Day 2 :
Keynote Forum
Clare Henn Haase
National University of Singapore, Singapore
Keynote: Trauma Informed Care: A pilot model for a child and adolescent residential facility in Singapore
Time : 09:30-10:15
Biography:
Clare Henn-Haase obtained her Psy.D. in Clinical Psychology from the Illinois School of Professional Psychology, USA, and is a U.S. licensed and certified clinical psychologist working in the field of trauma for over 15 years. Prior to her appointment at NUS, she conducted clinical research and clinical practice as an Assistant Professor at the University of California, San Francisco, USA and the San Francisco Veterans Affairs followed by an Assistant Professor and Clinical Director of the PTSD Research Program at New York University Medical Center. A member of the International Society for Traumatic Stress Studies (ISTSS) and American Psychological Association, she has over 25 peer-reviewed publications.
Abstract:
A number of evidence-based treatment (EBT) models have proven effective for treating child Posttraumatic Stress Disorder; however, the dissemination of these empirically supported treatments remains constrained due to limited training in public sector settings. Despite the high risk for PTSD and co-morbid psychopathology in trauma exposed children and adolescence residing in Singapore residential facilities, there are few services providing trauma-informed care. Therefore, this presentation will review the most notable empirically supported child trauma treatments and a proposed model for training healthcare workers and implementation of EBT in public sector settings, particularly residential facilities. The model proposed includes third wave Cognitive Behavioral Therapy (CBT) treatments, namely, Trauma Informed Care (TIC), Trauma Systems Therapy (TST), Functional Analytic Psychotherapy (FAP), and Skills Training in Affective and Interpersonal Regulation (STAIR) for adolescents. Consideration for implementation of western treatments internationally will be emphasized within an Asian context. Because this model has recently been implemented and is in the pilot phase, a general overview of the model, training, and treatment implementation will be highlighted to point out successes and challenges within a Singapore child residential facility.
Keynote Forum
Ebru Ozlem Albayrak
Ludens Psychotherapy Clinic , Turkey
Keynote: Attachment-based framework in childhood anxiety disorders
Time : 09:30-10:15
Biography:
Ebru Ozlem Albayrak has completed his PhD from Marmara University in Istanbul and Postdoctoral studies from Bakirköy Mental Training and Research Hospital in Istanbul. She is the Director of Ludens Psychiatry Clinic. She has published more than 10 papers in reputed journals especially on anxiety and mood disorders.
Abstract:
In common to the development of anxiety problems, however, is an overgeneralization of predominantly hyper-activating stress-regulatory strategies developed in an individual’s specific attachment relationship. The hallmarks of hyper-activation strategies in response to stress and anxiety states are a low threshold for activation of the attachment system, a low threshold for relative deactivation of brain areas involved in controlled, reflective social cognition, and mentalization as well as amygdala hyper reactivity resulting in neuro-endocrinological hyper responsivity. Studies in neuroscience indicate that development represents an experiential shaping of genetic potential and early experiences with the social environment are critical to the maturation of brain tissue. In parallel advances in developmental psychology and child psychiatry, attachment theory as a conception of the mother-infant relationship has become dominant model of human social emotional development available to researchers and clinicians. Updated models of attachment theory that emphasize both emotional and social functions and neurobiological structures now are interfacing with developmental neuroscience to generate a large body of interdisciplinary studies. Modern attachment/regulation theory explains how external developmental and therapeutic attachment experiences transformed into internal regulatory capacities. The scrutinized literature about neuroscience in terms of childhood anxiety disorders and modern attachment theory was collected from different sources including PubMed. Finally, this literature emphasizes the importance of considering an attachment-based framework in interventions for the treatment of childhood anxiety disorders in particular in identifying the attachment relationship as a key target of clinical work, alone or in addition to pharmacological or other treatment components.
- Child Mental Health and Psychology|Adolescent Psychology|Psychopathology and Psychotherapy
Location: Best Western Premier Airporthotel Fontane Berlin @ v. Zieten
Chair
Huda N Shaaban
American University of Kuwait, Kuwait
Co-Chair
Anselme Sadiki
Childrens Home Society of Idaho, USA
Session Introduction
Clare Henn Haase
National University of Singapore, Singapore
Title: Skills Training in Affective and Interpersonal Regulation for Adolescents (STAIR-A) residing in a Singapore residential Trauma-Informed facility group home
Time : 12:45-13.10
Biography:
Clare Henn-Haase obtained her Psy.D. in Clinical Psychology from the Illinois School of Professional Psychology, USA, and is a U.S. licensed and certified clinical psychologist working in the field of trauma for over 15 years. Prior to her appointment at NUS, she conducted clinical research and clinical practice as an Assistant Professor at the University of California, San Francisco, USA and the San Francisco Veterans Affairs followed by an Assistant Professor and Clinical Director of the PTSD Research Program at New York University Medical Center. A member of the International Society for Traumatic Stress Studies (ISTSS) and American Psychological Association, she has over 25 peer-reviewed publications.
Abstract:
It is well-known that exposure to childhood trauma, specifically physical, sexual, and psychological abuse and neglect are high risk factors for the development of Posttraumatic StressDisorder (PTSD) in children and adolescents. Despite the high risk for PTSD and co-morbid psychopathology in trauma exposed children and adolescence in Singapore, there are few services providing trauma-informed care. Therefore, this study seeks to pilot the feasibility and effectiveness of a 12-session evidence-based group treatment using Skills Training for Affective and Interpersonal Regulation for adolescents (STAIR-A; Cloitre et al., 2005; Gudiño, et al., 2014) tailored to a Singaporean population of 36 trauma-exposed adolescents. The study will be run simultaneously while initiating a Trauma-Informed Care (TIC) within the residential home. Adolescents will be randomly assigned to either the (male or female group) STAIR-A or treatment as usual (TAU) control group. Assessments for PTSD and co-morbid depressive and anxiety symptoms will be conducted during 4 timepoints, pre-mid-post-treatment and one month follow-up. Analyses examining change will consist of Paired sample t-tests from pre- to post- treatment and Cohens d (Cohen, 1988) will provide the estimated effect size. The results will be discussed in light of initiating group treatment within a TIC program.
Nicolaas van der Lely
Reinier de Graaf Gasthuis, Netherlands
Title: Ten years of alcohol intoxications in adolescents and treatment in pediatric departments in Dutch hospitals
Time : 13:10-13:35
Biography:
Nicolaas van der Lely was born on August 13th, 1963 in Vlaardingen (Netherlands). From 1981 to 1988 he studied medicine at the Erasmus Medical Centre of Rotterdam (EMCR). During this period he also worked in Geneva, Paris and in Baltimore (USA). He had his clinical training in paediatrics in Maastricht (UMCM) and Amsterdam (AMC-EKZ). From 1995 to 1997 he was fellow in Pediatric Intensive Care in AMC EKZ. In 2002 he completed his thesis 'Emergency Care for Critically ill Children‘. Since 1997 he is working as a paediatrician at the Reinier de Graaf Hospital (RdGG) in Delft as chief of residents. Since 2000 he did a lot of research on alcohol and youth for which he is well known in the Netherlands. In December 2006 he opened a multidisciplinary alcohol outpatient clinic. Because of this he is well known and asked for by local, regional and national policy makers.
