Helene Loxton

Anxiety, depression and self-efficacy levels of women undergoing first trimester abortion

This study examined the relationship between anxiety, depression, perceived self-efficacy and biographical variables, before and after the termination of a first trimester pregnancy. Seventy-six participants were recruited from three health facilities in the Western Cape, South Africa. Scores on the State-Trait Anxiety Scale, the Beck Depression Inventory and a Self-Efficacy Scale revealed that high levels of state-anxiety and moderate levels of depression were experienced before abortion. Levels of anxiety and depression generally decreased significantly within a three-week period after the abortion. High self-efficacy was related to lowerlevels of anxiety and depression. Higher levels of education and self-efficacy and low levels of depression, trait-anxiety and gestational age were significantly related to healthy short-term adjustment. It was shown that pre-abortion depression and self-efficacy scores had the power to predict post-abortion depression.

Visual-motor integration functioning in a South African middle childhood sample.

Visual-motor integration functioning has been identified as playing an integral role in different aspects of a childs development. Sensory-motor development is not only foundational to the physical maturation process, but is also imperative for progress with formal learning activities. Deficits in visual-motor integration have been identified as precursors of later learning disabilities and other neurological conditions. The primary aim of this study was to determine the status of visual-motor integration functioning of a group of learners from a disadvantaged peri-urban South African community. Visual-motor integration functioning was assessed using the Developmental Test of Visual-Motor Integration (VMI) and the Goodenough-Harris Drawing Test (GHD). Three hundred and thirty-nine learners in grades 1–4 were assessed and results for the group relative to gender, chronological age and socioeconomic status are reported. For the group, the mean test age fell 16 months below the mean chronological age on the VMI. The mean GHD score for the group was about a half a standard deviation below the GHDs test norm. At school entry level, visual-motor integration was more than one standard deviation below the mean. Compared to female learners, male learners achieved significantly higher scores on the test age score of the VMI (mean difference = 8.69 months), and the intelligence coefficient score of the GHD (mean difference = 4.68). Scores on both measures increased as a function of socioeconomic status. The VMI and GHD scores were significantly correlated (r = 0.45; P < 0.01) suggesting that visual-motor integration is integral to intellectual functioning.

Origins of common fears in South African children

The present study examined the origins of common childhood fears within a South African context. Six-hundred-and-fifty-five 10- to 14-year-old children were given a brief fear list that helped them to identify their most intense fear and then completed a brief questionnaire for assessing the origins of fears that was based on Rachmans [Rachman, S. (1977). The conditioning theory of fear acquisition: A critical examination. Behaviour Research and Therapy, 15, 375-387; Rachman, S. (1991). Neoconditioning and the classical theory of fear acquisition. Clinical Psychology Review, 17, 47-67] three-pathways theory. More precisely, children were asked to report whether they had experienced conditioning, modeling, and negative information experiences in relation to their most feared stimulus or situation, and also had to indicate to what extent such experiences had actually played a role in the onset and/or intensification of their fears. Results showed that children most frequently reported indirect learning experiences (i.e., modeling and negative information) in relation to their fears, whereas conditioning was clearly less often mentioned. The majority of the children had no precise idea of how their fear had actually begun, but a substantial proportion of them reported various learning experiences in relation to the onset and intensification of fears. Significant cultural differences were not only observed in the prevalence of common fears, but also in the pathways reported for the origins of fears. The results are briefly discussed in terms of the living conditions of South African children from various cultural backgrounds.

Construction and Validation of the South African Version of the Fear Survey Schedule for Children: An Exploratory Factor Analysis

The Fear Survey Schedule for Children-Revised (Ollendick, 1983) is an 80-item self-report instrument that has been used internationally to asses the number of fears and general level of fearfulness among children. Despite its widespread use, this instrument has not been adapted to the South African context. The present study addressed this gap by means of a 2-phase investigation aimed at developing a South African version of the instrument. In Phase 1, semistructured interviews were conducted with 40 children (7 to 13 years of age). Qualitative data obtained from these interviews were used to construct additional items for inclusion in the South African Fear Survey Schedule for Children-Revised. The modified scale, consisting of 97 items, was then administered to a sample of 646 children between the ages of 7 and 13 years. Further psychometric considerations resulted in the final version of the scale consisting of 74 items with high internal consistency (α=.97). The factor structure was explored by means of principal component analysis with varimax rotation and a 5-factor solution was found to provide the best conceptual fit. The factors identified were as follows: Fear of Death and Danger; Fear of the Unknown; Fear of Small Animals and Minor Threats to Self; Large Animal Fears; and Situational Fears. Differences between the South African version and the original Fear Survey Schedule for Children-Revised are noted and implications for the study of fear in South Africa and other countries are discussed.

