Digital Commons Network^™

The Influence Of Parental Control And Parent-Child Relational Qualities On Adolescent Internet Addiction: A 3-Year Longitudinal Study In Hong Kong, Daniel T. L. Shek, Xiaoqin Zhu, Cecilia M. S. Ma

Pediatrics Faculty Publications

This study investigated how parental behavioral control, parental psychological control, and parent-child relational qualities predicted the initial level and rate of change in adolescent internet addiction (IA) across the junior high school years. The study also investigated the concurrent and longitudinal effects of different parenting factors on adolescent IA. Starting from the 2009/2010 academic year, 3,328 Grade 7 students (M_age = 12.59 ± 0.74 years) from 28 randomly selected secondary schools in Hong Kong responded on a yearly basis to a questionnaire measuring multiple constructs including socio-demographic characteristics, perceived parenting characteristics, and IA. Individual growth curve (IGC) analyses …

Self-Reported Risk And Delinquent Behavior And Problem Behavioral Intention In Hong Kong Adolescents: The Role Of Moral Competence And Spirituality, Daniel T. L. Shek, Xiaoqin Zhu

Pediatrics Faculty Publications

Based on the six-wave data collected from Grade 7 to Grade 12 students (N = 3,328 at Wave 1), this pioneer study examined the development of problem behaviors (risk and delinquent behavior and problem behavioral intention) and the predictors (moral competence and spirituality) among adolescents in Hong Kong. Individual growth curve models revealed that while risk and delinquent behavior accelerated and then slowed down in the high school years, adolescent problem behavioral intention slightly accelerated over time. After controlling the background socio-demographic factors, moral competence and spirituality were negatively associated with risk and delinquent behavior as well as problem …

The Influence Of Personal Well-Being On Learning Achievement In University Students Over Time: Mediating Or Moderating Effects Of Internal And External University Engagement, Lu Yu, Daniel T. L. Shek, Xiaoqin Zhu

Pediatrics Faculty Publications

The current study examined the relationship between students' personal well-being and their learning achievement during university study, and whether such relationship would be mediated or moderated by university engagement. A total of 434 university students from one public university in Hong Kong participated in the study. The participants completed an online survey consisting of personal well-being (cognitive behavioral competence and general positive youth development), university engagement, and learning achievement measures (personal growth, and accumulated GPA as academic achievement) at four time points with a 1-year interval. Results showed that personal well-being measured at the beginning of university study positively predicted …

An Initial Application Of A Biopsychosocial Framework To Predict Posttraumatic Stress Following Pediatric Injury, Meghan L. Marsac, Nancy Kassam-Adams, Douglas L. Delahanty, Jeffrey Ciesla, Danielle Weiss, Keith F. Widaman, Lamia P. Barakat

Pediatrics Faculty Publications

Objectives—Each year millions of children suffer from unintentional injuries that result in poor emotional and physical health. This study examined selected biopsychosocial factors (i.e., child heart rate, peritrauma appraisals, early coping, trauma history) to elucidate their roles in promoting emotional recovery following injury. The study evaluated specific hypotheses that threat appraisals (global and trauma-specific) and coping would predict subsequent posttraumatic stress symptoms (PTSS), that coping would mediate the association between early and later PTSS, and that heart rate would predict PTSS and appraisals would mediate this association.

Method—Participants were 96 children hospitalized for injury and assessed at 3 …

Evaluation Of A Community-Based Positive Youth Development Program For Adolescents With Greater Psychosocial Needs: Views Of The Program Participants, Daniel T. L. Shek, Cecilia M. S. Ma, Moon Y. M. Law, Zoe Zhao

Pediatrics Faculty Publications

The present study attempted to investigate the perceptions of Chinese secondary school students with greater psychosocial needs of the Tier 2 Program in the community-based phase of P.A.T.H.S. Project in Hong Kong (n=4245). Using a subjective outcome evaluation tool (Form C), the results revealed that a great majority of the students held positive attitudes toward the program, implementers and the effectiveness of the program. Also, the three domains of the program (“program quality”, “implementer quality” and “program effectiveness”) were significantly associated with each other. In line with previous findings, both program content and program implementer quality were significant predictors of …

Evaluation Of A Community-Based Positive Youth Development Program In Hong Kong: Views Of Program Implementers, Daniel T. L. Shek, Cecilia M. S. Ma, Xiaoqin Zhu

Pediatrics Faculty Publications

Using a subjective outcome evaluation method, the current study investigated program implementers’ perceptions of the Tier 1 Program of the community-based P.A.T.H.S. Project in Hong Kong. After completion of the program, 599 program implementers completed a valid and reliable scale (i.e. Form B) to give their ratings on program content, their own performance, and perceived program effectiveness. As expected, most program implementers perceived the program in a favorable way by giving very positive ratings on the three aspects measured in Form B. Grade differences on the ratings were observed, with implementers teaching the senior curriculum held more positive views on …