Abstract:
Aim: Alcohol intoxication in children and adolescents is a severe health concern in current pediatrics. In this longitudinal study, we monitored intake and treatment of 5,893 adolescents in Departments of Pediatrics in Dutch hospitals over the years 2007 to 2016.
Methods: From 2007 till 2016 we collected data on all adolescents (inclusion criteria: aged younger than 18 and with a positive BAC), treated by a pediatrician in all Dutch hospitals. Within the dutch pediatric surveillance system (NSCK), all pediatricians report adolescents and fill in a questionnaire, making use of a patient interview.
Results: In total 5,893 adolescents were treated, mainly (4,678; 88%) related to severe alcohol intoxication; mean age was 15.4 years, and 52% were boys. BAC level increased during this period (1.82 in 2007 and 2.01 in 2016), and reduced consciousness lasted from 2.24 hours in 2007 till 3.12 hours in 2016). 11.4% Of the adolescents with alcohol intoxication had simultaneous drug usage. The attitude of the parents changed during the years: in 2011 (first year of registration) 68% of the parents gave permission to their child to drink alcohol, in 2016 this decreased to only 19%.
Conclusions: Alcohol intoxication treatment remains an issue of importance. This dataset enables us to conduct longitudinal and interesting analyses on alcohol intoxication characteristics in youngsters, medical treatment, and events leading up to the intoxication.
Indra Boedjarath
Tilburg University, Netherlands
Title: Cultural aspects of suicidal behaviour among female migrant adolescents
Time : 14:35-15:00
Biography:
Indra Boedjarath has her expertise in mental health care of migrants in Netherland. As a Psychotherapist, she runs her own psychotherapy practice and works at an institution for children’s and adolescents’ mental health care. She always combined her clinical work with management, among others as the former Managing Director of Mikado, the Dutch center of expertise on transcultural health care. In addition to her work as a Psychotherapist, she is as an external PhD candidate working on a research: cultural aspects of suicidal behaviour. On regularly basis, she gives lectures, provides supervision, and speaks at international conferences on various cultural and social themes within the mental health care.
Abstract:
Statement of the Problem: Suicidal behaviour of female ethnic minority adolescents in several westerns countries appear to be disproportionately higher compared to native peers. The Western medical-psychiatric and psychological explanatory models (individual focused, linear cause-effect relationships between psychopathology and suicidal behaviour, and medicalization oriented) flaw the understanding of suicidal behaviour from social and cultural perspective. Despite the growing strand of studies aimed to identify cultural factors of suicidal behaviour, the actors’ perspective remains under researched. Alternatively, Bourdieu’s concept of habitus is proposed and subsequently expanded and specified it into ethnic habitus to capture the specific ethnic factors of in female migrant adolescents’ suicidal behaviour.
Methodological & Theoretical Orientation: The ethnic habitus of Dutch Hindustanis is explored to detect cultural elements which pertain to suicidal behaviour. This group is ideally suited to demonstrate the usefulness of the concept of ethnic habitus in suicidology. This group hails from Suriname (former Dutch colony), originating in India. They differ from western culture in terms of historical background, family relationships, cultural norms and values, religion, views on death and life, and most importantly, in the prevalence of suicidal behaviour. Both scientific literature and non-scientific reports and documents are explored, as well as several cultural expressions, such as oral history, proverbs and sayings, and popular songs and films.
Findings: Four major fields are found where Hindustani ethnic habitus is conveyed: gender specific and religious socialization, cultural images, and communication.
Conclusion & Significance: Ethnic habitus renders to examine the primary and secondary socialization that consciously and unconsciously contribute to suicidal behaviour. The existing Hindustani habitus contains different embodied cultural, historical and religious attitudes and belief about suicidal behaviour, which are internalized and transferred over time as an acceptable outlet. The concept seems suitable to apply on other cultural groups as well.
Silvina Diaz Bonino
Perinatal Parent Infant Mental Health Service- NELFT, UK
Title: Edible Triangle: A model of early intervention in feeding difficulties for the under threes.
Time : 15:00-15:25
Biography:
Silvina Diaz Bonino Is a child and adolescent psychoanalytic psychotherapist trained at the Tavistock Centre in London. She works in the NHS with adults and infants in perinatal psychology. She teaches Infant Observation at postgraduate level and has contributed to the journal Infant Observation as an author and as part of the editorial board. She has a longstanding interest and ongoing research in the feeding relationship between mother and baby.
Abstract:
This is a presentation on the further development in the conceptualization, implementation and evaluation of a model of early identification and intervention of feeding difficulties in the zero to three groups. “The Edible Triangle” (TET) is a model of short-term intervention informed by child development research, psychoanalytic infant observation and video analysis. This model fills a gap in public health provision and adjusts itself to be used by the workforce of integrated children’s services. We use a semi structured interview and apply experimental measures to process material. We developed an outcome measure to ascertain the infant’s change in collaborating with interpersonal interactions. Further research is needed to establish the effectiveness and feasibility of delivery this model at local and national level. A mixed-method design analyses parent and infant outcomes from seven clinical cases referred to the service. Data is extracted from video-recordings of treatment sessions at three times points: baseline, mid-treatment and end of treatment. A five-minute section from each video-recording is coded for Parental Embodied Mentalizing (PEM). Through the PEM coding process, we developed an Infant Receptivity (IR) scale. This scale assesses the infant’s receptivity in dyadic and triadic interactions and capacity for pre-symbolic and symbolic play in relation to the feeding and eating situation. Preliminary results reveal that TET improves PEM and IR. Results indicate the TET is a valuable therapeutic intervention that influences outcomes for mother and babies with feeding and eating difficulties. This data should contribute to the absence of feeding and transition to solids data in the public health arena for the 0-24 months’ group. This study contributes to the research asked for as per recommendations from the NICE Maternity and Child Nutrition and Antenatal and Postnatal Mental Health guidelines
The graph indicates that prior to admission; infant’s weight in centiles was present at both low and high ends. At the time of discharge, the graph, illustrates all weights coming closer to centre centiles. The control group does not seem representative of a normative group, thus indicating further need which has been identified but has not been referred to PIFC.
Anna Eremeeva
Arkhangelsk Psychoneurological Dispensary , Russian Federation
Title: Telepsychiatry for mental health of children and adolescents in the North
Time : 15:25-15:50
Biography:
Anna Eremeeva took postdoctoral study at the Department of Psychiatry and Clinical Psychology, the Northern State Medical University (Arkhangelsk, Russia). PhD thesis defense is planned the fall of 2017. She is the Deputy Chief Doctor on prevention and interagency cooperation of the Arkhangelsk Psychoneurological Dispensary and the Chief External Child Psychiatrist-Drug addiction Specialist of the Ministry of Health of the Arkhangelsk region. She is the author of 25 publications, including 3 articles published in the leading scientific journals added by the Supreme Certifying Commission of Russia into the list of editions recommended for publication of the thesis works materials.
