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PubMed1999

Social phobia: issues in assessment and management.

Social phobia was initially classified with phobic anxiety states and was believed to be quite rare, but it is now gaining due recognition as a widespread and often crippling disorder. The boundaries of social phobia merge into traits of shyness and universal performance anxiety, with symptoms commonly appearing in the teenage years. If left untreated, social phobia is a remarkably persistent condition, leading to potentially lifelong impairment in social development and occupational functioning. It may also give rise to other co-morbid disorders, particularly dysthymia, depression, obsessive-compulsive disorder, other phobic disorders, and substance abuse. Over the years, social phobia has been all too frequently viewed as a somewhat trivial, minor form of psychiatric illness and has received little clinical attention. This erroneous perception is now giving way under the mounting evidence in support of the extensive morbidity and disability associated with social phobia and the probable role of genetic and environmental influences. Furthermore, data from multiple controlled clinical trials reveal that this is a treatable condition, responding to both psychosocial and pharmacologic interventions. Here we examine issues to consider in the differential diagnosis of social phobia, review the goals of treatment, and summarize evidence in support of the effectiveness of individual pharmacologic treatments.

Acetates↗

PubMed1992

The making of public health data: paradigms, politics, and policy.

Public health data do not simply exist: the variables included or excluded from any given data set reflect the choices of individuals and institutions with the power to make these decisions. Their judgement typically is guided by prevailing theories of disease causation, which in turn usually resonate with their society's predominant political, economic, and ideological characteristics. This essay examines the making of public health data as a social process, both historically and in the present, and critiques the routine omission of social class data from US public health data bases, the treatment of "race" and "sex" as primarily biological variables, and their conflation with ethnicity and gender. Overcoming these problems will require developing social theories of disease causation and ending the pervasive silence about the health consequences of class, race, and gender inequalities.

Attitude to Health↗

PubMed1975

Attractiveness as a biasing factor in teacher judgments.

A double-blind experiment to evaluate the effect of facial attractiveness on teacher judgments was performed. Given identical information, teachers systematically rated attractive children more favorably than unattractive children. In the case of unattractive children, teachers were more willing to recommend special-class placement and held lower expectations for future academic and social development.

Achievement↗

PubMed1993

Therapeutic recreation programmes for children with epilepsy.

Amongst children with epilepsy, research has shown that most have a negative self-concept and consequently a low level of self-esteem. This elusive concept of the self is constantly being assessed and reassessed by each child throughout the process of social development. Early literature has suggested that children with disabilities, especially chronic medical or biological disabilities, typified by epilepsy and diabetes, are more susceptible to the development of psychopathology and negative self-concepts. This paper reports that intervention in the form of therapeutic recreation programmes can help rectify this problem of negative self-concept and low self-esteem in children with epilepsy. The Piers-Harris Self Concept Scale, a Self Report Inventory on six dimensions of self-concept, was assessed both pre- and post-therapeutic recreational intervention to show significant improvement in the child's self-concept and acceptance of their epilepsy. Educational components within the programme have demonstrated significant learning and increased treatment compliance--particularly with long-term medications. The Adolescent Psychosocial Seizure Inventory, an adolescent version of the Washington Psycho-Social Seizure Inventory (WPSI), both of which have been validated as a reliable clinical assessment for use in Australia, has provided further evidence to suggest that improvements occur in children's self-concept as a consequence of therapeutic recreation, however use of this protocol appears limited to adolescents over the age of 13 years.

Adolescent↗

PubMed2000

[Alcohol and pregnancy--embryopathy and alcohol effects].

Fetal alcohol syndrome (FAS) is a specific polydystrophic pattern of malformations with the following diagnostic criteria: 1. Maternal alcohol dependence or alcohol abuse during pregnancy. 2. Pre- and postnatal deficiency of growth in weight, height and head circumference. 3. Multiple minor and major anomalies recognizable mainly at a typical face. 4. Structural injuries and changes at the central nervous system with complex brain dysfunction combining elements of cognitive impairments, behavioral disturbance and neurological damage. Fetal alcohol effects (FAE) or so-called "alcohol-related neurodevelopmental disorders" (ARND) with predominant neurotoxic effects and a large spectrum of cerebral dysfunctions are manifold more frequent than the full-blown FAS. These remain mostly unrecognized, overlooked and they are difficult to be diagnosed, the symptoms being unspecific. Alcohol in pregnancy is nowadays the most important and the most frequent toxic substance for the embryo and the fetus and one of the most frequent causes of mental retardation. The longlasting and irreversible consequences refer to school development, social maturation, social behaviour and later life-style. The diagnosis is based on the careful maternal history and on the clinical findings; there are no biochemical parameters of assessment. The risk of addiction development in these children is assumed to be more than 20 percent.

Adolescent↗

PubMedDate not supplied

Peer rejection and neglect of latency-age children: pathways and a group psychotherapy model.

