Disabled Adolescents Research Articles

A study to evaluate the effectiveness of planned recreational activities on self esteem among physically handicapped adolescents in selected physically handicapped institutions, Hyderabad

Self-esteem is the evaluation we make of ourselves or the degree to which weperceive ourselves positively or negatively, our overall attitudes in thedirection of ourselves. It can be calculated clearly or absolutely. Teachers,parents, therapists, and others have focused efforts on boosting self-esteem,on the assumption that high self-esteem will cause many positive outcomesand benefits. It is integral to an individual’s sense of their own value, aprincipal component of mental health, a strong indicator of a healthy lifestyleand an important indicator of well-being. Adolescence is the stage of most ofthe individual developmental changes and life challenges are associated. It isa kind of transitional stage where all the psychological and bodilydevelopment occurs, that can influence emotional skills as well as physicaland psychological ability.Physical disability is a person’s limitation to function a particular action ineveryday life. The inability to use arms, legs, or the body trunk effectivelybecause of paralysis, stiffness, pain or other impairment’s is common. It canbe due to the result of birth defects, disease, age or accidents.This study serves as an initial investigation of how planned recreationalactivities can improve self-esteem among physically handicappedadolescents. To approach the problem a quantitative evaluative researchapproach with a quasi experimental research design with non-randomizedpre-test-post-test- only design.

Deconstruction of physical fitness assessment system and medical rehabilitation countermeasures for physically disabled teenagers with natural language processing technology.

Disability is a component of social relations and the existence of social reality. An effective solution to the problem of persons with disabilities is a measure of human civilization and social progress. The strength of the implementation of disability policy is the key to the realization of the original intention of “effectively solving the problem of disabled persons and promoting their development”. The purpose of this paper is to study the physical fitness evaluation system and medical rehabilitation strategies of physically handicapped adolescents with natural language processing technology. It mainly adopts literature research, interview and comparative analysis. Taking the rehabilitation policy for the disabled as the research starting point, the current situation of mental health of physically disabled adolescents will be examined, and the influence of physical exercise attitude and exercise level on mental health will be explored. And by comparing the difference in physical exercise level and mental health of physically handicapped youth and able-bodied youth, the effect of physical exercise on mental health of physically handicapped youth is further explained. This paper selects a total of 760 physically disabled students and able-bodied students from a secondary school as subjects, and uses research methods such as questionnaire survey and computer test to investigate the current situation of mental health of physically disabled adolescents and the relationship between physical exercise and mental health. The experimental results show that the spatiotemporal judgment experiment uses pixel difference as an indicator, and the judgment error of limb residual limbs is significantly larger than that of healthy limbs (p < 0.01). In the span of spatial location memory, the grades of the limb-restrained students were significantly lower than that of the able-bodied students (p < 0.05).

فعالیة برنامج إرشادی عقلانی انفعالی فی خفض الشعور بوصمة الذات وأثره على التوکیدیة لدى المراهقین المعاقین حرکیًا

