Health Problems In Children Research Articles

A systematic analysis of anthocyanins inhibiting human, murine, and equine herpesviruses

BackgroundHerpesviruses are common animal and human pathogens that cause severe health problems in children, immunocompromised patients, and infected animals with a host range from fish to mammals. Anthocyanin-containing plant extracts have been described as potent antivirals, which might cause fewer harmful side effects than direct-acting antivirals. Here, we report that an extract of Aristotelia chilensis (Molina) Stuntz (Elaeocarpaceae) (MBE) with a high content of the anthocyanin delphinidin suppresses lytic replication of equine, murine and human herpesviruses of replication in vitro. MethodsWe treated cultured cells with MBE and purified individual anthocyanins present in the extract to determine the most active compound at different concentrations. We subsequently infected the cultures with human herpesviruses 1 (HSV-1) or 8 (HHV-8), murine cytomegalovirus (CMV), or equine herpesviruses 1 (EHV-1) and determined the number of infected cells and viral infectivity. ResultsMBE inhibited the HSV-1, murine CMV, and EHV-1 by up to 2 orders of magnitude. In the presence of the stabilizing randomly methylated-beta-cyclodextrin, the inhibitory concentration could be lowered significantly. We identified delphinidin as an active antiviral compound and showed that the non-glycosylated delphinidin solved and stabilized with sulfobutylether-beta-cyclodextrin allowed usage of approximately 50 times lower concentrations. ConclusionGlycosylated delphinidin derivatives were identified as active antiviral compounds of MBE. This suggests that plant extracts rich in delphinidin-anthocyanins have potent antiviral properties that could be used in treatment and prevention

Kualitas hidup terkait kesehatan gigi dan mulut pada anak prasekolah di Batam

Background: The high number of dental and oral health problems in preschool children, such as dental caries, can indirectly interfere with children's development and daily activities. This situation will affect children's Oral-Health Related Quality of Life (OHRQoL) up to his family. Objective: Defines the quality of life related to dental and oral health at Nabilah Kindergarten in Batam City District. Methods: This research is a descriptive observational study with a cross-sectional design to describe the Oral-Health Related Quality of Life at Nabilah Kindergarten in Batam City District. The research was conducted by distributing ECOHIS questionnaire sheets consisting of 13 question items to 79 mothers of Nabilah Kindergarten students in Batam City District. Respondents filled out the informed consent and ECOHIS questionnaire sheets. The assessment of Oral-Health Related Quality of Life in the questionnaire is divided into four categories, namely good, sufficient, bad, and very bad. The score of each respondent's answer is added up and then adjusted based on the score range of the ECOHIS questionnaire. Results: The results showed that Oral-Health Related Quality of Life in the children impact section was in the good category 68.4%, sufficient 29.1%, bad 2.5%. Meanwhile, the family impact section was 58.2% good, 35.4% sufficient, and 6.3% bad. Conclusion: Oral-Health Related Quality of Life at Nabilah Kindergarten in Batam City District tends to be in the good category.

Analisis Analisis Kejadian Stunting di Desa Serut

Prevalence data for stunting in East Java in 2022 is 32.8% higher than national data (Wardita, Suprayitno and Kurniyati, 2021). This condition also has an impact on coverage figures based on Jember district, which is one that has high stunting rates for both toddlers and toddlers. Jember has 35 stunting loci. The purpose of this study was to find out which dominant factors influence the incidence of stunting. The research design used is case control. The population that has a risk of 106 samples taken as many as 60 with the random sample method. 30 cases 30 controls. The instrument used is a questionnaire that reflects the dominant factors in the incidence of stunting. The variables of this study are the number of children, exclusive breastfeeding, eating problems, health problems, history of pregnancy and health services. The results obtained based on test analysis show that the most dominant factor influencing the incidence of stunting in the Serut Village is a history of unfavorable pregnancies and health problems for children who are often sick.

