1
|
Gondek D, Feder G, Howe LD, Gilbert R, Howarth E, Deighton J, Lacey RE. Factors mitigating the harmful effects of intimate partner violence on adolescents' depressive symptoms—A longitudinal birth cohort study. JCPP Advances 2023. [DOI: 10.1002/jcv2.12134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Affiliation(s)
- Dawid Gondek
- UCL Great Ormond Street Institute of Child Health London UK
| | - Gene Feder
- Department of Population Health Sciences University of Bristol Bristol UK
- Centre for Academic Primary Care University of Bristol Bristol UK
| | - Laura D. Howe
- Department of Population Health Sciences University of Bristol Bristol UK
- MRC Integrative Epidemiology Unit University of Bristol Bristol UK
| | - Ruth Gilbert
- UCL Great Ormond Street Institute of Child Health London UK
| | - Emma Howarth
- Department of Public Health and Primary Care University of Cambridge Cambridge UK
- School of Psychology University of East London London UK
| | - Jessica Deighton
- Evidence Based Practice Unit University College London Anna Freud National Centre for Children and Families Clinical, Educational and Health Psychology London UK
| | - Rebecca E. Lacey
- Research Department of Epidemiology and Public Health University College London London UK
| |
Collapse
|
2
|
Priest N, Guo S, Gondek D, Lacey RE, Burgner D, Downes M, Slopen N, Goldfeld S, Moreno-Betancur M, Kerr JA, Cahill S, Wake M, Juonala M, Lycett K, O'Connor M. The effect of adverse and positive experiences on inflammatory markers in Australian and UK children. Brain Behav Immun Health 2022; 26:100550. [PMID: 36420372 DOI: 10.1016/j.bbih.2022.100550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 11/03/2022] [Accepted: 11/06/2022] [Indexed: 11/09/2022] Open
Abstract
Background The relationship between childhood adversity and inflammation is well-established. Examination of positive experiences can provide a more complete understanding of intervention opportunities. We investigated associations of adverse and positive experiences, and their intersection, with inflammation in children and adolescents. Methods Data sources: Longitudinal Study of Australian Children (LSAC; N = 1237) and Avon Longitudinal Study of Parents and Children (ALSPAC; N = 3488). Exposures: Adverse and positive experiences assessed repeatedly (LSAC: 0-11 years; ALSPAC: 0-15 years). Outcomes: Inflammation quantified by high sensitivity C-reactive protein (hsCRP) and glycoprotein acetyls (GlycA) (LSAC: 11-12 years; ALSPAC: 15.5 years). Analyses: Linear regression on the log-transformed outcomes estimated the relative difference in inflammatory markers with adverse/positive experiences, adjusting for socio-demographics and concurrent positive/adverse experiences, respectively. Results Most associations were in the expected direction but differed in magnitude by exposure, outcome and cohort. Across both cohorts, adverse experiences were associated with up to 7.3% higher hsCRP (95% CI: -18.6%, 33.2%) and up to 2.0% higher GlycA (95% CI: 0.5%, 3.5%); while positive experiences were associated with up to 22.1% lower hsCRP (95% CI: -49.0%, 4.7%) and 1.3% lower GlycA (95% CI: -2.7%, 0.2%). In LSAC, the beneficial effect of positive experiences on inflammation was more pronounced among those with fewer concurrent adverse experiences. Conclusion Across two cohorts, we found small but directionally consistent associations between adverse experiences and higher inflammation, and positive experiences and lower inflammation, particularly for GlycA. Future research should give further consideration to positive experiences to complement the current focus on adversity and inform the design and evaluation of early life interventions.