Abstract:
Telepsychiatry is a modern organization of psychiatric service with help of information-communication technologies (ICT). This is important in North, considering its geographical and demographic features. In our project, psychiatric care rendered to children and adolescents is regarded as preventive. Sociological study was conducted among 546 specialists working in sphere of prevention in Arkhangelsk region in Russia. We assessed opinion on ways to improve prevention system for maintaining mental health. At the same time, we identified problems, main of which are availability of medical care and staffing problems. The proposal is to develop distance counseling in psychiatry. Given similarity of features of Northern Norway and Arkhangelsk region, as well as 25 years of experience in telemedicine in Norway, the Norwegian-Russian project has been under implementation since 2016. Main goal is to improve quality of prevention and treatment of people with mental disorders in remote areas by implementing ICT and practical solutions for e-health applications. Pilot areas have been selected, web-pages have been developed, skype-consultations have been given by doctors, psychologists, teachers. For first year project, positive feedback was received concerning implementation of e-health elements. Second year of project is devoted to network training, dissemination of experience in other areas. The acquired skills and knowledge, as well as encouraging positive results lead to fact that work will be continued as a part of our daily activities when the project is over. Basis for sustainable system for supporting remote areas will be activities of newly established "Distance Work Unit" at Arkhangelsk psychoneurological dispensary.
Maria Teresa Aydemir
Clinical Psychologist in private practice, Poland
Title: A therapeutic dilemma: Symbolic versus literal approach while working with adolescent patients, shown with the use of clinical examples.
Biography:
Currently, works in her own private practice in Katowice, Silesian Metropolis, the capital of the Upper Silesian Region in south-western Poland, EU. Currently, works in her own private practice in Katowice, Silesian Metropolis, the capital of the Upper Silesian Region in south-western Poland, EU.
Abstract:
The purpose of this presentation is to show psychotherapeutic work with adolescent patients, based on our clinical long-term psychotherapeutic experience. Many adolescent patients have presented significant emotional deficiencies resulting from the lack of enough parental care and support. In these situations, therapists often become 'substitute parents'. Our dilemma, as therapists, is how to keep a symbolic and analytical attitude facing these significant deficiencies and needs of our young patients. This dilemma is critical, as the period of adolescence is an especially important and difficult moment in one’s life. This time of a transition requires guidance from an adult figure helping them to enter early adulthood. The question is how far can or should the therapist fulfill this role? We will present two clinical examples of individual psychotherapy with an adolescent female and with a late adolescent male patient. We will share our thoughts and reflections regarding these cases and would like to invite you for an open discussion on this topic. Our presentation is dedicated especially to psychotherapists, psychologists, psychiatrists, counselors and other specialists working with adolescent clients and their families. We are going to deliver a 25-minute oral multi-media presentation in English.
Maria Barbara Lokaj
Individual Member of the International Association of Analytical Psychology (IAAP), Poland
Title: A therapeutic dilemma: Symbolic versus literal approach while working with adolescent patients, shown with the use of clinical examples.
Time : 15:50-16:15
Biography:
Certified Jungian Analyst, Clinical Psychologist from Poland, Silesian Metropoly, who is an Analytical Psychotherapist with 29 years of clinical experience in the field of psychotherapy.She is an Individual Member of the International Association for Analytical Psychology. She is also a Founder – Member and the Chair of the Ethics Committee of the Eastern and Central European Community of Jungian Analysts (ECECJA).She was a Co-founder of the first IAAP Developing Group in Poland and a Founder – Member of the Polish Association of Analytical Psychology (PTPA).
Abstract:
The purpose of this presentation is to show psychotherapeutic work with adolescent patients, based on our clinical long-term psychotherapeutic experience. Many adolescent patients have presented significant emotional deficiencies resulting from the lack of enough parental care and support. In these situations, therapists often become 'substitute parents'. Our dilemma, as therapists, is how to keep a symbolic and analytical attitude facing these significant deficiencies and needs of our young patients. This dilemma is critical, as the period of adolescence is an especially important and difficult moment in one’s life. This time of a transition requires guidance from an adult figure helping them to enter early adulthood. The question is how far can or should the therapist fulfill this role? We will present two clinical examples of individual psychotherapy with an adolescent female and with a late adolescent male patient. We will share our thoughts and reflections regarding these cases and would like to invite you for an open discussion on this topic. Our presentation is dedicated especially to psychotherapists, psychologists, psychiatrists, counselors and other specialists working with adolescent clients and their families. We are going to deliver a 25-minute oral multi-media presentation in English.
Haike Jacobs
Molendrift, Netherlands
Title: Theory and application of a relational model/approach in treatment of multi-problem families: renewal, efficiency in collaboration and effectiveness
Time : 16:15-16:40
Biography:
Haike Jacobs is currently working as a Senior Healthcare Psychologist at Molendrift Mental Health Care Services Provider, Netherlands. She completed her Bachelor degree in Education at Zwolle, Netherland; Master’s in Philosophy and History of Education from University of Groningen, Netherland and received her Mental Healthcare degree with a focus on child psychology. She works as a Behavioral Scientist in a deprived city area of Groningen city.
Abstract:
The responsibility for youth care in the Netherlands has been transferred from provincial governments to the municipalities. Due to this transformation, Dutch youth care has undergone a substantive renewal and focus on cooperation. One important innovation is the concept integral aid. Especially in families with complex problems integral aid provides more continuity because it is appropriate and coherent. From a variety of disciplines, care is better utilized and coordinated through ‘one family one plan’; care is given in different areas of life, there is better coordination among health care providers, and there is continuity in transitional phases. Further, a lot of attention is focused on client participation and joint decision making. This way, children, and families remain starting point of health care. Care will be provided as light and unobtrusive as possible, but immediately intensified when needed. Effective child healthcare is an essential part of the new, Dutch youth act. It strives to connect knowledge and practice. On the one hand, there is evidence based care and on the other hand, there is customized care. In addition to the evidence-based model, there is an important role for the relational model/approach. These models need reconciliation and become connected as they are two sides of the same medal. Relationships can be the cause of many problems, but they can contribute to the solution as well. Relations are very natural, even when they are ineffective, and have a major influence on the outcome. Negative relationships have an interrupting effect on emotions, which in turn affect cognitions and subsequently leads to disconnections, with a negative outcome. On the other hand, relationships can also influence cognitions in a positive way, which can result in more agency, connection and eventually in positive outcomes. In the Beijum district, a deprived area of Groningen, a unique combination of the evidence-based model and the relationship model/approach is being used.
