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Mohammed A, Alonso-Arbiol I. Development of the Arabic Inventory of Parent and Domestic Worker Attachment (A-IPDWA): A tool to assess adolescents' attachment to secondary figures. J Adolesc 2024. [PMID: 38385858 DOI: 10.1002/jad.12304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 12/30/2023] [Accepted: 01/26/2024] [Indexed: 02/23/2024]
Abstract
INTRODUCTION Adolescents' attachment security toward parental figures has been assessed in multiple cultures and languages. In some cultural contexts, the presence of a secondary parental figure is ubiquitous, though its effect on children's and adolescents' well-being has been understudied. The present study aimed to validate a culture-specific Arabic instrument of attachment security, in an adolescent sample of Qatar. Since foreign domestic workers (Khadama) play a key role as secondary caring figures in Middle Eastern countries, the new instrument included parents (i.e., mother and father) and domestic workers as providers of attachment security. METHODS A sample of 387 adolescents (ages 12-17 years; 48.3% females) participated in the study in the 2020-2021 school term. While 286 students completed the version in modern Arabic, 101 counterparts attending international schools filled in the English version for comparison purposes. RESULTS Confirmatory Factor Analysis for all three forms (i.e., mother, father, and domestic worker) showed the one-dimension of the Arabic tool. Optimal Tucker's Phi coefficient indicated a comparable one-factor structure of attachment security across linguistic versions. Moderate correlations (positive and negative, respectively) of attachment security towards father and mother (but not towards domestic workers) with family cohesion and family conflict dimensions of the Family Environment Scale provided evidence for the concurrent validity. DISCUSSION Gender differences in the links between adolescents' attachment security and family conflict were observed; culturally relevant relationship family patterns are stressed. The practical implications of the Arabic Inventory of Parent and Domestic Worker Attachment (A-IPDWA) validation are discussed.
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Affiliation(s)
- Ahmed Mohammed
- Department of Clinical and Health Psychology and Research Methods, University of the Basque Country UPV/EHU, San Sebastián, Spain
- Hamad Medical Corporation (HMC), Doha, Qatar
| | - Itziar Alonso-Arbiol
- Department of Clinical and Health Psychology and Research Methods, University of the Basque Country UPV/EHU, San Sebastián, Spain
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Alzahrani SA, Alzahrani AM, Alsalem AA, Almudaymigh NK, Alghamdi MA, Alzahrani RS, Aldaham OA, AlHuraish DS, Alharbi RT, Alharbi RF, Alzahrani MM. Evaluating the Knowledge, Attitudes, and Practices of Saudi Arabian Parents Regarding Red Flags in Developmental Milestones. Cureus 2024; 16:e52769. [PMID: 38389630 PMCID: PMC10882250 DOI: 10.7759/cureus.52769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2024] [Indexed: 02/24/2024] Open
Abstract
Background Parents serve a fundamental role in monitoring developmental milestones and identifying potential delays during early childhood, enabling timely interventions. However, previous studies in Saudi Arabia have shown limited awareness among parents regarding age-specific norms and red flags across developmental domains. This knowledge gap can severely impact the detection and management of abnormalities. Hence, a comprehensive understanding of Saudi parental knowledge, attitudes, and practices concerning childhood developmental trajectories is imperative. Methodology This cross-sectional study assessed developmental milestone awareness, beliefs, and behaviors among Saudi parents. A sample of 1,052 parents completed a validated 38-item questionnaire covering knowledge, attitudes, practices, and demographics. Knowledge was assessed across developmental domains using 22 multiple-choice questions, with scores categorized as excellent (≥75%), good (50%-75%), fair (40%-50%), or poor (≤39%). Attitudes and practices were captured on five-point Likert scales. Descriptive and chi-square analyses were conducted using IBM SPSS Statistics for Windows, Version 28.0 (IBM Corp., Armonk, NY). Results The majority of participants were females (844, 80.2%), with a mean age of 38.8 years. Serious knowledge inadequacies existed regarding developmental timelines across domains, especially motor milestones like crawling (93, 29.4% correct), sitting unsupported (45, 27.6%), pointing at objects (278, 26.4%), and responding to names (440, 41.8%). Overall, 2 (0.2%) participants showed excellent and 281 (26.7%) showed good understanding, while 490 (46.6%) had poor knowledge. Significant sociodemographic variations were observed, with women and experienced parents demonstrating greater awareness (P < 0.001). Despite knowledge gaps, 542 (51.5%) actively sought developmental information themselves, and over 50% trusted pediatric guidance. Most participants expressed a willingness to undergo screenings if risk factors existed and reported spending a considerable amount of daily interaction time with their children, focusing on developmental needs. Conclusions Critical developmental milestone knowledge shortfalls and selective attitudes persist among Saudi parents, warranting public education and physician-parent communication that enhance interventions to enable impactful developmental monitoring and prompt responses to abnormalities in a timely manner.
