Child mental health and psychosocial development. Seventeenth report of the WHO Expert Committee on Mental Health.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Data from a Nordic study on children with meningomyelocele (MMC), aged 4-18 years, are related to studies on the social and personal situation of children with physical disabilities. The data were collected in 1984 from medical records and by means of a postal questionnaire. In total 527 children with MMC and 7792 control children were included; the parents of the latter answered the same questionnaire as the former. As many as 80% of the children with MMC were integrated in ordinary school classes. However they had fewer friends and were less active outside home than children in general. Children with MMC need to develop autonomy and independence of their parents, especially with regard to their leisure activities and personal matters including personal hygiene. Concerning personal hygiene, independence could be developed for most of the children by systematic training, even among those who regularly use catheterisation. Both child and parents need support from multidisciplinary habilitation teams in order to develop the coping ability of the child. In school, along with assessment of the disabled child's learning ability, there is also a need to assess its personal and social functioning. According to studies by A. Antonovsky, people who experience their situation as comprehensible, manageable and meaningful are more healthy than others. It seems valuable to apply these three aspects to the way of thinking in work with habilitation.
This study empirically evaluated the impact of a Balint group for primary care nurses on awareness of mental health and psychosocial issues and professional psychosocial efficacy. Thirteen female primary care nurses working in community clinics participated in a year-long fortnightly Balint group led by two psychologists at a regional school of nursing. Cases were presented and analyzed to highlight emotional and cognitive components and processes. Changes in professional psychosocial efficacy were assessed with the Psychological Medical Inventory (PMI). Efficacy components were (a) psychosocial abilities, (b) psychosocial sensitivity. Changes in these components and in perceived mental health topics were assessed over three time points: at initial interview, midway through group and at the end. Significant positive changes were found on both efficacy components at the final measure compared to baseline. This study indicates the beneficial effects of this method in training primary care nurses in psychosocial efficacy. It also highlights the importance of ongoing long-term training programs for mental health and psychosocial efficacy in this professional group.
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In this paper we report the findings and data on a cross-sectional study of 50 pre-adolescent and adolescent girls with Turner syndrome. We confirm the presence of a typical cognitive profile in the different age groups with normal verbal intelligence contrasting with lower results on performal IQ subtests, related to relative weaknesses on visuospatial subtests i.e. "Block Design" and "Object Assembly". 5% of the girls with a "classical" Turner syndrome karyotype (i.e. 2/40) were mentally retarded versus 30% (i.e. 3/10) in the group with "rare" karyotypic anomalies. We noted a positive influence of hormonal therapy on the visuospatial functioning. No evidence was found for a high risk for behavioural problems. Hyperactive behaviour was seen in the youngest patients contrasting with a tendency to hypoactivity around the age of normal puberty. Problems in social development were noted from the age of primary school on resulting in social immaturity and even isolation. A proposal for guidance of Turner girls during the different developmental periods is given.
A patient is described with partial trisomy 9p and partial monosomy 8p due to a maternal translocation (t(8;9)(p23;p13)). The clinical phenotype is compatible with the partial trisomy 9p syndrome. This is a clinically recognizable syndrome with mental retardation as a constant feature. Little is known about the outcome and level of functioning of patients with this condition. We present the follow-up of a patient with partial trisomy 9p who has been regularly examined from birth until age 10 years.
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Great strides have been made in developing psychosocial interventions for the treatment of depression and bipolar disorder over the last three decades, but more remains to be done. The National Institute of Mental Health Psychosocial Intervention Development Workgroup recommends three priorities for future innovation: 1) development of new and more effective interventions that address both symptom change and functional capacity, 2) development of interventions that prevent onset and recurrence of clinical episodes in at-risk populations, and 3) development of user-friendly interventions and nontraditional delivery methods to increase access to evidence-based interventions. In each of these areas, the Workgroup recommends systematic study of the mediating mechanisms that drive the process of change and the moderators that influence their effects. This information will highlight the elements of psychosocial interventions that most contribute to the prevention and treatment of mood disorders across diagnostic groups, populations served, and community settings. The process of developing innovative interventions should have as its goal a mental health service delivery system that prevents the onset and recurrence of the mood disorders, furnishes increasingly effective treatment for those who seek it, and provides access to evidence-based psychosocial interventions via all feasible means.
BACKGROUND: A pilot study was designed to aid in the development of a formal, interdisciplinary curriculum in psychosocial oncology for front-line health care professionals. METHOD: A 190-item questionnaire was distributed to psychosocial (PP) and non-psychosocial (NPP) oncology professionals attending a psychosocial skills workshop. A 38-item attitudinal survey of psychosocial orientation was used in an attempt to identify unperceived needs of the learners. RESULTS: Of the 150 questionnaires distributed, 104 (69%) were completed and returned. Overall scores for satisfaction with the workshop were high, and significantly higher in the PP group. No interdisciplinary difference existed in the preferred learning formats for future events, and both groups preferred interactive, experiential forums for developing skills relevant to patient management. The two groups' perceived learning needs differed. NPPs wanted to focus on skills such as communication, counseling, crisis intervention, palliative care, and coping with life-threatening illness. The attitudinal survey results demonstrated a significant difference between the psychosocial orientations of PPs and NPPs and suggested that NPPs would benefit from: 1) information to correct misconceptions about patients' psychosocial needs and experiences, 2) demonstrations of how to overcome contextual barriers to the delivery of psychosocial care. CONCLUSIONS: Front-line oncology professionals in many disciplines are interested in continuing education in psychosocial oncology. The attitudinal survey provided insight into unperceived learning needs that can help in designing future curricula. Its value as a tool to measure impact of these programs is worthy of future study.
This chapter examines sports participation in the context of adolescent growth and development. Because the nature of sports participation is highly organized and competitive, it is imperative that parents, coaches, physicians, and other clinicians remember that they may be placing increased pressures on the adolescent to perform and practice. The authors review the impact of physical growth and psychosocial development and also describe how substance abuse, depression, and aggressive behavior may or may not be influenced by sports participation.