Sri Lankan Families Research Articles

Child emotional and behavioral difficulties and parent stress during COVID-19 lockdown in Sri Lankan families.

IntroductionUnderstanding parents’ and children’s mental health issues would help design population-specific intervention programs. The present study explored parents’ perceived stress and child emotions and behavior during the COVID-19 lockdown among Sri Lankan families.MethodsA cross-sectional survey was conducted among Sri Lankan parents of children aged 11 to 17 years. Validated instruments (Perceived Stress Scale-PSS and Strengths and Difficulties Questionnaire-SDQ) evaluated parental stress, child emotions, and hyperactivity/inattention. Multiple linear regression assessed the predictors of mental health issues, including the interaction between age and gender.ResultsThree hundred fifty-five parents responded to the survey (mothers:76%). One-third of parents experienced difficulties with their children during the pandemic. Emotions and hyperactivity-inattention problems measured via the SDQ scale were high among 38% of children, while the perceived stress was high in 79.2% of parents. Overall, child emotions and hyperactivity-inattention increased with decreasing age, increasing parent stress, having middle-income compared to high-income, and having a family member/close relative tested positive for COVID-19. Hyperactivity-inattention (29.3%) was more than the emotional problems (22%) among children. The emotional problems were reported more with increasing parent stress, while child hyperactivity-inattention alone was reported more with decreasing age, middle-income compared to high-income families, and increasing parent stress. Also, the interaction effect of age and gender indicated that higher age was related to greater parent-reported hyperactivity-inattention problems in males.ConclusionsThe findings highlight how the COVID-19 crisis and social isolation have contributed to increased parental stress and child emotional and hyperactivity-inattention problems. In addition to cautioning the healthcare workers, socio-culturally appropriate preventive and supportive mental health programs may help deal with further waves of COVID-19 or any other adverse circumstances.

Functional evaluation of five BRCA2 unclassified variants identified in a Sri Lankan cohort with inherited cancer syndromes using a mouse embryonic stem cell-based assay

Next-generation sequencing of Sri Lankan families with inherited cancer syndromes resulted in the identification of five BRCA2 variants of unknown clinical significance. Interpreting such variants poses significant challenges for both clinicians and patients. Using a mouse embryonic stem cell-based functional assay, we found I785V, N830D, and K2077N to be functionally indistinguishable from wild-type BRCA2. Specific but mild sensitivity to olaparib and reduction in homologous recombination (HR) efficiency suggest partial loss of function of the A262T variant. This variant is located in the N-terminal DNA binding domain of BRCA2 that can facilitate HR by binding to dsDNA/ssDNA junctions. P3039P is clearly pathogenic because of premature protein truncation caused by exon 23 skipping. These findings highlight the value of mouse embryonic stem cell-based assays for determining the functional significance of variants of unknown clinical significance and provide valuable information regarding risk estimation and genetic counseling of families carrying these BRCA2 variants.

Family and the Sexual Identity Development of Youth: A Comparative Sociological Study of the Semi-urban and Rural Youth in Ratnapura District of Sri Lanka

The study captures the impact of structured relationships within the family on sexual identity development of youth. Research problem stems from the quarry whether the semi-urban and rural families exposed to the social dynamics of globalization, differ in their role constructing the sexual identities of youth. Parent-youth communication, social class and style of parenting, family role in the resolution of sexual identity crisis, and inter sibling relations are considered pertaining to the sexual identity development. Both quantitative and qualitative methods were adopted. Multi staged simple random sampling technique is employed representing semi-urban and rural youth (n=225) in the postal survey. Informal interviews and ten in-depth case studies of youth with unresolved sexual identities were carried out. The study substantiates that although, semi-urban and rural families do not drastically contrast with each other, and they constitute two different contexts of sexual identity development. Although, social class is not correlated, gender role socialization, style of parenting cause the semi-urban and rural difference pertaining to family role in sexual identity development. Qualitative analysis revealed the precursors of negative sexual identity development within the family. Sri Lankan families leave little margin and are emotionally less supportive in case of negative sexual identities.

Bridging family boundaries: mediating postmodern complexity in urban Sinhalese Sri Lankan families

ABSTRACTThere is a bricolage of competing local and global ideologies, value systems, and practices vying for the attention of urban South Asian consumers. We term this as “postmodern complexity”. Drawing from a three-year ethnographic research expedition on Sinhalese Sri Lankan families, we illustrate the process by which these families mediate postmodern complexity during new family formation. Our findings support an emergent framework to understand the processes in which families negotiate the influence of competing discourses and illustrate that the process is a perpetual experimentation spanning across three overlapping stages. We argue that negotiating postmodern complexity in our families is a hybrid and creolised resolution that is tailored to each family’s unique identity needs. Families can draw from a multitude of meanings that are anchored in consumption in order to create a unique family identity that is most appropriate to their identity pursuits.

