Journal of Child and Adolescent Mental Health最新文献_第5页

A systematic review of short and medium-term mental health outcomes in young people following sexual assault 性侵犯后青少年短期和中期心理健康结果的系统回顾

Journal of Child and Adolescent Mental Health Pub Date : 2019-09-02 DOI: 10.2989/17280583.2019.1665533

K. E. MacGregor, L. Villalta, V. Clarke, R. Viner, T. Kramer, S. Khadr

{"title":"A systematic review of short and medium-term mental health outcomes in young people following sexual assault","authors":"K. E. MacGregor, L. Villalta, V. Clarke, R. Viner, T. Kramer, S. Khadr","doi":"10.2989/17280583.2019.1665533","DOIUrl":"https://doi.org/10.2989/17280583.2019.1665533","url":null,"abstract":"Objective: Sexual assault peaks in adolescence, yet sequelae at this age are not well understood. This systematic review aimed to describe mental health outcomes following sexual assault in young people. Method: Two reviewers independently searched databases, screening publications from 1990 to 2018. Inclusion criteria included: longitudinal studies, systematic reviews, and meta-analyses with ≥50% participants aged ten to 24 years; baseline mental health assessment prior to/or <8 weeks post-assault with follow-up ≥ 3 months after the initial assessment. Results: 5 124 titles and abstracts were screened, with 583 papers examined in full. Ten studies met inclusion criteria (sample size 31 to 191). Five studies examined rates of post-traumatic stress disorder (PTSD), reporting rates of up to 95% within one month and up to 60% at 12 months post-assault. Studies evaluating post-traumatic (n = 5) and anxiety (n = 3) symptom scores showed symptoms were highest in the immediate aftermath of the trauma, generally reducing over four to 12 months post-assault. Depressive symptomology appeared to vary between studies (n = 5). However, the majority showed symptoms decreasing over the same time period. Conclusions: Psychopathology is common following sexual assault in young people. Most studies observed reduced rates over time, but there is a paucity of longitudinal research. Psychopathology during the first year after sexual assault is an important treatment target to consider.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88351770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Prevalence and patterns of mental disorders among primary school age children in Ghana: correlates with academic achievement 加纳小学适龄儿童精神障碍的患病率和模式:与学业成绩的关系

Journal of Child and Adolescent Mental Health Pub Date : 2019-09-02 DOI: 10.2989/17280583.2019.1678477

Kwabena Kusi-Mensah, G. Donnir, Stephen Wemakor, R. Owusu-Antwi, O. Omigbodun

{"title":"Prevalence and patterns of mental disorders among primary school age children in Ghana: correlates with academic achievement","authors":"Kwabena Kusi-Mensah, G. Donnir, Stephen Wemakor, R. Owusu-Antwi, O. Omigbodun","doi":"10.2989/17280583.2019.1678477","DOIUrl":"https://doi.org/10.2989/17280583.2019.1678477","url":null,"abstract":"Background: There is limited data on the prevalence of child and adolescent mental health disorders (CAMHD) in Ghana. Recent reports suggest a decline in academic achievement in basic education. This paper sought to determine the prevalence of CAMHD in Ghanaian primary school children and to draw correlates with academic achievement. Methods: We conducted a pilot cross-sectional survey of 303 grade 3 pupils aged 7–15 years in the city of Kumasi. The Child Behaviour Checklist (CBCL) and Kiddie-Schedule for Affective Disorders and Schizophrenia (K-SADS-PL) were used to assess for CAMHD in 2016, and data on performance in examinations over the prior academic year were analysed. Results: Overall, current prevalence of CAMHD was 7.25%, with depressive disorder = 1.31%, anxiety disorders = 1%, attention deficit hyperactivity disorder (ADHD) = 1.64%, conduct disorder = 1.97%, and intellectual disability = 1%. Co-morbid disorders, such as seizure disorder (1%), were also noted. There was a greater prevalence of CAMHD in public schools (11.6%) compared to private schools (0.7%), with p < 0.001. Even when adjusted for other factors, children with CAMHD had a lower average academic score by 10.5 units (p < 0.001). Thus, having a dual diagnosis was most predictive of academic underachievement. Conclusions: The results of this study document the prevalence of CAMHD in Ghana for the first time and shows correlates with academic underachievement.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84188287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Child and adolescent mental health in Africa: A qualitative analysis of the perspectives of emerging mental health clinicians and researchers using an online platform 非洲儿童和青少年心理健康:利用在线平台对新兴心理健康临床医生和研究人员的观点进行定性分析

