This study aimed to investigate the usage of behavioural cognitive approach in group counselling on social anxiety among adolescents in Malaysia. This study also identified social anxiety sympthoms and social situations that cause anxiety among them. A total of 72 secondary school students of one of the secondary schools in Terengganu participated in this experiment study. Data was analysed using descriptive statistics and ANOVA test. Results revealed that there was a significant difference in the mean score of Social Anxiety Scale for Adolesence â€“ SAS-A in the post test between the control and treatment group, F(1,70) =1.068, p
This study aimed to investigate the usage of Behavioural Cognitive approach in group counselling on social anxiety among adolescents. This study also identified social anxiety sympthoms and social situations that cause anxiety among them. A total of 72 secondary school students from one particular school in Terengganu participated in this experimental study. Data was analysed using descriptive statistics and ANOVA test. Results revealed that there was a significant difference in the mean score of Social Anxiety Scale for Adolesence â€“ SASA in the post test between the control and treatment group, F(1,70) =1.068, p<0.05. This indicates that the Cognitive Behavioural approach in group counselling was found to be effective in reducing social anxiety among adolescents in group counselling. It was also found that the sympthoms that caused social anxiety included having rapid heart beat, difficulty in giving attention, experincing chills, and empty thoughts. The social situations that were found to be significant in increasing social anxiety were when they felt being observed by others, doing something in public, talking or giving a speech infront of a big or small audience, facing a stranger,and being the main attraction in any social context.
Anger is a natural human emotion experienced by everyone at one time or another. It is said to be the most talk about but least studied emotion. When experienced, it involves a combination of cognitive, physiological, behavioral and social components. This preliminary study is aimed to test the reliability of the instruments and to examine the effect of Anger Management Module using Cognitive Behavioral Therapy (CBT) on anger expression among the adolescents in secondary school. Both quantitative and qualitative methods were used to gather data. Adolescents with high T-score value of anger level in Adolescent Anger Rating Scale (AARS) were selected to the study through purposive sampling. There are four main interventions in this module such as self-administered cognitive restructuring; relaxation; communication skills and problem solving routine were taught throughout the 10-weekly group counseling sessions. The module internal consistency was obtained using the content reliability questionnaire. The Cronbachâ€™s alpha value of 0.883 had shown that the module commands high internal reliability. Whereas the effect of the anger management using CBT interventions was determined by comparing the scores in pretest, post-test and a retention test obtained from the Adolescent Anger Rating Scale (AARS) instrument. Finally, the qualitative data were obtained through interview and feedback questionnaire where the data were analyzed using the descriptive method. Both the analysis revealed that all the interventions in this module are effective to help the adolescents manage their anger problem.
A 13-year-old boy who had epigastric pain and pallor for 2 months and found to have an ulcerative mass in the stomach and underwent partial gastrectomy. A diagnosis of inflammatory myofibroblastic tumour (IMT) of the stomach was made on histological examination. Three years later, recurrence in the stomach, with invasion into the pancreas and hilum of the spleen was noted and was managed by wide wedge resection of the stomach, distal pancreatectomy and splenectomy. The patient has been recurrence-free for the past 2 years. Gastric IMT is an uncommon tumour in children with unpredictable prognosis.
We report the challenges in managing a troubled, medically ill adolescent with end-of-life issues. Our role as multi-professional service providers complemented the family's efforts to help him reconcile with himself before death. The present experience enhances understanding of the biopsychosocial aspects of care. Every child has the right to optimal care.
Matched MeSH terms: Adolescent; Adolescent Medicine
This paper examines data on the sexual activities of 1,200 Malaysian adolescents aged 15-21 years based on a probability household sampled survey carried out in Kuala Lumpur in 1986. Sexual behaviours like premarital sexual intercourse, contraceptive usage and masturbation were presented. Of the 1,181 unmarried respondents, 9% (105) reported having had sexual intercourse; males were significantly more experienced compared to females. Older age groups were also found to be more sexually active than the younger ones. Among those who had experience dating (n = 521), 20% (105) have experienced sexual intercourse, 44% (228) have kissed and necked, and 35% (183) have experienced petting, while 24% (130) have had no physical intimacies. Poor use of contraception was also revealed. The most commonly used were condoms, oral contraceptives and withdrawal. With regard to masturbation, males begin this practice relatively earlier than females. Almost half of those who indulged in masturbation were worried by the act, especially the females. Implications of the findings are discussed.