A case series of three Sri Lankan families with hereditary breast and ovarian cancer syndrome due to pathogenic germline mutations in the BRCA1 gene

A case series of three Sri Lankan families with hereditary breast and ovarian cancer syndrome due to pathogenic germline mutations in the BRCA1 gene

Employability of Graduates of Sri Lankan Universities

The aim of this paper is to review determinants of graduates’ employability of Sri Lankan universities. As the education is a major criterion of measuring the development of a country and many Sri Lankan families give higher priority for their children’s education, it is important to realize the problem of graduate employability of the country. This study reviewed available literature to comprehend different views relating to the issue in general. Primary data was collected through discussions and telephone conversations with managers in government sector, private sector and non-government organizations. Also an examination of a random sample of 50 newspaper advertisements of job opportunities in weekend news papers was made. Further, the study used quality assurance judgement review results relating to the degree programs in Sri Lankan universities conducted by Sri Lanka Quality Assurance Council. It is found that there are many jobs for engineering/science and management graduates in current job market and fewer opportunities are available for humanities and social sciences. However, as far as quality of degree programs is concerned humanities and social sciences degree programs are better than even some degree programs offered by medical faculties in Sri Lanka. DOI: http://dx.doi.org/10.4038/sljhrm.v2i1.5107 Sri Lankan Journal of Human Resource Management Vol.2(1) 2008 pp.74-90

FP02-4 Four-year Follow-up of Schizophrenia in a Rural Community: Good Outcome and Public Health Implications

The study had two objectives: to examine the rates of exposure to family violence among students in a non-Western society, with Sri Lanka as a case study and to examine the psychological effects of their exposure.Four hundred seventy six medical students in Sri Lanka were surveyed. A self-administered questionnaire was utilized, which included two forms of the Conflict Tactics Scales (CTS) to measure the extent to which the students witnessed interparental violence and experienced parental violence in childhood and adolescence. Additional instruments included the Trauma Symptom Checklist (TSC-33), which measures dissociation, anxiety, depression, and sleep disturbance, and the Family Functioning in Adolescence Questionnaire (FFAQ), which measures the students’ perceptions of the functioning and environment in their families.Between 16% and 18% of the participants indicated that they had witnessed at least one act of interparental psychological aggression, and between 2% and 16% indicated that they had witnessed at least one act of interparental physical violence before the age of 18. Between 11% and 84% of the participants had experienced at least one act of parental psychological aggression, and between 2% and 22% had experienced at least one act of parental physical violence during childhood. Significant amounts of the variance in participants’ dissociation, anxiety, depression, and sleep disturbance were explained by their witnessing interparental violence and experiencing parental violence.The present study provides strong evidence that the rates of family violence in a non-Western society (i.e., Sri Lankan families) are within the range of violence found in Western societies. In addition, the psychological effects of exposure to family violence in non-Western societies are similar to those in Western societies, although the relevance of familial, cultural, and political contexts as well as socio-demographic characteristics to those effects in non-Western societies should be taken into consideration.Counseling centers at universities should focus on developing better routine screening to reach students who are victims of family violence. The importance of sensitivity to risks associated with asking students about these problems should be taken into consideration. Interventions should aim to increase the students’ safety, to alleviate the mental health consequences of their exposure to family violence, and to help those victims to develop productive help-seeking behaviors and coping resources to ensure their safety. Collaboration between the university and community and within the university for the benefit of those victims may help in facilitating the indentification of and intervention with students’ victims of family violence.

Rates and psychological effects of exposure to family violence among Sri Lankan university students

Objectives The study had two objectives: to examine the rates of exposure to family violence among students in a non-Western society, with Sri Lanka as a case study and to examine the psychological effects of their exposure. Method Four hundred seventy six medical students in Sri Lanka were surveyed. A self-administered questionnaire was utilized, which included two forms of the Conflict Tactics Scales (CTS) to measure the extent to which the students witnessed interparental violence and experienced parental violence in childhood and adolescence. Additional instruments included the Trauma Symptom Checklist (TSC-33), which measures dissociation, anxiety, depression, and sleep disturbance, and the Family Functioning in Adolescence Questionnaire (FFAQ), which measures the students’ perceptions of the functioning and environment in their families. Results Between 16% and 18% of the participants indicated that they had witnessed at least one act of interparental psychological aggression, and between 2% and 16% indicated that they had witnessed at least one act of interparental physical violence before the age of 18. Between 11% and 84% of the participants had experienced at least one act of parental psychological aggression, and between 2% and 22% had experienced at least one act of parental physical violence during childhood. Significant amounts of the variance in participants’ dissociation, anxiety, depression, and sleep disturbance were explained by their witnessing interparental violence and experiencing parental violence. Conclusions The present study provides strong evidence that the rates of family violence in a non-Western society (i.e., Sri Lankan families) are within the range of violence found in Western societies. In addition, the psychological effects of exposure to family violence in non-Western societies are similar to those in Western societies, although the relevance of familial, cultural, and political contexts as well as socio-demographic characteristics to those effects in non-Western societies should be taken into consideration. Practice implications Counseling centers at universities should focus on developing better routine screening to reach students who are victims of family violence. The importance of sensitivity to risks associated with asking students about these problems should be taken into consideration. Interventions should aim to increase the students’ safety, to alleviate the mental health consequences of their exposure to family violence, and to help those victims to develop productive help-seeking behaviors and coping resources to ensure their safety. Collaboration between the university and community and within the university for the benefit of those victims may help in facilitating the indentification of and intervention with students’ victims of family violence.

Blood lead levels in Sri Lankan families recovering gold and silver from jewellers' waste.

Blood lead levels were determined in controls and Sri Lankan families engaged in recovery of gold and silver from jewellers' waste using a molten lead procedure. Individuals with lead levels exceeding 40 micrograms/dL were found in families engaged in gold and silver recovery. The mean lead levels of such families (33 micrograms/dL) were always at least twice as high as those of their neighbors who were used as controls (12 micrograms/dL). High lead levels in these families were not restricted to individuals directly engaged in recovery work. In some cases, young children had up to 56 micrograms/dL of lead in their blood. It is concluded that gold and silver recovery represents a significant occupational health hazard in Third-World countries where the work is essentially a cottage industry. Such operations should be monitored by the appropriate health authorities and the individuals concerned should be informed of the potential health hazards.