Psychological Health Of Children Research Articles

A Systematic Review of the Influence of Aquatic Exercises on the Physical and Psychological Health of Children with Autism Spectrum Disorder

Background: Children with Autism Spectrum Disorder (ASD) show significant motor deficits and behavioral dysfunctions, as part of their clinical manifestations. Also, these children are facing important difficulties in social learning, which negatively impacts their adjustment to society’s requirements. Apart from other modes of exercise, aquatic exercises may be more attractive to children. Aquatic exercises have been shown to have a beneficial effect on gross motor skills and executive functions in children with ASD. Aim: To study the influence of aquatic exercises on the physical and psychological health of children with ASD. Methods: Researchers used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting systematic reviews and meta-analyses. Researchers looked for articles on PubMed, Google Scholar, and by manual search. Searched articles were screened for relevancy. Potential articles were selected using inclusion and exclusion criteria. Results: Out of the 231 articles, four studies were included in the current systematic review. The age of participants ranged from 3−15 years. Overall, included studies found improvements in various aspects of gross motor and executive functions by aquatic exercise in children with ASD. Conclusion: Aquatic exercises can provide health benefits to children with ASD. Aquatic exercises can be useful as a part of therapy in children with ASD. There is wide scope for further studies to evaluate the beneficial effects of aquatic exercises.

SPECIFICITIES OF PHYSICAL DEVELOPMENT OF CHILDREN WITH CEREBRAL PARALYSIS IN A FAMILY-ORIENTED MODEL OF INTERVENTIONS

Families with a child with cerebral palsy (CP) face a number of medical, economic, legal, educational and psychological problems from the moment of birth. The main responsibility for the child's development lies with families, as it is there that key aspects of the child's personality are formed. There is a clear dependence of a child's psychological and physical health on the psychological climate of the family. Children with such disorders need to be provided with favorable conditions that will help compensate for the consequences of their disabilities. They need the support of qualified specialists and, most importantly, a warm and friendly attitude from their parents and the environment [1]. It should be emphasized that there are a number of factors that contribute to the psychological maladjustment of children with cerebral palsy in the family environment, which should be known to the child's relatives. First and foremost, it is the inadequate assessment of physical and mental development by parents, as well as the psychological atmosphere in the family. These factors cause deformation of the child's psyche and complicate his or her social adaptation, and negatively affect motor activity and treatment and rehabilitation processes. There are two sides to this situation: on the one hand, parents who find it difficult to understand the complexity of the situation and the child who needs special care, treatment and education. Physical rehabilitation requires the active participation of the person being rehabilitated, but with children, especially young children, this process is too complex for quality rehabilitation and requires the participation of parents. It is also important to take into account the role of the family in the development of motor skills, as it helps to integrate therapeutic techniques into the child's daily life. The aim of the study was to analyze the latest research and approaches to determine the peculiarities of cooperation between a physical therapist and families raising children with cerebral palsy. Using the Internet search databases and the bibliosemantic method, the peculiarities of applying a family-centered approach, motor training, principles of neuroplasticity and home exercise programs to improve the motor activity of children with cerebral palsy were determined. This article describes some peculiarities of physical therapist's work with patients suffering from cerebral palsy. The peculiarity is that these patients are children and when working with children, unlike adults where motivation comes first, intervention approaches in children are formed on the basis of pleasure. Accordingly, various specialists should be involved at all stages to ensure the normal functioning and development of the child. However, the role of parents in this process remains no less important, as they should be the main link that connects these processes for the well-being of the child. The review analyses research on motor training and home exercise programs. The family-centred approach to physical rehabilitation for children with cerebral palsy emphasizes the role of the family as a key factor in achieving goals and improving the child's quality of life. Involving the family in physical therapy helps to integrate therapeutic techniques into the daily life of the child and his or her family. Conclusions. The family-centred approach is characterised by the active participation of the family in the rehabilitation process. This is important because the family plays a crucial role in supporting and motivating the child during treatment. This approach not only provides treatment, but also provides the family with the knowledge, skills and resources to continue to help the child in their daily lives. This approach aims not only to improve the child's functioning, but also to help the child become part of the wider family and social environment. This promotes greater integration and independence. Thus, the family-centred approach to physical rehabilitation of children with cerebral palsy demonstrates the importance of family support and integration during treatment, contributing to the comprehensive improvement of both the physical and psychosocial condition of the child.

