Psychosocial Difficulties Research Articles

Psychiatric comorbidity as a prospective predictor of long-term weight and psychosocial outcomes after bariatric surgery

ObjectivesPsychiatric comorbidity is common among the bariatric population although the prognostic significance of psychiatric comorbidity on outcomes is uncertain. This prospective study examined differences in weight and psychosocial functioning outcomes based on lifetime and current (post-surgical) psychiatric comorbidity. MethodsParticipants were 140 adults in a RCT for loss-of-control (LOC)-eating approximately six months post-bariatric surgery. Two structured interviews were administered: the Eating Disorder Examination-Bariatric Surgery Version (EDE-BSV) to assess LOC-eating and eating-disorder psychopathology, and the Mini International Neuropsychiatric Interview (MINI) to assess lifetime and current (post-surgical) psychiatric disorders. The EDE-BSV and Beck Depression Inventory (BDI-II) were repeated at post-treatment and 24-month follow-ups. ResultsLifetime (75.7%) and current/post-surgical (25%) psychiatric diagnoses were common. Groups with and without psychiatric comorbidity did not differ significantly in weight loss outcomes at any timepoint but psychiatric comorbidity was associated significantly with greater LOC-eating, eating-disorder psychopathology, and depression. ConclusionsAmong participants with LOC-eating post-bariatric surgery, lifetime and post-surgical psychiatric comorbidity was not associated with acute or longer-term weight outcomes but predicted poorer psychosocial functioning. Findings challenge prevailing views that psychiatric comorbidity is related to poorer longer-term weight outcomes following bariatric surgery but highlight its clinical significance as it is associated with broad psychosocial difficulties.

Distress and impacts on daily life from appearance changes due to cancer treatment: A survey of 1,034 patients in Japan.

This study aimed to clarify the psychosocial difficulties and impacts that cancer patients face from appearance changes, in order to develop a patient support program. An online survey was administered to patients registered with an online survey company who met the eligibility criteria. The study population was randomly selected from gender and cancer types to create a sample that reflected the proportion of cancer incidence rates in Japan as much as possible. Out of a total of 1034 respondents, 601patients (58.1%) experienced appearance change. Symptoms that were reported to have a high distress level and prevalence rate, and that widely required provision of information were such as alopecia (22.2%), edema (19.8%) and eczema (17.8%). Distress levels and personal assistance requirements were high particularly for patients who experienced stoma placement and mastectomy. More than 40% of patients who experienced appearance change had quit or were absent from work or school, and reported that their social activities were negatively affected by the visually notable changes in their appearance. Concerns about "receiving pity from others" or about "the exposure of cancer" due to their appearance change also led patients to reduce outings (β = 0.32 and β = 0.31 respectively, p < 0.001) and social interactions with others (β = 0.34 and β = 0.36 respectively, p < 0.001) and increased the discord in human relationships (β = 0.21 and β = 0.19 respectively, p < 0.001). Results from this study indicate the areas in which more support is required from healthcare professionals, as well as the need for interventions for patient cognition to avoid maladaptive behaviors in cancer patients who experience appearance changes.

A Case Study of Child-centered Play Therapy for a Four-Year-Old Child with Circular Alopecia

This study is a case study of child-centered play therapy for a four-year-old child suffering from circular alopecia. It aims to analyze the play theme, and verify changes in psychological evaluation. The child received one year of hospital treatment for circular alopecia, which was relieved but recurred. In order to resolve the child’s psychosocial difficulties due to the recurrence, this case was referred to play therapy. In this study has found first, the themes of play manifested in the early stages were relationship, dependence, parenting, and mastery. In the 1st middle stage, the themes were relationship, dependence, mastery, parenting and anxiety appeared. Also in the 2nd middle stage, the themes of relationship, power and control, dependence, revenge, safety and security, mastery, parenting, protection were found. In the later stage, the themes of relationship, safety and security, mastery, parenting, integration, self-sufficiency, and resilience appeared. Second, child-centered play therapy was confirmed to provide positive changes as a result of psychological evaluations conducted before and after. The significance of this study is that after child-centered play therapy was performed on a four-year-old child suffering from circular alopecia, the play themes were analyzed and changes in psychological evaluation were confirmed.

Neuropsychiatric Manifestations, Reduced Self-Esteem and Poor Quality of Life in Children and Adolescents with Neurofibromatosis Type 1 (NF1): The Impact of Symptom Visibility and Bullying Behavior.

