Parenting for Lifelong Health for Young Children: a randomized controlled trial of a parenting program in South Africa to prevent harsh parenting and child conduct problems / Catherine L. WARD in Journal of Child Psychology and Psychiatry, 61-4 (April 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-4 (April 2020) . - p.503-512 Titre : Parenting for Lifelong Health for Young Children: a randomized controlled trial of a parenting program in South Africa to prevent harsh parenting and child conduct problems Type de document : texte imprimé Auteurs : Catherine L. WARD, Auteur ; Inge M. WESSELS, Auteur ; Jamie M. LACHMAN, Auteur ; Judy HUTCHINGS, Auteur ; Lucie CLUVER, Auteur ; Reshma KASSANJEE, Auteur ; Raymond NHAPI, Auteur ; Francesca LITTLE, Auteur ; Frances GARDNER, Auteur Article en page(s) : p.503-512 Langues : Anglais (eng) Mots-clés : Parenting  Parenting for Lifelong Health  low- and middle-income countries  prevention  violence against children Index. décimale : PER Périodiques Résumé : BACKGROUND: Parenting programs suitable for delivery at scale in low-resource contexts are urgently needed. We conducted a randomized trial of Parenting for Lifelong Health (PLH) for Young Children, a low-cost 12-session program designed to increase positive parenting and reduce harsh parenting and conduct problems in children aged 2-9. METHODS: Two hundred and ninety-six caregivers, whose children showed clinical levels of conduct problems (Eyberg Child Behavior Inventory Problem Score, >15), were randomly assigned using a 1:1 ratio to intervention or control groups. At t0 , and at 4-5 months (t1 ) and 17 months (t2 ) after randomization, research assistants blind to group assignment assessed (through caregiver self-report and structured observation) 11 primary outcomes: positive parenting, harsh parenting, and child behavior; four secondary outcomes: parenting stress, caregiver depression, poor monitoring/supervision, and social support. TRIAL REGISTRATION: ClinicalTrials.gov (NCT02165371); Pan African Clinical Trial Registry (PACTR201402000755243); Violence Prevention Trials Register (http://www.preventviolence.info/Trials?ID=24). RESULTS: Caregivers attended on average 8.4 sessions. After adjustment for 30 comparisons, strongest results were as follows: at t1 , frequency of self-reported positive parenting strategies (10% higher in the intervention group, p = .003), observed positive parenting (39% higher in the intervention group, p = .003), and observed positive child behavior (11% higher in the intervention group, p = .003); at t2, both observed positive parenting and observed positive child behavior were higher in the intervention group (24%, p = .003; and 17%, p = .003, respectively). Results with p-values < .05 prior to adjustment were as follows: At t1 , the intervention group self-reported 11% fewer child problem behaviors, 20% fewer problems with implementing positive parenting strategies, and less physical and psychological discipline (28% and 14% less, respectively). There were indications that caregivers reported 20% less depression but 7% more parenting stress at t1 . Group differences were nonsignificant for observed negative child behavior, and caregiver-reported child behavior, poor monitoring or supervision, and caregiver social support. CONCLUSIONS: PLH for Young Children shows promise for increasing positive parenting and reducing harsh parenting. En ligne : http://dx.doi.org/10.1111/jcpp.13129 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421 [article] Parenting for Lifelong Health for Young Children: a randomized controlled trial of a parenting program in South Africa to prevent harsh parenting and child conduct problems [texte imprimé] / Catherine L. WARD, Auteur ; Inge M. WESSELS, Auteur ; Jamie M. LACHMAN, Auteur ; Judy HUTCHINGS, Auteur ; Lucie CLUVER, Auteur ; Reshma KASSANJEE, Auteur ; Raymond NHAPI, Auteur ; Francesca LITTLE, Auteur ; Frances GARDNER, Auteur . - p.503-512. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-4 (April 2020) . - p.503-512 Mots-clés : Parenting  Parenting for Lifelong Health  low- and middle-income countries  prevention  violence against children Index. décimale : PER Périodiques Résumé : BACKGROUND: Parenting programs suitable for delivery at scale in low-resource contexts are urgently needed. We conducted a randomized trial of Parenting for Lifelong Health (PLH) for Young Children, a low-cost 12-session program designed to increase positive parenting and reduce harsh parenting and conduct problems in children aged 2-9. METHODS: Two hundred and ninety-six caregivers, whose children showed clinical levels of conduct problems (Eyberg Child Behavior Inventory Problem Score, >15), were