- Workshop Session
Location: v. Zieten
Session Introduction
Mary Ellen McMonigle
La Salle University, USA
Title: Providing useful information to young adults concerning relationships development of the Relationship Evaluation and Analysis Link Revised (REAL-R)
Time : 16:55-17:55
Biography:
Mary Ellen McMonigle is a Licensed Psychologist and Assistant Professor of Psychology at La Salle University in USA. She completed her PhD in Educational Psychology and Master’s degree in Counseling Psychology. Her professional training includes “Dialectical behavior therapy - research-based treatment for disorders of emotional dysregulation”. She has 25 years of experience working with youth and young adults in clinical and college settings. Her teaching background involves mentoring undergraduate and graduate students. She serves as part-time Faculty at Philadelphia College of Osteopathic Medicine in Philadelphia.
Abstract:
Information concerning relationship attitudes and perceptions on intimacy, passion, and commitment is useful to individuals engaging in intimate relations or considering such an effort. Vaillant from the Harvard Study of Adult Development indicates that close relationships when we are young make an enormous difference in the quality of our lives. Erikson (1968) indicated that the periods of time between adolescence and adulthood involve stages concerning identity and love in his model of psychosocial development. Therefore, it is this group of individuals who are actively pursuing romantic connections. Providing feedback to young adults in this period of life may be advantageous for enhancing the quality of their relationships and the quality of their lives beyond young adulthood. The purpose of this study is to establish the psychometric properties regarding reliability of a newly revised instrument, the Relationship Evaluation and Analysis Link Revised (REAL-R), which can be utilized to assess strengths and weaknesses and identify factors related to intimate relationships. It may be used to provide valuable feedback to youth and young adults concerning key areas of relationship functioning. The REAL-R assists individuals with identifying their position on scales for seven relationship factors. The purpose of this workshop is to examine the literature concerning relationships and demonstrate and experience the REAL-R. Discussion will include providing youth with valuable information about themselves concerning key areas on relationship functioning.
- Psychopathology and Psychotherapy|Child Development and Stages|Adolescent Psychology|Autism|Child Educational and School Psychology
Location: Best Western Premier Airporthotel Fontane Berlin @ v. Zieten
Chair
Ebru Ozlem Albayrak
Ludens Psychotherapy Clinic , Turkey
Co-Chair
Anselme Sadiki
Childrens Home Society of Idaho, USA
Session Introduction
Claire Behrens
University of Colorado, USA
Title: Misidentifying autism in school age children- migration related issues
Time : 11:15-11:40
Biography:
Claire Behrens has completed her EdS from University of Colorado, Denver. She worked for Aurora Public School, Colorado and currently works for Clark County school district in Las Vegas, Nevada. As a Bilingual School Psychologist, she has been studying the effects of migration and trauma related issues in middle school and elementary school students.
Abstract:
Currently misidentification of autism in school age children represents a reality in the American public education system. Disproportionality in over identification of cases of autism originates when migration related issues are left out by clinicians. A thorough implementation of an educational system that targets practitioners’ professional development to broaden the scope of assessment could significantly reduce misidentification. Special education resources could be maximized and the effectiveness of interventions would change radically. Awareness of trauma and cultural issues related to migration is a crucial part of a psychological assessment. Various sources on recent migration issues were collected, as well as data from a specific public-school district that displays high incidence of autism in American and non-American children; systemic education training for school psychologist and other special education related services.
Jessica Mikeska
Indiana State University, USA
Title: Rates of obesity among children and the impact of snack advertising
Time : Rates of obesity among children and the impact of
Biography:
Jessica Mikeska’s research stream works to further conceptual development of Environmental Management Theory, i.e. the manner in which firms manage forces of their external business environment, as well as behavioral aspects of the sales role. Within this stream and based on her philosophy that scholarship should advance the content of higher education, she prioritizes scholarly work that is easily translatable in the undergraduate classroom. Dr. Mikeska has published research on child development topics in the Journal of Consumer Psychology and the Journal of Advertising Research, among others.
Abstract:
Abstract
Statement of the Problem: Evidence indicates that obese children who become obese adults are more at risk for preventable diseases than children developing into adults of normal weight. And while prior research indicates marketing impacts child obesity, It is an important issue worldwide that the mental health of children and adolescents. It is very important for children to learn adaptive emotion regulation strategies because the emotion dysregulation is risk factor for depression and anxiety disorders. However, in Japan, there is no scale that assesses the emotion regulation of children, so that the research progress of depression and anxiety disorders has been delayed. Therefore, the present research is aimed at the developing the Japanese version of the Emotion Regulation Questionnaire for Children and Adolescents and investigate its reliability and validity. Adolescents the age 15-18 participate the survey and rate the Japanese version of ERQ-CA, emotion regulation behavior scale, Trait Anxiety subscale of State-Trait Anxiety Inventory Form X and Center for Epidemiologic Studies Depression Scale. In near future, we will conduct the survey for children the age 8-15 and complete the examination of reliability and validity of the Japanese version of ERQ-CA. It is a principal issue worldwide that the mental health of children and adolescents. It is very important for children to learn adaptive emotion regulation strategies because the emotion dysregulation is risk factor for depression and anxiety disorders. However, in Japan, there is no scale that assesses the emotion regulation of children, so that the research progress of depression and anxiety disorders has been delayed. Therefore, the present research is aimed at the developing the Japanese version of the Emotion Regulation Questionnaire for Children and Adolescents and investigate its reliability and validity. Adolescents the age 15-18 participate the survey and rate the Japanese version of ERQ-CA, emotion regulation behavior scale, Trait Anxiety subscale of State-Trait Anxiety Inventory Form X and Center for Epidemiologic Studies Depression Scale. In near future, we will conduct the survey for children the age 8-15 and complete the examination of reliability and validity of the Japanese version of ERQ-CA. Many such studies measure marketing as mere media exposure or snacking. The purpose of this study is to generate greater understanding of the relationship between child obesity and marketing by a) exploring direct measures of marketing’s influences to b) compare the degree to which these and other hereditary factors explain differences in obesity rates among children and parents.
Methodology & Theoretical Orientation: Data include responses from 7th and 10th grade students, as well as their parents, regarding eating patterns and social influences on nutrition decisions. Across 13 Nebraska, USA and South Carolina, USA urban and rural schools, a response rate of 32% allowed a dataset of 332 completed and merged student-parent surveys, including watching advertisement (thus inactivity) and snacking on youth-targeted junk food serving as appropriate proxies for marketing influence.
Findings: While modeling BMI differences as being confounded by marketing influences allowed for stronger prediction of a continuous measure of BMI than the grouping variable, main analyses did not reveal snacking and advertising/inactivity as significant confounds to the group-BMI relationship. Yet, a post-hoc test using a dichotomous measure of BMI indicates that advertising/inactivity, snacking, and parent BMI are significant confounds and, thus, predict differences between obese and nonobese children beyond the grouping variable, but with parent BMI serving as the larger confound. Conclusion & Significance: Heredity explains why some children are obese to a larger degree than marketing. Implications for parent consumption derived from socialization literature streams are offered.
Nevin Uslu
Mehmet Akif Ersoy University, Turkey
Title: The Relationship between nursing students' attitudes towards gender equality and dating violence
Time : 12:05-12:30
Biography:
Nevin Uslu has completed her master's degree and doctorate in Erciyes University Pediatric Nursing Department. She conducts researches adolescents with Type 1 Diabetes Mellitus and obese in child endocrinology. She is interested in child psychology. She has also handle with abuse/violence, stress management, problem solving and hope in her researches. She is currently pursuing as an assistant professor in Mehmet Akif Ersoy University.
