Tag Archives: science

Soft skills are crucial for college and life success

23 May

Whether or not students choose college or vocational training at the end of their high school career, our goal as a society should be that children should be “college ready.” David T. Conley writes in the ASCD article, What Makes a Student College Ready? http://www.ascd.org/publications/educational-leadership/oct08/vol66/num02/What-Makes-a-Student-College-Ready%C2%A2.aspxhttps://drwilda.com/2012/10/06/many-not-ready-for-higher-education/

Caralee J. Adams reports in the Education Week article, ‘Soft Skills’ Pushed as Part of College Readiness:

To make it in college, students need to be up for the academic rigor. But that’s not all. They also must be able to manage their own time, get along with roommates, and deal with setbacks. Resiliency and grit, along with the ability to communicate and advocate, are all crucial life skills. Yet, experts say, many teenagers lack them, and that’s hurting college-completion rates.
“Millennials have had helicopter parents who have protected them,” said Dan Jones, the president of the Association for University and College Counseling Center Directors and the director of counseling and psychological services at Appalachian State University in Boone, N.C. “They haven’t had the opportunity to struggle. When they come to college and bad things happen, they haven’t developed resiliency and self-soothing skills….”
“The expectations are not in alignment with reality,” said Harlan Cohen, the author of The Naked Roommate and 107 Other Issues You Might Run Into In College, published last year. “Students do not have the communication skills to navigate through adversity that is part of the normal transition to college….”
A holistic approach to college readiness that integrates academic content, college knowledge, and psychology may be what’s needed to help more students complete college, said Andrea Venezia, a project director at WestEd, a research organization based in San Francisco. Rather than compartmentalization of college-readiness efforts, she advocates early training that includes noncognitive strategies and habits of mind that give students internal strength to persist….http://www.edweek.org/ew/articles/2012/11/14/12softskills_ep.h32.html?tkn=WQRFgl%2Bkfw2CUbzDpa48iaX0xbRF0HCUXIpI&cmp=clp-edweek&intc=es

Soft skills are skills associated with “emotional intelligence.”

Jeanne Segal, Ph.D., and Melinda Smith, M.A. have written the excellent article, Emotional Intelligence (EQ) for HELPGUIDE.Org.

What is emotional intelligence?
Emotional intelligence (EQ) is the ability to identify, use, understand, and manage emotions in positive ways to relieve stress, communicate effectively, empathize with others, overcome challenges, and diffuse conflict. Emotional intelligence impacts many different aspects of your daily life, such as the way you behave and the way you interact with others.
If you have a high emotional intelligence you are able to recognize your own emotional state and the emotional states of others and engage with people in a way that draws them to you. You can use this understanding of emotions to relate better to other people, form healthier relationships, achieve greater success at work, and lead a more fulfilling life.
Emotional intelligence consists of four attributes:
• Self-awareness – You recognize your own emotions and how they affect your thoughts and behavior, know your strengths and weaknesses, and have self-confidence.
• Self-management – You’re able to control impulsive feelings and behaviors, manage your emotions in healthy ways, take initiative, follow through on commitments, and adapt to changing circumstances.
• Social awareness – You can understand the emotions, needs, and concerns of other people, pick up on emotional cues, feel comfortable socially, and recognize the power dynamics in a group or organization.
• Relationship management – You know how to develop and maintain good relationships, communicate clearly, inspire and influence others, work well in a team, and manage conflict.
Why is emotional intelligence (EQ) so important?
As we know, it’s not the smartest people that are the most successful or the most fulfilled in life. You probably know people who are academically brilliant and yet are socially inept and unsuccessful at work or in their personal relationships. Intellectual intelligence or IQ isn’t enough on its own to be successful in life. IQ can help you get into college but it’s EQ that will help you manage the stress and emotions of sitting your final exams.
Emotional intelligence affects:
• Your performance at work. Emotional intelligence can help you navigate the social complexities of the workplace, lead and motivate others, and excel in your career. In fact, when it comes to gauging job candidates, many companies now view emotional intelligence as being as important as technical ability and require EQ testing before hiring.
• Your physical health. If you’re unable to manage your stress levels, it can lead to serious health problems. Uncontrolled stress can raise blood pressure, suppress the immune system, increase the risk of heart attack and stroke, contribute to infertility, and speed up the aging process. The first step to improving emotional intelligence is to learn how to relieve stress.
• Your mental health. Uncontrolled stress can also impact your mental health, making you vulnerable to anxiety and depression. If you are unable to understand and manage your emotions, you’ll also be open to mood swings, while an inability to form strong relationships can leave you feeling lonely and isolated.
• Your relationships. By understanding your emotions and how to control them, you’re better able to express how you feel and understand how others are feeling. This allows you to communicate more effectively and forge stronger relationships, both at work and in your personal life. http://www.helpguide.org/mental/eq5_raising_emotional_intelligence.htm

Whether one calls success traits “emotional intelligence” or “soft skills” is really not important. The traits associated are those more likely to result in a successful outcome for the student.

Bradford Holmes of Varsity Tutors wrote in the U.S. News article, Hone the Top 5 Soft Skills Every College Student Needs about soft skills a college ready individual should possess:

1. Collaboration: It is imperative for college-bound students to function efficiently and appropriately in groups, collaborate on projects and accept constructive criticism when working with others. People who succeed only when working alone will struggle in college and beyond, as the majority of careers require collaboration.
Students can develop the skills necessary to effectively work with others in numerous ways, including participating in athletics and extracurricular activities. They can also opt to complete team-based projects such as service activities during their later years in high school.
2. Communication and interpersonal skills: A common complaint among employers is that young people do not know how to effectively carry on a conversation and are unable to do things like ask questions, listen actively and maintain eye contact.
The current prevalence of electronic devices has connected young individuals to one another, but many argue it has also lessened their ability to communicate face-to-face or via telephone. These skills will again be important not only in college, where students must engage with professors to gain references and recommendations for future endeavors, but beyond as well.
An inability to employ these skills effectively translates poorly in college and job interviews, for instance. High school students can improve these traits by conversing with their teachers in one-to-one settings. This is also excellent training for speaking with college professors. Obtaining an internship in a professional setting is also a wonderful method to enhance communication and interpersonal skills.
3. Problem-solving: Students will be faced with a number of unexpected challenges in life and receive little or no aid in overcoming them. They must be able to solve problems in creative ways and to determine solutions to issues with no prescribed formula.
Students who are accustomed to learned processes, and who cannot occasionally veer off-course, will struggle to handle unanticipated setbacks. Students can improve problem-solving abilities by enrolling in classes that use experiential learning rather than rote memorization. Students should also try new pursuits that place them in unfamiliar and even uncomfortable situations, such as debate club or Science Olympiad.
4. Time management: Whatever structure students may have had in high school to organize their work and complete assignments in a timely manner will be largely absent in college. It is imperative that they be fully self-sufficient in managing their time and prioritizing actions.
The ability to track multiple projects in an organized and efficient manner, as well as intelligently prioritize tasks, is also extremely important for students long after graduation.
Students can improve this skill by assuming responsibility in multiple areas during high school – nothing develops an ability to prioritize faster than necessity – or gaining professional employment experience through internships, volunteer work or other opportunities.
5. Leadership: While it is important to be able to function in a group, it is also important to demonstrate leadership skills when necessary. Both in college and within the workforce, the ability to assume the lead when the situation calls for it is a necessity for anyone who hopes to draw upon their knowledge and “hard” skills in a position of influence.
Companies wish to hire leaders, not followers. The best way for students to develop this skill as they prepare for college is to search for leadership opportunities in high school. This could mean, among other things, acting as captain of an athletic team, becoming involved in student government or leading an extracurricular group. http://www.usnews.com/education/blogs/college-admissions-playbook/2014/05/12/hone-the-top-5-soft-skills-every-college-student-needs?src=usn_tw

Moi wrote in The ‘whole child’ approach to education: Many children do not have a positive education experience in the education system for a variety of reasons. Many educators are advocating for the “whole child” approach to increase the number of children who have a positive experience in the education process. https://drwilda.com/2012/02/10/the-whole-child-approach-to-education/

In order to ensure that ALL children have a basic education, we must take a comprehensive approach to learning.

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Resources:

Linking Social Development and Behavior to School Readiness http://childdevelopmentinfo.com/child-development/erickson/

Social and Emotional Learning
http://www.edutopia.org/social-emotional-learning

Related:
College readiness: What are ‘soft skills’ https://drwilda.com/2012/11/14/college-readiness-what-are-soft-skills/

Many NOT ready for higher education https://drwilda.com/2012/10/06/many-not-ready-for-higher-education/

Study: What skills are needed for ’21st-century learning?’ https://drwilda.com/2012/07/11/study-what-skills-are-needed-for-21st-century-learning/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

The ‘Common Application’ evolves

13 May

Moi wrote about the “Common Application” in Many U.S. colleges use the ‘Common Application’:
Many students are preparing to apply to college and they will be using the “Common Application” which is used by over 450 universities including some international schools. https://www.commonapp.org/CommonApp/FAQ.aspx
In addition to U.S. colleges, colleges in England, France, Germany, Italy, and Switzerland use the “Common Application.” For a good synopsis of the pros and cons of using the application, go to Should I Use The Common Application? http://www.usnews.com/education/blogs/college-admissions-experts/2011/09/07/should-i-use-the-common-application
Jacques Steinberg reported about problems with the “Common Application” in 2010. http://seattletimes.com/html/nationworld/2013744243_application23.html

It has been a year of challenges for the Common Application. Kimberly Hefling, AP Education Writer reported in the article, Common Application Makes Changes After Tough Year:

“Given the year we just had, we can’t be complacent about any of this,” Eric Furda, the dean of admissions at the University of Pennsylvania, said during a media briefing. Furda is president-elect of the board of the not-for-profit Common Application membership organization.
The most common problems experienced by students were related to essay formatting, difficulty submitting an application and the inability to determine if they had paid application fees, Furda said. Higher education institutions complained about not being able to pull up documents that had been submitted.
Because of the problems, many colleges and universities extended application deadlines, and some began accepting applications from competing programs.
Furda said most of the problems were corrected by the end of 2013, but challenges persisted.
A review conducted by an outside firm determined that the technology had been rolled out without first being properly tested…http://abcnews.go.com/Health/wireStory/common-application-makes-tough-year-23658956

See, Fixing the Common App http://www.insidehighered.com/news/2014/04/11/common-application-releases-consultant-report-technical-problems#sthash.9yHgRCsc.dpbs
Jacques Steinberg reported about problems with the “Common Application” in 2010. http://seattletimes.com/html/nationworld/2013744243_application23.html
Eric Hoover reported in the Chronicle of Higher Education article, Common Application’s Leaders Get an Earful http://chronicle.com/blogs/headcount/common-applications-leaders-get-an-earful/36589?cid=pm&utm_source=pm&utm_medium=en
In addition to technical problems, the application is facing a law suit.

Eric Hoover reported in the Chronicle of Higher Education article, Has Common App Turned Admissions Into a ‘Straitjacketed Ward of Uniformity’?