الملخص العربى : استهدف البحث التحقق من فعالية برنامج إرشادي عقلاني انفعالي في خفض الشعور بوصمة الذات وأثره على التوکيدية لدى عينة من المراهقين حرکيا. تکونت عينة البحث من (14) طالبا وطالبة من المراهقين المعاقين حرکيا، وتراوحت أعمارهم الزمنية ما بين (14- 17) عاما بمتوسط حسابي (15.11) وانحراف معياري (0.956)، وتم توزيعهم عشوائيا على مجموعتين (تجريبية وضابطة) وقوام کل مجموعة (7) طلاب وطالبات. وتمثلت أدوات الدراسة في مقياس وصمة الذات ومقياس التوکيدية والبرنامج الإرشادي العقلاني الانفعالي (إعداد الباحث). وأسفرت نتائج البحث عن: وجود فروق ذات دلالة إحصائية بين متوسطي درجات المجموعة التجريبية والمجموعة الضابطة على أبعاد مقياس وصمة الذات لصالح المجموعة التجريبية عدا بعد الرفض الاجتماعي المدرک، وجود فروق ذات دلالة إحصائية بين متوسطي رتب درجات المجموعة التجريبية في القياسين القبلي والبعدي على مقياس وصمة الذات لصالح القياس البعدي عدا بعد الرفض الاجتماعي المدرک، عدم وجود فروق ذات دلالة إحصائية بين متوسطي رتب درجات المجموعة التجريبية في القياسين البعدي والتتابعي على أبعاد مقياس وصمة الذات، وجود فروق ذات دلالة إحصائية بين متوسطي رتب درجات المجموعة التجريبية والمجموعة الضابطة في القياس البعدي على مقياس التوکيدية لصالح المجموعة التجريبية، وجود فروق ذات دلالة إحصائية بين متوسطي رتب درجات القياسين القبلي والبعدي لدى المجموعة التجريبية على مقياس التوکيدية لصالح القياس البعدي عدا بعد التعبير عن الآراء والمشاعر، عدم وجود فروق ذات دلالة إحصائية بين متوسطي رتب درجات المجموعة التجريبية في القياسين البعدي والتتابعي على أبعاد مقياس التوکيدية عدا بعد التعبير عن الآراء والمشاعر لصالح القياس البعدي. الملخص الانجليزى : This study aims to test the effectiveness of a rational emotional counseling program to reduce self-stigma feeling and its effect on assertiveness among hard physically handicapped adolescents. The study sample consists of (14) male and female students whose age ranged between (14- 17) years with mean (15.11) and SD (0.956) and scored the highest quartile on the scale of self-stigma, and the lowest quartile on the scale of assertiveness. The study sample is divided randomly into two groups: experimental (7), controlling (7). The study results are: There are statistically significant differences between the mean ranks of the experimental and the control groups on the dimensions of the self-stigma scale for the experimental group except the perceived social rejection, there are statistically significant differences between the mean ranks of the experimental group in the pre and post tests on the scale of self-stigma except the perceived social rejection, there’s no statistically significant differences between the mean ranks of the experimental group in the post and sequences tests on the scale of self-stigma, there are statistically significant differences between the mean ranks of the experimental and the control groups on the dimensions of the assertiveness scale for the experimental group, there are statistically significant differences between the mean ranks of the experimental group in the pre and post tests on the scale of assertiveness except expressing opinions and feelings and there’s no statistically significant differences between the mean ranks of the experimental group in the post and sequences tests on the scale of assertiveness except expressing opinions and feelings for the post test.

Educational Program regarding Reproductive Health for Handicapped Adolescents in Sharkia Governorate

Background: Handicapped adolescents represent a significant portion of the world’s population and when compared to those without handicapping, are four times more probable to show fair or poor health. Aim: To assess the effect of educational program regarding reproductive health for handicapped adolescents in Sharkia Governorate. Subjects and Methods: It was a Quasi-experimental research design conducted at Al Noor and Al Amal schools in Sharkia Governorate. Purposive sample of ninety one students Blind and Deaf students from El-Amal School for Deaf and Hard for Hearing, and El-Nour School for Blind in Sharkia Governorate. Two tools were used; I.: A structured interview sheet consisting of three parts: Part A; Demographic characteristics of the student. Part B; Student's knowledge about reproductive health. Part C; Students’ menstrual history. II. An observational checklist to assess the student's self-report practice related to perineal care and personal hygiene regarding self-care during menstruation. Results: Generally, the sample was deficient in pre-intervention except for their knowledge about abortion (81.3%), while after implementation of the educational program their knowledge was improved (P≤ 0.001). Additionally, regarding perineal care, 32.9% of handicapped adolescents (blind and deaf) before intervention performed practice about perineal care, while after program implementation the percentage was 82.1% and 86.7% at post-intervention and follow up respectively. Conclusion: This study results provided evidence that after application of the educational intervention among handicapped adolescents (blind & deaf) at Al Noor and Al- Amal schools their knowledge, and practices about reproductive health improved in all components (p < 0.001). Recommendation: Continuous health education programs should be implemented to increase handicapped adolescents’ about awareness of reproductive health and menstrual hygiene practices.

