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Nutrients Aug 2019Anorexia nervosa (AN) is an eating disorder often occurring in adolescence. AN has one of the highest mortality rates amongst psychiatric illnesses and is associated...
Anorexia nervosa (AN) is an eating disorder often occurring in adolescence. AN has one of the highest mortality rates amongst psychiatric illnesses and is associated with medical complications and high risk for psychiatric comorbidities, persisting after treatment. Remission rates range from 23% to 33%. Moreover, weight recovery does not necessarily reflect cognitive recovery. This issue is of particular interest in adolescence, characterized by progressive changes in brain structure and functional circuitries, and fast cognitive development. We reviewed existing literature on fMRI studies in adolescents diagnosed with AN, following PRISMA guidelines. Eligible studies had to: (1) be written in English; (2) include only adolescent participants; and (3) use block-design fMRI. We propose a pathogenic model based on normal and AN-related neural and cognitive maturation during adolescence. We propose that underweight and delayed puberty-caused by genetic, environmental, and neurobehavioral factors-can affect brain and cognitive development and lead to impaired cognitive flexibility, which in turn sustains the perpetuation of aberrant behaviors in a vicious cycle. Moreover, greater punishment sensitivity causes a shift toward punishment-based learning, leading to greater anxiety and ultimately to excessive reappraisal over emotions. Treatments combining physiological and neurobehavioral rationales must be adopted to improve outcomes and prevent relapses.
Topics: Adolescent; Adolescent Behavior; Adolescent Development; Age Factors; Anorexia Nervosa; Brain; Cognition; Cognition Disorders; Feeding Behavior; Female; Humans; Magnetic Resonance Imaging; Mental Health; Puberty, Delayed; Recovery of Function; Risk Factors; Sex Factors; Treatment Outcome
PubMed: 31443192
DOI: 10.3390/nu11081907 -
International Journal of Environmental... Nov 2022There is growing debate in the parenting literature as to whether using physical punishment to discipline children is an effective strategy or leads to the development... (Review)
Review
There is growing debate in the parenting literature as to whether using physical punishment to discipline children is an effective strategy or leads to the development of aggressive behaviors and other antisocial attributes. The aim of the current literature review is to examine the association between harsh physical discipline and the development of externalizing behaviors in children, as well as the suggested moderators of this relationship. Secondly, the findings regarding the effects of harsh physical discipline on children's educational outcomes are reviewed. Articles were selected from relevant databases while maintaining an inclusion and exclusion criteria, with a total of 22 articles included in this review. Strong associations between parental corporal punishment and a range of child behaviors were indicated by the literature, and cultural normativeness was implicated as a moderator of these effects. Results regarding the role of parental warmth as a moderator did not provide a firm conclusion. Finally, the findings suggest that when a child is subjected to physical discipline in the home, their life at school may be adversely affected by impaired cognitive performance, peer isolation, and behavioral problems. The primary limitation of the studies reviewed is the use of self-report data and correlational analyses, ruling out the possibility of inferring causal relations. Nonetheless, the results indicate the necessity of encouraging parents and caregivers to avoid physical punishment as a disciplinary tactic while providing them with the tools to explore alternative practices.
Topics: Child; Humans; Punishment; Parenting; Aggression; Problem Behavior; Schools
PubMed: 36361265
DOI: 10.3390/ijerph192114385 -
Organized crime groups: A systematic review of individual-level risk factors related to recruitment.Campbell Systematic Reviews Mar 2022Studies from multiple contexts conceptualize organized crime as comprising different types of criminal organizations and activities. Notwithstanding growing scientific... (Review)
Review
BACKGROUND
Studies from multiple contexts conceptualize organized crime as comprising different types of criminal organizations and activities. Notwithstanding growing scientific interest and increasing number of policies aiming at preventing and punishing organized crime, little is known about the specific processes that lead to recruitment into organized crime.
OBJECTIVES
This systematic review aimed at (1) summarizing the empirical evidence from quantitative, mixed methods, and qualitative studies on the individual-level risk factors associated with the recruitment into organized crime, (2) assessing the relative strength of the risk factors from quantitative studies across different factor categories and subcategories and types of organized crime.