Abstract:
Statement of the Problem: This study was planned to determine relationship between university students' attitudes towards gender equality and dating violence.
Methodology & Theoretical Orientation: Study was conducted with 310 students who were studied in a nursing department of university, agreed to participate study from April-May 2017. In this descriptive-analytical type study, Personal Information Form, Dating Violence Scale (DVS), Gender Equality Scale (GES) were used as data collection tools. In analysis, descriptive statistics, non-parametric, correlation analyses were used.
Findings: 62.3% of the students were female, 96.1% were single, 26.8% were the first year, the average age was 20.94±1.91. It was determined 75.4% of young ones came Mediterranean region, the majority of their parents had education level as a primary school and they had a moderate level of income. GES and subscale (traditional, equality sex) averages of students were 50.6±0.6, 42.7±6.1, 7.9 ± 1.3. There was no statistically significant difference between means of GES according to marital status, place of birth, mother education level and family income level (p>0.05). It was determined means of GES were statistically significantly different according to gender, class and father's educational status. GES scores of female students, fourth-year students, and students who had fathers with university degrees were higher than those of others (p<0.05). In the study, mean of DVS and subscales (general, physical, emotional, economic, sexual violence) were 4.2±0.4, 4.5±0.5, 4.3±0.7, 4.0±0.6, 3.8±0.9, 4.4±0.6. A statistically significant difference was found between means of DVS scores according to gender, father education level of students (p<0.05). As students' perception of gender equality increased, their attitudes which didn’t support dating violence increased (p<0.01).
Conclusion & Significance: It was determined students had moderate levels of gender equality perception, they didn’t support dating violence. Students' awareness can be raised via trainings on gender roles and prevention of sex-based violence.
Ebru Ozlem Albayrak
Ludens Psychotherapy Clinic, Turkey
Title: Attachment , psychopathology and attachment system In psychotherapy
Time : 12:30-12:55
Biography:
Ebru Özlem Albayrak has completed his PhD at Marmara University in Istanbul and Post-doctoral studies at Bakirköy Mental Training and Research Hospital in Istanbul. She is the Director of Ludens Psychiatry Clinic. She has published more than 10 papers in reputed journals especially on anxiety and mood disorders.
Abstract:
Attachment relationships are the major environmental factors that shape brain development for the infant and young child during its period of maximal growth. Reluctant aspects of the neurobiology of this situation, the critical period of overproduction of synapses is genetically determined; the pruning and maintenance of synaptic connections are environmentally driven. Repeated and expectable patterns of interpersonal connection between a child and an attachment figure are necessary for proper development. There are always times of disconnection. In each of the forms of insecure attachment, there is a problem with connection and repair. During all kind of psychotherapy, attachment system is activated. Mentalization and integration are two important processes that are supposed to repair attachment system, defined by some authors. In this article, besides attachment and psychopathology, attachment system and its role in psychotherapeutic processes are discussed in the light of scrutinized literature collected from different sources including PubMed. Finally this literature, a comprehensive literature review of the most current research in child and adolescent attachment, as well as clinical and therapeutic implications for psychotherapists recognizes the significance of the therapeutic dyad when working with children and adolescents.
Nuhaila Al- Rawahi
Child Educational and Community Psychologist, Oman
Title: You don't know what you don't know: The benefits of considering EP professionals as part of the wider system in strategy development.
Time : 12:55-13:20
Biography:
Nuhaila Al-Rawahi has come full circle in her recent return to Oman. The lack of special needs provision in schools twenty years ago has driven her to pursue the educational psychology profession. Dr. Nuhaila Al- Rawahi completed her Doctorate in Educational, Child and Community Psychology from the University of Exeter (U.K) in 2011. She has one publication, her thesis; ‘Effective Emotional Literacy Programmes: Teacher’s Perceptions'.Nuhaila is currently working as an independent practitioner in Muscat. Although she is arguably in the early stages of her career, her experience in various local authorities in the U.K has allowed her to identify a novel strategy that has the potential of raising the language and communication standards in the Gulf Cooperation Council (GCC).
Abstract:
Delays in language and communication development can be attributed to many factors which manifest differently depending on the context that a child finds himself/herself in. These contexts become more complex in countries that are bilingual and/or multilingual with cultural elements that may not be universally unique. However, the culmination of these factors in one context lends themselves to more personalized strategies that are more likely realized through similar consultation methods of comparing and contrasting, and giving attention to the exception to the rules. This strategy needs to extend to the macro system, which includes professionals and their traditional methods of training, as is common practice in the medical residency placements.
- Positive Psychology and Interventions|Adolescent Psychology|Psychiatric and Mental Health Nursing|Child Mental Health and Psychology
Location: Best Western Premier Airporthotel Fontane Berlin @ v. Zieten
Chair
Ebru Ozlem Albayrak
Ludens Psychotherapy Clinic , Turkey
Co-Chair
Anselme Sadiki
Childrens Home Society of Idaho, USA
Session Introduction
Nevin Uslu
Mehmet Akif Ersoy University, Turkey
Title: The effect of problem solving and coping-with-stress education given with creative drama based on human caring model on empowerment the adolescents with type 1 diabetes mellitus
Time : 14:20-14:45
Biography:
Nevin Uslu has completed her master's degree and doctorate in Erciyes University Pediatric Nursing Department. She conducts researches adolescents with Type 1 Diabetes Mellitus and obese in child endocrinology. She is interested in child psychology. She has also handle with abuse/violence, stress management, problem solving and hope in her researches. She is currently pursuing as an assistant professor in Mehmet Akif Ersoy University.
Abstract:
Statement of the Problem: This study was conducted to determine effect of problem solving, coping-with-stress education given with creative drama based on Human Caring Model (HCM) on empowerment adolescents with Type 1 Diabetes Mellitus (T1DM)
Methodology & Theoretical Orientation: Study is mixed pattern in randomized controlled experimental-phenomenological design. 34 adolescents with T1DM monitored in pediatric endocrinology policlinics university hospital were carried out. Data were collected with Adolescent Information Form, Scales of Perceived Stress, Problem Solving, Beck Hopelessness, Physiological Results Evaluation Forms in zero, third and sixth months. Drama method provides using many healing processes and methods in HCM, was performed in 8 sessions during education. The sessions covered reasons-symptoms-consequences, coping strategies stress, problem solving, some of problems face with. In quantitative analysis; descriptive statistics, Shapiro-Wilk, parametric-non-parametric tests were employed. Qualitative data, drama sessions were transcribed with permission of camera images by using content analysis method.
