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Documents  Adolescents | enregistrements trouvés : 32

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Objective: The purpose of this article is to characterize the current evidence base related to peer support interventions for adolescents and young adults (AYAs) with inflammatory bowel disease (IBD) and to describe a peer support program to enhance self-management for AYAs with IBD through a case study. There is strong theory and compelling evidence suggesting that AYAs with IBD could benefit from and are interested in receiving peer support to enhance self-management; however, literature on peer support interventions for AYAs with IBD is lacking. Methods: This study (a) presents a topical review describing qualitative factors AYAs with IBD would seek in a peer support program as well as existing peer support programs for this population, (b) presents an innovative one-to-one peer support program targeting self-management through a case study, and (c) discusses clinical implications and directions for future research. Results: Peer support offers a promising approach for AYAs with IBD that is feasible and acceptable to patient populations. However, results from the present topical review identified only two studies that examined peer support interventions for AYAs with IBD. The case study demonstrates how a theoretically driven program uses peer support to promote self-management and adaptive behavioral change. Conclusions: The paucity of literature in this area reveals a critical opportunity for future research and clinical programming to improve existing practices by leveraging peer support. We present the application of an innovative mobile-based peer coaching intervention that has the potential to support AYAs with IBD in their self-management.
Objective: The purpose of this article is to characterize the current evidence base related to peer support interventions for adolescents and young adults (AYAs) with inflammatory bowel disease (IBD) and to describe a peer support program to enhance self-management for AYAs with IBD through a case study. There is strong theory and compelling evidence suggesting that AYAs with IBD could benefit from and are interested in receiving peer support to ...

Adolescents ; Jeunes adultes ; Inflammation (Pathologie) ; Intestin - Maladies

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Inflammatory processes are associated with mood disorders, but data on pediatric patients are scarce. The aim of this study was to investigate a possible association between elevated neutrophil/lymphocyte ratio (NLR) - a marker of inflammation and mood polarity (manic/depressed) in adolescents, admitted between 2010 and 2015 due to a mood disorder episode and to an adolescent inpatient ward. Electronic medical records of 305 patients (aged 10-19 years, 60.6% males) admitted during the study period due to a mood disorder episode were reviewed. Of these, 63 were diagnosed with manic episodes and 242 with depressive episodes. Multivariate analyses were used to compare NLR between and within the two groups, covarying for age, sex, and antipsychotic use. NLR was significantly higher in the manic episode group compared with the depression one. Moreover, in inpatients with multiple hospitalizations, the NLR was higher during their manic episodes than that during their nonmanic states. These results suggest that, as has been reported in adults with bipolar disorder, inflammatory mechanisms may be involved in adolescents' mood disorders as well, particularly in the manic episodes. Thus, clinicians may consider adding anti-inflammatories as part of the treatment of these patients.
Inflammatory processes are associated with mood disorders, but data on pediatric patients are scarce. The aim of this study was to investigate a possible association between elevated neutrophil/lymphocyte ratio (NLR) - a marker of inflammation and mood polarity (manic/depressed) in adolescents, admitted between 2010 and 2015 due to a mood disorder episode and to an adolescent inpatient ward. Electronic medical records of 305 patients (aged 10-19 ...

Adolescents ; Dépression ; Humeur (Psychologie)

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Ear-piercing complications in children and adolescents | Septembre 2022 H

Article (Médecine familiale et soins primaires)

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Question Ear piercing is one of the most common forms of body modification seen in children and adolescents presenting to my office. Parents of my younger pediatric patients inquire about potential post-piercing complications and risk factors associated with earlobe infections. What guidance should I give them? Also, are there any specific post-piercing complications to consider for older pediatric patients seeking second piercings in the upper cartilage area?

Answer Piercing the earlobe or auricular cartilage continues to be a popular procedure among children and adolescents. Despite its widespread practice, improper aseptic piercing technique, insufficient training, and trauma to the soft tissue during high-pressure piercing (eg, use of spring-loaded ear-piercing instruments) can increase one’s susceptibility to infections, bleeding, and microfractures. Other post-piercing complications include embedded earrings, keloids, hypertrophic scarring, and cutaneous hypersensitivity. Early recognition and treatment of infections and perichondritis secondary to transcartilaginous piercings can prevent the progression of severe ear deformities requiring reconstructive surgical interventions.

