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المصدر: Journal of Religion and Health. 53:604-613
مصطلحات موضوعية: Male, Religion and Psychology, medicine.medical_specialty, Adolescent, Urban Population, media_common.quotation_subject, Context (language use), Article, Midwestern United States, Interviews as Topic, Surveys and Questionnaires, Intervention (counseling), Spirituality, medicine, Humans, Qualitative Research, General Nursing, media_common, Asthma, Physician-Patient Relations, Public health, Religion and Medicine, Religious studies, Patient Preference, General Medicine, medicine.disease, Prayer, Religion, Adolescent Behavior, Female, Thematic analysis, Psychology, Qualitative research, Clinical psychology
الوصف: This qualitative study examined the preferences of urban adolescents with asthma for including religious/spiritual (R/S) inquiry in a variety of hypothetical clinical encounters. Twenty-one urban adolescents (M age = 15.6 years, 52 % female, 81 % African American) with asthma participated in a semi-structured interview. Interviews were transcribed and underwent a thematic analysis. R/S preferences were contextual rather than personal, driven by: (1) acuity of the hypothetical clinical context; (2) nature of the patient–provider relationship; and (3) level of R/S intervention/inquiry. Most adolescents welcomed prayer if near death, but did not see the relevance of R/S in a routine office visit.
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المؤلفون: Michael S. Yi, Christina M. Luberto, Sian Cotton, Joel Tsevat
المصدر: Journal of Asthma. 48:531-538
مصطلحات موضوعية: Complementary Therapies, Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Clinical variables, Adolescent, Urban Population, Culture, Alternative medicine, Patient characteristics, Logistic regression, Risk Assessment, Severity of Illness Index, Sex Factors, Predictive Value of Tests, Surveys and Questionnaires, Ethnicity, medicine, Humans, Immunology and Allergy, Longitudinal Studies, Ohio, Asthma, Modalities, Symptom management, business.industry, Racial Groups, Age Factors, Patient Acceptance of Health Care, medicine.disease, Logistic Models, Treatment Outcome, Adolescent Behavior, Family medicine, Multivariate Analysis, Pediatrics, Perinatology and Child Health, Female, Patient Participation, business, Attitude to Health, Follow-Up Studies
الوصف: Up to 80% of adolescents with asthma have used complementary and alternative medicine (CAM) for symptom management. However, little is known about patient characteristics associated with CAM factors other than use. Previous studies recommend provider-patient discussion of CAM use, although few adolescents with asthma disclose their CAM use to their providers. To inform clinical interactions, this study examined prevalence and predictors of CAM use, consideration of use, disclosure of use, and perceived efficacy of use, in urban adolescents with asthma.Adolescents with asthma (N = 151) recruited from a children's hospital completed questionnaires addressing demographic and clinical variables and 10 CAM modalities. Response frequencies to four questions assessing CAM use, consideration of use, disclosure, and perceived efficacy were calculated for each modality. Multivariable logistic regression analyses examined characteristics associated with responses to each question for the two most commonly used CAM modalities.Participants' mean age was 15.8 (SD = 1.8), 60% were female and 85% were African-American. Seventy-one percent reported using CAM for symptom management in the past month. Relaxation (64%) and prayer (61%) were the most frequently reported modalities and were perceived to be the most efficacious. Adolescents most commonly reported considering using relaxation (85%) and prayer (80%) for future symptom management. Participants were most likely to disclose their use of yoga (59%) and diet (57%), and least likely to disclose prayer (33%) and guided imagery (36%) to providers. In multivariable analyses, older adolescents (OR = 1.27, p.05) and African-Americans (OR = 2.76, p.05) were more likely to use relaxation. Adolescents with more frequent asthma symptoms (OR = 0.98, p.05) were more likely to use prayer. African-Americans were more likely to report using prayer (OR = 3.47, p.05) and consider using prayer (OR = 7.98, p.01) in the future for symptom management.Many urban adolescents used and would consider using CAM, specifically relaxation and prayer, for asthma symptom management. African-Americans, older adolescents, and those with more frequent symptoms were more likely to use and/or consider using CAM. Providers caring for urban adolescents with asthma should discuss CAM with patients, particularly those identified as likely to use CAM. Future studies should examine relationships between CAM use and health outcomes.
