Keneilwe Molebatsi, David M Ndetei, Phillip R Opondo
{"title":"Caregiver burden and correlates among caregivers of children and adolescents with psychiatric morbidity: a descriptive cross sectional study.","authors":"Keneilwe Molebatsi, David M Ndetei, Phillip R Opondo","doi":"10.2989/17280583.2017.1340301","DOIUrl":"https://doi.org/10.2989/17280583.2017.1340301","url":null,"abstract":"<p><strong>Objective: </strong>To determine levels and correlates of caregiver burden among caregivers of children and adolescents with psychiatric morbidity.</p><p><strong>Method: </strong>Over a period of four months, a total of 252 caregivers of children and adolescents with psychiatric morbidity were recruited. Data on socio-demographic factors, psychiatric morbidity among caregivers, and level of caregiver burden was collected using a researcher-designed socio-demographic questionnaire, Mini International Neuropsychiatric Interview, and Zarit burden interview, respectively. Data was analysed using statistical package for social sciences (SPSS) version 21.</p><p><strong>Results: </strong>Females (n = 211, 83.7%) and mothers (n = 182, 72.2%) accounted for the majority of the study participants. The majority of caregivers reported moderate to severe caregiver burden; (n = 100, 39.7%). Being single or separated (B = -6.91, p = 0.001, β = -0.18) and presence of psychiatric morbidity (B = 7.44, p = 0.009, β = 0.22) in the caregiver significantly contributed to the high levels of caregiver burden.</p><p><strong>Conclusion: </strong>Caregivers of children and adolescents with psychiatric morbidity suffer high levels of caregiver burden. A multidisciplinary approach to management of children with psychiatric morbidity to address challenges faced by the caregivers may alleviate the burden; thereby improving clinical outcomes of children and adolescents with psychiatric morbidity.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2017.1340301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35470067","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}
Leigh E Schrieff-Elson, Ju-Reyn H Ockhuizen, Genevieve During, Kevin G F Thomas
{"title":"Attention-training with children from socioeconomically disadvantaged backgrounds in Cape Town.","authors":"Leigh E Schrieff-Elson, Ju-Reyn H Ockhuizen, Genevieve During, Kevin G F Thomas","doi":"10.2989/17280583.2017.1372285","DOIUrl":"https://doi.org/10.2989/17280583.2017.1372285","url":null,"abstract":"<p><strong>Objective: </strong>Attention is a core process underlying competence in higher-order cognitive abilities. Previous research suggests that healthy children from low socioeconomic status (SES) backgrounds perform poorly, relative to those from higher SES backgrounds, on tasks assessing attentional abilities. In this pilot study, we investigated the effects of an attention-training intervention on task performance in low-SES children.</p><p><strong>Method: </strong>We conducted a quasi-controlled trial with stratified randomisation, using a pre-test/ post-test design. Participants were low-SES children aged 7-13 years. Each was assigned to either an intervention group, a play control group, or a test-only control group (n = 5 per group). We implemented a ten-week manualised cognitive rehabilitation program, Pay Attention!, administering standardised tests of attention, working memory, and inhibition before and after the intervention. Between- and within-group analyses and Reliable Change Index statistics evaluated differences in scores from pre- to post-intervention.</p><p><strong>Results: </strong>Analyses detected no notable between-group differences at either pre- or post-intervention testing. However, on tests of selective attention, attentional control, and inhibition, there were significant within-group and positive individual reliable changes exclusive to the intervention-group participants.</p><p><strong>Conclusions: </strong>Given the variability in our findings, more research needs be conducted with a larger sample to determine, with greater rigour, the efficacy of the intervention within samples of healthy children from low-SES backgrounds.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2017.1372285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35468539","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}
{"title":"Challenges experienced by parents living with a child with attention deficit hyperactivity disorder.","authors":"Meisie Mofokeng, Anna E van der Wath","doi":"10.2989/17280583.2017.1364253","DOIUrl":"https://doi.org/10.2989/17280583.2017.1364253","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this South African study was to explore parents' experiences of living with a child with attention deficit hyperactivity disorder (ADHD).</p><p><strong>Methods: </strong>A qualitative research design was followed. Purposive sampling was used to select ten parents living with children diagnosed with ADHD receiving outpatient treatment at a psychiatric facility. Data, collected through unstructured individual interviews, were analysed using open coding. Measures to ensure trustworthiness and ethical research practices were applied.