Journal of Child and Adolescent Mental Health Pub Date : 2019-05-04 DOI: 10.2989/17280583.2019.1659145

E. L. Davids, Leigh Adams Tucker, G. N. Wambua, D. Fewster, Liezl Schlebusch, Saira B S Karrim, M. Attia, Joachim Nyoni, Fikirte Girma Bayouh, Hillary Kuteesa, T. Brahim, M. Hoogenhout, Rahma Ben Moussa Kahloul, Nicola Jearey-Graham, Habte Belete Gobie, J. Nalugya

{"title":"Child and adolescent mental health in Africa: A qualitative analysis of the perspectives of emerging mental health clinicians and researchers using an online platform","authors":"E. L. Davids, Leigh Adams Tucker, G. N. Wambua, D. Fewster, Liezl Schlebusch, Saira B S Karrim, M. Attia, Joachim Nyoni, Fikirte Girma Bayouh, Hillary Kuteesa, T. Brahim, M. Hoogenhout, Rahma Ben Moussa Kahloul, Nicola Jearey-Graham, Habte Belete Gobie, J. Nalugya","doi":"10.2989/17280583.2019.1659145","DOIUrl":"https://doi.org/10.2989/17280583.2019.1659145","url":null,"abstract":"Objective: Using a social ecological framework, this study aimed to establish emerging mental health clinicians and researchers’ perspectives about child and adolescent mental health (CAMH) in Africa. Method: Perspectives of 17 participants from Ethiopia, Kenya, South Africa, Tunisia, Uganda and Zambia, whose professional backgrounds ranged from psychiatry to speech-language therapy, were collected at an African CAMH conference. Data were gathered using open-ended questions, using an online survey. Data were analysed using theoretical thematic analysis. Results: An adapted social ecological framework highlighted: An increased need for commitment from governments to improve CAMH in Africa; and addressing mental health stigma and discrimination through community awareness. The need for specialised CAMH facilities were identified, particularly in the public health sector. The need for multi-sectoral, multi-disciplinary partnerships for advocacy, service delivery, and continuity of care were also identified. Participants emphasised the importance of CAMH awareness, and the role of governments in recognising CAMH needs and using policies to improve CAMH in Africa. Participants were hopeful about the transformation of CAMH on the continent. Conclusion: The participants prioritised government- and community-level awareness to increase the resources and support offered by CAMH services in Africa.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83160376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Iron deficiency in South African children and adolescents with attention deficit hyperactivity disorder 南非儿童和青少年注意缺陷多动障碍的缺铁情况

Journal of Child and Adolescent Mental Health Pub Date : 2019-05-04 DOI: 10.2989/17280583.2019.1637345

Luzuko Magula, K. Moxley, A. Lachman

{"title":"Iron deficiency in South African children and adolescents with attention deficit hyperactivity disorder","authors":"Luzuko Magula, K. Moxley, A. Lachman","doi":"10.2989/17280583.2019.1637345","DOIUrl":"https://doi.org/10.2989/17280583.2019.1637345","url":null,"abstract":"Objective: Iron deficiency may play a role in the pathophysiology of attention deficit hyperactivity disorder (ADHD) by causing dopamine dysfunction, but there is conflicting evidence in the literature regarding this relationship. This study investigates the possible correlation between iron deficiency and ADHD in children and adolescents attending a South African child and adolescent psychiatry outpatient service. Method: In this retrospective study, we gathered data from 245 outpatient children and adolescents who had their serum ferritin and/or iron levels tested between February 2011 and January 2016. Relevant statistical methods were used to test for correlations between ADHD and various demographic and clinical factors, including iron deficiency. Results: Out of 245 patients, 88 (35.9%) had iron deficiency, 156 (63.7%) had ADHD and 55 (22.4%) had both iron deficiency and ADHD. Variables found to be significantly correlated with ADHD included gender, age, and methylphenidate treatment, but there was no significant correlation between ADHD and iron deficiency. Conclusions: Our study emphasizes the great complexity involved in understanding ADHD. Comparisons between mentally-ill paediatric patients and matched healthy controls from the same communities are required to further explore the possible association between iron deficiency and ADHD.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79053046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Parenting styles and socio-demographic dynamics associated with mental health of in-school adolescents in Ibadan, south-west Nigeria 尼日利亚西南部伊巴丹市与在校青少年心理健康相关的父母教养方式和社会人口动态

