Number Of Adolescents Research Articles

Effectiveness and dissemination of computer-based cognitive behavioral therapy for depressed adolescents: Effective and accessible to whom?

BackgroundThe aim of this study was to investigate the effectiveness of a Computer-based Cognitive Behavioral Therapy (CCBT) and identify the characteristics of depressed adolescents that participated in the CCBT program. MethodsScreening tests for depression and help-seeking variables were conducted in school-aged Korean adolescents (n= 376, mean age=15.71 years, 53.7% female). The number of adolescents that scored above the threshold for mild depression (PHQ-9, CES-D) was 139. Fifty adolescents agreed to participate in the randomized controlled trial (RCT) of CCBT program. Twenty-five adolescents were randomly assigned to the treatment group, and the other 25 to the waitlist control group. The treatment group engaged in CCBT with therapeutic support. To identify variables affecting the outcomes, the quality of their homework compliance also was assessed. ResultsParticipants (n=50) who agreed to participate in the CCBT program demonstrated different help-seeking attitudes - a greater recognition of the need for help and lower interpersonal openness - compared to the adolescents (n=87) who did not participate (t = -2.93, p < .01; t = 3.50, p < .001). The treatment group showed significant improvements in depression, self-esteem, and quality of life compared to the waitlist group. Adolescents with high homework compliance showed a significant decrease in the depression scores compared to adolescents with low homework compliance. LimitationsSmall sample size, no follow-up assessments. ConclusionCCBT could be an effective alternative for depressed adolescents, especially those who tend to have low interpersonal openness. To improve the effects of CCBT, therapeutic support needs to be provided.

Satisfaction from differentiated health care service for adolescents at a primary health care institution

Objective: To determine adolescent satisfaction from the differentiated health care service at a primary health care institution in Lima.Materials and methods: An observational, descriptive and cross-sectional study conducted in 84 adolescents treated at the Centro de Salud El Progreso (Carabayllo). Satisfaction from health care was evaluated using the SERVQUAL questionnaire, which was adapted and validated, and showed reliability in its expectation and perception components.Results: Satisfaction from health care occurred in 28.57 % of the adolescents, most of whom were between 12 and 14 years old (83.33 %). Regarding the dimensions, empathy and security had the highest percentage of satisfaction (39.28 % and 36.90 %, respectively). The indicators physical appearance of the facilities (6.45 ± 0.82) and trust in health care (6.38 ± 0.84) presented the highest score in expectations.Conclusions: A small proportion of adolescents who attended the differentiated service were satisfied with the care received, while the empathy dimension was the one with the greatest number of adolescents who showed satisfaction.

Interaction Effect of the Mediterranean Diet and an Obesity Genetic Risk Score on Adiposity and Metabolic Syndrome in Adolescents: The HELENA Study.

Obesity and metabolic syndrome (MetS) are worldwide major health challenges. The Mediterranean diet (MD) is associated with a better cardiometabolic profile, but these beneficial effects may be influenced by genetic variations, modulating the predisposition to obesity or MetS. The aim was to assess whether interaction effects occur between an obesity genetic risk score (obesity-GRS) and the MD on adiposity and MetS in European adolescents. Multiple linear regression models were used to assess the interaction effects of an obesity-GRS and the MD on adiposity and MetS and its components. Interaction effects between the MD on adiposity and MetS were observed in both sex groups (p < 0.05). However, those interaction effects were only expressed in a certain number of adolescents, when a limited number of risk alleles were present. Regarding adiposity, a total of 51.1% males and 98.7% females had lower body mass index (BMI) as a result of higher MD adherence. Concerning MetS, only 9.9% of males with higher MD adherence had lower MetS scores. However, the same effect was observed in 95.2% of females. In conclusion, obesity-related genotypes could modulate the relationship between MD adherence and adiposity and MetS in European adolescents; the interaction effect was higher in females than in males.

