A cross-country psychiatric screening of ICD-11 disorders specifically associated with stress in Kenya, Nigeria and Ghana

Background The Global Forum for Health Research, with the support of the World Health Organization, highlighted the need to prioritize mental health research in Africa. The introduction of revised descriptions of Posttraumatic Stress Disorder (PTSD) and Adjustment Disorder, along with new diagnoses of Complex PTSD and Prolonged Grief Disorder, in the ICD-11 creates a need for additional national level epidemiological studies on the prevalence of stress-related disorders.Methods The prevalence rates of these four ICD-11 stress disorders were assessed in three African countries including Nigeria (N = 1006), Kenya (N = 1018), and Ghana (N = 500). Participants completed disorder-specific measures for each disorder.Findings Across the entire sample, the current prevalence rate of probable Adjustment Disorder was 8.4% (95% C.I. = 7.4%, 9.6%), probable PTSD was 18.6% (95% C.I. = 17.2, 20.2%), probable Complex PTSD was 15.9% (95% C.I. = 14.5%, 17.4%) and probable Prolonged Grief Disorder was 3.7% (95% C.I. = 3.1%, 4.5%).Interpretation The results are applicable primarily to well-educated urban and suburban adults in these African countries. Results indicated that Adjustment Disorder, PTSD, and CPTSD are highly prevalent in these three African countries. There is now a pressing need to develop culturally sensitive interventions to enable recovery from these conditions

Parental involvement in school: A test of Hoover-Dempsey and Sandler's model among Jewish and Arab parents in Israel

Parental involvement in children's schooling has been repeatedly shown to be positively and significantly correlated with a number of positive child outcomes. Hoover-Dempsey and Sandler (1995) proposed a multivariate model of parental involvement. There are indications that the model should be adjusted to include mediating effects of parental role constructions. Further, this model has not been tested in educational systems and cultural contexts outside the US. The goals of the present study were to model factors associated with parental involvement in schools in Israel, and compare model fit among two populations representing different cultures. A survey was conducted with 5999 parents of junior- and senior-high school students in Israel. Data were collected on the extent of parental involvement, parental role construction, invitation for involvement from school, homeroom teacher and the child, availability of resources such as time, energy, skills, and knowledge, parents' ethnic affiliation, and the socio-economic status of the school's local authority. Data were analyzed using SEM, Sobel test for mediation, and multivariate hierarchical regression. The findings support the original theoretical model. Findings also revealed significant but very weak mediating effect of parental role construction. The model had a similar fit for both Jewish and Arab samples. Little of the variance in parental involvement was explained by ethnic/cultural affiliation and socio-economic status. Implications for parental involvement interventions with diverse populations are discussed.Parental involvement Culture Role construction SEM SES

The Mediating Role of Parenting Style in the Relationship between Parents’ Openness to Different Ways of Thinking and Child Anxiety

The quality of parent–child relationships plays a significant role in the development of child anxiety, especially regarding aspects of parental control, intrusive behavior, and a lack of warmth. Nevertheless, the underlying mechanisms of these parenting behaviors that are associated with the risk of child anxiety have yet to be revealed. The present study aims to examine the contribution of a cognitive aspect of parenting, i.e., openness to different ways of thinking, to the development of child anxiety through its impact on parenting style. A sample of 300 Israeli parents (72% women) over the age of 18 (M = 38.8, SD = 6.2), with at least one child over the age of 6 (M = 13.3, SD = 5.5 of oldest child), was recruited through social media platforms. Participants provided demographic information and filled out self-reported questionnaires dealing with child anxiety (using the Child Behavior Checklist), openness to different ways of thinking (using the Interpersonal Reactivity Index), and parenting style (using the Parental Behavior Inventory). The analysis confirmed the mediation role of hostile/coercive parenting style in the association between parental openness to different ways of thinking and child anxiety. However, the association between supportive/engaged parenting and child anxiety was non-significant. Apparently, openness to different ways of thinking allows for parents to consolidate parenting that does not resort to coercive and hostile behaviors, control, obedience, and severe strictness. As a result, the child develops self-regulation and coping mechanisms that reduce the risk for developing anxiety

Screening of adjustment disorder: Scale based on the ICD-11 and the Adjustment Disorder New Module