The typical age of a first piercing among young children and adolescents ranges from 6 months to 10 years.1 The ear, including the earlobe and cartilage of the pinna, is the most common location for piercings.2 A cross-sectional survey of 766 college students from 18 universities across the United States and Australia reported that 51% (n=391) of participants had 1 or more body piercings and almost half (45%) reported local infections including pus, blisters, drainage from site, pain, and redness.3 A study of 52 children with ear-piercing complications in Scotland reported 34 (65%) children with local infection, 41 (79%) with embedded earrings, and 1 (2%) with cellulitis.4 Among females aged 18 to 28 years, the prevalence of infection after ear cartilage piercing was significantly more frequent than after earlobe piercing (41.4% vs 29.6%, respectively, P=.0004).5 These more-severe infections (eg, keloids, auricular perichondritis) and associated slow healing are likely owing to limited vascularity of the cartilage.5 Although most infections are local, piercings have also been linked with more-severe complications (less than 3%) such as endocarditis, toxic shock syndrome, and viral hepatitis
Question Ear piercing is one of the most common forms of body modification seen in children and adolescents presenting to my office. Parents of my younger pediatric patients inquire about potential post-piercing complications and risk factors associated with earlobe infections. What guidance should I give them? Also, are there any specific post-piercing complications to consider for older pediatric patients seeking second piercings in the upper ...

ENFANTS ; Adolescents ; Oreille - Maladies

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Predictors of Emergency Department Opioid Use Among Adolescents and Young Adults | Août 2022 H

Article (Urgence et soins intensifs)

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Objective: It is well established that adolescents and young adults are increasingly vulnerable to the effects of early opioid exposures, with the emergency department (ED) playing a critical role in such introduction. Our objective was to identify predictors of ED opioid administration (ED-RX) and prescribing at discharge (DC-RX) among adolescent and young adults using a machine learning approach.

Methods: We conducted a secondary analysis of ED visit data from the National Hospital Ambulatory Medical Care Survey from 2014 to 2018. Visits where patients were aged 10 to 24 years were included. Predictors of ED-RX and DC-RX were identified via machine learning methods. Separate weighted logistic regressions were performed to determine the association between each predictor, and ED-RX and DC-RX, respectively.

Results: There were 12,693 ED visits identified within the study time frame, with the majority being female (58.6%) and White (70.7%). Approximately 12.3% of all visits were administered an opioid during the ED visit, and 11.5% were prescribed one at discharge. For ED-RX, the strongest predictors were fracture injury (odds ratio [OR], 5.24; 95% confidence interval [CI], 3.73-7.35) and Southern geographic region (OR, 3.01; 95% CI, 2.14-4.22). The use of nonopioid analgesics significantly reduced the odds of ED-RX (OR, 0.46; 95% CI, 0.37-0.57). Fracture injury was also a strong predictor of DC-RX (OR, 5.91; 95% CI, 4.24-8.25), in addition to tooth pain (OR, 5.47; 95% CI, 3.84-7.69).

Conclusions: Machine learning methodologies were able to identify predictors of ED-RX and DC-RX, which can be used to inform ED prescribing guidelines and risk mitigation efforts among adolescents and young adults.
Objective: It is well established that adolescents and young adults are increasingly vulnerable to the effects of early opioid exposures, with the emergency department (ED) playing a critical role in such introduction. Our objective was to identify predictors of ED opioid administration (ED-RX) and prescribing at discharge (DC-RX) among adolescent and young adults using a machine learning approach.

Methods: We conducted a secondary analysis of ...

Opioïdes ; Toxicomanie ; Adolescents ; Jeunes adultes

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Non-medical prescription use of opioids (NMPUO) is a public health concern worldwide. Recently, tramadol misuse is increasing, but the systematic research of misuse of this specific opioid is limited. This study set out to assess the relationship between tramadol use and completion of treatment for substance use among adolescents and adults ≤25 years in an outpatient clinical setting. A retrospective cohort study of treatment outcome, expressed as “completion” or “non-completion” of treatment, was conducted in treatment-seeking adolescents with problematic substance use (n=335). Data was extracted from Ung-DOK interviews, a semi-structured assessment instrument designed for adolescents with substance abuse. The study included all treatment-seeking patients at an out-patient facility in 2014-2017. A total of 26% (n=88) were tramadol users (life-time prevalence). Twenty percent (n=66) of all treatments were non-completed. Tramadol users were significantly more likely than non-users to drop out of treatment (35% vs 15%, p<0.001). In multivariate logistic regression, tramadol use and age 18 and above were factors significantly associated with non-completion. Tramadol use was statistically significantly associated with non-completion of treatment. Further research addressing treatment needs and treatment completion among tramadol users is needed.
Non-medical prescription use of opioids (NMPUO) is a public health concern worldwide. Recently, tramadol misuse is increasing, but the systematic research of misuse of this specific opioid is limited. This study set out to assess the relationship between tramadol use and completion of treatment for substance use among adolescents and adults ≤25 years in an outpatient clinical setting. A retrospective cohort study of treatment outcome, expressed ...