METHODS
We searched published and unpublished literature across 12 databases with no constraints as to date or geographic scope. The last search was conducted between September and October 2019. Eligible studies had to be written in English, Spanish, Italian, French, and German.
SELECTION CRITERIA
Studies were eligible for the review if they: Reported on organized criminal groups as defined in this review.Investigated recruitment into organized crime as one of its main objectives.Provided quantitative, qualitative, or mixed methods empirical analyses.Discussed sufficiently well-defined factors leading to recruitment into organized crime.Addressed factors at individual level.For quantitative or mixed-method studies, the study design allowed to capture variability between organized crime members and non-members.
DATA COLLECTION AND ANALYSIS
From 51,564 initial records, 86 documents were retained. Reference searches and experts' contributions added 116 additional documents, totaling 202 studies submitted to full-text screening. Fifty-two quantitative, qualitative, or mixed methods studies met all eligibility criteria. We conducted a risk-of-bias assessment of the quantitative studies while we assessed the quality of mixed methods and qualitative studies through a 5-item checklist adapted from the CASP Qualitative Checklist. We did not exclude studies due to quality issues. Nineteen quantitative studies allowed the extraction of 346 effect sizes, classified into predictors and correlates. The data synthesis relied on multiple random effects meta-analyses with inverse variance weighting. The findings from mixed methods and qualitative studied were used to inform, contextualize, and expand the analysis of quantitative studies.
RESULTS
The amount and the quality of available evidence were weak, and most studies had a high risk-of-bias. Most independent measures were correlates, with possible issues in establishing a causal relation with organized crime membership. We classified the results into categories and subcategories. Despite the small number of predictors, we found relatively strong evidence that being male, prior criminal activity, and prior violence are associated with higher odds of future organized crime recruitment. There was weak evidence, although supported by qualitative studies, prior narrative reviews, and findings from correlates, that prior sanctions, social relations with organized crime involved subjects, and a troubled family environment are associated with greater odds of recruitment.
AUTHORS' CONCLUSIONS
The available evidence is generally weak, and the main limitations were the number of predictors, the number of studies within each factor category, and the heterogeneity in the definition of organized crime group. The findings identify few risk factors that may be subject to possible preventive interventions.
PubMed: 36913220
DOI: 10.1002/cl2.1218 -
International Journal of Environmental... Dec 2021This rapid systematic review describes violence and health outcomes among child domestic workers (CDWs) taken from 17 studies conducted in low- and middle-income... (Review)
Review
This rapid systematic review describes violence and health outcomes among child domestic workers (CDWs) taken from 17 studies conducted in low- and middle-income countries. Our analysis estimated the median reported rates of violence in CDWs aged 5-17-year-olds to be 56.2% (emotional; range: 13-92%), 18.9% (physical; range: 1.7-71.4%), and 2.2% (sexual; range: 0-62%). Both boys and girls reported emotional abuse and sexual violence with emotional abuse being the most common. In Ethiopia and India, violence was associated with severe physical injuries and sexual insecurity among a third to half of CDWs. CDWs in India and Togo reported lower levels of psycho-social well-being than controls. In India, physical punishment was correlated with poor psycho-social well-being of CDWs [OR: 3.6; 95% CI: 3.2-4; < 0.0001]. Across the studies, between 7% and 68% of CDWs reported work-related illness and injuries, and one third to half had received no medical treatment. On average, children worked between 9 and 15 h per day with no rest days. Findings highlight that many CDWs are exposed to abuse and other health hazards but that conditions vary substantially by context. Because of the often-hidden nature of child domestic work, future initiatives will need to be specifically designed to reach children in private households. Young workers will also benefit from strategies to change social norms around the value and vulnerability of children in domestic work and the long-term implications of harm during childhood.
Topics: Child; Child Abuse; Domestic Violence; Family; Family Characteristics; Female; Humans; Male; Sex Offenses; Violence
PubMed: 35010705
DOI: 10.3390/ijerph19010427 -
Journal of Preventive Medicine and... Mar 2017We performed a systematic review to assess and aggregate the available evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient... (Review)
Review
OBJECTIVES
We performed a systematic review to assess and aggregate the available evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents (DPSI).