</p><p><strong>Results: </strong>Five themes emerged: burden of care; emotional effects; social effects; impact of the educational challenges, and attempts to cope with the burden of care.</p><p><strong>Conclusion: </strong>Parents living with a child with ADHD experience stress as they struggle to cope with the child's symptoms amidst the stigmatising attitudes from family and community members. Parents experience burdensome emotions and impaired social and occupational functioning. Health care practitioners need to take note of the challenges inherent to parenting a child with ADHD in order to provide multi-disciplinary interventions aimed at empowering and supporting parents.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2017.1364253","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35470065","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}
Carrie Brand, Greg Howcroft, Christopher Norman Hoelson
{"title":"The voice of the child in parental divorce: implications for clinical practice and mental health practitioners.","authors":"Carrie Brand, Greg Howcroft, Christopher Norman Hoelson","doi":"10.2989/17280583.2017.1345746","DOIUrl":"https://doi.org/10.2989/17280583.2017.1345746","url":null,"abstract":"<p><strong>Objective: </strong>Research on parental divorce suggests that the nature of the divorce process, as experienced by the child, is the most important factor in his or her post-divorce adjustment. Research regarding children's experiences of the divorce process has been limited and the adult perspective has dominated the discourse on divorce; only recently has research started to consider children's viewpoint. This article describes a narrative inquiry into the experiences and perceptions of parental divorce, of 9- to 10-year-old children. Its aim is to use children's stories of parental divorce to inform the practice of professionals working with such children.</p><p><strong>Method: </strong>The research adopted a narrative paradigm. Unstructured interviews were conducted with five children whose parents were divorced. Data were analysed thematically.</p><p><strong>Findings: </strong>Seven themes were identified. The first theme explored children's endeavours to describe and explain parental divorce. An additional six themes were developed around the types of stories children told of the divorce process. The seven themes were: (i) What is a divorcement; (ii) Stories of loss; (iii) Stories of gain; (iv) Stories of change; (v) Stories of stability; (vi) Healing stories; and (vii) Complicating stories.</p><p><strong>Conclusion: </strong>On the basis of the narratives elicited from children on parental divorce, this article proposes several guidelines for professionals such as psychologists, registered counsellors, social workers, and teachers as well as parents in their possible interventions with children. Some guidelines may also be of use to family and maintenance courts, and the government departments of health and education.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2017.1345746","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35470066","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}
{"title":"Psychological health among Chinese college students: a rural/urban comparison.","authors":"Jie Zhang, Qing Qi, Robert P Delprino","doi":"10.2989/17280583.2017.1345745","DOIUrl":"https://doi.org/10.2989/17280583.2017.1345745","url":null,"abstract":"<p><p>The literature on suicide among the Chinese indicates that younger individuals from rural areas are at higher risk of suicide than their urban counterparts. While earlier studies have investigated the relationship between psychological health and major demographic variables, the relationship of psychological health as it relates to suicide by those from urban and rural areas have been rare. Studying the psychological health of college students from rural China in comparison with students who originate from urban areas may shed light on the mental health disparities of the two populations. This study examined the relationship of psychological health and rural/urban origins of college students in China. Data was obtained from 2 400 college students who completed a survey questionnaire while in attendance at a key university in Beijing China in 2013. Four standardised psychological health scales were administered to obtain measures of participants' self-esteem, depression, social support, and suicide ideation. Findings indicated that urban students had significantly higher scores than their rural counterparts on self-esteem and social support. However, there was no statistically significant difference between the groups on measures of depression and suicide ideation.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2017.1345745","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35470063","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}
