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Doença do refluxo gastroesofágico: avaliação psicológica de crianças e cuidadores / Gastroesophageal reflux disease: psychological evaluation of children and caregiversAdriane Jacinto Salustiano 16 April 2018 (has links)
A literatura apresenta aspectos psicossociais e familiares como fatores de risco associados ao adoecimento crônico infantil. Considera-se a Doença do Refluxo Gastroesofágico (DRGE), patologia crônica de grande prevalência e incidência na população pediátrica, portanto, tema relevante nas questões e estudos de saúde pública. Este estudo levantou as possíveis associações de alterações psicológicas de cuidadores e de crianças, de 3 a 12 anos, com DRGE. Os instrumentos de coleta de dados foram: Questionário Sócio demográfico, Escala Hospitalar de Ansiedade e Depressão (HAD), Escala de Qualidade da Interação Familiar (EQIF), Inventário de Estilos Parentais, Escala de Comportamento Infantil (ECI-A2 de Rutter) e uma Entrevista Semiestruturada. Foram aplicados nos cuidadores de três grupos, de crianças com sexo e idades equitativas, distribuídos da seguinte forma: Grupo 1 - Experimental: crianças com DRGE primário; Grupo 2 - Controle 1: crianças sem DRGE, porém com constipação intestinal crônica funcional, e Grupo 3 - Controle 2: crianças hígidas. Para a análise dos dados, foi adotado índice de significância p<=0,005 e foram realizadas: análises quantitativas (Teste ?2, Teste Exato de Fisher e ANOVA) e análises qualitativas (Teste ?2, Teste Exato de Fisher) dos dados obtidos. Observou-se fatores de risco psicossociais, nível de ansiedade e depressão do cuidador, qualidade de interação negativa com a criança, e tendência maior ao estilo parental autoritário e menor ao estilo parental participativo, mais frequentes no grupo de crianças com DRGE. Por outro lado, encontrou-se maior frequência de uso/abuso de álcool e/ou drogas, nos cuidadores dos grupos de crianças adoecidas crônicas em relação ao de normais. Na análise final da escala de comportamento infantil, as crianças classificadas como \"com demanda de acompanhamento psicológico ou/e psiquiátrico\", representaram maiores índices no grupo de crianças com DRGE, quando comparado aos outros grupos. Também observou-se diferença significativa nos perfis comportamentais, neurótico e antissocial, das crianças em cada grupo. Na entrevista, observou-se, os cuidadores com percepção limitada em relação às questões afetivas das crianças ou de si mesmos, quando comparadas às dos outros instrumentos. Notou-se, também, diferença da percepção dos cuidadores sobre a relação entre a prática de cuidados exercida por eles e os fatores associados ao adoecimento da criança, quando se comparou o grupo de crianças adoecidas com o grupo de normais. Identificou-se diferenças e peculiaridades entre os grupos de crianças adoecidas e normais, bem como especificidades do grupo de crianças com DRGE, quando comparado aos demais. Dessa forma, sugere-se estudos mais aprofundados nas especificidades encontradas, principalmente, nas crianças com DRGE, visando direcionar a prática clínica interdisciplinar de assistência à saúde desta população. / The literature presents psychosocial and family aspects as risk factors associated with childhood chronic illness. Gastroesophageal Reflux Disease (GERD) is considered a chronic disease of great prevalence and incidence in the pediatric population, therefore, a relevant topic in public health issues and studies. This study raised the possible associations of psychological changes of caregivers and children, from 3 to 12 years old, with GERD. The instruments of data collection were: Demographic Socio Questionnaire, Hospital Anxiety and Depression Scale (HAD), Family Interaction Quality Scale (EQIF), Inventory of Parenting Styles, Infant Behavior Scale (ECI-A2 by Rutter) Semi structured interview. Group 1 - Experimental: children with primary GERD; Group 1 - Experimental: children with primary GERD; Group 2 - Control 1: children without GERD, but with functional chronic intestinal constipation, and Group 3 - Control 2: healthy children. For the data analysis, a significance level of p<=0.005 was adopted and quantitative analyzes (?2 Test, Fisher\'s Exact Test and ANOVA) and qualitative analyzes (?2 Test, Fisher\'s Exact Test) of the data were performed. Psychosocial risk factors, anxiety and depression of the caregiver, quality of negative interaction with the child, and a tendency towards authoritarian parental style and lesser participatory parental style, were more frequent in the group of children with GERD. On the other hand, there was a higher frequency of alcohol/drug use/abuse in the caregivers of the groups of children with chronic illness compared to normal ones. In the final analysis of the children\'s behavior scale, children classified as having \"psychological and/or psychiatric follow-up demand\" represented the highest rates in the group of children with GERD when compared to the other groups. There was also a significant difference in the behavioral, neurotic and antisocial profiles of children in each group. In the interview, it was observed, caregivers with limited perception regarding the affective issues of the children or of themselves, when compared to the other instruments. Differences in caregivers\' perceptions about the relationship between their care practice and the factors associated with the illness of the child were also observed when comparing the group of children who were ill with the normal group. Differences and peculiarities were identified between the groups of sick and normal children, as well as specificities of the group of children with GERD, when compared to the others. Thus, we suggest more in-depth studies on the specificities found, especially in children with GERD, in order to direct the interdisciplinary clinical practice of health care in this population.