ФОРМИРОВАНИЕ КОММУНИКАТИВНЫХ УМЕНИЙ ПОДРОСТКОВ С НИЗКИМ УРОВНЕМ ЭМПАТИИ

Communication skills are included in the structure of effective communication and reflect the level of a person's proficiency in communication means. However, neither the process of formation of communication skills, nor the potential resources for increasing its success are systematically organized, which is aggravated by the inevitable decrease in the level of empathy of the new "digital" generation. The research presented in this article uses theoretical (analysis, generalization, modeling, goal-setting) and empirical (ascertaining and formative experiments, testing) methods; methods of quantitative data processing (Wilcoxon's T-test, Spearman's rank correlation coefficient rs); psychodiagnostic techniques ("Communicative and organizational tendencies" (CBS) V.V. Sinyavsky, V.A. Fedoroshin; "Test of communication skills" L. Mikhelson, adapted by Yu. Z. Gilbukh; "Diagnostics of the level of empathy" by V.V. Boyko. At the ascertaining stage of the experiment, it was possible to identify a significant correlation between communication skills and empathy: (rs emp = 0.76). According to V.V. Sinyavsky, V.A. Fedoroshin, 42% of the subjects had a low level of communicative competence, a level below the average - 4%, the average level was found in 24%. According to L. Mikhelson's method, adapted by Yu.Z. Gilbukh had a dependent type of communication in 42% of the subjects, the competent type was revealed in 46%, the aggressive type in 12%. According to V.V. Boyko low level of empathy was found in 38% of people, an underestimated level - in 4%, an average level - in 46%, a high level of empathy - in 12%. Analysis of the state of the discussed problem led to the creation and implementation of a formative program. The goal of the program is to form the communication skills of adolescents with a low level of empathy, to stimulate social development and personal growth. The implemented program was based on training technologies for the development of adolescents' communicative skills. The duration of the program was 8 sessions of 60 minutes (twice a week). To enhance its effectiveness, practical recommendations for teachers, parents and children on the formation of the communication skills of adolescents with a low level of empathy were compiled and correlated with the conclusions of other researchers. They corresponded to the topics of the classes of the target program under discussion and the organization of interaction between the subjects of communication in the classroom, at recess, outside the classroom at school and at home, outside school and outside the home. Compliance with these recommendations in the process of implementing the target program showed that its participants began to better understand the feelings of other people and express their emotions, empathize, use verbal and non-verbal means of communication, get out of a conflict situation, openly express their position. Thus, repeated diagnostics showed that after the program, the number of adolescents with a low level of communicative inclinations decreased by 19%, and the number of adolescents with a competent type of communication increased by 15% (up to 46%, after - 61%). These adolescents have learned to communicate as equals, to adequately respond to criticism, to accept empathy and support. Some of the subjects (20%) from the group with a very low level of empathy moved to a higher level (before - 4%, after - 24%). They learned to better understand the emotional state of another person, show sympathy, and become more interested in the personal information of the interlocutor. The implemented target program contributes to the development of the communication skills of adolescents with a low level of empathy, through the development of emotional intelligence of adolescents, recognition of emotions and their expression, recognition of the interlocutor's feelings and understanding of his thoughts; development of awareness of perception of non-verbal and verbal means of communication and the ability to use them; the formation of adolescents' ideas about the possibility of negative emotions in communication, mastering the ability to express negative feelings.

Physical Activity Levels, Enjoyment, and Perceptions of Barriers to Physical Activity of Adolescents with Visual Impairments in Turkey