Anyone in the mood for colorful renderings of the big business built around the college-admissions process should read the lawsuit filed last week against the Common Application in a federal court in Oregon. The nonprofit group behind the ever-growing online application, a competitor asserts, “has orchestrated a sea change in the student-application process, turning a once vibrant, diverse, and highly competitive market into a straitjacketed ward of uniformity.”
The complaint was brought by CollegeNet Inc., a technology company in Portland, Ore., that builds customized application-processing systems for colleges. CollegeNet argues that the Common Application, which has more than 500 member colleges, has violated federal antitrust laws.
“As colleges are increasingly compelled to join the Common Application,” the lawsuit says, it “is poised to eliminate competition in the broader market within a few short years.”
Over the last decade or so, CollegeNet has lost many customers to the Common Application, whose fee structure rewards member colleges that use its application exclusively. While reporting on the Common App’s growth last year, I talked to Jim Wolfston, CollegeNet’s chief executive, who described his concerns about his competitor….
The Common Application’s leaders have long asserted that increased applications are a side effect of membership—not the organization’s raison d’être. That question aside, the Common App has great influence over the application process at most of the nation’s high-profile colleges.
Whether or not CollegeNet’s legal arguments have merit, some passages in the complaint reflect concerns that admissions officials share. Namely, that the Common App has become too—pick your word—big, dominant, powerful within the realm of selective admissions. (Read all about that here.)
Although the Common App is the biggest fish in the pond, it’s worth noting that plenty of its member colleges use at least one other application, too. Last week, for instance, six colleges announced that they would also accept the Universal College Application, joining 12 institutions that have signed on since last fall. Following months of technical problems with the Common App, some colleges that had used it exclusively have decided not to keep all their eggs in one basket.
After a tumultuous fall, the Common Application’s leaders are doing some soul-searching. Recently, the group’s Board of Directors commissioned an independent review of the organization. One finding was that the Common App’s pricing structure “may be at odds with the mission…. http://chronicle.com/blogs/headcount/has-common-app-turned-admissions-into-a-straitjacketed-ward-of-uniformity/38299?cid=pm&utm_source=pm&utm_medium=en

Applying to a college is just the first step. Students and families also have to consider the cost of particular college options.

Beckie Supiano and Elyse Ashburn wrote the article, With New Lists, Federal Government Moves to Help Consumers and Prod Colleges to Limit Price Increases in the Chronicle of Higher Education about the Department of Education’s new site about college costs.

Resources:

College Preparation Checklist Brochure http://studentaid.ed.gov/sites/default/files/college-prep-checklist.pdf

Federal Student Aid At A Glance http://www.emory.edu/FINANCIAL_AID/docs/Federal%20Aid%20at%20a%20Glance.pdf

Related:

The digital divide affects the college application process https://drwilda.com/2012/12/08/the-digital-divide-affects-the-college-application-process/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

‘Peer Counseling’ in schools

28 Apr

Moi wrote about a high school support program in Helping troubled children: The ‘Reconnecting Youth Program’:
Many children arrive at school with mental health and social issues. In School psychologists are needed to treat troubled children:

Mark Phillips, professor emeritus of secondary education at San Francisco State University wrote the article, School psychologists: Shortage amid increased need which discusses the need for psychological support in schools.
The adolescent suicide rate continues to rise, with each suicide a dramatic reminder that the lives of a significant number of adolescents are filled with anxiety and stress. Most schools have more than a handful of kids wrestling with significant emotional problems, and schools at all levels face an ongoing challenge related to school violence and bullying, both physical and emotional.
Yet in many schools there is inadequate professional psychological support for students.
Although statistics indicate that there is a significant variation from state to state (between 2005- and 2011 the ratio of students per school psychologist in New Mexico increased by 180%, while in the same period the ratio decreased in Utah by 34%), the overall ratio is 457:1. That is almost twice that recommended by the National Association of School Psychologists (NASP).
THE NASP noted a shortage of almost 9,000 school psychologists in 2010 and projected a cumulative shortage of close to 15,000 by 2020. Mental Health America estimates that only 1 in 5 children in need of mental health services actually receive the needed services. These gross statistics also omit the special need of under funded schools and the increased roles school psychologists are being asked to play….
Even with the psychological services that should be provided and often aren’t, schools can’t fully prevent suicides, acts of violence, bullying, or the daily stresses that weigh on kids shoulders. The malaise runs deeper and broader.
Still schools need more resources than they receive in order to provide more programs that actively identify and counsel those kids that need help. At the very least, they need to alleviate some of the stress these kids are experiencing and to help improve the quality of their daily lives. http://www.washingtonpost.com/blogs/answer-sheet/post/school-psychologists-shortage-amid-increased-need/2012/02/26/gIQAU7psdR_blog.html

It is important to deal with the psychological needs of children because untreated depression can lead to suicide. https://drwilda.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/ In addition to psychological programs, schools can offer other resources to help students succeed in school and in life.

Rebecca Jones of Ed News Colorado wrote about the Reconnecting Youth Program in the article, Reconnecting Youth program boosts teens.
http://www.ednewscolorado.org/2012/10/30/51106-reconnecting-youth-program-boosts-teens https://drwilda.com/2012/10/30/helping-troubled-children-the-reconnecting-youth-program/
Another model many schools are trying is peer counseling.

Evie Blad reported in the Education Week article, Schools Explore Benefits of Peer Counseling about peer counseling:

Schools in Baltimore, New York City, New Jersey, and North Carolina have used the program—created by the Princeton, N.J.-based Center for Supportive Schools—to boost attendance, academic persistence, and graduation rates.
At a time when schools are increasingly recognizing the important role social and emotional factors can play in academic success, leaders are wasting a valuable resource if they don’t enlist energetic students to help their peers, said Daniel F. Oscar, the president and chief executive officer of the Center for Supportive Schools.
“It becomes a very positive feedback loop where, by the act of helping the school out, that older student is in fact deepening his or her own education,” Mr. Oscar said. “Leadership is increasingly something that we don’t only expect from the person who has the top title in an organization. It’s something we expect from everyone.”
A study by researchers at Rutgers University in New Brunswick, N.J. published in the Journal of Educational Research found that Peer Group Connection had notable success raising graduation rates for Latino males.
Promising Signs
In a randomized control study, researchers tracked four-year graduation rates for 268 participating students at a high-poverty, mid-Atlantic, urban high school that is not named in the study. Of the program’s participants, 77 percent graduated high school in four years, compared with 68 percent of their nonparticipating peers. Latino males in the experimental group had an 81 percent graduation rate, compared to 63 percent in the control group.
Peer Group Connection is more successful than some other peer-mentoring efforts because it is integrated into the school day, incorporates several meetings with students’ families to reinforce lessons and supports, and requires buy-in from principals and teachers before a school implements the program, the researchers wrote.
The program employs a “train the trainer” model under which juniors and seniors complete a yearlong, credit-bearing leadership course where they practice group exercises and discussions. Older students also meet once a week with younger students to complete the exercises they practiced in class.
The class is led by teachers who received extensive training on the program, primarily through an 11-day course and a retreat with Center for Supportive Schools staff.
That training helps prepare teachers for a level of honesty they might not typically experience with students, said Sherry Barr, the vice president of the organization.
“When they go through it themselves and experience what it means to them to break down some of those barriers, that’s a very powerful experience,” Ms. Barr said. “They sort of leave transformed in the sense that they really want to have that experience with their students.”
As those teachers work with peer mentors in training, those discussions—often centered on experiences that can form hurdles for school completion and persistence—can be emotional.
On an April afternoon in Baltimore, peer leaders at the Academy for College and Career Exploration practiced how they would react to various text messages from peers, including nude photos and an angry message from a friend. Would they forward the photos to others? Would they respond to anger with anger?
“Keep it real,” teacher Candice Boone told senior Jada Davis, urging her to avoid simply telling adults in the room what she thought they’d want to hear about how she would respond to the hypothetical angry text message.
“You know I am,” Ms. Davis said, admitting that she “most likely would be going back and forth” with her friend if she got such a message.
Students also discussed the way girls are bullied and teased if they send a nude photo to a boyfriend, only to have it circulating on social media the next day. It’s a side of students teachers don’t always see, Ms. Boone said…. http://www.edweek.org/ew/articles/2014/04/23/29peerconnection.h33.html

The Center for Supportive Schools is one of the primary providers of training for peer counselors.

Here is what the Center for Supportive Schools says about Peer Counseling.

Peer Group Connection (PGC)
Through Peer Group Connection (PGC), CSS trains school faculty to teach leadership courses to select groups of older students, who in turn educate and support younger students. Our goal is to help schools enable and inspire young people to become engaged leaders who positively influence their peers. The CSS peer-to-peer student leadership model taps into schools’ most underutilized resources – students – and enlists them in strengthening the educational offerings of a school while simultaneously advancing their own learning, growth, and development.
Transition to High School
High School Juniors and Seniors Supporting Freshmen in Their Transition to High School
Peer Group Connection (PGC) for High Schools is an evidence-based program that supports and eases students’ successful transition from middle to high school. The program taps into the power of high school juniors and seniors to create a nurturing environment for incoming freshmen. Once per week, pairs of junior and senior peer leaders meet with groups of 10-14 freshmen in outreach sessions designed to strengthen relationships among students across grades. These peer leaders are simultaneously enrolled in a daily, for-credit, year-long leadership course taught by school faculty during regular school hours. PGC is CSS’s seminal peer leadership program, and has been implemented with a 70% sustainability rate in more than 175 high schools since 1979. A recently released, four-year longitudinal, randomized-control study conducted by Rutgers University and funded by the United States Department of Health and Human Services found that, among other major results, PGC improves the graduation rates of student participants in an inner city public school by ten percentage points and cuts by half the number of male students who would otherwise drop out.
http://supportiveschools.org/solutions/peer-group-connection/

Not all are supportive of peer counseling.

Andrew S. Latham wrote in the 1997 Education Leadership article, Research Link / Peer Counseling Proceed with Caution:

One of Lewis and Lewis’s concerns is that students serving as peer counselors are increasingly being asked to shoulder a burden that should be overseen only by trained, seasoned professionals. In a sobering study, the two researchers compared suicide rates among schools with no peer-led suicide-prevention program; schools with peer-led prevention programs overseen by a noncounselor (for example, a teacher or building administrator); and schools with peer-led prevention programs overseen by a certified counselor, psychologist, or social worker. Shockingly, the 38 schools with the noncounselor-led peer programs had the highest ratio of student suicides: Between 1991 and 1993, 11 of those 38 schools (29 percent) reported at least one suicide, as opposed to 7 of 55 schools (13 percent) with no prevention program at all, and just 5 of 65 schools (8 percent) with a counselor-led peer program….
Although Lewis and Lewis focus on suicide-prevention programs, we can extend this argument to other health and safety issues teens face, such as AIDS and drug and alcohol abuse. As teens confront the problems of the 1990s, they want concrete advice, not just an empathetic listener. Morey and colleagues (1993) confirmed this fact when they used a stepwise regression to identify factors that contribute to students’ satisfaction with peer counseling. Two such factors were “empathy and problem identification” and “empathy and problem solving,” indicating that students want help from peers who are willing to listen and understand their problems, and who can suggest ways to address those problems.
Professional Support Is Critical
These studies point to the need for students to receive extensive training and professional support both before and throughout their work with their peers. If such support is given, peer programs have tremendous potential.
A case in point: O’Hara and colleagues (1996) studied the effects of a student-led AIDS prevention program in an alternative school for at-risk youth. Following an initial interview, the peer counselors were trained over the course of eight weeks, including five classroom sessions, two retreats, and a trip to a local clinic for sexually transmitted diseases. Peer counselors with attendance problems were dropped from the program. Those who successfully completed the program then conducted two carefully structured large-group sessions with their peers, followed by two small-group sessions and various schoolwide activities. The results were impressive: pre- and post-intervention student surveys revealed that the number of students who intended to use condoms each time they had sex rose from 55 to 65 percent, while those reporting they had never used a condom dropped from 15 to 4 percent.
The lesson from these examples is that peer-led programs must be adopted carefully, particularly when dealing with the high-stakes problems that many teenagers face today. In fact, professional intervention may be preferable to peer support for potentially lethal issues, such as teen suicide…. http://www.ascd.org/publications/educational-leadership/oct97/vol55/num02/Peer-Counseling@-Proceed-with-Caution.aspx

For research on peer counseling programs, see http://www.cde.ca.gov/ls/cg/rh/counseffective.asp

Our goal as a society should be:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Related:

Schools have to deal with depressed and troubled children
https://drwilda.wordpress.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

School psychologists are needed to treat troubled children
https://drwilda.wordpress.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Battling teen addiction: ‘Recovery high schools’
https://drwilda.wordpress.com/2012/07/08/battling-teen-addiction-recovery-high-schools/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Harvard Study: Television impairs kid’s sleep patterns

21 Apr

Moi wrote in Study: Blue light may affect the sleep habits of students:
The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn. One of the mantras of this blog is there should not be a one size fits all approach to education and that there should be a variety of options to achieve the goal of a good basic education for all children.
The University of Illinois Extension has some good advice for helping children with study habits. In Study Habits and Homework he University of Illinois recommends:

Parents can certainly play a major role in providing the encouragement, environment, and materials necessary for successful studying to take place.
Some general things adults can do, include:
Establish a routine for meals, bedtime and study/homework
Provide books, supplies, and a special place for studying
Encourage the child to “ready” himself for studying (refocus attention and relax)
Offer to study with the child periodically (call out spelling words or do flash cards) http://urbanext.illinois.edu/succeed/habits.cfm

Some folks claim they need as few as four hours of sleep. For most folks, that is not healthy and it definitely isn’t healthy for children.

