Psychological Status Of Children Research Articles

Дети в условиях войны: обзор зарубежных исследований

<p style="text-align: justify;">The article provides an overview of foreign studies on psychological status of children and adolescents directly or indirectly affected by hostilities. Key areas of research are identified, including the studies of the consequences of different traumatic experiences: active hostilities, bombardment, destruction and loss of housing, secondary traumatization through media, loss of loved ones, etc. Proceedings dedicated to links between the intensity of symptoms of PTSD and proximity to hostility epicenters, problems of refugee children. Results of longitudinal studies of the psychological consequences of prolonged hostilities are highlighted. Article contains analysis of psychophysiological, emotional, cognitive, psychosocial disturbances in children, caused by military traumatic experience in conjunction with the manifestations of PTSD such as intrusion, avoidance, dissociative symptoms. Authors also paid attention to studies devoted to the role of resources as mediating the influence of military traumatic experience on the child’s mind: sociocultural, family, and individual, such as resilience, optimism, ways of coping. An overview of some psychological assistance programs and new methods for assessing the status of children experienced the collision with war is provided.</p>

Effect of Recreational Program on Psychological Status of Children with Cancer at Pre- Therapeutic Procedure

Effect of Recreational Program on Psychological Status of Children with Cancer at Pre- Therapeutic Procedure

Maligni tumori kostiju kod dece u Iraku

Introduction/Aim. Roughly six percent of all malignancies diagnosed in children are malignant bone tumors. They have a dramatic effect on psychological status of children and their families. The aim of the study was to analyze the clinico-pathological features of bone tumors in Iraqi children and to assess response to treatment, outcome, and survival. Patients and methods. Over an eleven-year period, a retrospective study was done for children with bone tumors conducted on patients data that included a battery of pre-treatment investigations including a complete blood count, serum electrolyte, hepatic, and renal profile, bone marrow aspirate and biopsy, fine-needle aspiration, and imaging studies. Results. Data of 41 children with bone tumor were collected. The most common site of involvement was lower limbs, found in 21 (51.2%) cases. At the time of diagnosis, 29 patients presented with localized disease (70.7%), while 12 (29.3%) patients presented with metastasis. From 41 patients included in the study, histopathology of 29 (70.7%) patients was Ewing's sarcoma, whereas 12 (29.3%) patients were diagnosed with osteogenic sarcoma. The most common toxic effect of chemotherapy was febrile neutropenia which was recorded in 22 (59.5%) patients, followed by hemorrhagic cystitis in 3 (8.1%) patients; both febrile neutropenia and hemorrhagic cystitis were recorded in 5 (13.5%) patients, convulsion was found in 1 (2.7%) patient, and no complication were reported in 5 (13.5%) patients. Relapse was found in 8 (21.6%) patients. Conclusion. High rate of patients were lost to follow-up. Two-year event-free survival (EFS) was 53%, which is lower than that reported in other studies due to late diagnosis, late referral with the presentation in the locally advanced stage of disease.

Effect of Family Function on Suicide-Related Behaviors of Junior Middle School Students: The Mediating Effect of Depression

To examine the prevalence of suicide-related behaviors among junior middle school students, and to explore the mediating role of depression in the relationship between suicide-related behaviors and family function. A total of 2572 junior middle school students from three middle schools in Chengdu were interviewed face-to-face by using suicide-related items from Youth Risk Behavior Surveillance System (YRBSS), Chinese Family Assessment Instrument (C-FAI), and Center for Epidemiologic Studies Depression Scale for Children (CES-DC). The mediating role of depression was analyzed with structural equation model. The prevalence of suicide-related behaviors was 26.01% among the respondents. The prevalence of suicide ideation, suicide plan and suicide attempt were 24.38%, 13.49% and 10.77%, respectively. Depression played a partial mediating role in how family function impacted on suicide-related behaviors, presenting a direct effect value of 0.170 (95% CI: 0.117-0.218, P<0.001) and an indirect effect value of 0.205 (95% CI: 0.176-0.234, P<0.001), with the mediating effect accounting for 54.67% of the total effect. Poor family function may increase the risk of suicide-related behaviors, and this effect is produced mostly through the impact on children's mental health. Improving family function will not only improve children's psychological status, but also reduce suicide-related behaviors.