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Affiliation(s)
| | | | | | | | | | | | - Omar A Aldaham
- Respiratory Therapy, King Saud bin Abdulaziz University for Health Sciences, Alahsa, SAU
| | - Deemah S AlHuraish
- College of Medicine, Imam Abdulrahman Bin Faisal University, Dhahran, SAU
| | | | - Rema F Alharbi
- Medicine, Al-Rayan College of Medicine, Al-Madinah al-Munawwarah, SAU
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Ambusaidi A, Al-Huseini S, Alshaqsi H, AlGhafri M, Chan MF, Al-Sibani N, Al-Adawi S, Qoronfleh MW. The Prevalence and Sociodemographic Correlates of Social Anxiety Disorder: A Focused National Survey. CHRONIC STRESS 2022; 6:24705470221081215. [PMID: 35252735 PMCID: PMC8894948 DOI: 10.1177/24705470221081215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 01/30/2022] [Indexed: 11/16/2022]
Abstract
Background Social Anxiety Disorder (SAD) is among the most common anxiety disorders worldwide with data largely emerging from the Euro-American and Pacific Rim populations. In contrast, there is a dearth of studies among the populations of Arabian Gulf countries including Oman. This study has two interrelated aims: (i) to explore the prevalence of SAD among Omani adults, and (ii) to tease out the links between socio-demographic factors and SAD in Oman. Methods A cross-sectional study via an online survey was conducted among 1019 adult Omani nationals residing in Oman. The presence of SAD was assessed using the Arabic version of the Liebowitz Social Anxiety Scale (LSAS). Results Nearly half the participants (45.9%, n = 468) exhibited “caseness” for SAD as defined by LSAS. In the multivariate logistic analysis, participants below 40 years of age were 1.6 times (OR = 1.568, p = .026) more likely to have caseness for SAD than those who were 40 and older. Women were 1.3 times (OR = 1.348, p = .038) more likely to exhibit caseness for SAD than men. Participants who had secondary or undergraduate education were respectively 1.5 times (OR = 1.45, p = .014) and 2.5 times (OR = 2.509, p < .001) to have caseness for SAD than those who were graduates. Conclusion The present data suggest that 45.9% of the participants reached the cut-off for caseness in LSAS, which is high compared to reports from other populations. The present accrued frequency is discussed within the context of the accrued response rate, socio-cultural factors as well as the tendency for self-reported measures to “produce” spurious results is also highlighted which, in turn, calls for studies that adopt more inclusive survey methods.
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Affiliation(s)
- Aamal Ambusaidi
- Department of Behavioral Medicine, College of Medicine & Health Sciences/Sultan Qaboos University Hospital, Muscat, Oman
| | - Salim Al-Huseini
- Department of Psychiatry, Al-Massarah Hospital, Ministry of Health, Muscat, Oman
| | - Hiba Alshaqsi
- Department of Psychiatry, Al-Massarah Hospital, Ministry of Health, Muscat, Oman
| | - Manal AlGhafri
- Department of Psychiatry, Al-Massarah Hospital, Ministry of Health, Muscat, Oman
| | - Moon-Fai Chan
- Department of Family Medicine and Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
| | - Nasser Al-Sibani
- Department of Behavioral Medicine, College of Medicine & Health Sciences/Sultan Qaboos University Hospital, Muscat, Oman
| | - Samir Al-Adawi
- Department of Behavioral Medicine, College of Medicine & Health Sciences/Sultan Qaboos University Hospital, Muscat, Oman
| | - M. Walid Qoronfleh
- Q3CG Research Institute (QRI), Research & Policy Division, Ypsilanti, MI, USA
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