METHODS
We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this systematic review and searched PubMed, Scopus, and the Cochrane Library for English articles published between 1990 and 2014. Two authors independently conducted the title screening and abstract review. Ninety-nine articles were selected for full-text reviews. One author extracted the data and another verified them.
RESULTS
There was considerable variation in the reported frequency of DPSI among medical professionals. The main expected effects of DPSI were decreased intention of the general public to file medical lawsuits and punish medical professionals, increased credibility of medical professionals, increased intention of patients to revisit and recommend physicians or hospitals, higher ratings of quality of care, and alleviation of feelings of guilt among medical professionals. The obstacles to DPSI were fear of medical lawsuits and punishment, fear of a damaged professional reputation among colleagues and patients, diminished patient trust, the complexity of the situation, and the absence of a patient safety culture. However, the factors facilitating DPSI included the creation of a safe environment for reporting patient safety incidents, as well as guidelines and education for DPSI.
CONCLUSIONS
The reported frequency of the experience of the general public with DPSI was somewhat lower than the reported frequency of DPSI among medical professionals. Although we identified various expected effects of DPSI, more empirical evidence from real cases is required.
Topics: Databases, Factual; Humans; Medical Errors; Patient Safety; Physicians
PubMed: 28372351
DOI: 10.3961/jpmph.16.105 -
Frontiers in Psychology 2024Corporal punishment is believed to precede various forms of violent behavior, yet prior research has yielded inconsistent findings, partly due to variations in violent...
Corporal punishment is believed to precede various forms of violent behavior, yet prior research has yielded inconsistent findings, partly due to variations in violent types and other factors. This meta-analysis systematically reviewed 35 studies including 144 effect sizes (comprising a total sample size of 159,213) investigating the association between corporal punishment and a spectrum of violent behaviors called Violent Behavior Spectrum (VBS). Additionally, meta-regressions were conducted to explore the moderating impact of punishment severity, violence type and cultural context. Our findings indicated a significant positive relationship between corporal punishment and VBS ( = 0.238, 95%, CI [0.176, 0.300]). Notably, punishment severity was found to influence the strength of this association. Namely, The more severe the corporal punishment, the more likely it is to lead to VBS. These results enhance our understanding of the intricate connection between corporal punishment and various forms of violence, providing valuable insights for both parenting practices and policy development.
PubMed: 38384354
DOI: 10.3389/fpsyg.2024.1323784 -
The Cochrane Database of Systematic... Aug 2016Corruption is the abuse or complicity in abuse, of public or private position, power or authority to benefit oneself, a group, an organisation or others close to... (Review)
Review
BACKGROUND
Corruption is the abuse or complicity in abuse, of public or private position, power or authority to benefit oneself, a group, an organisation or others close to oneself; where the benefits may be financial, material or non-material. It is wide-spread in the health sector and represents a major problem.
OBJECTIVES
Our primary objective was to systematically summarise empirical evidence of the effects of strategies to reduce corruption in the health sector. Our secondary objective was to describe the range of strategies that have been tried and to guide future evaluations of promising strategies for which there is insufficient evidence.
SEARCH METHODS
We searched 14 electronic databases up to January 2014, including: CENTRAL; MEDLINE; EMBASE; sociological, economic, political and other health databases; Human Resources Abstracts up to November 2010; Euroethics up to August 2015; and PubMed alerts from January 2014 to June 2016. We searched another 23 websites and online databases for grey literature up to August 2015, including the World Bank, the International Monetary Fund, the U4 Anti-Corruption Resource Centre, Transparency International, healthcare anti-fraud association websites and trial registries. We conducted citation searches in Science Citation Index and Google Scholar, and searched PubMed for related articles up to August 2015. We contacted corruption researchers in December 2015, and screened reference lists of articles up to May 2016.
SELECTION CRITERIA
For the primary analysis, we included randomised trials, non-randomised trials, interrupted time series studies and controlled before-after studies that evaluated the effects of an intervention to reduce corruption in the health sector. For the secondary analysis, we included case studies that clearly described an intervention to reduce corruption in the health sector, addressed either our primary or secondary objective, and stated the methods that the study authors used to collect and analyse data.