Opioïdes ; Adolescents ; Toxicomanie ; Dépendance (Psychologie) ; Médicaments - Usage

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Abstract
Background
Non-specific low back pain in children and adolescents has increased in recent years. The purpose of this study was to upgrade the evidence of the most effective preventive physiotherapy interventions to improve back care in children and adolescents.

Methods
The study settings were children or adolescents aged 18 years or younger. Data were obtained from the Cochrane Library, MEDLINE, PEDro, Web of Science, LILACS, IBECS, and PsycINFO databases and the specialized journals BMJ and Spine. The included studies were published between May 2012 and May 2020. Controlled trials on children and adolescents who received preventive physiotherapy for back care were considered. Data on all the variables gathered in each individual study were extracted by two authors separately. Two authors assessed risk of bias of included studies using the RoB2 and quality of the body of evidence using the GRADE methodology. Data were described according to PRISMA guidelines. To calculate the effect size, a standardized mean difference “d” was used and a random-effects model was applied for the following outcome variables: behaviour, knowledge, trunk flexion muscle endurance, trunk extension muscle endurance, hamstring flexibility and posture.

Results
Twenty studies were finally included. The most common physiotherapy interventions were exercise, postural hygiene and physical activity. The mean age of the total sample was 11.79 years. When comparing the change from baseline to end of intervention in treatment and control groups, the following overall effect estimates were obtained: behaviour d+ = 1.19 (95% CI: 0.62 and 1.76), knowledge d+ = 1.84 (0.58 and 3.09), trunk flexion endurance d+ = 0.65 (-0.02 and 1.33), trunk extension endurance d+ = 0.71 (0.38 and 1.03), posture d+ = 0.65 (0.24 and 1.07) and hamstrings flexibility d+ = 0.46 (0.36 and 0.56). At follow-up, the measurement of the behaviour variable was between 1 and 12 months, with an effect size of d+ = 1.00 (0.37 and 1.63), whereas the knowledge variable obtained an effect size of d+ = 2.08 (-0.85 and 5.02) at 3 months of follow-up.

Conclusions
Recent studies provide strong support for the use of physiotherapy in the improvement of back care and prevention of non-specific low back pain in children and adolescents. Based on GRADE methodology, we found that the evidence was from very low to moderate quality and interventions involving physical exercise, postural hygiene and physical activity should be preferred.
Abstract
Background
Non-specific low back pain in children and adolescents has increased in recent years. The purpose of this study was to upgrade the evidence of the most effective preventive physiotherapy interventions to improve back care in children and adolescents.

Methods
The study settings were children or adolescents aged 18 years or younger. Data were obtained from the Cochrane Library, MEDLINE, PEDro, Web of Science, LILACS, IBECS, ...

Physiothérapie ; ENFANTS ; Adolescents

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This research assessed social determinants of contraceptive use among a nationally representative sample of adolescents. This study analyzed nationally representative, publicly available data from the 2013-2015 National Survey of Family Growth (NSFG). The sample consisted of sexually active males and females between the ages of 15 and 19 (n = 775). Independent variables were social determinant questions asked on the NSFG, selected based on the Healthy People Social Determinants of Health Framework. We tested associations between adolescents' social determinants of health and 2 outcomes, use of any contraceptive at last sex, and effectiveness level of contraceptive method at last sex. Results indicated high contraceptive use at last intercourse (91.5%) and a significant association between any use of contraceptive and family structure (adjusted odds ratio [AOR] = 2.05, 95% confidence interval [CI] = 1.04-4.03), employment (AOR = 2.00, 95% CI = 1.06-3.77), and education (AOR = 3.43, 95% CI = 1.06-11.13). Few participants reported use of a highly effective method of pregnancy prevention (4.3%). In regression analyses, access to health care (AOR = 0.34, 95% CI = 0.14-0.84) and language and literacy (AOR = 2.92, 95% CI = 1.03-8.26) were found to be associated with using moderately effective contraceptive method to prevent pregnancy compared with not using any method. Although adolescents report overall high rates of contraceptive use, not all contraceptives have the same rates of effectiveness, and adolescents are often choosing those with lower effectiveness. This study found low rates of highly effective contraceptives to prevent pregnancy use (ie, intrauterine device and implant). It is also important to further explore the associations between family structure (measured in this study as intact childhood family) and distal links to contraceptive use. Future research should also further distinguish pathways to adolescent decision-making to use contraceptive methods to protect against STIs and pregnancy.
This research assessed social determinants of contraceptive use among a nationally representative sample of adolescents. This study analyzed nationally representative, publicly available data from the 2013-2015 National Survey of Family Growth (NSFG). The sample consisted of sexually active males and females between the ages of 15 and 19 (n = 775). Independent variables were social determinant questions asked on the NSFG, selected based on the ...