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Collegiate Concerted Cultivation: The Influence of Class and Family on Higher EducationWeyant, Meghan 01 January 2015 (has links)
The 1966 Coleman Report and subsequent research identifies social class as an important determinant of educational outcomes, but after decades of research it is still unclear exactly why. This study purports to explore one possible explanation, collegiate concerted cultivation. The focus of this study was to explore the existence of collegiate concerted cultivation as a sociological concept. Collegiate concerted cultivation provides a theoretical framework to more deeply explore the relationships between social class, family factors, and familial support of education in order to better understand differential outcomes in achievement in higher education. Using a mixed method approach, the study examined the effects of socioeconomic indicators, institutional and demographic factors on collegiate concerted cultivation. In addition, this study analyzed student experiences of collegiate concerted cultivation in order to establish the archetype characteristics of the new concept. Results of this study indicate that collegiate concerted cultivation does exist, includes a series of defining characteristics, and is influenced by parental socioeconomic indicators.
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EMPIRICALLY DERIVED EATING DIMENSIONS: INTERNALIZING AND EXTERNALIZING CORRELATES, TEMPERAMENTAL VULNERABILITY, AND THE MODERATING EFFECTS OF FAMILY ENVIRONMENTPole, Michele 29 April 2008 (has links)
No description available.
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Family Factors Associated with Child Eating Patterns and Weight Status in African American FamiliesHolloway, Catherine A. 16 September 2016 (has links)
No description available.
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Family and personality factors in juvenile delinquencyPanich, Wendy January 2013 (has links)
The current study investigated relationships between youth offending, family factors, and personality factors. As a follow-up study to McLoughlin et al, one of the primary focus of this study was to examine whether callous-unemotional traits and aggression could predict offending. The second primary focus of this study was to determine whether family factors also predict offending in combination with callous-unemotional traits and aggression. Police records of 126 youths were obtained, and these were analysed along with the responses that were collected in the previous years during 2007-2010. Several theories involving crime and family factors were also addressed. The results revealed that callous-unemotional trait and aggression were both related to offending. Family factors, particularly ones related to parenting were correlated with youth offending and antisocial behavioural traits.
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Vem blir problematisk narkotikakonsument? : En kvalitativ studie om hur familje- och samhällsfaktorer fungerar som riskfaktorer för problematisk narkotikakonsumtionSandberg, Karin January 2013 (has links)
Syftet var att, utifrån ett urval av människor med erfarenhet av problematisk narkotikakonsumtion, generera kunskap och förståelse om hur familjefaktorer samt reaktioner och agerande från samhällskontakter kan fungera som riskfaktorer för att människor blir problematiska narkotikakonsumenter. Fem semistrukturerade intervjuer med människor med erfarenhet av problematisk narkotikakonsumtion genomfördes. De teoretiska utgångspunkterna som användes för analysarbetet var Goldberg (2010):s stämplingsteoretiska modell och Nakken (1999):s missbrukarprocessteori. Resultatet visade att de riskfaktorer som kan härledas ur familjefaktorer var att bli utsatt för fysiskt våld, att vara familjens syndabock samt att ha fysiskt eller emotionellt frånvarande föräldrar. Samhällsfaktorer som visade sig vara riskfaktorer var att vara förskolan/skolans syndabock, att bli flyttad till specialklass samt att bli placerad utanför hemmet av socialtjänsten. Studien visade även på ett samband mellan problematiska familjeförhållanden och problematiska samhällskontakter. Studien visade att problematiska familjeförhållanden upplevdes som mest betydande för utvecklandet av en problematisk narkotikakonsumtion. / The main purpose with this study was to generate knowledge and understanding of how family factors and the reaction and behaviour of social contacts may serve as risk factors for people becoming drug comsumers. Five semi- structrured intervjues with people with problematic drug use was conducted. Theoretical starting points that was used for the analysis was Goldberg (2010)'s stamping theoretical model and Nakken (1999)'s abusing process theory. The result showed that the risk faktors that can be derived from family factors where being subjected to physical violence, to be the family scape goat or having phycisal or emotional absent parents. Social factors that were found to be risk factors was to be preschool/schools scapegoat, to be tranferred to the special class and to be placed outside the home by social services. The study also showed a correlation between problematic family relations and problematic social contacts. The study shows that problematic family factors perceived as most significant for the development of problematic drug use.