Subjective Outcome Evaluation Of The Community-Based P.A.T.H.S. Project: Views Of Program Implementers, Daniel T. L. Shek, Janet T. Y. Leung, Cecilia M. S. Ma, Jing Wu

Pediatrics Faculty Publications

The present study adopted subjective outcome evaluation to examine program effectiveness from the views of implementers (N=375) who implemented the community-based Tier 2 Program of the Project P.A.T.H.S. in Hong Kong. The results revealed that most of the program implementers were satisfied with the program content, their own performance, and program benefits. In agreement with previous studies, the satisfaction ratings of both program content and implementer performance positively predicted perceived program benefits. Regarding the influences of different program delivery approaches, programs with the “interest-enhancement” (INT) element received a more positive evaluation from implementers than did the programs without that element. …

Individual Differences In Intentional And Unintentional Exposure To Online Pornography Among Hong Kong Chinese Adolescents, Cecilia M. S. Ma, Daniel T. L. Shek, Catie C. W. Lai

Pediatrics Faculty Publications

The current study aimed to test how gender and religion affect unintentional and intentional exposure to online pornography in Chinese adolescents. A total of 1401 secondary school students (age range from 11 to 16 years) participated in the study. Findings from multivariate analyses show that males reported higher levels of unintentional and intentional exposure to online pornography than females. Significant differences were found in adolescents’ religiosity, with students who had religious beliefs reporting a lower level of unintentional exposure to online pornography than their counterparts without religious beliefs. In terms of intentional exposure to online pornography, adolescents were more likely …

Perceived Effectiveness And Satisfaction Of A Community-Based Positive Youth Development Program: Findings Based On High School Students, Daniel T. L. Shek, Janet T. Y. Leung, Moon Y. M. Law, Kles S. Y. Chan

Pediatrics Faculty Publications

This study examined participants’ perceptions of a community-based positive youth development (PYD) program (the Project P.A.T.H.S.) based on the responses of 16,420 junior secondary students who joined the program in 2015. Subjective outcome evaluation approach was adopted to examine the students’ views of program content, program instructors, and program effectiveness. Consistent with previous studies, results showed that students generally perceived the program positively, and positive relationships were found amongst the three domains of evaluation. Multiple regression analyses showed that perceived program content and instructor qualities were significant predictors and could explain 35% of the variance in program effectiveness perceived by …

Individual And Family Protective Factors Of Intentional And Unintentional Consumption Of Online Pornography In Hong Kong, Cecilia M. S. Ma, Daniel T. L. Shek, Catie C. W. Lai

Pediatrics Faculty Publications

The purpose of the current study was to explore how positive youth development and family functioning were related to unintentional and intentional exposure to online pornography in Chinese adolescents. A total of 1401 secondary school students (mean age=12.43) participated in the study. Findings suggested that positive youth development and family functioning were associated with lower exposure to online pornography. In particular, higher levels of spirituality, social competence, mutuality and communication were associated with lower levels of both types of exposure to online pornography. Discussion focuses on the importance of promoting positive youth development and family functioning as protective factors against …

Psychological Needs, Self-Regulation, And Motivation Profiles Among A Sample Of Hong Kong Chinese University Students: A Person-Centered Approach, Cecilia M. S. Ma, Daniel T. L. Shek, Catie C. W. Lai

Pediatrics Faculty Publications

To better understand factors that influence individuals’ motivation to engage in physical activity, this study aimed to identify the motivational profiles among the Chinese university students, compare the motivational profiles between genders, and explore whether satisfaction of various psychological needs vary with different motivational profiles. Two thousand and twenty-two Chinese university students completed a battery of self-report questionnaires assessing motivation regulation and psychological needs satisfaction. Three motivational profiles were identified for both genders. The overall patterns of the motivational profiles for both genders were similar. However, males (44%) were more likely than their female counterparts (19%) in self-determined profile group. …

Hope, Aspirations, And Resilience In Children And Adolescents: A Review Of Research On Measurement And Related Antecedents, Hildie Leung, Florence K. Y. Wu, Daniel T. L. Shek

Pediatrics Faculty Publications

Hope, aspirations, and resilience are important developmental assets for children and adolescents. Based on the existing Western and Chinese literature, this review aims to identify instruments used to assess hope, aspirations, resilience, and conceptually related constructs as well as antecedents of the constructs in adolescents. A systematic literature search in the major databases was conducted. A total of 223 articles, with 144 being retrieved from international databases and 79 from China’s database, met the criteria and were included in the present review. Findings revealed that the majority of the existing scales were developed predominantly in the West and there were …

Dreams, Aspirations And Related Constructs In Children And Adolescents: A Literature Review, Daniel T. L. Shek, Florence K. Y. Wu, Hildie Leung

Pediatrics Faculty Publications

Although children and adolescents are often asked about their “dreams” about life, scientific studies of “dreams” and related constructs are grossly inadequate. This paper describes the findings arising from a review study exploring the concepts of dreams, aspirations and related constructs in children and adolescents. Besides an overview of the concept of dream, conceptual features and unique underpinnings of other concepts commonly related to dream, such as “aspirations”, “hope”, “future orientation” and “resilience” are presented in this paper. The research questions surrounding “dream” and related constructs in children and adolescents are presented and future research directions are discussed.