Sarah D. Sparks reported in the Education Week article, ‘Blue Light’ May Impair Students’ Sleep, Studies Say:

Schools may soon face an unintended consequence of more flexible technology and more energy-efficient buildings: sleepier students.
That’s because evidence is mounting that use of artificial light from energy-efficient lamps and computer and mobile-electronics screens later and later in the day can lead to significant sleep problems for adults and, particularly, children….
http://www.edweek.org/ew/articles/2013/12/11/14sleep_ep.h33.html?tkn=XYNFw7hK%2F8TdYrgvqxBY6H%2FjAT%2FMKwiy%2FAaU&cmp=clp-edweek

Technology may be interrupting children’s sleep patterns.
https://drwilda.com/tag/blue-light-may-impair-students-sleep-studies-say/

Tara Haelle reported in the Yahoo news post, More TV, Less Sleep for Kids:

A recent study found that children tended to get slightly less sleep with the more TV they watched. The most dramatic drop in daily sleep time, however, was linked to having a TV in the bedroom for minority children.
The authors suggested that reducing TV time and/or removing televisions from children’s bedrooms might help their sleep time.
The study, led by Elizabeth Cespedes, of the Obesity Prevention Program at Harvard Medical School, looked at the possible impact of television of children’s sleep.
The researchers collected daily average TV viewing information and sleep time from the parents of 1,864 children, starting at 6 months old and then once a year through age 7.
The researchers also gathered information on which children had a TV in their bedroom when they were aged 4 through 7.
Then the researchers analyzed the interaction of television viewing and sleep along with the children’s age, sex, race/ethnicity, income and mothers’ education level.
The group of children were diverse, including 35 percent who were racial/ethnic minorities and 37 percent who had family incomes of at least $70,000.
The children went from getting an average 12.2 hours of sleep each day at age 6 months old to an average of 9.8 hours a day at age 7.
During the same time span, the amount of TV the children watched increased from 0.9 hours a day to 1.6 hours a day.
About 17 percent of the children had a TV in their bedrooms when they were 4 years old, which increased to 23 percent by the time the children were 7 years old.
In comparing TV viewing time with sleep, the researchers found that each additional hour per day of watching TV was linked to seven fewer minutes of sleep each day.
Having a TV in children’s room also appeared to influence how much sleep the children got, but only for racial/ethnic minority children.
Among racial and ethnic minorities, children got an average 31 fewer minutes of sleep each day if they had a TV in their bedrooms than if they didn’t have a TV.
Among white, non-Hispanic children, however, a TV in the bedroom was only linked to eight fewer minutes of sleep each day, but this finding could have been the result of chance.
“Our study supports a negative influence of TV viewing and bedroom TV on children’s sleep,” the researchers wrote.
“TV viewing and the presence of a bedroom TV track over time,” they added. “Thus, modest decreases in sleep duration could form lasting habits leading to substantial sleep deficits as children age.”
The researchers suggested that making changes related to children’s TV viewing could have a positive impact on their sleep time.
http://health.yahoo.net/articles/parenting/more-tv-less-sleep-kids

Citation:

• Article
Television Viewing, Bedroom Television, and Sleep Duration From Infancy to Mid-Childhood
Authors
1. Elizabeth M. Cespedes, SMa,b,
2. Matthew W. Gillman, MD, SMa,b,
3. Ken Kleinman, ScDa,
4. Sheryl L. Rifas-Shiman, MPHa,
5. Susan Redline, MD, MPHc, and
6. Elsie M. Taveras, MD, MPHb,d
1. aObesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts;
2. bDepartment of Nutrition, Harvard School of Public Health, Boston, Massachusetts;
3. cBrigham and Women’s Hospital and Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts; and
4. dDivision of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts
Abstract
BACKGROUND: Television and insufficient sleep are associated with poor mental and physical health. This study assessed associations of TV viewing and bedroom TV with sleep duration from infancy to midchildhood.
METHOD: We studied 1864 children in Project Viva. Parents reported children’s average daily TV viewing and sleep (at 6 months and annually from 1–7 years) and the presence of a bedroom TV (annually 4–7 years). We used mixed effects models to assess associations of TV exposures with contemporaneous sleep, adjusting for child age, gender, race/ethnicity, maternal education, and income.
RESULTS: Six hundred forty-three children (35%) were racial/ethnic minorities; 37% of households had incomes ≤ $70 000. From 6 months to 7 years, mean (SD) sleep duration decreased from 12.2 (2.0) hours to 9.8 (0.9) hours per day; TV viewing increased from 0.9 (1.2) hours to 1.6 (1.0) hours per day. At 4 years, 17% had a bedroom TV, rising to 23% at 7 years. Each 1 hour per day increase in lifetime TV viewing was associated with 7 minutes per day (95% confidence interval [CI]: 4 to 10) shorter sleep. The association of bedroom TV varied by race/ethnicity; bedroom TV was associated with 31 minutes per day shorter sleep (95% CI: 16 to 45) among racial/ethnic minority children, but not among white, non-Hispanic children (8 fewer minutes per day [95% CI: −19 to 2]).
CONCLUSIONS: More TV viewing, and, among racial/ethnic minority children, the presence of a bedroom TV, were associated with shorter sleep from infancy to midchildhood.
Key Words:
• television
• sleep duration
• sleep hygiene
• childhood
• Accepted February 11, 2014.
• Copyright © 2014 by the American Academy of Pediatrics
1. Published online April 14, 2014

(doi: 10.1542/peds.2013-3998)
1. » AbstractFree
2. Full Text (PDF)Free

Education is a partnership between the student, parent(s) or guardian(s), teachers(s), and school. The students must arrive at school ready to learn and that includes being rested. Parent(s) and guardian(s) must ensure their child is properly nourished and rested as well as providing a home environment which is conducive to learning. Teachers must have strong subject matter knowledge and strong pedagogic skills. Schools must enforce discipline and provide safe places to learn. For more information on preparing your child for high school, see the U.S. Department of Education’s Tools for Success http://www2.ed.gov/parents/academic/help/tools-for-success/index.html

Resources:

National Sleep Foundation’s Teens and Sleep http://www.sleepfoundation.org/article/sleep-topics/teens-and-sleep

Teen Health’s Common Sleep Problems http://kidshealth.org/teen/your_body/take_care/sleep.html

CBS Morning News’ Sleep Deprived Kids and Their Disturbing Thoughts
http://www.cbsnews.com/2100-500165_162-6052150.html

Psychology Today’s Sleepless in America
http://www.psychologytoday.com/blog/sleepless-in-america

National Association of State Board’s of Education Fit, Healthy and Ready to Learn
http://eric.ed.gov/?id=ED465734

U.S. Department of Education’s Tools for Success
http://www2.ed.gov/parents/academic/help/tools-for-success/index.html

Related:
Another study: Sleep problems can lead to behavior problems in children

Another study: Sleep problems can lead to behavior problems in children

Stony Brook Medicine study: Teens need sleep to function properly and make healthy food choices https://drwilda.com/2013/06/21/stony-brook-medicine-study-teens-need-sleep-to-function-properly-and-make-healthy-food-choices/

University of Massachusetts Amherst study: Preschoolers need naps Does school start too early? https://drwilda.com/tag/too-little-sleep-raises-obesity-risk-in-children/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Penn State study: Stress alters children’s genomes

8 Apr

Moi said in Schools have to deal with depressed and troubled children:
Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.
As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8. http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

Schools are developing strategies to deal with troubled kids.

Jyoti Madhusoodanan and Nature magazine reported in the Scientific American article, Stress Alters Children’s Genomes:

Growing up in a stressful social environment leaves lasting marks on young chromosomes, a study of African American boys has revealed. Telomeres, repetitive DNA sequences that protect the ends of chromosomes from fraying over time, are shorter in children from poor and unstable homes than in children from more nurturing families.
When researchers examined the DNA of 40 boys from major US cities at age 9, they found that the telomeres of children from harsh home environments were 19% shorter than those of children from advantaged backgrounds. The length of telomeres is often considered to be a biomarker of chronic stress.
The study, published today in the Proceedings of the National Academy of Sciences, brings researchers closer to understanding how social conditions in childhood can influence long-term health, says Elissa Epel, a health psychologist at the University of California, San Francisco, who was not involved in the research.
Participants’ DNA samples and socio-economic data were collected as part of the Fragile Families and Child Wellbeing Study, an effort funded by the National Institutes of Health to track nearly 5,000 children, the majority of whom were born to unmarried parents in large US cities in 1998–2000. Children’s environments were rated on the basis of their mother’s level of education; the ratio of a family’s income to needs; harsh parenting; and whether family structure was stable, says lead author Daniel Notterman, a molecular biologist at Pennsylvania State University in Hershey.
The telomeres of boys whose mothers had a high-school diploma were 32% longer compared with those of boys whose mothers had not finished high school. Children who came from stable families had telomeres that were 40% longer than those of children who had experienced many changes in family structure, such as a parent with multiple partners.
Genetic links
The link between stressful home environments and telomere length is moderated by genetic variants in pathways that process two chemical transmitters in the brain, serotonin and dopamine, the study found. Previous studies have correlated variants in some of the genes studied, such as TPH2, with depression, bipolar disorder and other mental-health issues. Variants of another gene, 5-HTT, reduce the amount of the protein that recycles serotonin in nerve synapses. Some alleles of these genes are thought to increase the sensitivity of carriers to external risks…. http://www.scientificamerican.com/article/stress-alters-childrens-genomes/?WT.mc_id=SA_Facebook

Citation:

Social disadvantage, genetic sensitivity, and children’s telomere length
1. Colter Mitchella,
2. John Hobcraftb,
3. Sara S. McLanahanc,1,
4. Susan Rutherford Siegeld,
5. Arthur Bergd,
6. Jeanne Brooks-Gunne,
7. Irwin Garfinkelf, and
8. Daniel Nottermand,g,1
Author Affiliations
Significance
This paper makes two contributions to research on the link between the social environment and health. Using data from a birth cohort study, we show that, among African American boys, those who grow up in highly disadvantaged environments have shorter telomeres (at age 9) than boys who grow up in highly advantaged environments. We also find that the association between the social environment and telomere length (TL) is moderated by genetic variation within the serotonin and dopamine pathways. Boys with the highest genetic sensitivity scores had the shortest TL when exposed to disadvantaged environments and the longest TL when exposed to advantaged environments. To our knowledge, this report is the first to document a gene–social environment interaction for TL, a biomarker of stress exposure.
Abstract
Disadvantaged social environments are associated with adverse health outcomes. This has been attributed, in part, to chronic stress. Telomere length (TL) has been used as a biomarker of chronic stress: TL is shorter in adults in a variety of contexts, including disadvantaged social standing and depression. We use data from 40, 9-y-old boys participating in the Fragile Families and Child Wellbeing Study to extend this observation to African American children. We report that exposure to disadvantaged environments is associated with reduced TL by age 9 y. We document significant associations between low income, low maternal education, unstable family structure, and harsh parenting and TL. These effects were moderated by genetic variants in serotonergic and dopaminergic pathways. Consistent with the differential susceptibility hypothesis, subjects with the highest genetic sensitivity scores had the shortest TL when exposed to disadvantaged social environments and the longest TL when exposed to advantaged environments.
gene–environment
adversity
senescence
Footnotes
↵1To whom correspondence may be addressed. E-mail: dan1@princeton.edu or mclanaha@princeton.edu.
Author contributions: C.M., J.H., S.S.M., J.B.-G., I.G., and D.N. designed research; C.M., J.H., S.S.M., J.B.-G., I.G., and D.N. performed research; S.R.S. and D.N. contributed new reagents/analytic tools; C.M., J.H., S.S.M., A.B., J.B.-G., I.G., and D.N. analyzed data; and C.M. and D.N. wrote the paper.
Reviewers: T.E.S., Geffen School of Medicine, University of California, Los Angeles; S.J.S., Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health.
The authors declare no conflict of interest.
This article contains supporting information online at http://www.pnas.org/lookup/suppl/doi:10.1073/pnas.1404293111/-/DCSupplemental.
Freely available online through the PNAS open access option.