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المؤلفون: Susan L. Rosenthal, Meghan E. McGrady, Sian Cotton
المصدر: Journal of Religion and Health. 49:414-444
مصطلحات موضوعية: Male, Religion and Psychology, medicine.medical_specialty, Adolescent, Psychometrics, Health Status, Health Behavior, Psychology, Adolescent, Self-concept, Anxiety, Article, Religiosity, Outcome Assessment, Health Care, Health care, medicine, Humans, Spirituality, General Nursing, Depression, business.industry, Public health, Religious studies, General Medicine, Self Concept, Systematic review, Adolescent Behavior, Adolescent Health Services, Female, Outcomes research, Psychology, business, Attitude to Health, Clinical psychology, Adolescent health
الوصف: The relationship between religious/spiritual (R/S) factors and adolescent health outcomes has been studied for decades; however, the R/S measurement tools used may not be developmentally relevant for adolescents. A systematic literature review was conducted to review and evaluate trends in measuring R/S in adolescent health outcomes research. In this review a total of 100 articles met criteria for inclusion. Relatively few (n = 15) included adolescent-specific R/S measures or items accounting for developmentally relevant issues such as parental religiosity or age-appropriate language. Future R/S and health research with adolescents would be strengthened by incorporating developmentally relevant R/S measurement tools, psychometrics, and multidimensional measures.
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المؤلفون: Patricia Harrison-Monroe, Sian Cotton, Richard A. Wahl
المصدر: Southern Medical Journal. 101:711-715
مصطلحات موضوعية: Male, Suicide Prevention, medicine.medical_specialty, Coping (psychology), Adolescent, Culture, Population, Poison control, Suicide prevention, Developmental psychology, Adaptation, Psychological, Spirituality, medicine, Humans, Psychiatry, education, Suicidal ideation, education.field_of_study, business.industry, Prisoners, Hispanic or Latino, General Medicine, Mental health, Suicide, Adolescent Behavior, Indians, North American, Juvenile Delinquency, Female, Culturally Competent Care, medicine.symptom, business
الوصف: BACKGROUND:: Spirituality is often overlooked as a coping method and resilience factor in the lives of adolescents. An improved understanding of the role of spirituality in the lives of adolescents will help in understanding the choices many teens face during times of personal crisis. Youth entering the juvenile justice system often present with high rates of mental health problems and suicidal ideation. METHOD:: Two clinical vignettes of adolescents who exhibited suicidal ideation while in juvenile detention are discussed. DISCUSSION:: An understanding of the role of spirituality for an adolescent in crisis can greatly enhance our ability to provide culturally competent care and offer meaningful support. This becomes increasingly important as the juvenile detention population becomes ever more diverse. Valuable information can be obtained by taking a"clinical spiritual history"which enables clinicians to have a clearer understanding of an adolescent's worldview and provide the necessary therapeutic interventions. Specific questions are suggested as a basis for obtaining this information. Language: en
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::93c6ce3a16b1d5479fc223f529894750
https://doi.org/10.1097/smj.0b013e31817a7e73 -
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المؤلفون: Sian, Cotton, Devon, Berry
المصدر: Adolescent medicine: state of the art reviews. 18(3)
مصطلحات موضوعية: Male, Adolescent, Health Behavior, Psychology, Adolescent, Coitus, Religion and Sex, United States, Adolescent Behavior, Humans, Female, Interpersonal Relations, Attitude to Health, Contraception Behavior, Life Style, Sexual Abstinence
الوصف: There are many individual, family, and cultural factors that influence the development of healthy sexuality in adolescents. One factor that is less often described but may play a role is religion/spirituality. Adolescents' religious/spiritual belief system or the cultural religious context within which they are raised may impact their attitudes or beliefs about having sex before marriage, decisions about the timing of coital debut, or contraceptive practices. In this article we will define the terms "religiosity" and "spirituality"; highlight the key scientific literature on the relationships between religiosity, spirituality, and adolescent sexual health outcomes (e.g., coital debut, contraceptive practices), including describing why religiosity/spirituality may be related to these outcomes; and briefly discuss programs/clinical implications for integrating these findings into clinical practice.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=pmid________::3fdf3146ba2393201d3503df13b2788f
https://pubmed.ncbi.nlm.nih.gov/18453228 -
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المؤلفون: Dennis Drotar, Susan L. Rosenthal, Joel Tsevat, Sian Cotton, Kathy Zebracki
المصدر: The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 38(4)
مصطلحات موضوعية: Male, medicine.medical_specialty, Coping (psychology), Adolescent, Psychometrics, Health Status, Health Behavior, Poison control, Occupational safety and health, Spirituality, Health care, Adaptation, Psychological, Outcome Assessment, Health Care, medicine, Humans, Longitudinal Studies, business.industry, Public Health, Environmental and Occupational Health, Mental health, Religion, Psychiatry and Mental health, Mental Health, Adolescent Behavior, Pediatrics, Perinatology and Child Health, Female, Outcomes research, business, Psychology, Clinical psychology, Adolescent health
الوصف: Religion/spirituality is important to adolescents, is usually considered a protective factor against a host of negative health outcomes, and is often included in adolescent health outcomes research. Previous reviews of the relationship among spirituality, religion, and adolescent health have been limited by scope, focusing primarily on distal aspects of religion/spirituality (e.g., attendance at religious services). We reviewed the literature examining proximal domains of religion/spirituality (e.g., spiritual coping) in adolescent health outcomes research. Constructs such as spiritual coping and religious decision-making were the ones most often studied and were generally positively associated with health outcomes. Measurement of proximal domains, associations of proximal domains with health outcomes, methodological issues and recommendations for future research were covered in this review.
