[show abstract][hide abstract] ABSTRACT: There is a burgeoning interest in, and evidence of, quality of life and burnout issues among doctors. It was hypothesized that the junior doctors in this study would experience psychosocial and physiological changes over time, and that the obtained measures would indicate psychosocial and physiological anomalies. In addition, it was hypothesized that their psychosocial perceptions would be significantly associated with their physiological measures. A total sample of 17 junior doctors in their first year of training volunteered for this study. Over four time periods separated by 6 week phases, the doctors completed a set of quality of life and psychosocial inventories and wore a Polar RS800 Heart Rate Monitor over a day and night time interval. The findings showed that this sample of doctors did not report any problems associated with depression, anxiety, stress, burnout or quality of life (psychosocial measures). In addition, their heart rate variability scores (physiological measures) did not show any significant fluctuations. Furthermore, the responses from the self-report instruments measuring stress, anxiety, depression, quality of life and burnout did not consistently correlate with the HRV information suggesting a mind–body disconnection. More work needs to be done on larger samples to investigate these findings further given that the literature shows that junior doctors are likely to be stressed and working in stress-provoking environments.
[show abstract][hide abstract] ABSTRACT: Many babies in the UK are born to drug-dependent parents, and dependence on psychoactive drugs during the postnatal period is associated with high rates of child maltreatment, with around a quarter of these children being subject to a child protection plan. Parents who are dependent on psychoactive drugs are at risk of a wide range of parenting problems, and studies have found reduced sensitivity and responsiveness to both the infant's physical and emotional needs. The poor outcomes that are associated with such drug dependency appear to be linked to the multiple difficulties experienced by such parents.An increase in understanding about the crucial importance of early relationships for infant well-being has led to a focus on the development and delivery of services that are aimed at supporting parenting and parent--infant interactions. The Parents under Pressure (PuP) programme is aimed at supporting parents who are dependent on psychoactive drugs or alcohol by providing them with methods of managing their emotional regulation, and of supporting their new baby's development. An evaluation of the PuP programme in Australia with parents on methadone maintenance of children aged 3 to 8 years found significant reductions in child abuse potential, rigid parenting attitudes and child behaviour problems.Methods/design: The study comprises a multicentre randomised controlled trial using a mixed-methods approach to data collection and analysis in order to identify which families are most able to benefit from this intervention.The study is being conducted in six family centres across the UK, and targets primary caregivers of children less than 2.5 years of age who are substance dependent. Consenting participants are randomly allocated to either the 20-week PuP programme or to standard care.The primary outcome is child abuse potential, and secondary outcomes include substance use, parental mental health and emotional regulation, parenting stress, and infant/toddler socio-emotional adjustment scale.
This is one the first UK studies to examine the effectiveness of a programme targeting the parenting of substance-dependent parents of infants and toddlers, in terms of its effectiveness in improving the parent--infant relationship and reducing the potential for child abuse.Trial registration: International Standard Randomised Controlled Trial Number Register: ISRCTN47282925.
[show abstract][hide abstract] ABSTRACT: Introduction: The mental health of prospective medical students has been associated with ethnic group, extracurricular activity, parents’ educational level and previous academic achievement in some studies but not in others. The aim of this study was to explore relations between medical students’ socio-demographic profiles and mental health before and during the first year of medical education. Method: A cohort of medical students in Malaysia was studied prospectively. Stress, anxiety and depression symptoms were measured on the 21-item Depression Anxiety Stress Scale during the interview before the onset of medical education (time 0), after 2 months (time 1), 4 months (time 2) and 6 months (time 3) and at the final examination (time 4). Repeated-measure ANOVA was performed to determine factors associated with mental health over the five intervals. Results: Significantly lower scores were found for stress, anxiety and depression with higher father’s educational level and lower scores for stress and anxiety with extracurricular activity and higher mother’s educational level. Malay students had more anxiety symptoms than students of other races, and female students had lower scores for depression than males. Conclusion: Measures should be provided to prevent these symptoms and support medical students’ well-being.
Journal of Taibah University Medical Sciences. 08/2013;
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