الفروق بين المراهقين ذوى الاعاقة البصرية والمبصرين فى الاجترار والضغوط والقلق والاکتئاب The differences between visual handicapped and sighted adolescents in rumination, stress , anxiety and depression

ملخص البحث هدفت الدراسة الراهنه إلى فحص: 1- الفروق بين المراهقين المعاقين بصريا والمبصرين فى کل من الاجترار ،والضغوط ، والقلق والاکتئاب. 2- الفروق بين الذکور والاناث فى کل من الاجترار ،والضغوط ، والقلق والاکتئاب. 3- العلاقة بين الاکتئاب وکل من الاجترار المثير للکأبة والاجترار التأملى. 4- دور کل من النوع والضغوط و الاجترار المثير للکأبة والاجترار التأملى فى التنبؤ بالقلق والاکتئاب لدى عينة البحث. واستخدمت الدراسة المنهج الوصفى الارتباطى المقارن، وقد تکونت عينة الدراسة من مجموعتين : المجموعة الأولى شملت 67 مراهقا من الذکور والاناث المکفوفين ، وتکونت المجموعة الثانية من 112 مراهقا من الذکور والاناث المبصرين ، تراوحت اعمارهم بين 18-24 سنة (20,65+1,52) ، أجاب المفحوصين عن مقياس استجابة الاجترار ، ومقياس الضغوط والقلق والاکتئاب ذو 21 بندا ، وصحيفة البيانات الديموجرافية. وقد أسفرت النتائج عن التالى : 1- أن المراهقين المبصرين أکثر اجترارا من المکفوفين. 2- حصلت الاناث على درجات أعلى وبشکل دال احصائيا فى کل من الضغوط والقلق والاکتئاب. 3- يوجد معامل ارتباط ايجابى بين الاکتئاب والاجترار المثير للکأبة ،وکان أقوى من ارتباطه بالإجترار التأملى. 4- تعد الضغوط والاجترار المثير للکأبة من منبئات الاکتئاب ، فى حين کان النوع والضغوط من منبئات القلق.وقد تمت مناقشة النتائج فى ضوء الأطر النظرية ، والدراسات السابقة. Abstract:The aim of this study was to investigate : 1) The differences in rumination , stress , anxiety and depression according to gender ( males- females) and status (visual handicapped – sighted adolescents ) 2) The correlation between depression and both brooding and reflection rumination. 3) The role of gender, stress, brooding and reflection rumination in predicting of depression and anxiety. The study used correlation and comparison descreptive method , with two groups, the first group consisted of 67 visually handicapped adolescents ( 38 males, 29 females) and second group consisted of 112 normal subjects (41 males , 71 females), their ages ranged between 18-24 years old ( 20.65+1.52), They answered Ruminative Response Scale , DASS-21, and demographic sheet.The results indicate to the following :1) The sighted subjects are more ruminant than blind subjects. 2) Females have higher mean scores compared to males in stress, anxiety, and depression. 3) There is a statistically positive correlation between depression and brooding rumination , which is greater than the correlation between depression and reflection rumination. 4) Stress and brooding rumination predicted to depression , but gender and stress predicted to anxiety. The results discussed according to theoretical framework and previous studies.

Hygienic assessment of handicapped adolescents vocational training conditions: problems and optimization opportunities

In a number of occupations, there is a shortage of labor force that can be filled with economically active part of the population, including people with disabilities (handicapped, HC). Unfortunately, observance of hygienic requirements in the context of HP adolescents vocational training has not been studied sufficiently: most scholars have researched only the conditions of teaching healthy adolescents. This study aimed to examine the HC adolescents vocational training conditions and develop measures to improve their working conditions with pathologies factored in. We examined adaptation potential, anxiety level, mental efficiency, sick rate and personal well-being assessment in HC adolescents (n = 120) aged 16–18, not impaired intellectually, studying sewing equipment operation, shoe repairs in the boarding scool. In the context of the study, we applied Smirnov hygiene criteria, Giessen Symptom Questionnaire, Spielberger's Test Anxiety Questionnaire, Sivkov scale, correction tables, Baevsky adaptation index. For the purposes of statistical analysis, we used parametric (Student t-test) and non- parametric (Mann–Whitney) criteria. The Spearman's correlation coefficient helped determine interrelationship of the studied parameters. We identified the following key adverse hygienic factors that have a significant impact on the students' health: intense character of labor performed, insufficient artificial lighting, noise level above the norm, high content of organic solvents and dust in the workshop's air. The timetable of the boarding school was also found to be inefficient. The results of this study allowed developing and introducing a software program to automatically compile the school's timetable with the aim to improve psychosomatic health of the students and halve the number of health-related complaints.

