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Killoren SE, Roos J, Bordere T, Randall AK, Rivero Rodriguez A, Alfaro EC, Campione-Barr N, Jones SK. Perceived discrimination and Latina college students' depressive symptoms: The roles of dyadic coping with sisters and familism values. Fam Process 2023; 62:1176-1195. [PMID: 36175080 DOI: 10.1111/famp.12822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 08/11/2022] [Accepted: 08/15/2022] [Indexed: 06/16/2023]
Abstract
Latinx young adults' experiences of discrimination are associated with high levels of depressive symptoms and examining protective factors that buffer the negative consequences of discrimination is important. In a sample of 195 Latina college students, predominately of Mexican origin, we examined associations between perceived discrimination and depressive symptoms, and how sisters' dyadic coping behaviors and familism values moderated this association. We conducted hierarchical regression analyses to test our study hypotheses. We found that Latina college students who were older sisters reported more conflictual and antagonistic sibling relationships, or who perceived higher levels of discrimination also reported the most depressive symptoms, which supports prior research. Importantly, Latina college students who strongly endorsed supportive, obligatory, and referent familism values reported fewer depressive symptoms. Supportive familism values weakened the association between perceived discrimination and Latina college students' depressive symptoms but strengthened associations between sisters' negative dyadic coping behaviors and depressive symptoms. Furthermore, sisters' negative dyadic coping behaviors strengthened the positive association between perceived discrimination and depressive symptoms. Our findings highlight the importance of familism values for Latinx young adults' well-being, as well as the harmful effects of perceived discrimination, particularly in the context of sisters' negative dyadic coping behaviors.
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Affiliation(s)
- Sarah E Killoren
- Department of Human Development and Family Science, University of Missouri, Columbia, Missouri, USA
| | - Joy Roos
- Department of Human Development and Family Science, University of Missouri, Columbia, Missouri, USA
| | - Tashel Bordere
- Department of Human Development and Family Science, University of Missouri, Columbia, Missouri, USA
| | - Ashley K Randall
- Department of Counseling and Counseling Psychology, Arizona State University, Tempe, Arizona, USA
| | - Avelina Rivero Rodriguez
- Department of Human Development and Family Science, University of Missouri, Columbia, Missouri, USA
| | - Edna C Alfaro
- School of Family and Consumer Sciences, Texas State University, San Marcos, Texas, USA
| | - Nicole Campione-Barr
- Department of Psychological Sciences, University of Missouri, Columbia, Missouri, USA
| | - Samantha K Jones
- Department of Human Development and Family Studies, Kent State University, Kent, Ohio, USA
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Wu Q, Parker ML, McWey LM, Ledermann T. Couple Satisfaction, Depressive Symptoms, and the Therapeutic Alliance: A Systemic Perspective. Fam Process 2021; 60:393-408. [PMID: 32981036 DOI: 10.1111/famp.12594] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
There is a well-established bidirectional, negative association between couple satisfaction and depressive symptoms. Yet, a family systems perspective emphasizes the role of the therapist in interrupting this recursive cycle between couple satisfaction and depressive symptoms. The current study utilized longitudinal data to explore the bidirectional associations between depressive symptoms and couple satisfaction, moderated by the therapeutic alliance over the course of therapy. The study included 108 couples participating in couple therapy at a university training clinic. Couples rated their depressive symptoms and couple satisfaction separately before the intake session and at the end of the fourth session, and they also reported their individual therapeutic alliance with the therapist at the end of the second and third sessions. Actor-partner interdependence moderation model analysis revealed several moderation effects. In general, with low therapeutic alliance, couples with higher initial symptoms (such as depressive symptoms and low couple satisfaction) reported more severe symptoms at the fourth session, compared to those who had fewer initial symptoms. The moderating effect of alliance on a couple's symptoms was found both among individuals, and between partners. Systemic clinical implications and suggestions for future research are discussed.
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Affiliation(s)
- Qiong Wu
- Department of Family and Child Sciences, College of Human Sciences, Florida State University, Tallahassee, FL, USA
| | - Michele L Parker
- Department of Family and Child Sciences, College of Human Sciences, Florida State University, Tallahassee, FL, USA
| | - Lenore M McWey
- Department of Family and Child Sciences, College of Human Sciences, Florida State University, Tallahassee, FL, USA
| | - Thomas Ledermann
- Department of Family and Child Sciences, College of Human Sciences, Florida State University, Tallahassee, FL, USA
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Da Costa D, Lai JK, Zelkowitz P. A prospective study on the course of sleep disturbances in first-time fathers during the transition to parenthood. Infant Ment Health J 2021; 42:222-232. [PMID: 33491788 DOI: 10.1002/imhj.21911] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
INTRODUCTION This study examined sleep disturbances in first-time fathers from the third trimester of their partner's pregnancy to 2 months postpartum to determine prevalence, incidence, and persistence of sleep disturbances and identify associated determinants. METHODS Men expecting their first child were recruited from local prenatal classes and university-affiliated obstetric clinics. During their partner's third trimester of pregnancy and 2 months postpartum, 459 men completed standardized online self-report questionnaires measuring sociodemographics, lifestyle, and psychosocial variables and sleep quality. RESULTS Disturbed sleep (Pittsburgh Sleep Quality Index [PSQI] global score >5) increased from 29.6% during the third trimester to 44.7% at 2 months postpartum. The incidence of poor sleep at 2 months postpartum was 33.7%. Among men with disturbed sleep at the antenatal assessment, 70.6% continued to have sleep disturbances at 2 months postpartum. An increase in depressive symptoms and higher parenting stress was independently associated with onset and persistence of disturbed sleep at 2 months postpartum. CONCLUSIONS Sleep is compromised in expectant and new fathers. Strategies aimed at improving sleep, depressed mood, and managing the challenges of parenting may be important components to include in prenatal interventions aimed at enhancing the transition to parenthood and infant development.
