Pubertal status/stage of maturation and pubertal timing have been linked with emotional symptoms of problems among youth, particularly in vulnerable developmental contexts at risk for stress exposure. The present study tested the extent to which pubertal status/stage of maturation and pubertal timing were associated with anxious/depressed, withdrawn/depressed, and somatic complaint symptoms in Kosovar adolescents. It also tested whether sex moderated these relationships. Data were collected from N = 1,342 Kosovar adolescents (665 girls; M age = 13.26 years, SD = 1.27; 677 boys M age = 13.19 years, SD = 1.31). Regression analyses provided evidence that pubertal status/stage was positively associated with rates of anxious/depressed, withdrawn/depressed, and somatic complaint symptoms in girls, but only with withdrawn/depressed symptoms in boys. Additionally, pubertal timing was positively associated with anxious/depressed, and somatic complaint symptoms in girls; no significant links were found for boys. The present study provided evidence that advanced pubertal status/stage as well as timing is positively associated with internalizing symptoms in girls; however, only pubertal status/stage was positively associated with withdrawn/depressed symptoms in boys. The study highlights the importance of pubertal development for internalizing symptoms in a developmental context known for high stress exposure, particularly for girls.

• Publikační typ
• časopisecké články MeSH

The present study tested the links between perceived maternal and paternal parenting and internalizing and externalizing problems across ten cultures (China, Czech Republic, Hungary, the Netherlands, Slovenia, Spain, Switzerland, Taiwan, Turkey, and the United States). Self-report data were collected from N = 12,757 adolescents (Mage = 17.13 years, 48.4% female). Multigroup confirmatory factor analyses and structural equation models tested whether: (1) the six parenting processes (closeness, support, monitoring, communication, peer approval, and conflict; Adolescent Family Process, Short Form (AFP-SF, 18 items) varied across cultures, and (2) the links between parenting processes and measures of internalizing and externalizing problems varied across cultures. Study findings indicated measurement invariance (configural and metric) of both maternal and paternal parenting processes and that the parenting-internalizing/externalizing problems links did not vary across cultures. Findings underscore the ubiquitous importance of parenting processes for internalizing and externalizing problems across diverse Asian, European, Eurasian, and North American cultures.

• MeSH
• lidé MeSH
• mladiství MeSH
• otcové MeSH
• průzkumy a dotazníky MeSH
• rodičovství * MeSH
• srovnání kultur * MeSH
• vyrovnaná skupina MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Spojené státy americké MeSH

OBJECTIVE: Although clinical studies suggest that bulimia symptoms are common in youth, research on the prevalence of such symptoms and of their association with comorbid internalizing problems in the general population has been limited. This study aimed to evaluate the gender-specific prevalence of bulimia symptoms in Czech youth and explored the association between a clinical level of self-reported bulimia symptoms (CLBS) and internalizing problems by gender, controlling for age, socio-economic status and puberty status. METHOD: The study was conducted on a representative national sample of Czech youth (N = 4430, 57.0% female) using self-report scales. Multivariate analysis of covariance (MANCOVA) was used to examine the associations. RESULTS: The 3-month CLBS prevalence was higher in girls (11.4%) than in boys (3.8%) and in both genders a CLBS was associated with higher levels of comorbid internalizing problems. DISCUSSION: Timely recognition of bulimia symptoms and associated risk factors is important for early prevention and intervention strategies. LEVEL OF EVIDENCE: V, cross-sectional descriptive study (according to Oxford (UK) CEBM Levels of Evidence, 2011).

• MeSH
• bulimia * epidemiologie   MeSH
• lidé MeSH
• mladiství MeSH
• prevalence MeSH
• průřezové studie MeSH
• zpráva o sobě MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

BACKGROUND: While risk factors for children's internalizing and externalizing symptom trajectories have been widely studied, their association with parental depressive symptom trajectories has yet to be explored. METHODS: We used data from a prospective birth cohort of 2,542 Czech children and their parents. Children reported internalizing and externalizing symptoms at ages 11, 15, and 18 years. Parental depressive symptoms were assessed eight times from the prenatal period to the child's age of 11 years. Latent Class Growth Mixture Modeling identified parallel trajectories of children's symptoms. Five parental depressive symptom trajectories were adopted from previous research. RESULTS: We identified four distinct classes of children's symptom trajectories: (1) low internalizing and low externalizing (64%), (2) low internalizing and high externalizing (8%), (3) elevated internalizing and elevated externalizing (19%), and (4) high internalizing and elevated externalizing symptoms (9%). Children were more likely to experience any symptoms if their mothers had elevated depressive symptoms. High maternal and paternal depressive symptoms were associated with high internalizing and elevated externalizing symptoms in children. Constantly depressed mothers with elevated depressive symptoms in fathers had a high likelihood of any symptom trajectories in children. Other strong predictors of children's symptom trajectories included parental relationship status (e.g., divorce), prior abortion, as well as children's sex, urban versus rural residence, stressful life events, and self-esteem. CONCLUSIONS: Parents' and children's mental health trajectories are interconnected. Given the strong influence of parental relationship dynamics on both parental and child mental health, interventions should prioritize mitigating relationship strains to support family well-being.