Hygienic assessment of handicapped adolescents vocational training conditions: problems and optimization opportunities

Для восполнения недостатка трудовых кадров по ряду профессий представляется возможным использование экономически активной части населения страны, в том числе лиц с ограниченными возможностями (ОВ). К сожалению, соблюдение гигиенических требований в ходе профессионального обучения подростков с ОВ недостаточно изучено, поскольку в основном имеются данные об исследованиях условий подготовки только здоровых подростков. Целью работы были изучение условий профессионального обучения подростков с ОВ, разработка мероприятий по улучшению условий их труда с учетом имеющейся патологии. Подростки с ОВ (120 человек) в возрасте 16–18 лет с сохраненным интеллектом, обучающиеся в интернате по специальностям оператор швейного оборудования, обувщик по ремонту обуви, обследованы по показателям адаптационного потенциала, тревожности, умственной работоспособности, а также заболеваемости и субъективной оценке самочувствия. Использовали гигиенические критерии Смирнова, анкетирование с помощью Гиссенского опросника, тест Спилбергера, шкалу Сивкова, корректурные таблицы, методику Баевского. Для статистического анализа применены параметрический (t-критерий Стьюдента) и непараметрический (Манна–Уитни) критерии. Связь изучаемых параметров определена по коэффициенту корреляции Спирмена. Выявлены ведущие неблагоприятные гигиенические факторы, оказывающие значимое влияние на организм учащихся: тяжесть и напряженность трудового процесса, недостаточный уровень искусственной освещенности, превышение уровня шума, высокое содержание органических растворителей и уровня пыли в воздухе рабочей зоны. Определено нерационально составленное расписание учебных занятий в интернате. Результаты исследования позволили разработать и внедрить компьютерную программу автоматизированного составления расписания, позволяющую улучшить психосоматическое состояние здоровья и вдвое снизить количество жалоб на самочувствие.

Quality of Life Perception in Mentally Handicapped Adolescents

There are very few studies of mentally disabled adolescents and their parents in the field of quality of life which reinforces the need for further investigations. The aim of this study is to identify the determinant variables of quality of life perception evidenced not only by adolescents with mental disability, but also their parents/guardians.We designed a quantitative, cross-sectional descriptive-correlational study with a non-probabilistic convenience sample consisting of 40 mentally disabled adolescents, aged between 16 and 23, mostly male (70%), and a sample of 40 parents/guardians, also mostly male (53.8%) with a mean age of 45.98 years. The following are the instruments of measurement used: the Kidscreen-52, parents and children version; the Graffar Index, the Family Apgar Scale, and a section on the socio-demographic characterization.We found that most of the socio-demographic variables and family context are not determinants of the degree of perception of quality of life expressed by the adolescents. Those which showed a significant effect, were: academic qualifications and family functioning. As for the study of the determinants of quality of life of adolescents perceived by their parents/guardians, only the age variable was found to have a significant effect. Moreover, its relationship was inversely proportional to the overall score of the quality of life scale and most of its dimensions.The evidence found invite to reflect on strategies that will enable us, with family and guardians, to get greater understanding to facilitate the training and information intervention programmes, adjusted to the profile of mentally disabled adolescents.

PP160-SUN: Body Mass Index and Height are Correlated with LIMB Anthropometric Measurements in Handicapped Children and Adolescents

PP160-SUN: Body Mass Index and Height are Correlated with LIMB Anthropometric Measurements in Handicapped Children and Adolescents