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المؤلفون: Paul A. Succop, Frank M. Biro, Susan L. Rosenthal, Lisa Mills, Sian Cotton
المصدر: The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 34(5)
مصطلحات موضوعية: Parental monitoring, Longitudinal study, Adolescent, media_common.quotation_subject, Sexual Behavior, Psychology, Adolescent, Gee, Developmental psychology, Midwestern United States, Perception, Humans, Prospective Studies, Prospective cohort study, Child, Generalized estimating equation, media_common, Public Health, Environmental and Occupational Health, Age Factors, Black or African American, Psychiatry and Mental health, Logistic Models, Attitude, Psychosexual development, Adolescent Behavior, Pediatrics, Perinatology and Child Health, Sexual initiation, Female, Psychology
الوصف: Purpose To examine variables associated with adolescent girls' perceptions of the timing of their first consensual intercourse. Methods One hundred seventy-four primarily African-American adolescent girls, aged 12 to 15 years participated in a 3-year longitudinal study of psychosexual development. Seventy-three percent reported being sexually experienced by the end of the study. They were asked whether they believed their age of initiation was “too young,” “too old,” or “just right.” A generalized estimating equation (GEE) model was used to evaluate predictors of perception of timing of first consensual intercourse. Results Ninety-nine (78%) said that they were “too young” and 28 (22%) said that their age had been “just right.” The results of the final GEE model indicated that variables associated with perceiving age of first consensual intercourse as “just right” included younger chronological age, an older age of first consensual intercourse, endorsement of being “in love” as a reason for first consensual intercourse, greater indirect parental monitoring (vs. “none” or “direct parental monitoring”), and a higher level of education for mothers. Conclusions Most of these adolescents thought their age of initiation was too young. Factors associated with perceiving the timing of consensual intercourse as “just right” are similar to those reported in the literature to be associated with delaying the initiation of consensual intercourse.
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المؤلفون: Sian Cotton, Frank M. Biro, Lisa Mills, Kristin M. von Ranson, Susan L. Rosenthal, Paul Succop
المصدر: Sexually transmitted diseases. 28(9)
مصطلحات موضوعية: Microbiology (medical), medicine.medical_specialty, Longitudinal study, Adolescent, media_common.quotation_subject, Sexual Behavior, Population, Dermatology, Risk Assessment, Developmental psychology, Adolescent medicine, Risk Factors, medicine, Humans, Longitudinal Studies, Parent-Child Relations, education, media_common, Ohio, education.field_of_study, business.industry, Public Health, Environmental and Occupational Health, Age Factors, Coitus, Romance, Sexual intercourse, Infectious Diseases, Logistic Models, Feeling, Psychosexual Development, Psychosexual development, Adolescent Behavior, Menarche, Female, Family Relations, business
الوصف: Early initiation of sexual intercourse is associated with increased risk for acquiring sexually transmitted diseases. The aim was to examine variables related to sexual initiation and developmental changes in the reasons why adolescent girls have sexual intercourse. A longitudinal study of girls recruited from an adolescent medicine clinic was performed. Logistic regression showed that girls who described their families as being expressive having moral-religious emphasis providing supervision and having greater maternal education and who experienced menarche at an older age were older at sexual initiation. On the basis of contingency analyses younger girls were less likely to report attraction or love and more likely to report peers having sex as a reason for sexual intercourse at initiation. A generalized estimating equation analysis indicated that girls at younger ages are more likely to report curiosity a grown-up feeling partner pressure and friends having sexual intercourse as reasons for intercourse. Girls at older ages are more likely to report a feeling of being in love physical attraction too excited to stop drunk or high partner and feeling romantic as reasons for having sexual intercourse. Prevention programs should include a focus on familial characteristics and susceptibility to peer norms. They should be conducted with sensitivity to the developmental changes in intimate relationships that occur during adolescence. (authors)
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::88072db8c0e2a8386f286991c39e453a
https://pubmed.ncbi.nlm.nih.gov/11518871
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