• MeSH
• behaviorální symptomy * epidemiologie   MeSH
• deprese * psychologie   epidemiologie   MeSH
• dítě postižených rodičů * psychologie   statistika a číselné údaje   MeSH
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• mladiství MeSH
• prospektivní studie MeSH
• rizikové faktory MeSH
• rodiče * psychologie   MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

INTRODUCTION: The current study tested the longitudinal bidirectional links between changes in sleep quality and two measures of internalizing problems, depressive and anxiety symptoms, and whether these links differed between males and females. METHODS: Longitudinal data were collected from 570 early adolescents (58.6% female; Mage = 12.43 years, SD = 0.66 at Time 1) who were assessed four times over the course of 1.5 years. RESULTS: Cross-lagged panel models were hypothesized and tested the bidirectional links between sleep quality and both depressive and anxiety symptoms; multigroup tests were used to test for sex differences. Sleep quality and developmental changes in sleep quality were negatively associated with developmental changes in depressive symptoms as well as anxiety symptoms over time, and vice versa. These associations did not differ between male and female early adolescents. CONCLUSIONS: Study findings provide evidence that the relationship between poor sleep quality and depressive symptoms as well as anxiety symptoms are likely bidirectional and consistently intertwined. Clinicians might consider both problems to better guide case conceptualization and treatment.

• MeSH
• deprese komplikace   epidemiologie   MeSH
• dítě MeSH
• kvalita spánku * MeSH
• lidé MeSH
• longitudinální studie MeSH
• mladiství MeSH
• poruchy iniciace a udržování spánku * epidemiologie   MeSH
• spánek MeSH
• úzkost komplikace   epidemiologie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Background: Although the association between somatic complaints and internalizing problems (anxiety, somatic anxiety and depression) is well established, it remains unclear whether the pattern of this relationship differs by gender and in different cultures. The aim of this study was to examine cross-cultural and gender-specific differences in the association between somatic complaints and internalizing problems in youth from the Czech Republic and Russia. Methods: The Social and Health Assessment, a self-report survey, was completed by representative community samples of adolescents, age 12-17 years, from the Czech Republic (N = 4770) and Russia (N = 2728). Results: A strong association was observed between somatic complaints and internalizing psychopathology. Although the levels of internalizing problems differed by country and gender, they increased together with and largely in a similar way to somatic complaints for boys and girls in both countries. Conclusion: The association between somatic symptoms and internalizing problems seems to be similar for boys and girls across cultures.

• MeSH
• dítě MeSH
• duševní poruchy epidemiologie   MeSH
• lidé MeSH
• městské obyvatelstvo * statistika a číselné údaje   MeSH
• mladiství MeSH
• pacienti bez organického nálezu * MeSH
• srovnání kultur * MeSH
• zpráva o sobě MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Česká republika MeSH
• Rusko MeSH

Cieľom predkladanej štúdie bolo zistiť, či aktuálna reprezentácia vzťahovej väzby k matke predikuje internalizujúce problémy u detí v strednom detstve, a či sú modely genderovo-špecifické. Výskumnú vzorku tvorilo 151 detí vo veku 9-12 rokov, ktorým sme administrovali dotazníky Škála istoty, Škála zjavnej anxiety pre deti CMAS, Škála klasickej sociálne-situačnej anxiety KSAT a Sebaposudzovacia škála depresivity pre deti CDI. S využitím lineárnej regresnej analýzy sme zistili, že bezpečná reprezentácia väzby k matke významne negatívne predikuje výskyt internalizujúcich problémov u detí v strednom detstve, s výnimkou sociálnej anxiety, a to bez ohľadu na pohlavie detí. Genderovo-špecifické vzorce predikcie sme zaznamenali len v prípade dvoch symptómov depresivity (Zlá nálada a Anhedónia). Výsledky sú v súlade s teoretickými a empirickými predpokladmi a naznačujú, že kvalita vzťahovej väzby k matke je dôležitým faktorom adaptívneho vývinu aj u detí v strednom detstve.