Purpose: The purpose of this study is to determine the physical activity (PA) status of adolescents with visual impairment, their enjoyment of the PA, and their perception of barriers to PA. Design and Methods: This descriptive study was conducted with 110 adolescents with visual impairment. The data collection tools consisted of the (ALP-R2)-Physical Activity Subscale, the Physical Activity Enjoyment Scale (PAES), Barriers to Physical Activity Questionnaires, and an Observation Form. The data were analyzed using frequencies, correlation, and Kappa tests. Results: It was observed that 60% of the participants stated that they did not engage in PA, 58.2% said they did not engage in PA to the extent of breaking out in a sweat and increasing their heartbeat, and 48.2% indicated that they never did PA 3 times a week for 20 minutes or more. The PAES mean score was 55.1 ± 5.5; the Physical Activity Subscale mean score was 12.5 ± 4.1 ( r = 0.42; p &lt; 0.01). Discussion: Our findings were consistent with the results of other studies in that the changeable external factors and parental attitudes perceived as obstacles were similar. Implications for practitioners: Most of the participants wanted to be more active. Most of the adolescents’ answers to the questions about the perceived barriers to PA were contrary to what had been expected. Although the adolescents said they did not engage in PA, the number of adolescents who perceived changeable factors such as the environment and parents’ attitudes as barriers was not negligible.

Use of the AST Questionnaire and Spirometry to Assess the Control of Asthma in Adolescents

The objective: was to investigate the level of asthma control in adolescents using the ACT questionnaire and spirometry.Materials and methods. The study included 32 adolescents aged 12 to 18 years, with asthma, without clinical and functional signs of exacerbation. 46,8 % of adolescents (15 people) had a controlled course, and 53,2 % of children (17 people) had a partially controlled asthma.Results. According to the results of spirometric examination, a positive test with a bronchodilator was found in 21,9 % of adolescents. After evaluating the results of spirometry, the share of children with incomplete control of asthma was 59,4 %. According to the AST questionnaire, insufficient control over the course of asthma was found in 65,6 % of those surveyed. After taking into account the results of spirometry and the results of the ACT questionnaire, the number of adolescents with incomplete control of asthma increased from 53,2 % to 71,9 % (χ2=4,14; p=0,042).Conclusion. Clinical monitoring is not always sufficient to properly assess the level of asthma control in adolescents. Consideration of several assessment methods makes it possible to more accurately determine the level of asthma control in a patient.

The combined self- and parent-rated SDQ score profile predicts care use and psychiatric diagnoses

The Strengths and Difficulties Questionnaire (SDQ) is widely used, based on evidence of its value for screening. This evidence primarily regards the single informant total difficulties scale and separate difficulties subscales. We assessed to what degree adolescents’ SDQ profiles that combined all self- and parent-rated subscales were associated with use of care and psychiatric diagnoses, and examined the added value thereof over using only a single informant and the total scale. Cluster analysis was used to identify common SDQ profiles based on self- and parent-reports among adolescents aged 12–17 in mental healthcare (n = 4282), social care (n = 124), and the general population (n = 1293). We investigated associations of the profiles with ‘care use’ and ‘DSM-IV diagnoses’, depending on gender. We identified six common SDQ profiles: five profiles with varying types and severities of reported difficulties, pertaining to 95% of adolescents in care, and one without difficulties, pertaining to 55% of adolescents not in care. The types of reported difficulties in the profiles matched DSM-IV diagnoses for 88% of the diagnosed adolescents. The SDQ profiles were found to be more useful for predicting care use and diagnoses than SDQ scores reported by the adolescent as single informant and the total difficulties scale. The latter indicated the presence of problems among 42–63% of the adolescents in care, missing a substantial number of adolescents with reported emotional difficulties and borderline problem severity. These findings advocate the use of combined self- and parent-rated SDQ score profiles for screening.

Resveratrol improves sperm DNA quality and reproductive capacity in type 1 diabetes.

