Relationship between adolescent runaway behavior and family health / 西安交通大学学报(医学版)

【Objective】 To explore the influencing factors of adolescent runaway and its correlation with family health so as to provide epidemiological evidence for future comprehensive interventions. 【Methods】 Using the quota sampling method, 1 065 adolescents aged 12-18 years old were surveyed by Questionnaire Star in 120 cities in China from July to September 2021. A well-developed electronic questionnaire was used to collect information about demographic characteristics, psychological characteristics, family health, social support, and behavior of running away from home. Univariate analysis and Logistic regression were used to explore the influencing factors of adolescent runaway and its correlation with family health. 【Results】 A total of 1 065 adolescents were investigated, among whom 334 were the only children (31.36%) and 442 were boys (41.50%). Univariate analysis revealed that 7.6% of teenagers had the experience of running away from home in the last 30 days. Participants who were ethnic minorities (P=0.031) and had education of technical school or junior college (P=0.029) and a low family income (P<0.001) were more likely to have running away behavior. Adolescents with low self-efficacy (P=0.005), depression (P<0.001), anxiety (P<0.001), and more stress had higher detection rates of runaway behavior. However, adolescents with higher family health and social support were less likely to run away from home (P<0.01). Multivariate analysis showed that compared with adolescents with low family health, adolescents with high (OR=0.16, 95% CI: 0.06-0.46) and moderate (OR=0.27, 95% CI: 0.14-0.55) family health had a significantly lower risk of runaway behavior. 【Conclusion】 The family is of great significance in preventing teenagers from running away from home. Parents should build a good parent-child relationship and create a happy family atmosphere to reduce the occurrence of teenagers running away from home.

Westgard multi-rule control method combined with Levey-Jennings quality control chart in daily indoor quality control of TEG / 中国输血杂志

【Objective】 To continuously improve the routine indoor quality and precision of TEG by applying Westgard multi-rule control method combined with Levey-Jennings quality control chart. 【Methods】 The parameters R, K, Angel and MA of TEG were monitored and analyzed in the laboratory for 12 consecutive months using the same batch of quality control products via Westgard multi-rule control method combined with Levey-Jennings quality control chart, and the mean(), standard deviation (SD) and coefficient of variation (CV%) were calculated to observe the control effect. 【Results】 We applied this quality control method to timely correct, analyze and improve the system errors in TEG indoor quality control.The CV% value of R, K, Angle and MA were 20.33%, 13%, 3.6% and 9.65%, respectively, during January to June 2019, but decreased to 9%, 3%, 1.28% and 5.35%, respectively, during July to December 2019. 【Conclusion】 The application of Westgard multi-rule control method and Levey-Jennings quality control chart in TEG indoor quality control test can improve the precision of TEG clinical test results.

O ato de fugir de casa na adolescência: algumas hipóteses a partir de casos atendidos no projeto Caminho de Volta / Le fuir de la maison dans l’adolescence: quelques hypothèses des cas du projet Caminho de Volta / Running away from home in the adolescence: some hypotheses from the Caminho de Volta project cases

Nesse artigo serão discutidas algumas hipóteses para a ocorrência de fugas de casa na adolescência a partir dos casos atendidos no Projeto Caminho de Volta, tais como: a violência doméstica, os conflitos com o Outro familiar, as errâncias e passagens ao ato, as mudanças no real do corpo e o encontro com o outro sexo. O ato de fugir se torna um desaparecimento quando a polícia é acionada pela família.

Dans cet article seront discutés quelques hypothèses pour l’occurence de fuites de la Maison a partir des cas qui sont observés dans le projet Caminho de Volta tels que: la violence domestique, les conflits avec le Autre familier, l’errance et les passages a l’acte, les transformations subies par le réel du corps et le défis pour rencontrer l’Autre sexe. L’act de fuir ne devient une disparition que lorsque la famille demande l’assistance de la police.

This article will discuss some hypotheses about the running away from home in the adolescence from cases of “Caminho de Volta” Project such as: domestic violence, the conflicts with the Other familiar, the wandering and the passages to the act, the changes of the real of the body and the encounter of the Other sex. The act of running away from home is not considered as a disappearance until the family seeks police assistance.

Terapia Comportamental Infantil na relação mãe e filho ante o luto materno - um relato de caso / Child Behavior therapy in the mother-child relationship towards the mother's mourning - a case report

Participou do processo terapêutico um menino de seis anos, que foi trazido à clínica por sua mãe. A principal queixa estava relacionada com as perguntas que o menino fazia sobre a forma como o pai morreu. O pai suicidou-se quando o cliente tinha dois anos de idade após um longo período de adoecimento. As perguntas do cliente sobre como o pai havia falecido foram relatadas pela mãe como fonte de angústia para ela, pois não sabia se deveria contar. Com isso, o objetivo terapêutico principal foi ampliar o conhecimento que o cliente tinha acerca do pai. Também foram planejadas sessões de intervenção com a mãe. O conteúdo das perguntas sobre o pai e as respostas da mãe foram tomadas como as medidas comportamentais observadas. No total foram realizadas 25 sessões, sendo 12 com a criança e 13 com a mãe. Foi observado que o conteúdo das perguntas do menino mudou de foco durante o processo terapêutico. Concluiu-se que as perguntas iniciais do cliente em relação a morte do pai eram mantidas pela falta de informações sobre ele em decorrência da apresentação de um comportamento de esquiva da mãe quando o cliente solicitava tais informações.(AU)