Health Problems and Nutritional Status among Children Under-Five Years in Diocese of Agats: A Cross-Sectional Study

From September to February 2018, the number of measles and under-nutrition cases among children under five years in Agats reached a peak of 651 cases and 223 cases, respectively. It was reported that measles and undernutrition were responsible for 91% of child mortality in Agats. This study aimed to identify the correlation between health problems with nutritional status among children under five in the Diocese of Agats, Asmat. A descriptive quantitative with a cross-sectional approach was conducted from May to September 2018 among 39 mothers and 53 children. Data were collected by using an attendance list that consisted of mother and child characteristics, nutritional status was measured by using steelyard balance and microtoise, and the results would subsequently be converted to the standardized anthropometry: Weight for Age Z-score (WAZ) and Weight for Height Z-Score (WHZ). Results revealed that child health problems were cough and influenza (28%), febrile (1,9%), and itches (3,8%) while the nutritional status categorized normal (43.3%), underweight (33.1%), and waste (23.3%). ChiSquare test found that there was a significant correlation between health problems and nutritional status of children under-five (p-value: 0,035; CI 95% = 0,68 – 0,79). It is concluded that health problems are associated with nutritional status among children under five. It is recommended that regular health promotion to improve mothers’ knowledge should be conducted by healthcare workers, volunteers, teachers, stakeholders, and the local government of Asmat Regency.

Reflections of the COVID-19 pandemic on health problems of children with special needs.

This research aimed to examine changes caused by the COVID-19 pandemic in activities of daily living and health status of children with special needs. The current descriptive and comparative study was carried out with 82 students studying at a special education practice school that provided daytime education to children with special needs before and during the COVID-19 pandemic. The Personal Information Form, the Katz Index of Independence in Activities of Daily Living, and the Omaha System Problem Classification Scheme were employed as data collection tools in the research. The 10 most common problems during the COVID-19 pandemic were stated as cognition (86.6%), mental health (75.6%), speech and language (85.4%), interpersonal relationships (79.3%), personal care (79.3%), social contact (64.6%), growth and development (63.4%), neighborhood/workplace safety (58.5%), communication with community resources (57.3%), and caretaking/parenting (n = 47, 57.3%). The incidence of "cognition," "speech and language," "neighborhood/workplace safety," "communication with community resources," and "caretaking/parenting" problems of children with special needs was significantly higher during the pandemic than before the pandemic (p < 0.05; p < 0.001). The current research emphasized the significant impacts on the health of children with physical and mental disabilities and loss of opportunity, as their education was considerably interrupted during the quarantine. During a pandemic, the regular evaluation of health benefits/risks is essential to ensure the continuity of medical follow-up, rehabilitation, education, and support mechanisms for children with disabilities.

Social wellbeing – a key factor in the mental health of children and adolescent

This paper presents a long-term project to promote social wellbeing of pupils for use in the educational environment of schools. Social wellbeing emphasizes well-being in social relationships, specifically in the classroom environment and the overall school climate. It focuses on improving the atmosphere, rule-following, mutual respect, tolerance, as a basic source of social and individual well-being. The paper responds to the steady rise in mental health problems of children and adolescents (data from the National Institute of Health, CSU), the increase in self-harm and suicide in this age group, based on a long-term analysis of the school environment in which the author is involved, the results of research at home and abroad.&#x0D; Guiding pupils to achieve life's optimum through the promotion of a healthy social environment has a positive impact on school performance, according to current domestic research. A healthy social environment increases tolerance for differences, reduces anxiety in children and adolescents, and enables them to maximise their own potential.&#x0D; Thus, caring for the social wellbeing of pupils in schools must be one of the key areas in the comprehensive promotion of mental health, especially in the long term.&#x0D; The theoretical starting points of the paper are different conceptions of "wellbeing", in which a different quality of this state is highlighted (cf. Jandová, 2021), the starting points are also the thought concepts of Z. Matějček, a leading child psychologist focusing on the needs of children (positive social bonds in the family and school environment, engagement in a variety of activities supporting physical, intellectual and emotional development, a sense of safety and security, a healthy sense of self, social fulfilment and a sense of an open future).&#x0D; This background was used to design a project to promote the social wellbeing of pupils, the project was prepared in collaboration with Czech Television (CT Edu). Taking into account the possibilities of the school environment, it is ready for implementation in the classroom. All the aspects mentioned above are addressed in the different parts of the presented project, as well as the possibilities of the classroom teachers and their sense of security in working with personal development techniques.