Sexual Knowledge Among Adolescents with Physical Handicaps: A Systematic Review

In the past, many social barriers led to the perception that adolescents with physical handicaps do not have a vivid sexuality. This is the first systematic review aiming to answer how sexual knowledge is provided for adolescents with physical disabilities. Findings might be helpful to construe recommendations for sexual education of adolescents with physical handicaps. Literature search occurred by means of databases PUBMED, Web of Science and PSYCINFO. Papers are included that address sexual education and sexual knowledge of adolescents with physical handicaps, including papers dealing with sexuality of young people with chronic conditions that lead to (extensive) physical limitations. Nine papers could be identified. Subjects researched were between 11 and 25 years old. With the help of a self-administered quality assessment scheme we conducted a scoring with a high score of a maximum of 11 points. We divided three levels: highly informative papers, moderate informative papers and papers with only low information. Just one paper from the Netherlands is highly informative, four papers provide moderate information, and four contain only little information. The majority of physical handicapped adolescents get sexual education in school. Transfer of information is confined to the prevention of pregnancy, sexually transmitted diseases and harassment. Interdisciplinary sexual education appears as a key for self-determined and well informed sexual life for adolescents with and without handicaps. For people with handicaps there should be information available with respect to their physical limitation, additional to general facts.

Quality of life in adolescents with hearing deficiencies and visual impairments.

Summary Introduction: The term quality of life (in Portuguese, Qualidade de Vida; QV) has been expanded and modified over the years and has come to signify social development in terms of education, health, and leisure as well as economic issues. Objective: To analyze the perception of QV in adolescents with hearing and visual impairments and the effects of socio-demographic characteristics on the domains of QV. Method: This descriptive series study comprised 42 adolescents aged 10 to 19 years who were students at Recife's state schools. The World Health Organization Quality of Life-Abbreviated questionnaire was used to evaluate QV. The data were analyzed using descriptive statistics and the Mann-Whitney and Kruskal-Wallis tests with a significance level of p < 0.05. Results: The global perception of QV was higher among adolescents with visual impairments than among those with hearing impairments. Among the individual components of QV, the environment domain garnered the lowest scores independent of the type of impairment. The subjects with visual impairments reported higher scores for social relationships, while the psychological domain scored higher among those with hearing impairments. The students integrated into normal classrooms perceived better QV in the psychological and social relationships domains than did those who sat in special classrooms. Conclusion: The environmental domain was the worst component of the QV of handicapped adolescents, suggesting a need for greater investments in policies to improve the QV of this population.

Attachement et handicap mental à l’adolescence : un regard rétrospectif sur la prime enfance

Assessing the representations of attachment of mentally handicapped adolescents still belongs to an exploratory approach because of the few works on attachment of mentally handicapped subjects. With an assessment tool, usually used with children, “the attachment story completion task” a rich clinical material could be gathered from mentally handicapped adolescents and a control group. In spite of the small size of the samples, it appeared that the mentally handicapped adolescents all had an unresolved attachment. The trauma experienced by their parents, at the beginning of their life, due to the announcement of the handicap, may be considered as the major explanatory factor of the specificities of the early environment of these subjects.

장애학생과 비장애학생의 폭력경험과 폭력에 관한 인식차이

장애학생과 비장애학생의 폭력경험과 폭력에 관한 인식차이

Visual Field Loss in Young Children and Mentally Handicapped Adolescents Receiving Vigabatrin

In adult patients and in children of school age who have been treated with vigabatrin (VGB), persistent visual field defects have been reported as a side effect. To date, it is unknown to what extent VGB causes visual field loss in young children and mentally handicapped adolescents who cannot be tested with conventional perimetric The purpose of the present study was to investigate VGB-induced visual field loss in these patients by using a noncommercial arc perimeter and a forced-choice, preferential-looking method. The visual field size was measured in 30 patients aged 1 to 15 years who had epilepsy and who were treated with VGB. The visual field of these patients was compared to the visual field of 70 control subjects. In eight (27%) patients who had been treated with VGB, the visual field was constricted compared with the visual field of the children belonging to the control group. Arc perimetry shows that mentally handicapped patients and children younger than 6 years treated with VGB have visual field loss compared with the loss reported in adult patients receiving VGB.

