Adolescent Enrollment in Psychosocial Care: Do Parents Make a Difference?

Paclíková, Kateřina; Veselská, Zuzana Dankulincová; Gecková, Andrea Madarasová; Dijk, Jitse P. van; Reijneveld, Sijmen A.

doi:10.3390/ijerph17197066

Cited by 5 publications

(6 citation statements)

References 37 publications

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“…It contrasts with the fact that there is published evidence on the best handling of psychosocial problems (e.g. [14][15][16][17]). This incorrect assumption prevents pediatricians from making use of existing evidence.…”

Section: Interpretation Of Main Findingsmentioning

confidence: 92%

Evidence-based practice in well-child care

et al. 2022

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Evidence-based practice (EBP) significantly improves the quality of healthcare, but its use in community pediatrics has not yet been proven. We aimed to assess how Dutch community pediatricians use scientific findings and apply evidence-based practice in everyday well-child care. We interviewed a purposive sample of 14 community pediatricians in the Netherlands regarding their professional activities in daily practice, focusing on instances in which their professional knowledge was insufficient to address the issue at hand. We transcribed the interviews verbatim, and coded them using ATLAS.ti software. We structured the information using template analysis. Community pediatricians relied largely on guidelines of their own profession. If these were not sufficient, they first consulted other medical specialists or colleagues, or used different sources that they considered reliable. They only rarely performed an EBP search, and if so, only for somatic problems. For psychosocial problems, they used a strategy of extensive interaction with clients and members of multidisciplinary teams. We identified five barriers to performing an EBP search: (1) a conviction that not every community pediatrician needs to be able to perform an EBP search; (2) a conviction that an EBP search is not suitable for psychosocial problems; (3) lack of confidence in one’s own abilities to perform an EBP search; (4) limited access to literature; (5) lack of time.Conclusions: Community pediatricians rely on professional guidelines; this indicates a need to keep these up-to-date and user-friendly. Furthermore, pediatricians should be better trained in performing EBP searches, and in working in multidisciplinary teams, especially for psychosocial problems. What is Known: • Conducting an evidence-based practice search is considered indispensable to determine the best management of the patient’s problem. • Conducting such a search is still considered challenging in many medical disciplines, including pediatrics. What is New: • There is a need to strengthen skills of community pediatricians to find evidence on psychosocial problems and to present this effectively in multidisciplinary teams. • The pediatricians’ broad use of other sources of evidence, like experts and online sources, shows the importance of critical evaluation skills.

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Section: Interpretation Of Main Findingsmentioning

confidence: 92%

Evidence-based practice in well-child care

et al. 2022

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“…Psychological distress in parents and sense of parenting competence are the main factors to consider regarding youth risk and development. For example, Murray Bowon's family system theory contends that families interact and that elements of the home environment, such as parental emotions, parenting methods, and parent-child relationships, directly impact psychosocial and behavioural adaptation in children (Paclikova et al, 2020). As the children's primary caregivers, parents are physically, mentally, and parenting-stressed and prone to psychological distress, which impacts parenting e cacy and satisfaction.…”

Section: Introductionmentioning

confidence: 99%

A latent class analysis of psycho-behavioural adaptation in children and its relationship with sense of parenting competence and psychological distress of parents

Cui

et al. 2023

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Background The healthy development of psychological behaviour among children has been widely concerned by the whole society. However, little is known about different categories or attributes of their psycho-behavioural adaptation. The purpose of this study to identifies the latent classes of psycho-behavioural adaptation in children and explores the relationships of these classes with sense of parenting competence and psychological distress of parents Methods The cross-sectional study was conducted in one primary and secondary education school in mainland China from September 2022 to December 2022. The parents of children (3–18 years old) were invited to participate in the study. We used standardized questionnaires to collect data. A latent class analysis was performed to identify children's psycho-behavioural adaptation classes. Results The study recruited 242 participants. Two classes of psycho-behavioural adaptation were identified, namely, the psycho-behavioural problems group and the psycho-behavioural health group. The differences between latent classes were statistically significant regarding the child's age and parental health. The differences between latent classes were statistically significant in terms of sense of parenting competence, satisfaction, efficacy, and psychological distress score. The sense of parenting competence and parental psychological distress influenced the latent class of psycho-behavioural adaptation in children. Conclusion There is heterogeneity in the psycho-behavioural adaptation of children and differences in the sense of parenting competence and psychological distress of parents in each category. Targeted interventions should be developed and implemented based on the characteristics of each psycho-behavioural adaptation class to maximize interventions' effectiveness and promote parental and child well-being.

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“…Adverse childhood experiences (ACEs) represent various negative events during a child's development (DeLisi et al, 2017;Sheikh, 2018;Lackova Rebicova et al, 2019, 2020Paclikova et al, 2019). Accumulation of ACEs has been shown to have long-lasting effects on adolescents' mental health (Danese and McEwen, 2012;Lackova Rebicova et al, 2020), which may be associated with their enrolment into the system of care (Paclikova et al, 2020) and consequent utilization of the system of care (Aalsma et al, 2016). As a dose-response was found between ACE and adolescents' mental health (Lackova Rebicova et al, 2020), we would expect a similar pattern when it comes to use of psychosocial care.…”

Section: Introductionmentioning

confidence: 99%

“…To summarize, the previous studies have mostly explored the association of ACE with adolescent mental health and/or enrolment in care for mental health problems in general (Lackova Rebicova et al, 2019;LaBrenz et al, 2020;Paclikova et al, 2020;Meeker et al, 2021). Evidence is lacking on the potential dose-response association between ACE and the use of psychosocial care.…”

Section: Introductionmentioning

confidence: 99%

Are Adverse Childhood Experiences Associated With Being in the System of Care?

et al. 2022

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BackgroundAdverse childhood experiences (ACEs) can cause serious mental problems in adolescents and therefore may expected to be associated with higher use of psychosocial care, potentially varying by type of specific ACE. The aim of our study is to explore the association of the number of ACE and types of specific ACE with entering and using psychosocial care.MethodsWe used data from the Slovak Care4Youth cohort study, comprising 509 adolescents from 10 to 16 years old (mean age 13.2 years, 48.6% boys). We used logistic regression models adjusted for age, gender, and family affluence to explore the associations of number and type of specific ACE with the use of psychosocial care.ResultsHaving three or more ACE as well as experiencing some specific ACE (death of a mother/father, death of somebody else you love, problems of a parent with alcohol or drugs, conflicts or physical fights between parents, and separation/divorce of parents) increased the likelihood of using psychosocial care. Regarding experience with the death of somebody else you love, we found a decreased likelihood of the use of psychosocial care.ConclusionExperiencing ACE above a certain threshold (three or more) and parent-related ACE increase the likelihood of adolescent care use.

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Adolescent Enrollment in Psychosocial Care: Do Parents Make a Difference?

Cited by 5 publications

References 37 publications

Evidence-based practice in well-child care

Evidence-based practice in well-child care

A latent class analysis of psycho-behavioural adaptation in children and its relationship with sense of parenting competence and psychological distress of parents

Are Adverse Childhood Experiences Associated With Being in the System of Care?

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