Neurofibromatosis type 1 (NF1) is an autosomal dominant condition, associated with neurocutaneous manifestations and neuropsychiatric manifestations. The present study explored the prevalence of bullying/cyberbullying behaviors and victimization behaviors in a cohort of children and adolescents with NF1. Possible gender differences and predictors of psychological symptoms, quality of life (QoL), and self-esteem were also examined. Thirty-eight school-aged participants with NF1 completed a psychological evaluation designed to assess anxiety and depression symptomatology, QoL, self-esteem, and the prevalence and extent of bullying/cyberbullying and victimization behaviors. We found that our participants frequently reported victimization behaviors rather than bullying/cyberbullying ones. Moreover, participants complained of depressive and anxiety symptomatology together with reduced self-esteem, and low psychosocial quality of life, with females reporting more severe performances than males. Furthermore, we found that reduced self-esteem was associated with more visibility of the NF1 symptoms, and victimization behaviors were found to mediate the relationship between anxiety and psychosocial QoL. Our findings indicated the presence of a maladaptive loop in children and adolescents with NF1 patients characterized by psychological symptoms, unfavorable self-perception, low self-esteem, and psychosocial difficulties that might be worsened by experiencing victimization behaviors. These results suggest the need to use a multidisciplinary approach in the diagnosis and treatment of NF1.

Risk Factors for Perceived Stigma about Food Allergies among Adolescents

Adolescents who have food allergies, many of which may be life threatening, experience psychosocial difficulties, specifically embarrassment and stigma. Negative perceptions can increase non-adherence to recommended allergen avoidance practices, which may explain their increased risk for severe reactions. This study examined factors associated with adolescent perceptions of stigma related to their food allergy diagnosis.

Mindfulness Initiatives for Students, Teachers, and Parents: a Review of Literature and Implications for Practice During COVID-19 and Beyond.

The use of mindfulness in schools has greatly expanded over the past 10years. Research has demonstrated positive psychological effects of mindfulness for students as well as teachers (Emerson et al., Mindfulness 8:1136-1149, 2017; Semple et al., Psychology in the Schools 54:29-52, 2017). Similarly, studies focusing on mindfulness interventions for parents of children with disabilities and/or psychosocial difficulties have also yielded a variety of positive outcomes, including reduced parenting stress, increases in quality of life, and improved parent-child interactions (Bögels et al., 2016; Rayan and Ahmad, Research in Developmental Disabilities 55:185-196, 2016). Although there has been a proliferation of mindfulness research, and mindfulness has become a buzzword in popular culture, it has not been systematically examined or applied as an approach to improving psychosocial functioning in children, school personnel, and families during COVID-19 and in online settings. This article provides a preliminary framework for this examination by reviewing relevant research and providing practical strategies and resources for school psychologists.

Predictors of functional impairment at assessment and functional improvement after treatment at a national digital mental health service

Mental disorders are associated with impairment to daily functioning, which affects both the individual and society. Despite this, most research on treatment outcome only report symptom change. Self-reported days out of role (DOR) is a simple measure of functional impairment used in many population studies. The current study sought to report on the degree of functional impairment measured by DOR in a clinical sample at assessment, the factors associated with this impairment, the predictors of functional improvement after treatment and the relationship between symptomatic and functional change. Using a prospective uncontrolled observational cohort study design with a sample of 17,813 patients accessing a digital mental health service (DMHS), we examined self-reported demographic, psychosocial and clinical data. Using a series of univariate regression models and multivariate classification algorithms, we found that baseline DOR was associated with age, employment and relationship status, symptom severity, symptom chronicity and with the presence of several psychosocial difficulties. Baseline DOR was best predicted by older age, disability payments, higher symptom severity and increasing number of endorsed psychosocial difficulties (R2 = 32.7 %). Forty-one per cent of the sample experienced a >50 % or greater reduction in DOR following treatment. Those who were separated, unemployed or on disability payments, or with severe and chronic depression, experienced the greatest reductions in DOR after treatment. Changes in functioning were independent of changes in symptoms, highlighting the importance of functional impairment as a treatment outcome. This study found that many of the patients who access DMHS have significant levels of functional impairment, a large proportion obtain functional improvement after treatment, and improvement in function after treatment was independent of improvement in symptoms.