Collapse
|
3
|
Rhoades GK, Allen MOT, Peña R, Hyer J, Mazzoni SE. Relationship education for women during pregnancy: The impact of MotherWise on birth outcomes. Fam Process 2022; 61:1134-1143. [PMID: 35146754 DOI: 10.1111/famp.12756] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 01/02/2022] [Accepted: 01/02/2022] [Indexed: 06/14/2023]
Abstract
The field of relationship science has called for more research on the impact of relationship education on child outcomes, yet studies in this area remain sparse, particularly regarding maternal and infant health at birth. Research on group prenatal care demonstrates that individual-oriented group interventions have a positive impact on infant birth outcomes, suggesting the need to consider the impacts of other forms of group programming for women. The current study examined the impact of MotherWise, an individual-oriented relationship education and brief case management/coaching program for minority and low-income pregnant women, on birth outcomes. The study sample included 136 women who enrolled in a larger randomized controlled trial of MotherWise during early pregnancy. Although statistical power was limited due to the sample size and the effects were not outright significant at p < 0.05, results indicated that the effects of MotherWise on birth outcomes were small to moderate in size (0.23 for birthweight, 0.46 for preterm birth) and suggest important avenues for future tests of relationship education programs and their impacts on maternal and infant health. The current study suggests that relationship education during pregnancy could directly impact women's and infant's health.
Collapse
Affiliation(s)
| | | | - Rachel Peña
- Denver Health Hospital, Denver, Colorado, USA
| | | | | |
Collapse
|
4
|
Guo S, O'Connor M, Mensah F, Olsson CA, Goldfeld S, Lacey RE, Slopen N, Thurber KA, Priest N. Measuring Positive Childhood Experiences: Testing the Structural and Predictive Validity of the Health Outcomes From Positive Experiences (HOPE) Framework. Acad Pediatr 2022; 22:942-951. [PMID: 34801761 DOI: 10.1016/j.acap.2021.11.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 11/02/2021] [Accepted: 11/06/2021] [Indexed: 11/01/2022]
Abstract
OBJECTIVE Positive childhood experiences (PCEs), that occur within secure and nurturing social environments, are fundamental to healthy physical, social-emotional, and cognitive development. However, reliable measures of these experiences are not yet widely available. We used data from the Longitudinal Study of Australian Children (LSAC) to empirically represent and psychometrically evaluate 3 primary domains of PCEs defined within the Health Outcomes from Positive Experiences (HOPE) framework, specifically: 1) nurturing and supportive relationships; 2) safe and protective environments and; 3) constructive social engagement and connectedness. METHODS LSAC is a nationally representative cohort that has followed young Australians from birth since 2004. LSAC data were used to represent the 3 primary HOPE-PCEs domains (birth to 11 years) across 4 inter-related PCEs constructs: 1) positive parenting, 2) trusting and supportive relationships, 3) supportive neighborhood and home learning environments, and 4) social engagement and enjoyment. Confirmatory factor analysis was used to test the proposed 4-factor structure. Predictive validity was examined through associations with mental health problems and academic difficulties at 14 to 15 years. RESULTS The 4-factor structure was supported by empirical data at each time point. Higher exposure to PCEs across each domain was associated with lower reporting of mental health problems (β = -0.20 to -2.05) and academic difficulties (β = -0.01 to -0.13) in adolescence. CONCLUSIONS The 4 LSAC-based HOPE-PCEs have sufficient internal coherence and predictive validity to offer a potentially useful way of conceptualizing and measuring PCEs in future cohort studies and intervention trials aiming to enhance the understanding of, and mitigate the negative impacts of, adverse childhood experiences.
