Child sexual abuse (CSA) is a stressful associated with alterations in the hypothalamic-hypophyseal-adrenal (HPA) axis and behavioral problems. Children and adolescents with history of CSA could have higher cortisol l...Child sexual abuse (CSA) is a stressful associated with alterations in the hypothalamic-hypophyseal-adrenal (HPA) axis and behavioral problems. Children and adolescents with history of CSA could have higher cortisol levels, as these have been associated with deleterious changes in brain regions involved in controlling social behavior and self-control. The aim of the present study was to determine the relationship among basal cortisol levels, social skills and behavioral problems in adolescents with CSA by evaluating two groups: one consisting of 12 - 15-year-old girls with CSA (n = 23), the other healthy comparison adolescents with no history of child abuse (n = 23). Social skills and behavioral problems were assessed using the Social Skills Improvement System. Three saliva samples were collected from each participant. The girls with CSA had lower social skills and more behavioral problems, as well as, higher cortisol concentrations. Besides, these participants showed significant negative correlations among cortisol levels and social skills, as well as, positive correlations with behavioral problems scales. It is feasible to suggest that the social deficiencies observed in these participants with CSA are related to alterations of the HPA.展开更多
Sexual and reproductive health (SRH) is among the fundamental packages of health care, which all clients seeking health care should receive. However, it is unclear how healthcare providers, in particular, nurses perce...Sexual and reproductive health (SRH) is among the fundamental packages of health care, which all clients seeking health care should receive. However, it is unclear how healthcare providers, in particular, nurses perceive the issue of people with mental problems having sexual health needs. The aim of this study was to explore perceptions of nurses at Ndola Teaching Hospital towards sexual health needs of people with mental health problems. A general descriptive qualitative study design was utilized and data were collected using three focus group discussions (FGDs) that were recorded and later transcribed verbatim. Purposive sampling was used to select 21 nurses who participated in the study. Nine were male, while 12 were female. Each FGD comprised seven participants. Thematic analysis was used to analyze the data, and six major themes: 1) physiological interplay among different body systems, 2) disease process and effects of psychotropic, 3) participant differences in age, gender, educational level, and cultural backgrounds, 4) staff shortages in mental health units, 5) deficient record keeping, and 6) Social stereotypes and labelling theories emerged. Despite acknowledging the existence of sexual activity among people with mental health problems;participants had both positive and negative perceptions. It is, therefore, recommended that interventions aimed at strengthening implementation of SRH guidelines among nurses caring for people with mental health problems should be put in place.展开更多
文摘Child sexual abuse (CSA) is a stressful associated with alterations in the hypothalamic-hypophyseal-adrenal (HPA) axis and behavioral problems. Children and adolescents with history of CSA could have higher cortisol levels, as these have been associated with deleterious changes in brain regions involved in controlling social behavior and self-control. The aim of the present study was to determine the relationship among basal cortisol levels, social skills and behavioral problems in adolescents with CSA by evaluating two groups: one consisting of 12 - 15-year-old girls with CSA (n = 23), the other healthy comparison adolescents with no history of child abuse (n = 23). Social skills and behavioral problems were assessed using the Social Skills Improvement System. Three saliva samples were collected from each participant. The girls with CSA had lower social skills and more behavioral problems, as well as, higher cortisol concentrations. Besides, these participants showed significant negative correlations among cortisol levels and social skills, as well as, positive correlations with behavioral problems scales. It is feasible to suggest that the social deficiencies observed in these participants with CSA are related to alterations of the HPA.
文摘Sexual and reproductive health (SRH) is among the fundamental packages of health care, which all clients seeking health care should receive. However, it is unclear how healthcare providers, in particular, nurses perceive the issue of people with mental problems having sexual health needs. The aim of this study was to explore perceptions of nurses at Ndola Teaching Hospital towards sexual health needs of people with mental health problems. A general descriptive qualitative study design was utilized and data were collected using three focus group discussions (FGDs) that were recorded and later transcribed verbatim. Purposive sampling was used to select 21 nurses who participated in the study. Nine were male, while 12 were female. Each FGD comprised seven participants. Thematic analysis was used to analyze the data, and six major themes: 1) physiological interplay among different body systems, 2) disease process and effects of psychotropic, 3) participant differences in age, gender, educational level, and cultural backgrounds, 4) staff shortages in mental health units, 5) deficient record keeping, and 6) Social stereotypes and labelling theories emerged. Despite acknowledging the existence of sexual activity among people with mental health problems;participants had both positive and negative perceptions. It is, therefore, recommended that interventions aimed at strengthening implementation of SRH guidelines among nurses caring for people with mental health problems should be put in place.
