Preventing Emotional Dysregulation: Acceptability and Preliminary Effectiveness of a DBT Skills Training Program for Adolescents in the Spanish School System

Emotional dysregulation is a key factor in the development and maintenance of multiple disabling mental disorders through a person’s lifespan. Therefore, there is an urgent need to prevent emotional dysregulation as early as possible. The main aim of this study was to evaluate the acceptability and preliminary effectiveness of an adapted Dialectical Behavior Therapy Skills Training program for Emotional Problem Solving in Adolescents (DBT STEPS-A) during secondary school. The sample included 93 adolescents (mean age = 12.78; SD = 0.54; and 53% female) studying in their 2nd year of secondary school in a public center in Catalonia (Spain). Measures of acceptability, difficulties of emotional regulation, mental health problems, and life satisfaction were completed before and after participation in the DBT STEPS-A program during one academic year. The majority of students rated the program as useful (64%) and enjoyed the classes (62%) and 48% of them reported practicing the newly learned skills. Statistically significant improvements were revealed in some emotional regulation-related variables, namely the number of peer problems (p = 0.003; d = 0.52) and prosocial behaviors (p < 0.001; d = −0.82). Although non-significant, the scores in the remaining outcomes indicated a general positive trend in emotional dysregulation, mental health, and life satisfaction. The adapted DBT STEPS-A was very well-accepted and helped overcome some emotional regulation difficulties in Spanish adolescents.

Analysing Drawing in Non-Directive Play: A Case of 6-Year-Old Girl with Emotional Problems

Behavioural and emotional problem is commonly reported in childhood, some cases require psychological management. Non-directive therapeutic play or child-led play that always involve spontaneous drawing, is one of the most natural and potential means to work with children, yet it is not being fully utilised and explored. This is a single case study, of a 6-year-old girl, referred for therapeutic child-led play skill session for being easily irritable and aggressive at home. Following 20 sessions with a trained therapeutic play practitioner, mother reported marked improvement in her child’s emotional regulation. We explored the child’s emotional standing when she was drawing, as well as the changes that evolved as we analysed series of drawings she produced throughout the therapy. We conclude that careful analyses of spontaneous drawing, coupled with in-session behavioural observation, and reflection, emotional state of the child can be tacit. This information is consistent with parent-reported scoring.

STUDY OF URINARY SYMPTOMS AND SEXUAL DYSFUNCTION IN WOMEN WITH PROLAPSE.

INTRODUCTION in Western society 21 _51% urinary incontinence problem due to pelvic dysfunction various urinary symptoms are stress incontinence, mixed incontinence, dysuria, nocturia, driblling of urine, and later stages nocturnal enuresis. METHODS this study was conducted in 150 patients of prolapse aged 40_70year of age help was taken from King's health questionaare to develop proforma of the patients which included general health, incontinence impact, physical and social limitation, emotional problem with sleep disburtances, demographic characteristics and Obstetrics and medical history. DISCUSSION out of 150 patients, 44 had one or more medical management antimuscarinic drug were given in 20 patients, Mirabin were given in 6, ATT in 2,HRT in 10. Surgical management were done in 70 patients, vault prolapse in 10 and TOT in 3 patients. CONCLUSION our study conrm medical physical psychological and intervention factors were reported as inuential in QoL in women with incontinence and therefore increasing need for intervention for these prolapse patients with urinary dysfunction. AIM :Study of urinary symptoms and sexual dysfunction in women with urinary incontinence in prolapse patients . The present study was conducted from January 28, 2019 to jan20 ,2020 .