In the coming decades, diabetes mellitus might affect 628 million individuals. Its final impact on male fertility and reproductive outcomes should be considered since the number of adolescents and young adults presenting diabetes is rising. Resveratrol (RES), a polyphenol, is a biological modulator with multitarget and multi-action characteristics. to evaluate if RES is effective against the male reproductive damage caused by type 1 diabetes (DM1), focusing on sperm DNA integrity and reproductive outcome. At 30 dpp (days postpartum), male rats were divided into 7 groups: Sham control (SC); RES vehicle (RV); RES (R); STZ-diabetic (D; induced at 30dpp with 65mg/kg of streptozotocin); STZ-diabetic+insulin (DI); STZ-diabetic+RES (DR); STZ-diabetic+insulin +RES (DIR). DR, DIR, and R groups received 150mg RES/kg b.w./day by gavage (from 33 to 110dpp). DI and DIR received insulin (from day 5 after DM1 induction until 110dpp). Blood glucose was monitored in different time points. Animals were mated with healthy females. Euthanasia occurred at 110 dpp. DM1 increased lipid peroxidation (testis and epididymis) and sperm DNA fragmentation, alterations of chromatin structure, reduced mitochondrial mass and acrosome integrity, causing a decline in fertility and pregnancy rates. RES improved the parameters. RES, as an adjuvant, activates specific reactions against hyperglycemia, the main trigger of most complications of diabetes, by controlling oxidative stress, probably as a result of SIRT1 activation. We present here more evidences showing its valuable role in diminishing diabetes seriousness to male reproduction, not only to spermatogenesis in the first instance, but also to sperm overall quality and fertility outcomes, regardless of insulin treatment. RES attenuated lipid peroxidation and sperm DNA damage in DM1-induced animals, which positively reflected on male fertility. Our results show RES potential against DM1 complications in male reproduction.

Barriers and facilitators for transitioning of young people from adolescent clinics to adult ART clinics in Uganda: unintended consequences of successful adolescent ART clinics

BackgroundThere is a growing number of adolescents and young adults living with HIV (YPLHIV) who require the transfer of care from pediatric/ adolescent clinics to adult Antiretroviral therapy (ART) clinics. A successful transition is critical for optimum health outcomes, yet facilities may lack infrastructure, human resources (with appropriate knowledge and skills), and a supportive environment, as only 3% of clinics in Uganda caring for YPLHIV have a process for supporting this critical transition from pediatric to adult care, and, facilitators and barriers of a successful transition are not well documented. The purpose of this study was to explore the facilitators and barriers of transitioning among adolescents from adolescent clinics to adult ART clinics.MethodEighteen focus group discussions were held in nine health facilities with 174 adolescents and YPLHIV to assess barriers and facilitators regarding transitioning to adult clinics. The focus group discussions were audio-recorded and transcribed. The Silences Framework using a thematic approach guided the analysis.ResultsThe key emerging issues were: Unfriendly adults in adult clinics, Care provided in the adolescent clinics, fear of stigma from health care providers, Congestion and long waiting time, fear to lose friends were barriers to transitioning. Transitioning preparation is key to a successful transition, moving as a cohort facilitates transition, and care in adult clinics offers new opportunities, could facilitate readiness and transition.ConclusionYPLHIV expressed fear to transition to adult clinics mainly because of the perceived better care provided in the adolescent clinic, thus constituting a barrier to smooth transition A range of individual, social and health system and services-related factors hindered transitioning. The expectation of transitioning as a group, assurance of similar care as in the adolescent clinic, and guarantees of confidentiality, privacy, and autonomy in decision-making for care was perceived as facilitators. Understanding barriers and facilitators can enable the Ministry of Health to improve the quality of life of YPLHIV through linkage to care, adherence, retention, and viral suppression. There is a need to better planning and preparation for clinical providers and YPLHIV with a focus on age-appropriate and individualized case management transition as well as focus on improving both clinical and psychosocial support throughout the process.