Findings: The views were taken into two categories as lower-upper level requirements. Themes have been established under categories. In the study, it was determined perceived stress, problem solving, hopelessness scores, HbA1c didn’t differ between intervention-control groups. According to qualitative data, education helped adolescents realize methods that they can use or cannot use for coping with stress and problem solving, see that they aren’t alone and unique, other people have similar problems-thoughts, feel themselves well and relaxed. Also, it was determined care moment, interpersonal care relationship in HCM have been established, healing processes for learning-teaching, self-confidence, defining feelings, sensations, making healing environment, help to requirements have been used.
Conclusion & Significance: Human Caring Model and creative drama may be used in determining problems adolescents with T1DM face during disease management and in psycho-social fields, in forwarding care and providing social support.
- Young Researchers Forum
Location: Best Western Premier Airporthotel Fontane Berlin @ v. Zieten
Session Introduction
Maria Gamiz
Universitat Internacional de Catalunya, Spain
Title: Increasing forgiveness: Design of a reading technique based on the social learning theory
Time : 14:45-15:10
Biography:
Assistant professor and researcher in the Psychology and Mental Health Department of the Medicine and Health Sciences School in the Universitat International de Catalunya, Spain. The research focus on personal strengths, mainly in forgiveness which was the topic of her dissertation.
Abstract:
Forgiveness is a human strength mainly helpful for the well being of social relationships. Research has showed the potential benefits of forgiving for phisical and mental health as well as for restoring relationships. As a result a variety of interventions seeking to improve forgiving have been succesfully developed. It is assumed that interventions lasting less than two hours have not effect on forgiveness. This study tests the effectiveness of a brief self-designed reading technique based on the Social Learning Theory in the promotion of episodic forgiveness. 125 university students completed the Transgression Related Interpersonal Motivations Inventory (TRIM-18) and were enrolled and randomized to either experimental or control group. The former read a self-designed text including a testimony of forgiveness (intervention) and the later a neutral text. After the intervention, participants completed again TRIM-18. Results indicated that the experimental group significantly increased the levels of benevolence and reduced avoidance and revenge against the offender. The main contribution into the research on forgiveness interventions is the demostration that effectiveness of a technique might be not contrary to briefness.
Bethany Devenish
Deakin University, Australia
Title: Reducing acceptance of intimate partner violence in socioeconomically disadvantaged adolescents: evaluation of peace road for children.
Time : 15:10-15:35
Biography:
Bethany Devenish is a PhD student whose research work is evaluating a world vison intervention aimed at reducing the effects of poverty-related risk factors on children and adolescents. Her project, which is being undertaken in Armenia, has focused on the impact of the intervention on the psychosocial functioning of adolescents who are at increased risk due to their poverty. One of the factors targeted by the intervention is acceptance of interpersonal violence. The findings provide directions for future preventative efforts in this area.
Abstract:
Adolescents from socioeconomically disadvantaged communities are more likely to be accepting of intimate partner violence, in addition to being at increased risk of experiencing or perpetrating intimate partner violence. There is however a paucity of research evaluating the efficacy of programs designed to address acceptance of intimate partner violence. This study evaluated whether Peace Road for Children, a World Vision school based intervention, was more effective in reducing acceptance of wife beating than broader Child Protection activities alone, among 240 male and female adolescents aged 10-16 years of age in Armenia. Fisher’s z tests for two population proportions revealed that Peace Road for Children significantly reduced the number of children who became accepting of wife beating in comparison to the control group, however Peace Road for Children did not lead to a more significant reduction in acceptance of wife beating in children who indicated wife beating was acceptable at baseline. The findings highlight key considerations for violence prevention research, including the importance of early prevention in attitudes towards intimate partner violence.
Hikari Namatame
University of Tsukuba , Japan
Title: Development and validation of a Japanese version of Emotion Regulation Questionnaire for Children and Adolescents: A preliminary study
Time : 15:35-16:00
Biography:
Hikari Namatame has completed her Master's degree in Psychology from the University of Tsukuba. Her research work focuses on positive body image.
Abstract:
It is an important issue worldwide that the mental health of children and adolescents. It is very important for children to learn adaptive emotion regulation strategies because the emotion dysregulation is risk factor for depression and anxiety disorders. However, in Japan, there is no scale that assesses the emotion regulation of children, so that the research progress of depression and anxiety disorders has been delayed. Therefore, the present research is aimed at the developing the japanese version of the emotion regulation questionnaire for children and adolescents and investigate its reliability and validity. Adolescents the age 15-18 participate the survey and rate the Japanese version of ERQ-CA, emotion regulation behavior scale, Trait Anxiety subscale of State-Trait Anxiety Inventory form X and Center for Epidemiologic Studies Depression Scale. In near future, we will conduct the survey for children the age 8-15 and complete the examination of reliability and validity of the Japanese version of ERQ-CA.
Zahra Ebadi Nejad
Birjand University of Medical Sciences, Iran
Title: The effect of rhythmic movements on depression and anxiety in children with cancer
Time : 16:00-16:25
Biography:
Zahra Ebadi Nejad completed her Master’s degree in Pediatric Nursing at Shahaid Beheshti University of Medical Sciences. She is working as Faculty in School of Nursing and Midwifery, Birjand University of Medical Sciences.
Abstract:
Cancer is a chronic childhood disease with many unpleasant psychological consequences such as depression and anxiety. The study conducted to assess the effect of rhythmic movement on depression and mild anxiety of children with cancer. This study was a Quasi-experimental study. The study population included all children aged 7 to 12 years old diagnosed with cancer who were hospitalized in the oncology ward of a pediatrics hospital affiliated with Shahid Beheshti University of Medical Sciences in Tehran, Iran. Sampling was through convenient sampling and based on the inclusion criteria. 31 children with depression and anxiety are chosen according to ʺChildren Depression Questionnaireʺ and ʺBeck Anxiety Inventoryʺ were recruited. Rhythmic movements with hip-hop style along with playing music performed in the playing room for 45 minutes during 6 sessions. Questionnaires were re-completed on the final day of intervention (sixth day) and 3 weeks later through reading the items for children and filling by the researcher. Data analyzed using SPSS V.18 by repeated analysis of variance (ANOVA). The results showed significant differences between the mean values of both depressions (P<0.001) and anxiety (P<0.05) score before intervention and at the end of day 6 and weeks 3. Rhythmic movements as a nonpharmacologic intervention reduce depression and anxiety in children with cancer. It is recommended that nurses use non-pharmacological approaches such as rhythmic movements to reduce the psychological effects of cancer instead of using drugs.
- Video Presentations
Location: v. Zieten
Session Introduction
Catherine MacWillie
Custody Calculations, A Public Benefits Corporation, USA
Title: Crime, court and parental alienation
Time : 16:40-17:00
Biography:
Catherine MacWillie is the CEO of Custody Calculations, Calendars & Orders and has 33 years of experience with Family Law and 24 years as an LAPD Officer responding to radio calls dealing with divorce and custody and; nine years of experience as a Child Custody and Divorce Coach. She spent 10 years in researching family law cause and effect and started speaking about these issues long before others. She is a member of International Parental Alienation Study Group, (PASG); Parental Alienation Colloquium 2014 ISNAF, Long Beach, California and; Parental Alienation Think Tank, 2016 Beverly Hills, California.
