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Sutcliffe KL, Levett K, Dahlen HG, Newnham E, MacKay LM. How Do Anxiety and Relationship Factors Influence the Application of Childbirth Education Strategies During Labor and Birth: A Bowen Family Systems Perspective. Int J Womens Health 2023; 15:455-465. [PMID: 37033120 PMCID: PMC10075222 DOI: 10.2147/ijwh.s399588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 03/24/2023] [Indexed: 04/03/2023] Open
Abstract
The effectiveness of childbirth education (CBE) has long been debated with studies showing contradictory outcomes for mothers and babies. Understanding how what is learned in CBE is translated into practice during labor and birth is an area that requires investigation as this may be a mediating factor in its effectiveness. Bowen family system theory's concept of differentiation of self, the ability to be guided by and to act from one's beliefs and values, is an organizing principle that may affect how relational factors affect the use and application of CBE at the time of birth. The ability to act with emotional maturity when faced with a stressor, such as childbirth, depends on an individual's capability to separate thoughts from the more reactive feeling process. Recognizing how one's level of differentiation interacts with the anxious responses of others may assist pregnant women and birth partners to make decisions more objectively about how they want to manage the birthing process. For the health professional, understanding the interplay of relationship variables, physiological stress, anxiety and individual reactivity may allow for the provision of more thoughtful evidence-based practice, which may increase objectivity, and aid communication and decision-making for women during birth. Bowen theory, as a comprehensive systems-based approach to understanding human functioning under stress, offers a novel approach to exploring the application of CBE during birth.
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Affiliation(s)
- Kerry L Sutcliffe
- School of Medicine, University of Notre Dame Australia, Sydney, NSW, Australia
- Correspondence: Kerry L Sutcliffe, School of Medicine, University of Notre Dame Australia, Auburn Clinical School, 88-90 Water Street, Auburn, Sydney, NSW, 2144, Australia, Tel +61 451771723, Email
| | - Kate Levett
- School of Medicine, University of Notre Dame Australia, Sydney, NSW, Australia
- Adjunct Fellow, NICM Health Research Institute, and THRI, Western Sydney University, Sydney, NSW, Australia
- Honorary Fellow, Centre for Midwifery, Child and Family Health, University of Technology Sydney, Sydney, NSW, Australia
| | - Hannah G Dahlen
- School of Nursing & Midwifery, Western Sydney University, Sydney, NSW, Australia
| | - Elizabeth Newnham
- School of Nursing & Midwifery, University of Newcastle, Newcastle, NSW, Australia
| | - Linda M MacKay
- School of Arts & Sciences, University of Notre Dame Australia, Sydney, NSW, Australia
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A Review and Critique of Advances in Nursing Science Articles That Focus on Sexual Health and Sexual Rights: A Call to Leadership and Policy Development. ANS Adv Nurs Sci 2018; 40:64-84. [PMID: 27798437 DOI: 10.1097/ans.0000000000000158] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Sexual health and sexual rights are integral to nursing science but ignored in nursing publications. We searched Advances in Nursing Science for prevalence of these topics. Fifteen articles (1.3%) met our criteria. No nursing theories were used as frameworks, and few concrete suggestions were made for further theory development. Discussion of sociopolitical influences on sexual health and/or sexual rights was limited, mostly unrelated to health care. Information to influence nursing practice, theory development, further research, or policy across the life span, for both males and females, and for variant-gender individuals, was limited. We urge authors to contribute further to this field of discourse in nursing.