Psycho-Emotional and Behavioral Problems in Children With Growth Hormone Deficiency

Objective: To identify psychosocial problems and self-esteem in children with growth hormone deficiency (GHD) and define the role of some clinical and sociodemographic determinants in the conceptualization of internalizing and externalizing problems as criteria for psychosocial functioning.Materials and Methods: A GHD sample (46 prepubescent children) was selected and compared to a matched control group (80 healthy children). Psychosocial functioning in children with GHD was investigated using Goodman's “Strengths and Difficulties Questionnaire (SDQ).” The study of children's self-esteem was carried out by the Dembo–Rubinstein method.Results: This study reveals that the GHD sample has more internalizing problems and lower self-esteem. Higher score and frequency of assessment in the abnormal score for “total difficulties,” “emotional problem,” and “peer problem” were found in children with GHD. The SDQ score and the frequency of assessment in the abnormal score for all SDQ scales in children with more pronounced growth deficit (height SDS &lt; −3) did not exceed the same indicators in children with less growth retardation (−3 &lt; height SDS &lt; −2). A comparison of psychosocial features in children with isolated growth hormone deficiency and multiple pituitary hormones deficiency did not reveal differences in SDQ score and the frequency of assessment in the abnormal score for all SDQ scales. It was found that children with GHD have a reduced level of assertions, low self-esteem, and a weak discrepancy between the level of assertions and self-esteem. Some sociodemographic determinants (male gender, age &lt; 9 years, and low family income) and clinical determinants (low compliance and suboptimal growth response after 1 year of rGHh therapy) have an impact on the overall assessment of psychological problems in children with GHD. The internalizing difficulties are associated with certain clinical determinants (growth status and treatment status) and sociodemographic determinants (female gender, age &lt; 9 years).Conclusions: The identification of low self-esteem and the high SDQ score for scales “total difficulties,” “emotional problems,” and “peer problems” indicates psychosocial maladjustment and conceptualization of internalizing problems in children with GHD.

Emotional intelligence and learning outcomes: Study in physical education

The correlation between emotional intelligence and learning outcomes of elementary school students in physical education is still minimal. Therefore, a deeper exploration in this study is carried out to reveal it. This study aims to analyze the correlation between emotional intelligence and students' physical education learning outcomes in elementary schools. This correlational study aims to analyze the relationship between emotional intelligence and elementary school students' learning outcomes in physical education. The ANOVA correlation between emotional intelligence and physical education learning outcomes shows a significance value of 0.224, greater than alpha 0.05. It means that there is no correlation between emotional intelligence and students’ cognitive learning outcomes in physical education subjects. Factors that contribute to the absence of a relationship between emotional intelligence and learning outcomes include implementing online learning that is less than optimal because it is not supported by adequate facilities and learning participation by all students. The other factors are reduced or limited interaction between students and the learning environment, the economic burden that causes parents’ emotional problem that impacts children's emotions. The contribution of emotional intelligence to the achievement of learning outcomes, especially in physical education subjects, is as much as 2%, and other factors contribute as much as 98%.

Memelihara Kestabilan Emosional dengan Terapi Emotional Freedom Technique (EFT) di Masa Pandemi Covid–19

The pandemic of covid-19 has impacted many sectors. Millions of people victims this virus and disturb mental health. All of them becase declining income, social distancing and methods that always change. It’s need preventive efford and curative to save healty and emotional. Emotional freedom technique (EFT) is felt appropriately for stabilizing emotions and became simple methods to all generation. Focus on negative emotional problem that sould be addressed by describing problems and typing meridian. the purpose from This activities are for protect emotional stability by Emotional freedom technique. The method used by qualitative phenomology. The subject or client from this EFT is the youth of palembon village, kanor district in the bojonegoro regency. This activity is in the forum of workshop by nine youth of palembon in resident’s house at 9-10 of april 2021. From this workshop, subject get education about EFT and how to applicated it. In the first day, the workshop start from 09.00 AM until 02.00 PM. And in the second day, start from 09.00 AM. Until 12.00 AM. In the third day, any perform devotion to the subject with individual model to put more emphasis on aspects of decency and secrecy, that is on 12 – 13 of April 2021. The problem that arised in the post-crucial of the pandemic is boredom complained regarding education and employment. Use EFT make persons more relaxed and less nervous to do something. The result from this devotion is satisfying results. One use therpy of EFT in the a group and 3 times by personal make the client’s cycle of negative emotional problems has declined significantly.