"SPARTIAN" GAMES IN EXTRACURRICULAR ACTIVITIES FOR TEENAGERS WITH HEARING IMPAIRMENTS

The purpose: to develop adaptive physical education methods for hearing impaired teenagers based on the ‘SpArtian’ Games and substantiate its effectiveness. Methods and organization of the research: the research involved 44 schoolchildren with disabilities. We carried out the analysis of physical fitness indices according to 6 control tests and the comparison of results with the age standard. We applied the Eysenck method for the assessment of mental status of hearing impaired adolescents. We studied the attitude of hearing impaired adolescents to the ‘Fair play’ principles. Results and discussion: The research revealed the features of physical fitness, mental health and the attitude of hearing impaired adolescents to the ‘Fair play’ principles. We used the research outcomes to develop adaptive physical education techniques for hearing impaired adolescents, based on the ‘SpArtian’ games. Pedagogical experiment lasted for 7 months. Conclusion: The introduction of the experimental methodology resulted in: 1) the increased indices of physical fitness of hearing impaired adolescents; 2) the decreased number of boys and girls with a high level of anxiety, frustration, aggressiveness, rigidity; 3) the increased number of adolescents understanding the ‘Fair play’ principles.

Extracurricular Activities as a Form of Development of Social Competence of Adolescents with Intellectual Disorders

The formation and development of social competence of adolescents with intellectual disabilities is a priority of special educational institutions, because it is the key to successful socialization of these students. The main goal is to reveal the psychological and pedagogical conditions for the formation of social competence of adolescents with intellectual disabilities through their engagement into the extracurricular activities. The method involves considering the capabilities of each teenager in extracurricular activities at any age. Extracurricular activities that are based on each individual case of every student are used to form specific competencies that are especially important for him at the next level of learning and socialization. The experiment involved 114 adolescents aged 12-16 years studying in special educational institutions. Based on the components of social competence, the following methods were selected and diagnostics were performed: projective technique “Incomplete Sentences”, projective drawing “My Friends”, observation, exploratory technique “My Orientations”, exploratory technique “Nonverbal characteristics of communication”, observation, Saul Rosenzweig test, exploratory technique “An Island”, projective technique “Joint Drawing”, drama game “The Turnip”, exploratory technique “Assess the Behavior”, a discussion based on short stories “The Hero’s Character and His Actions”. The number of adolescents with intellectual disabilities who have cognitive-related competencies has increased significantly (t=5,01; p=0,001); ; competencies of motivational and value sphere (t=4,7; p=0,01). Increased was the number of adolescents who adequately assess themselves and their abilities and capabilities (33, 85%), use socially acceptable behavior and understand moral norms (39, 47%). The level of control over students’ own actions has significantly increased, as well as their ability to evaluate their own actions and self-reflect (t = 5.3; p = 0.05). The diagnostic results obtained after the introduction of the method testified to the effectiveness of its use for adolescents with intellectual disabilities in the conditions of special educational institutions.

Does Studying with the Local Students Effect Psycological Symptoms in Refugee Adolescents? A Controlled Study

Integration of refugees into the education system at the resettlement country is a significant issue. In this study, we investigated how refugee students are affected in terms of psychological symptoms by studying in the same classroom with their local peers. This cross-sectional study was conducted during the school year in Mardin, Turkey. Participants consisted of 105 Syrian refugee adolescents and 66 Turkish adolescents attending a secondary school. The participants completed the socio-demographic data form, war-related traumatic experiences questions, and the Strengths and Difficulties Questionnaire (SDQ). Syrian refugees had lived for an average of 5 years in Turkey. Number of adolescents who have more than one traumatic experience was 50 (47.6%). As quantified by the SDQ, it has been found that children who experience more than one traumatic event have more psychological problems than those who experienced only one traumatic event in all areas except the social problems subscale. Emotional Problems Subscale, Peer Problems Subscale and Total SDQ scores have shown statistically significant differences according to classroom typology. Experiencing a traumatic moment in war increased the psychiatric symptoms of adolescents as quantified by the SDQ. If refugee children study in the same classes as non-refugee children, their psychiatric symptoms were less frequent.