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Sledování antropometrických charakteristik u 7-letých dětí v závislosti na faktorech zevního prostředí (rodina, škola). Projekt WHO: Monitorování dětské obezity. / Monitoring of antropometric characteristics in 7-year children. Relation to family and school environment . WHO project: Monitoring of childhood obesity.Guttenbergerová, Tereza January 2012 (has links)
The topic of this diploma thesis is based on European study: Childhood Obesity Surveillance Initiative (COSI). It is WHO Europe project. In the Czech Republic is this project lead by Institute of Endocrinology. The goal of this work is to determine childhood obesity prevalence and to monitor prevalence in relation to family and school environment. Obesity in children is an important health problem, accelerating throughout the world with particularly alarming trends in Europe. It causes a wide range of serious health and social consequences and increases the likelihood of morbidity in children and adults such as dyslipidaemia, hyperinsulimia, hypertension, type 2 diabetes, early atherosclerosis etc. Obesity is also strongly associated with orthopaedic problems and mental disorders, therefore, it is very important to monitor obesity prevalence in childhood. The goal of the work is to determine the prevalence of overweight and obesity in 7-year children in the year 2010 (WHO classification and classification method of Czech republic). Another goal is to find a relation of the anthropometric data to environmental factors - identified by parents of children and representatives of schools (socioeconomic characteristics, eating habits, physical activities etc.). In this diploma thesis were measured 2594...
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Relações entre variáveis psicossociais e cognitivas e o desempenho em leitura em crianças de uma coorte populacionalPiccolo, Luciane da Rosa January 2010 (has links)
A leitura é um processo complexo, consequência de interações entre fatores ambientais, biológicos e cognitivos. Este estudo visou a investigar a relação entre fatores psicossociais (socioeconômicos e familiares) e cognitivos (memória de trabalho) e o desempenho em leitura de crianças participantes de uma coorte populacional. Foram realizados dois estudos relacionando o desempenho em leitura a: 1) fatores psicossociais e 2) fatores cognitivos. As 65 crianças avaliadas (9-11 anos) eram estudantes de 2ª a 5ª séries de escolas públicas de Porto Alegre-RS. Suas mães participaram de entrevistas sobre dados psicossociais da mãe e de desenvolvimento da criança, feitas aos 4 meses, 2 anos e 5/6 anos de idade das crianças. As crianças foram avaliadas em leitura, QI e memória de trabalho. No estudo 1, correlações significativas negativas foram encontradas entre morbidade psiquiátrica (escore do SRQ-20) da mãe e total de acertos na leitura de palavras irregulares da criança e entre o número de familiares que moravam em casa e o escore total na leitura de palavras da criança. Além disso, a renda familiar correlacionou-se significativa e positivamente com o escore em compreensão de leitura textual da criança. Nas análises de regressão linear apenas o número de familiares que moravam na mesma casa que a criança foi preditor do desempenho em leitura de palavras. Pode-se entender que quanto mais pessoas habitam uma mesma residência, menos recursos são disponibilizados para cada um e os pais podem não ter tempo suficiente para envolverem-se em atividades escolares com seus filhos, o que impacta no desempenho da leitura. No segundo artigo, as medidas de memória de trabalho não se correlacionaram significativamente às tarefas de leitura quando o subteste vocabulário (do WASI) foi controlado. Houve diferenças significativas nas comparações das médias das tarefas de leitura por série – os estudantes de 4ª série apresentaram maiores escores do que as de 3ª. Conclui-se que dos fatores estudados, houve contribuição de variáveis socioeconômicas e familiares para o desempenho em leitura de crianças de uma coorte populacional. A relação entre leitura e memória de trabalho foi intermediada pela linguagem (vocabulário). / Reading is a complex process, a consequence of interactions between environmental, biological and cognitive factors. This study aimed to investigate the relationship between psychosocial factors (socioeconomic and family) and cognitive (working memory) and reading performance of