Journal of Child and Adolescent Mental Health Pub Date : 2019-05-04 DOI: 10.2989/17280583.2019.1662426

A. Obimakinde, O. Omigbodun, O. Adejumo, B. Adedokun

{"title":"Parenting styles and socio-demographic dynamics associated with mental health of in-school adolescents in Ibadan, south-west Nigeria","authors":"A. Obimakinde, O. Omigbodun, O. Adejumo, B. Adedokun","doi":"10.2989/17280583.2019.1662426","DOIUrl":"https://doi.org/10.2989/17280583.2019.1662426","url":null,"abstract":"Background: Positive parenting and enabling socio-demography, engenders good conduct in adolescence. Balanced parental demandingness and emotional responsiveness, deployed by authoritative parents, supports adolescents’ mental health. Parental emotional responsiveness deters peer-pressured risky behaviours; while parental negligence, permissiveness, or demandingness encourages mental health problems. This is especially in the context of unfavourable socio-demographic setting. Aim: We aimed to evaluate parenting styles and socio-demographic factors associated with adolescents’ mental health. Method: A cross-sectional multistage study was conducted with 286 in-school adolescents in Ibadan, Nigeria. Data were collected with questionnaires. The questionnaires evaluated socio-demography, mental health, and perceived parenting styles using the Strength and Difficulty Questionnaire (SDQ) and Scale of Parenting Styles (SPS) questionnaires. Data analysis was conducted using SPSS 21. Results: Some of the adolescents in this study, experienced peer problems (4.9%), conduct problems (9.4%), hyperactivity problems (0.7%), emotional problems (14.3%), and they lacked pro-social behaviours (11.1%). In comparison to adolescents who perceived fathers as authoritative, adolescents who perceived fathers as less demanding experienced emotional (p = 0.01) and peer (p = 0.02) problems. Perceived maternal negligence and authoritarian parenting was associated with more peer problems (1.5±2.3 and 1.3±2.2) in comparison to perceived maternal authoritative style (0.6±1.5). Most adolescents from lower social class experienced conduct (88.8%; p = 0.07) and emotional problems (73.2%; p = 0.20). Conclusion: Competent parenting style and socio-economic resources supports resilience to mental health problems in adolescents.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88538458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Health workers’ attitude towards children and adolescents with mental illness in a teaching hospital in north-central Nigeria 尼日利亚中北部一家教学医院的卫生工作者对患有精神疾病的儿童和青少年的态度

Journal of Child and Adolescent Mental Health Pub Date : 2019-05-04 DOI: 10.2989/17280583.2019.1663742

F. Tungchama, O. Egbokhare, O. Omigbodun, C. Ani

{"title":"Health workers’ attitude towards children and adolescents with mental illness in a teaching hospital in north-central Nigeria","authors":"F. Tungchama, O. Egbokhare, O. Omigbodun, C. Ani","doi":"10.2989/17280583.2019.1663742","DOIUrl":"https://doi.org/10.2989/17280583.2019.1663742","url":null,"abstract":"Objective: Public stigma against mental illness is well studied. However, there is a dearth of research into health workers’ attitude towards children and adolescents with mental illness, especially in low- and middle income countries such Nigeria. Methods: A cross-sectional study was conducted among 395 health workers in a Teaching Hospital in North-Central Nigeria. Participants were selected by random sampling from clinical and non-clinical departments. Participants completed questionnaires to assess stigma, knowledge, personal contact, previous training, and exposure to religious teaching on child and adolescent mental illness (CAMI). Results: The response rate was 90%. Many health workers (42%) indicated that affected children should not play with other children, 38% would feel ashamed if a child in their family had mental illness, 42% would be concerned if their child sat with an affected child, and 27% would be afraid to speak to a child or adolescent with mental illness. Independent predictors of negative attitudes were: poor knowledge, exposure to religious teaching that affected children are possessed or dangerous, and being from a non-medical professional group. Conclusion: CAMI is stigmatised by health workers in this specialist Hospital in Nigeria. Urgent intervention is required to avoid adverse impact on affected children.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80259075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Quality of life interventions for primary caregivers of children with autism spectrum disorder: a scoping review 自闭症谱系障碍儿童主要照顾者的生活质量干预:范围综述