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Affiliation(s)
- Deborah Da Costa
- Department of Medicine, McGill University, Montreal, Quebec, Canada.,Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
| | - Jonathan K Lai
- Department of Medicine, McGill University, Montreal, Quebec, Canada
| | - Phyllis Zelkowitz
- Department of Psychiatry, McGill University, Montreal, Quebec, Canada.,Department of Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada
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Zhao S, Long M, Diao Y, Ma H, Liu M, Feng Z, Wang Y. Culture-related grief beliefs and social support influence depressive symptoms of Shidu parents in rural China. Eur J Psychotraumatol 2021; 12:1945748. [PMID: 34367525 PMCID: PMC8312613 DOI: 10.1080/20008198.2021.1945748] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
BACKGROUND Parents who have lost their only child are known as Shidu parents in China. Losing an only child is an enormous tragedy for parents that can trigger severe depressive symptoms. Few studies have explored the influence of cultural beliefs and social support on depressive symptoms. OBJECTIVE This study aimed to explore the relationship between culture-related grief beliefs, social support and depressive symptoms among Shidu parents in rural China. METHOD This cross-sectional study was conducted in Sujiatun district of Shenyang, China. Data were collected from November 2019 to February 2020 from 228 rural Shidu parents. Questionnaires consisted of the Center for Epidemiologic Studies Depression Scales (CES-D), the Culture-related Grief Beliefs of Shidu Parents Questionnaire (CBSQ), the Social Support Rating Scale (SSRS), and demographic and bereavement-related information. Hierarchical multiple linear regression analysis was conducted to examine the associations among culture-related grief beliefs, social support and depressive symptoms. RESULTS Of the 228 Shidu parents, 87.0% reported depressive symptoms (CES-D ≥ 16). The mean age of the participants was 62.91 years, ranging from 50 to 86. Regression analysis indicated that parents' younger age, lower education level and debts were prominent risk factors for depressive symptoms. Perceived stigma (a subscale of CBSQ) was positively associated with depressive symptoms. Social support was negatively associated with depressive symptoms. CONCLUSIONS Given the high prevalence of depressive symptoms in rural Shidu parents, there is a critical need to reduce perceived stigma and increase social support to alleviate depressive symptoms among Shidu parents in rural China.
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Affiliation(s)
- Shuang Zhao
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning, P.R. China
| | - Meijun Long
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning, P.R. China
| | - Yucong Diao
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning, P.R. China
| | - Hongfei Ma
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning, P.R. China
| | - Minghui Liu
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning, P.R. China
| | - Ziyi Feng
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning, P.R. China
| | - Yang Wang
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning, P.R. China
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Zou X, Lin X, Jiang Y, Su J, Qin S, Han ZR. The Associations between Mothers' and Grandmothers' Depressive Symptoms, Parenting Stress, and Relationship with Children: An Actor-Partner Interdependence Mediation Model. Fam Process 2020; 59:1755-1772. [PMID: 31647575 DOI: 10.1111/famp.12502] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Three-generation households that include parents and grandparents raising children together have become increasingly common in China. This study examined the relations among depressive symptoms, parenting stress, and caregiver-child relationships in the mother-grandmother dyadic context. Participants were mothers and grandmothers from 136 three-generation households. Results from Actor-Partner Interdependence Mediation Modeling indicated that mothers' depressive symptoms were indirectly related to mother-child conflict/closeness through own parenting stress; grandmothers' depressive symptoms were indirectly related to grandmother-child conflict through own parenting stress. Mothers' depressive symptoms were indirectly related to grandmothers' conflict with children through grandmothers' parenting stress, and grandmothers' depressive symptoms were indirectly related to mothers' conflict/closeness with children through mothers' parenting stress. The relation between mothers' parenting stress and mother-child closeness was stronger than the relation between grandmothers' parenting stress and grandmother-child closeness. Findings highlight the implications of using a family system perspective and the dyadic approach in understanding and improving family functioning in Chinese three-generation households.
