[A desirable management method for Sheltered Housing forms].
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Biomedical subjects
Publications and source records attributed to A Meijer.
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The association between influenza and psychiatric disorder in adolescents was studied at a time when both were highly prevalent concurrently. First 505 secondary school pupils aged 15-18 completed questionnaires, including a symptom inventory derived from the SCL-90-R. Subsequently, 113 blood samples were examined for influenza antibody titers of five virus strains. Statistical analysis showed that adolescents who had been ill with influenza in the previous six months had significantly more psychiatric disorder than those who had not been ill with influenza in that period.
In a prospective study the learning achievement and behaviour of second grade children who were anemic in infancy (n = 20) was compared with that of non-anemic children (n = 55). All children received preventive care and were under surveillance from birth at the Community Health and Research Center of Hadassah in Jerusalem. The anemic children had a hemoglobin level of less than 10.5 g/dl whereas the comparison group had more than 11.5 g/dl at 9 months of age. The learning achievement score was significantly lower in the anemic group 9.3 S.D. 3.8, than in the non-anemic group 11.5 S.D. 2.9 (P = 0.009). The positive task orientation was also significantly lower in the anemic group, though on additional behavior scores no differences were found. Differences remained significant even after controlling for maternal education and sex of child in a multivariate analysis. It is possible that an iron deficiency state which persists during the critical period of brain development in infancy has long-lasting effects on cognitive functioning. Prevention of iron deficiency may contribute to promotion of child development and better achievement.
Two cohorts of boys were examined while attending a well-baby clinic and reexamined at the end of the first grade of elementary school. One cohort (n = 57) consisted of boys born in the year of the Six-Day War in 1967. The other cohort was born 2 years later (n = 63). Data on socio-demographic background, early development, behavior at school and at home were obtained from the mothers and the teachers. Statistical analysis showed that the "war children" had significant developmental delays and regressive, non-affiliative and dissocial behavior. The children, who were in their first half year of life at the time of the war, were much more disturbed than those of whom the mothers were pregnant at the time of the war. The findings suggest that a disturbed mother-child relationship existed in the former group.
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Data from a study on feelings of Jerusalem high school students about their parents were used to explore fatherless adolescents' feelings about their mothers. Only eighteen such cases were found in this population and they were divided into two groups: twelve girls and six boys. The boys and the girls from two-parent families served as control groups. Statistical evaluation showed that fatherless adolescent girls perceived their mothers as significantly less benevolent (p less than 0.01) than girls from two-parent families of similar sociodemographic background. In the smaller group of boys no differences were found.
Residency training in child psychiatry requires considerable change in approach and in personal involvement on the part of the resident who enters the field after training in adult psychiatry. The resident needs to become familiar with the influence on children of a wide variety of modes of living, biological, psychological, social, and developmental aspects and interaction processes within the family and the community. Because of the abundance of material he has to learn, a carefully planned training program should be instituted, with guidance in the gradual absorption of knowledge and the expansion of skills. Various previous personal experiences, approaches, and opinions of the resident influence his work. Psychodynamic aspects of the training process need considerable attention in supervisory sessions with child psychiatry residents. This should promote establishment of a firm professional identity, which is essential to avoid unnecessary drop outs and to assure fulfillment of the many roles of child psychiatry.
The Riley-Day syndrome, also known by the name Familial Dysautonomia, is characterized by a marked deficit in autonomic homeostatic function. A review of the literature and a case illustration describe the physical, emotional, social and learning problems. It is new known that sub-normal intelligence is not part of the syndrome. The impact of the symptoms on the child and on the mother-child relationship may aggravate the deficient emotional balance. Since marked improvement of the condition does occur, especially in patients who reach the age of six, a hopeful attitude in the guidance and treatment is justified and highly beneficial.
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In this study asthmatic and nonasthmatic children of elementary school age were compared. They were matched for similar familial and individual constitutional allergic backgrounds and similar sociodemographic data. In addition to testing the children, the mothers were tested for their feelings about the children, the fathers and their own childhood family. The main purpose in this part of a wider study on childhood asthma, was to measure maternal feelings towards asthmatic children by determining with which figures in her childhood family the mothers identify the children. There were no differences between the two groups of children in birth order, number of siblings of the mothers and numbers of siblings of the children. The asthmatic children were clearly more frequently identified with positive figures and less with negative figures from the mother's childhood family than the nonasthmatic children. This finding was discussed in relation to previously described findings on these asthmatic children and their mothers.
Conflictual maternal attitudes with regard to eating problems, dependency and mood of asthmatic and matched non-asthmatic children of school age with similar personal and familial allergic predispositions were examined. The maternal attitudes, measured on the Mother-Child Questionnaire, were regarded as conflictual when significant low difference scores were found between eating well and eating badly: autonomy and dependency, and between cheerfulness and depression. Statistical testing on the difference scores of these categories in the two groups of children showed significant maternal conflicts in their evaluation of eating and depression of asthmatic boys. Implications of these findings were discussed.
Depression, anxiety, defiance and hostility in sixty asthmatic and non-asthmatic children of school age, all with the same familial and constitutional allergic background, were measured with the Mother-Child Questionnaire. In the sample as a whole it was found that boys were more disturbed than girls and high-dependent children were more disturbed than low-dependent children. However, asthmatic low-dependent children were significantly more disturbed than non-asthmatic low-dependent children, whereas asthmatic high-dependent children tend to be less disturbed than non-asthmatic high-dependent children. The findings show that emotional disorders in the asthmatic children are associated with pathogenic maternal family relationship patterns.
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