Here is the press release from Penn State:

Disadvantaged environments affect genetic material, study finds
By Scott Gilbert
April 8, 2014
HERSHEY, Pa. — Children experiencing chronic stress from a disadvantaged life have shorter telomeres than their advantaged peers, according to a study led by Dr. Daniel Notterman, vice dean for research and graduate studies, and professor of pediatrics, and biochemistry and molecular biology at Penn State College of Medicine.
Telomeres are DNA sequences at the end of each chromosome that protect the ends of the chromosomes from damage. They vary in length per person and shrink as a person ages, a process that may be linked to health and disease.
The negative health effects of long-term chronic stress may be connected to the shortening of telomeres. Telomeres shorten faster in individuals experiencing chronic stress, such as that from living in a disadvantaged environment.
Notterman and colleagues studied genetic information from 40 9-year-old African-American boys.
Boys from disadvantaged environments had shorter telomeres than peers in the study who were not. In addition, the effect of environment on telomere length was mediated by genes involved with the function of two neurotransmitters, dopamine and serotonin. Neurotransmitters help transmit signals between brain cells and send information throughout the body.
For boys with genetic variants of dopamine or serotonin pathways that conferred greater sensitivity to environmental signals associated with stress, those from disadvantaged environments had the shortest telomeres, and those from advantaged environments had the longest.
The results suggest a link between genetic factors and social environment associated with changing telomere length and provides a biomarker for chronic stress exposure in children as young as 9, according to the authors.
Researchers also from Penn State College of Medicine are Arthur Berg, associate professor of biostatistics and bioinformatics, and Sue Siegel, assistant professor of biochemistry and molecular biology.
The study is published in Proceedings of the National Academy of Sciences (PNAS) and was supported by the National Institutes of Health-National Institute of Child Health and Human Development, and the Penn State Clinical and Translational Science Institute. For more information, visit PNAS’s Early Edition.
Sarah D. Sparks writes in the Education Week article, Research Traces Impacts of Childhood Adversity:
The stress of a spelling bee or a challenging science project can enhance a student’s focus and promote learning. But the stress of a dysfunctional or unstable home life can poison a child’s cognitive ability for a lifetime, according to new research.
While educators and psychologists have said for decades that the effects of poverty interfere with students’ academic achievement, new evidence from cognitive and neuroscience is showing exactly how adversity in childhood damages students’ long-term learning and health….
Good experiences, like nurturing parents and rich early-child-care environments, help build and reinforce neural connections in areas such as language development and self-control, while adversity weakens those connections.
Over time, the connections, good or bad, stabilize, “and you can’t go back and rewire; you have to adapt,” Dr. Shonkoff said. “If you’ve built on strong foundations, that’s good, and if you have weak foundations, the brain has to work harder, and it costs more to the brain and society…”
The Centers for Disease Control and Prevention provides access to the peer-reviewed publications resulting from The ACE Study. http://acestudy.org/

See, School psychologists are needed to treat troubled children https://drwilda.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Our goal as a society should be:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Related:

Schools have to deal with depressed and troubled children
https://drwilda.wordpress.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

School psychologists are needed to treat troubled children
https://drwilda.wordpress.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Battling teen addiction: ‘Recovery high schools’
https://drwilda.wordpress.com/2012/07/08/battling-teen-addiction-recovery-high-schools/

Resources:
1. About.Com’s Depression In Young Children
http://depression.about.com/od/child/Young_Children.htm

2. Psych Central’s Depression In Young Children
http://depression.about.com/od/child/Young_Children.htm

3. Psychiatric News’ Study Helps Pinpoint Children With Depression http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=106034

4. Family Doctor’s What Is Depression?
http://familydoctor.org/familydoctor/en/diseases-conditions/depression.html

5. WebMD’s Depression In Children
http://www.webmd.com/depression/guide/depression-children

6. Healthline’s Is Your Child Depressed?
http://www.healthline.com/hlvideo-5min/how-to-help-your-child-through-depression-517095449

7. Medicine.Net’s Depression In Children
http://www.onhealth.com/depression_in_children/article.htm

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com
Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Study: Autism starts from brain changes in the womb

1 Apr

Moi has posted quite a bit about autism. Studies indicate that the incidence of autism is growing in the population. In order for children with autism to reach their full potential there must be early diagnosis and treatment. Alice Park of Time reported in the article, U.S. Autism Rates Jump 30% From 2012:

One in 68 eight-year-olds in the U.S. is now affected by autism spectrum disorder, according to new CDC data. The prevalence of autism has continued to climb upward, from affecting 1 in every 150 eight-year-olds studied in 2000, to 1 in 88 in 2008
One in 68 eight-year-olds in the U.S. is now affected by autism spectrum disorder, according to the latest figures from the Centers for Disease Control (CDC). The data come from the Autism and Developmental Disabilities Monitoring (ADDM) Network, which has tracked the developmental disorder periodically since 2000.
Based on medical or school records (including access to special education services) for a representative group of 5,338 children from 11 sites in 2010, the researchers report in the Morbidity and Mortality Weekly Report (MMWR) that one in 68 met the criteria for an autism spectrum disorder, a 30% increase over the last ADDM survey, released in 2012, based on 2008 data that revealed a one in 88 rate.
Since the ADDM began, the prevalence of autism has continued to climb upward, from affecting one in every 150 eight-year-olds studied in 2000, to one of 110 children studied in 2004 and 2006, to one in 88 in 2008. Now, the government report estimates, 1.2 million children under 21 are affected by some form of autism.
While definitions of autism have changed slightly during that time, experts attribute most of the increase to greater awareness of the developmental disorder among parents, teachers, and doctors. At home, parents are more attuned to signs that their child may not be communicating properly or acquiring the social skills needed to interact with siblings, family and friends. Teachers are also trained to recognize behavioral symptoms in the classroom, and doctors are more comfortable asking about and diagnosing autism disorders by symptoms that usually start appearing around age two…. http://time.com/#40524/u-s-autism-rates-jump-30-from-2012/

Several studies suggest that autism may start in the womb.

Jon Hamilton of NPR reported in the story, Brain Changes Suggest Autism Starts In The Womb:

The symptoms of autism may not be obvious until a child is a toddler, but the disorder itself appears to begin well before birth.
Brain tissue taken from children who died and also happened to have autism revealed patches of disorganization in the cortex, a thin sheet of cells that’s critical for learning and memory, researchers report in the New England Journal of Medicine. Tissue samples from children without autism didn’t have those characteristic patches.
Organization of the cortex begins in the second trimester of pregnancy. “So something must have gone wrong at or before that time,” says Eric Courchesne, an author of the paper and director of the Autism Center of Excellence at the University of California, San Diego.
The finding should bolster efforts to understand how genes control brain development and lead to autism. It also suggests that treatment should start early in childhood, when the brain is capable of rewiring to work around damaged areas.
The study grew out of research by Courchesne on development of the cortex in children with autism. In typical kids, the cortex is “like a layer cake,” he says. “There are six layers, one on top of the other, and in each layer there are different types of brain cells.”
Courchesne suspected that these layers might be altered in the brains of children with autism. So he and a team of researchers studied samples of cortex from 11 children with autism and an equal number of typical kids. The cortex came from areas known to be associated with the symptoms of autism.
In the brain tissue from typical children, the cortex had six distinct layers, each made up of a specific type of cell. But in the children with autism, “there are patches in which specific cells in specific layers seem to be missing,” Courchesne says. So instead of distinct layers, there are disorganized collections of brain cells.
These patches of disorganized cortex would have different effects on the brain depending on where they occur and how many there are, Courchesne says. That could help explain why the symptoms of autism vary so much.
And finding that the damage isn’t everywhere suggests how a child’s brain might compensate by rewiring to avoid the trouble spots, Courchesne says. “That’s one of our guesses about how it is that autistic children, with treatment, very commonly get better,” he says.
The new study appears to confirm research from the University of California, Los Angeles showing that people with autism tend to have genetic changes that could disturb the formation of layers in the cortex.
And it adds to the already considerable evidence that autism starts in the womb, says Dr. Stanley Nelson, a geneticist at UCLA. “The overwhelming set of data is that the problems are existing during brain development, probably as an embryo or fetus,” he says.
But some of the new study’s findings are surprising and even a bit perplexing, Nelson says. For example, it’s odd that only certain bits of brain tissue contain these disorganized cells. “Why is the whole cortex not disorganized?” he says.
It’s also odd that 10 of the 11 children with autism had the same sort of disorganized patches of cortex, Nelson says. That’s not what you would expect with a disorder known to involve many different genes, presumably affecting many different aspects of brain development….http://www.npr.org/blogs/health/2014/03/26/294446735/brain-changes-suggest-autism-starts-in-the-womb?utm_medium=Email&utm_source=share&utm_campaign=storyshare

Citation

Patches of Disorganization in the Neocortex of Children with Autism
Rich Stoner, Ph.D., Maggie L. Chow, Ph.D., Maureen P. Boyle, Ph.D., Susan M. Sunkin, Ph.D., Peter R. Mouton, Ph.D., Subhojit Roy, M.D., Ph.D., Anthony Wynshaw-Boris, M.D., Ph.D., Sophia A. Colamarino, Ph.D., Ed S. Lein, Ph.D., and Eric Courchesne, Ph.D.
N Engl J Med 2014; 370:1209-1219March 27, 2014DOI: 10.1056/NEJMoa1307491
Share:
BACKGROUND
Autism involves early brain overgrowth and dysfunction, which is most strongly evident in the prefrontal cortex. As assessed on pathological analysis, an excess of neurons in the prefrontal cortex among children with autism signals a disturbance in prenatal development and may be concomitant with abnormal cell type and laminar development.
METHODS
To systematically examine neocortical architecture during the early years after the onset of autism, we used RNA in situ hybridization with a panel of layer- and cell-type–specific molecular markers to phenotype cortical microstructure. We assayed markers for neurons and glia, along with genes that have been implicated in the risk of autism, in prefrontal, temporal, and occipital neocortical tissue from postmortem samples obtained from children with autism and unaffected children between the ages of 2 and 15 years.
RESULTS
We observed focal patches of abnormal laminar cytoarchitecture and cortical disorganization of neurons, but not glia, in prefrontal and temporal cortical tissue from 10 of 11 children with autism and from 1 of 11 unaffected children. We observed heterogeneity between cases with respect to cell types that were most abnormal in the patches and the layers that were most affected by the pathological features. No cortical layer was uniformly spared, with the clearest signs of abnormal expression in layers 4 and 5. Three-dimensional reconstruction of layer markers confirmed the focal geometry and size of patches.
CONCLUSIONS
In this small, explorative study, we found focal disruption of cortical laminar architecture in the cortexes of a majority of young children with autism. Our data support a probable dysregulation of layer formation and layer-specific neuronal differentiation at prenatal developmental stages. (Funded by the Simons Foundation and others.)