Negative Aspects of Dietary Habits in Children and Adolescents with Autism Spectrum Disorders.

Diet therapy is a key component of a holistic approach to the physiological and psychological health of children with autism spectrum disorders. A personalized diet, tailored to clinical symptoms, yields positive therapeutic effects. The aim of this study was to assess the intake of specific food groups and the dietary methods used among children and adolescents with autism. This study included 141 patients from neuropediatric centers diagnosed with autism spectrum disorders. Inclusion criteria were parental consent for the study, age of the child, and autism diagnosis. The research tool was a custom questionnaire covering patients' demographic data, type of disorder, and a qualitative analysis of the dietary habits of selected products. The predominant dietary models were the basic diet (n = 26; 72.22%) and the elimination diet (n = 9; 25%), with a higher application rate among children with autism spectrum disorders. Aversion to specific foods/products was more prevalent in children with autism (n = 79; 75.24%) compared to those with other neurodevelopmental disorders (n = 10; 27.78%). Snacking between meals was significantly more common among the overall neuropediatric patient group (n = 140; 99.29%), with fruit purees (n = 33; 23.57%) and fruits (n = 28; 20%) being the most frequently consumed snacks. The qualitative analysis of dietary habits revealed selective food aversions and eating disorders due to a narrow range of frequently consumed products within dietary groups.

The Positive Impact of Physical Activity Programs on Overall Child Health and Wellbeing

Background One of the most remarkable and significant topics of interest in the field of pediatric medicine is the positive impact of physical activity programs on overall child health and wellbeing. This review article aims to highlight the physical, mental and social aspects of physical activity programs and explore how movement programs can contribute to a healthier next generation by highlighting their benefits for children's health. Materials and Methods In the search for scientific literature for this review, data from the US National Library of Medicine (PubMed), PsycINFO, MEDLINE, and SportDiscus were used, and the terms “movement programs’’,’’ overall health’’, ‘’ physical activity programs’’, and “children’s psychological health” were used. The relevant literature has also taken its source from the research of relevant articles from reference lists derived from data searches. Results In today's modern world, where children are becoming increasingly sedentary and spending more time indoors in front of screens, it is becoming increasingly clear how physical activity programs play a vital role in improving children's health. Therefore, physical activity programs appear to have an extremely important health impact on children's physical, socioemotional, and psychological health by providing them with opportunities to participate in structured physical activities such as sports, games, and exercise. Conclusion It is recommended that movement programs be introduced in early childhood to help children develop a habit of physical activity. These physical activity programs should be designed in a way that encourages children to engage in physical activity in a playful and non-competitive manner. It is also important to recognize that movement programs can contribute to the physical and psychological health of children, while also fostering their social development.

Association of parental depression with adolescent children's psychological well-being and health behaviors.

Parental depression is a significant problem that negatively affects parents' welfare and influences family dynamics, children's academic and health behaviors, and mental health. However, there is limited evidence regarding the impact of the parental depression into the children's' psychological and physical wellbeing on Asian cultures. This study examined the psychological burdens and health behaviors of adolescent children with parents with depression in the Republic of Korea. We conducted a cross-sectional study using data from the Korean National Health and Nutrition Examination Survey (KNHANES) spanning 2013 to 2021 to compare health behaviors and mental health outcomes between 203 adolescent children with parents diagnosed with depression and 3,856 control adolescents aged 12-19 years. Following multivariate adjustments, the risk of depressive mood for more than two weeks was significantly increased in boys with parental depression (adjusted Odds Ratio [aOR] = 2.05, 95% Confidence Interval [CI] = 1.91-3.52) and adolescents with parents with moderate-to-severe depression (aOR = 2.60, 95% CI = 1.17-5.77). Adolescents with parental depression reported significantly worse subjective health status (aOR = 1.88, 95% CI = 1.05-3.36) and higher stress levels (aOR = 1.91, 95% CI = 1.33-2.76). Additionally, when parental depression was present and the time since depression diagnosis was more than five years, adolescents with parental depression exhibited even poorer subjective health status and higher stress levels. The study found that adolescents whose parents experienced depression had poorer mental health than those whose parents did not have mental health issues. These findings emphasize the importance of providing support for the mental health of adolescents in families affected by parental depression.

