Alan Stein
Datos Biográficos
| ID | 3596778 |
|---|---|
| NOMBRE | Alan Stein |
| NOMBRES | Alan |
| APELLIDO | Stein |
| FIRMA | STEIN A |
| AFILIACIONES | University of Oxford |
| ORCID | 0000-0001-8207-2822 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 35 |
| TOTAL DE CITAS | 45 |
| TOTAL COMO AUTOR | 35 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1992 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Navigating HIV status disclosure
We examined how adolescents living with HIV in rural KwaZulu-Natal, South Africa, navigate privacy boundaries in disclosure-related issues. We conducted small group discussions with 31 adolescents (aged 16-19 years) recruited from three HIV clinics. Reflexive thematic data analysis was conducted through the lens of communication privacy management theory. Three major themes emerged: (1) ownership and control of private information, in which adole…
Global development assistance for early childhood care and education in 134 low- and middle-income countries, 2007–2021
INTRODUCTION: Low- and middle-income countries (LMICs) often dedicate limited domestic funds to expand quality early childhood care and education (ECCE), making complementary international donor support potentially important. However, research on the allocation of international development assistance for ECCE has been limited. METHODS: We analysed data from the Creditor Reporting System on aid projects to assess global development assistance for …
The adolescent HIV executive function and drumming (Ahead) study, a feasibility trial of a group drumming intervention amongst adolescents with HIV
AHEAD feasibility trial assessed the feasibility and acceptability of an 8-session group drumming programme aiming to improve executive function, depression and anxiety symptoms, and perceived social support in adolescents living with HIV in a rural low-income South African setting. Sixty-eight 12- to 19-year-old adolescents participated. They were individually randomised. The intervention arm (n = 34) received weekly hour-long group drumming ses…
Partnerships at the Interface of Education and Mental Health Services
Partnerships between school staff and mental health professionals have the potential to improve access to mental health support for students, but uncertainty remains regarding whether and how they work in practice. We report on two pilot projects aimed at understanding the implementation drivers of tailored strategies for supporting and engaging front-line school staff in student mental health. The first project provided regular, accessible menta…
Life becomes about survival”
Maternal postnatal depressive symptoms and offspring emotional and behavioral development at age 7 years in a U.K. birth cohort
There is considerable variability in developmental outcomes of children whose mothers experience depression. Few longitudinal studies have examined contributions of paternal involvement in the association between maternal postnatal depression (PND) and offspring development. We examined pathways from maternal PND at 8 weeks (Edinburgh Postnatal Depression Scale; total score) to offspring emotional and behavioral development at 7 years (Strengths …
Recognizing Early Childhood Education as a Human Right in International Law
There is incontrovertible evidence that early learning opportunities shape long-term development and health. Nevertheless, early childhood care and education (ECCE) is not expressly mentioned as part of the right to education in the Convention on the Rights of the Child, the International Covenant on Economic, Social and Cultural Rights, and the Convention on the Rights of Persons with Disabilities. This paper argues that the right to education c…
Validation of Oxford Cognitive Screen
Short, reliable, easily administered executive function (EF) assessment tools are needed to measure EF in low‐ and middle‐income countries, particularly in sub‐Saharan Africa given the prevalence of human immunodeficiency virus (HIV)‐associated neurocognitive disorder. We administered Oxford Cognitive Screen—Executive Function (OCS‐EF) to 932 rural South African females (mean age 19.7 years). OCS‐EF includes seven tasks: two hot inhibition tasks …
Global estimates of the implications of Covid-19-related preprimary school closures for children’s instructional access, development, learning, and economic wellbeing
Observational data collected prior to the pandemic (between 2004 and 2019) were used to simulate the potential consequences of early childhood care and education (ECCE) service closures on the estimated 167 million preprimary-age children in 196 countries who lost ECCE access between March 2020 and February 2021. COVID-19-related ECCE disruptions were estimated to result in 19.01 billion person-days of ECCE instruction lost, 10.75 million additio…
The relationship between executive function, risky behaviour and HIV in young women from the HPTN 068 study in rural South Africa
Executive function (EF) may predict sexual risk-taking and HIV risk in young women in rural South Africa. We tested associations between EF and seven risky behavioural outcomes: binge drinking, illicit substance use, unprotected vaginal sex, concurrent sexual relationships, transactional sex, herpes simplex virus type 2 (HSV-2) infection, and HIV infection. We compared EF in young women with HIV to matched controls. 1080 young women underwent cog…
Executive function in HIV-affected children and adolescents
Effects of the Global Coronavirus Disease-2019 Pandemic on Early Childhood Development
Relationship between children’s cognitions and later educational progress in rural South Africa
BACKGROUND: Children in low-income and middle-income countries (LMICs) who remain in school have better health and employment outcomes. South Africa, like many LMICs, has a secondary school completion rate under 50%, leaving room for improvement if we can identify factors that affect educational attainment. This is the first longitudinal study to examine the effects of childhood mental health and cognitions on educational outcomes in LMIC. METHOD…
Association of Persistent and Severe Postnatal Depression With Child Outcomes
Persistent and severe PND substantially raises the risk for adverse outcome on all child measures. Meeting criteria for depression both early and late in the postnatal year, especially when the mood disturbance is severe, should alert health care professionals to a depression that is likely to be persistent and to be associated with an especially elevated risk of multiple adverse child outcomes. Treatment for this group should be prioritized.