Parents must pay attention to whether their children are developing within the parameters of what is appropriate for the child’s age.

Resources:

For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute’s Brain Resources and Information Network (BRAIN) at:
BRAIN
P.O. Box 5801
Bethesda, MD 20824
(800) 352 9424
http://www.ninds.nih.gov

Association for Science in Autism Treatment
P.O. Box 188
Crosswicks, NJ 08515-0188
info@asatonline.org http://www.asatonline.org

Autism National Committee (AUTCOM)
P.O. Box 429
Forest Knolls, CA 94933 http://www.autcom.org

Autism Network International (ANI)
P.O. Box 35448
Syracuse, NY 13235-5448
jisincla@syr.edu http://www.ani.ac

Autism Research Institute (ARI)
4182 Adams Avenue
San Diego, CA 92116
director@autism.com http://www.autismresearchinstitute.com
Tel: 866-366-3361
Fax: 619-563-6840

Autism Science Foundation
419 Lafayette Street
2nd floor
New York, NY 10003
contactus@autismsciencefoundation.org http://www.autismsciencefoundation.org/
Tel: 646-723-3978
Fax: 212-228-3557

Autism Society of America
4340 East-West Highway
Suite 350
Bethesda, MD 20814 http://www.autism-society.org
Tel: 301-657-0881 800-3AUTISM (328-8476)
Fax: 301-657-0869

Autism Speaks, Inc.
2 Park Avenue
11th Floor
New York, NY 10016
contactus@autismspeaks.org http://www.autismspeaks.org
Tel: 212-252-8584 California: 310-230-3568
Fax: 212-252-8676 Birth Defect Research for Children, Inc.
976 Lake Baldwin Lane
Suite 104
Orlando, FL 32814
betty@birthdefects.org
http://www.birthdefects.org
Tel: 407-895-0802

MAAP Services for Autism, Asperger Syndrome, and PDD
P.O. Box 524
Crown Point, IN 46308
info@aspergersyndrome.org http://www.aspergersyndrome.org/
Tel: 219-662-1311
Fax: 219-662-1315

National Dissemination Center for Children with Disabilities
U.S. Dept. of Education, Office of Special Education Programs
1825 Connecticut Avenue NW, Suite 700
Washington, DC 20009
nichcy@aed.org http://www.nichcy.org
Tel: 800-695-0285 202-884-8200
Fax: 202-884-8441

National Institute of Child Health and Human Development (NICHD)
National Institutes of Health, DHHS
31 Center Drive, Rm. 2A32 MSC 2425
Bethesda, MD 20892-2425 http://www.nichd.nih.gov
Tel: 301-496-5133
Fax: 301-496-7101 National Institute on Deafness and Other Communication Disorders Information Clearinghouse
1 Communication Avenue
Bethesda, MD 20892-3456
nidcdinfo@nidcd.nih.gov http://www.nidcd.nih.gov
Tel: 800-241-1044 800-241-1055 (TTD/TTY)

National Institute of Environmental Health Sciences (NIEHS)
National Institutes of Health, DHHS
111 T.W. Alexander Drive
Research Triangle Park, NC 27709
webcenter@niehs.nih.gov http://www.niehs.nih.gov
Tel: 919-541-3345

National Institute of Mental Health (NIMH)
National Institutes of Health, DHHS
6001 Executive Blvd. Rm. 8184, MSC 9663
Bethesda, MD 20892-9663
nimhinfo@nih.gov http://www.nimh.nih.gov
Tel: 301-443-4513/866-415-8051 301-443-8431 (TTY)
Fax: 301-

Related:

Father’s age may be linked to Autism and Schizophrenia https://drwilda.com/2012/08/26/fathers-age-may-be-linked-to-autism-and-schizophrenia/

Autism and children of color https://drwilda.com/tag/autism-not-diagnosed-as-early-in-minority-children/

Archives of Pediatrics and Adolescent Medicine study: Kids with autism more likely to be bullied https://drwilda.com/2012/09/06/archives-of-pediatrics-and-adolescent-medicine-study-kids-with-autism-more-likely-to-be-bullied/

Chelation treatment for autism might be harmful https://drwilda.com/2012/12/02/chelation-treatment-for-autism-might-be-harmful/

University of Connecticut study: Some children with autism may be ‘cured’ with intense early therapy https://drwilda.com/tag/optimal-outcome-in-individuals-with-a-history-of-autism/

Children of older fathers can have genetic issues: Study reports mental illness risk higher https://drwilda.com/2014/02/28/children-of-older-fathers-can-have-genetic-issues-study-reports-mental-illness-risk-higher/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

University of California, San Francisco study identifies most common reasons for children’s mental health hospitalizations

23 Mar

Moi wrote about troubled children in Schools have to deal with depressed and troubled children: Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.
As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8.
Schools are developing strategies to deal with troubled kids…. http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

One strategy in helping children to succeed is to recognize and treat depression.

How Common Is Depression In Children?

According to Mary H. Sarafolean, PhD in the article, Depression In School Age Children and Adolescents

In general, depression affects a person’s physical, cognitive, emotional/affective, and motivational well-being, no matter their age. For example, a child with depression between the ages of 6 and 12 may exhibit fatigue, difficulty with schoolwork, apathy and/or a lack of motivation. An adolescent or teen may be oversleeping, socially isolated, acting out in self-destructive ways and/or have a sense of hopelessness.
Prevalence and Risk Factors
While only 2 percent of pre-teen school-age children and 3-5 percent of teenagers have clinical depression, it is the most common diagnosis of children in a clinical setting (40-50 percent of diagnoses). The lifetime risk of depression in females is 10-25 percent and in males, 5-12 percent. Children and teens who are considered at high risk for depression disorders include:
* children referred to a mental health provider for school problems
* children with medical problems
* gay and lesbian adolescents
* rural vs. urban adolescents
* incarcerated adolescents
* pregnant adolescents
* children with a family history of depression http://www.healthyplace.com/depression/children/recognizing-symptoms-of-depression-in-teens-and-children/

If you or your child has one or more of the risk factors and your child is exhibiting symptoms of prolonged sadness, it might be wise to have your child evaluated for depression.

How to Recognize Depression In Your Child?

MedNet has an excellent article about Depression In Children and how to recognize signs of depression in your child.
Signs and symptoms of depression in children include:

* Irritability or anger
* Continuous feelings of sadness, hopelessness
* Social withdrawal
* Increased sensitivity to rejection
* Changes in appetite — either increased or decreased
* Changes in sleep — sleeplessness or excessive sleep
* Vocal outbursts or crying
* Difficulty concentrating
* Fatigue and low energy
* Physical complaints (such as stomachaches, headaches) that do not respond to
treatment
* Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests
* Feelings of worthlessness or guilt
* Impaired thinking or concentration
* Thoughts of death or suicide
Not all children have all of these symptoms. In fact, most will display different symptoms at different times and in different settings. Although some children may continue to function reasonably well in structured environments, most kids with significant depression will suffer a noticeable change in social activities, loss of interest in school and poor academic performance, or a change in appearance. Children may also begin using drugs or alcohol,
especially if they are over the age of 12. http://www.onhealth.com/depression_in_children/article.htm

The best defense for parents is a good awareness of what is going on with their child. As a parent you need to know what is going on in your child’s world. https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

Science Daily reported in the article, Study identifies most common, costly reasons for mental health hospitalizations for kids:

Nearly one in 10 hospitalized children have a primary diagnosis of a mental health condition, and depression alone accounts for $1.33 billion in hospital charges annually, according to a new analysis led by UCSF Benioff Children’s Hospital.
The study is the first to examine frequency and costs associated with specific inpatient mental health diagnoses for children, and is a step towards creating meaningful measures of the quality of pediatric hospital care.
“This is the first paper to give a clear picture of the mental health reasons kids are admitted to hospitals nationally,” said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children’s Hospital and lead author. “Mental health hospitalizations have been increasing in kids, up 24% from 2007-2010. Mental health is a priority topic for national quality measures, which are intended to help improve care for all kids.”
The study will be published in the April issue of the journal Pediatrics.
More than 14 million children and adolescents in the United States have a diagnosable mental health disorder, yet little is known about which specific mental health diagnoses are causing children to be hospitalized. In the study, researchers found that depression, bipolar disorder and psychosis are the most common and expensive primary diagnoses for pediatric admissions.
“We now know through our analysis of cost and frequency which diagnoses are the most relevant,” said Bardach. “Next, we need to define what the optimal care is for children with these conditions so that hospitals can consistently deliver the best care for every child, every time.”
Using two national databases — Kids’ Inpatient Database and Pediatric Health Information System — the researchers looked at all hospital discharges in 2009 for patients aged three to 20 years old to determine the frequency of hospitalizations for primary mental health diagnoses. They compared the mental health hospitalizations between free-standing children’s hospitals and hospitals that treat both adults and children, to assess if there was a difference in frequency of diagnoses.
The study found that hospitalizations for children with primary mental health diagnoses were more than three times more frequent at general hospitals than free standing children’s hospitals, which the researchers say could indicate that general hospitals have a greater capacity to deliver inpatient psychiatric care than free-standing children’s hospitals…. http://www.sciencedaily.com/releases/2014/03/140317084531.htm

Citation:

Study identifies most common, costly reasons for mental health hospitalization

Date: March 17, 2014

Source: University of California, San Francisco

Summary:
Nearly one in 10 hospitalized children have a primary diagnosis of a mental health condition, and depression alone accounts for $1.33 billion in hospital charges annually, according to a new analysis. The study is the first to examine frequency and costs associated with specific inpatient mental health diagnoses for children, and is a step towards creating meaningful measures of the quality of pediatric hospital care.
Journal Reference:
1.Naomi S. Bardach, Tumaini R. Coker, Bonnie T. Zima, J. Michael Murphy, Penelope Knapp, Laura P. Richardson, Glenace Edwall, and Rita Mangione-Smith. Common and Costly Hospitalizations for Pediatric Mental Health Disorders. Pediatrics, March 2014 DOI: 10.1542/peds.2013-3165

Here is the press release from the University of San Francisco:

Study Identifies Most Common, Costly Reasons for Mental Health Hospitalizations for Kids
By Juliana Bunim on March 13, 2014
Nearly one in 10 hospitalized children have a primary diagnosis of a mental health condition, and depression alone accounts for $1.33 billion in hospital charges annually, according to a new analysis led by UCSF Benioff Children’s Hospital.
The study is the first to examine frequency and costs associated with specific inpatient mental health diagnoses for children, and is a step towards creating meaningful measures of the quality of pediatric hospital care.
“This is the first paper to give a clear picture of the mental health reasons kids are admitted to hospitals nationally,” said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children’s Hospital and lead author. “Mental health hospitalizations have been increasing in kids, up 24% from 2007-2010. Mental health is a priority topic for national quality measures, which are intended to help improve care for all kids.”
The study will be published in the April issue of the journal Pediatrics.
More than 4 million children and adolescents in the United States have a diagnosable mental health disorder, yet little is known about which specific mental health diagnoses are causing children to be hospitalized. In the study, researchers found that depression, bipolar disorder and psychosis are the most common and expensive primary diagnoses for pediatric admissions.
“We now know through our analysis of cost and frequency which diagnoses are the most relevant,” said Bardach. “Next, we need to define what the optimal care is for children with these conditions so that hospitals can consistently deliver the best care for every child, every time.”
Using two national databases – Kids’ Inpatient Database and Pediatric Health Information System – the researchers looked at all hospital discharges in 2009 for patients aged three to 20 years old to determine the frequency of hospitalizations for primary mental health diagnoses. They compared the mental health hospitalizations between free-standing children’s hospitals and hospitals that treat both adults and children, to assess if there was a difference in frequency of diagnoses.
The study found that hospitalizations for children with primary mental health diagnoses were more than three times more frequent at general hospitals than free standing children’s hospitals, which the researchers say could indicate that general hospitals have a greater capacity to deliver inpatient psychiatric care than free-standing children’s hospitals.
At both kinds of hospitals, the most common mental health diagnoses were similar (depression, bipolar disorder, and psychosis), which the researchers say supports the creation of diagnosis-specific quality measures for all hospitals that admit children.
Depression accounted for 44.1 percent of all pediatric primary mental health admissions, with charges of $1.33 billion dollars, based on the billing databases used in the study. Bipolar was the second most common diagnosis accounting for 18.1 percent and $702 million, followed by psychosis at 12.1 percent and $540 million.
“These are costly hospitalizations, and being hospitalized is a heavy burden for families and patients. Prevention and wellness is a huge part of the Affordable Care Act, along with controlling costs by delivering great care,” said Bardach. “This study helps us understand that mental health is a key priority. The long term goal is not only to improve hospital care for these kids, but also to understand how to effectively optimize mental health resources in the outpatient world.”
Co-authors include Tumaini Coker, MD, MBA and Bonnie Zima, MD, MPH, both of UCLA; J. Michael Murphy, EdD, Massachusetts General Hospital Boston; Penelope Knapp, MD, UC Davis; Laura Richardson, MD, MPH and Rita Mangione-Smith, MD, MPH, both of the University of Washington School of Medicine, Seattle; and Glenace Edwall, PsyD, PhD, MPP, Minnesota State Health Access Data Assistance Center.
The study was supported by the Agency for Healthcare Research and Quality and the National Institute for Children’s Health and Human Development.
UCSF Benioff Children’s Hospital creates an environment where children and their families find compassionate care at the forefront of scientific discovery, with more than 150 experts in 50 medical specialties serving patients throughout Northern California and beyond. The hospital admits about 5,000 children each year, including 2,000 babies born in the hospital.

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Related:

GAO report: Children’s mental health services are lacking

GAO report: Children’s mental health services are lacking

Schools have to deal with depressed and troubled children:

Schools have to deal with depressed and troubled children

Where information leads to Hope. © Dr. Wilda.com

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University of Strathclyde study: Obese children get lower grades

13 Mar

The media presents an unrealistic image of perfection for women and girls. What they don’t disclose is for many of the “super” models their only job and requirement is the maintenance of their appearance. Their income depends on looks and what they are not able to enhance with plastic surgery and personal trainers, then that cellulite can be photoshopped or airbrushed away. That is the reality. Kid’s Health has some good information about Body Image http://kidshealth.org/teen/your_mind/body_image/body_image.html

Huffington Post reported in the article, Children Diet To Keep Off Pounds And Ward Off Bullying, Survey Says:

A recent survey of 1,500 of children between ages 7 and 18 revealed that young teens diet and worry about their weight.
About 44 percent of children between the ages of 11 and 13 say they’ve been bullied because of their weight, and more than 40 percent of kids younger than 10 admitted they were concerned about packing on the pounds, with nearly one-fourth reporting having been on a diet in the last year, according to the Press Association….
Last year, 13-year-old Nicolette Taylor resorted to plastic surgery to escape harassment and name-calling, particularly on social networking sites such as Facebook.
“All my friends could see [my nose], all my new friends, and I didn’t want them saying things,” Taylor told Nightline about her decision to get a nose job. “Gossip goes around, and it really hurts.”
Other teens have felt suicide was their only way to escape daily scrutiny about their appearance or sexuality.
Although adolescents get picked on for a variety of reasons, weight is the top reason children are bullied at school, Yahoo! Shine reports.
And according to Rebecca Puhl, Director of Research at the Rudd Center for Food Policy at Yale University, a new ad campaign in Georgia is only “perpetua[ting] negative stereotypes.”
The ads, which aim to curb childhood obesity rates, feature photos of overweight children accompanied by text, such as “WARNING: It’s hard to be a little girl if you’re not.” http://www.huffingtonpost.com/2012/01/05/children-diet-bullying_n_1186422.html?ref=email_share

It is situations like this which cause unhealthy eating habits and disorders like anorexia and bulimia.

Linda Poon of NPR reported in the story, Obesity Linked To Lower Grades Among Teen Girls:

Since the 1990s, the U.K has seen childhood obesity rates grow at an alarming rate, says John Reilly, specialist in the prevention of childhood obesity at the University of Strathclyde, and the study’s lead author. Today, nearly a quarter of children in U.K. are obese by the time they reach 12. Increasingly, researchers in both the U.S. and the U.K. have been interested in how obesity might affect students’ academic achievement, but Reilly says few studies have examined the same students over several years, or been able tease out obesity’s effects from the influence of social factors, such as socioeconomic status.
The current study analyzed data from nearly 6,000 adolescent students in the U.K., comparing their body mass index from ages 11 to 16 with how well they performed in standardized tests during those years. About 71 percent of the students surveyed were of a “healthy weight” at the start, the researchers said, and about 15 percent were obese. The academic exams, which tested the students’ English, math and science abilities, were given three times — at ages 11, 13 and 16. After adjusting for factors like socioeconomic status, IQ and menstruation cycles, the researchers found that, on average, girls who were obese at age 11 performed worse at age 11, 13 and 16 than girls deemed to have a healthy weight. Being obese at 11, the scientists found, was enough “to lower average attainment to a grade D instead of a grade C,” by age 16…. Though the study followed British teens, Reilly says the findings are likely also applicable to students in the United States, where the proportion of children between the ages 12 and 19 who are obese grew from 5 percent in 1980 to nearly 21 percent by 2012.
“The similarities between the environment, the culture, [and] school systems between the U.S. and the U.K. are more similar than may be obvious,” Reilly says….
http://www.npr.org/blogs/health/2014/03/11/289070502/obesity-linked-to-lower-grades-among-teen-girls?
utm_medium=Email&utm_source=share&utm_campaign=storyshare

See also, Obesity associated with lower academic attainment in teenage girls, says new study http://www.sciencedaily.com/releases/2014/03/140311100604.htm

Citation:

Journal Reference:
1.J N Booth, P D Tomporowski, J M E Boyle, A R Ness, C Joinson, S D Leary, J J Reilly. Obesity impairs academic attainment in adolescence: findings from ALSPAC, a UK cohort. International Journal of Obesity, 2014; DOI: 10.1038/ijo.2014.40

Here is the news release from the Universities of Strathclyde, Dundee, Georgia and Bristol

News Releases
main content
Obesity associated with lower academic attainment in teenage girls, says new study
Obesity in adolescent girls is associated with lower academic attainment levels throughout their teenage years, a new study has shown.
The research conducted by the Universities of Strathclyde, Dundee, Georgia and Bristol is the most comprehensive study yet carried out into the association between obesity and academic attainment in adolescence. The results are published in the International Journal of Obesity.
The results showed that girls who were obese, as measured by BMI (body mass index) at age 11 had lower academic attainment at 11, 13 and 16 years when compared to those of a healthy weight. The study took into account possible mediating factors but found that these did not affect the overall results.
Attainment in the core subjects of English, Maths and Science for obese girls was lower by an amount equivalent to a D instead of a C, which was the average in the sample.
Associations between obesity and academic attainment were less clear in boys.
University of Strathclyde Professor of Physical Activity and Public Health Science, John Reilly – the Principal Investigator of the study – said: “Further work is needed to understand why obesity is negatively related to academic attainment, but it is clear that teenagers, parents, and policymakers in education and public health should be aware of the lifelong educational and economic impact of obesity.”
Dr Josie Booth, of the School of Psychology at the University of Dundee, said: “There is a clear pattern which shows that girls who are in the obese range are performing more poorly than their counterparts in the healthy weight range throughout their teenage years.”
The study examined data from almost 6000 children from the Avon Longitudinal Study of Parents and Children (ALSPAC), including academic attainment assessed by national tests at 11, 13 and 16 years and weight status. 71.4% were healthy weight (1935 male, 2325 female), 13.3% overweight (372 male, 420 female) and 15.3% obese (448 male, 466 female).
The researchers took into account potentially distorting factors such as socio-economic deprivation, mental health, IQ and age of menarche (onset of the menstrual cycle) but found these did not change the relationship between obesity and academic attainment.
This study was funded through a BUPA Foundation grant to the University of Strathclyde. ALSPAC receives core support from the Medical Research Council, the Wellcome Trust and the University of Bristol.
11 March 2014
Web MD has some excellent information about Anorexia
Anorexia nervosa, commonly referred to simply as anorexia, is one type of eating disorder. More importantly, it is also a psychological disorder. Anorexia is a condition that goes beyond concern about obesity or out-of-control dieting. A person with anorexia often initially begins dieting to lose weight. Over time, the weight loss becomes a sign of mastery and control. The drive to become thinner is actually secondary to concerns about control and/or fears relating to one’s body. The individual continues the ongoing cycle of restrictive eating, often accompanied by other behaviors such as excessive exercising or the overuse of diet pills to induce loss of appetite, and/or diuretics, laxatives, or enemas in order to reduce body weight, often to a point close to starvation in order to feel a sense of control over his or her body. This cycle becomes an obsession and, in this way, is similar to an addiction.
Who is at risk for anorexia nervosa?
Approximately 95% of those affected by anorexia are female, most often teenage girls, but males can develop the disorder as well. While anorexia typically begins to manifest itself during early adolescence, it is also seen in young children and adults. In the U.S. and other countries with high economic status, it is estimated that about one out of every 100 adolescent girls has the disorder. Caucasians are more often affected than people of other racial backgrounds, and anorexia is more common in middle and upper socioeconomic groups. According to the U.S. National Institute of Mental Health (NIMH), other statistics about this disorder include the fact that an estimated 0.5%-3.7% of women will suffer from this disorder at some point in their lives. About 0.3% of men are thought to develop anorexia in their lifetimes
Many experts consider people for whom thinness is especially desirable, or a professional requirement (such as athletes, models, dancers, and actors), to be at risk for eating disorders such as anorexia nervosa. Health-care professionals are usually encouraged to present the facts about the dangers of anorexia through education of their patients and of the general public as a means of preventing this and other eating disorders.
What causes anorexia nervosa?
At this time, no definite cause of anorexia nervosa has been determined. However, research within the medical and psychological fields continues to explore possible causes.
Studies suggest that a genetic (inherited) component may play a more significant role in determining a person’s susceptibility to anorexia than was previously thought. Researchers are currently attempting to identify the particular gene or genes that might affect a person’s tendency to develop this disorder, and preliminary studies suggest that a gene located at chromosome 1p seems to be involved in determining a person’s susceptibility to anorexia nervosa.
Other evidence had pinpointed a dysfunction in the part of the brain, the hypothalamus (which regulates certain metabolic processes), as contributing to the development of anorexia. Other studies have suggested that imbalances in neurotransmitter (brain chemicals involved in signaling and regulatory processes) levels in the brain may occur in people suffering from anorexia. http://www.onhealth.com/anorexia_nervosa/article.htm

Beautiful people come in all colors, shapes, and sizes. The key is to be healthy and to live a healthy lifestyle

Related:

Helping Girls With Body Image http://www.webmd.com/beauty/style/helping-girls-with-body-image

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Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
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Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

Brown University – Hasbro Children’s Hospital study: School violence is a very big issue

19 Jan

The Centers for Disease Control (CDC) writes about school violence:

In the United States, an estimated 50 million students are enrolled in pre-kindergarten through 12th grade. Another 15 million students attend colleges and universities across the country. While U.S. schools remain relatively safe, any amount of violence is unacceptable. Parents, teachers, and administrators expect schools to be safe havens of learning. Acts of violence can disrupt the learning process and have a negative effect on students, the school itself, and the broader community.
2013 Understanding School Violence Fact Sheet Adobe PDF file [PDF 250KB]

Click to access school_violence_fact_sheet-a.pdf

School violence is youth violence that occurs on school property, on the way to or from school or school-sponsored events, or during a school-sponsored event.
What is School Violence?
School violence is a subset of youth violence, a broader public health problem. Violence is the intentional use of physical force or power, against another person, group, or community, with the behavior likely to cause physical or psychological harm. Youth Violence typically includes persons between the ages of 10 and 24, although pathways to youth violence can begin in early childhood.
Examples of violent behavior include:
Bullying
Fighting (e.g., punching, slapping, kicking)
Weapon use
Electronic aggression
Gang violence
School violence occurs:
On school property
On the way to or from school
During a school-sponsored event
On the way to or from a school-sponsored event
Data Sources:
Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System (YRBSS) 2009 National Youth Risk Behavior Survey Overview. Available from URL: http://www.cdc.gov/healthyyouth/yrbs/pdf/us_overview_yrbs.pdf.