A Digital Cognitive-Physical Intervention for Attention-Deficit/Hyperactivity Disorder: Randomized Controlled Trial.

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders among children. Pharmacotherapy has been the primary treatment for ADHD, supplemented by behavioral interventions. Digital and exercise interventions are promising nonpharmacologic approaches for enhancing the physical and psychological health of children with ADHD. However, the combined impact of digital and exercise therapies remains unclear. The aim of this study was to determine whether BrainFit, a novel digital intervention combining gamified cognitive and exercise training, is efficacious in reducing ADHD symptoms and executive function (EF) among school-aged children with ADHD. This 4-week prospective randomized controlled trial included 90 children (6-12 years old) who visited the ADHD outpatient clinic and met the diagnostic criteria for ADHD. The participants were randomized (1:1) to the BrainFit intervention (n=44) or a waitlist control (n=46) between March and August 2022. The intervention consisted of 12 30-minute sessions delivered on an iPad over 4 weeks with 3 sessions per week (Monday, Wednesday, and Friday after school) under the supervision of trained staff. The primary outcomes were parent-rated symptoms of attention and hyperactivity assessed according to the Swanson, Nolan, and Pelham questionnaire (SNAP-IV) rating scale and EF skills assessed by the Behavior Rating Inventory of Executive Function (BRIEF) scale, evaluated pre and post intervention. Intention-to-treat analysis was performed on 80 children after attrition. A nonparametric resampling-based permutation test was used for hypothesis testing of intervention effects. Among the 145 children who met the inclusion criteria, 90 consented and were randomized; ultimately, 80 (88.9%) children completed the study and were included in the analysis. The participants' average age was 8.4 (SD 1.3) years, including 63 (78.8%) male participants. The most common ADHD subtype was hyperactive/impulsive (54/80, 68%) and 23 (29%) children had severe symptoms. At the endpoint of the study, the BrainFit intervention group had a significantly larger improvement in total ADHD symptoms (SNAP-IV total score) as compared to those in the control group (β=-12.203, 95% CI -17.882 to -6.523; P<.001), owing to lower scores on the subscales Inattention (β=-3.966, 95% CI -6.285 to -1.647; P<.001), Hyperactivity/Impulsivity (β=-5.735, 95% CI -8.334 to -3.137; P<.001), and Oppositional Defiant Disorder (β=-2.995, 95% CI -4.857 to -1.132; P=.002). The intervention was associated with significant reduction in the Metacognition Index (β=-6.312, 95% CI -10.973 to -1.650; P=.006) and Global Executive Composite (β=-5.952, 95% CI -10.214 to -1.690; P=.003) on the BRIEF. No severe intervention-related adverse events were reported. This novel digital cognitive-physical intervention was efficacious in school-age children with ADHD. A larger multicenter effectiveness trial with longer follow-up is warranted to confirm these findings and to assess the durability of treatment effects. Chinese Clinical Trial Register ChiCTR2300070521; https://www.chictr.org.cn/showproj.html?proj=177806.

Parenting Amid Shadows: Exploring the Child-Rearing Experiences of Wives of Individuals With Alcohol Use Disorder.

The pervasive impact of alcohol use disorder (AUD) within families, particularly on parenting roles in Kerala, India, necessitates an in-depth exploration. This study aims to uncover the unique challenges and coping strategies employed by wives of individuals with AUD against a backdrop of societal stigma and economic hardship. This study, employing a qualitative narrative research design, delves into the experiences of 30 wives of men with AUD in Kerala. The study delves into the complexities of navigating parenting responsibilities amid challenges related to AUD, employing in-depth interviews with the aid of a semi-structured interview guide conducted in Malayalam.​​​​​The researchers used narrative analysis to extract the themes related to coping mechanisms, resilience, and the impact on children's psychological health. The study highlights significant emotional and social burdens on wives, including solo parenting, financial strain, and social stigma. Despite these challenges, the resilience and adaptive strategies of these women stand out, with extended family support, community resources, and personal beliefs playing crucial roles in their coping mechanisms. The study points out variations in coping strategies across different socio-economic and educational backgrounds. The findings underscore the necessity for comprehensive support systems sensitive to the socio-demographic differences among families affected by AUD. Tailored interventions that enhance access to professional support, foster community solidarity, and provide economic assistance are critical. Moreover, efforts to reduce stigma and promote understanding are essential for improving the psychological health and overall quality of life of these families.