Promoting mental health and preventing mental health problems in child and adolescent refugees and asylum seekers: A systematic review on psychosocial interventions.

According to the United Nations Commissioner for Refugees (UNHCR), children and adolescents represent 41% of all forcibly displaced individuals. They have to deal with conflicts, violence, and the many difficulties of flight and resettlement during a critical stage of their emotional, social, cognitive, and physical development. They are more likely to experience mental health problems during migration. Despite the several known risk factors, it is frequently challenging for refugees and asylum seekers to get mental health care. In this paper we review available studies on interventions aimed at promoting mental health and at preventing common mental disorders in immigrant adolescents and children. The relevant PubMed, Scopus, PsychINFO and Web of Science databases were searched for papers published until March 21, 2023, using ("immigrants" OR "migration" OR "asylum seekers" OR "refugees") AND ("promotion" OR "prevention") AND ("mental health" OR "mental disorders" OR "psych*") AND ("children" OR "adolescents" OR "young adults") as search string. Fourteen articles qualified for the detailed review. The majority of available interventions, although highly heterogeneous in format and content, showed significant improvement in several psychopathological dimensions, including trauma-related symptoms, psychological stress, anxiety, depressive and cognitive symptoms. Available studies on interventions for the prevention of mental disorders and the promotion of mental health in refugees and asylum seekers children and adolescents indicate that provided interventions were associated with a global improvement for participants. Implementation strategies to improve their scalability are highly needed.

Family Empowerment Program to Improve Quality of Life in Thalassemia Patient: A Case Study

Introduction: Thalassemia can cause major health problems in children and adversely affect their quality of life, which includes reduced physical, psychological, social, and educational functioning. A family empowerment program is a process or effort to increase the knowledge and willingness of families to maintain and improve the Quality Of Life of children with thalassemia Objective: The purpose of this case study is to carry out nursing care for children with thalassemia and quality of life problems with the Family Empowerment Program (FEP) approach. Method: The method used is descriptive-qualitative with a case study approach. As well as pre-test intervention and post-test intervention. Nursing care was carried out with the author for three days and the family intervened using the Family Empowerment Program (FEP) approach for three weeks. The subject of this case study is a thalassemia child with poor quality of life. Data collection techniques include interviews, observation, physical examination, and documentation. Results: The results of the case study at the assessment stage found that An.S. had problems in the dimensions of social function and school function due to complex or long-term treatment or treatment programs and unsatisfactory interpersonal interactions. Intervention and implementation used in An.S. are using family empowerment with the Family Empowerment Program (FEP) approach. Conclusion: The conclusion of nursing care in children with thalassemia was that during the intervention of three meetings, there were few changes that were positive for the family and the client in handling social function and school function. After the intervention of the Family Empowerment Program (FEP) approach for three weeks, the results of filling out the PedsQL questionnaire show that the dimensions of physical function are good (90.6), the dimensions of emotional function are good (95), the dimensions of social function are good (80) and the dimensions of school function are good (85).

Ultra-rare ultra-care: Assessing the impact of caring for children with ultra rare diseases

BackgroundWe sought to assesses the impact of caring for children with ultra rare diseases (URDs) on family carers and to analyse the way these experiences differ among the caregivers of children diagnosed through prenatal or newborn screening, and those with symptom-based diagnosis. MethodsA total of 200 caregivers of 219 URDs children completed an on-line survey regarding the challenges and experiences of caregivers of URDs children. ResultsThe majority of URD caregivers felt burdened by their children's health problems, emotional and behavioural changes. 46.5% reported feelings of care overload, 43% coped poorly with the stress, and many experienced a variety of feelings of distress towards the role of caregiver. While most caregivers struggled with the diagnostic odyssey and were dissatisfied with the healthcare services for URD children, caregivers of children diagnosed through prenatal or newborn screening were significantly less burdened than the parents of children with symptom-based diagnoses. ConclusionAlthough caregivers of URDs children experience physical and emotional strain, they are often neglected by the healthcare system. A bio-psychosocial approach to URDs should therefore also include family caregivers’ physical and psychosocial needs. Apart from financial and emotional support, enhancing access to genetic testing and newborn screening should be prioritised.