1031-P: Psychosocial Problems in Indonesian Children and Adolescents with Type 1 Diabetes (T1D) during COVID-Pandemic

Objectives: The COVID-pandemic has presented challenges for individuals with chronic diseases in resource-limited settings. Lockdowns and restrictions have decreased access to health care and disrupted medical support. Those challenges might affect the psychological status of children and adolescents with T1D. Methods: The study was conducted with ethics approval in the Endocrinology Clinic Cipto Mangunkusumo Hospital, Jakarta, Indonesia June 2020-June 2021. Demographic background, COVID-knowledge, challenges and psychosocial problems were assesed using a questionnaire. Surveys were given in person and online. Results: There were 148 respondents (23 adolescents, 1parents, 14 relatives) . Median age was 13 (3-18) , 51% female. During the pandemic, median A1C was 8.2% and complications that occurred were frequent hyperglycemia (23%) , hypoglycemia (14%) , and ketoacidosis (8%) . Most patients used national health insurance (90%) in public hospital (80%) . Most of the respondents reported being affected by lockdowns in their area (73%) , although many could still visit healthcare facilities (44%) . Despite getting exemption for healthcare visit in lockdown period, about almost half of them felt that their check-up routines were disrupted (41%) mainly due to fear of getting infected with COVID-during visit (34%) . Many children had some psychological problem (51%) such as irritability (26%) , distress (12%) , anxiety (11%) and insomnia (10%) . As many as 37% of them needed psychological support from either health care workers or their relatives. Conclusions: The COVID-pandemic has presented new challenges for diabetes management in children and adolescents living in resource-limited settings. Patients’ routine visits, access to essential diabetes care and psychological states have been affected. Given the ongoing nature of waves during the pandemic, further studies about the impact of COVID-pandemic on psychological well-being are needed. Disclosure G.Fadiana: None. F.Soesanti: None. A.Pulungan: None.

Iron Supplementation for Hypoferritinemia-Related Psychological Symptoms in Children and Adolescents.

Although some studies have described the association between serum ferritin levels and specific disorders in child and adolescent psychiatry, few have focused on mental status per se with low serum ferritin levels in children and adolescents. This study examined the effects of iron administration on psychological status of children and adolescents with reduced serum ferritin concentration. This prospective study evaluated 19 participants aged 6-15 years with serum ferritin levels <30 ng/mL who visited a mental health clinic and received oral iron administration for 12 weeks. The participants were assessed using the Clinical Global Impression Severity (CGI-S), Profile of Mood States 2nd Edition Youth-Short (POMS), Center for Epidemiologic Studies Depression Scale (CES-D), and Pittsburgh Sleep Quality Index (PSQI). In addition to serum ferritin, blood biochemical values such as hemoglobin (Hb) and mean corpuscular volume (MCV) were examined. School attendance was recorded. The most prevalent physical symptoms were fatigability and insomnia. The CGI-S, PSQI, and CES-D scores decreased significantly following iron supplementation, whereas the scores of almost all POMS subscales improved significantly at week 12. No participant had hemoglobin levels <12 g/dL. Serum ferritin concentration increased significantly, whereas Hb and MCV remained unchanged. At baseline, 74% of the participants did not attend school regularly; this number improved to varying degrees by week 12. Serum ferritin levels would be preferable to be measured in children and adolescents with insomnia and/or fatigability regardless of psychiatric diagnoses or gender. Iron supplementation can improve the hypoferritinemia-related psychological symptoms of children and adolescents, such as poor concentration, anxiety, depression, low energy and/or irritability.

Study of Nursing Models by Machine Learning in Children with Congenital Esophageal Atresia.