{"title":"Identifying risks for mental health problems in HIV positive adolescents accessing HIV treatment in Johannesburg.","authors":"Nataly Woollett, Lucie Cluver, Monica Bandeira, Heena Brahmbhatt","doi":"10.2989/17280583.2017.1283320","DOIUrl":"https://doi.org/10.2989/17280583.2017.1283320","url":null,"abstract":"<p><strong>Background: </strong>Mental health problems of adolescents are underserved in low and middle-income countries where they account for a significant proportion of disease burden. Perinatally infected HIV-positive adolescents have a high prevalence of mental health disorders; however, little is known about those retained in care in South Africa.</p><p><strong>Methods: </strong>HIV-positive adolescents aged 13-19 years (n = 343) accessing five paediatric antiretroviral clinics in Johannesburg were assessed using standardized measures for depression, anxiety, post-traumatic stress disorder (PTSD), and suicidality. Descriptive and bivariate analyses were conducted on all variables using Statistica v13.</p><p><strong>Results: </strong>Twenty-seven percent were symptomatic for depression, anxiety, or PTSD; 24% reported suicidality. Peer violence was significantly correlated to all mental health problems, as was hunger, being inappropriately touched, being hit, and being female. Those reporting sickness in the past year were more symptomatic. High exposure to violence was evident. Additionally, not feeling safe at home or in the community increased risk for all mental health disorders. Knowing one's HIV status was protective as was having dreams for the future.</p><p><strong>Conclusion: </strong>HIV-positive adolescents accessing care demonstrated high levels of mental health problems that are largely unrecognized and could potentially be addressed within health systems. Mental health difficulties are driven by social challenges that require attention.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2017.1283320","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34806465","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}
Nualnong Wongtongkam, Paul Russell Ward, Andrew Day, Anthony Harold Winefield
{"title":"Exploring the relationship between victims and witnesses of aggression and anger expression in Thai adolescents.","authors":"Nualnong Wongtongkam, Paul Russell Ward, Andrew Day, Anthony Harold Winefield","doi":"10.2989/17280583.2016.1269772","DOIUrl":"https://doi.org/10.2989/17280583.2016.1269772","url":null,"abstract":"<p><strong>Objective: </strong>Young people who are victims of, or witnesses to, aggression are at increased risk of developing a psychological disorder and behaving aggressively themselves. The aim of this study was to report the prevalence of exposure to aggression in a sample of 1 770 students, aged 15-26 years recruited from technical colleges in Thailand.</p><p><strong>Method: </strong>Self-report questionnaires were used to assess the prevalence rates for both experiencing aggression as a victim and for witnessing an aggressive incident. Logistic regression methods were then used to examine the possible association between acting aggressively and being a victim of, or a witness to, aggression.</p><p><strong>Results: </strong>In the previous six months, over half of all students reported being yelled at and had witnessed friends being hit. Those students who reported 'being pushed' or 'being hit' themselves had higher levels of anger expression. Being an indirect victim and witnessing aggression were only weakly associated with anger expression.</p><p><strong>Conclusions: </strong>Adolescents in Thailand experience high rates of victimisation and commonly witness aggression. Being personally victimised was shown to be significantly related to a subsequent expression of anger, suggesting that interventions to prevent direct confrontation may help to reduce the likelihood of victims becoming perpetrators.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2016.1269772","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34907869","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}
Christy A Denckla, David M Ndetei, Victoria N Mutiso, Christine W Musyimi, Abednego M Musau, Eric S Nandoya, Kelly K Anderson, Snezana Milanovic, David Henderson, Kwame McKenzie
{"title":"Psychometric properties of the Ndetei-Othieno-Kathuku (NOK) Scale: A mental health assessment tool for an African setting.","authors":"Christy A Denckla, David M Ndetei, Victoria N Mutiso, Christine W Musyimi, Abednego M Musau, Eric S Nandoya, Kelly K Anderson, Snezana Milanovic, David Henderson, Kwame McKenzie","doi":"10.2989/17280583.2017.1310729","DOIUrl":"https://doi.org/10.2989/17280583.2017.1310729","url":null,"abstract":"<p><strong>Background: </strong>Research suggests that psychiatric conditions in children and adolescents are highly debilitating, with sparse resources for assessment and treatment in low- and middle-income countries (LMICs).</p><p><strong>Objectives: </strong>The primary aim of this study was to evaluate the reliability, validity, and latent factor structure of an ethnographically-grounded assessment instrument for detecting common mental health complaints among rural Kenyan children and adolescents.