In line with ICD-11 new conceptualization of Adjustment disorder (AjD), a self-report Adjustment Disorder-New Module (ADNM) was developed and validated. Nevertheless, the ADNM-20 is a long research tool and potentially problematic in the use in epidemiological and clinical studies. The present study introduces the brief ADNM-8 and the ultra-brief ADNM-4, examines their validity and establishes cut-off scores for their clinical use. The study used a representative national sample of 1003 Israelis who reported on the ICD-11 stress spectrum ranging from AjD, PTSD, complex PTSD and complicated grief. Construct validity was assessed via confirmatory factor analysis and cut-off scores were established through ROC analysis. The original and brief instruments were highly correlated (r > 0.918 or better). Cronbach's Alpha for the Brief ADNM-8 and the Ultra-Brief ADNM-4 were above 0.800. Correlations with stress related conditions indicated a good convergent and construct validity for both instruments as well. The ultra-brief ADNM-4 was found to have a very good fit with the data. These findings indicate that the brief ADNM-8 and the ultra-brief ADNM-4 can serve as a brief screening tools for assessing AjD symptoms according to the ICD-11 definition

Super Typhoon

Data set after the Super Typhoon. Can be used to verify our results. Any request to use the data for publication should be addressed to Prof. Ben-Ezra as this data is being used for publication. <br><br>Prof. Menachem Ben-Ezra<br>[email protected]<br

From Hiroshima to Fukushima : PTSD symptoms and radiation stigma across regions in Japan

Stigma is known to be associated with poorer mental health (Raguram et al., 1996). Perceived radiation stigma is the belief that people who were exposed to radiation are contaminated and are discriminated against (Tone and Stone, 2014). Japan is the only country that experienced two major nuclear disasters: the first the A-bomb attacks on Hiroshima and Nagasaki during WWII, the second the Fukushima Daiichi nuclear disaster in 2011 (Ben-Ezra et al., 2012). In Japanese radiation exposure is “Hibaku”; this term, along with “Hibakusha” (an exposed individual), has been used to stigmatize A-bomb survivors and now it is used with respect to the Fukushima Daiichi nuclear disaster in 2011

Typhoon survivors' subjective wellbeing—A different view of responses to natural disaster

<div><p>Objective</p><p>Subjective well-being was evaluated three weeks after Super Typhoon Haiyan struck the Philippines. Based on the Conservation of Resources theory, which focuses on the role of resources in understanding adjustment following trauma, data was collected on lost resources. In line with the Conservation of Resources theory, four categories of resources were defined: objects—residential property; condition—gender health state and witness to injury; personal—coping strategies; energy–relationships.</p><p>Design and settings</p><p>Eight hundred thirty-four people from the Philippines filled out self-report measures using an online interview system regarding: socio demographics data, subjective well-being, using the Delighted Terrible Faces Scale (DTS), disaster related experiences, coping strategies, personal relationships, obtained through support sources (close family, relatives and friends, community) and assessing problems with those relationships after Haiyan.</p><p>Results</p><p>Subjective well-being was predicted by the following classes of resources: objects (home damage) condition (self-rated health and witness to injury), personal (positive reframing and self-blame coping strategies) and energy resources (relations and problems in relations).</p><p>Conclusions</p><p>The results imply the important role individual’s resources (i.e. objects, personal characteristics, conditions, and energies) might play in promoting subjective well-being, following natural disaster.</p></div

“I’ll Be There”: Informal and Formal Support Systems and Mothers’ Psychological Distress during NICU Hospitalization

Mothers of infants hospitalized in the Neonatal Intensive Care Unit (NICU) are at a high risk for psychological distress, which is of concern to health and social professionals due to the negative implications for mothers and infants. A model for explaining maternal psychological distress, consisting of intolerance to uncertainty and support from informal (spouse, family, and friends) and formal (medical staff) systems was examined. Data was collected from one of the largest NICUs in Israel; 129 mothers of 215 preterm infants completed self-report questionnaires regarding their background variables, intolerance to uncertainty, perceived informal support and perceived medical staff support. The NICU’s medical staff provided indicators for the infants of participating mothers. A hierarchical multiple regression analysis was conducted. The examined model explained 29.2% of the variance in maternal psychological distress. Intolerance of uncertainty positively predicted psychological distress. Informal support, and in particular, spousal support negatively predicted psychological distress above and beyond intolerance of uncertainty. Medical staff support negatively predicted psychological distress above and beyond intolerance to uncertainty and informal support. Our findings suggest that maternal psychological distress is reduced through a family-centered care approach in NICUs. Medical professionals and social services should develop further solutions for addressing preterm mothers’ need for certainty and support

Mean, SD, skewness and kurtosis for research variables.

<p>Mean, SD, skewness and kurtosis for research variables.</p