Confirmatory factor analysis of the Kaufman assessment battery in a sample of primary school-aged children in rural South Africa
The Kaufman Assessment Battery for Children, Second Edition, measures cognitive processing, includes non-verbal sub-tests, and is increasingly used in low- and middle-income countries. While the Kaufman Assessment Battery for Children, Second Edition, has been validated in the United States, a psychometric evaluation has not been conducted in Southern Africa. This study aims to establish the reliability and validity of the Kaufman Assessment Batt…
Father-Child Interactions at 3 Months and 24 Months
The quality of father–child interactions has become a focus of increasing research in the field of child development. We examined the potential contribution of father–child interactions at both 3 months and 24 months to children's cognitive development at 24 months. Observational measures of father–child interactions at 3 and 24 months were used to assess the quality of fathers’ parenting (n = 192). At 24 months, the Mental Developmental Index (M…
Maternal postnatal depression and anxiety and their association with child emotional negativity and behavior problems at two years
Postnatal maternal depression is associated with poorer child emotional and behavioral functioning, but it is unclear whether this occurs following brief episodes or only with persistent depression. Little research has examined the relation between postnatal anxiety and child outcomes. The present study examined the role of postnatal major depressive disorder (MDD) and generalized anxiety disorder (GAD) symptom chronicity on children's emotional …
Communication about HIV and death
In sub-Saharan Africa, given exposure to death at young ages, meeting children's informational needs could increase their resilience
Are fetal growth impairment and preterm birth causally related to child attention problems and ADHD? Evidence from a comparison between high-income and middle-income cohorts
BACKGROUND: Cross-cohort comparison is an established method for improving causal inference. This study compared 2 cohorts, 1 from a high-income country and another from a middle-income country, to (1) establish whether birth exposures may play a causal role in the development of childhood attention problems; and (2) identify whether confounding structures play a different role in parent-reported attention difficulties compared with attention def…
Effects of perinatal mental disorders on the fetus and child
Non-psychotic mental disorders in the perinatal period
Closing the mental health treatment gap in South Africa
BACKGROUND: Nearly one in three South Africans will suffer from a mental disorder in his or her lifetime, a higher prevalence than many low- and middle-income countries. Understanding the economic costs and consequences of prevention and packages of care is essential, particularly as South Africa considers scaling-up mental health services and works towards universal health coverage. Economic evaluations can inform how priorities are set in syste…
Pregnant Women Living with HIV (WLH) Supported at Clinics by Peer WLH
Mental health of displaced and refugee children resettled in low-income and middle-income countries
Mental health of displaced and refugee children resettled in high-income countries
The Cognitive Development of 5‐Year‐Old Children of Postnatally Depressed Mothers
As part of a longitudinal study of the influence of postnatal depression on child development, the cognitive functioning of index and control children was assessed at age 5 years. There was no evidence of an adverse effect of postnatal depression, even amongst sub‐groups of children suggested to be vulnerable (boys and children from low SES families). However, early experience of insensitive maternal interactions predicted the persistence of poor…
Family and child factors related to the use of non-maternal infant care
Maternal postnatal depression and anxiety and their association with child emotional negativity and behavior problems at two years
Postnatal maternal depression is associated with poorer child emotional and behavioral functioning, but it is unclear whether this occurs following brief episodes or only with persistent depression. Little research has examined the relation between postnatal anxiety and child outcomes. The present study examined the role of postnatal major depressive disorder (MDD) and generalized anxiety disorder (GAD) symptom chronicity on children's emotional …
Father-Child Interactions at 3 Months and 24 Months
The quality of father–child interactions has become a focus of increasing research in the field of child development. We examined the potential contribution of father–child interactions at both 3 months and 24 months to children's cognitive development at 24 months. Observational measures of father–child interactions at 3 and 24 months were used to assess the quality of fathers’ parenting (n = 192). At 24 months, the Mental Developmental Index (M…