randomly assigned using a 1:1 ratio to intervention or control groups. At t0 , and at 4-5 months (t1 ) and 17 months (t2 ) after randomization, research assistants blind to group assignment assessed (through caregiver self-report and structured observation) 11 primary outcomes: positive parenting, harsh parenting, and child behavior; four secondary outcomes: parenting stress, caregiver depression, poor monitoring/supervision, and social support. TRIAL REGISTRATION: ClinicalTrials.gov (NCT02165371); Pan African Clinical Trial Registry (PACTR201402000755243); Violence Prevention Trials Register (http://www.preventviolence.info/Trials?ID=24). RESULTS: Caregivers attended on average 8.4 sessions. After adjustment for 30 comparisons, strongest results were as follows: at t1 , frequency of self-reported positive parenting strategies (10% higher in the intervention group, p = .003), observed positive parenting (39% higher in the intervention group, p = .003), and observed positive child behavior (11% higher in the intervention group, p = .003); at t2, both observed positive parenting and observed positive child behavior were higher in the intervention group (24%, p = .003; and 17%, p = .003, respectively). Results with p-values < .05 prior to adjustment were as follows: At t1 , the intervention group self-reported 11% fewer child problem behaviors, 20% fewer problems with implementing positive parenting strategies, and less physical and psychological discipline (28% and 14% less, respectively). There were indications that caregivers reported 20% less depression but 7% more parenting stress at t1 . Group differences were nonsignificant for observed negative child behavior, and caregiver-reported child behavior, poor monitoring or supervision, and caregiver social support. CONCLUSIONS: PLH for Young Children shows promise for increasing positive parenting and reducing harsh parenting. En ligne : http://dx.doi.org/10.1111/jcpp.13129 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421

Persisting mental health problems among AIDS-orphaned children in South Africa / Lucie CLUVER in Journal of Child Psychology and Psychiatry, 53-4 (April 2012)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 53-4 (April 2012) . - p.363-370 Titre : Persisting mental health problems among AIDS-orphaned children in South Africa Type de document : texte imprimé Auteurs : Lucie CLUVER, Auteur ; Mark ORKIN, Auteur ; Frances E. M. GARDNER, Auteur ; Mark E. BOYES, Auteur Année de publication : 2012 Article en page(s) : p.363-370 Langues : Anglais (eng) Mots-clés : HIV/AIDS  orphans;adolescents  depression  anxiety  post-traumatic stress Index. décimale : PER Périodiques Résumé : Background:  By 2008, 12 million children in sub-Saharan Africa were orphaned by AIDS. Cross-sectional studies show psychological problems for AIDS-orphaned children, but until now no longitudinal study has explored enduring psychological effects of AIDS-orphanhood in the developing world. Methods:  A 4-year longitudinal follow-up of AIDS-orphaned children with control groups of other-orphans and non-orphans. 1021 children (M = 13.4 years, 50% female, 98% isiXhosa-speaking) were interviewed in 2005 and followed up in 2009 with 71% retention (49% female, M = 16.9 years), in poor urban South African settlements. Children were interviewed using sociodemographic questionnaires and well-validated standardised scales for assessing depression, anxiety, and post-traumatic stress. Data were analysed using mixed-design ANOVA and backward-stepping regression. Results:  AIDS-orphaned children showed higher depression, anxiety, and post-traumatic stress disorder (PTSD) scores in both 2005 and 2009 when compared with other-orphans and non-orphans. Backward-stepping regression, controlling for baseline mental health, and sociodemographic cofactors such as age, gender, and type of bereavement, revealed that being AIDS-orphaned in 2005 was associated with depression, anxiety, and PTSD scores in 2009. This was not the case for other-orphaned or non-orphaned children. Age interacted with orphan status, such that there was a steep rise in psychological distress in the AIDS-orphaned group, but no rise with age amongst other-orphans and non-orphans. Conclusions:  Negative mental health outcomes amongst AIDS-orphaned children are maintained and worsen over a 4-year period. It is important that psychosocial support programmes are sustained, and focus on youth as well as young children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02459.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=152 [article] Persisting mental health problems among AIDS-orphaned children in South Africa [texte imprimé] / Lucie CLUVER, Auteur ; Mark ORKIN, Auteur ; Frances E. M. GARDNER, Auteur ; Mark E. BOYES, Auteur . - 2012 . - p.363-370. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 53-4 (April 2012) . - p.363-370 Mots-clés : HIV/AIDS  orphans;adolescents  depression  anxiety  post-traumatic stress Index. décimale : PER Périodiques Résumé : Background:  By 2008, 12 million children in sub-Saharan Africa were orphaned by AIDS. Cross-sectional studies show psychological problems for AIDS-orphaned children, but until now no longitudinal study has explored enduring psychological effects of AIDS-orphanhood in the developing world. Methods:  A 4-year longitudinal follow-up of AIDS-orphaned children with control groups of other-orphans and non-orphans. 1021 children (M = 13.4 years, 50% female, 98% isiXhosa-speaking) were interviewed in 2005 and followed up in 2009 with 71% retention (49% female, M = 16.9 years), in poor urban South African settlements. Children were interviewed using sociodemographic questionnaires and well-validated standardised scales for assessing depression, anxiety, and post-traumatic stress. Data were analysed using mixed-design ANOVA and backward-stepping regression. Results:  AIDS-orphaned children showed higher depression, anxiety, and post-traumatic stress disorder (PTSD) scores in both 2005 and 2009 when compared with other-orphans and non-orphans. Backward-stepping regression, controlling for baseline mental health, and sociodemographic cofactors such as age, gender, and type of bereavement, revealed that being AIDS-orphaned in 2005 was associated with depression, anxiety, and PTSD scores in 2009. This was not the case for other-orphaned or non-orphaned children. Age interacted with orphan status, such that there was a steep rise in psychological distress in the AIDS-orphaned group, but no rise with age amongst other-orphans and non-orphans. Conclusions:  Negative mental health outcomes amongst AIDS-orphaned children are maintained and worsen over a 4-year period. It is important that psychosocial support programmes are sustained, and focus on youth as well as young children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02459.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=152

Protecting child and adolescent mental health in an uncertain future: commentary on Jaffee and colleagues' Annual Research Review - 'Cash transfer programs and young people's mental health: a review of studies in the United States' / Lucie CLUVER in Journal of Child Psychology and Psychiatry, 66-4 (April 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-4 (April 2025) . - p.599-601 Titre : Protecting child and adolescent mental health in an uncertain future: commentary on Jaffee and colleagues' Annual Research Review - 'Cash transfer programs and young people's mental health: a review of studies in the United States' Type de document : texte imprimé Auteurs : Lucie CLUVER, Auteur Article en page(s) : p.599-601 Langues : Anglais (eng) Mots-clés : cash transfer  Intervention  mental health  poverty  social policy Index. décimale : PER Périodiques Résumé : Jaffee and colleagues present a masterful review of the evidence for the impacts of cash transfer programmes on child and adolescent mental health in the United States. While global meta-analyses find evidence of effectiveness, Jaffee and colleagues highlight the limited number of studies in Northern America, but find overall results indicating small but meaningful effect sizes on improving emotional and behavioural health, and greatest impacts for the poorest families. En ligne : https://doi.org/10.1111/jcpp.14138 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=550 [article] Protecting child and adolescent mental health in an uncertain future: commentary on Jaffee and colleagues' Annual Research Review - 'Cash transfer programs and young people's mental health: a review of studies in the United States' [texte imprimé] / Lucie CLUVER, Auteur . - p.599-601. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-4 (April 2025) . - p.599-601 Mots-clés : cash transfer  Intervention  mental health  poverty  social policy Index. décimale : PER Périodiques Résumé : Jaffee and colleagues present a masterful review of the evidence for the impacts of cash transfer programmes on child and adolescent mental health in the United States. While global meta-analyses find evidence of effectiveness, Jaffee and colleagues highlight the limited number of studies in Northern America, but find overall results indicating small but meaningful effect sizes on improving emotional and behavioural health, and greatest impacts for the poorest families. En ligne : https://doi.org/10.1111/jcpp.14138 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=550