Journal of Child and Adolescent Mental Health Pub Date : 2019-05-04 DOI: 10.2989/17280583.2019.1659146

D. Fewster, P. Govender, C. Uys

{"title":"Quality of life interventions for primary caregivers of children with autism spectrum disorder: a scoping review","authors":"D. Fewster, P. Govender, C. Uys","doi":"10.2989/17280583.2019.1659146","DOIUrl":"https://doi.org/10.2989/17280583.2019.1659146","url":null,"abstract":"Background: Raising a child with autism spectrum disorder is associated with high levels of stress. Primary caregivers are a group at risk of mental illness and reduced quality of life. Although interventions for the child with autism spectrum disorder exist, there are few or no interventions focusing on the physical, emotional and psychological needs of the primary caregivers. Objectives: The aim of this scoping review paper was to identify and describe quality of life interventions offered to primary caregivers of children with autism spectrum disorder. The content, structure, and mechanism of delivery of these interventions, including their contribution to improving the quality of life of these caregivers, are discussed. Method: A scoping review protocol and methodology was developed and implemented according to a five-step process; namely, identification of the research question including the PICo, identification of suitable studies using selected search strings, selection of studies using PRISMA guidelines, charting of the results, and collation and summarising of the information. Reviewers where active at various stages to maintain the rigour of the study. Twenty one studies were reviewed and eligible for analysis. Results: The content and trends in structure and mechanism of delivery are described. Three themes emanated from the interventions’ content. The studies were analysed according to quality of life domains addressed in the interventions. Conclusion: The scoping review highlights current practices informing interventions for primary caregivers of children with autism spectrum disorder and may serve as a guide by practitioners and researchers for developing future evidence-based interventions for this population.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77865397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Perceived barriers and facilitators for healthy behaviours among parents of adolescents receiving mental health care in a public hospital in Cape Town, South Africa: A qualitative study. 在南非开普敦一家公立医院接受精神保健的青少年父母中，健康行为的障碍和促进因素:一项定性研究。

Journal of Child and Adolescent Mental Health Pub Date : 2019-05-01 Epub Date: 2019-04-08 DOI: 10.2989/17280583.2019.1584107

Pamela Naidoo, Anam Nyembezi, Eileen Thomas, Anusha Lachman, Ashraf Kagee

{"title":"Perceived barriers and facilitators for healthy behaviours among parents of adolescents receiving mental health care in a public hospital in Cape Town, South Africa: A qualitative study.","authors":"Pamela Naidoo, Anam Nyembezi, Eileen Thomas, Anusha Lachman, Ashraf Kagee","doi":"10.2989/17280583.2019.1584107","DOIUrl":"https://doi.org/10.2989/17280583.2019.1584107","url":null,"abstract":"Objective: To explore the perceived barriers and facilitators for healthy behaviours among parents and caregivers of adolescents receiving mental health care in Cape Town, South Africa. Method: Thirty-five qualitative in-depth interviews were conducted with parents and caregivers of adolescents receiving mental health treatment by six facilitators matched for language. The data was analysed using thematic analysis. Results: The participants were predominantly female (n = 28, 80%) and parents (n = 29, 83%) of the adolescents. Personal barriers to good health included unhealthy eating, substance use and physical inactivity. Environmental barriers were inherited medical conditions, the easy availability of unhealthy foods and the absence of recreational facilities in communities. Perceived facilitators to good health were parental role modelling, planning and preparing healthy meals, exercise opportunities providing by walking long distances to work, and doing physically demanding jobs and household chores. Conclusion: Parents and caregivers are essential to adolescents' healthy development as they may influence adolescent health behaviours. It is likely that the promotion of positive health behaviours may be achieved though family-based interventions.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2019.1584107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37132447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Prevalence and correlates of truancy among in-school adolescents in Ghana: evidence from the 2012 Global School-based Student Health Survey. 加纳在校青少年旷课率及其相关因素:来自2012年全球校本学生健康调查的证据