European recommendations for short-term surveillance of health problems in childhood, adolescent and young adult cancer survivors from the end of treatment to 5years after diagnosis: a PanCare guideline.

Childhood, adolescent and young adult (CAYA) cancer survivors require ongoing surveillance for health problems from the end of cancer treatment throughout their lives. There is a lack of evidence-based guidelines on optimal surveillance strategies for the period from the end of treatment to 5years after diagnosis. We aimed to address this gap by developing recommendations for short-term surveillance of health problems based on existing long-term follow-up (LTFU) care guidelines. The guideline working group, consisting of healthcare professionals, parents and survivor representatives from 10 countries, worked together to identify relevant health problems that may occur in survivors between the end of treatment and 5years after diagnosis and to develop recommendations for short-term surveillance of health problems. The recommendations were drawn from existing LTFU guidelines and adapted where necessary based on clinical expertise. The working group developed 44 recommendations for short-term surveillance of health problems, which were divided into four categories based on the level of surveillance required: awareness only (n = 11), awareness, history and/or physical examination without surveillance test (n = 15), awareness, history and/or physical examination with potential surveillance test (n = 1) and awareness, history and/or physical examination with surveillance test (n = 17). The development of a guideline for short-term surveillance of health problems fills a critical gap in survivorship care for CAYA cancer survivors, providing much-needed support immediately after treatment up to 5years after diagnosis. This guideline will support healthcare professionals to provide appropriate follow-up care and improve the quality of life of CAYA cancer survivors.

OP33 Child And Adolescent Mental Health Care Models: A Scoping Review

IntroductionMental illnesses are among the most common health problems in children and adolescents worldwide, and their prevalence has recently increased. At the same time, many countries face gaps in care and a shortage of services. To address these challenges, countries are developing child and adolescent mental health (CAMH) strategies and adopting their models of care. This paper aimed to give an international overview of these strategies and care models to support decision makers and stimulate mutual learning and improved CAMH care.MethodsWe identified core topics within published CAMH strategies and care model documents from seven selected countries within the Global North, which represented different healthcare systems, geographical regions, and public health traditions to maximize variety. We systematically extracted data on the identified topics and summarized them narratively by applying qualitative content analyses.ResultsThe documents addressed the following core topics: awareness raising activities; prevention and promotion; detection; treatment; telemedicine; care pathways; transitional psychiatry; vulnerable patient groups; user participation; infrastructure; workforce development; implementation; digital tools for case management; and data acquisition and research. A stand-alone CAMH strategy exists in most countries.Recommendations on CAMH care often followed a public mental health approach and placed a high priority on mental health promotion and cross-sectional organization and funding of CAMH care services. Key principles of future CAMH care included: increased flexibility of care settings; early intervention; an open and non-judgmental attitude among staff; and strengths orientation instead of focusing on deficits and diagnoses.ConclusionsReducing the prevalence of mental illness and current shortcomings in care requires action at the policy level (e.g., developing a CAMH strategy with a focus on mental health promotion and installing cross-sectoral governance), organizational level (e.g., reorganizing treatment settings and pathways of care), and individual level (e.g., strengthening user involvement and workforce development). Applying the recommended approaches in other countries will likely require redesign, ideally with a participatory approach and evaluation alongside piloting.