ЦЕННОСТНО-СМЫСЛОВАЯ КАРТИНА МИРА ПОДРОСТКОВ, СКЛОННЫХ К ИНТЕРНЕТ-ЗАВИСИМОМУ ПОВЕДЕНИЮ

Statement of the problem. The article provides an overview of theoretical concepts and studies on the value-semantic sphere of adolescents prone to Internet-dependent behavior. A contradiction is noted between the continuous increase in the number of adolescents using the Internet and the insufficient number of psychological and pedagogical studies on the formation of addictions in adolescents that take into account the value-semantic self-determination at this age. The purpose of the article is to identify the features of the value-semantic picture of the world among adolescents having signs of Internet-dependent behavior. The research methodology consists of concepts of values ​(M. Rokich, D.A. Leontyev, S. Schwartz, M.S. Yanitsky, etc.); a systematic approach (S.F. Anisimov, L.I. Antsiferova, V.P. Zinchenko, M.S. Yanitsky); the principle of mediating the world perception and life of a person by a subjective picture of the world (V.F. Petrenko, A.G. Shmelev, etc.); studies of psychological risk factors for Internet addiction by international and Russian authors (Caplan SE, Chen S.-H., Griffiths M., Grohol J., Young KS, Shapira NA, Voiskunsky A.E., Egorov A.Yu., Litvinenko O.V., Loskutova V.A. et al.). The study involved 102 adolescents studying in educational institutions of the city of Krasnoyarsk, aged 14 to 15 years: 60 boys and 42 girls. The diagnostic package consists of 4 methods: the Chen Internet Interdependence Scale methodology (CIAS scale adapted by V.L. Malygin and K.A. Feklisov, the World View metho-dology by E.S. Romanova, the questionnaire of values ​Sh. Schwartz, the questionnaire “Meaningful crisis in adolescence” by V. S. Gorbunova). To compare the samples, the Mann – Whitney U-test was used as well as the correlation analysis based on the calculation of Spearman’s correlation coefficient. Statistical indicators were calculated using the Statgraphics Plus 5.0 program. Research results. The study showed that adolescents with Internet-dependent behavior have a low meaningfulness of life, low significance of prosocial values, distortion and insufficient formation of the hierarchy of values. Value-semantic perception of the world is experiencing a serious deficit in the context of understanding the causes and meanings of behavior. There is a relationship between the Chen scale and the parameters of the value-semantic picture (withdrawal symptoms, time management, meaningfulness of the present, meaningfulness of the past, meaningfulness of the future, tolerance, immediate environment, hedonism, stimulation and independence). Conclusion. It is concluded that Internet addiction can be considered one of the factors affecting the value-semantic sphere of a teenager. The development of the components of the value-semantic worldview, taking into account its structural organization in the process of psychological and pedagogical support, can contribute to the formation of a stable system of values ​and meanings.

Presence of Older Adolescents in the Household is Associated with Depressive Symptoms Among Women Living with HIV in Kenya.

The objective of this study was to determine the association between the number of adolescents in a household and depressive symptoms among adult caregivers living with HIV. We examined cross-sectional baseline data among adults enrolled in the Shamba Maisha multisectoral agricultural intervention (n = 705) in the Nyanza region of Kenya (NCT02815579). Each additional adolescent 15-19years in a household was associated with a 1.35 (95% CI 1.06-1.71) higher odds of depressive symptoms among women, but not men, adjusting for potential confounders. Interventions to support the mental health of adults living with HIV may target women caring for dependent adolescents 15-19years.