This research paper elucidates the clinical effect of an integrated nursing model of medical care and patient in the diagnosis and treatment of congenital esophageal atresia (CEA). For this purpose, a total of 120 children with CEA were selected as study subjects who were admitted to our hospital (January 2017 to April 2020). They were randomly divided into the control group and observation group. Each group had 60 cases. The control group was given routine nursing, while the observation group adopted the integrated nursing model of medical care. The integrated nursing model had the characteristics of recognizing and managing the CEA quickly and efficiently. Thus, it can help increase the survival rate of infants. This model works along with the parents to provide specialized services to the child. They were tasked to carefully observe the infants as well as calm the parents. They were also given the additional task of keeping track of patients who were currently admitted in the hospital and those who were already discharged. The tracking and communication were done with the help of a communication platform which is WeChat. The rehospitalization rate, 1-hour visit rate, accuracy rate of children with suspected postoperative complications, psychological status of children's parents, medical compliance, and satisfaction were compared between the two groups. The rehospitalization rate in the observation group was lower than that in the control group (P < 0.05). The 1-hour visit rate and accuracy of children with suspected postoperative complications in the observation group were higher than those in the control group (P < 0.05). The anxiety and depression scores of the parents in the observation group were lower than those in the control group (P < 0.05). The compliance and satisfaction of parents in the observation group were higher than those in the control group (P < 0.05). The clinical effect of the integrated nursing model of medical care and patient in CEA was highly satisfactory. It reduces the rehospitalization rate and enables timely diagnosis and treatment of suspicious complications effectively. It also improved parents' negative psychological emotions, compliance, and satisfaction.

The Asenze Cohort Study in KwaZulu-Natal, South Africa: protocol and cohort profile.

The Asenze cohort is set in South Africa, a middle-income country impacted by one of the highest global rates of people living with HIV/AIDS and high levels of socioeconomic inequality. This longitudinal population-based cohort of children and their primary caregivers assesses household and caregiver functioning, child health, social well-being, and neuro-development from childhood through adolescence. Almost 1,600 children born at the peak of the human immunodeficiency virus epidemic (2003-2005) were followed (with their primary caregivers) in 3 waves, between 2008 and 2021, at average ages of 5, 7, and 16. Wave 3 is currently underway, having assessed over 1,100 of the original wave 1 children. Wave 4 begins in 2022. The study, with a dyadic structure, uses a broad range of measures, validated in South Africa or recommended for global use, that address physical, social and neuro-development in childhood and adolescence, and the social, health, and psychological status of children's primary caregivers. The Asenze study deepens our understanding of childhood physical, cognitive, and social abilities and/or disabilities, including risk-taking behaviors, and biological, environmental, and social determinants of health. We anticipate the findings will contribute to the development of community-informed interventions to promote well-being in this South African population and elsewhere.

Role of Allergic Rhinitis in Cognitive Functions and Psychological Condition of Children Aged 8-16 years

Introduction: Allergic rhinitis (AR) is defined as a symptomatic disorder of the nose induced after coming in contact to allergens by an immunoglobulin E(IgE) mediated inflammation. Allergic rhinitis is one of the commonest chronic allergic diseases in school age group. AR is clinically diagnosed and its symptoms are watery nose, nasal obstruction, itching and sneezing.AR is divided into intermittent or persistent disease according to the duration of active symptoms. The severity of AR can be classified as mild, moderate or severe according to the level of disturbance of the daily activities. Around 20-30% of the population suffers from AR and the majority of them show symptoms from 6-7 years of age. Objectives/Aim: To evaluate the role of symptomatic allergic rhinitis in cognitive functioning of a child and the effect of allergic rhinitis on the psychological condition of affected children. Methodology: A prospective observational study was carried out in the OPD/IPD of HI-TECH Medical college and hospital from 1st September 2019-31st October 2021.150 children were evaluated in this period special questionnaire regarding the quality of life in rhinitis patients for psychological well-being and their cognitive ability like verbal memory, memory retrieval, working memory, information processing, color word interference and cognitive flexibility was evaluated with the help of computerized Visual verbal learning test(VVLT) and Stroop colour word test(SCWT). Results: In the study we found out that there was a significant association with age in years with working memory/memory retrieval/colour word interference/cognitive flexibility, with p less than 0.05. The psychological status of children was assessed by the questionaries and was found to be affected due to regular medications leading to inattentive behavior, absence from school, stress on parents due to high burden of disease, shame because of the persistent nature of the disease and feeling drowsy throughout on medications. Conclusion: Allergic rhinitis affects the psychological well-being of a child and decreases cognitive ability but there is no cognitive impairment drastically.