Problem: The current study examines the relationship between the representation of attachment relationship with mother and internalizing problems in the developmental period of middle childhood. The purpose of the study was to analyze whether the quality of attachment predicts the intensity and seriousness of internalizing problems in middle childhood; and to examine whether the models are gender-specific. Methods: Participants in this study were 151 children aged 9-12 (M = 11.21), 77 boys and 74 girls, recruited from elementary schools in Nitra region. Children completed measures assessing the quality of attachment representation of the relationship with mother (selfreport questionnaire Security Scale), the tendency to react anxiously (self-report questionnaire Childen´s Manifest Anxiety Scale – CMAS), social anxiety (self-report questionnaire Scale of Classical Social Situational Anxiety – KSAT) and depression (self-report questionnaire Children´s Depression Inventory – CDI). Results: Regression analysis indicated that secure attachment representation is a significant negative predictor of children's internalizing problems – manifest anxiety (ß = -.324, p < .001), the total of depression symptoms (ß = -.377, p < .001) and all of the subcategories of depressive symptomathology (ß = -.230, p < .01 for Negative Mood; ß = -.253, p < .01 for Interpersonal Problems; ß = -.316, p < .001 for Inefectiveness; ß = .215, p < .01 for Anhedonia; and ß = -.461, p < .001 for Negative Self Esteem), except for social anxiety (ß = -.035, p = .717). The overall variance explained by attachment security ranged 4.6 to 21.3%. Results suggest that children, who perceive their mother as available and responsive in the situation of distress, are less prone to develop anxiety and depression. Small to middle effect size of the quality of attachment relationship indicates that attachment to mother is only one of the risk factors of internalizing behavior in middle chidlhood. Regression analysis revealed some gender-specific models according to the associations between attachment to mother and internalizing problems in boys and girls. In the sample of boys, negative mood and anhedony was not predicted by attachment to mother (ß = -.176, p > 0.05 and ß = -.194, p > 0.05, respectively), but in the sample of girls, secure attachment representation was a significant negative predictor of both depressive symptoms (ß = -.296, p < .05 for Negative Mood; and ß = -.285, p < .05 for Anhedony). Other models, except for social anxiety, were statistically significant for both samples. In the sample of girls, the predictor accounted for 26.3% of variance in Negative Self Esteem (ß = -.512; p < .001), 18.9% of variance of the total of depression symptoms (ß = -.435; p < .001), 10.9% of variance in Ineffectiveness (ß = -.331; p < .05) and 10.5% of variance in manifest anxiety (ß = -.324; p < .05). The results were similar for the sample of boys. Attachment security accounted for 17.4% of variance in Negative Self Esteem (ß = -.435; p < .001), 11.3% of variance of the total of depression symptoms (ß = -.377; p < .05) and 10.5% of variance in manifest anxiety (ß = -.332; p < .05). Representation of attachment relationship with mother accounted for less then 10% of variance when predicitng Negative Mood, Anhedony and Interpersonal Problems in both samples, and in addition Inefectiveness only in boys. Additional statistical analyses revealed that regression coefficients across models did not differ. Results suggest that mother is still a primary attachment figure in middle childhood for both, boys and girls, but the quality of attachment to father can also be an important factor of particular adaptive behavior, especially in boys. Because of lack of knowledge and empirical evidence, the future research in the field of gender-specific models of adjustment in middle childhood is needed. Discussion: When interpreting the results of this investigation, it is important to be aware of several limitations. The methodics used in the study are all based on the subjective self-report. The character of the assessment can lead to the tendency to react according to the social expectations. In future studies, it would be beneficial to gather reports about the internalizing problems from children as well as from significant others, and to use multiple attachment assessment (e.g. the combination of questionnaires and projective techniques. Conclusion: We can conclude that attachment representation to mother is an important factor of adaptive development in middle childhood. Our results are in concordance with attachment theory and empirical evidence of associations between violated confidence of availability of attachment figure resulting in insecure attachment representation and maladjustment.