Contraception ; Adolescents ; Déterminants sociaux de la santé

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Background and aims
Play-based interventions are used ubiquitously with children with social, communication, and language needs but the impact of these interventions on the mental health of this group of children is unknown. Despite their pre-existing challenges, the mental health of children with developmental language disorder (DLD) and autism spectrum disorder (ASD) should be given equal consideration to the other more salient features of their condition. To this aim, a systematic literature review with meta-analysis was undertaken to assess the impact of play-based interventions on mental health outcomes from studies of children with DLD and ASD, as well as to identify the characteristics of research in this field.

Methods
The study used full systematic review design reported to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines (PRISMA prisma-statement.org) with pre-specified inclusion criteria and explicit, transparent and replicable methods at each stage of the review. The study selection process involved a rigorous systematic search of seven academic databases, double screening of abstracts, and full-text screening to identify studies using randomised controlled trial (RCT) and quasi-experimental (QE) designs to assess mental health outcomes from interventions supporting children with DLD and ASD. For reliability, data extraction of included studies, as well as risk of bias assessments were conducted by two study authors. Qualitative data were synthesised narratively and quantified data were used in the metaanalytic calculation.

Main contribution
A total of 2,882 papers were identified from the literature search which were double screened at the abstract (n  =  1,785) and full-text (n  =  366) levels resulting in 10 papers meeting the criteria for inclusion in the review. There were 8 RCTs and 2 QEs using 7 named play-based interventions with ASD participants only. Meta-analysis of 5 studies addressing positive mental health outcomes (e.g. positive affect and emotional functioning) found a significant overall intervention effect (Cohen's d = 1.60 (95% CI [0.37, 2.82], p = 0.01); meta-analysis of 6 studies addressing negative mental health outcomes (e.g., negative affect, internalising and externalising problems) found a non-significant overall intervention effect (Cohen's d = 0.04 -0.17 (95% CI [-0.04, 0.51], p = 0.88).

Conclusions
A key observation is the diversity of study characteristics relating to study sample size, duration of interventions, study settings, background of interventionists, and variability of specific mental health outcomes. Play-based interventions appear to have a beneficial effect on positive, but not negative, mental health in children with ASD. There are no high quality studies investigating the efficacy of such interventions in children with DLD.

Implications
This review provides good evidence of the need for further research into how commonly used play-based interventions designed to support the social, communication, and language needs of young people may impact the mental health of children with ASD or DLD.
Background and aims
Play-based interventions are used ubiquitously with children with social, communication, and language needs but the impact of these interventions on the mental health of this group of children is unknown. Despite their pre-existing challenges, the mental health of children with developmental language disorder (DLD) and autism spectrum disorder (ASD) should be given equal consideration to the other more salient features of ...

Adolescents ; Communication ; Troubles du langage chez l'enfant ; Troubles du langage chez l'adolescent ; Autisme ; Troubles du spectre de l'autisme ; Troubles du spectre de l'autisme chez l'enfant ; Troubles du spectre de l'autisme chez l'adolescent ; Enfants - Santé mentale ; Adolescents - Santé mentale ; Thérapie par le jeu

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La transition à la parentalité chez les adolescents: une revue systématique de la littérature | 2022 H

Article (Pédiatrie, néonatologie et périnatalité)

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L’objectif de cette revue de littérature est de synthétiser les résultats de publications nationales et internationales portant sur la transition à la parentalité chez les mères et les pères adolescents, puis de faire un travail de comparaison afin de dégager des différences et similitudes entre les expériences maternelle et paternelle.
À travers une analyse systématique suivant la méthode PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), trois thèmes principaux ont émergé : 1) la construction de l’identité maternelle ou paternelle adolescentes ; 2) les changements induits par le processus de parentalité ; l’influence et le poids de la famille d’origine, du conjoint, des professionnels de santé et des pairs. Cette synthèse contribue à une meilleure représentation de l’expérience de la parentalité adolescente, des besoins des parents adolescents et des lacunes de la recherche. Elle permet également d’envisager différemment la prise en charge de parents adolescents, notamment dans le contexte francophone où les recherches et programmes de prévention et d’intervention destinés aux parents adolescents demeurent rares.
L’objectif de cette revue de littérature est de synthétiser les résultats de publications nationales et internationales portant sur la transition à la parentalité chez les mères et les pères adolescents, puis de faire un travail de comparaison afin de dégager des différences et similitudes entre les expériences maternelle et paternelle.
À travers une analyse systématique suivant la méthode PRISMA (Preferred Reporting Items for Systematic Reviews ...