Participated in the therapeutic process a six-year-old male child, who was brought to the clinic by his mother. The main complaint was related to the boy's questions about how his father died. The father committed suicide when the boy was two years old due to a long period of illness. The client's questions about how the father had died were reported by the mother as a source of distress for her, as she did not know if she should tell him. With this, the main therapeutic goal was to increase the client's knowledge about the father. Mother intervention sessions were also planned. The content of the questions about the father and the responses of the mother was taken as the behavioral measures observed. Overall 25 sessions were held, 12 with the child and 13 with the mother. It was observed that the content of the boy's questions shifted focus during the therapeutic process. It was concluded that the client's initial questions regarding the father's death were maintained by the lack of information about him as a result of the mother's evasive behavior when the client requested such information.(AU)

Depression, Attachment and Addiction Problems in Runaway Youths

OBJECTIVES: This study investigated the relationship between depression, attachment and addiction problems in runaway youths. METHODS: We sent a questionnaire package to 187 runaway youths in 18 adolescent shelters. The questionnaire package collected their sociodemographic data and included the Patient Health Questionnaire-9, Inventory of Parent Attachment (IPA), Korean Internet Addiction Self-Scale (K-Scale), Korean version of Alcohol Use Disorders Identification Test, and Korean version of the Fagerström Test for Nicotine Dependence. RESULTS: The percentage of youth with depression was 28.8% (N=54). In the depression group, there were significantly more problematic alcohol users (53.06%, p=.0199) and significantly lower IPA scores (p=.0064). There was a significant negative correlation between depression and a IPA, and significant positive correlation between depression and the K-Scale. CONCLUSION: These results suggest that runaway youths with depression have more problematic alcohol drinking and attachment problems.

Afrontamiento al distrés relacionado con la disfunción eréctil en varones con diabetes mellitus tipo 2 / Coping with erectile dysfunction-related distress in men with type 2 diabetes mellitus

Introducción: los estudios sobre afrontamiento al distrés generado por las dificultades sexuales en personas con diabetes mellitus son escasos. Objetivos: identificar las estrategias de afrontamiento que emplea un grupo de varones con diabetes mellitus tipo 2 frente al distrés generado por la disfunción eréctil, y explorar la relación entre estas estrategias y sus necesidades percibidas y referidas. Métodos: estudio descriptivo, transversal, que combinó metodología cualitativa y cuantitativa, en el que participaron 10 varones con diabetes mellitus tipo 2 y disfunción eréctil secundaria. Los instrumentos utilizados fueron: Escala de Modos de Afrontamiento, de RS Lazarus y S Folkman, Técnica de los 10 Deseos y Entrevista Semi-estructurada. La información cuantitativa se procesó a través de valores absolutos, porcentajes y medias (según dato e instrumento), y la cualitativa a través de la extracción de temas generales, categorías y contenidos. Se realizó triangulación teórica y de fuentes. Los aspectos éticos fueron considerados. Resultados: los sujetos tenían edad media de 51,6 años, nivel escolar superior y medio-superior, y todos fueron residentes en La Habana. Aparecieron divergencias entre las estrategias referidas a través del cuestionario y la entrevista: en el primero los sujetos refirieron con mayor frecuencia la búsqueda de apoyo social (media 1,8), mientras en las entrevistas refirieron mayormente la huida-evitación, a través de estrategias emergentes y coadyuvantes como: el desinterés informacional, la búsqueda de causas externas y la búsqueda de nuevas experiencias. Las necesidades y motivaciones fundamentales se expresaron en el área sexual-marital. Conclusiones: los sujetos utilizaron el manejo emocional como estilo de afrontamiento fundamental frente al distrés relacionado con la disfunción eréctil, a través de la estrategia de huida-evitación. Este hecho, la relevancia otorgada a la sexualidad y otros aspectos discutidos en el artículo, condicionan importantes vulnerabilidades psicosexuales en los sujetos estudiados(AU)

Introduction: the studies on the coping with distress generated by sexual difficulties in diabetes mellitus persons are scanty. Objectives: to identify the coping strategies of a group of men with type 2 diabetes mellitus against the distress generated by erectile dysfunction and to explore the relationship between these strategies and their perceived and referred requirements. Methods: cross sectional and descriptive study combining qualitative and quantitative methods. Ten men with type 2 diabetes mellitus and secondary erectile dysfunction participated in it. The instruments were Coping Modes Scale of RS Lazarus and S. Folkman, Ten-desire technique and semi-structured interview. The quantitative information was processed by using absolute values, percentages and means (according to data or instrument used) and the qualitative one through extracting general topics, categories and contents. Theoretical and source triangulation was carried out. Ethical aspects were taken into consideration. Results: the subjects were 51.6 years-old as average, higher and middle-higher education and all were living in Havana. There were divergences among the strategies mentioned in the questionnaire and the interview in the former, the subjects stated the search for social support more frequently (mean of 1.8) whereas in the latter, they mostly mentioned runaway-avoidance, through emerging and coadjutant strategies such as lack of interest in information, search of external causes and search of new experiences. Fundamental needs and motivations were expressed in the sexual-marital area. Conclusions: the participants used emotional management as a fundamental way of coping with erectile dysfunction distress, through the runaway-avoidance strategy. This event, the importance given to sexuality and other discussed aspects in the article give rise to important psychosexual vulnerabilities in the studied subjects(AU)