Development of Syntax Acquisition in 3-Year-Old Children: A Longitudinal Study

A longitudinal study of syntax acquisition in three-year-old children provides a deeper understanding of how children develop their language abilities. By summarizing the findings from this research, we hope to take concrete steps to support optimal language development in the early stages of a child's life. This research uses the literature review research method, the literature review research method is an approach that involves examining and analyzing existing literature or research to gain a thorough understanding of a topic or research question. This process begins by determining the research topic and searching for relevant literature through various sources such as academic databases and digital libraries. The findings of this research provide a strong basis for designing early childhood education programs that pay attention to syntax acquisition patterns. Learning materials can be arranged according to children's developmental stages to support their optimal development. In addition, this research confirms that understanding language development at an early age can act as an indicator of children's psychological health. Monitoring syntax acquisition can help detect potential developmental problems or disorders early, opening up opportunities for more effective intervention.

The influence of birth order on anxiety disorders in emerging adulthood: A longitudinal study.

Introduction: The current longitudinal scholarly research analyses the impact of birth order on children's psychological and mental health status.&#x0D; Objective: The birth order indicates the paramount effect on an individual's psychological, physiological and behavioural transformation.&#x0D; Methodology: This research study enrolled 150 individuals aged 18 to 25 years to assess their anxiety status in association with birth order. The study applied a mixed-method approach involving structured questionnaires, semi-structured interviews and focal group discussions.&#x0D; Results: The statistical analysis yields that birth order is statistically inversely related to the level of anxiety, having weak statistical evidence of significance. It predicts that the latterly born (younger) children experience fewer episodes and severity of anxiety as compared to the elder ones.&#x0D; Conclusion: Family support is a critical factor in buffering anxiety among children. The study suggests the parental consideration of birth order to provide a balance of attention and care to overcome the psychological adverse outcomes among children. Further scholarly attention is required to study the association among these dynamics with multiple approaches for further analysis of associated aspects.

The COVID-19 representation and implications for children's well-being: A three-way perspective

The present research investigated the COVID-19 representation and its implications on children?s psychological health. We used multiple perspectives to explore this issue, i.e., children?s (N = 50, age range 8 ? 10), parents? (N = 100, age range 28 ? 54), and teachers? (N = 2, age 22 and 26) viewpoints, in a short longitudinal approach (Time 1 ? November 2020, Time 2 ? December 2020), during one of the most critical COVID-19 periods in Romania. We assumed similar patterns between parents? and children?s representations of the COVID-19 pandemic, and our qualitative analyses confirmed this assumption. Next, our findings suggested that children?s higher levels of fear of COVID-19 correlated with higher anxiety levels at Time 1; meanwhile, at Time 2, children?s fear of COVID-19 significantly correlated with their well-being, which might indicate the potentially protective role of fear of COVID-19 through perceived threat. At Time 1, children?s self-reported measures of anxiety were significantly associated with parents? and teachers? perceived anxiety. At Time 2, teachers? perceived anxiety concerning their students was not associated with children?s self-reported levels, as were their parents. Finally, at Time 1 (but not at Time 2), children?s fear of COVID-19 moderated the link between anxiety and children?s well-being. Results also suggested a partial mediating effect of parents? fear of COVID-19 on the relationship between children?s fear of COVID-19 and well-being at Time 2, but not at Time 1. Finally, our results suggested that focusing on the future did not significantly impact children?s well-being, fear of COVID, or anxiety. However, children who wrote in their diaries focusing on present behaviors and emotions reported significantly higher anxiety levels at Time 2 compared to Time 1. We discuss our results concerning their practical implications in the 2020?2022 COVID-19 pandemic at personal, family, and educational levels.

