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Our aim was to assess the psychosocial well-being of asthmatic children and adolescents, the influencing factors, and to determine the effect of inpatient rehabilitation on their quality of life; 226 asthmatic children and adolescents participated in the inpatient rehabilitation (IG). The comparison group (CG) included 92 asthmatic children and adolescents receiving standard medical treatments. Patients were aged between 8 and 16 years and were predominantly male. The health-related quality of life was measured with the German version of the "Paediatric Asthma Quality of Life Questionnaire." Interviews were carried out for IG 2 weeks before the commencement of their inpatient stay and 1 year after their stay ended. The same time schedule was carried out for CG. All patients reported a mild to moderate impairment of their quality of life. Girls described a slightly lower quality of life than boys. With increasing asthma severity, quality of life decreased. Inpatients described a lower quality of life than CG at enrollment. Inpatient rehabilitation resulted in a greater improvement of quality of life over time for IG than for CG. Gender and severity status had no effect on this time course. The only modestly affected quality of life may reflect the good adaptation to the disease and medical treatment. Children and adolescents in the IG recorded improvements in their quality of life. Differences in quality of life based on gender and disease severity were not shown to influence the improvements. In summary, inpatient rehabilitation results in an improvement of health-related quality of life. Further research concerning the psychosocial situation of children and adolescents in this setting is needed
Background Bringing up children with atopic dermatitis (AD) is widely perceived as being stressful because parenting demands considerable time and energy. There have been only a few studies to assess the extent of problems experienced by the parents. Objective To assess the psychosocial well-being of parents caring for a young child with AD and to examine the relationship between parental quality of life and disease-related and sociodemographic variables. Methods One hundred and eighty-seven parents of young children with AD attending an inpatient rehabilitation clinic participated in the study. At admission, parents completed a set of questionnaires (assessing health-related quality of life, coping with the disease, family functioning). Dermatologists assessed disease severity using the severity scoring of AD index (SCORAD). Results In general, parents cope well with their situation. Compared with normal values, high rates of psychological distress were observed in a subsample of parents of children with AD. Parents of children with a higher severity of disease reported a significantly higher impact on family functioning, a greater financial burden and a higher level of disease management. Parental disease management could be predicted by the familial situation, their personal well-being and the severity of disease of their child. Differences attributed to their child's gender or age were not observed. Conclusions Childhood AD has a profound impact on the emotional and social well-being of many of the parents. The results underline the importance of psychological treatment approaches designed to increase parental well-being and ability to cope with stress and social strain
To explore the sexual scripts of adolescents, 131 10th and 11th graders generated descriptions of three scripts for sexual interactions: (1) the prototypical script for the first consensual sexual intercourse with a new partner attributed to adolescents in general; (2) the script for the first consensual sexual intercourse with a new partner endorsed by themselves individually; (3) the script for a nonconsensual sexual intercourse. Normative acceptance of risk elements of sexual interactions and acceptance of physical force to obtain sexual intercourse with a non-consenting partner were also measured. The results showed that the individual and general scripts for consensual sexual interactions reflected traditional gender roles. The script for the nonconsensual intercourse was based on the <<real rape>> stereotype. Compared to the general scripts for the age group as a whole, individual scripts were more conservative, containing fewer risk elements. Normative acceptance of risk elements predicted the extent to which risk elements were part of the general and individual scripts. In addition, acceptance of physical force predicted the risk elements of the individual scripts
Antiepileptic drugs are suspected of being weakly teratogenic in humans. In a prospective longitudinal study, we assessed growth parameters of children from birth to adolescence who had been prenatally exposed to various antiepileptic drugs and compared them to non-exposed control children matched for parental body length, social status, and maternal nicotine consumption during pregnancy as well as for parity. While no differences in mean head circumferences could be ascertained in the group of exposed children at 1, 6, and 14 years, differences were measured in body length at I year. The differences were more pronounced for both measurements when therapy forms and types of drugs were considered: polytherapy and phenobarbitone therapy (which was usually part of polytherapy) of the mother appeared to have an influence on the children's growth. Children exposed to polytherapy and phenobarbitone (as single drug or as part of polytherapy) had smaller head circumferences and were shorter. We assume an influence of polytherapy and phenobarbitone therapy taken by the epileptic woman during pregnancy on the growth of the child into adolescence
Bimanual parity judgments about numerically small (large) digits are faster with the left (right) hand, even though parity is unrelated to numerical magnitude per se (the SNARC effect; Dehaene, Bossini, & Giraux, 1993). According to one model, this effect reflects a space-related representation of numerical magnitudes (mental number line) with a genuine left-to-right orientation. Alternatively, it may simply reflect an overlearned motor association between numbers and manual responses-as, for example, on typewriters or computer keyboards-in which case it should be weaker or absent with effectors whose horizontal response component is less systematically associated with individual numbers. Two experiments involving comparisons of saccadic and manual parity judgment tasks clearly support the first view; they also establish a vertical SNARC effect, suggesting that our magnitude representation resembles a number map, rather than a number line
The assessment and the significance of attachment in young children with Down-syndrome (DS) is scientifically controversial. Data from 16 young children with attachment classification at the mental age of 13-15 months (about 24 months chronological age) indicate meaningful relations between quality of attachment and behavior in Bayley test situations (IBR) during the first 5 years of life. Not until late in the preschool years was language and social- cognitive development of the securely attached children measurably advanced relative to that of insecurely attached children. It appears that quality of attachment is reflected first in children's social-emotional behavior and only later in developmental achievements
We report two experiments testing a central prediction of the probabilistic account of reasoning provided by Oaksford and Chater (2001): Acceptance of standard conditional inferences, card choices in the Wason selection task, and quantifiers chosen for conclusions from syllogisms should vary as a function of the frequency of the concepts involved. Frequency was manipulated by a probability-learning phase preceding the reasoning tasks to simulate natural sampling. The effects predicted by Oaksford and Chater (2001) were not obtained with any of the three paradigms