Rôle parental ; Adolescents ; Maternité ; Paternité

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- 102 p.
Cote : BF412 L618h 2022

Haut Potentiel Intellectuel (HPI) en décrochage scolaire . Les adolescents HPI sont nombreux à rencontrer l'échec scolaire, le décrochage ou la phobie scolaire. Par inadéquation, manque de sollicitation ou d'intérêt, ceux-là mêmes qui ne devraient pas rencontrer de difficultés sont parfois décrochés. Pourquoi ? Et surtout, comment y remédier ?. Ce livre s'adresse aux parents d'adolescents ou d'enfants HPI en difficulté au plan scolaire ou qui décrochent, mais également aux enseignants qui souhaitent comprendre les difficultés paradoxales de ces élèves. Il évoque en particulier le risque de décrochage scolaire que rencontrent les adolescents HPI, qui font souvent face à des difficultés d'adaptation scolaire et sociale, et dont les particularités peuvent en effet provoquer un écart à la norme et un décalage, à l'origine d'un désinvestissement pour les apprentissages.. Cet ouvrage ne tient pas ces difficultés pour insurmontables et ne considère pas l'échec comme une fatalité. Il donne au contraire des clés pour l'éviter. Et si le décrochage survient malgré tout, il ne doit pas, surtout dans le cas des élèves HPI, être considéré comme définitif. Le raccrochage scolaire est possible, et les capacités mêmes des HPI peuvent leur permettre de reprendre le chemin des apprentissages. Le goût d'apprendre et de comprendre les a en effet rarement quitté.. Nous proposons dans ce livre les conditions et les modalités de ce raccrochage scolaire : un chemin pour chacun. Fruit de l'expérience professionnelle d'un enseignant spécialisé chargé de la prévention au décrochage scolaire et d'un accompagnement individualisé de nombreux élèves aux profils variés, collégiens et lycéens, cet ouvrage donne des clés pour lutter contre le décrochage, la phobie scolaire ou le désinvestissement. Il se veut aussi un guide vers le raccrochage scolaire. Il existe des moyens pour dépasser le décrochage scolaire et l'échec, pour les contrer, pour revenir vers le savoir, la connaissance puis vers l'école et une réussite scolaire ou académique.
Haut Potentiel Intellectuel (HPI) en décrochage scolaire . Les adolescents HPI sont nombreux à rencontrer l'échec scolaire, le décrochage ou la phobie scolaire. Par inadéquation, manque de sollicitation ou d'intérêt, ceux-là mêmes qui ne devraient pas rencontrer de difficultés sont parfois décrochés. Pourquoi ? Et surtout, comment y remédier ?. Ce livre s'adresse aux parents d'adolescents ou d'enfants HPI en difficulté au plan scolaire ou qui ...

Surdoués ; Enfants surdoués - Éducation ; Adolescents

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Les mères, alliées précieuses dans l'accompagnement des adolescents | Janvier 2022 H

Article (Soins infirmiers généraux)

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La Maison des adolescents de l’hôpital Cochin à Paris est une structure pluridisciplinaire dotée d’une sensibilité transculturelle z Elle a pour mission d’accueillir les adolescents, mais aussi leurs familles, et de prendre en compte leurs parcours singuliers z De l’accueil de l’adolescent par l’infirmière de consultation à la mise en place de soins spécifiques en groupe transculturel, le parcours de soins nécessite parfois de porter la dyade mère-adolescent pour parvenir à un apaisement des souffrances de chacun.
La Maison des adolescents de l’hôpital Cochin à Paris est une structure pluridisciplinaire dotée d’une sensibilité transculturelle z Elle a pour mission d’accueillir les adolescents, mais aussi leurs familles, et de prendre en compte leurs parcours singuliers z De l’accueil de l’adolescent par l’infirmière de consultation à la mise en place de soins spécifiques en groupe transculturel, le parcours de soins nécessite parfois de porter la dyade ...

Mères ; Accompagnement (Psychologie) ; Adolescents

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Suite à 40 ans de pratique comme intervenant et comme superviseur, l’auteur tente de synthétiser en 24 points ce qui lui a servi de repères dans les institutions psycho-éducatives et thérapeutiques pour enfants et adolescents, et a contribué à l’élaboration de liens sécures dans les relations avec les bénéficiaires, avec les familles et avec les collègues. Il aborde également l’analyse des interventions « extrêmes » que sont la mise en isolement et le maintien physique.
Suite à 40 ans de pratique comme intervenant et comme superviseur, l’auteur tente de synthétiser en 24 points ce qui lui a servi de repères dans les institutions psycho-éducatives et thérapeutiques pour enfants et adolescents, et a contribué à l’élaboration de liens sécures dans les relations avec les bénéficiaires, avec les familles et avec les collègues. Il aborde également l’analyse des interventions « extrêmes » que sont la mise en isolement ...