children participating in a population cohort. Two studies were related to reading performance: 1) psychosocial factors and 2) cognitive factors. The 65 evaluated children (9-11 years) were students from 2nd to 5th grade of public schools in Porto Alegre- RS. Their mothers participated in interviews regarding psychosocial data of mother and child development, at 4 months, 2 years and 5 / 6 year old children. Children were tested in reading, IQ and working memory. In one study, negative correlations were found between the psychiatric morbidity (score of SRQ-20) of the mother and the total score in the reading of irregular words between the child and the number of family members who lived in the same house as the child and the total score in words read by the child. Additionally, family income correlated significantly and positively with the reading comprehension text score of the child. In a linear regression analysis only the number of relatives who lived in the same house as the child was a predictor of performance in word reading. One can understand that as more people inhabit a single residence, fewer resources are available for each individual, and parents may not have enough time to get involved in school activities with their children, which impacts the performance of reading. In the second article, the measures of working memory did not correlate significantly with reading assignments when the vocabulary subtest (from the WASI) was controlled. There were significant differences in comparisons of the mean reading task of the series - the fourth grade students had higher scores than the 3rd grade students. We concluded that in the factors studied there was a correlation between the socioeconomic level and the family to the reading performance of children in a population cohort. The relationship between reading and working memory was mediated by language (vocabulary).
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Paauglių priklausomybę sukeliančių medžiagų vartojimo sąsaja su asmeniniais, bendraamžių ir šeimos veiksniais, remiantis Socialinio vystymosi modeliu / The relationship between adolescent substance use and individual, peer and family factors on the basis of the Social Development ModelGintalaitė, Donata 01 February 2012 (has links)
Darbe buvo siekiama nustatyti paauglių priklausomybę sukeliančių medžiagų vartojimo sąsajas su šeimos, bendraamžių ir asmeniniais veiksniais.
Tyrime dalyvavo 290 dviejų Vilniaus ir keturių Telšių vidurinių bei pagrindinių mokyklų (16 – 18 metų amžiaus) mokinių.
Tyrime naudota anketa, kurią sudaro klausimai apie alkoholio ir kitų priklausomybę sukeliančių medžiagų vartojimo dažnumą, alkoholio ir kitų narkotikų vartojimo rizikingumui įvertinti naudojama Knight, Sherritt ir kt. (2002) parengta Crafft skalė. Paauglių priklausomybę sukeliančių medžiagų vartojimo šeimos, bendraamžių ir asmeniniai veiksniai matuojami klausimynu sudarytu, remiantis Hawkins, Catalano (1992) metodikos “Bendruomenės, kurios rūpinasi, jaunimo klausimynas” (angl. Communities That Care Youth Survey) šeimos, bendraamžių ir asmenine skalėmis.
Pagal tyrimo rezultatus, paauglių alkoholio nevartojimo arba reto vartojimo galimybę didino mažiau išreikštas aštrių pojūčių siekimas, mažiau išreikštas psichoaktyvias medžiagas vartojančių draugų veiksnys, mažiau išreikštos palankios nuostatos į psichoaktyvių medžiagų vartojimą, iš šeimos veiksnių – mažiau išreikštos tėvų palankios nuostatos į psichoaktyvių medžiagų vartojimą. Kitų nei alkoholis ir tabakas medžiagų nebandymo galimybę didino mažiau išreikštas aštrių pojūčių siekimas, mažiau išreikštas psichoaktyvias medžiagas vartojančių draugų veiksnys, mažiau išreikštos palankios nuostatos į psichoaktyvių medžiagų vartojimą ir labiau išreikštas psichoaktyvių medžiagų... [toliau žr. visą tekstą] / The aim of the study was to assess adolescent substance use association with individual, peer, family factor.
The subjects of the study were 290 adolescent (age 16-18) from two schools in Vilnius and four schools in Telšiai.
Study questionnaire contains questions about alcohol and other substance use frequency. For evaluation of risks of alcohol and other substance use Knight, Sherritt et al. (2002) prepared Crafft scale was used. Adolescent addictive substance use family, peer and individual factors are measured by questionnaire based on Hawkins, Catalan (1992) questionnaire - Communities That Care Youth Survey family, peer and individual scales.