Introduction: The Ministry of Health Malaysia introduced the national best practices for adolescent-friendly health services in 2018 and it served as an assessment tool in the accreditation of adolescent-friendly clinic status. This study was conducted in Kelantan with the objective to determine the proportion of adolescent-friendly clinics and its determinants and perceptions of healthcare providers regarding the facilitating factors in providing adoles-cent-friendly health services. Methods: The research design was sequential explanatory mixed method. State wide clinics assessment was done to estimate the proportion of adolescent-friendly clinics and to determine the factors associated with adolescent-friendly health services provision. Perceptions of healthcare providers on the facilitating factors for adolescent-friendly health services were explored through in-depth interviews. Descriptive statistics and linear regression analysis were performed for quantitative data, and thematic analysis for qualitative data. Results: Out of 85 health clinics, 30 (35.3%) clinics were accredited as adolescent-friendly. Availability of trained health-care providers in adolescent health modules, private room for adolescent counselling, dedicated team in charge of adolescent programme and adolescent health promotional activities were the statistically significant determinants for adolescent-friendly health services (p
Matched MeSH terms: Adolescent Health; Adolescent; Adolescent Health Services
Tobacco consumption (TC) among youths poses significant public health problem in developing countries. This study utilized the data of Global Youth Tobacco Survey (GYTS), 2007 to examine and compare youth TC behavior in Bangladesh, Nepal and Sri Lanka.
The GYTS covered a total of 2,242 Bangladeshi, 1,444 Nepalese and 1,377 Sri-Lankan youths aged 13-15 years. They represented response rates of 88.9%, 94.6%, and 85.0% for the three countries, respectively. Socioeconomic, environmental, motivating, and programmatic predictors of TC were examined using cross tabulations and logistic regressions.
Prevalence of TC was 6.9% (9.1% in males, 5.1% in females) in Bangladesh, 9.4% (13.2% in males, 5.3% in females) in Nepal and 9.1% (12.4% in males, 5.8% in females) in Sri Lanka. The average tobacco initiation age was 9.6, 10.24 and 8.61 years, respectively. Cross tabulations showed that gender, smoking among parents and friends, exposure to smoking at home and public places, availability of free tobacco were significantly (P < 0.001) associated with TC in all three countries. The multivariable analysis [odds ratio (95% confidence interval)] indicated that the common significant predictors for TC in the three countries were TC among friends [1.9 (1.30-2.89) for Bangladesh, 4.10 (2.64-6.38) for Nepal, 2.34 (1.36-4.02) for Sri Lanka], exposure to smoking at home [1.7 (1.02-2.81) for Bangladesh, 1.81 (1.08-2.79) for Nepal, 3.96 (1.82-8.62) for Sri Lanka], exposure to smoking at other places [2.67 (1.59-4.47) for Bangladesh, 5.22 (2.76-9.85) for Nepal, 1.76 (1.05-2.88) for Sri Lanka], and the teaching of smoking hazards in schools [0.56 (0.38-0.84) for Bangladesh, 0.60 (0.41-0.89) for Nepal, 0.58 (0.35-0.94) for Sri Lanka].
An understanding of the influencing factors of youth TC provides helpful insights for the formulation of tobacco control policies in the South-Asian region.
Matched MeSH terms: Adolescent; Adolescent Behavior*; Adolescent Health Services
A 17 year old male with ataxia telangiectasia [Louis-Bar Syndrome] is presented here with a review of the literature with regards to the mode of inheritance, clinical manifestations, diagnosis and treatment of this disorder.
A 13-year old Malay girl presented with multiple parasuicide attempts. She made multiple attempts at suicide and at the last attempt she developed liver damage. This article discusses the etiology and different methods used to prevent future suicidal attempts in this patient.
This paper reported a preliminary study on Mat Rempit's activities and illegal motorcycle racing. Mat Rempit activities are becoming very popular among teenagers especially in major cities and towns in Malaysia. This phenomenon has created a new sub-culture amongst Malaysian teenagers. This study focused on psycho-social factors that encourage teenagers to involve in illegal motorcycle racing and to survey racing backgrounds (eg. racing types, time, places, prizes, etc.). Data was obtained through interview and live observations at the racing scene. One hundred racers and ex-racers had cooperated as respondents to feed this research with information. Results showed that Malay teenagers between 17-22 years old are the most involved in this activities. Also, moderating factors have been identified which are psychological factors where neurotic and extrovert personality traits and high level of self-esteem are found to correlate with racing involvement. Meanwhile, sociological factors such as peers, greatness flaunting culture and prizes are encouraging teenagers' involvement in illegal racing activities. Family and community roles to curb these unhealthy activities are suggested.