Understanding The Psychological Impact Of Child Abuse: Exploring Status And Rights In India Article Sidebar

Background Child abuse in India includes child labor, early marriage, and sexual exploitation, influenced by societal norms, gender inequalities, and economic disparities. Legal measures like the Right to Education Act and the POCSO Act exist to protect children, but their implementation faces significant challenges. This chapter highlights the need for comprehensive and integrated approaches to combat child abuse and ensure children's well-being. Aims This chapter aims to examine the psychological impacts of child abuse and evaluate the socio-legal landscape concerning the status and rights of children in India. It explores the prevalence and consequences of child labor, early marriage, and sexual exploitation, and assesses the interplay of societal norms, gender inequalities, and economic disparities. The chapter also evaluates the effectiveness of legal frameworks and governmental initiatives in protecting children's rights and well-being. Method The chapter uses a multidisciplinary approach, incorporating qualitative and quantitative methods. It includes a literature review, case studies, legal document analysis, and expert interviews in child psychology, law, and social work. Statistical analysis is applied to interpret the data collected, providing insights into the socio-legal context and psychological impacts of child abuse. Results Findings show a high prevalence of child abuse, including child labor, early marriage, and sexual exploitation, significantly affecting children's psychological health. Contributing factors include societal norms, gender inequalities, and economic disparities. Legal frameworks like the Right to Education Act and the POCSO Act have had mixed success, highlighting progress but also gaps in implementation and enforcement. Conclusions The chapter concludes that addressing the challenges of child abuse in India requires a holistic approach. Effective legal implementation, community-driven interventions, and awareness campaigns are essential for creating a supportive environment for children's psychological growth and development. Integrating legal, social, and psychological perspectives is crucial for comprehensive strategies to prevent child abuse and support affected children.

A Story About Hibuki - A Psychologist's Instruments in Work with Children's Trauma

Problem definition. The uncertainty of the consequences of situations related to stressful situations for the child's psyche actualizes the issue of introducing new approaches, methods and tools of psychological influence that would contribute to the preschooler's ability to overcome stress in a constructive way. Problem analysis. Childhood psychological trauma leaves its mark on the subconscious, can shape a person's worldview, beliefs, and identification of the self. And since trauma affects the levels of primary safety, it creates very powerful patterns in the mind. Signs of childhood trauma include mood swings, guilt, anxiety, feelings of abandonment, confusion and impaired concentration, and withdrawal. The conceptualization of traumatic experience is widely presented in scientific literature: theories of traumatic emotional experience (O.S. Kocharyan, R. Lanius, M. Massey, R. Hammer), conceptual foundations of the subverbal model of client-centered psychotherapy (O.S. Kocharyan), theories and typologies of infantile traumas (Johnson St. M., Burbo L., etc.), theoretical positions of procedural-experiential and emotionally-focused psychotherapy (Greenberg L. and Elliott R.), psychoanalytic theory according to Freud Z., ideas about the formation of early maladaptive schemes (Boterhoven de H., Christopher W., Fassbinder E., Hayes C., Katrina L., Yong J.) and others. However, solving many complex problems remains relevant, one of which includes psychological assistance to the most vulnerable population groups in extreme situations, one of which includes children and work with current traumatic experiences. The purpose of the study is to develop and test a multifunctional tool for working with childhood trauma in conditions of long-term traumatic circumstances. Conclusions. The stories about Hibuki, through which the child identified with the hero of the story, contribute to the restoration of internal mechanisms of the psyche, which help the process of restoring the child's psychological health. A psychologist can use these stories both to rehabilitate a child's psyche and to diagnose his or her emotional state.