Disseminating Evidence-Based Preventive Interventions to Promote Wellness and Mental Health in Children and Youth: Opportunities, Gaps, and Challenges

Post pandemic increases in mental illness and waitlists for mental health services highlight the urgent need to prevent and mitigate mental health problems in children and youth living in Canada. We describe current dissemination and implementation strategies of evidence-based preventive interventions (EBPIs) for children and youth in Canada that are designed to improve health and well-being. Based on written case studies from 18 Canadian researchers and stakeholders, we examined their approaches to development, dissemination, and implementation of EBPIs. We also summarized the opportunities and challenges faced by these researchers, particularly in sustaining the dissemination and implementing of their evidence-based programs over time. Typically, researchers take responsibility for program dissemination, and they have created a variety of approaches to overcoming costs and challenges. However, despite the availability of many strong, developmentally appropriate EBPIs to support child and youth mental health and well-being, systemic gaps between their development and implementation impede equitable access to and sustainability of these resources.

Association of cognitive and adaptive skills with internalizing and externalizing problems in autistic children and adolescents.

The presence of an intellectual disability (ID) alongside autism is considered to increase the risk for mental health and behavior problems in children and adolescents. Existing evidence is restricted by looking at ID as a categorical classification. The study aimed to examine the association of cognitive and adaptive behavior skills with internalizing and externalizing problems in a large sample of autistic children and adolescents, across a wide range of cognitive skills. Participants were 2759 children and adolescents aged between 4 and 18 years recruited as part of the Simons Simplex Collection (SSC), of whom 709 (approximately 25%) had ID. Multiple regression models examined associations of internalizing and externalizing problems with cognitive and adaptive skills (communication, daily living, and socialization skills). Cognitive skills were not associated with externalizing problems but were associated with more internalizing problems in autistic children without ID (Cog β: 0.126). All adaptive skill domains were inversely associated with externalizing (Communication β: -0.145; Daily-Living β: -0.132; Socialization β: -0.289) and internalizing problems (Communication β: -0.074; Daily-Living β: -0.064; Socialization β: -0.213) in those without ID. Daily living (β: -0.158) and socialization skills (β: -0.104) were inversely correlated with externalizing problems in autistic children with ID, while only socialization problems (β: -0.099) were associated with internalizing problems in this group. Socialization skills were systematically associated with internalizing and externalizing problems across all levels of cognitive functioning. Supporting social skills development may benefit all aspects of child mental health, while recognizing that children with higher cognitive skills are more vulnerable to internalizing problems might assist with earlier identification of these problems.

Caries Experience in Relation to Weight Status among School Children Age 7-12 Year-old in Tikrit City

Caries is an infectious disease that is induced by the diet. Despite its decline in all age group on a worldwide basis, it is still a serious public health problem in children and its control should be a priority. It has demonstrated that dental caries can gradual reduce children's weight gain, which may be reversed after complete oral rehabilitation. The aim of this study was to investigate the association between age-specific body mass index (BMI-for-age) and dental caries among school children 7-12 years in Tikrit city.Material and method: A random sample of 390 school going healthy children aged 7-12 years were selected from different schools located in the Tikrit city. Height and weight for each child was recorded to obtain BMI-for- age. Dental caries was recorded (dmft, dmfs, DMFT and DMFS) according to WHO criteria. The data obtained was subjected to statistical analysis.The results showed that the underweight children were more likely to have caries experience than normal and overweight children for primary dentition (dmft 6.75 ± 0.56 and dmfs 17.21± 1.37) and for permanent dentition (DMFT 4.00 ± 0.58 and DMFS 6.48 ±1.23) with statistically no significant differences between the three groups.