A criação de um espaço para a existência: o Espaço Lúdico Terapêutico

O artigo apresenta o percurso realizado pelo Espaço Lúdico Terapêutico, serviço de assistência à criança e adolescente com deficiência mental e distúrbios globais do desenvolvimento do Laboratório de Estudos sobre Deficiência e Cotidiano do Curso de Terapia Ocupacional da USP, desde a sua criação em 1996 até os dias de hoje. Um trabalho que foi se configurando no sentido de construir novas práticas que buscassem a inclusão dessas pessoas em circuitos sociais mais ampliados, através de grupos terapêuticos, oficinas de atividades, acompanhamentos terapêuticos, trabalhos na comunidade como escolas, centros esportivos ou culturais, acompanhamentos familiares etc. Além da assistência, o Espaço Lúdico Terapêutico se constituiu como um centro de ensino e pesquisas, buscando formar profissionais envolvidos na questão da inclusão da infância e adolescência com deficiência.

Integrated Approach to the Problem of Vocational Guidance of Handicapped Adolescents

Integrated Approach to the Problem of Vocational Guidance of Handicapped Adolescents

Group Treatment for Dually Diagnosed Adolescents: An Empowerment-Based Approach

ABSTRACT The study evaluated an empowerment-based group treatment program for mild or moderate developmentally handicapped adolescents between the ages of 12 and 18 who also have a diagnosis of behavioral or psychiatric disorder. The framework of the program was built around the concept of social competency, mastery and empowerment. Findings of the study indicated significant improvement in the social skills of dually diagnosed adolescents based on members' and parents' evaluations. In addition, staff's rating of parental participation was significantly associated with parents' evaluation of positive outcomes in their children. Implications of the study for treatment and research of dually diagnosed adolescents are discussed.

EDUCATION PROGRAM ON SEXUALITY AND DISABILITY FOR PARENTS OF PHYSICALLY HANDICAPPED ADOLESCENTS

Article EDUCATION PROGRAM ON SEXUALITY AND DISABILITY FOR PARENTS OF PHYSICALLY HANDICAPPED ADOLESCENTS was published on July 1, 1997 in the journal International Journal of Adolescent Medicine and Health (volume 9, issue 3).

Methodological issues in adolescent health surveys: the case of the Swiss Multicenter-adolescent Survey on Health.

In many countries, health care and prevention professionals face serious lack of data regarding health status, health care utilisation and lifestyles of adolescents. With reference to a survey on health and lifestyles of Swiss teenagers 15-20 years old, this paper reviews the different methodological issues linked with the conception and the realization of such a study. The main objective of the so-called "SMASH" project (Swiss Multicentric Adolescent Survey on Health) is, like other similar researches, to gather health indicators; that is, to measure attitudes and behaviour regarding different aspects of health and lifestyles, to identify the perceived health needs of the respondents and to describe their utilisation of health care services. The main issues which are addressed in the paper are related to: 1) the choice of the channel and the instrument to be used (telephone, vs. face-to-face interview vs. self-administered questionnaire; 2) the sampling procedures (pure random vs. cluster school-based samples; size of the sample); 3) the design and the content of the questionnaire (choice of the areas to be covered, selection and wording of the questions); 4) the ethical considerations linked with the collection of data. One of the specificities of SMASH is the inclusion of youth participation at various steps and levels: the design of the questionnaire, the strategies used to gather the data, and the analysis of the results. Two important issues emerge from this review. First, the importance in the future of being able to rely on common indicators that could be used in different countries and settings through the construction of a validated instrument. Second, the fact that most of the surveys conducted in this field neglect several sub-populations of adolescents with special and important needs: handicapped adolescents, drop-outs and recent immigrants coming either as unskilled workers or as refugees. Surveys in such special in-need groups will have to be planned with specific designs, both in terms of content and of approach.

Clinical utility of Kaufman's "amazingly" short forms of the WAIS-R with educable mentally retarded adolescents.

This study investigated the comparability between three "amazingly" short forms of the WAIS-R (a dyad, triad, and tetrad) suggested by Kaufman, Ishikuma, and Kaufman-Packer (1991) and the complete battery among a sample of 114 educable mentally handicapped adolescents. Results indicate that the short forms are highly correlated with the complete battery Full Scale IQs, and all three short forms yielded scores, on average, within 2 points of the complete battery. Analyses at an individual level revealed that more than 90% of the sample fell within 3 SEM (9 points) of the FSIQ for all three short forms. Overall results are consistent with previous studies and support the use of these "amazingly" short forms.