Adolescent idiopathic scoliosis patients treated with bracing, surgery, or observation showed no difference in behavioral and emotional function over a 2-year period.

The purpose of this study was to assess if behavior and emotional function, as measured by the Pearson Behavioral Assessment Survey for Children, Second Edition (BASC-2) in patients and parents, changes with differing treatment protocols in patients with adolescent idiopathic scoliosis (AIS). One previous study showed abnormal BASC-2 scores in a substantial number of patients diagnosed with AIS; however, no study has assessed how these scores change over the course of treatment. AIS patients aged 12 to 21 years completed the BASC-2. The 176-item questionnaire was administered to subjects at enrollment, assessing behavioral and emotional problems across 16 subscales of 5 domains: school problems, internalizing problems, inattention/hyperactivity, emotional symptoms index, and personal adjustment. Parents were given an equivalent assessment survey. Surveys were administered again after 2 years. Subject treatment groups (bracing, surgery, and observation) were established at enrollment. Patients were excluded if they did not complete the BASC-2 at both time points. Forty-six patients met the inclusion criteria, with 13 patients in the surgical, 20 in the bracing, and 13 in the observation treatment groups. At enrollment, 26% (12/46) of subjects with AIS had a clinically significant score in 1 or more subscales, and after 2 years 24% (11/46) of subjects reported a clinically significant score in at least 1 subscale (P = .8). There were no significant differences in scores between enrollment and follow-up in any treatment group. Similar to what was reported in a previous study, only 36% (4/11) of patients had clinically significant scores reported by both patient and parent, conversely 64% (7/11) of parents were unaware of their child's clinically significant behavioral and emotional problems. Common patient-reported subscales for clinically significant and at-risk scores at enrollment included anxiety (24%; 11/46), hyperactivity (24%; 11/46), attention problems (17%; 8/46), and self-esteem (17%; 8/46). At 2-year follow-up, the most commonly reported subscales were anxiety (28%; 13/46), somatization (20%; 9/46), and self-esteem (30%; 14/46). Patients with AIS, whether observed, braced or treated surgically, showed no significant change in behavior and emotional distress over the course of their treatment, or compared with each other at 2-year follow-up.

HERMENEUTICS PROMOTES PERSON-CENTERED MENTAL HEALTH IN PANDEMIC TIMES

Background: COVID 19 affects not only patients’ physical health but also mental well-being.&#x0D; Objective: To explore how hermeneutics, i.e., the theory and practice of interpretation, promotes person-centered mental health during the COVID-19 pandemic.&#x0D; Method: An excerpt of a dialogue between a patient with depression and his psychiatrist was used to illustrate how hermeneutics promotes person-centered mental health.&#x0D; Results: The case study, reviewed through the perspective of hermeneutics, showed that the patient needs a personal narrative to voice his COVID-19-related physical worries as well as associated psychosocial difficulties, mental health distress, and spiritual concerns.&#x0D; Discussion: A multi-layered personal narrative, informed by hermeneutics, ensures mental health needs are not overlooked/neglected in individuals affectedby COVID-19.&#x0D; Conclusion: Hermeneutics, when properly and clinically applied, promotes person-centered mental health in pandemic times.

Discussion and Optimization of the Male Breast Cancer Patient Experience.

Breast cancer in men is rare and often overlooked as there is a misconception that it is a gendered disease that affects women only. The feminization, or "pinkification," of the disease has been socially constructed to raise awareness, improve screening, and empower women but has not addressed the occurrence of the illness in men. Men may therefore experience unique psychosocial difficulties when faced with a disease that predominantly affects women, including feelings of disbelief and embarrassment that impact their sense of self and challenge their masculinity. The lack of mammographic screening in men, lack of public awareness, and the shame that develops during the time of diagnosis can result in treatment avoidant behaviors, a delayed presentation, and worse prognosis in men. Although male breast cancer (MBC) is uncommon, the incidence is increasing; therefore, efforts should be made to enhance education for health care professionals and the general public in order to lessen the stigma, with the goal of improving outcomes. Furthermore, special attention to the unique medical needs and hurdles encountered by transgender males can break down health care barriers in this marginalized patient population. This article offers male perceptions on breast cancer, the psychosocial implications of being diagnosed with a gendered disease, and suggestions on how to improve the MBC experience.