DATA COLLECTION AND ANALYSIS
One review author extracted data from the included studies and a second review author checked the extracted data against the reports of the included studies. We undertook a structured synthesis of the findings. We constructed a results table and 'Summaries of findings' tables. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess the certainty of the evidence.
MAIN RESULTS
No studies met the inclusion criteria of the primary analysis. We included nine studies that met the inclusion criteria for the secondary analysis.One study found that a package of interventions coordinated by the US Department of Health and Human Services and Department of Justice recovered a large amount of money and resulted in hundreds of new cases and convictions each year (high certainty of the evidence). Another study from the USA found that establishment of an independent agency to investigate and enforce efforts against overbilling might lead to a small reduction in overbilling, but the certainty of this evidence was very low. A third study from India suggested that the impacts of coordinated efforts to reduce corruption through increased detection and enforcement are dependent on continued political support and that they can be limited by a dysfunctional judicial system (very low certainty of the evidence).One study in South Korea and two in the USA evaluated increased efforts to investigate and punish corruption in clinics and hospitals without establishing an independent agency to coordinate these efforts. It is unclear whether these were effective because the evidence is of very low certainty.One study from Kyrgyzstan suggested that increased transparency and accountability for co-payments together with reduction of incentives for demanding informal payments may reduce informal payments (low certainty of the evidence).One study from Germany suggested that guidelines that prohibit hospital doctors from accepting any form of benefits from the pharmaceutical industry may improve doctors' attitudes about the influence of pharmaceutical companies on their choice of medicines (low certainty of the evidence).A study in the USA, evaluated the effects of introducing a law that required pharmaceutical companies to report the gifts they gave to healthcare workers. Another study in the USA evaluated the effects of a variety of internal control mechanisms used by community health centres to stop corruption. The effects of these strategies is unclear because the evidence was of very low certainty.
AUTHORS' CONCLUSIONS
There is a paucity of evidence regarding how best to reduce corruption. Promising interventions include improvements in the detection and punishment of corruption, especially efforts that are coordinated by an independent agency. Other promising interventions include guidelines that prohibit doctors from accepting benefits from the pharmaceutical industry, internal control practices in community health centres, and increased transparency and accountability for co-payments combined with reduced incentives for informal payments. The extent to which increased transparency alone reduces corruption is uncertain. There is a need to monitor and evaluate the impacts of all interventions to reduce corruption, including their potential adverse effects.
Topics: Controlled Before-After Studies; Cross-Sectional Studies; Fraud; Germany; Guidelines as Topic; Health Care Sector; Humans; India; Kyrgyzstan; Law Enforcement; Reimbursement Mechanisms; Republic of Korea; Social Responsibility; United States
PubMed: 27528494
DOI: 10.1002/14651858.CD008856.pub2 -
Neuroscience and Biobehavioral Reviews Nov 2022Prosocial behaviour is fundamental for our social togetherness. Yet, how acute stress, a common everyday occurrence, influences our behaviours towards one another is... (Meta-Analysis)
Meta-Analysis Review
Prosocial behaviour is fundamental for our social togetherness. Yet, how acute stress, a common everyday occurrence, influences our behaviours towards one another is still unclear. In this systematic review and meta-analysis, we aimed to quantitatively investigate the effect of experimentally induced acute stress on prosocial behaviours in economic games. We also probed possible moderators to explain differences in findings. We included 23 studies, 77 individual effects, and 2197 participants in the meta-analysis and found no overall differences between stress and control groups in prosocial behaviours (SMD=-0.06), or costly punishment (SMD=-0.11). There were no moderating effects of stressor type, participants' gender/sex, or the delay from the stressor to the task. However, the potential recipient of the donated money (person vs. charity) and the complexity of the decision did reveal some differences under stress. The results of this meta-analysis suggest that there is currently no clear answer to the question of whether or not stress increases or decreases prosociality. We highlight important open questions and suggest where the field should go next.
