No abstract

No abstract

Background: Despite increasing evidence of a link between early life brain injury and anti-social behavior, very few studies have assessed factors that explain this association in children with traumatic brain injury (TBI). One hypothesis suggests that childhood TBI elevates risk for anti-social behavior via disruption to anatomically distributed neural networks implicated in executive functioning (EF). In this longitudinal prospective study, we employed high-resolution structural neuroimaging to (a) evaluate the impact of childhood TBI on regional morphometry of the central executive network (CEN) and (b) evaluate the prediction that lower EF mediates the prospective relationship between structural differences within the CEN and postinjury anti-social behaviors. Methods: This study involved 155 children, including 112 consecutively recruited, hospital-confirmed cases of mildsevere TBI and 43 typically developing control (TDC) children. T1-weighted brain magnetic resonance imaging (MRI) sequences were acquired sub-acutely in a subset of 137 children [TBI: n = 103; TDC: n = 34]. All participants were evaluated using direct assessment of EF 6 months postinjury, and parents provided ratings of anti-social behavior 12 months postinjury. Results: Severe TBI was associated with postinjury volumetric differences within the CEN and its putative hub regions. When compared with TD controls, the TBI group had significantly worse EF, which was associated with more frequent anti-social behaviors and abnormal CEN morphometry. Mediation analysis indicated that reduced EF mediated the prospective association between postinjury volumetric differences within the CEN and more frequent anti-social behavior. Conclusions: Our longitudinal prospective findings suggest that detection of neurostructural abnormalities within the CEN may aid in the early identification of children at elevated risk for postinjury executive dysfunction, which may in turn contribute to chronic anti-social behaviors after early life brain injury. Findings underscore the potential value of early surveillance and preventive measures for children presenting with neurostructural and/or neurocognitive risk factors.

Although many military families demonstrate resilience and strength, research highlights that military service may impact the health and wellbeing of families. In comparison with civilian families, military families are embedded within a broader military context and culture which may influence many aspects of family life, including socioeconomic status and social participation. This rapid review utilised a systematic methodology to synthesise the evidence of comparing possible differences of the socioeconomic and social participation of military families with civilian families. Relevant online databases such as Medline, PsycINFO, CINAHL and ProQuest Central were searched for articles published between January 2000 and February 2022. After screening 3057 articles, five studies were included for analysis. The results highlight considerable income, education and employment gaps between current serving military and civilian spouses. An association was found between social, economic status and increased risk of violence or assaults in military families. Specifically, younger age and decline in health status were key predictors of domestic violence assaults in military families. This review highlights emerging evidence and recommends further Australian-based research with military families. Policy, research, and practice implications are discussed with consideration to preventative interventions tailored towards strengthening health, wellbeing, and socio-economic status of military families.

Background The coronavirus (COVID-19) pandemic and associated public health restrictions created unprecedented challenges for parents and their young dependent children. While psycho-social impacts of natural disasters on families are well studied, a typography of parent specific concerns in the COVID-19 context was yet to be articulated. Objective Using a bioecological systems framework, we adopted a mixed-methods research design to examine parents’ core concerns about the impacts of the pandemic on themselves and their children, testing for differences in concern foci of mothers compared with fathers. Method Data were drawn from the Australian Temperament Project Generation 3 (ATPG3) study, a prospective study of children born to a 40-year population-based cohort. During enforced COVID-19 lockdown restrictions between May to September 2020, ATPG3 parents (n = 516) were surveyed about their own and their children’s functioning in the context of the pandemic. Subject of qualitative content analysis, parents (n = 192) experiencing wellbeing concerns offered additional free-text responses about the nature of stress impacting themselves and their child/ren. Results Parents reported far-reaching impacts for themselves and their children across multiple bioecological systems. Core concerns were for emotional rather than physical health, specifically, for parents this was represented by increased levels of anxiety and stress, and for children, these impacts were notable from a developmental perspective. Greater frequency of parenting related concern was expressed by mothers in comparison to fathers. Conclusions Findings demonstrate the complex and interrelated nature of multi-systemic and gendered stressors impacting parents during the pandemic, and importantly point to modifiable risk factors which may inform early risk detection efforts.

No abstract

Objective: Retention of serving members in the military may be increased through targeted psycho-social support of their families and dependents. This Defence funded study aimed to provide updated evidence on associations between current military service and the well-being of the member's couple and relationships, to inform policy and practice. We conducted a rapid review of

ObjectiveThis mixed methods study sought to explore the lived experience of stress for parents of young dependent children during COVID‐19 lockdowns in Australia.BackgroundPublic health restrictions implemented during the COVID‐19 pandemic disproportionately burdened parents as they balanced novel and competing role demands. Despite growing research on impacts to parent mental health, much less is known about parenting at the experiential level during this period.MethodData were derived from free‐text survey responses collected during 2020 in an Australian population cohort study and analyzed in a mixed methods approach focusing on descriptive phenomenology. Twenty‐eight parent accounts of either ‘extreme’ or ‘minimal’ stress experiences were subject to phenomenological analysis of the individual, interpersonal, and contextual factors associated with each stress category.ResultsThree themes defined ‘extreme’ stress experiences: inadequacy of resources to cope, perceived lack of control, and compounding stressors. Two themes characterized ‘minimal’ stress experiences: feeling well resourced to cope and the absence of significant disruption to everyday life.ConclusionFindings highlight three targets in particular: compounding stressors, family relationships, and gendered differences in parental stress.ImplicationsIntervention efforts should focus on better resourcing parents experiencing accumulating stressors through provision of individual and relational support and by addressing the higher burden experienced by mothers compared with fathers across pandemic related lockdowns.