A systematic review of published literature examining the link between maternal attachment and adolescent anxiety
- Amos-Brown, Alexa https://orcid.org/0000-0002-8180-3176
- Authors: Amos-Brown, Alexa https://orcid.org/0000-0002-8180-3176
- Date: 2022-02
- Subjects: Adolescent psychopathology , Teenagers -- Mental health
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23677 , vital:58295
- Description: Aim: Over the last few years, there has been a significant increase in mental health challenges in adolescents, specifically anxiety and depression. There has thus been concern around what could be causing this increase. The present study therefore aimed to examine the link between maternal attachment and adolescent anxiety. Methodology: The research was conducted using a qualitative systematic review as the methodological approach. The sample included ten academic journal articles. These articles were searched using Google Scholar and The University of Fort Hare’s library database search engine. Final articles were selected based on the systematic review process of ensuring that the articles matched the inclusion criteria, centred on the main research question and sub-questions. Findings and Results: At the end of the systematic review process, the final literature articles were analysed using thematic analysis, which identified, analysed, and reported emerging themes. The study revealed that secure attachment and sensitive parenting buffer and protect against the risk and onset of anxiety and adolescent internalizing behaviours. The thematic analysis findings identified emerging themes based on the data analysis, which include: ‘Sensitive parenting as a buffer’, ‘Quality attachment protects’, ‘Safe haven’, ‘Insecure attachment precedes emotion regulation difficulties’, ‘Insecure attachment is associated with anxiety’, ‘Social problems,’ and ‘Negative parental-control undermines attachment security’. Conclusion and recommendations: The extracts provided by the literature were able to successfully give sufficient information to meet all of my study’s research objectives. The findings revealed that very few articles spoke about interventions that can be applied to assist in the development of healthy maternal attachment. Therefore, it is recommended that research be conducted on attachment-based interventions and building restorative adolescent attachment bonds. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Amos-Brown, Alexa https://orcid.org/0000-0002-8180-3176
- Date: 2022-02
- Subjects: Adolescent psychopathology , Teenagers -- Mental health
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23677 , vital:58295
- Description: Aim: Over the last few years, there has been a significant increase in mental health challenges in adolescents, specifically anxiety and depression. There has thus been concern around what could be causing this increase. The present study therefore aimed to examine the link between maternal attachment and adolescent anxiety. Methodology: The research was conducted using a qualitative systematic review as the methodological approach. The sample included ten academic journal articles. These articles were searched using Google Scholar and The University of Fort Hare’s library database search engine. Final articles were selected based on the systematic review process of ensuring that the articles matched the inclusion criteria, centred on the main research question and sub-questions. Findings and Results: At the end of the systematic review process, the final literature articles were analysed using thematic analysis, which identified, analysed, and reported emerging themes. The study revealed that secure attachment and sensitive parenting buffer and protect against the risk and onset of anxiety and adolescent internalizing behaviours. The thematic analysis findings identified emerging themes based on the data analysis, which include: ‘Sensitive parenting as a buffer’, ‘Quality attachment protects’, ‘Safe haven’, ‘Insecure attachment precedes emotion regulation difficulties’, ‘Insecure attachment is associated with anxiety’, ‘Social problems,’ and ‘Negative parental-control undermines attachment security’. Conclusion and recommendations: The extracts provided by the literature were able to successfully give sufficient information to meet all of my study’s research objectives. The findings revealed that very few articles spoke about interventions that can be applied to assist in the development of healthy maternal attachment. Therefore, it is recommended that research be conducted on attachment-based interventions and building restorative adolescent attachment bonds. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Date Issued: 2022-02
Depressive disorders and chronic comorbid disease states: a pharmacoepidemiological evaluation
- Authors: Kritiotis, Lia Costas
- Date: 2007
- Subjects: Depression, Mental , Child psychopathology , Adolescent psychopathology
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:10151 , http://hdl.handle.net/10948/653 , Depression, Mental , Child psychopathology , Adolescent psychopathology