Factors Influencing Run Away Impulse in Early Adolescents

PURPOSE: This study carried out a preliminary analysis of available literature and used the ecological approach to define a research hypothesis with focus on individual, family, and school variables related to early adolescents' urge to run away. This study also aimed to examine the influence of each of these variables in order to build a forecast model showing which variables have more influential on early adolescents' urge to run away. METHODS: Materials were collected from 433 male and female fifth- and sixth-grade students at two schools in Gyeonggi Province. Analysis was carried out using SPSS/WIN 18.0. Frequency analysis, chi2-test, t-test, correlation analysis and logistic regression analysis were conducted. RESULTS: The results indicate that personal factors related to runaway impulse are gender and previous runaway attempts, family-related factor family functionality, and school-related factor the area of stress from study. CONCLUSION: Based on the study results as above, individual, family, and school interventions need to be developed.

Predictive Factors of Middle-school Students' Runaway Experience: About Individual, Home and Social Factors

PURPOSE: In recent years, the problem of runaway youths, which is rapidly increasing and worsening in nature, has emerged as a serious problem to individuals, home and the society as a whole. Against this back drop, this study was designed to illuminate the danger signals through extensive analysis of factors influencing the running away of middle-school students and, on this basis, build a forecast model on runaway middle-school students. METHOD: The subjects of this descriptive survey on the causal relation were 592 subjects enrolled in middle schools selected through convenience sampling. The data collected from June 19 to July 19, 2003 were analysed through the SPSS 10.0 program. The differences between the runaway group and the non-runaway group were determined through chi-square and t-test. Also logistic regression analysis was conducted on the basis of the purposeful selection method for constructing the forecast model. RESULT: The findings are as follows: Individual-related factors predicting runaway middle-school students were smoking experience, delinquent experience, psychosomatic symptoms and stress. A home-related factor was attachment to family. A society-related factor was the number of delinquency friends. CONCLUSION: The findings of this study suggest that a broad intervention program should be provided to middle-school students' culture related to runaway group. It is also recommended that a variety of individual, home and society-related programs should be developed for the runaway group.

Predicting Factors on Youth Runaway Impulse / 아동간호학회지

This study is attempted to define risk factor of youth runaway impulse and to structure forecast model through an extensive analysis of the factors influencing the runaway impulse of youth. The subjects were 610 high school students in Seoul and Kyunggido. The collected data was analysed by SAS. The differences between the runaway impulse group and the non-runaway impulse group were subject to chi-square and t-test. Also logistic regression analysis was conducted on the basis of purposeful selection method for constructing the forecast model. The findings are as follows : the major predicting factors of youth runaway impulse are sex(odds ratio=1.886, p=.009), existence of friends of the opposit sex(odds ratio=2.011, p=.007), anti-social personality(odds ratio= 4.953, p=.000), depressive trend(odds ratio= 2.695, p=.000), family structure(odds ratio= 5.381, p=.000), marital relationship(odds ratio =1.893, p=.009) and also between parents and youth(odds ratio=3.877, p=.000), emotional abuse(odds ratio=1.963, p=.003), authoritative controlled rearing(odds ratio=2.135, p=.005) and stress from school(odds ratio=1.924, p=.008). Therefore, the forecast model will be contribute to the nursing intervention for prevention of runaway youth.

Predicting Factors on Youth Runaway Impulse / 아동간호학회지

This study is attempted to define risk factor of youth runaway impulse and to structure forecast model through an extensive analysis of the factors influencing the runaway impulse of youth. The subjects were 610 high school students in Seoul and Kyunggido. The collected data was analysed by SAS. The differences between the runaway impulse group and the non-runaway impulse group were subject to chi-square and t-test. Also logistic regression analysis was conducted on the basis of purposeful selection method for constructing the forecast model. The findings are as follows : the major predicting factors of youth runaway impulse are sex(odds ratio=1.886, p=.009), existence of friends of the opposit sex(odds ratio=2.011, p=.007), anti-social personality(odds ratio= 4.953, p=.000), depressive trend(odds ratio= 2.695, p=.000), family structure(odds ratio= 5.381, p=.000), marital relationship(odds ratio =1.893, p=.009) and also between parents and youth(odds ratio=3.877, p=.000), emotional abuse(odds ratio=1.963, p=.003), authoritative controlled rearing(odds ratio=2.135, p=.005) and stress from school(odds ratio=1.924, p=.008). Therefore, the forecast model will be contribute to the nursing intervention for prevention of runaway youth.