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Affiliation(s)
- Xinzhuo Zou
- Faculty of Psychology, Institute of Developmental Psychology, Beijing Normal University, Beijing, China
| | - Xiuyun Lin
- Faculty of Psychology, Institute of Developmental Psychology, Beijing Normal University, Beijing, China
- Faculty of Psychology, Beijing Key Laboratory of Applied Experimental Psychology, Beijing Normal University, Beijing, China
| | - Yongqiang Jiang
- Faculty of Psychology, Institute of Developmental Psychology, Beijing Normal University, Beijing, China
| | - Jinni Su
- Department of Psychology, Arizona State University, Tempe, Arizona
| | - Shaozheng Qin
- State Key Laboratory of Cognitive Neuroscience, Beijing Normal University, Beijing, China
| | - Zhuo Rachel Han
- Faculty of Psychology, Beijing Normal University, Beijing, China
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O'Neal CW, Richardson EW, Mancini JA. Community, Context, and Coping: How Social Connections Influence Coping and Well-Being for Military Members and Their Spouses. Fam Process 2020; 59:158-172. [PMID: 30294836 DOI: 10.1111/famp.12395] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Military members and their spouses (n = 223 families) were selected from an Active Duty Army installation and assessed with regard to their connections with the military community, their levels of coping with military culture demands, and their reports of individual (depression and life satisfaction) and family well-being. Guided by the contextual model of family stress and the social organization theory of action and change, results from a structural equation model indicated that military community connections, for both military members and their civilian spouses, were related to coping with the military culture and its demands, which in turn was related to both individual and family well-being. Unique actor and partner effects also emerged where both active duty military members' and their civilian spouses' perceptions of military community connections influenced the civilian spouses' satisfaction with military life, but only the active duty military members' community connections influenced their military-specific coping. Additionally, the associations between military-specific coping and individual and family well-being only had actor effects. When examined within the context of important military culture elements, namely rank and extent of military transitions (deployment and relocation), these core findings linking communities to coping and well-being were unchanged. Implications for theory, future research, and practice are shared.
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Affiliation(s)
| | - Evin W Richardson
- Department of Human Development and Family Science, The University of Georgia, Athens, GA
| | - Jay A Mancini
- Department of Human Development and Family Science, The University of Georgia, Athens, GA
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Elgendy R, Deschênes SS, Burns RJ, Levy M, Schmitz N. Alcohol consumption, depressive symptoms, and the incidence of diabetes-related complications. J Diabetes 2019; 11:14-22. [PMID: 29989328 DOI: 10.1111/1753-0407.12822] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Revised: 07/04/2018] [Accepted: 07/05/2018] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Heavy alcohol consumption in individuals with type 2 diabetes mellitus (T2DM) is related to increased risks of diabetes-related micro- and macrovascular complications. Depressive symptoms may be relevant to this relationship, because high depressive symptoms are associated with an increased risk of complications. This study investigated whether the interaction between depressive symptoms and alcohol frequency was positively related to the development of neuropathy, retinopathy, nephropathy, and coronary artery disease (CAD), such that those with high depressive symptoms and high alcohol frequency will be at increased risk of complications. METHODS Data were from five waves of the Evaluation of Diabetes Treatment annual survey including 1413 adults with T2DM in Quebec. Data on alcohol frequency (number of drinking occasions), depressive symptoms, and complications were collected annually. The development of each complication was investigated using multiple logistic regression analysis with generalized estimating equations. RESULTS After adjusting for sociodemographic, lifestyle, and diabetes-related covariates, the interaction between alcohol frequency and depressive symptoms was positively related to the incidence of neuropathy and CAD, such that those with high depressive symptoms who drank the most frequently had the highest risk of neuropathy (odds ratio [OR] 1.02, 95% confidence interval [CI] 1.00-1.04; P = 0.04) and CAD (OR 1.02, 95% CI 1.00-1.04; P = 0.04). This interaction was not significantly related to retinopathy or nephropathy. CONCLUSION Individuals with high depressive symptoms and high alcohol frequency may have a particularly high risk of neuropathy and CAD. Future prevention efforts should examine both alcohol frequency and depressive symptoms when evaluating the risk of complications.
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Affiliation(s)
- Randa Elgendy
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Canada
- Douglas Mental Health University Institute, Montreal, Canada
| | - Sonya S Deschênes
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Canada
- Douglas Mental Health University Institute, Montreal, Canada
| | - Rachel J Burns
- Department of Psychology, Carleton University, Ottawa, Canada
| | - Melanie Levy
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Canada
- Douglas Mental Health University Institute, Montreal, Canada
| | - Norbert Schmitz
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Canada
- Douglas Mental Health University Institute, Montreal, Canada
- Department of Epidemiology and Biostatistics, Faculty of Medicine, McGill University, Montreal, Canada
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