PERLINDUNGAN HUKUM TERHADAP ANAK KORBAN TINDAKAN KEKERASAN DI SEKOLAH

The issue of violence against children in educational institutions is a grave concern, with detrimental impacts on both the physical and psychological health of children, as well as their fundamental rights. This research explores the legal aspects related to child protection in the school environment, with a focus on legal measures that can be used to prevent, address, and punish perpetrators of violence based on Law No. 35 of 2014 about Child Protection, including potential obstacles that may arise in its implementation. The research employs a juridical analysis approach Through the gathering of information from diverse outlets, including legal texts and literature, relevant government policies, and data from real cases related to child protection in schools. The research findings indicate that despite the existence of a substantial policy framework to protect children from violence in schools, there are still various challenges in its implementation. Further efforts are needed to increase awareness, reporting, and law enforcement related to cases of violence against children in schools by the government, including the establishment of more specific guidelines for child protection against violence in the school context and enhancing facilities and supervision through the improvement of teaching staff and special guidelines for all In Indonesia, concerning the procedures that schools should follow, the community, and parents in addressing violence that occurs in the school environment.

COMPARATIVE STUDY OF MENTAL WELL-BEING IN TEENAGERS WITH WORKING MOTHERS IN THE PRIVATE SECTOR AND HOMEMAKERS ATTENDING PUBLIC AND PRIVATE SCHOOLS IN LAHORE, PAKISTAN

Mental health plays a vital role in our ability to think, feel, interact, work, and enjoy life individually and collectively. A person's mental health is affected by several things at any moment, some of which are social, psychological, and biological. Children of working mothers may have different degrees of anxiety, depression, and social problems. Adolescents' mental health has been the subject of countless global studies. Still, less is known about the differences in adolescent mental health between children whose mothers work and those whose mothers do not work outside the home. This research aimed to compare students' mental health in public and private schools in Lahore based on their mothers' employment and its correlation with other socio-demographic characteristics. The research was cross-sectional and included 150 randomly chosen people from many different strata. The collected data were entered and analyzed using SPSS version 26.0. The majority of students we checked attended private schools. The study findings revealed no significant association between the mental health status of adolescents and their mothers' working status, especially in the private sector. However, a noteworthy correlation was observed between mental health status and gender. The average score for mental health assessment was not satisfactory. In conclusion, this research found no statistically significant difference in adolescents' mental health across groups depending on their mothers' employment level. The results indicated that a mother's employment or lack thereof had little impact on her children's psychological health. However, when comparing the mental health of male and female students, there was a clear gender gap. Adolescents' mental health was not significantly affected by factors like their mothers' education, the sort of household they were born into, their birth order, or their parents' monthly income. To learn more about this issue, researchers should investigate how teenagers see their parents' parenting styles in the future.

Being me in times of change: Young children's reflections on their lives during the COVID‐19 pandemic

AbstractResearch from the perspective of parents, educators and mental health professionals has documented the negative impacts of pandemic isolation on children, but few studies have sought children's own perspectives on this difficult year. The current study aims to provide a first‐person perspective on children's psychological health by asking children directly about their experiences of isolating at home. We interviewed 28 seven‐ to eleven‐year‐olds in early days of lockdowns with follow‐ups 6 months later. Children answered questions about family, school, friendships and feelings about the changes in their lives during lockdown. Children's reflections showed resilience, adaptability, positive appraisals and an ability to maintain meaningful social connections. This data underscores the value of including children's narratives to better understand the pandemic's lasting effects on their lives.

THE PROBLEM OF PERSONAL DEVELOPMENT OF THE CHILD IN THE FAMILY IN THE WORKS OF EASTERN SCHOLARS

The article presents the opinions of Eastern scholars on raising a child in the family. Also, the influence of the stability of parental relations in the family on the child's psychological health has been shown. In particular, it has been proven that the healthy development of a child in a family depends on the method and style of parenting.

The Relationship between Parenting Styles and Secondary Child Mental Health in Second-Child Families: The Mediating Role Played by Sibling Relationships