Pemberdayaan Masyarakat Desa Oeltua melalui Peternakan Puyuh Berbasis EM4 dalam Mendukung Masyarakat Anak Bebas Stunting

Stunting is a child health problem caused by a child's failure to grow according to the child'sgrowthstandards. Stunting can be prevented by consuming animal protein such as eggs and meat. Animal protein contains essential amino acids needed for children's growth. Oeltua Village, Kupang, has a low per capita income value, which has an impact on the community's nutritional intake being unbalanced and resulting in children having the potential to be stunted and stunted. Quail farming can provide people's animal food needs in eggs and meat. EM4-based quail farming can provide food sources of animal protein quantity and quality. PAR method was used in the empowerment; PAR method involves education and data collection on stunting, practice, assistance in raising quail using EM4, monitoring and evaluating quail production. The empowerment socialization was attended by 92% of mothers with toddlers, 5% of fathers accompanying mothers, and 3% of productive women. The health conditions were seven male and 14 female toddlers with the potential to be stunded; 4 male and three female toddlers were stunted. Quail egg production showed increased production in monitoring I‒VIII (27‒224). Egg production is 2‒5 days/house, and the average is 75‒135 months/house to fulfil children's protein needs. EM4-based quail farming can be implemented in the Oeltua Village community. Toddlers need a nutritional intake of animal protein, which can be fulfilled by consuming quail eggs to reduce the potential and incidence of stunting.

Erythropoietic protoporphyria: case reports for clinical and therapeutic hints

BackgroundErythropoietic protoporphyria is a rare disorder which represents an important health problem in children, causing painful photosensitivity. Little is known on the correlation between genetic profile and clinical manifestations. The standard of care for Erythropoietic protoporphyria is based on avoiding sun and using sun protections, but recent literature has suggested that cimetidine may have a role in improving sun sensitivity. Herein we report our case series describing the successful use of cimetidine and analyzing potential phenotype-genotype correlations.Case presentationThis case series describes five patients presented to our Rheumatology Service complaining sun sensitivity. Blood exams and genetic analysis were consistent with the diagnosis of erythropoietic protoporphyria. Four of 5 patients received cimetidine in addition to standard therapies and the effect of treatment was evaluated by Erythropoietic Protoporphyria - Quality of Life questionnaire.ConclusionsErythropoietic protoporphyria usually manifests in early childhood after a short sun exposure. Skin manifestations are the main reason for investigations, although sometimes they can be more subtle, leading to a significant diagnostic delay. Skin diseases in children can have profound effects on their family and social relationships. A treatment with cimetidine appears to be an excellent therapeutic option in children with Erythropoietic protoporphyria.

Newly Diagnosed Type 2 Diabetes in Children and Adolescents in Bangladesh- A Cross Sectional Study

Background: Type 2 diabetes (T2D) has become a serious health problem in children and adolescents as the prevalence of obesity is increasing. Objective: To observe the baseline clinical and laboratory findings and treatment modalities of children and adolescents with newly diagnosed T2D. Materials &amp; Methods: This cross-sectional study was done from Jan- Dec.2017 in Changing Diabetes in Children (CDiC), Paediatric diabetes OPD clinic in BIRDEM among newly diagnosed T2D children and adolescents. Results: Among 68 patients majority were female (64.7%). Mean age was 13.1 ± 2.5 years. Ten patients were below 10 years. Most of the patients were from urban &amp; semi urban area and high to middle socioeconomic status. Family history was present in 91.2% and 22.1 % mother had H/O GDM. Forty two patients (61.8%) had typical and 22 (32.3%) had atypical symptoms. Thirty seven children had acanthosis nigricans (54.4%). Majority were found overweight (53/68), and (12/68) were obese. Mean HbA1c was 10.2 ± 2.8. Life style modification was advised to all. Insulin was started along with metformin in patients with high HbA1c and 33.8% patients were given metformin only. While comparing, BMI was found high in basal and metformin group. Lower fasting blood glucose and HbA1c were observed in patients with metformin only. Conclusion: T2D is emerging in children and adolescents. The screening of children at high risk of T2D is essential for preventive and timely remedial measures. BANGLADESH J CHILD HEALTH 2022; VOL 46 (1) : 9-13

Parental absence as an adverse childhood experience among young adults in sub-Saharan Africa