Adolescents ; ENFANTS ; Psychothérapie

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À la suite d’une large enquête menée au Québec, un programme d’information de groupe a été conçu pour répondre aux besoins spécifiques des parents d’adolescents présentant une déficience intellectuelle. La présente étude vise à connaître la perception des animatrices et des gestionnaires sur la faisabilité et l’utilité d’implanter ce programme ainsi qu’à identifier les facilitateurs et les barrières à cette implantation dans leurs services. Des entrevues semi-structurées ont été réalisées auprès de huit animatrices et gestionnaires. Les résultats démontrent que les participantes considèrent que l’implantation de ce programme au sein de leur milieu est faisable et utile surtout dans les services de première ligne. Le format de groupe permettrait aussi aux parents de multiplier les sources d’information et d’échanger entre eux.
À la suite d’une large enquête menée au Québec, un programme d’information de groupe a été conçu pour répondre aux besoins spécifiques des parents d’adolescents présentant une déficience intellectuelle. La présente étude vise à connaître la perception des animatrices et des gestionnaires sur la faisabilité et l’utilité d’implanter ce programme ainsi qu’à identifier les facilitateurs et les barrières à cette implantation dans leurs services. Des ...

Déficience intellectuelle ; Adolescents ; Perception

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Factors Associated With Disordered Eating Behavior Among Adolescent Girls: Screening and Education | Janvier 2022 H

Article (Médecine familiale et soins primaires)

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Introduction/Objectives:
An unhealthy relationship with food can lead to disordered eating in adolescence, highlighting the importance of screening. This study describes the frequency of disordered eating behavior among female adolescents, as well as associated characteristics and health behaviors.

Methods:
Data are from a multidimensional risk factor screening survey administered at a university medical center’s adolescent clinic from 2016 to 2018. The instrument was adapted from existing screening tools such as the Rapid Assessment for Adolescent Preventive Services (RAAPS), the American Medical Association’s Guidelines for Adolescent Preventive Services (GAPS), and the Youth Risk Behavior Survey (YRBS). Analysis was limited to self-reported responses provided by females aged 10 to 21 years (N = 915). Statistical analyses included chi-square tests and independent sample T-tests.

Results:
Of the N = 915 females who reported on disordered eating behavior, n = 57 (6.2%) had engaged in some form of disordered eating behavior within the past 12 months. Disordered eating was significantly associated (P < .001) with not consistently wearing a helmet while biking, having tried e-cigarettes, being bullied in the past 30 days, having an adverse childhood experience (ACE), and being African American (P = .005). Subgroup analysis of the relationship between disordered eating and bullying, by race, yielded significant findings: disordered eating was more highly associated with being bullied in the past 30 days among African American females (P = .038). The relationship between disordered eating and ACE was also significant (P < .001) among Caucasian girls when stratified by race.

Conclusions:
Adolescent risk behaviors often co-occur, and disordered eating behavior may be differentially observed by race. Findings highlight the importance of education and screening to prevent the development of disordered eating, and identify those who may be struggling. These results can be useful to community health education and in healthcare to develop and implement health promotion and eating disorder prevention strategies. Further studies are needed to assess additional factors that promote or protect against disordered eating to improve prevention.
Introduction/Objectives:
An unhealthy relationship with food can lead to disordered eating in adolescence, highlighting the importance of screening. This study describes the frequency of disordered eating behavior among female adolescents, as well as associated characteristics and health behaviors.

Methods:
Data are from a multidimensional risk factor screening survey administered at a university medical center’s adolescent clinic from 2016 to ...

Troubles du comportement alimentaire ; Adolescents

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Objectives: Adverse childhood experiences (ACEs) are related to the development of a range of mental health problems and risky behaviors. Generally, adolescents who experienced a greater number of ACEs have been found to be at increased risk of substance use behaviors. This study investigated the association between ACEs and substance use (i.e., cigarette smoking, binge drinking, and cannabis use) as mediated by perceptions of harm and perceived peer and parental attitudes towards each substance.

Methods: A survey was completed by 6,304 students aged 12 to 18 (M = 14.75, SD = 1.76) in Wood County, Ohio, assessing ACEs, substance use behaviors, perceptions of harm and perceived peer and parental attitudes towards each substance. Mediation models controlling for age and gender were conducted for each substance use behavior including perceptions of harm and perceived peer and parental attitudes specific to each substance.

Results: Controlling for age and gender, perceptions of harm and peer attitudes towards binge drinking partially mediated the relationship between ACEs and past month binge-drinking. For past month cannabis and cigarette smoking, peer and parental attitudes, but not perceptions of harm, partially mediated the relationship between ACEs and past month engagement in these substances.