School violence is a growing issue.

Linda Carroll of NBC News reported in the story, School violence lands more than 90,000 a year in the ER, study finds:

Despite all the lip service given to battling bullying, many kids are still being seriously hurt while on school grounds, a new study shows. Each year more than 90,000 school children suffer “intentional” injuries severe enough to land them in the emergency room, according to the study published in Pediatrics.
Though there was a decrease in the number of intentional injuries at school over the last 10 years, it was minor, said study co-author Dr. Siraj Amanullah, an assistant professor of emergency medicine and pediatrics at the Alpert Medical School at Brown University.
“We were surprised,” Amanullah said. “With so much emphasis on school safety and bullying now, we expected a bigger decline. Ninety-thousand per year is quite huge.”
And keep in mind, Amanullah said, the study was only looking at kids who turned up in the ER. This could just be the tip of the iceberg.
“Bullying is so underreported,” said Amanullah, adding that children are still reluctant to tell anyone because often little gets done about it. “We were hoping this study would bring more attention to the problem.”
Amanullah and his colleagues pored through data from the National Electronic Injury Surveillance System — All Injury Program collected from January of 2001 through December of 2008. The ER reports include a plethora of detail, including the type of injury, whether it occurred at school and whether it was the result of an accident or was intentional.
While cuts and bruises were the most common injuries at 40 percent, fractures accounted for 12 percent, brain injuries for 10 percent and sprains and strains another 7 percent. The vast majority of injuries — 96 percent — were the result of an assault, with most perpetrators identified as friends or acquaintances. A full 10 percent of the assaults involved multiple perpetrators.
Part of the problem may be the adults that kids model themselves after. An article published in the same issue of Pediatrics reported that bullying behavior by coaches is quite high — and that the schools often make excuses for the behavior if it’s a winning coach.
A survey cited in the article found that 45 percent of kids “reported verbal misconduct by coaches, including name-calling and insulting them during play.”
During the study period, a total of 7,397,301 injuries occurred at school, of which 736,014 were intentional. The new study shows “that almost 10 percent of injuries are intentional, which means there’s a lot of violence going on in the schools that doesn’t include football, or hockey, or volleyball or tripping and falling and getting hurt,” said Patrick Tolan, a professor at the University of Virginia and director of Youth-Nex, the U.Va. Center to Promote Effective Youth Development.
Part of the solution may be increased monitoring of the kids, Tolan said. “Every school should assume they have an issue,” he added. “They should be looking at where and how both intentional and unintentional injuries are occurring….” http://www.nbcnews.com/health/school-violence-lands-more-90-000-year-er-study-finds-2D11898820

Citation:

Emergency Department Visits Resulting From Intentional Injury In and Out of School
1. Siraj Amanullah, MD, MPHa,b,c,
2. Julia A. Heneghan, MDc,d,
3. Dale W. Steele, MD, MSa,b,
4. Michael J. Mello, MD, MPHa,c, and
5. James G. Linakis, PhD, MDa,b,c
+ Author Affiliations
1. Departments of aEmergency Medicine and
2. bPediatrics, Alpert Medical School of Brown University, Providence, Rhode Island;
3. cInjury Prevention Center, Rhode Island Hospital, Providence, Rhode Island; and
4. dDepartment of Pediatrics, Rainbow Babies and Children’s Hospital, University Hospitals Case Medical Center, Cleveland, Ohio
Abstract
BACKGROUND AND OBJECTIVE: Previous studies have reported concerning numbers of injuries to children in the school setting. The objective was to understand temporal and demographic trends in intentional injuries in the school setting and to compare these with intentional injuries outside the school setting.
METHODS: Data from the National Electronic Injury Surveillance System–All Injury Program from 2001 to 2008 were analyzed to assess emergency department visits (EDVs) after an intentional injury.
RESULTS: There were an estimated 7 397 301 total EDVs due to injuries sustained at school from 2001 to 2008. Of these, an estimated 736 014 (10%) were reported as intentional (range: 8.5%–10.7% for the study time period). The overall risk of an EDV after an intentional injury in school was 2.33 (95% confidence interval [CI]: 1.93–2.82) when compared with an EDV after an intentional injury outside the school setting. For intentional injury–related EDVs originating in the school setting, multivariate regression identified several demographic risk factors: 10- to 14-year-old (odds ratio [OR]: 1.58; 95% CI: 1.10–2.27) and 15- to 19-year-old (OR: 1.69; 95% CI: 1.01–2.82) age group, black (OR: 4.14; 95% CI: 2.94–5.83) and American Indian (OR: 2.48; 95% CI: 2.06–2.99) race, and Hispanic ethnicity (OR: 3.67; 95% CI: 2.02–6.69). The odds of hospitalization resulting from intentional injury–related EDV compared with unintentional injury–related EDVs was 2.01 (95% CI: 1.50–2.69) in the school setting. These odds were found to be 5.85 (95% CI: 4.76–7.19) in the outside school setting.
CONCLUSIONS: The findings of this study suggest a need for additional prevention strategies addressing school-based intentional injuries.

Here is the press release from Hasbro Children’s Hospital:

Hasbro Children’s Hospital National Study Finds High Number of Pediatric Injuries Caused by Violence at School
1/14/2014
________________________________________
Siraj Amanullah, MD, MPH, an emergency medicine attending physician at Hasbro Children’s Hospital, recently led a study that found children between the ages of five and 19 still experience a substantial number of intentional injuries while at school. The study, titled “Emergency Department Visits Resulting from Intentional Injury In and Out of School,” has been published online ahead of print in the journal Pediatrics.
Amanullah’s team analyzed data from the National Electronic Injury Surveillance System All Injury Program from 2001 to 2008 to assess emergency department (ED) visits after an intentional injury. Of an estimated 7.39 million emergency department visits due to injuries occurring at school, approximately 736,014 (10 percent) were reported as intentional, such as those from bullying and peer-to-peer violence.
“This study is the first of its kind to report such a national estimate,” said Amanullah. “The 10 percent number may not seem large, but it is alarmingly high when you consider that such a significant number of intentional injuries are occurring in the school setting, where safety measures meant to prevent these sorts of injuries, are already in place.”
The study also identified gender and age disparities. Boys were most likely to be identified as at risk for intentional injury-related ED visits from within the school setting, along with all students in the 10- to 14-year age group; whereas girls were most at risk for intentional injury-related ED visits from outside of the school setting, along with the 15- to 19-year age group.
Additionally, both African-American and Hispanic ethnicities were found to be associated with higher risks for intentional injury in the school setting compared to outside school. “The important point about these disparities related to specific ethnicities and specific age groups is that the findings suggest that preventive safety efforts in the school setting may need to be tailored for the groups that carry much of this injury burden,” said Amanullah.
James Linakis, MD, PhD, associate director of pediatric emergency medicine at Hasbro Children’s Hospital and co-author of the study, added, “We know that the risk of hospitalization was found to be higher from intentional injury-related ED visits versus unintentional injuries.” Linakis continued, “In supervised environments such as schools, we have a great opportunity to implement additional prevention strategies and reduce the number of seriously injured children who we are seeing in emergency departments nationwide.”
The study highlights the continued public health impact of bullying and peer-to-peer violence. While there are substantial numbers of emergency department visits due to intentional injuries occurring in U.S. schools, there are still likely many others that do not result in ED visits.
Michael Mello, MD, MPH, director of the Injury Prevention Center at Hasbro Children’s Hospital who also contributed to the study, added a reminder that these injuries not only affect the physical health, but also the emotional health of children, families and both victim and perpetrator. “As parents, guardians and physicians we need to keep talking to our children and patients about this physical and mental health burden. It is our responsibility to address the issue of violence and bullying, both in and out of school, just like prevention efforts for any other medical illness,” said Mello. http://www.lifespan.org/Newsroom/News.aspx?NewsId=64730/Hasbro-Children%E2%80%99s-Hospital-National-Study-Finds-High-Number-of-Pediatric-Injuries–Caused-by-Violence-at-School/#null

One of the best concise guides to preventing school violence is the National PTA Checklist.

The National PTA Checklist recommends the following actions:

1. Talk to Your Children
Keeping the lines of communication open with your children and teens is an important step to keeping involved in their schoolwork, friends, and activities. Ask open-ended questions and use phrases such as “tell me more” and “what do you think?” Phrases like these show your children that you are listening and that you want to hear more about their opinions, ideas, and how they view the world. Start important discussions with your children—about violence, smoking, drugs, sex, drinking, death—even if the topics are difficult or embarrassing. Don’t wait for your children or teens to come to you.
2. Set Clear Rules and Limits for Your Children
Children need clearly defined rules and limits set for them so that they know what is expected of them and the consequences for not complying. When setting family rules and limits, be sure children understand the purpose behind the rules and be consistent in enforcing them.
Discipline is more effective if children have been involved in establishing the rules and, oftentimes, in deciding the consequences. Remember to be fair and flexible—as your children grow older, they become ready for expanded rights and changes in rules and limits. Show your children through your actions how to adhere to rules and regulations, be responsible, have empathy toward others, control anger, and manage stress.
3. Know the Warning Signs
Knowing what’s normal behavior for your son or daughter can help you recognize even small changes in behavior and give you an early warning that something is troubling your child. Sudden changes—from subtle to dramatic—should alert parents to potential problems. These could include withdrawal from friends, decline in grades, abruptly quitting sports or clubs the child had previously enjoyed, sleep disruptions, eating problems, evasiveness, lying, and chronic physical complaints (stomachache or headaches).
4. Don’t Be Afraid to Parent; Know When to Intervene
Parents need to step in and intervene when children exhibit behavior or attitudes that could potentially harm them or others. And you don’t have to deal with problems alone—the most effective interventions have parent, school, and health professionals working together to provide on-going monitoring and support.
5. Stay Involved in Your Child’s School
Show your children you believe education is important and that you want your children to do their best in school by being involved in their education. Get to know your child’s teachers and help them get to know you and your child. Communicate with your child’s teachers throughout the school year, not just when problems arise. Stay informed of school events, class projects, and homework assignments. Attend all parent orientation activities and parent-teacher conferences. Volunteer to assist with school functions and join your local PTA. Help your children seek a balance between schoolwork and outside activities. Parents also need to support school rules and goals.
6. Join Your PTA or a Violence Prevention Coalition
According to the National Crime Prevention Council, the crime rate can decrease by as much as 30 percent when a violence prevention initiative is a community-wide effort. All parents, students, school staff, and members of the community need to be a part of creating safe school environments for our children. Many PTAs and other school-based groups are working to identify the problems and causes of school violence and possible solutions for violence prevention.
7. Help to Organize a Community Violence Prevention Forum
Parents, school officials, and community members working together can be the most effective way to prevent violence in our schools.
8. Help Develop A School Violence Prevention and Response Plan
School communities that have violence prevention plans and crisis management teams in place are more prepared to identify and avert potential problems and to know what to do when a crisis happens. The most effective violence prevention and response plans are developed in cooperation with school and health officials, parents, and community members. These plans include descriptions of school safety policies, early warning signs, intervention strategies, emergency response plans, and post-crisis procedures.
9. Know How to Deal With the Media in a Crisis
Good public relations and media relations start with understanding how the media works and what they expect from organization’s that issue press releases, hold press conferences, and distribute media kits.
10. Work to Influence Lawmakers
Writing an editorial for the local newspaper, holding a petition drive, speaking before a school board meeting, or sending a letter to your legislator can be effective ways to voice your opinion and gain support from decision makers for violence prevention programs in your community. Working with other concerned parents, teachers, and community members, you can influence local, state and even federal decisions that affect the education, safety, and well-being of our children. http://www.pta.org/content.cfm?ItemNumber=984

School violence is a complex set of issues and there is no one solution. The school violence issue mirrors the issue of violence in the larger society. Trying to decrease violence requires a long-term and sustained focus from parents, schools, law enforcement, and social service agencies.

