Short-term Music Therapy for Families With Preterm Infants: A Randomized Trial

OBJECTIVES: To evaluate short-term effects of music therapy (MT) for premature infants and their caregivers on mother-infant bonding, parental anxiety, and maternal depression. METHODS: Parallel, pragmatic, randomized controlled-trial conducted in 7 level III NICUs and 1 level IV NICU in 5 countries enrolling premature infants (<35 weeks gestational age at birth) and their parents. MT included 3 sessions per week with parent-led, infant-directed singing supported by a music therapist. Primary outcome was mother-infant bonding as measured by the Postpartum Bonding Questionnaire (PBQ) at discharge from NICU. Secondary outcomes were parents’ symptoms of anxiety measured by General Anxiety Disorder-7 (GAD-7) and maternal depression measured by Edinburgh Postpartum Depression Scale (EPDS). Group differences at the assessment timepoint of discharge from hospital were tested by linear mixed effect models (ANCOVA). RESULTS: From August 2018 to April 2020, 213 families were enrolled in the study, of whom 108 were randomly assigned to standard care and 105 to MT. Of the participants, 208 of 213 (98%) completed treatment and assessments. Participants in the MT group received a mean (SD) of 10 sessions (5.95), and 87 of 105 participants (83%) received the minimum of 6 sessions. The estimated group effect (95% confidence interval) for PBQ was −0.61 (−1.82 to 0.59). No significant differences between groups were found (P = .32). No significant effects for secondary outcomes or subgroups were found. CONCLUSIONS: Parent-led, infant-directed singing supported by a music therapist resulted in no significant differences between groups in mother-infant bonding, parental anxiety, or maternal depression at discharge.

Pengaruh Pembelajaran Jarak Jauh di Tengah Pandemi COVID-19 dan Kecemasan Orang Tua terhadap Perilaku Religius Siswa

The aims of this study were to 1) determine the effect of distance learning during the Covid-19 pandemic on the students’ religious behavior; 2) determine the effect of parental anxiety on the students’ religious behavior, 3) Knowing the effect of distance learning during the Covid-19 pandemic and parental anxiety about the students’ religious behavior of Muhammadiyah 1 Kartasura Junior High School academic year 2020/2021. This research is quantitative. The sample of this study was 72 students of Muhammadiyah 1 Kartasura Junior High School academic year 2020/2021. Test the instrument using validity and reliability tests. Classical assumption test using normality test, multicollinearity test, and heteroscedasticity test. The data analysis technique used Multiple Linear Regression, F test, t-test, and coefficient of determination (R2). The results showed that distance learning during the Covid-19 pandemic on the religious behavior of Muhammadiyah 1 Kartasura Junior High School students academic year 2020/2021 proved to have a negative effect. The effect of parental anxiety on the religious behavior of Muhammadiyah 1 Kartasura Junior High School students academic year 2020/2021 has been proven to impact positively. The impact of distance learning during the Covid-19 pandemic and parental anxiety on the religious behavior of Muhammadiyah 1 Kartasura Junior High School students academic year 2020/2021 has proven to be influential.

Effects of Parent-Teacher Training on Academic Performance and Parental Anxiety in School-Aged Children With Attention-Deficit/Hyperactivity Disorder: A Cluster Randomized Controlled Trial in Shanghai, China

Attention-Deficit/Hyperactivity Disorder (ADHD) is the most common chronic neurodevelopmental disorder in childhood, placing a heavy burden on family and society. The treatment of school-aged children with ADHD emphasizes multimodal interventions, but most current research focuses solely on parent training and family functioning. The aim of this study was to examine the effect of parent-teacher training on academic performance and parental anxiety. In an open-label cluster randomized controlled trial from January 2018 to January 2019, 14 primary schools in Shanghai were randomly assigned into the intervention group and the control group, and ADHD screening was conducted for students from grades one to five. Children in both groups received medication as prescribe by their pediatricians. In the intervention group, families and teachers also received parent-teacher training. The training included ADHD behavioral interventions for parents, as well as classroom management skills for teachers. This study screened 9,295 students, 99 children in the control group and 105 children in the intervention group were included in the analysis. The intervention group demonstrated significant improvement in ADHD symptoms and academic performance and decreases in parent stress compared to that in the control group (P < 0.05). This training improved the parents’ perception of ADHD knowledge, treatment options, and drug side effects awareness (P < 0.05). Our study aims to underscore the suitability of such programs in the local nuances of the Chinese context, show application feasibility to pediatricians and psychiatrists, and provide supporting evidence for their utilization within the country’s health and educational systems.

