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Biomedical subjects

Paul Ramchandani

Publications and source records attributed to Paul Ramchandani.

11 recordsLinked to original sources
PubMed2003

Treating psychological symptoms in sexually abused children: from research findings to service provision.

BACKGROUND: The experience of having been sexually abused is associated with a wide range of psychiatric symptoms and difficulties, and these problems can persist over years. The psychological treatment of children who have experienced sexual abuse has only recently begun to be systematically investigated. An increasing number of robust studies have been conducted. AIMS: To review systematically the available evidence from randomised controlled trials of psychological treatments for children who have been sexually abused, and to consider the place of these treatments in a multi-disciplinary service. METHOD: A systematic search of the available research was undertaken. Included trials were critically appraised and the results considered. RESULTS: Twelve studies were included in the review. The best evidence of efficacy for improving psychological symptoms in these children was found for cognitive-behavioural therapy, particularly for young children. CONCLUSIONS: Efficacious treatments existto improve psychological symptoms in children who have experienced sexual abuse. Consideration is given to the place of these treatments within the response of a multi-disciplinary service.

Behavior Therapy↗
PubMedDate not supplied

Paternal depression in the postnatal period and child development: a prospective population study.

BACKGROUND: Depression is common and frequently affects mothers and fathers of young children. Postnatal depression in mothers affects the quality of maternal care, and can lead to disturbances in their children's social, behavioural, cognitive, and physical development. However, the effect of depression in fathers during the early years of a child's life has received little attention. METHODS: As part of a large, population-based study of childhood, we assessed the presence of depressive symptoms in mothers (n=13,351) and fathers (n=12,884) 8 weeks after the birth of their child with the Edinburgh postnatal depression scale (EPDS). Fathers were reassessed at 21 months. We identified any subsequent development of behavioural and emotional problems in their children (n=10,024) at age 3.5 years with maternal reports on the Rutter revised preschool scales. FINDINGS: Information was available for 8431 fathers, 11,833 mothers, and 10,024 children. Depression in fathers during the postnatal period was associated with adverse emotional and behavioural outcomes in children aged 3.5 years (adjusted odds ratio 2.09, 95% CI 1.42-3.08), and an increased risk of conduct problems in boys (2.66, 1.67-4.25). These effects remained even after controlling for maternal postnatal depression and later paternal depression. INTERPRETATION: Our findings indicate that paternal depression has a specific and persisting detrimental effect on their children's early behavioural and emotional development.

Child Behavior Disorders↗