Resources:
A Dozen Things Students Can Do to Stop School Violence http://www.sacsheriff.com/crime_prevention/documents/school_safety_04.cfm

A Dozen Things. Teachers Can Do To Stop School Violence. http://www.ncpc.org/cms-upload/ncpc/File/teacher12.pdf

Preventing School Violence: A Practical Guide http://www.indiana.edu/~safeschl/psv.pdf

Related:

Violence against teachers is becoming a bigger issue https://drwilda.com/2013/11/29/violence-against-teachers-is-becoming-a-bigger-issue/

Hazing remains a part of school culture https://drwilda.com/2013/10/09/hazing-remains-a-part-of-school-culture/

FEMA issues Guide for Developing High-Quality School Emergency Operations Plans https://drwilda.com/2013/07/08/fema-issues-guide-for-developing-high-quality-school-emergency-operations-plans/

Study: 1 in 3 teens are victims of dating violence https://drwilda.com/2013/08/05/study-1-in-3-teens-are-victims-of-dating-violence/

Pediatrics article: Sexual abuse prevalent in teen population https://drwilda.com/2013/10/10/pediatrics-article-sexual-abuse-prevalent-in-teen-population/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

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Technological Educational Institute of Crete study: Parenting style linked to internet addiction in children

16 Jan

Moi wrote in Children’s sensory overload from technology:

Jason Dick has 15 Warning Signs That Your Child is An Internet Addict:

Psychological and media experts have compiled a list of warning signs for Internet addiction:
1. The Internet is frequently used as a means of escaping from problems or relieving a depressed mood.
2. Your child often loses track of time while online.
3. Sleep is sacrificed for the opportunity to spend more time online.
4. Your child prefers to spend more time online than with friends or family.
5. He/She lies to family member and friends about the amount of time or nature of surfing being done on the Internet.
6. Your child becomes irritable if not allowed to access the Internet.
7. He/She has lost interest in activities they once found enjoyable before getting online access.
8. Your child forms new relationships with people they have met online.
9. They check their email several times per day.
10. He/She has jeopardized relationships, achievements, or educational opportunities because of the Internet.
11. Your child disobeys the time limits that have been set for Internet usage.
12. They eat in front of the computer frequently.
13. Your child develops withdrawal symptoms including: anxiety, restlessness, or trembling hands after not using the Internet for a lengthy period of time.
14.Your child is preoccupied with getting back online when away from the computer.
15. They have trouble distinguishing between the virtual world and the real world.
It is very important that parents identify Internet addiction in their children at an early age and set limits on their Internet use. My next article will provide a no nonsense contract that parents can use with their children to set limits and boundaries on Internet use. http://ezinearticles.com/?Internet-Addiction-and-Children-Hidden-Dangers-and-15-Warning-Signs&id=546552

See also, Internet Addiction in Children http://www.disabled-world.com/health/pediatric/internet-addiction.php and Internet Addiction Linked to ADHD and Depression in Teens http://www.cnn.com/2009/HEALTH/10/05/depression.adhd.internet.addiction/index.html?_s=PM:HEALTH

Katherine Doyle of Reuters reported in the article, Parenting style linked to kids’ Internet addiction:

Recollections of strict, unaffectionate parents were more common among young adults with an unhealthy attachment to Internet use, compared to their peers, in a new Greek study.
Young adults who recall their parents being tough or demanding without showing affection tend to be sad or to have trouble making friends, and those personality traits raise their risk of Internet addiction, the researchers say.
“In short, good parenting, including parental warmth and affection, that is caring and protective parents, has been associated with lower risk for Internet addiction,” said lead author Argyroula E. Kalaitzaki of the Technological Education Institute (TEI) of Crete in Heraklion, “whereas bad parenting, including parental control and intrusion, that is authoritarian and neglectful parents, has been associated with higher risk for addiction.”
Research on Internet addiction is still relatively new, and there are no actual criteria for diagnosing the disorder, though there are many inpatient and outpatient treatment facilities in the U.S., Australia and Asia.
Some of the studies done to date suggest that kids who have trouble relating to others in person might be at higher risk for a problematically high level of Internet use. Those who are socially withdrawn or lonely might also be more likely to spend excessive time online.
Kalaitzaki’s team predicted that the way kids bonded with their parents would predict aspects of their personality as young adults, which in turn would predict their likelihood of Internet addiction.
For the study, more than 700 young adults at technical schools, all around age 20, filled out questionnaires during class time. They answered questions about their feelings of loneliness, sadness and anxiety, and about their Internet use.
They also answered questions about how they recalled being brought up during their first 16 years of life.
In Greece, previous studies have found that between 1 percent and 8 percent of teens are addicted to the Internet.
The current study classified almost 2 percent of the men and 0.6 percent of the women as severely addicted, according to the results published in Addictive Behaviors.
The authors did not find a link between anxiety or loneliness and Internet addiction, nor could they directly link any particular parenting style with addiction.
But Kalaitzaki and her colleagues did find indirect connections.
The kids who remembered their fathers as controlling and not affectionate tended to have more trouble relating to others as young adults, and those who had trouble relating to others were more likely to be addicted.
Those who remembered their mothers as just not being very good parents were more likely to report sadness as young adults, which was also linked to Internet addiction.
“Parents should be made aware of the harmful impact that a potential negative parental rearing style may have upon their children in later life,” Kalaitzaki told Reuters Health…
http://ca.news.yahoo.com/parenting-style-linked-kids-39-internet-addiction-222041126.html

Citation:

Argyroula Kalaitzaki
Technological Educational Institute of Crete
Article
The impact of early parenting bonding on young adults’ Internet addiction, through the mediation effects of negative relating to others and sadness.
Argyroula Kalaitzaki
Addictive Behaviors 01/2014; 39(3):733–736.

ABSTRACT The aim of the present study is the investigation of the potential role of negative relating to others, perceived loneliness, sadness, and anxiety, as mediators of the association between early parental bonding and adult Internet Addiction (IA). The factorial structure of the Internet Addiction Test (IAT) and the prevalence rates of it in a Greek samplewill also be investigated. A total of 774 participants were recruited froma Technological Education Institute (mean age = 20.2, SD = 2.8) and from high school technical schools (mean age = 19.9, SD = 7.4). The IATwas used tomeasure the degree of problematic Internet use behaviors; the Parental Bonding Instrument was used to assess one’s recalled parenting experiences during the first 16 years of life; the shortened Person’s Relating to Others Questionnaire was used to assess one’s negative (i.e. maladaptive) relating to others (NRO). Both exploratory and confirmatory factor analyses confirmed the three-factor structure of the IAT. Only 1.0% of the sample was severely addicted to the Internet. The mediated effects of only the NRO and sadness were confirmed.
Negative relating to others was found to fully mediate the effect of both the father’s optimal parenting
and affectionless control on IA, whereas sadness was found to fully mediate the effect of the mother’s optimal parenting on IA. Overall, the results suggest that parenting style has an indirect impact on IA, through the mediating role of negative relating to others or sadness in later life. Both family-based and individual-based prevention and intervention efforts may reduce the incidence of IA.
http://www.researchgate.net/publication/259586504_The_impact_of_early_parenting_bonding_on_young_adults_Internet_addiction_through_the_mediation_effects_of_negative_relating_to_others_and_sadnes

Helpguide.Org has a good article on treating internet addiction in teens. Among their suggestions are:

It’s a fine line as a parent. If you severely limit a child or teen’s Internet use, they might rebel and go to excess. But you can and should model appropriate computer use, supervise computer activity and get your child help if he or she needs it. If your child or teen is showing signs of Internet addiction, there are many things that you as a parent can do to help:
• Encourage other interests and social activities. Get your child out from behind the computer screen. Expose kids to other hobbies and activities, such as team sports, Boy or Girl Scouts, and afterschool clubs.
• Monitor computer use and set clear limits. Make sure the computer is in a common area of the house where you can keep an eye on your child’s online activity, and limit time online, waiting until homework and chores are done. This will be most effective if you as parents follow suit. If you can’t stay offline, chances are your children won’t either.
• Talk to your child about underlying issues. Compulsive computer use can be the sign of deeper problems. Is your child having problems fitting in? Has there been a recent major change, like a move or divorce, which is causing stress? Don’t be afraid to seek professional counseling if you are concerned about your child. Helpguide.Org has a good article on treating internet addiction in teens. Among their suggestions are:
• It’s a fine line as a parent. If you severely limit a child or teen’s Internet use, they might rebel and go to excess. But you can and should model appropriate computer use, supervise computer activity and get your child help if he or she needs it. If your child or teen is showing signs of Internet addiction, there are many things that you as a parent can do to help:
• Encourage other interests and social activities. Get your child out from behind the computer screen. Expose kids to other hobbies and activities, such as team sports, Boy or Girl Scouts, and afterschool clubs.
• Monitor computer use and set clear limits. Make sure the computer is in a common area of the house where you can keep an eye on your child’s online activity, and limit time online, waiting until homework and chores are done. This will be most effective if you as parents follow suit. If you can’t stay offline, chances are your children won’t either.
• Talk to your child about underlying issues. Compulsive computer use can be the sign of deeper problems. Is your child having problems fitting in? Has there been a recent major change, like a move or divorce, which is causing stress? Don’t be afraid to seek professional counseling if you are concerned about your child. Helpguide.Org has a good article on treating internet addiction in teens. Among their suggestions are:
• It’s a fine line as a parent. If you severely limit a child or teen’s Internet use, they might rebel and go to excess. But you can and should model appropriate computer use, supervise computer activity and get your child help if he or she needs it. If your child or teen is showing signs of Internet addiction, there are many things that you as a parent can do to help:
• Encourage other interests and social activities. Get your child out from behind the computer screen. Expose kids to other hobbies and activities, such as team sports, Boy or Girl Scouts, and afterschool clubs.
• Monitor computer use and set clear limits. Make sure the computer is in a common area of the house where you can keep an eye on your child’s online activity, and limit time online, waiting until homework and chores are done. This will be most effective if you as parents follow suit. If you can’t stay offline, chances are your children won’t either.
• Talk to your child about underlying issues. Compulsive computer use can be the sign of deeper problems. Is your child having problems fitting in? Has there been a recent major change, like a move or divorce, which is causing stress? Don’t be afraid to seek professional counseling if you are concerned about your child. http://www.helpguide.org/mental/internet_cybersex_addiction.htm

There is something to be said for Cafe Society where people actually meet face-to-face for conversation or the custom of families eating at least one meal together. Time has a good article on The Magic of the Family Meal http://content.time.com/time/magazine/article/0,9171,1200760,00.html See, also Family Dinner: The Value of Sharing Meals http://www.ivillage.com/family-dinner-value-sharing-meals/6-a-128491

Related:

Is ‘texting’ destroying literacy skills https://drwilda.com/2012/07/30/is-texting-destroying-literacy-skills/

UK study: Overexposure to technology makes children miserable https://drwilda.com/2012/10/31/uk-study-overexposure-to-technology-makes-children-miserable/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/