Abstract:
In today’s divorce environment of extreme litigation, parental alienation, false allegations, of child abuse, police reports and restraining orders, filed to gain an advantage in custody. Parents in growing numbers pushed to the edge commit crimes from mild to horrific ending in the terrible loss of life such as the case with the largest mass shooting in the history of Orange County California dealing with divorce and custody issues. Sometimes even with the unthinkable parent taking the life of their own children such was the case with two children Sam and Libby Porter who were only 7 and 8 years old or the suicide of a child only 6 years old despondent over his own parents’ divorce. Family law may be responsible for 25% of the crime in the United States such as homicides, suicides, abductions, child abuse, domestic violence, violation of restraining orders, and violation of court orders, stalking and more. These issues are not limited to a single country, continent or gender as headlines around the globe now document to the detriment of children and families and others caught in the crossfire.
Erna Marina Kusuma
Vier Psychology Services, Indonesia
Title: Effectiveness of nerve activation to language ability and concentration on children
Biography:
Erna Marina Kusuma is a Child Psychologist who is experienced in optimizing the development of children, specializing in special needs children. She has expertise in developing communication skills in children who experience speech delays or concentration problems. Together with her husband who is also a Psychologist, established a psychology clinic to help the society both individually and organizationally. She completed her psychology education at University of Surabaya, and Master of Psychology at Padjadjaran University and took a short course in Kinesiology. She had also taken short courses and seminars in Adelaide, Australia. Since 2007, she has been speakers in various media such as magazines, radio and television for the topic of Child Development in Indonesia. Until now, she is actively providing parenting seminars in various schools in Indonesia.
Abstract:
Since the digital era began, especially in the 2000s, children began to recognize computers or gadgets in their daily activities. In Indonesia, for the last few years, children of 2-year-old play a lot of gadgets and watching TV in their daily activities. Busy working life and hectic schedules mean parents are often running out of time to spend with their children, so that children often live with babysitter all day and often just watching tv or playing video games to keep the child quiet. Anamnesis results show that on average, babies are played television shows for about 6 to 8 hours a day. This resulted in the interaction of children with the surrounding people to be reduced. Reduced interaction to the surrounding affects children's ability in communication, focus and socialization of children in the future. Over the past 10 years, 80 percent of patients who have speech delay, hyperactivity and other developmental disorders are starting from the use of gadgets and televisions since they were infants. The most common development disorders are the lack of response to the surrounding and delayed 2-way communication. This shows the use of electronics such as gadgets and watching TV excessively since infants will affect the development of the cerebrum where the brain is very useful for language development and response to the surrounding. A natural way that can help the brain become actively re-integrated is by activation of the nerves. Nerve activation is a combination of a variety of simple movements and light massage integrated into the head and inside the mouth. This movement and massage can be done passively or actively. Some of this nerve activation movement is simple and can be done at home. In the past 10 years, it was seen that patients who were given the method of nerve activation had increased 95 percent in speech ability compared with patients who were not given neural activation method. The categories of patients in this case are aged 3 to 5 years, experiencing speech delays and concentration disorders, have never tried any therapy, given the method of nerve activation in therapy for 4 months with a duration of once a week in the mouth activation and every day 3 hours of motion exercises in home, a 95 percent increase in speech and 2-way communication and focus.
- Poster Presentations
Location: v. Zieten
Session Introduction
Marc H. Bornstein
Eunice Kennedy Shriver National Institute of Child Health and Human Development, USA
Title: Children’s academic competencies: Success is in the eye of the beholder
Biography:
Marc H Bornstein is a Senior Investigator and Head of Child and Family Research at the Eunice Kennedy Shriver National Institute of Child Health and Human Development. He holds a BA from Columbia College, MS and PhD degrees from Yale University, and an Honorary Doctorate from the University of Padua. He has held faculty positions at Princeton University and New York University as well as academic appointments in Munich, London, Paris, New York, Tokyo, Bamenda, Seoul, Trento, Santiago, Bristol, and Oxford. He is the President of the SRCD and a past member of the SRCD Governing Council Executive Committee of the ICIS. He was named to the top 20 authors for productivity in developmental science by the AERA
Abstract:
How children are thought to perform in the school setting often varies as much on account of actual individual differences as who judges them. Differences in reported ratings of children’s academic performance are well documented in the literature, and rater assessment of academic competencies is important because competency beliefs impact children’s academic achievements. The current study aimed to examine similarities and differences in child, mother, father, and teacher reports of children’s (age 10) academic competencies in math, reading, music, and sports (N = 267 families). This study extends analyses beyond the bivariate level to compare inter-rater and inter-domain correlation coefficients and matrices. Raters showed some systematic mean differences, but high levels of order agreement, perhaps reflecting the observable nature of children’s school-based competencies. Little inter-domain agreement was observed except among teachers, which may be attributable to teachers’ unique perspectives on children’s competencies. The educational, developmental, and methodological implications of these findings are discussed in the context of children’s school performance.
Dorota Ryzanowska
Pedagogical University of Krakow, Poland
Title: The letter to anorexia as a diagnostic and a therapeutic tool
Biography:
Dorota Ryżanowska is a Psychologist and Psychotherapist. She has completed her PhD in 2014 from Jagiellonian University in Kraków. In 2009, she completed her training in family therapy, which was conducted by the Systemic Psychotherapy Centre in Kraków. During the training, she held an internship in the Department of Child and Adolescent Psychiatry of the Medical College in Krakow. She has eight years of experience in professional work as a family and individual psychotherapist of adolescents with eating disorders treated in the Department of Psychiatry of the Regional Specialist Children's Hospital in Kraków. She has published five papers in psychological and pedagogical journals and several chapters in thematic monographs.
Abstract:
The aim of the presentation is to consider the usefulness of the narrative approach in understanding the experiences of patients with anorexia nervosa. The study included 40 patients of the Department of Children’s Psychiatry and Mental Health Outpatient Clinic of the St. Louis Regional Specialist Children's Hospital in Kraków, at the age of 11-18. The retrospective qualitative analysis of 40 therapeutic letters written by adolescent female patients suffering from anorexia nervosa shows that narrative techniques of work such as letters are an important source of information useful in therapeutic context. Studies undertake among others, the question of the relationship between the "Authentic Self" of an individual and an “anorexic voice” present in the patient’s mind which according to the current of narrative therapy shows such an intensive tendency of domination of thoughts, emotions, decisions and actions that patient can think about the disease like about his/her self-identity. The aim of the diagnosis and therapy in narrative approach is to identify and deconstruct this kind of internalized viewpoints connected with anorexia and build strategies which allow the patient to take control over them. The directions for potential psychotherapeutic applications of letters in the psychotherapy of patients with anorexia are proposed.
Hikari Namatame
University of Tsukuba, Japan
Title: Body appreciation and intuitive eating among Japanese high school boys
Biography:
Hikari Namatame has completed her Master's degree in Psychology from the University of Tsukuba. Her main research work focuses on positive body image.
