[Confusing conclusion about circumcision].
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Biomedical subjects
Publications and source records attributed to Pirjo Terho.
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The connection between self-image and depressive symptoms in non-clinical adolescent populations has not been well documented in large samples of teenagers. Our purpose was to investigate the correlation between self-image and depressive symptoms. To assess the adolescent's self-concept, we used the Offer Self-Image Questionnaire (OSIQ), and to study their depressive symptoms, we chose the Children's Depression Inventory (CDI). The sample consisted of 1054 eighth-grade students (465 boys, 589 girls) from normal comprehensive schools in one town with 200 000 inhabitants. The mean age of both gender groups was 14.5 years and they came from all social classes. The results showed a highly significant correlation between OSIQ scale scores and CDI scores. The more problems the adolescents had with their self-image, the greater the number of depressive symptoms. The correlation between the CDI total score and OSIQ scales scores was higher for girls than for boys except for the Superior Adjustment scale. The difference between sexes in the strengths of the correlations was highly significant (P<0.0001) except in the Sexuality scale. Since both the tests have shown to have predictive value for later psychiatric symptoms, further investigation of high-scoring CDI adolescents', and especially girls', self-image problems is important.
OBJECTIVES: To evaluate the effects of diet, serum cholesterol concentrations, and apolipoprotein E phenotype on neurodevelopment of 5-year-old children. STUDY DESIGN: Prospective, 4.4-year cohort study in 496 children. Fat-modified diet was introduced to intervention families of 7-month-old infants. Control children consumed an unrestricted diet. Nutrient intakes, serum cholesterol, and neurodevelopment were studied. The groups were combined in univariate and stepwise multivariate logistic regression analyses. RESULTS: In 13-month-old boys (girls), energy intake was 996 (938) kcal, fat intake 26.6 (26.4) percent of energy (E%), and protein intake 17.2 (17.4) E%. In 5-year-old boys (girls), the intakes were 1484 (1364) kcal, 32.1 (31.9) E%, and 15.5 (15.9) E%, respectively. The intakes of total fat and saturated fat and serum cholesterol were not associated with neurodevelopment. In boys, high intake of protein at 5 years, high intakes of protein at 4 years and cholesterol at 2 years, and high intake of polyunsaturated fatty acids at 3 years predicted favorable outcomes in the tests of speech and language skills, gross motor function and perception, and visual motor skills, respectively. Apolipoprotein E phenotype did not influence the test performance. CONCLUSIONS: Moderate restriction of dietary fat has no unfavorable effects on neurodevelopment in early childhood. However, the quality of fat and the relative intake of protein may influence neurodevelopment of the boys.