Comparison of characteristics between adolescent and adult pregnant women who used methamphetamine: a retrospective study in a tertiary hospital

PurposeThis study aims to examine the characteristics of pregnant women who used methamphetamine to determine the differences in characteristics between teenagers (aged under 20 or 20–25 years) and adult women who used methamphetamine during this period.Design/methodology/approachThis retrospective study extracted data from the medical records of obstetric patients who gave birth between 2011 and 2015 in a tertiary hospital in Thailand. All included patients were diagnosed with amphetamine use disorder. Demographic data, history of antenatal care, history of substance use and psychiatric evaluations were recorded.FindingsFour hundred and twelve patients were recruited for analysis. Of these, 194 (53.4%) did not attend regular antenatal care, 326 (92.1%) had unplanned pregnancies and 42 (12.5%) had a history of abortions. Socially, 47 patients (21.7%) reported drug use in their families and 160 (49.5%) reported a history of parental separation. Compared with the adult and 20–25 years groups, the < 20 years group tended to have a lower educational level, have experienced parental separation and had more regular antenatal care.Research limitations/implicationsPregnant teenagers with methamphetamine use had psychosocial difficulties. Physicians should be aware of these psychosocial issues, including education and family planning.Originality/valueThese findings showed that pregnant women who used methamphetamine faced psychosocial difficulties, unplanned pregnancies and inadequate antenatal care. Adult and teenage pregnant women who used methamphetamine differed in some ways. For example, teenage pregnant women tended to be of a lower education level, experienced parental separation and had a history of more frequent antenatal care. Further longitudinal research exploring the outcomes of mothers who used methamphetamine and their children is needed to build on the existing evidence.

Play therapy in children with autism: Its role, implications, and limitations.

Play is a pleasurable physical or mental activity that enhances the child's skills involving negotiation abilities, problem-solving, manual dexterity, sharing, decision-making, and working in a group. Play affects all the brain's areas, structures, and functions. Children with autism have adaptive behavior, adaptive response, and social interaction limitations. This review explores the different applications of play therapy in helping children with autism disorder. Play is usually significantly impaired in children with autism. Play therapy is mainly intended to help children to honor their unique mental abilities and developmental levels. The main aim of play therapy is to prevent or solve psychosocial difficulties and achieve optimal child-healthy growth and development. Play therapy helps children with autism to engage in play activities of their interest and choice to express themselves in the most comfortable ways. It changes their way of self-expression from unwanted behaviors to more non-injurious expressive behavior using toys or activities of their choice as their words. Play therapy also helps those children to experience feeling out various interaction styles. Every child with autism is unique and responds differently. Therefore, different types of intervention, like play therapy, could fit the differences in children with autism. Proper evaluation of the child is mandatory to evaluate which type fits the child more than the others. This narrative review revised the different types of play therapy that could fit children with autism in an evidence-based way. Despite weak evidence, play therapy still has potential benefits for patients and their families.

Investigation of the Efficiency of Psychological Support Videos as an Approach to the Protection of Mental Health of Medics During the Pandemic Process.

The aim of this study is to evaluate whether providing psychological support to healthcare professionals who are actively involved in the pandemic process will reduce the psychological risk factors created by the pandemic on healthcare professionals. A total of 440 healthcare professionals working in different positions in 2 state hospitals, which are considered pandemic hospitals, were included in the study. Sociodemographic Data Form, Hospital Anxiety and Depression Inventory, and Psychological Resilience Scale were used in the study, which was carried out with the experimental design pre-test-post-test model before the experiment. Participants were made to watch 4 videos prepared by expert psychologists on anxiety, depression, and psychological resilience. The data obtained from the sample before and after watching the videos were analyzed with the paired sample t-test. Accordingly, there was a significant difference between the groups of health workers who participated in the survey before and after watching the psychological support videos (P < .001). After watching the psychological support videos, the anxiety scores of the health workers decreased. In addition, anxiety scores created a significant difference in demographic variables (gender, age, marital status, not having a child, having a high education level, smoking and alcohol use, having a physiological disease, and working year). Depression scores decreased in those who use alcohol and those who have 1-3 shifts per month. In disasters such as epidemics that bring psychosocial difficulties, psychotherapeutic support to those who fight in the first place is important in protecting their mental health.