Implications: Greater perceptions of harm and negative attitudes by parents or peers may be protective against substance use behaviors among youth that have experienced ACEs. Early interventions focusing on increasing perceptions of harm along with promoting negative parental and peer attitudes towards substance use could decrease rates of use among those who experienced ACEs.
Objectives: Adverse childhood experiences (ACEs) are related to the development of a range of mental health problems and risky behaviors. Generally, adolescents who experienced a greater number of ACEs have been found to be at increased risk of substance use behaviors. This study investigated the association between ACEs and substance use (i.e., cigarette smoking, binge drinking, and cannabis use) as mediated by perceptions of harm and perceived ...

Résilience ; Adolescents ; ENFANTS

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- 174 p.
Cote : BF412 C293q 2021

La douance intellectuelle, qu'est-ce que c'est exactement?? Si un enfant est doué ou semble l'être, est-ce une bonne nouvelle?? Comment l'accompagner afin de lui permettre de développer son potentiel?? Lorsque la douance intellectuelle cohabite avec un autre trouble neurodéveloppemental (trouble du spectre de l'autisme, TDAH, trouble d'apprentissage), on parle de double exceptionnalité (2e). Comment ces profils se présentent-ils?? Dans un contexte où la douance suscite de plus en plus de questions, et ce, tant dans les milieux scolaires que dans le grand public et dans les médias, il est primordial pour tous d'en avoir une compréhension commune, basée sur la littérature scientifique et les données probantes. Dans ce livre, les auteures répondent aux questions les plus fréquemment posées sur le sujet. Elles proposent également des pistes d'intervention permettant d'offrir des opportunités et des outils utiles à la réussite et à l'épanouissement des jeunes doués ou doublement exceptionnels.
La douance intellectuelle, qu'est-ce que c'est exactement?? Si un enfant est doué ou semble l'être, est-ce une bonne nouvelle?? Comment l'accompagner afin de lui permettre de développer son potentiel?? Lorsque la douance intellectuelle cohabite avec un autre trouble neurodéveloppemental (trouble du spectre de l'autisme, TDAH, trouble d'apprentissage), on parle de double exceptionnalité (2e). Comment ces profils se présentent-ils?? Dans un ...

Surdoués ; ENFANTS ; Adolescents

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Purpose of review: To examine the spectrum of emergency department presentations associated with cannabis use or misuse that are currently seen in the pediatric population.

Recent findings: There is a growing concern that pediatric emergency department visits related to cannabis are on the rise, especially given rapidly changing legislation on cannabis and its broad availability in certain areas. These concerns are substantiated in the current literature, as the evidence mounts for an array of emergency department presentations of intentional or accidental cannabis use. The range of presentations documented in the recent literature spans gastrointestinal, psychiatric and cardiorespiratory effects, in addition to traumatic injuries and accidental ingestions by younger children. Complications of chronic cannabis use, such as 'cannabis hyperemesis syndrome', depression, psychosis or cognitive impairment, are now recognized outcomes and even more are likely to emerge.

Summary: An array of cannabis-related symptoms is possible from acute use or exposure. Common presentations include acute intoxication, hyperemesis, depression and acute physical injuries from impaired psychomotor function. Uncommon presentations include cardiorespiratory effects, and a range of symptoms in young children that include hyperkinesis and coma. Clinical vigilance is needed to suspect and clinically diagnose cannabis exposure in the emergency department.
Purpose of review: To examine the spectrum of emergency department presentations associated with cannabis use or misuse that are currently seen in the pediatric population.

Recent findings: There is a growing concern that pediatric emergency department visits related to cannabis are on the rise, especially given rapidly changing legislation on cannabis and its broad availability in certain areas. These concerns are substantiated in the current ...

Cannabis ; ENFANTS ; Adolescents

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Cannabis-related emergencies in children and teens. | Juin 2019 H

Article (Pédiatrie, néonatologie et périnatalité)

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Purpose of review: To examine the spectrum of emergency department presentations associated with cannabis use or misuse that are currently seen in the pediatric population.

Recent findings: There is a growing concern that pediatric emergency department visits related to cannabis are on the rise, especially given rapidly changing legislation on cannabis and its broad availability in certain areas. These concerns are substantiated in the current literature, as the evidence mounts for an array of emergency department presentations of intentional or accidental cannabis use. The range of presentations documented in the recent literature spans gastrointestinal, psychiatric and cardiorespiratory effects, in addition to traumatic injuries and accidental ingestions by younger children. Complications of chronic cannabis use, such as 'cannabis hyperemesis syndrome', depression, psychosis or cognitive impairment, are now recognized outcomes and even more are likely to emerge.

Summary: An array of cannabis-related symptoms is possible from acute use or exposure. Common presentations include acute intoxication, hyperemesis, depression and acute physical injuries from impaired psychomotor function. Uncommon presentations include cardiorespiratory effects, and a range of symptoms in young children that include hyperkinesis and coma. Clinical vigilance is needed to suspect and clinically diagnose cannabis exposure in the emergency department.
Purpose of review: To examine the spectrum of emergency department presentations associated with cannabis use or misuse that are currently seen in the pediatric population.