Collapse
Affiliation(s)
- Shuaijun Guo
- Centre for Community Child Health, Murdoch Children's Research Institute, Royal Children's Hospital (S Guo, S Goldfeld, and N Priest), Melbourne, Australia; Department of Pediatrics, University of Melbourne (S Guo, M O'Connor, F Mensah, and S Goldfeld), Melbourne, Australia
| | - Meredith O'Connor
- Department of Pediatrics, University of Melbourne (S Guo, M O'Connor, F Mensah, and S Goldfeld), Melbourne, Australia; Melbourne Children's LifeCourse Initiative, Murdoch Children's Research Institute (M O'Connor), Melbourne, Australia
| | - Fiona Mensah
- Department of Pediatrics, University of Melbourne (S Guo, M O'Connor, F Mensah, and S Goldfeld), Melbourne, Australia; Intergenerational Health, Murdoch Children's Research Institute (F Mensah), Melbourne, Australia
| | - Craig A Olsson
- Centre for Adolescent Health, Murdoch Children's Research Institute, Royal Children's Hospital (CA Olsson), Melbourne, Australia; Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University (CA Olsson), Geelong, Australia
| | - Sharon Goldfeld
- Centre for Community Child Health, Murdoch Children's Research Institute, Royal Children's Hospital (S Guo, S Goldfeld, and N Priest), Melbourne, Australia; Department of Pediatrics, University of Melbourne (S Guo, M O'Connor, F Mensah, and S Goldfeld), Melbourne, Australia
| | - Rebecca E Lacey
- Research Department of Epidemiology and Public Health, University College London (RE Lacey), London, United Kingdom
| | - Natalie Slopen
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health (N Slopen), Boston, Mass
| | - Katherine A Thurber
- National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University (KA Thurber), Canberra, Australia
| | - Naomi Priest
- Centre for Community Child Health, Murdoch Children's Research Institute, Royal Children's Hospital (S Guo, S Goldfeld, and N Priest), Melbourne, Australia; Centre for Social Research & Methods, The Australian National University (N Priest), Canberra, Australia.
| |
Collapse
|
5
|
Lemos I, Brás M, Lemos M, Nunes C. Psychological Distress Symptoms and Resilience Assets in Adolescents in Residential Care. Children (Basel) 2021; 8:700. [PMID: 34438591 DOI: 10.3390/children8080700] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 08/09/2021] [Accepted: 08/11/2021] [Indexed: 12/02/2022]
Abstract
Most studies with institutionalised children and adolescents focus on evaluating the impact of negative life events on emotional development. However, few have investigated the relationship between resilience assets and the teenagers’ psychopathological problems. The purpose of the present study was to investigate differences in psychological distress symptoms and in resilience assets in institutionalised and non-institutionalised adolescents. A total of 266 adolescents aged between 12 and 19 years old took part in the study (60.5% female): 125 lived in residential care and 144 resided with their families. Results found a significant and inverse relation between psychopathology and the perception of individual resilience assets, specifically with self-efficacy and self-awareness in the community sample, and with empathy in the institutionalised sample. Overall, and regardless of the age group, adolescents in residential care tend to perceive themselves as significantly less resilient in perceived self-efficacy and empathy, and they report fewer goals and aspirations for the future. The importance of promoting mental health and resilience assets in adolescents, particularly in those in residential care, is discussed. This can be achieved through early interventions that may prevent emotional suffering and deviant life paths, with transgenerational repercussions.
Collapse
|
6
|
Liu S, Zou X, Huang X, Liu Y, Lu Q, Ling L. The Association between Living Status Transitions, Behavior Changes and Family Relationship Improvement among Methadone Maintenance Treatment Participants in Guangdong, China. Int J Environ Res Public Health 2019; 17:ijerph17010119. [PMID: 31877950 PMCID: PMC6981571 DOI: 10.3390/ijerph17010119] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 12/09/2019] [Accepted: 12/20/2019] [Indexed: 01/16/2023]
Abstract
The quality of family relationships is important for individual and family well-being. Improving family relationships is also an important goal in methadone maintenance treatment (MMT). Little is known about factors associated with the improvement of family relationships among MMT clients. This study aimed to identify factors associated with family relationship improvement in MMT. We retrospectively analyzed existing data from 2006 to 2014 at 15 MMT clinics in Guangdong, China, including 2171 subjects with 4691 follow-ups. Generalized estimating equations were used to investigate the association between living status transitions, behavior changes and family relationship improvement, with covariates controlled for. Family relationship improvement was found in 23.1% of all follow-up intervals. Participants who began living with family, living on a regular wage, and gained employment were more likely to have improved family relationships. The quality of family relationships also improved among participants who ceased contact with drug-addicted fellows, ceased drug use, and those who were sexually active. These results suggest that improvement in living status, positive changes in drug use, and sexual activity are associated with family relationship improvement and corresponding interventions may be developed to facilitate clients’ recovery.
Collapse
Affiliation(s)
| | | | | | | | | | - Li Ling
- Correspondence: ; Tel.: +86-020-873-3319
| |
Collapse
|