- Description: The treatment of Depressive Disorders in patients with chronic comorbid disease states warrants careful consideration of the risk-benefit ratio pertaining to the pharmacokinetic and pharmacodynamic characteristics of the antidepressant being considered, against the physiological susceptibilities of the patient; potential drug-drug interactions and depressive symptoms. The primary aim of this study was to investigate the relationship between Depressive Disorders and the most frequently diagnosed chronic comorbid disease states in a depressed South African study population; and to comment on the appropriateness of antidepressants prescribed to these patients. This retrospective drug utilisation study consisted of two parts: the first part focused on the prevalence of the most frequently diagnosed chronic comorbidities in a depressed South African population (N = 21 171). The three most prevalent chronic comorbid disease states were Hypertension (52.87 percent), Lipid Disorders (20.40 percent) and Arthritis (16.70 percent). The second part of the study included an assessment of the antidepressants prescribed to depressed patients in 2004 (N = 6 150). Emphasis was placed on the suitability of antidepressants selected for depressed adult patients (18 years of age and older) with comorbid Hypertension, Lipid Disorders or Arthritis. SSRIs were prescribed most frequently to the depressed patients during 2004 (59.67 percent). SSRIs are the suggested first-line treatments for depressed patients with multiple chronic comorbid disease states. However, of the SSRIs, fluoxetine has the least favourable pharmacokinetic profile and was found to be the antidepressant prescribed most often. Amitriptyline, which was the TCA prescribed most frequently, produces the greatest degree of anticholinergic, sedative and hypotensive effects, relative to other agents in the same antidepressant class. Thus, it is not recommended as a first-line antidepressant, especially in depressed patients with comorbidities. This study identifies potential areas of intervention regarding antidepressant prescribing in depressed individuals with chronic comorbid disease states and offers recommendations to promote the selection of optimal, individualised drug treatment strategies for these patients.
- Full Text:
- Date Issued: 2007
- Authors: Kritiotis, Lia Costas
- Date: 2007
- Subjects: Depression, Mental , Child psychopathology , Adolescent psychopathology
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:10151 , http://hdl.handle.net/10948/653 , Depression, Mental , Child psychopathology , Adolescent psychopathology
- Description: The treatment of Depressive Disorders in patients with chronic comorbid disease states warrants careful consideration of the risk-benefit ratio pertaining to the pharmacokinetic and pharmacodynamic characteristics of the antidepressant being considered, against the physiological susceptibilities of the patient; potential drug-drug interactions and depressive symptoms. The primary aim of this study was to investigate the relationship between Depressive Disorders and the most frequently diagnosed chronic comorbid disease states in a depressed South African study population; and to comment on the appropriateness of antidepressants prescribed to these patients. This retrospective drug utilisation study consisted of two parts: the first part focused on the prevalence of the most frequently diagnosed chronic comorbidities in a depressed South African population (N = 21 171). The three most prevalent chronic comorbid disease states were Hypertension (52.87 percent), Lipid Disorders (20.40 percent) and Arthritis (16.70 percent). The second part of the study included an assessment of the antidepressants prescribed to depressed patients in 2004 (N = 6 150). Emphasis was placed on the suitability of antidepressants selected for depressed adult patients (18 years of age and older) with comorbid Hypertension, Lipid Disorders or Arthritis. SSRIs were prescribed most frequently to the depressed patients during 2004 (59.67 percent). SSRIs are the suggested first-line treatments for depressed patients with multiple chronic comorbid disease states. However, of the SSRIs, fluoxetine has the least favourable pharmacokinetic profile and was found to be the antidepressant prescribed most often. Amitriptyline, which was the TCA prescribed most frequently, produces the greatest degree of anticholinergic, sedative and hypotensive effects, relative to other agents in the same antidepressant class. Thus, it is not recommended as a first-line antidepressant, especially in depressed patients with comorbidities. This study identifies potential areas of intervention regarding antidepressant prescribing in depressed individuals with chronic comorbid disease states and offers recommendations to promote the selection of optimal, individualised drug treatment strategies for these patients.
- Full Text:
- Date Issued: 2007
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