According to the results of the research, adolescents no or low alcohol use possibility was increased by lower expression of sensation seeking, by lower expression of friends’ use of drugs factor, by lower expression of favourable attitudes towards drug use, from family factors - lower expression of favourable parental attitudes favourable towards drug use. Possibility of not trying other then alcohol and tobacco substances was increased by lower expression of sensation seeking, by lower expression of friends’ use of drugs factor, by lower expression of favourable attitudes towards drug use and higher expression of perceived risks of drug use, also by female sex. Non risky alcohol and other substance use possibility was increased by lower expression of sensation seeking, by lower expression of friends’ use of drugs factor, by lower... [to full text]
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Relações entre variáveis psicossociais e cognitivas e o desempenho em leitura em crianças de uma coorte populacionalPiccolo, Luciane da Rosa January 2010 (has links)
A leitura é um processo complexo, consequência de interações entre fatores ambientais, biológicos e cognitivos. Este estudo visou a investigar a relação entre fatores psicossociais (socioeconômicos e familiares) e cognitivos (memória de trabalho) e o desempenho em leitura de crianças participantes de uma coorte populacional. Foram realizados dois estudos relacionando o desempenho em leitura a: 1) fatores psicossociais e 2) fatores cognitivos. As 65 crianças avaliadas (9-11 anos) eram estudantes de 2ª a 5ª séries de escolas públicas de Porto Alegre-RS. Suas mães participaram de entrevistas sobre dados psicossociais da mãe e de desenvolvimento da criança, feitas aos 4 meses, 2 anos e 5/6 anos de idade das crianças. As crianças foram avaliadas em leitura, QI e memória de trabalho. No estudo 1, correlações significativas negativas foram encontradas entre morbidade psiquiátrica (escore do SRQ-20) da mãe e total de acertos na leitura de palavras irregulares da criança e entre o número de familiares que moravam em casa e o escore total na leitura de palavras da criança. Além disso, a renda familiar correlacionou-se significativa e positivamente com o escore em compreensão de leitura textual da criança. Nas análises de regressão linear apenas o número de familiares que moravam na mesma casa que a criança foi preditor do desempenho em leitura de palavras. Pode-se entender que quanto mais pessoas habitam uma mesma residência, menos recursos são disponibilizados para cada um e os pais podem não ter tempo suficiente para envolverem-se em atividades escolares com seus filhos, o que impacta no desempenho da leitura. No segundo artigo, as medidas de memória de trabalho não se correlacionaram significativamente às tarefas de leitura quando o subteste vocabulário (do WASI) foi controlado. Houve diferenças significativas nas comparações das médias das tarefas de leitura por série – os estudantes de 4ª série apresentaram maiores escores do que as de 3ª. Conclui-se que dos fatores estudados, houve contribuição de variáveis socioeconômicas e familiares para o desempenho em leitura de crianças de uma coorte populacional. A relação entre leitura e memória de trabalho foi intermediada pela linguagem (vocabulário). / Reading is a complex process, a consequence of interactions between environmental, biological and cognitive factors. This study aimed to investigate the relationship between psychosocial factors (socioeconomic and family) and cognitive (working memory) and reading performance of children participating in a population cohort. Two studies were related to reading performance: 1) psychosocial factors and 2) cognitive factors. The 65 evaluated children (9-11 years) were students from 2nd to 5th grade of public schools in Porto Alegre- RS. Their mothers participated in interviews regarding psychosocial data of mother and child development, at 4 months, 2 years and 5 / 6 year old children. Children were tested in reading, IQ and working memory. In one study, negative correlations were found between the psychiatric morbidity (score of SRQ-20) of the mother and the total score in the reading of irregular words between the child and the number of family members who lived in the same house as the child and the total score in words read by the child. Additionally, family income correlated significantly and positively with the reading comprehension text score of the child. In a linear regression analysis only the number of relatives who lived in the same house as the child was a predictor of performance in word reading. One can understand that as more people inhabit a single residence, fewer resources are available for each individual, and parents may not have enough time to get involved in school activities with their children, which impacts the performance of reading. In the second article, the measures of working memory did not correlate significantly with reading assignments when the vocabulary subtest (from the WASI) was controlled. There were significant differences in comparisons of the mean reading task of the series - the fourth grade students had higher scores than the 3rd grade students. We concluded that in the factors studied there was a correlation between the socioeconomic level and the family to the reading performance of children in a population cohort. The relationship between reading and working memory was mediated by language (vocabulary).
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