The Effect of the Transmission of Coronavirus Disease-2019 on the Mentality of Parents and Children After the First Wave of Infections

The purpose of this study is to evaluate the effect of the spread of a new type of coronavirus infection (COVID-19) on the mental state in school-age children and parents focusing on the aspects of sleep disorders and depression. A questionnaire survey was conducted for 123 parents and 108 school-age children who visited Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong from April 2, 2020 through April 25, 2020, via the direct writing method. Participants were assessed with Pittsburgh Sleep Quality Index, Generalized Anxiety Disorder (GAD)-7, Center for Epidemiology Scale for Depression. Logistic regressions were used with a level of significance of 5%. The prevalence of GAD, depression, and poor sleep in parents were 34.1%, 17.1% and 44.7%, respectively. The prevalence of GAD in children was 20.4%. Logistic regression showed that stress from Emergency Alert Messages about COVID-19 was associated with GAD and depression in parents. In children, the degree of emotional change after COVID-19 was associated with GAD. This study confirmed that there was a change in the psychological status of children and guardians due to the epidemic of coronavirus disease-2019, and it would be necessary to consider their psychological status during dental treatment.

Investigation and Research on the Psychological Status of Children and Adolescents During the Epidemic Period of COVID-19

Objective: The paper was to analyze the investigation and study of the psychological status of children and adolescents during the epidemic period of COVID-19. Methods: From March 5th to 11th, 2020, 1766 students from 8 to 18 years old in Yan'an area were taken as the research objects, and the psychological characteristics of this group of people during the epidemic period of COVID-19 were analyzed by the online questionnaires. Results: In the questionnaire, all children and adolescents were in good psychological conditions, and they had not shown serious negative psychological emotions, and they attached great importance to COVID-19. Conclusion: The psychological changes of children and adolescents during the epidemic period of COVID-19 are diverse. Most children and adolescents have a good mental state, and a few have negative psychological emotions. It can strengthen the psychological management of children and adolescents during the epidemic, and promote the healthy growth of children and adolescents clinically.

Effects of Home Confinement due to COVID-19 on Physical, Social and Psychological status of Children and Adolescents'

Background: The rapid expansion of corona virus (COVID-19) pandemic and inability in most countries to control it in finding out an effective treatment or vaccine to prevent it, resulted in worldwide recourse to committing people to remain at home for a long time, which had many negative effects on individuals in all aspects of health. Aim of the study was to evaluate effects of home confinement during COVID-19 outbreak on the physical, social and psychosocial status of children and adolescents. A descriptive cross sectional design was used in carrying out the present study; the data were collected from a convenient sample of 183 children and adolescents' survey, which distributed electronically. The survey targeted the preparatory, secondary schools and university students send online via Egypt and Saudi Arabia portals. A structured questionnaire that consists of personal characteristics of the studied sample; plus effects of home confinement on physical activity; social and psychological status children and adolescent. The results revealed that studied subjects suffered from negative effects on physical, social and psychological status as result of home confinement. This study concluded that home confinement due to COVID-19 which has negative effect on physical status, social relations and worsening in the psychological behaviors of children and adolescents. Therefore, this study recommended to design educational interventions for children and adolescent to enable them to cope and adjust with emergency health hazards.