Management of Anisometropic Amblyopia: A Retrospective Study

The standard treatment of amblyopia involves punitive intervention through patching or pharmacology that inhibits the fellow eye and disrupts binocular vision. With regard to occlusion, the results of this nearly 300-year approach has proven to be improvable given the psychosocial difficulties it presents along with its frequently questionable long-term outcomes. This paper presents the Sanet-Vergara treatment protocol for anisometropic amblyopia that avoids punitive measures and emphasizes full- time wear of the Best Binocular Prescriptive lenses (BBP). A retrospective record review of 28 patients shows the high degree of success obtained with significant improvements in visual acuity of the right eye, F(2,54)=12.57, p&lt;0.001 and left eye, F(2,54)=31.80, p&lt;0.001, bi-ocular visual acuity measured with polarized screen F(2,54)=50.40, p&lt;0.001, and stereoacuity F(2,54)=14.57, p&lt;0.001 The positive outcomes were retained for up to one year after cessation of the treatment protocol.

CARE PRACTICES AND CHALLENGES EXPERIENCED BY PUBLIC HEALTH NURSES DURING ACUTE AND CHRONIC PANDEMIC PERIOD

Aim: This study aimed to determine the challenges experienced by Public Health Nurses (PHN) in delivering care to society during the acute and chronic periods of the pandemic and different care application methods. Method: This qualitative and descriptive study was conducted between January and February 2022. Phenomenological approach was used as a qualitative research method. The sample of the study consisted of 21 public health nurses working in family health centers. Data were obtained with a semi-structured interview form and descriptive information form containing sociodemographic characteristics. The interviews were recorded. Malterud's analysis method used in qualitative data analysis. Results: Four main themes were identified as "psychosocial situation, measures/precautions, difficulties, and solution methods" regarding care practices and challenges experienced by PHN during acute and chronic periods of a pandemic. Thirteen sub-themes under these main themes were differentiated according to acute and chronic periods. The mean age, and duration of working of PHNs participating in the study was 37.8 and 16.3 years, respectively. Conclusion: PHNs were negatively affected psychologically due to prejudices, fears, and uncertainty during the acute period of the pandemic, and in the chronic period, they faced aggressive, impatient, and anti-vax attitudes of the public. While during the acute period, telephone monitoring, telemedicine management, and difficulties in persuading the public were at the forefront of care practices, education, guidance, and counseling services for long-term health problems of people became a priority in the chronic period.

Developing Cancer Survivors’ Psychosocial Difficulties Related to Work Scale and Its Reliability and Validity

Developing Cancer Survivors’ Psychosocial Difficulties Related to Work Scale and Its Reliability and Validity

ENTREVISTA NARRATIVA ETNOGRÁFICA CLÍNICA SOBRE A EXPERIÊNCIA DE MULHERES EGRESSAS DO SISTEMA PRISIONAL

ABSTRACT Objectives to analyze the perception of women discharged from the prison system about the main stressors that marked their life trajectories and to discuss the feasibility of the Clinical Ethnographic Narrative Interview technique to facilitate the narrative of this group. Method narrative research developed in a social protection center in the interior of São Paulo. Data were collected in 2021 (January and February) using the Clinical Ethnographic Narrative Interview technique, which intersperses narratives and visual aids. The synergy between the concepts of vulnerability and stress was adopted as a theoretical framework, and content analysis was performed. The discussion of viability was based on the criteria of acceptability and expansion. Results The narratives addressed psychosocial difficulties prior to incarceration and the hostile environment of the overcrowded prison as a place of conflict and abuse of power. Family helplessness, estrangement from children, negative emotions, somatic symptoms and traumas were mentioned as consequences of seclusion. The participants also reported coping processes with words that referred to the ideas of overcoming, hope, new beginning and gratitude. It is understood that this high point of the narratives may reflect the potential of the interview technique and corroborates its adequacy. Conclusion The undoubted painful character of the narratives about the different adversities experienced, especially as a result of seclusion, was also permeated by aspects that denoted resilient processes. The adoption of this interview technique made data collection more sensitive, welcoming and timely to expand the repertoire of words in the expression of feelings and revisit painful experiences, envisioning positive possibilities for the future.