Dreams, Aspirations And Related Behavior In Children And Adolescents: Impacts On Child Developmental Outcomes, Florence K. Y. Wu, Daniel T. L. Shek, Hildie Leung

Pediatrics Faculty Publications

“Dreams”, “aspirations” and related constructs are traditionally regarded as facilitators of adolescent educational attainment in the Chinese context. Besides, there is an emergent need to widen the understanding of such constructs and their impact on children and adolescent developmental outcomes. This paper discusses the developmental outcomes of dreams, aspiration and related concepts based on a thorough review of the literature. Besides outlining the impacts of aspirations, dreams and related constructs on children and adolescents, features of related intervention programs, including themes of the intervention programs, program participants, methods of implementation and evaluation in both Western and Chinese contexts are also …

Medical Cannabis: Miracle Or Myth?, Blair Henry, Arnav Agarwal, Edward Chow, Hatim A. Omar, Joav Merrick

Pediatrics Faculty Publications

No abstract provided.

Pharmacology Of Cannabis, Mandakini Sadhir

Pediatrics Faculty Publications

Cannabis has been used for recreational purposes around the world. It is derived from the plant cannabis sativa which has various other compounds known as cannabinoids. Most common form of cannabis used for recreational purpose is marijuana, which is prepared from dried flowering tops and leaves. The primary psychoactive component is delta 9-tetrahydrocannabinol (δ-9THC), which exerts its physiological and psychological effects through its interaction with CB1 and CB2 receptors. Smoking is the most commonly used method with onset of effects within minutes after inhalation. Oral ingestion of cannabis has varied absorption with delayed onset but longer duration of action. Urine …

Perspectives On Pediatric Pain, Donald E. Greydanus, Dilip R. Patel, Colleen Dodich, Hatim A. Omar, Joav Merrick

Pediatrics Faculty Publications

No abstract provided.

Phantom Limb Pain, Stephanie J. Stockburger, Mandakini Sadhir, Hatim A. Omar

Pediatrics Faculty Publications

Phantom limb pain is pain that is perceived in a part of the body which is no longer present. It is estimated that 80 percent of amputees experience phantom limb pain. Although the term is “phantom limb pain” the feeling is often more of a burning, twisting, itching, or pressure sensation than pain. The exact mechanism of phantom limb pain is unknown although proposed mechanisms include pain origination from either the central nervous system or the peripheral nervous system. Since the exact mechanism of phantom limb pain is unknown, treating this pain may be difficult. Treatments include pharmacological and nonpharmacological. …

Academic Predictors And Characteristics Of Self-Reported Juvenile Firesetting, Carrie Howell Bowling, Hatim A. Omar

Pediatrics Faculty Publications

The main purpose of this study was to address gaps in existing research by examining the relationship between academic performance and attention problems with juvenile firesetting. Two datasets from the Achenbach System for Empirically Based Assessment (ASEBA) were used. The Factor Analysis Dataset (N = 975) was utilized and results indicated that adolescents who report lower academic performance are more likely to set fires. Additionally, adolescents who report a poor attitude toward school are even more likely to set fires. Logistic regressions were run to determine if attention problems predicted firesetting and the findings indicated that attention problems are predictive …

Acute Musculoskeletal Sports Injury And Topical Nsaid, Amit M. Deokar, Shawn J. Smith, Hatim A. Omar

Pediatrics Faculty Publications

The objective of this chapter is to summarize the current standards of pain management in minor sports related musculoskeletal injuries. We also address the topical form of non-steroidal anti-inflammatory drug as an effective pain management option in an out-patient setting. Design: Quantitive systematic review of randomized controlled trials. Methods: The data was obtained through literature review of articles published in the last 10 years. In addition, FDA information on non-steroidal anti-inflammatory medications was also reviewed. The patient population studied in the articles included children and adults. Conclusion: Current standards of managing pain resulting from sports injuries involve a number of …

Use Of Topical Nsaids In Acute Musculoskeletal Sports Injury: A Brief Review, Amit M. Deokar, Shawn J. Smith, Hatim A. Omar

Pediatrics Faculty Publications

The objective of this chapter is to summarize the current standards of pain management in minor sports-related musculoskeletal injuries. This chapter also addresses the topical form of non-steroidal anti-inflammatory drug as an effective pain management option in an outpatient setting. Design: Quantitive systematic review of randomized controlled trials. Methods: The data was obtained through literature review of articles published in the last 10 years. In addition, FDA information on non-steroidal anti-inflammatory medications was also reviewed. The patient population studied in the articles included children and adults. Conclusion: Current standards of managing pain resulting from sports injuries involve a number of …