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IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196
were delineated: hypothetical, distant, and closed. Various factors for difficulties in communication were identified: geographical distance of the prison, lack of finances, and illiteracy, but the most important unconscious barrier was created by the mothers themselves. In order to reduce the risk for deterioration of the mother-child relationships, we recommend more effective interventions.
Results.– Covariance analysis showed that cognitive-behavior and supportive group therapy improved mental health scores of experimental group in post-test stage (P < 0/001). Scores of irrational believes were not significantly differed. Conclusion.– Cognitive-behavior and supportive intervention could be effective in improving mental health of mothers.
http://dx.doi.org/10.1016/j.neurenf.2012.04.354
http://dx.doi.org/10.1016/j.neurenf.2012.04.356
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Loss of a dream and making sense of reality: Assessing and understanding grief in families Punwani ∗ ,
M. S. Vicari Psychiatry, SIU School Of Medicine, Springfield, USA ∗ Corresponding author. Objective.– The purpose of this study is to understand the grief reaction in families with children who are diagnosed with mental illnesses. This study also explores parents’ shame, guilt, and compares the dynamics of their relationship to their child before and after the diagnosis through an interview process. Method.– This was a research study with a convenience sample of 133 parents of children diagnosed with a mental illness. All subjects were administered the Anticipatory Grief Survey (AGS). Results.– When children are diagnosed with mental illness, family members perceive the loss of a normal life course, experience shame, guilt, and mourn the loss of their hopes for their child. Conclusions.– The boundaries between mourning, normal grief, uncomplicated grief, and pathological grief are not always clear. The distinction, however, is that normal grief is considered self limited, relatively benign, and not amenable to psychotherapeutic intervention. Pathological grief is associated with enormous social, psychological, and medical morbidity and may warrant intensive intervention. The results of our paper suggest that when children are diagnosed with mental illness, family members experience the loss of a normal life course, shame, guilt, and mourn the loss of their hopes for their child. This can impact not only treatment outcomes but also the relationship between families and children diagnosed with mental illnesses. There is no universal experience of grief as it relates to families of children with mental illnesses. Instead there is an ongoing process of adjustment with individual variations depending upon, the quality of the relationship with the child prior to the diagnosis of mental illness, experiences with the clinician and the clinical system during the process, previous grief or loss experienced by families, family structure and support systems, the understanding and expectations of the family members in regards to the diagnosis and treatment of their child, and their own acceptance of mental illness. Families continue to have an ongoing relationship with the affected child which parallel grieving tasks over time. Future work focusing on identifying factors influencing successful resolution of the grief reaction in families will be crucial in facilitating more rapid identification of families at risk. At risk families may benefit from earlier referral to teach adaptive coping mechanisms. Future studies are also needed to evaluate the effects of the grief reaction on patient outcomes. http://dx.doi.org/10.1016/j.neurenf.2012.04.355 Mo-P-1244
The effect of supportive and cognitive-behavior group therapy on mental health and irrational believes of mothers of autistic children F. Riahi Psychiatry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Background.– Autistic disorder is the one of the developmental pervasive disorders. Due to various problems of these children, their mothers are under stress. Family education is mandated; such as training of coping strategies. This study is aimed to evaluate the effect of cognitive-behavior and supportive therapy on mental health and irrational believes of mothers of autistic children. Method.– Sample of this research consists of twenty mothers of autistic children. Subjects were placed randomly in control and experimental groups. Measurements were mental health inventory and Jones irrational believes questionnaire. The Experimental group was participated in 10 sessions of group therapy.
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Parents of mentally ill children – a non-clinical group in clinics? T. Rimehaug Regional Centre for Child and Adolescent Mental Health, Norwegian University of Science and Technology, Trondheim, Norway Objective.– Our aim was to study clinic parents in their own right related to child treatment participation. Parent at units representing different treatment levels were compared to community parents, and parents in a high-risk sample were followed for a year across waiting, admission, treatment and follow-up regarding parenting dimensions and parents emotional problems after “treatment-as-usual” in child psychiatry. Furthermore we explored whether the changes where related to each other or to child or parent factors. Methodology.– Standardized instruments measuring child and parent factors were distributed to parents four times from referral to 12-month follow-up. Clinical diagnoses and parent/child demographic were also collected. Results.– Significant differences between clinical and community parents were found. However the results did not fit an explanatory model focusing the association between pathogenic parenting and child problems. http://dx.doi.org/10.1016/j.neurenf.2012.04.357 Mo-P-1246
Parents’ knowledge of adolescents’ online activities as a moderator of loneliness and problematic Internet use R.P. Ang a,∗ , W.H. Chong b , S. Chye b , V.S. Huan c HSS/division of Psychology, Nanyang Technological University, Singapore, Singapore b Psychological Studies, National Institute of Education, Singapore, Singapore c Psychological Studies Academic Group, National Institute of Education, Singapore, Singapore ∗ Corresponding author.
a
This study examined parents’ knowledge of adolescents’ online activities as a moderator of the relationship between loneliness and generalized problematic Internet use (PIU). The purpose of this study was to address two gaps in research. First, previous research has only investigated these relationships from a main effects perspective; the present study extended research by examining generalized PIU from an interaction effects perspective. Second, it is timely to examine the relationship between loneliness and generalized PIU in an adolescent sample which has not been previously explored. A total of 1098 adolescents (49.2% male, 50.8% female) from Grade 8 and Grade 9 classes participated in this study. The key finding was that parental knowledge was a moderator of the relationship between loneliness and generalized PIU; parental knowledge was better able to differentiate adolescents’ level of generalized PIU at lower rather than at higher levels of loneliness. This moderator effect was stronger in magnitude for parents who had no awareness of their adolescents’ online activities compared to parents who were in the know about their adolescents’ online activities. These findings emphasize the importance of prevention and early intervention work with early adolescents and their parents with respect to adolescent loneliness and generalized PIU. http://dx.doi.org/10.1016/j.neurenf.2012.04.358