Results 3 overarching groupings and 5 superordinate themes were identified. Each superordinate theme is associated with several subordinate themes: Conclusions This is the first phenomenological qualitative study in CAWH patients. The themes presented are interrelated and should shape our understanding of QoL in CAWH. Current QoL tools do not incorporate all aspects identified by this study. Further research is needed in order to generate a standardised CAWH QoL instrument which incorporates bio-psycho-emotional-social processes important to patients as identified by patients.

scholarly journals Family and School Context: Effects on the Mental Health of Brazilian Students

2020 ◽  
Vol 17 (17) ◽  
pp. 6042
Author(s):  
Daise Fernanda Santos Souza Escobar ◽  
Thais Ferreira de Jesus ◽  
Priscilla Rayanne e Silva Noll ◽  
Matias Noll
Keyword(s):  
Mental Health ◽  
Peer Relationships ◽  
School Health ◽  
Context Effects ◽  
School Context ◽  
Cross Sectional Study ◽  
School Life ◽  
Cross Sectional ◽  
Brazilian Students

Mental health during adolescence can affect an individual’s long-term quality of life. However, the effects of family and school contexts on students’ mental health have been little explored. This study aims to analyze the relationships between family and school life and feelings of loneliness and trouble sleeping owing to worries in adolescents. The data from this cross-sectional study were obtained from Brazil’s National School Health Survey (PeNSE), which obtained its data through questionnaires. This study’s sample consisted of 102,072 ninth-grade students aged between 11 and 19 years, 52,782 (51.7%) of whom were female, enrolled in public and private schools throughout Brazil. The methodology consisted of an analysis using the Poisson regression model. Regarding the family context, mental health issues were associated with hunger, distant relationships with parents, and family violence. Regarding the school context, feelings of loneliness and trouble sleeping were associated with poor peer relationships, insecurity at school, and schools in more violent areas. This study contributes to the elaboration of public policies aimed at bringing awareness to family members and school bodies that indicators of mental health in adolescents are influenced by the quality of bonds established within these environments.

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