</p><p><strong>Methods: </strong>The Ndetei-Othieno-Kathuku Scale (NOK) was delivered to 2 282 children aged 10 to 18 years old. Exploratory factor analysis identified four latent factors. This structure was confirmed in subsequent confirmatory factor analyses. External validity was explored by investigating associations among NOK factors and Youth Self-Report DSM-oriented scales.</p><p><strong>Results: </strong>Findings suggest the NOK possesses good internal reliability and a four-factor latent structure corresponding to depression, anxiety, somatic complaints, and a mixed factor. Significant associations ranging from small to medium effect sizes were noted between NOK factors and YSR DSM-oriented scales.</p><p><strong>Conclusions: </strong>Exploratory findings suggest that the NOK possesses adequate psychometric properties among this population. This ethnographically-grounded instrument may be uniquely suited to screening for mental health complaints among Kenyan children and adolescents.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2017.1310729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34907045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and predictors of suicidal ideations and attempts among homeless children and adolescents in Ghana.","authors":"Kwaku Oppong Asante, Anna Meyer-Weitz","doi":"10.2989/17280583.2017.1287708","DOIUrl":"https://doi.org/10.2989/17280583.2017.1287708","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the prevalence and risk factors associated with suicidal ideations and attempts among a sample of homeless street children and adolescents found in Accra, Ghana.</p><p><strong>Methods: </strong>A cross-sectional survey of a convenience sample of 227 (122 male and 105 female) homeless youth was conducted in Ghana. An interviewer-administered questionnaire was used to collect data due to a low level of literacy among the study population. Bivariate and multivariate logistic regressions were fitted to analyse the data.</p><p><strong>Results: </strong>The results indicated that 26.4% and 26.0% of the participants had attempted suicide and reported suicidal ideations respectively. The multivariate logistic regression showed that smoking, past and present use of alcohol, use of marijuana, and engagement in prostitution, were associated with suicidal ideations and suicide attempts. Suicidal ideations were associated with having been physically beaten, robbed, and assaulted with a weapon; while a suicide attempt was predicted by having been robbed and physically beaten.</p><p><strong>Conclusion: </strong>This study increased our understanding of the determinants of suicidal ideations and attempts among homeless youth. These findings suggest urgency to up-skill mental health workers to assess for risk factors and offer pathways to care for this vulnerable group.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2017.1287708","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34908784","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}
{"title":"Status of mental-health services for adolescents with psychiatric morbidity in youth correctional institutions in Lagos.","authors":"Olayinka Atilola, Bolanle Ola, Gbonjubola Abiri, Modepeola Sahid-Adebambo, Olubukayo Odukoya, Abiodun Adewuya, Olurotimi Coker, Oluwadamilola Folarin, Adedolapo Fasawe","doi":"10.2989/17280583.2017.1321550","DOIUrl":"https://doi.org/10.2989/17280583.2017.1321550","url":null,"abstract":"<p><strong>Background: </strong>High prevalence rates of psychiatric morbidity have been documented among adolescents within youth correctional institutions in Nigeria. However, there has not been prior investigation to determine the capacity for and nature of mental health services being provided in these institutions.</p><p><strong>Objectives: </strong>To assess psychiatric morbidity among adolescents within youth correctional institutions in Lagos, while simultaneously examining the capacity for and the scope of mental health services.</p><p><strong>Methods: </strong>Psychiatric morbidity and alcohol/substance use disorder were assessed among 165 respondents using the Strengths and Difficulties Questionnaire, and the CRAFFT screening tool for adolescent substance use disorder. Availability of mental-health services in the institutions was examined using an 'audit protocol'.</p><p><strong>Results: </strong>We found prevalence rates of 18.2% and 15.8% of general psychiatric morbidity and alcohol/ substance use disorder, respectively, among the adolescents. Only about a third (34.3%; n = 20) of the operational staff at the institutions had educational backgrounds relevant to psycho-social services for children/adolescents, while less than a quarter (22.4%, n = 13) has ever received any training in child mental health services. There was no evidence of mental health screening and intervention in the service framework within the institutions.</p><p><strong>Conclusions: </strong>We concluded that there was evidence for significant mental health service gaps within the youth correctional services in Lagos.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2989/17280583.2017.1321550","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35109394","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}