FEATURES OF BEHAVIOR OF ADOLESCENTS FROM FAMILIES WITH DIFFERENT TYPES OF UPBRINGING AND PARENTHOOD

The aim of this study was to investigate the relationship between the type of family upbringing and adolescent deviant behavior. The study was conducted in 2019 at the Ukrainian Physics and Mathematics Lyceum of Taras Shevchenko National University of Kyiv and was based on a survey of 60 families, namely 60 adolescents aged 14-16 and their parents (60 persons). Standardized questionnaires were used: the Questionnaire to determine the propensity for deviant behavior (O.M. Orel), the Questionnaire of paternity types (V.B. Shapar), the Questionnaire for the analysis of parental family relationships (ASV) (EG Eidemiller, V. Justicis). The main results of theoretical and empirical researches of influence of family on formation of deviant behavior of teenagers are covered in the article. Deviant behavior is the result of restructuring of the body, the transition from childhood to adulthood, which is manifested in all aspects of human development during this period. In this case, deviations in the behavior of adolescents are manifested in the commission of destructive, conflicting, asocial and aggressive actions. Objective factors of increase in the number of adolescents with deviant behavior were clarified: worsening social situation; increasing the number of families living in difficult or unsatisfactory conditions; application of conflict and asocial styles of education, transfer of responsibility for the development of the child to other institutions of socialization. Next deviations in adolescent behavior are empiricaly identified: addictive, aggressive, delinquent behavior, violations of rules and rules. Characteristic features of the above-mentioned forms are trends in alcohol and drug use, uncontrolled manifestations of aggression, violence, violation of generally accepted norms and rules that function in society, which in the future may lead to the commission of unlawful acts by adolescents. The article presents the results of the implementation of a comprehensive program of correction of adolescent deviant behavior.

The Effect of Pubertal Stage on the Concentrations of the Novel Adipomyokine, Irisin, in Male Adolescents

Objective:Irisin is a recently discovered protein and is defined as an adipomyokine. The relation of irisin with carbohydrate metabolism and other hormone parameters have been investigated. However, studies evaluating the relationship between irisin and puberty are limited and inconclusive. The aim was to evaluate serum concentrations of irisin during different pubertal stages in male adolescents.Methods:The study included normal weight pubertal male adolescents between the ages of 136/12-1411/12 who had entered puberty. Fasting serum irisin concentrations were evaluated, and bioelectrical impedance analysis was used to measure body fat ratio (BFR) and fat-free mass (FFM). BFR was also calculated by caliper measurement of subcutaneous fat at the triceps.Results:Sixty-eight adolescents were enrolled. The number of adolescents in pubertal stage 2, 3, 4 and 5 were n=17 (25%), n=13 (19.1%), n=21 (30.1%) and n=17 (25%), respectively. The median values of the irisin are 8.80, 8.20, 9.15 and 7.24 ng/mL according to the 2-5 pubertal stages, respectively. The levels of circulating irisin did not differ according to the pubertal stage. Additionally, there was no significant relationship between irisin levels and body fat percentage or FFM.Conclusion:Irisin levels do not differ after the onset of puberty or with progressing pubertal maturation. This study strengthens the evidence that there is no change in irisin concentration as puberty progresses. This may have important implications when using this adipomyokine in the future for diagnosis or treatment of obesity-related diseases.

PENINGKATAN PERAN KONSELOR DI BIDANG KESEHATAN PADA PUSAT INFORMASI KONSELING GIBITA DAN KARANG TARUNA LINGGASARI

The number of adolescents in the Purwokerto area is the third highest in the Central Java Province. Adolescence is very closely related to the puberty period which is accompanied by sexual development. This condition makes adolescents are prone to various forms of behavioral problems, such as having sex before marriage and drug abuse, both of which can carry risks to HIV / AIDS transmission. It is very important to instill good morale in the younger generation through youth organizations, such as youth organizations and counseling information centers. However, teenage health problems were found, especially in the area of Linggasari Youth Center and the “Gibita” Information Counseling Center/ Pusat Informasi Konseling (PIK) such as lack of understanding of HIV / AIDS, the dangers of smoking, and adolescent reproductive health. To overcome this problem, we trained Adolescent Counselors. Classroom learning, problem based solving, participatory learning, role play were used in this project. The result revealed that this activity enhances the understanding of knowledge and skills of new counselors on adolescent health problems. In addition, we also produced modules and film (roleplay and educational videos) of adolescent health problems counseling.

Impact of parental injury on adolescent sleep.