Influence of parental anxiety on children’s behaviour during their visits to dental clinic: a short clinical study

Background Anxiety and fear of dental treatment in children have been recognized as sources of serious health problems. Parents are known to subtly transmit feelings of fear and anxiety to their children Commonly which has influence on children’s dental anxiety are maintenance of general health of the child, past dental history, oral hygiene practices and attitudes in the family towards oral health and high dental anxiety of parents, all of these contributed to sustained and elevated levels of children’s dental anxiety. Aim This study was undertaken to evaluate the influence of parental anxiety on their children during their visit to dental clinics. Objective To determine the relationship between parental anxiety level and that of a child. Methods A short clinical study was performed to assess the influence of parental anxiety on their children during their visit to dental clinics. Twenty subjects were randomly selected and their parents were given the Modified Dental Anxiety Scale Questionnaire (MDAS) and their physiologic parameters were measured during each visit. Similarly, the children’s responses were analyzed using the Facial Image Scale (FIS) and their physiologic parameters were measured. Results The values show a positive correlation (P < 0.05) between the scores (MDAS and FIS) and physiologic parameters (blood pressure and heart rate) of parents and their children. Conclusion The dental anxiety levels in parents influence the anxiety levels in children.

Interventions for Parental Anxiety in Preparation for Pediatric Surgery: A Narrative Review

The preoperative experience can cause significant anxiety for both pediatric patients and their parents in the lead up to a surgical procedure. Pediatric anxiety in a preoperative setting has been shown to have significant negative downstream effects on the clinical outcomes of children and the healthcare system as a whole. Studies have found that preoperative parental anxiety has significant negative effects on children, regarding anxiety and emotional response. Therefore, interventions for parental preoperative anxiety are important to reduce the child’s anxiety. This review provides a brief overview of a broad range of strategies used to alleviate parental anxiety in a preoperative setting. Preoperative education, play-based interventions, music therapy, the presence of parents at induction of anesthesia, and integrative preoperative preparation programs have all demonstrated some evidence for reducing parental preoperative anxiety. The ultimate goal of using interventions for parental preoperative anxiety is to equip healthcare systems to better support families and optimize the perioperative outcomes of children.

KECEMASAN ANAK DITINJAU DARI KECEMASAN ORANG TUA DI RSU. BHAKTI HUSADA KRIKILAN

Introduction: Illness and hospitalization cause a crisis in children's lives. In the hospital, the child must face an unfamiliar environment. Often they have to undergo procedures that cause pain, loss of independence and various unknowns. Anxiety that occurs in hospitalized children can be caused by separation which is indicated by refusing to eat, crying and being uncooperative with health workers. Loss of control causes children to become irritable and aggressive, loss of self-concept and body image. Objective: The purpose of this study was to determine the anxiety of children in terms of the anxiety of parents in the RSU. Bhakti Husada Krikilan. Methods: This study uses a correlational design with the type of research used is descriptive analytic. The population in this study was the average of pediatric patients and their parents during the last 3 months in the Inpatient Room at the RSU. Bhakti Husada Krikilan as many as 60 people. Sampling technique using simple random. The tool for the data collection process is a questionnaire sheet, which is then analyzed by the Spearman Rank statistic test. The decision was taken by comparing the p value < 0.05. Results: Based on the results of the study showed that from 49 respondents showed that most of the respondents had parental anxiety in the moderate category as many as 33 people (67.3%). While most of the respondents had child anxiety in the severe category as many as 28 people (57.1%). Based on the results of the Spearman Rank test, it is known that there is a relationship between children's anxiety in terms of parental anxiety at the RSU. Bhakti Husada Krikilan Banyuwangi in 2020 because the p value < 0.05, which is 0.25. Conclusion: Parents with excessive anxiety tend to be more afraid of things that are uncertain. This keeps them from paying close attention to what is really going on and what is in front of them. So, this will make parenting not work as it should. This condition also triggers anxiety in children. For this reason, it is necessary to increase assistance to children to provide a sense of security and comfort so that children's anxiety will decrease