Children mental health in Bandung during COVID-19 pandemic: a cross-sectional study

A significant threat to mental health emerged in children during COVID-19. This study aims to identify the effects of COVID-19 on the mental health of children in Bandung while studying at home. The cross-sectional study was conducted online from August 28 to September 4, 2020, among 426 parents who had at least one child aged 5 to 15 years. Moreover, K-means clustering was used to group 4 categories based on mental health disturbances, and confirmation factors analysis was performed to identify the relationship between parenting behaviour and children's mental health, then assessed by the chi-square test. Children were divided into four groups, in which 52% had sub-threshold mental disorders (mean Major Depressive Disorder (MDD)-10; 2.45), 32% had a mild (mean MDD-10; 5.31), 13% had a moderate (mean MDD-10; 12.5), and 3% of the children had severe (mean MDD-10; 15.3). The percentage of mental disorders in children is higher in children with a higher educational level of the parents, families contracted COVID-19 and abnormal behaviour of the parents. This paper shows the low proportion of children suffering from mental disorders in Bandung during the pandemic. Applying psychological intervention strategies and improving household financial conditions, parenting literacy, childcare and job security can all help improve children's psychological status.

Effect of High Quality Nursing on Compliance and Psychological Status of Children with Epilepsy

Effect of High Quality Nursing on Compliance and Psychological Status of Children with Epilepsy

Preoperative psychological status of children with hypospadias and their families

Objective To explore the preoperative psychological status of children with hypospadias and their families, and to provide theoretical guidance for clinical nursing during the treatment of hypospadias. Methods A questionnaire survey was conducted on children with hypospadias and their family members 1 day before surgery to understand the psychological behaviors of the children and their family members' attitudes and attitude towards the disease. Results Parents with different educational levels, occupations, whether children were only children, ranking at home, and whether they follow their parents for a long time will make their families have different attitudes toward the disease.Family members of children with hypospadias have prominent problems in somatization, interpersonal sensitivity, anxiety, depression and terror (P<0.001). Compared with the Chinese norm, children with hypospadias showed statistically significant differences in activity level, attention to time limit and persistence, rhythm, attention to dispersion, response threshold, response intensity and avoidance(P<0.05). Children with hypospadias had prominent problems in depression factors, hyperkinetic factors, aggressive factors, social withdrawal factors, and poor communication factors, and the differences were statistically significant(P<0.05). Conclusions Hypospadias can have a significant negative impact on the psychology and behavior of children and their families.In the surgical treatment of hypospadias, medical staff should pay attention to the psychological and behavioral effects of hypospadias on children and their families.Psychological intervention can improve the treatment satisfaction of children and their families. Key words: Child; Hypospadias; Psychology

Excision of thyroglossal cyst in children by transverse submentum incision

Objective:To explore the application of transverse submentum incision in thyroglossal duct cyst surgery. Method:Submentum transverse incision for thyroglossal duct cyst removal in 14 children with thyroglossal duct cyst from January 2014 to December 2017. All cases were performed submentum dermatoglyphic incision, skin incision, subcutaneous tissue, platysma muscle incision, down lifting flap, along the white line incision and separation of banded muscle on both sides, see the mass along the wall of the capsule separated to the attachment of the hyoid bone, ablation of the mucosa of the capsule wall of the hyoid bone attachment, electrotome to break the hyoid bone. The cavity is indeed stopped after bleeding, and the skin is sutured continuously for continuous intradermal suture. The operation time, bleeding volume, severe complications, wound healing time and severe surgical scars were recorded. Close follow-up was performed to observe whether there was infection or recurrence of incisional wound. Parents were informed by telephone to go back to the outpatient clinic. RUTTER Children's Behavior Questionnaire was used to assess the children's psychological status. Vancouver Scar Rating Scale was used to evaluate the children's surgical scars, and to investigate whether parents satisfactory surgical methods. Result:Fourteen cases of thyroglossal duct cyst underwent transverse incision thyroglossal duct cyst excision successfully. The average operative time was 55 minutes, and the standard deviation was 10.5 min, bleeding was less than 10 ml, postoperative hoarseness and weakness of voice, silence became low, wound healing time averaged one week, no serious surgical scars, no wound infection and recurrence. Among the normal children of the same age group, 14 parents were satisfied with the operation. Conclusion:Excision of thyroglossal duct cyst under transverse incision is safe, reliable and satisfactory in appearance.