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Mo PKH, Gu J, Lau JTF, You H. Prevalence and associated factors of mental health problems among monogamous Chinese female patients with sexually transmitted diseases in Hong Kong. AIDS Care 2014; 27:481-8. [PMID: 25369553 DOI: 10.1080/09540121.2014.972321] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Sexually transmitted disease (STD) increases risk of HIV infection and has profound psychological consequences. The present study examined the mental health problems (poor emotional well-being, insomnia, probable depression) and their associated factors among monogamous Chinese female STD patients. A total of 537 Chinese female STD patients who self-reported having had only one male sex partner in the last 12 months were recruited from a STD clinic in Hong Kong. They completed a survey including measures of mental health, STD-related history, perceptions, feelings related to STD infection, and perceptions toward condom use. Results showed that 22% had poor emotional well-being, 25.7% had insomnia, and 43% were probable cases of depression. Unemployment, worsened relationship with partners after STD diagnosis, STD history in last three months, finding STD examinations embarrassing, and feelings of helplessness were significant risk factors for poor emotional well-being and insomnia. Also, unemployment, worsened relationships with partners after STD diagnosis, and perceived high chance of STD in the coming six months were significant risk factors for probable depression. Perceived efficacy of condom use for STD prevention was a significant protective factor against poor emotional well-being and probable depression. Findings suggest that interventions are warranted to improve the mental health among this population.
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Affiliation(s)
- Phoenix K H Mo
- a Centre for Health Behaviours Research, Faculty of Medicine , The School of Public Health and Primary Care, The Chinese University of Hong Kong , Shatin , NT , Hong Kong
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Leaving Room for Complexity in Attempts to Understand Associations between Romantic Relationships and Health: Commentary on Wanic and Kulik. SEX ROLES 2011. [DOI: 10.1007/s11199-011-9986-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Ali FA, Zuberi RW. Association of Sociodemographic Factors With Depression in Women of Reproductive Age. Asia Pac J Public Health 2011; 24:161-72. [DOI: 10.1177/1010539510364668] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction. Women suffer disproportionately from depression, which has a high prevalence in developing countries. Sociodemographic factors are associated with depression, some of which may be modifiable and lead to better outcomes for depression among women. Objectives. To determine sociodemographic factors associated with depression among women of reproductive age in Karachi. Methods. A case control study was conducted on 376 women in 2 hospitals in Karachi. Patients were diagnosed by psychiatrists and family physicians by Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria and SRQ20. Results. The odds for women with depression being married for >5 years, being abused by in-laws, spending ≤3 hours per day with their spouses, and being just satisfied or not satisfied with their married life was more than that for controls. Conclusion. The authors’ findings highlight the important modifiable risk factors for depression, which if addressed will help decrease the burden of depression among women.
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Monson CM, Gradus JL, La Bash HAJ, Griffin MG, Resick PA. The role of couples' interacting world assumptions and relationship adjustment in women's postdisaster PTSD symptoms. J Trauma Stress 2009; 22:276-81. [PMID: 19626677 PMCID: PMC2955403 DOI: 10.1002/jts.20432] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
This study examined 58 heterosexual couples' interacting assumptions about the world and relationship adjustment in predicting wives' posttraumatic stress disorder (PTSD) symptoms after severe flooding. Both partners completed the World Assumptions Scale (Janoff-Bulman, 1989), and wives reported on their intimate relationship adjustment and PTSD symptomatology. Neither husbands' nor wives' assumptions alone predicted wives' PTSD symptoms. However, the interaction of husbands' and wives' benevolent world assumptions significantly predicted wives' PTSD symptoms. When husbands held less benevolent world assumptions, there was a negative association between wives' assumptions and PTSD symptoms. Additionally, wives' relationship adjustment predicted their PTSD symptomatology when taking into account individual and interacting self-worth assumptions. Implications for understanding the role of intimate relationships in postdisaster mental health and interpersonally oriented prevention efforts are discussed.
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Affiliation(s)
- Candice M. Monson
- Department of Psychiatry, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, and Boston University School of Medicine, Boston, MA
| | - Jaimie L. Gradus
- Department of Psychiatry, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, and Boston University School of Medicine, Boston, MA
| | - Heidi A. J. La Bash
- National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, MA
| | | | - Patricia A. Resick
- National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, and Boston University, Departments of Psychiatry and Psychology, Boston, MA
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