TOPIC: Children's peer relations are one of the most powerful predictors of mental health PROBLEMS: Peer rejection and neglect are associated with depression, academic problems, school withdrawal, and delinquency. PURPOSE: To provide brief introductions to models of social development and peer rejection, and to introduce a developmental-group psychotherapy model for children experiencing peer neglect or rejection. SOURCES: Theoretical and empirical literature, as well as clinical experience. CONCLUSIONS: Early identification and intervention with children vulnerable to peer rejection are essential. Research addressing affective experiences of peer-rejected children and the relationships between self-perception and treatment outcomes is needed.

Child↗

PubMed1985

Older adolescent females' knowledge of child development norms.

This study, the first of three designed to investigate different age groups' knowledge of developmental norms of children, focused on older adolescent female university students. Data were collected from 280 midwestern university students through a questionnaire consisting of 16 items focusing on physical and social development of children from birth to three years of age. Results showed that knowledge of normal development was both over- and underestimated regardless of age of student or year in school. These findings are discussed within the context of the importance of knowledge of developmental norms for future parents.

Adolescent↗

PubMed2005

Parental report of the early development of children with regressive autism: the delays-plus-regression phenotype.

Most children with autism demonstrate developmental abnormalities in their first year, whereas others display regression after mostly normal development. Few studies have examined the early development of the latter group. This study developed a retrospective measure, the Early Development Questionnaire (EDQ), to collect specific, parent-reported information about development in the first 18 months. Based on their EDQ scores, 60 children with autism between the ages of 3 and 9 were divided into three groups: an early onset group (n = 29), a definite regression group (n = 23), and a heterogeneous mixed group (n = 8). Significant differences in early social development were found between the early onset and regression groups. However, over 50 percent of the children who experienced a regression demonstrated some early social deficits during the first year of life, long before regression and the apparent onset of autism. This group, tentatively labeled 'delays-plus-regression', deserves further study.

Autistic Disorder↗

PubMed2002

Are you looking at me? Accuracy in processing line-of-sight in Turner syndrome.

The behavioural phenotype of women with Turner syndrome (X-monosomy, 45,X) is poorly understood, but includes reports of some social development anomalies. With this in mind, accuracy of direction of gaze detection was investigated in women with Turner syndrome. Two simple experimental tasks were used to test the prediction that the ability to ascertain gaze direction from face photographs showing small lateral angular gaze deviations would be impaired in this syndrome, compared with a control population of men and women. The prediction was confirmed and was found to affect both the detection of egocentric gaze from the eyes ('is the face looking at me?') and the detection of allocentric gaze, where the eyes in a photographed face inspected one of a number of locations of attention ('where is she looking?'). We suggest that dosage-sensitive X-linked genes contribute to the development of gaze-monitoring abilities.

Adolescent↗

PubMed2005

[Social stratification in epidemiological studies of dental caries and periodontal diseases: a profile of the scientific literature in the 1990s].

Several epidemiological studies have analyzed the association between oral health and social development. However, the use of different variables assessing socioeconomic status impairs the comparative analysis of their findings. The present study describes how recent dental studies have classified population segments according to categories of social stratification. We selected 86 papers on social determinants of dental caries or periodontal conditions, and published in MEDLINE-indexed journals from 1990 to 2001. The studies used different strategies to stratify populations, but occupation, schooling, and income were the most frequently assessed variables. Ethnic differentials, characteristics of households and schools, and access to material resources were also frequently appraised. We also observed a large portion of Brazilian studies focusing on socioeconomic differentials in the distribution of caries and periodontal disease. Knowledge of strategies for social stratification can improve the understanding of factors associated with dental diseases, fostering further studies and allowing the comparison of their results.

Adolescent↗

PubMed2001

[Similarity between primary health care and health promotion].

Primary Health Care is recognized as a core health strategy in developing countries, proclaimed by the Declaration at Alma-Ata, while for industrialized countries, Health Promotion was stated in the Ottawa Charter. The concept of Primary Health Care, having been influenced by the Social Development movement for basic human needs in the 70s, is almost entirely consistent with Health Promotion, which is in accord with the principles of Human Development pronounced in the late 80s through the 90s. Thus, Health Promotion could be developed as a health strategy also in developing countries while Primary Health Care could similarly be adopted as a health strategy in the industrialized world.

Developing Countries↗

PubMed1993

A systematic and population genetic approach to the rabies problem in the yellow mongoose (Cynictis penicillata).

This paper reviews recent studies on the biology, systematics and population genetics of yellow mongoose populations in terms of possible implications for the epidemiology of rabies. Based on parallel studies, the existence of three distinct subspecies of yellow mongoose may have a direct bearing on rabies epidemiology; at least subspecific affiliation should be considered as a factor to be controlled for in rabies studies of the species. A direct correlation was found to exist between population genetics, social structure (and vagility) and aspects of the epidemiology of rabies in the yellow mongoose. The high frequency of enzyme polymorphisms restricted to single populations can be understood in terms of the well developed social structure and low vagility of yellow mongooses, which in turn explains the phenomenon of rabies outbreaks being restricted to highly localized foci which may flare up over a period of several years. Further research is required to establish whether predictable population genetic differences exist between high and low rabies-prone populations.

Animals↗

PubMed1993

Psychosocial factors related to rheumatic diseases in childhood.