Relationship research of childhood viral hepatitis of disease uncertainty and social support, psychological flexibility in their families before antiviral treatment

Objective To investigate the relationship between the uncertainty of pre-antiviral therapy and social support and psychological flexibility in children with viral hepatitis in their families. Methods From January to December 2017, 300 parents of children with viral hepatitis were investigated using the disease uncertainty scale, social support scale, mental resilience scale.Pearson correlation factors were used to analyze the relationship between disease uncertainty, social support and psychological resilience before antiviral treatment, and multivariate Logistic regression was used to analyze the influencing factors of parents' disease uncertainty. Results The parental uncertainty score of 300 children with viral hepatitis was(71.25±8.38)points, the total social support score was(28.12±5.56)points, and the psychological elasticity score was(62.98±4.22)points.There was negative correlation with disease uncertainty and social support and psychological elasticity of children with viral hepatitis before parental antiviral treatment by Pearson correlation factor analysis, and the differences were statistically significant(P<0.05). Conclusion There is a clear uncertainty of illness before antiviral treatment for children with viral hepatitis in children.In addition to paying attention to the psychological status of children, medical staff should also give information and emotional support to the families of the children to improve the psychological elasticity of the families of children.To relieve family members of anxiety and uncertainty. Key words: Viral hepatitis; Family antiviral; Disease uncertainty; Social support; Psychological flexibility; Relationship

A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings

Objective: Sickness and hospitalization may have negative influences on the development and psychological status of children. It is important to understand children’s perceptions of sickness and hospital in order to reduce and eliminate the negative effects of hospitalization experiences on the psychological well-being of the children. From this perspective, the aim of this study was to examine the hospitalized children’s psychological status and their perceptions of hospital and sickness.

Prevalence and Risk Factors for Early Childhood Caries in Children Less Than 6 Years Old: A Systematic Review

Background: Early childhood caries (ECC) is a very common multifactorial bacterial infection. It negatively impacts children's psychological status and quality of life. Therefore, the World Health Organization (WHO) global oral health goals for 2000 were established stating that 50% of 5-6-year olds would be free of dental caries.

Degree centrality and voxel-mirrored homotopic connectivity in children with nocturnal enuresis: A functional MRI study.

To determine the characteristics of brain development in children with nocturnal enuresis, we investigated the intensity of functional connectivity both among the nodes in the brain network and between the two hemispheres of the brain. Twenty-three children with nocturnal enuresis (NE) and an equal number of normal children were examined using resting-state functional magnetic resonance imaging (fMRI) scans. Data analysis was done via the degree centrality (DC) and voxel-mirrored homotopic connectivity (VMHC) approaches. Moreover, we compared the children's psychological status by utilizing the self-concept scale. In four areas of the brain, the the DC values of the NE group were obviously lower than that of the normal controls. These four areas were the posterior cerebellar lobe, anterior cingulate cortex (ACC), medial frontal gyrus, and superior left temporal gyrus (P < 0.05, after correction). We also found two brain areas where the VMHC values of the NE group were obviously lower than that of the normal controls. The two groups were the cerebellar lobe and the anterior cingulate cortex (ACC) [P < 0.05, after correction]. A psychological comparison between the children with NE and that in the normal group on the self-concept scale was also performed. The scores of the children with NE were lower than normal controls regarding behavior, appearance and property, anxiety, gregariousness, happiness, and satisfaction (P < 0.05). These findings provide evidence of the deficit of urination control in children with NE. Furthermore, through the methods of DC and VMHC, which are based on functional connectivity, it was also possible to explain why children with NE often have the concomitant symptoms of attention, control, and memory problems. The analysis of the self-concept scale suggests that children with NE lack self-confidence.