Life becomes about survival”
Communication about HIV and death
In sub-Saharan Africa, given exposure to death at young ages, meeting children's informational needs could increase their resilience
Eating habits and eating disorders during pregnancy
A general population sample of 100 primigravid women was studied prospectively to describe the changes in eating that occur in pregnancy with particular reference to cravings and aversions and the behavior and attitudes characteristic of clinical eating disorders. Assessment was by standardized interview. Dietary cravings and aversions were found to be common and largely confined to early pregnancy. Eating disorder features decreased in severity …
Eating Habits and Attitudes in the Postpartum Period
The object of this study was to examine the changes in women's eating habits and attitudes in the 6 months after childbirth, focusing particularly on eating-disorder psychopathology. A general population sample of 97 primigravid women originally studied during pregnancy were followed for 6 months postpartum to describe their changes in eating and weight after childbirth with particular reference to the behaviors and attitudes characteristic of cl…
The Cognitive Development of 5‐Year‐Old Children of Postnatally Depressed Mothers
As part of a longitudinal study of the influence of postnatal depression on child development, the cognitive functioning of index and control children was assessed at age 5 years. There was no evidence of an adverse effect of postnatal depression, even amongst sub‐groups of children suggested to be vulnerable (boys and children from low SES families). However, early experience of insensitive maternal interactions predicted the persistence of poor…
Evidence‐based Medicine and Child Mental Health Services
Evidence‐based Medicine and Child Mental Health Services
There is increased focus on using research evidence to guide clinical practice in the provision of child mental health services, to allocate resources and to make policy decisions. Emphasis has been placed on randomised controlled trials, which are clearly vital. However, given the complexity of children's lives and the multiple systems relevant to their care, it is important to consider alternative research designs and to think creatively about …
Evidence-based Medicine and Child Mental Health Services
There is increased focus on using research evidence to guide clinical practice in the provision of child mental health services, to allocate resources and to make policy decisions. Emphasis has been placed on randomised controlled trials, which are clearly vital. However, given the complexity of children's lives and the multiple systems relevant to their care, it is important to consider alternative research designs and to think creatively about …
Paternal depression in the postnatal period and child development
Family and child factors related to the use of non-maternal infant care
Improving quality of mother-infant relationship and infant attachment in socioeconomically deprived community in South Africa
OBJECTIVE: To assess the efficacy of an intervention designed to improve the mother-infant relationship and security of infant attachment in a South African peri-urban settlement with marked adverse socioeconomic circumstances. DESIGN: Randomised controlled trial. SETTING: Khayelitsha, a peri-urban settlement in South Africa. PARTICIPANTS: 449 pregnant women. INTERVENTIONS: The intervention was delivered from late pregnancy and for six months pos…
Mental health of displaced and refugee children resettled in low-income and middle-income countries
Mental health of displaced and refugee children resettled in high-income countries
Interpreting infant vocal distress
An infant's cry is one of the most emotionally salient sounds in our environment. Depression is known to disrupt a mother's ability to respond to her infant, but it is not well-understood why such difficulties arise. One reason might be that depression disrupts the perceptual abilities necessary to interpret infant's affective cues. Given that musicians are known to have enhanced auditory perception, we assessed whether depression and previous mu…
Effects of perinatal mental disorders on the fetus and child
Non-psychotic mental disorders in the perinatal period
Closing the mental health treatment gap in South Africa