This review discusses those features of psychosocial adjustment which have been found associated with rheumatic diseases in children. In spite of the older literature and widely held intuitive beliefs, children with those diseases tend to do well in both psychological and social development and function. Those who do least well have risk factors which are those which impinge on the adjustments of any healthy child. Those who do best are those who have a strong social support system, particularly maternal competence. Children may cope in part by positive use of denial. Thus, interventions should be tailored to just those children and families at risk and must take into account the individual child's method of coping. It is argued that generalized interventions and education are unnecessary and may be harmful.

Child↗

PubMed2002

Periventricular leukomalacia: pathophysiological concerns due to immature development of the brain.

Periventricular leukomalacia (PVL) is a result of injury and necrosis of myelinated fibers around the lateral ventricles. PVL is now considered the principal form of brain injury in preterm infants. This injury can have long-term effects on physical, motor, sensory, cognitive, and social development. Some proposed pharmacological treatments being considered to aid in prevention of this injury are raising concerns because they have failed to show evidence of efficacy or have potential for deleterious long-term effects. Current treatment is aimed at injury prevention; therefore, nurses play a critical role. Awareness of the pathophysiologic concerns about preterm neonates can help nurses focus their assessments to identify patients at risk.

Brain↗

PubMed1978

The interactional process in preadolescent friendships.

The study of friendship in children has long been a neglected area of human development. As Hartup (1975) pointed out, there is a paucity of data both with respect to the nature of the interactional process between friends and the language children use in conceptualizing friendship. The purpose of the present investigation was to examine the interactional process in preadolescent friendships within the framework of Harry Stack Sullivan's social development theory.

Child↗

PubMedDate not supplied

Sterility in zambia.

BACKGROUND: Several regions such as Zambia in sub-Saharan Africa experience very high levels of sterility. Current explanations for high levels of sterility in Zambia have focused on biological determinants and have paid little attention to the plausible effects of social determinants of sterility. AIM: This study has two objectives. The first objective is to examine the extent of sterility in Zambia during 1980 and 1990. The second objective is to assess the contribution of selected social determinants to the current levels of sterility in Zambia. SUBJECTS AND METHODS: Sterility among women in Zambia is calculated for two periods in 1980 and 1990 using census data. The study used parity progression ratios for the calculation of sterility rates. Selected social determinants of Zambian sterility were obtained from the Demographic Health Survey (ZDHS). Net effects of selected social determinants were examined using logistic regression. RESULTS: High sterility levels were found in a few Zambian Provinces. During 1980 and 1990, the rates for North Western, Eastern and Western provinces remained considerably higher than for other Zambian provinces. It was found that social level variables remained strong and significant even after controlling for the effects of incidence of biological factors such as sexually transmitted diseases (STDs). CONCLUSIONS: The findings of the study support the importance of developing social policies for eradicating sterility. The argument that sterility is biological and that it is not amenable to social interventions perhaps needs revision in the light of the findings of this study.

Adolescent↗

PubMed1988

Infant imitation and memory: nine-month-olds in immediate and deferred tests.

The ability of 9-month-old infants to imitate simple actions with novel objects was investigated. Both immediate and deferred imitation were tested, the latter by interposing a 24-hour delay between the stimulus-presentation and response periods. The results provide evidence for both immediate and deferred imitation; moreover, imitative responding was not significantly dampened by the 24-hour delay. The findings demonstrate that there exists some underlying capacity for deferring imitation of certain acts well under 1 year of age, and thus that this ability does not develop in a stagelike step function at about 18-24 months as commonly predicted. These findings also show that imitation in early infancy can span wide enough delays to be of potential service in social development; actions on novel objects that are observed one day can be stored by the child and repeated the next day. The study of deferred imitation provides a largely untapped method for investigating the nature and development of recall memory in the preverbal child.

Humans↗

PubMedDate not supplied

[Inequities in access to information and inequities in health].

This piece presents evidence that inequities in information are an important determinant of health inequities and that eliminating these inequities in access to information, especially by using new information and communication technologies (ICTs), could represent a significant advance in terms of guaranteeing the right to health for all. The piece reviews the most important international scientific research findings on the determinants of the health of populations, emphasizing the role of socioeconomic inequities and of deteriorating social capital as factors that worsen health conditions. It is noteworthy that Latin America has both socioeconomic inequities and major sectors of the population living in poverty. Among the fundamental strategies for overcoming the inequalities and the poverty are greater participation by the poor in civic life and the strengthening of social capital. The contribution that the new ICTs could make to these strategies is analyzed, and the Virtual Health Library (VHL) is discussed. Coordinated by the Latin American and Caribbean Center on Health Sciences Information (BIREME), the VHL is a contribution by the Pan American Health Organization that takes advantage of the potential of ICTs to democratize information and knowledge and consequently promote equity in health. The "digital gap" is discussed as something that can produce inequity itself and also increase other inequities, including ones in health. Prospects are discussed for overcoming this gap, emphasizing the role that governments and international organizations should play in order to expand access to the global public good that information for social development is.

Caribbean Region↗