Journal of Child and Adolescent Mental Health Pub Date : 2019-05-01 Epub Date: 2019-03-25 DOI: 10.2989/17280583.2019.1585359

Abdul-Aziz Seidu, Bright Opoku Ahinkorah, Eugene Kofuor Maafo Darteh, Louis Kobina Dadzie, Kwamena Sekyi Dickson, Hubert Amu

{"title":"Prevalence and correlates of truancy among in-school adolescents in Ghana: evidence from the 2012 Global School-based Student Health Survey.","authors":"Abdul-Aziz Seidu, Bright Opoku Ahinkorah, Eugene Kofuor Maafo Darteh, Louis Kobina Dadzie, Kwamena Sekyi Dickson, Hubert Amu","doi":"10.2989/17280583.2019.1585359","DOIUrl":"https://doi.org/10.2989/17280583.2019.1585359","url":null,"abstract":"This study examined the prevalence and correlates of truancy among adolescents in Ghana using the 2012 Global School-based Health Survey. A sample of 1 430 adolescents was used for the study. The prevalence of truancy was 31%. In the multivariate analysis, we found that those in grade 4 of senior high school (OR = 4.0, 95% CI = 2.81, 5.83), those who felt hungry in school (OR = 1.49, 95% CI = 1.14, 1.94), those who used tobacco (OR = 2.31, 95% CI = 1.32, 4.03), those who used alcohol (OR = 2.32, 95% CI = 1.63, 3.29), those who engaged in physical fights (OR = 1.75, 95% CI = 1.31, 2.27), and those who sustained an injury (OR = 1.33, 95% CI = 1.02, 1.73) were respectively more likely to report being truant than those in grade 1 of senior high school, those who did not go hungry in school, those who did not use tobacco, those who did not use alcohol, those who did not sustain an injury, and those who did not engage in physical fights. Adolescents whose parents or guardians checked their homework were also less likely (OR = 0.66, 95% CI = 0.51, 0.84) to report being truant, compared to those whose parents did not check their homework. We found a high prevalence of truancy among adolescents in Ghana. These findings underscore the need for all stakeholders to actively intervene to reduce truancy among school adolescents, taking into consideration the associated factors.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2019.1585359","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37086969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 43

Development and piloting of a novel, peer-led bereavement intervention for young people living with HIV in Zimbabwe. 在津巴布韦为感染艾滋病毒的年轻人制定和试行一种新的、由同伴主导的丧亲干预措施。

Journal of Child and Adolescent Mental Health Pub Date : 2019-05-01 Epub Date: 2019-04-24 DOI: 10.2989/17280583.2019.1579097

Carol Wogrin, Lisa F Langhaug, Charity Maruva, Nicola Willis

{"title":"Development and piloting of a novel, peer-led bereavement intervention for young people living with HIV in Zimbabwe.","authors":"Carol Wogrin, Lisa F Langhaug, Charity Maruva, Nicola Willis","doi":"10.2989/17280583.2019.1579097","DOIUrl":"https://doi.org/10.2989/17280583.2019.1579097","url":null,"abstract":"Background: Research emphasizes lasting psychological implications when young people are not adequately supported following close family deaths. In sub-Saharan Africa, adolescents living with HIV (ALHIV) experience multiple personal deaths along with other serious losses. ALHIV highlight that not processing their grief negatively impacts their daily lives including their ART adherence. This article describes the development and piloting of a bereavement intervention for ALHIV in Zimbabwe. Methods: Formative research with 10 ALHIV peer counsellors (18-21 years) supported intervention development. After training, these peer counsellors facilitated a six-session bereavement intervention in 10 existing community-based ALHIV support groups. Qualitative data was collected from facilitators, ALHIV intervention participants, and their caregivers. Results: Key themes: i) limited experience recognizing their losses; ii) lacking control over poorly understood feelings; iii) recurrent feelings of isolation, hopelessness, depression, fear, and guilt; iv) reticence to share, believing their feelings were unusual; v) shame surrounding connections felt towards their deceased. Following intervention implementation, members reported relief in learning of shared experiences, the ability to link their feelings with specific experiences and employ constructive coping strategies to address them, leading to greater emotional control. Conclusion: Implementing high-quality grief interventions is critical when responding to the complex realities of ALHIV in sub-Saharan Africa.","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2019.1579097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37183228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6