BACKGROUND: Nearly one in three South Africans will suffer from a mental disorder in his or her lifetime, a higher prevalence than many low- and middle-income countries. Understanding the economic costs and consequences of prevention and packages of care is essential, particularly as South Africa considers scaling-up mental health services and works towards universal health coverage. Economic evaluations can inform how priorities are set in syste…
Pregnant Women Living with HIV (WLH) Supported at Clinics by Peer WLH
Are fetal growth impairment and preterm birth causally related to child attention problems and ADHD? Evidence from a comparison between high-income and middle-income cohorts
BACKGROUND: Cross-cohort comparison is an established method for improving causal inference. This study compared 2 cohorts, 1 from a high-income country and another from a middle-income country, to (1) establish whether birth exposures may play a causal role in the development of childhood attention problems; and (2) identify whether confounding structures play a different role in parent-reported attention difficulties compared with attention def…
Father-Child Interactions at 3 Months and 24 Months
The quality of father–child interactions has become a focus of increasing research in the field of child development. We examined the potential contribution of father–child interactions at both 3 months and 24 months to children's cognitive development at 24 months. Observational measures of father–child interactions at 3 and 24 months were used to assess the quality of fathers’ parenting (n = 192). At 24 months, the Mental Developmental Index (M…
Maternal postnatal depression and anxiety and their association with child emotional negativity and behavior problems at two years
Postnatal maternal depression is associated with poorer child emotional and behavioral functioning, but it is unclear whether this occurs following brief episodes or only with persistent depression. Little research has examined the relation between postnatal anxiety and child outcomes. The present study examined the role of postnatal major depressive disorder (MDD) and generalized anxiety disorder (GAD) symptom chronicity on children's emotional …
Communication about HIV and death
In sub-Saharan Africa, given exposure to death at young ages, meeting children's informational needs could increase their resilience
Association of Persistent and Severe Postnatal Depression With Child Outcomes
Persistent and severe PND substantially raises the risk for adverse outcome on all child measures. Meeting criteria for depression both early and late in the postnatal year, especially when the mood disturbance is severe, should alert health care professionals to a depression that is likely to be persistent and to be associated with an especially elevated risk of multiple adverse child outcomes. Treatment for this group should be prioritized.
Confirmatory factor analysis of the Kaufman assessment battery in a sample of primary school-aged children in rural South Africa
The Kaufman Assessment Battery for Children, Second Edition, measures cognitive processing, includes non-verbal sub-tests, and is increasingly used in low- and middle-income countries. While the Kaufman Assessment Battery for Children, Second Edition, has been validated in the United States, a psychometric evaluation has not been conducted in Southern Africa. This study aims to establish the reliability and validity of the Kaufman Assessment Batt…
Relationship between children’s cognitions and later educational progress in rural South Africa
BACKGROUND: Children in low-income and middle-income countries (LMICs) who remain in school have better health and employment outcomes. South Africa, like many LMICs, has a secondary school completion rate under 50%, leaving room for improvement if we can identify factors that affect educational attainment. This is the first longitudinal study to examine the effects of childhood mental health and cognitions on educational outcomes in LMIC. METHOD…
Effects of the Global Coronavirus Disease-2019 Pandemic on Early Childhood Development
Validation of Oxford Cognitive Screen
Short, reliable, easily administered executive function (EF) assessment tools are needed to measure EF in low‐ and middle‐income countries, particularly in sub‐Saharan Africa given the prevalence of human immunodeficiency virus (HIV)‐associated neurocognitive disorder. We administered Oxford Cognitive Screen—Executive Function (OCS‐EF) to 932 rural South African females (mean age 19.7 years). OCS‐EF includes seven tasks: two hot inhibition tasks …
Medicine (26 obras) · Psychology (25 obras) · Psychiatry (22 obras) · Mental health (14 obras) · Child and Adolescent Psychosocial and Emotional Development (13 obras) · Developmental psychology (11 obras) · Clinical Psychology (10 obras) · Environmental health (10 obras) · Early Childhood Education and Development (9 obras) · Maternal Mental Health During Pregnancy and Postpartum (9 obras)