Psychological distress amongst AIDS-orphaned children in urban South Africa / Lucie CLUVER in Journal of Child Psychology and Psychiatry, 48-8 (August 2007)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 48-8 (August 2007) . - p.755–763 Titre : Psychological distress amongst AIDS-orphaned children in urban South Africa Type de document : texte imprimé Auteurs : Lucie CLUVER, Auteur ; Don OPERARIO, Auteur ; Frances E. M. GARDNER, Auteur Année de publication : 2007 Article en page(s) : p.755–763 Langues : Anglais (eng) Mots-clés : HIV/AIDS orphans bereavement mental-health depression anxiety post-traumatic-stress delinquency conduct-problems Index. décimale : PER Périodiques Résumé : Background: South Africa is predicted to have 2.3 million children orphaned by Acquired Immune Deficiency Syndrome (AIDS) by 2020 (Actuarial Society of South Africa, 2005). There is little knowledge about impacts of AIDS-related bereavement on children, to aid planning of services. This study aimed to investigate psychological consequences of AIDS orphanhood in urban township areas of Cape Town, South Africa, compared to control groups of children and adolescents orphaned by other causes, and non-orphans. Method: One thousand and twenty-five children and adolescents (aged 10–19) were interviewed using socio-demographic questionnaires and standardised scales for assessing depression, anxiety, post-traumatic stress, peer problems, delinquency and conduct problems. Results: Controlling for socio-demographic factors such as age, gender, formal/informal dwelling and age at orphanhood, children orphaned by AIDS were more likely to report symptoms of depression, peer relationship problems, post-traumatic stress, delinquency and conduct problems than both children orphaned by other causes and non-orphaned children. Anxiety showed no differences. AIDS-orphaned children were more likely to report suicidal ideation. Compared to Western norms, AIDS-orphaned children showed higher levels of internalising problems and delinquency, but lower levels of conduct problems. Conclusions: Children orphaned by AIDS may be a particularly vulnerable group in terms of emotional and, to a lesser extent, behavioural problems. Intervention programs are necessary to ameliorate the psychological sequelae of losing a parent to AIDS. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01757.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=162 [article] Psychological distress amongst AIDS-orphaned children in urban South Africa [texte imprimé] / Lucie CLUVER, Auteur ; Don OPERARIO, Auteur ; Frances E. M. GARDNER, Auteur . - 2007 . - p.755–763. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 48-8 (August 2007) . - p.755–763 Mots-clés : HIV/AIDS orphans bereavement mental-health depression anxiety post-traumatic-stress delinquency conduct-problems Index. décimale : PER Périodiques Résumé : Background: South Africa is predicted to have 2.3 million children orphaned by Acquired Immune Deficiency Syndrome (AIDS) by 2020 (Actuarial Society of South Africa, 2005). There is little knowledge about impacts of AIDS-related bereavement on children, to aid planning of services. This study aimed to investigate psychological consequences of AIDS orphanhood in urban township areas of Cape Town, South Africa, compared to control groups of children and adolescents orphaned by other causes, and non-orphans. Method: One thousand and twenty-five children and adolescents (aged 10–19) were interviewed using socio-demographic questionnaires and standardised scales for assessing depression, anxiety, post-traumatic stress, peer problems, delinquency and conduct problems. Results: Controlling for socio-demographic factors such as age, gender, formal/informal dwelling and age at orphanhood, children orphaned by AIDS were more likely to report symptoms of depression, peer relationship problems, post-traumatic stress, delinquency and conduct problems than both children orphaned by other causes and non-orphaned children. Anxiety showed no differences. AIDS-orphaned children were more likely to report suicidal ideation. Compared to Western norms, AIDS-orphaned children showed higher levels of internalising problems and delinquency, but lower levels of conduct problems. Conclusions: Children orphaned by AIDS may be a particularly vulnerable group in terms of emotional and, to a lesser extent, behavioural problems. Intervention programs are necessary to ameliorate the psychological sequelae of losing a parent to AIDS. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01757.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=162

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