The aim of this study was to determine the impact of serious parental injury on adolescent sleep disorder diagnoses, outpatient care, and medication use. U.S. military personnel who sustained a serious injury and were parents of adolescents aged 10-18 years were identified. Included adolescents were enrolled in the Military Health System for 2 years before their parent's injury and 2 years after the injury. We used logistic regression clustered by adolescents to compare the odds of having a sleep diagnosis and negative binomial regression analysis clustered by adolescents to compare outpatient sleep disorder visits and sleep medication days before and after parental injury. There were 96,318 parents seriously injured during 2004-2014 who had 117,577 children aged 10-18 years in 2002-2016. Approximately 2% of adolescents had a sleep disorder diagnosis, both before and after their parent's injury or illness. Outpatient sleep disorder visits increased 36% after a parent's injury (incidence rate ratio 1.36 [1.24-1.50]), with a twofold increase in insomnia visits (incidence rate ratio 2.35 [2.08-2.64]). Increases in sleep visits were most pronounced in adolescents of parents with traumatic brain injury, comorbid traumatic brain injury and posttraumatic stress disorder, battle injury, and those who were medically discharged from the military. The number of adolescents using sleep medications increased, but sleep medication days did not increase. Adolescents in our study used more outpatient medical care for sleep disorders; sleep medication use increased after parental injury. Sleep disorders should be considered in the care of adolescents with injured parents.

ADOLESCENTES À ESPERA DA ADOÇÃO: UMA ANÁLISE DAS REAÇÕES ANSIOGÊNICAS

The present study presents an analysis of anxious reactions in adolescents who are in line for adoption and live in shelters. Considering the presence of anxious behaviors at this stage of development, given the physical and emotional changes, the high number of adolescents growing up in support institutions and the difficulties encountered in the practice of late adoption, the main objective of the research was to identify the possible factors that generate anxiety in adolescents in this context. The research is applied in the field, with an exploratory and qualitative nature. For data collection, two scales with objective questions were used, which assess anxiety during adolescence. The sample consisted of two adolescents, in the category of adoption, of both sexes, aged 12 and 14 years old, residents of a philanthropic institution in the district of Luzimangues, Porto Nacional - TO. The collected data were analyzed from the Functional Analysis, being presented in tables, tables and comparative graphs of the anxiety scores that each participant reached. With the results obtained with the research, it was possible to observe anxiogenic aspects from the respondent, operative and verbal components in the participants' responses. With this, it is possible to verify that in addition to experiencing all the changes caused by the adolescence phase, the long period of stay in the institution and the arrival of the age of majority predispose to the emergence of anxious behaviors and feelings of doubt and insecurity about the future. Keywords: Late Adoption. Anxiety. Adolescence. Behavior Analysis. Ansiogenic reactions.

Analyzing the impact of the financial system on the consistency of sustainable development goals in the Russian economy

Subject. The article reviews the modern financial system in Russia. Objectives. The study determines how the financial system currently influences the consistency of sustainable development goals in Russia. Methods. The study is based on the systems approach and methods of descriptive statistics, cluster, neural network and non-parametric analysis. Results. The article provides the rationale for addressing the impact of the financial system on the consistency of sustainable development goals in the Russian economy. We consider the set of financial system functions in terms of inherent abilities of finance to coordinate goals and tasks of the predicted development of economic, social and environmental systems. Evaluating the impact of the modern financial system on the consistency of sustainable development goals in the Russian economy, we discover that the Russian financial system operates in a metronome mode. The metronome model helps keep the speculative income stable notwithstanding stock exchange trading in Euro against ruble by changing the volume of circulating cash and high rate of return, federal loan bonds. In the Russian economy, the consistency of sustainable development is influenced by a growth in GDP per capita, foreign direct investment, forest and coal rent, the number of adolescents missing out of school, percentage of job places occupied in national parliament by women, and a growth in the urban population. Conclusions and Relevance. Nowadays, Russia’s financial system can coordinate how sustainable development goals are attained, since there is an excess liquidity of the speculative income from stock exchange trade and high rate of return of federal loan bonds. The findings enrich the knowledge of the way the financial system influences the economic development, raising new competencies for managerial decision-making on global goals of sustainable development and improvement of the people’s wellbeing and protection of the planet.