With the development of the two-child policy and changes in family structure patterns, the relationship between parents and young children has received increasing attention, the more prominent of which is the way parents parent their children and their sibling relationship, and the development of children's mental health is particularly important in both relationships. The study explores the mediating role of the sibling relationship between parenting style and preschool children's mental health in second-child families. A total of 369 children and their parents and younger siblings (preschool age) from a primary school in a city in Shaanxi Province were used in this study. The Parenting Style Nurture Questionnaire and Sibling Relationship Scale completed by the parents and the preschool children's mental health questionnaire were used. The results found that: (1) parenting styles of first-born children were significantly correlated with their sibling relationships, i.e. positive (democratic) parenting styles contributed to warm sibling relationships and sibling relationships were significantly correlated with children's psychological health, i.e. warm sibling relationships led to healthy psychological states; (2) sibling conflict and sibling rivalry and jealousy in parenting styles ; (3) sibling conflict and sibling rivalry and jealousy are significant mediators of the four dimensions of parenting styles: coddling, permissiveness, authoritarianism, inconsistency and preschool children's mental health, i.e. children's mental health problems are significantly correlated with sibling conflict and sibling rivalry and jealousy.

"It felt like hitting rock bottom": A qualitative exploration of the mental health impacts of immigration enforcement and discrimination on US-citizen, Mexican children.

Latino immigrant families in the United States were disproportionately affected by intensified interior immigration enforcement under the Trump administration. US-citizen children are victimized by policies targeting their immigrant parents; research is sparse regarding how these polices affect children who experience parental deportation and children who are at risk for parental deportation. Additionally, anti-immigrant rhetoric can result in increased discrimination that also threatens children's psychological health. This qualitative study (N = 22) explores children's lived experiences of discrimination, parental deportation or threat of parental deportation, and perceived impacts on mental health. Interviews conducted from 2019 to 2020 revealed that children who are directly affected by or at risk for parental deportation experience detrimental impacts to their psychological well-being. Children experience discrimination as Latinos and children of immigrants, which is also detrimental to their mental/emotional health. Incorporating children's perspectives is critical to informing public health interventions. Findings demonstrate the need for family-friendly immigration reform.

Preventive practices and parents' psychological health of children with disabilities after COVID‐19 lockdown in Pakistan

To find out differences in mental health outcomes between parents of children with different disabilities due to COVID-19 by determining the relationship between preventive practices, fear and stress in parents of disabled children. A sample of 213 parents, whose children with disabilities (age range 1-16 years) were previously on regular follow-up before pandemic but did not take therapy for 1 year or more during COVID-19 lockdown and resumed sessions after a gap period, was surveyed. Perceived stress scale, fear and adherence to preventive measures questionnaire (developed by researchers) were used to measure stress, fear response of parents due to COVID-19 and preventive measures practiced by disabled children respectively. Parents who had financial difficulties and believed their disabled children had more chance of getting COVID-19 were more stressed. Parents who received any help from community/government were less stressed. One-way analysis of variance showed parents of cerebral palsy (CP) children reported more stress of COVID-19 as compared to parents of autism spectrum disorder (ASD), global developmental delay (GDD) and intellectual disability (ID). Parents of ID children reported more stress than ASD. Parents of CP children had more fear of loss of family members or getting infected with COVID-19 than GDD parents. ASD, GDD and CP children adhered more to preventive measures than ID children; however, CP children adhered more to preventive measures than GDD children. COVID-19 lockdown has persisting impact on mental health of parents of disabled children. Those parents experienced increased levels of stress and fear but reported adherence to preventive measures depending on the child's disability.

Children atopic dermatitis: Diagnosis, mimics, overlaps, and therapeutic implication.

Atopic dermatitis (AD) is a chronic inflammatory, itching skin with a significant psychosocial impact on patients and relatives. In adults and adolescents besides flexural eczema, head and neck eczema, and hand eczema, which are the most frequent clinical phenotypes (84.9% and 84.2%, respectively), there are also other possible presentation such as, portrait-like dermatitis (20.1%), diffuse eczema (6.5%), eczema nummulare-like (5.8%), prurigo nodularis-like (2.1%) and erythrodermia (0.7%). Diagnosis can be easy due to the typically distributed eczematous lesions, albeit with age-related differences, However, it is also extremely heterogeneous in severity, course, and sometimes particular clinical features. Currently, there are no better diagnostic criteria than an experienced dermatologist for the diagnosis of AD. Misdiagnosis and delayed treatment will have an impact not only on the child's physical health, but also and especially on the child's psychological health. The aim of our review was to group the main differential diagnoses in pediatric age where the diagnosis can often hide many pitfalls.