• MeSH
• deprese * klasifikace   psychologie   MeSH
• dítě MeSH
• empirický výzkum MeSH
• lidé MeSH
• muži psychologie   MeSH
• osobnostní dotazník statistika a číselné údaje   MeSH
• osobnostní testy statistika a číselné údaje   MeSH
• připoutání k objektu MeSH
• úzkost * klasifikace   psychologie   MeSH
• vývoj dítěte MeSH
• vztahy mezi matkou a dítětem * psychologie   MeSH
• ženy psychologie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH

OBJECTIVES: The current study tested the extent to which the neighborhood context influenced Roma youth adjustment (internalizing and externalizing problems, and academic competence) and whether ethnicity moderated these links and explained unique variance. METHODS: Cross-sectional data were collected from 369 Roma and non-Roma early and middle adolescents. RESULTS: Roma youth reported significantly lower SES, school grades, and academic aspirations. Perceived fear or concerns about neighborhood safety predicted all three internalizing problems, for both Roma and non-Roma adolescents; neighborhood acquaintanceship density and nighttime social activities predicted externalizing behaviors, for both ethnic groups; and finally, both ethnicity and nighttime social activities predicted school grades, while only ethnicity predicted academic aspirations. No significant by ethnicity interaction effects were found. CONCLUSIONS: Roma youth reported lower grades and academic aspirations, but no mean level differences were found in internalizing or externalizing problems by ethnicity. On the other hand, neighborhood variables were important for both groups of youth, and with the exception of measures of academic competence, ethnicity did not explain unique variance. Thus, developmental processes, the links between neighborhood variables and measures of adjustment, were highly similar in Roma and non-Roma youth.

• MeSH
• běloši psychologie   MeSH
• charakteristiky bydlení * MeSH
• chování mladistvých psychologie   MeSH
• etnicita psychologie   MeSH
• lidé MeSH
• mladiství MeSH
• průřezové studie MeSH
• Romové psychologie   MeSH
• sociální chování * MeSH
• stupeň vzdělání * MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• srovnávací studie MeSH
• Geografické názvy
• Česká republika MeSH

Cieľom výskumu bolo prvotné overenie psychometrických charakteristík slovenského prekladu Skríningov internalizujúceho (YIBS) a externalizujúceho (YEBS) správania mládeže. Výskumný súbor tvorilo 526 žiakov základných a stredných škôl vo veku 10 až 19 rokov (M = 12,81; SD = 2,00). Koeficienty reliability pre YIBS (ω = 0,87) aj YEBS (ω = 0,81) nadobúdajú uspokojivé hodnoty. Stredne silný vzťah bol zistený medzi školskou začlenenosťou a mierou internalizujúcich (rs = – 0,44; p ˂ 0,001) aj externalizujúcich symptómov (rs = – 0,30; p ˂ 0,001). Výsledky konfirmačnej faktorovej analýzy podporili dvojfaktorovú štruktúru dotazníka YIBS merajúceho úzkosť a depresiu. Hodnoty indikátorov v prípade YEBS boli na hranici akceptovateľnosti pre prijatie trojfaktorového modelu (problémové správanie, hyperaktivita, problémy s pozornosťou) až po identifikovaní a odstránení jednej problematickej položky. Výsledky overovania slovenského prekladu metód poukazujú na uspokojivé psychometrické charakteristiky dotazníka YIBS a zároveň na potrebu reformulácie problematickej položky v škále YEBS.

The aim of the study was an initial investigation of the psychometric properties of the Slovak version of the Youth Internalizing Behavior Screener (YIBS) and Youth Externalizing Behavior Screener (YEBS). The sample consisted of 526 10– to 19-year-old students of primary and secondary schools (M = 12.81; SD = 2.00). Both measures, YIBS (ω = 0.87) and YEBS (ω = 0.81) had satisfactory reliability coefficients. Medium-to-large associations were found between school membership and internalizing (rs = – 0.44; p ˂ 0.001) as well as externalizing behaviors (rs = – 0.30; p ˂ 0.001). Findings from confirmatory factor analysis supported the two-factor structure of YIBS, measuring symptoms of anxiety and depression. Findings for YEBS were barely acceptable to support the three-factor measurement model (conduct problems, hyperactivity, attention problems) only after the identification and removal of a problematic item. The results of the investigation of psychometric properties of methods provide satisfactory evidence in favour of the Slovak version of the YIBS while addressing the need for rewording of the problematic YEBS item.

Ambulantní interna jako jeden ze stěžejních oborů medicíny čelí řadě ekonomických a personálních problémů a dlouhodobá perspektiva oboru je nejistá. Nepodaří li se nám situaci v dohledné době změnit, není vyloučeno, že se obor stane marginálním. Přinášíme proto zamyšlení nad současnou situací a nad způsoby, jak se tyto neveselé vyhlídky pokusit změnit.

Outpatient internal medicine clinics as a key providers of health care are not in their best shape and are facing up to range of economical as well as staffing issues. If current status does not change, outpatient internal medicine can become marginal field of medicine. Article offers analysis of current situation and possible means of change.

• Klíčová slova
• interní ambulance, výkony,
• MeSH
• vnitřní lékařství * ekonomika   organizace a řízení   statistika a číselné údaje   MeSH