BackgroundParental absence in childhood has been associated with multiple negative consequences, such as depression and anxiety in young adulthood. ObjectiveTo assess whether parental absence for six months or more in childhood is associated with poor mental health and substance use in young adulthood and whether parental absence accounts for additional variance beyond those explained by other adverse childhood experiences (ACEs) among youth in sub-Saharan Africa. Participants and settingsWe used combined Violence Against Children and Youth Survey (VACS) data from Cote d'Ivoire (2018), Lesotho (2018), Kenya (2019), Namibia (2019), and Mozambique (2019). Analyses were restricted to 18–24-year-olds (nf = 7699; nm = 2482). MethodsWe used logistic regression to examine sex-stratified relationships between parental absence in childhood (defined as biological mother or father being away for six months or more before age 18) and mental health problems and substance use and whether parental absence explained additional variance beyond those explained by other ACEs. ResultsIn sub-Saharan Africa, parental absence in childhood was common (30.5 % in females and 25.1 % in males), significantly associated with poor mental health and substance use among females and males and accounted for additional variance beyond those explained by conventional ACEs. For example, after controlling for study covariates and other ACEs, females who experienced any parental absence had 1.52 (95 % CI = 1.02–2.26) higher odds of experiencing moderate/serious psychological distress compared with those who did not. ConclusionThe observed association between parental absence and poor mental health suggests that this experience has significant adverse consequences and merits consideration as an ACE.

TEACHERS' PERCEPTIONS OF ELEMENTARY SCHOOL STUDENTS' BEHAVIORS: a discussion in relation to the signs of conduct disorder

CIDD is a significant mental health problem in children and adolescents worldwide, with a global prevalence of approximately 3.2% among children and adolescents. Dysfunctional behaviors in children are frequently manifested in the school environment and may be associated with CIDD, causing serious interference in the teaching and learning process. The research aims to identify the prevalence of diagnostic indicators of Disruptive Impulse Control and Conduct Disorder (DICTD) in elementary school students in the public school system of Patos de Minas - MG. For data collection, an online questionnaire was made available to public school teachers in the municipality, in order to record their observations about the behavior currently displayed by elementary school children. The research seeks to contribute to a better understanding of the relationship between TDCIC and the school environment, as well as to the development of effective intervention strategies. The analysis of the teachers participating in this study reveals worrying indicators of maladaptive behaviors among students, indicating the possible presence of Conduct Disorder. The results highlight manifestations of disruptive disorders, such as angry mood, impulsivity and challenges to authority, which present significant barriers for educators. The challenges faced not only complicate the pedagogical dynamics, but also have the potential to generate psychological distress in teachers. Given this, the underlying implication points to the need to implement measures and strategies aimed at understanding and addressing the emotional and behavioral needs of these students. Such an approach may include specific pedagogical disciplines, specialized psychological support, improvement of social and emotional development programs, as well as close collaboration with families.

BEST-Foundations: a mixed methods exploration of the feasibility of a novel intervention treating internalising symptoms in children

ABSTRACT Objective Internalising disorders are one of the most common mental health problems in children under 12 years, yet mixed findings exist for current treatment options. This pilot involves a novel 10-session intervention, BEST-Foundations, to treat internalising symptoms in children using a family-inclusive model. Initial findings and feasibility using a mixed-methods approach are reported. Method Twenty-two participants from eight families (n = 8 children; n = 8 mothers; n = 6 fathers) participated in an uncontrolled single treatment design. Included children (aged 3–11 years) reported clinical-level internalising symptoms on the Child Behaviour Checklist. Data were collected across four timepoints: baseline, pre-intervention, post-intervention, and 4-weeks follow-up. Results As predicted, mothers reported large improvements in child internalising symptoms pre-post (SMD = −.83; 95% CI = 50.58–70.42) and maintained pre to follow-up (SMD = −.92; 95% CI = 50.14–69.11). Sustained improvements were also found in externalising problems and total problems. Qualitative analysis indicated families reported positive improvements in targeted areas including parent confidence and parent–child relationships. Conclusions Findings demonstrate initial feasibility data and effect size estimates comparable to previous trials using the “BEST” framework, and larger than CBT-based interventions. Results are considered preliminary due to the small sample. Further evaluation is warranted, showing the value of family-inclusive interventions to treat child internalising problems.