Monsters in the dark and other scary things: preschoolers’ self-reports

Objective: This study attempted to obtain normative data regarding the content and frequency of expressed fears of a culturally diverse group of 152 South African preschool children (aged 5–7 years). Method: The study employed four measuring instruments: a biographical questionnaire, the Goodenough-Harris Drawing Test, and individual drawings of feared objects by participants in conjunction with semi-structured interviews. The data analysis included descriptive statistics based on the themes that emerged from the childrens drawings and interviews. Results: Fear of animals was the most commonly expressed fear. Other high-frequency fear categories that emerged were fear of the dark, night and bad dreams; fantasy people; real people; and physical harm. For the group as a whole, the results largely support the existing body of literature. Participants expressed between one and nine fears (f = 429; mean = 2.8). Conclusions: This study contributed to a better understanding of both an under-researched psychological phenomenon, fear, and of an under-researched target group of young children. This knowledge is important in order for significant others, such as parents and caregivers, to understand and effectively mediate potentially stressful experiences of young children in their respective capacities.

Young children's self-reports of coping with fears and perceived effectiveness of coping strategies in the South African context.

Abstract This descriptive study attempted to explore the coping strategies and perceived effectiveness of these strategies in response to self-reported fears among a sample of young South African children: 72 girls and 80 boys (mean age six years, two months, SD = 5.32 months, range; 5–7 years). Differences in childrens coping strategies and the perceived effectiveness of these strategies with respect to socio-economic (SE) status were also assessed. Self-report data on coping strategies and the perceived effectiveness of these strategies were collected by means of individual semi-structured interviews in conjunction with childrens drawings of feared objects. Social/spiritual support was perceived to be the most effective, and the most frequently utilized coping strategy in relation to self-reported fears by the children. Differences that were found with respect to young childrens coping strategies in terms of SE background, points out the need for further research in this regard.

Fears of South African children affected by HIV/AIDS

Abstract Although fears are part of normal development, the living environment of HIV/AIDS affected children is conducive to the development of particular fears. This study examined the fears of 39 South African children (7–13 years) living in a low socioeconomic community with a high prevalence of HIV/AIDS. The aim was to consider if these children were a special population with regard to their fears. The Free Option Method was used to identify the childrens fears. Data were analyzed by means of a priori thematic analysis, followed by a qualitative analysis. The expressed fears could be described with fear categories previously reported by normative samples. The wild animal category and specifically snake fears were reported most. The second analysis revealed a substantial minority of fears reflecting life in the South African HIV/AIDS affected context. It was concluded that the children represented a normative population who experienced particular fears due to their special circumstances. Further investigation of HIV/AIDS affected childrens fears and related psychological issues is recommended.

Fears, coping and perceived efficacy of coping mechanisms among South African children living in children's homes.

Background: The present study examined common childhood fears, coping strategies and perceived efficacy of coping mechanisms among 8- to 13-year-old South African children (n = 141) living in four childrens homes. Method: Fears were assessed by means of the Fear List Method (FLM) and the Fear Survey Schedule for Children Revised (FSSC-R). For both measures, the content and number of fears were determined. The FSSC-R was also used to establish the levels of fearfulness, as well as the pattern of fears. Coping strategies and the perceived efficacy of these strategies were assessed by means of open-ended questions. Results: The rank orders of fears as obtained with the FLM were quite different from those derived from the FSSC-R. Girls expressed more fears as well as higher levels of fears than boys. Secondary coping strategies (i.e. seeking social and/or spiritual support) were most often engaged in and were also perceived as most effective. Conclusions: A greater sensitivity to the emotional needs, especially with regard to fears, coping and perceived efficacy, of special populations is recommended.

Research Protocol: Development, implementation and evaluation of a cognitive behavioural therapy-based intervention programme for the management of anxiety symptoms in South African children with visual impairments

Background Childhood anxiety presents a serious mental health problem, and it is one of the most common forms of psychological distress reported by youth worldwide. The prevalence of anxiety symptoms amongst South African youth is reported to be significantly higher than in other parts of the world. These high prevalence rates become even more significant when viewed in terms of children with visual impairments, as it is suggested that children with physical disabilities may be more prone, than their non-disabled peers, for the development of psychological difficulties. Objectives The main aim of this study is to develop, implement and evaluate a specifically tailored anxiety intervention programme for use with South African children with visual impairments. Method A specifically tailored cognitive-behavioural therapy-based anxiety intervention, for 9–13 year old South African children with visual impairments, will be evaluated in two special schools. The study will employ a randomised wait-list control group design with pre- post- and follow-up intervention measures, with two groups each receiving a 10 session anxiety intervention programme. The main outcome measure relates to the participants’ symptoms of anxiety as indicated on the Revised Child Anxiety and Depression Scale. Conclusion If the anxiety intervention programme is found to be effective in reducing symptoms of anxiety, this universal intervention will lay down the foundation upon which future contextually sensitive (South African) anxiety intervention programmes can be built.

Child-friendly procedures and accommodations for the use of a self-report fear survey with children who have visual impairments: Reflections on a South African case study

Although the experience of childhood fear has been deemed a common phenomenon, in some cases, children’s fears can become excessive and interfere with daily functioning and activities, and may thus warrant clinical attention. It is in cases such as these that reliable and valid methods to assess childhood fears are required. Although normative fear literature describes many effective modes of assessment, these methods are not accessible to all children, and certain accommodations are necessary when assessing the fears of children with visual impairments. This article provides a reflection on a case study where the fears of 67 South African children with varying degrees of visual impairment were assessed using the South African version of the Fear Survey Schedule for Children (FSSC-SA). Aspects relating to child-friendly procedure and accommodations are discussed.