Change in
Psychosocial Distress as measured by the African Youth Psychosocial Assessment Instrument
Not exact matches
The
psychosocial outcome receiving the most attention from researchers is problem behaviour, with most studies finding perceived negative reactivity in infancy to predict problem behaviour in childhood33, 34 and adolescent.35 Specifically, infants prone to high levels of fear, frustration, and sadness,
as well
as difficulty recovering from such
distress, were found to be at increased risk for internalizing and externalizing problem behaviours according to parental and / or teacher report.
Mothers were eligible to participate if they did not require the use of an interpreter, and reported one or more of the following risk factors for poor maternal or child outcomes in their responses to routine standardised
psychosocial and domestic violence screening conducted by midwives for every mother booking in to the local hospital for confinement: maternal age under 19 years; current probable
distress (assessed
as an Edinburgh Depression Scale (EDS) 17 score of 10 or more)(
as a lower cut - off score was used than the antenatal validated cut - off score for depression, the term «
distress» is used rather than «depression»; use of this cut - off to indicate those
distressed approximated the subgroups labelled in other trials
as «psychologically vulnerable» or
as having «low psychological resources» 14); lack of emotional and practical support; late antenatal care (after 20 weeks gestation); major stressors in the past 12 months; current substance misuse; current or history of mental health problem or disorder; history of abuse in mother's own childhood; and history of domestic violence.
Mothers assessed antenatally
as having
psychosocial distress showed benefit from the MECSH programme across a number of areas, including child development, their experience of being a mother, and small effects in a number of domains of the quality of the environment from a child development perspective; emotional and verbal responsivity, organisation of the environment and provision of appropriate play materials.
Physicians underestimated substantially the prevalence of intrafamilial violence, maternal
psychosocial distress, and associated behavior problems in children compared with use of a questionnaire for this purpose.23 The use of a clinic questionnaire identified significantly more mothers with potential risk factors for poor parenting compared with review of medical records.24 Shorter versions of this questionnaire for evaluating parental depressive disorders, 25 substance abuse, 26 and parental history of physical abuse
as a child27 compared favorably to the original measures in terms of accuracy.
The objective of this study was to examine the objective need
as well
as the subjective request for
psychosocial support and to investigate the relationship between the need for
psychosocial counselling and psychological
distress, quality of life and optimism.
The purpose of the present study was to evaluate the potential utility of using the information that PCPs are likely to have about negative events in their patients» lives
as well
as their perception of maternal
distress, to help them identify child
psychosocial problems.
Physicians may be able to use information about maternal
distress and / or negative life events (NLEs), which is often gathered during routine assessment,
as an indication that further assessment for
psychosocial problems is warranted.