Topics: Humans; Social Behavior; Altruism
PubMed: 36228924
DOI: 10.1016/j.neubiorev.2022.104905 -
International Journal of Mental Health... Oct 2022Seclusion is used in forensic and general mental health settings to protect a person or others from harm. However, seclusion can result in trauma-related harm and... (Review)
Review
Seclusion is used in forensic and general mental health settings to protect a person or others from harm. However, seclusion can result in trauma-related harm and re-traumatization with little known about the experience of seclusion for consumers in forensic mental health settings from their perspectives. This article explores consumer experiences of seclusion in forensic mental health settings and explores the differences between female and male experiences of seclusion. Five electronic databases were systematically searched using keywords and variations of experience, attitude, seclusion, coercion, forensic mental health, and forensic psychiatry. Inclusion criteria were original peer-reviewed studies conducted in adult forensic mental health settings reporting data on the experiences of or attitudes towards seclusion. Seven studies met the criteria for inclusion and a quality assessment was undertaken. Results found consumers in forensic mental health settings perceive seclusion to be harmful, a punishment for their behaviour, and largely a negative experience that impacts their emotional health. Some consumers report positive experiences of seclusion. Differences in the experience of seclusion for females and males are unclear. Further research is required to understand the experience of seclusion for women in forensic mental health settings. Identification and consideration of differences in the experience of seclusion for males and females may assist in identifying sex-specific interventions and may inform policy and practices to eliminate or reduce the trauma associated with seclusion use.
Topics: Adult; Female; Forensic Psychiatry; Humans; Male; Mental Disorders; Mental Health; Patient Isolation; Restraint, Physical
PubMed: 35384224
DOI: 10.1111/inm.13002 -
Reproductive Health Jul 2022Housemaids often experience different types of sexual violence by different perpetrators. Sexual violence against housemaids remains usually concealed as victims cannot... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Housemaids often experience different types of sexual violence by different perpetrators. Sexual violence against housemaids remains usually concealed as victims cannot report such offenses. Except for fragmented studies with varying reports, there is no national prevalence studies conducted on sexual violence among housemaids in Ethiopia. Thus, this systematic review and meta-analysis aimed to determine the pooled prevalence and associated factors of sexual violence amongst housemaids in Ethiopia.
METHODS
A systematic search of PubMed, Embase, Science Direct, HINARI, Scopus, Cochrane Library, and Google Scholar was conducted using relevant search terms. Data were extracted using the Joanna Briggs Institute (JBI) tool. The quality of all selected articles was evaluated using JBI critical appraisal checklist. Data analysis was performed using STATA Version 14 statistical software. Egger's test and funnel plot were used to evaluate publication bias. Heterogeneity was assessed using Cochran's chi-squared test and quantified by I values. A random-effects model was applied during meta-analysis if heterogeneity was exhibited; otherwise, a fixed-effects model was used.
RESULTS
After reviewing 37,849 articles, 8 studies involving 3,324 housemaids were included for this systematic review and meta-analysis. The pooled prevalence of life time sexual violence among housemaids in Ethiopia was 46.26% (95% CI: 24.69, 67.84). The pooled prevalence was 55.43% (95% CI: 26.38, 84.47) for sexual harassment, 39.03% (95% CI: 14.55, 63.52) for attempted rape, and 18.85% (95% CI: 7.51, 30.19) for rape. Sexual violence is more likely among housemaid who previously lived rural residence (AOR = 2.25; 95% CI: 1.41, 3.60), drinks alcohol (AOR = 2.79 95% CI: 1.02, 4.56), and employer alcohol consumption (AOR = 6.01; 95% CI: 1.10, 32.96).
CONCLUSION
This study revealed that the prevalence of sexual violence against housemaids in Ethiopia is high. Of the forms of sexual violence against housemaids, sexual harassment is high. Male employers are the vast majority of perpetrators of their housemaids. Thus, concerned stakeholders should develop and implement interventions that could empower housemaids in their struggle toward the elimination of sexual violence, create awareness for men, control and monitor the implementation of legislation and policies, and prompt punishment of the perpetrators. Systematic review and meta-analysis registration PROSPERO CRD42021160511.
Topics: Cross-Sectional Studies; Ethiopia; Humans; Male; Prevalence; Sex Offenses; Sexual Harassment
PubMed: 35854381
DOI: 10.1186/s12978-022-01470-2