Need for Palliative Care in Patient with Rheumatoid Arthritis: A Cross-sectional Observational Study

Objectives: Rheumatoid arthritis (RA) is a chronic disorder causing inflammation in the joints and achieving remission is often the primary goal of physicians. We evaluated the suffering from RA and assessed the need for palliative care services in these patients. Materials and Methods: This cross-sectional observational study was done in 100 adult RA cases who attended the outpatient department. The Disease Activity Score 28 (DAS28), Health Assessment Questionnaire Disability Index, depression, anxiety and stress score, Short Form 36 Health Survey and numeric rating scale were assessed. The relationship between DAS28 with the other parameters and scores was assessed using Spearman’s rho correlation coefficient. Results: About 90% of patients in our study were female and majority (50%) had a moderate disease activity. The DAS28 showed a positive correlation with the degree of depression (r = 0.671, P = 0.000), anxiety (r = 0.609, P = 0.000) and stress levels (r = 0.474, P = 0.000). The patients with severe disease had a poor quality of life (QoL) [physical functioning (r = –0.737, P = 0.000); role limitation (r = –0.662, P = 0.000); emotional problem (r = –0.676, P = 0.000); energy/fatigue (r = –0.638, P = 0.000); social functioning (r = –0.658, P = 0.000); emotional well-being (r = –0.605, P = 0.000); general health (r = –0.643, P = 0.000); health change (r = –0.376, P = 0.000) and numerical rating scale score for pain (r = 0.656, P = 0.000)]. Conclusion: RA patients with high disease activity suffer from depression, anxiety, stress and poor QoL. Palliative care physicians and rheumatologists must be vested with the power to provide comprehensive care to these patients.

Depression in the Mirror: Depression Severity and Its Link to Negative Judgments of Symptoms

Background and Objectives: Depressive states represent a normal and physiological response to the experience of loss. However, it is possible to identify some elements that allow distinguishing physiological depressive states from pathological ones. Over the years, research has confirmed that a stable tendency to negative self-evaluation is a transdiagnostic factor that triggers and amplifies dysfunctional emotional reactivity, thus contributing to the shift from normal to pathological reaction. In this sense, the secondary problem, or meta-emotional problem, referring to the negative evaluation of one's depressive state and the consequent dysfunctional attempts to solve it, seems to play an important role. The aim of the present study is to investigate how dysfunctional beliefs and the evaluations of depressive symptoms (meta-emotional problems) are related to depression severity.Methods: We asked to a community sample to focus on the depressive symptoms they regard as most distressful and evaluate them through specific questionnaires. One-hundred and eighty nine participants were asked to complete a set of questionnaires: (1) the Meta-Emotional Problem Questionnaire; (2) the Center for Epidemiologic Studies Depression Scale; (3) the Beck Depression Inventory; (4) the Dysfunctional Attitude Scale-24 in order to investigate the relation between dysfunctional beliefs, meta-emotional problems, and depressive symptoms severity.Results: Our results show that higher levels of depression are associated both to more pervasive dysfunctional attitudes and increased evaluation of meta-emotional problem. In addition, we conduct a regression analysis to disentangle the impact of the two different measures of depressive symptoms (i.e., BDI-II and CES-D) with two explanatory variables (dysfunctional attitudes and meta-emotional problem). Results show that meta-emotional problem remains a significant and robust predictor of the severity of depressive symptomatology, while dysfunctional beliefs has a rather weak and non-significant relation with the criterion. In other words, meta-emotional problem consistently explains the higher variance of depressive symptoms than dysfunctional beliefs. In conclusion, our study shows a clear link between meta-emotional problem and depression severity. This is relevant for clinical practice, as it highlights the importance of specifically targeting beliefs about the depressive condition in cognitive-behavioral treatment of depression, since they represent crucial factors maintaining depressive symptomatologies.