Evaluation of The Opinions of The Pediatric Palliative Care Patients' Families Regarding The COVID-19 Pandemic: A Cross-Sectional Study

Aim: While many countries around the world have faced similar challenges in pediatric palliative care as COVID-19, there have also been challenges that vary from country to country. In this study, it was aimed to evaluate the difficulties and opinions of families receiving pediatric palliative care in our country during the pandemic process.&#x0D; Materials and Methods: The study is a cross-sectional survey applied to families followed in the pediatric palliative care service between 01.12.2018 and 01.12.2020. In the study, caring parents were asked to share their experiences and opinions in the last year.&#x0D; Results: Of the 175 families followed, 112 were included in the study. In the first year of the pandemic, it was determined that 42% of the families had no change in their lives, 16.1% had psychological problems, 35.7% had social (quarantine and restrictions) problems and 6.3% had economic problems. When the family order and endurance of those who stated that there were significant changes in their lives in the first year of the pandemic were examined, it was found that these individuals were bored with their families and had difficulty staying at home (2.482; p=0.013).&#x0D; Conclusion: The COVID-19 pandemic process in pediatric palliative care has been milder and has a better prognosis than expected. Psychosocial difficulties are the most prominent areas of distress.

SPECIFIC LEARNING DISORDER (SLD) AND ASSOCIATED PSYCHOSOCIAL DIFFICULTIES IN EMERGING ADOLESCENTS: AN EXPLORATORY STUDY

The present study is concerned with the psychosocial problems associated with adolescents having a specific learning disorder. The data for the present study was collected from fifty SLD-diagnosed adolescents aged 11-17 years. The participants were recruited through purposive sampling from five mainstream schools in Islamabad. The learning disabilities of the participants were evaluated using the Learning Disability Evaluation Scale (LDES) (McCarney &amp; Arthaud, 2007), and the strength and difficulties scale (SDQ) (Goodman, 1997) was used to check the psychosocial difficulties that SLD participants faced. Data was acquired by considering the inclusion criteria of adolescents enrolled in an educational institution between the ages of 11 and 17 (WHO, 2013) and who meet the criteria for mild to moderate severity of specific learning disorder. The statistical social sciences program SPSS-24 was used to evaluate the data. Descriptive statistics, reliability analysis, and the independent sample t-test were all used to analyze the collected data. The results indicate that dyslexia with reading issues is more prevalent and with which men are more likely than women to encounter psychosocial challenges because they are more likely to experience emotional signs, behavior issues, and peer issues. The study comes to the conclusion that children diagnosed with SLD have both internalized problems, such as low self-esteem and social impairments, and externalized concerns, such as trouble making friends, socializing, and engaging in criminal activity. To help children with SLD overcome their related issues, it is advised to implement inclusive education and therapeutic interventions. Keywords: Adolescents, Inclusive Education, Psychosocial Problems, Specific Learning Disorder, SPSS

Knowledge, Attitude, and Practice Among Parents of Strabismic Children in Saudi Arabia: A Cross-Sectional Study.

Background Strabismus is a reversible condition that must be identified and treated during the critical period of childhood. Thus, this study aims to evaluate the degree of knowledge, attitude, and practice among parents of strabismic children in Riyadh, Saudi Arabia. Method To this end, a cross-sectional study was conducted from August 2021 to November 2021 with a sample size of 424 parents of children with strabismus seeking ophthalmologic consultants in private and governmental ophthalmology clinics in Riyadh, Saudi Arabia. A self-administered questionnaire was used to collect the data. The questionnaire contains knowledge-related questions about strabismus, beliefs-related questions, questions addressing the barriers parents face regarding strabismus in a child, and sources of information about cross-eye and its management. Data were analysed using the SPSS database version 21 (IBM Corp., Armonk, NY, USA). P-values <0.5 was used for clinical significance. Result We found that most parents know there is a relationship between strabismus and refractive errors (69%) and cross eye can be corrected (55%). Moreover, strabismus causes psychosocial difficulties (55%), low self-esteem, and low school performance. Parents of strabismic children believed that their love for their children is not affected due to crossed eyes (53%) and that strabismic children should not be taken to traditional healers (59%). Barriers faced during the management of strabismus are parents' negligence (76%), fear of surgery (34%), and high cost (29%). Doctors are the most used and preferred source of information among parents of strabismic children. Conclusion This study identifies gaps in knowledge, wrong beliefs in society, and the barriers faced by parents of strabismic children. Thus, raising awareness of the importance of detecting and treating strabismus early, avoiding psychosocial complications, and improving children's quality of life.