Recent findings: There is a growing concern that pediatric emergency department visits related to cannabis are on the rise, especially given rapidly changing legislation on cannabis and its broad availability in certain areas. These concerns are substantiated in the current ...

Cannabis ; Pédiatrie ; ENFANTS ; Adolescents ; Urgences en pédiatrie ; Maladies chroniques

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Background.
Youth with Duchenne muscular dystrophy (DMD) and other neuromuscular disorders are living well into adulthood and often need help engaging in meaningful occupations.

Purpose.
Our purpose was to explore enablers and barriers to engaging in meaningful occupations, from the perspectives of youth, parents, and practitioners.

Method.
This qualitative study involved 26 participants (11 parents, eight youth ages 19 to 28 [mean = 22.3 years], seven practitioners). Data were obtained from semistructured interviews and analyzed using an interpretive descriptive approach.

Findings.
Youth with DMD and neuromuscular disorders engage in meaningful occupations in a variety of ways. Occupational enablers were supports and accommodations and self-care skills and coping strategies, while occupational barriers involved societal expectations of a normative adulthood, discrimination and inaccessible environments, lack of supports and resources, medical challenges, fatigue, lack of motivation, and social isolation and depression.

Implications.
Practitioners should work to uncover what youth consider important and connect them to appropriate resources so they can engage in meaningful occupations.
Background.
Youth with Duchenne muscular dystrophy (DMD) and other neuromuscular disorders are living well into adulthood and often need help engaging in meaningful occupations.

Purpose.
Our purpose was to explore enablers and barriers to engaging in meaningful occupations, from the perspectives of youth, parents, and practitioners.

Method.
This qualitative study involved 26 participants (11 parents, eight youth ages 19 to 28 [mean = 22.3 ...

Ergothérapie ; Adolescents ; Réadaptation professionnelle

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Adolescents [32]

ENFANTS [10]

Accompagnement (Psychologie) [2]

Cannabis [2]

Enfants - Santé mentale [2]

Jeunes adultes [2]

Opioïdes [2]

Pédiatrie [2]

Rôle parental [2]

Suicide [2]

Surdoués [2]

Toxicomanie [2]

[1]

Adolescents - Psychologie [1]

Adolescents - Santé mentale [1]

Adultes [1]

Amours [1]

Autisme [1]

Biblio-santé - Diabète [1]

Cancer [1]

Communication [1]

Contraception [1]

Déficience intellectuelle [1]

Délinquance juvénile [1]

Dépendance (Psychologie) [1]

Dépression [1]

Déterminants sociaux de la santé [1]

Diabète [1]

Diabète - Diétothérapie [1]

Diabète - Traitement [1]

Diabète chez l'adolescent [1]

Diabète chez l'enfant [1]

Diabète chez l'enfant - Diétothérapie [1]

Éducation des patients [1]

Enfants surdoués - Éducation [1]

Ergothérapie [1]

Examens de santé [1]

Familles d'accueil [1]

Humeur (Psychologie) [1]

Hyperactivité [1]

Hyperactivité chez l'adolescent [1]

Inflammation (Pathologie) [1]

Internet et adolescents [1]

Intestin - Maladies [1]

Intimidation [1]

Jeunesse - Protection, assistance, etc. [1]

Jeunesse - Santé mentale [1]

Maladies chroniques [1]

Maternité [1]

Médiation [1]

Médicaments - Usage [1]

Mères [1]

NOURRISSONS [1]

Nutrition [1]

Oncologie [1]

Oreille - Maladies [1]

PARENTS [1]

Parents d'enfants hyperactifs - Attitudes [1]

Parents et adolescents [1]

Paternité [1]

Perception [1]

Personnes endeuillées - Psychologie [1]

Perte (Psychologie) [1]

Physiothérapie [1]

Psychiatrie sociale [1]

Psychodrame [1]

Psychothérapie [1]

Psychothérapie de groupe [1]

Réadaptation professionnelle [1]

Reins - Physiologie [1]

Résilience [1]

Santé - Aspect nutritionnel [1]

Soins intégrés de santé mentale [1]

Survivants au suicide d'un proche [1]

Tabagisme [1]

Thérapie de groupe [1]

Thérapie par le jeu [1]

Trouble déficitaire de l'attention [1]

Troubles du comportement alimentaire [1]

Troubles du langage chez l'adolescent [1]

Troubles du langage chez l'enfant [1]

Troubles du spectre de l'autisme [1]

Troubles du spectre de l'autisme chez l'adolescent [1]

Troubles du spectre de l'autisme chez l'enfant [1]

Urgences en pédiatrie [1]

Violence chez les jeunes [1]

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