Abstract:
Research on body image and eating behavior has been heavily centered on describing and predicting negative body image and disordered eating. Recently, however, the studies of positive body image such as body appreciation and adaptive form of eating such as intuitive eating have gained momentum. Although the research on body image and eating behavior has been often targeted only girls, the importance of the research on body image and eating behavior among boys are indicated in these days. The present research aimed to investigates body appreciation and intuitive eating among Japanese high school boys. 148 high school boys participated and completed the body appreciation scale, intuitive eating scale-2 and other body image related measures such as body dissatisfaction. Body appreciation showed significant correlations between several other body image measures. In contrast, intuitive eating did not show any significant correlation between other body image related measures. The implications of these findings are discussed.
Kolesnikova Margarita
Saint-Petersburg State University, Russia
Title: Cognitive development and adaptive skills of children in institutions with different social environment
Biography:
She is a graduate student majoring in Developmental Psychology at Saint-Petersburg State University, Russia. Her research interests are cognitive and language development of infants and young children, the impact of early deprivation on child’s development. At the Laboratory of Translational Developmental Science Margarita Kolesnikova conducts behavioral research using the Mullen Scales of Early Learning. Margarita’s project “Cognitive development of children living in families and institutions with different social environment” was supported by a grant from RSCI
Abstract:
Statement of the Problem: It is well known that children who had experienced early psychosocial deprivation such as institutional care (IC) often show delays in cognitive functioning. In Russia IC placement is prevalent for orphans and vulnerable children, there are intervention programs designed to improve traditional IC and decrease child deprivation. Although empirical evidence is scarce, there are data on effectiveness of an intervention program, which varied the overall social environment in institutions. However, the long-term effects of this intervention program have not been well studied yet. The purpose of this study was to follow up the changes in traditional IC care 15 years after the intervention and to assess cognitive development and adaptive skills of children residing in two institutions with different social environment.
Methodology & Theoretical Orientation: We examined 31 children in the age range from 5 to 45 months who live in two types of institutions: family-like and traditional. To evaluate cognitive development of children, we used non-verbal scales of the Mullen Scales of Early Learning and Vineland Behavior Adaptive Scales to assess adaptive skills of children. We hypothesized that two groups would differ in terms of their cognitive profiles and performance on everyday tasks.
Findings: Results show that children from family-like IC outperform their peers in traditional IC on Visual Perception skills (F=6.398, p=.0176), and Daily Living skills (ANCOVA w age, F=4.481, p=.0436). Notably, there was no difference on the fine motor scale between two institutions (Fine Motor F=1.320, p=.261).
Conclusion & Significance: Both types of institutions provide children with sufficient stimulation for fine motor development. However, children from family-like IC showed significantly higher rates of adaptive functioning and visual perception, which supports the effectiveness of the intervention program.
Jenna Pylypow
University of Saskatchewan, Canada
Title: Measuring irritability / emotional dysregulation in children and adolescents with ADHD
Biography:
Jenna Pylypow is pursuing her Residency in Psychiatry, and fellowship in Child and Adolescent Psychiatry at University of Saskatchewan. She previously completed her Medical degree at University of Alberta, as well as Honours degree in Psychology at University of Calgary.
Abstract:
Objective: Previous studies found oppositional defiant disorder to be primarily a problem of irritability/emotional dysregulation when studied using symptoms of ADHD, ODD, conduct, and affective disorders. This study analysed items which were found to load on emotional dysregulation, with the objective of developing a reliable and valid rating scale for measuring emotional dysregulation in children and youth.
Method: Two random samples of 360 were drawn from 3,374 SNAP-IV 90-item rating scales which were then used as calibration and validation samples for Rasch modelling. Each of 18 symptoms of emotional dysregulation was examined for fit with the Rasch model and evaluated for local independence and differential item performance. Items that violated Rasch assumptions were eliminated and the internal reliability and person separation index of the remaining items were studied. The resulting scale was validated using the Conners’ Emotional Lability scale as a standard. We then analysed the items on the 3,374 SNAP-IV scales to calculate the rates of current emotional dysregulation in those meeting criteria for ADHD using both our scale, the CEER-9, and the Conners.
Results: A nine-item scale for emotional regulation has been developed that satisfies the Rasch model, a form of item response theory. This scale reliably separates emotionally dysregulated / irritable children and adolescents from healthy ones and is invariant with respect to child sex and age and rater type (parent or teacher). Area under the curve analysis showed that a threshold score of 4 in our scale has optimal accuracy for identifying children and adolescents with current significant dysfunction in emotional regulation. Among youth with ADHD inattentive, hyperactive-impulsive, and combined types, 78 percent, 85 percent, and 88 percent met the cut-off score for Conners emotional lability index. By comparison, the rates were 60 percent, 67 percent, and 71 percent using the CEER-9.
Conclusion: This study reports a nine-item rating scale, the Clinical Evaluation of Emotional Regulation-9 (CEER-9), an observer rating scale developed in children and adolescents, whose sum is a measure of emotional regulation, with a score of 4 or more out of 9 indicating current emotional dysregulation/irritability. Having the properties of good measurement, the CEER-9 is a valuable tool for clinical and research applications. Within children and youth with ADHD, current emotional dysregulation/irritability is highly prevalent.
Biography:
Doireann Eves is a Pediatric Senior House Officer at Our Lady of Lourdes Hospital, Drogheda, Ireland. She has an interest in psychosomatic aspect of general pediatric medicine. She hopes to develop a mindfulness based intervention group for children with chronic illnesses with the aim of teaching coping skills, improving school attendance and maximizing social functioning.
Abstract:
School absence is an objective, valuable indicator of child wellness. Chronic illness impairs school attendance, and both impair cognitive functioning, social relationships and behaviour. School absence leads to academic under-performance and a higher drop-out rate. Many health, social, and economic factors affect attendance rates. The purpose of this study was to establish the extent of school absence in children with a chronic illness and to ascertain associated factors that may influence school absence. Questionnaires were distributed to parents of children visiting a regional university hospital. A convenience sample of 28 children with a chronic illness (CI) and a control sample of 28 children without medical conditions was obtained. Mean school absence was higher in the CI group (mean 10.4days, median 9days, range 0-56days) than in the control group (mean 7.7days, median 5days, range 0-28days), as was absence due to medical appointments (1.85days vs. 1.3days mean). However, absence due to acute illnesses was higher in the control group (5.85days) than in the illness group (1.75days mean). Children with asthma were absent for mean 11.4 days, children with headaches 11days, and children with diabetes 5.3 days Children who were absent for more than 20 days of school were more likely to have a chronic illness, to have been bullied in the preceding year, to have learning support in school, and to have a psychiatric disorder than children who missed less than five days of school. School absence is more prevalent in children with chronic illnesses. The need for learning support in school, academic non-proficiency, psychiatric co-morbidity, and bullying were associated with an increase in school absence. Children with asthma were absent for longer than children with other chronic conditions. Any intervention designed to reduce school absence should focus on children in these high-risk groups, and should involve healthcare professionals, families, and schools working together.