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Vilaregut A, Abadia S, Pineda-Hernández S, Torras S, Pujadas X. The impact of the COVID-19 pandemic on the mood and family relationships of runners. Front Psychol 2024; 15:1295605. [PMID: 38646113 PMCID: PMC11027568 DOI: 10.3389/fpsyg.2024.1295605] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 03/12/2024] [Indexed: 04/23/2024] Open
Abstract
Introduction The aim of this study was to analyze the impact of the COVID-19 lockdown on the mood of amateur runners and on their relationships with their partners and families. Methods Adult runners 18 years or older (N = 260) completed an online survey that included demographic information, standardized psychological assessments of Exercise Dependence (EDS-R) and mood (POMS), and, to measure relationship functioning, either the Dyadic Adjustment Scale (DAS) if they did not have children, or the Basic Family Evaluation Questionnaire (CERFB), measuring conjugal and parental relationships. Participants also answered questions about their exercise habits and the coping strategies they adopted during lockdown. Results The results suggest that runners who saw the largest reductions in time spent exercising during lockdown tended to feel significantly less energetic (p < 0.05) and friendly (p < 0.01). In addition, they recorded significantly lower scores in marital satisfaction with their peers (p < 0.05). The runners with a higher degree of dependence on physical exercise registered significantly higher levels of depression, tension and anger than non-dependent runners (p < 0.001). Runners whose partners were physically active and did not have children had significantly higher scores marital satisfaction than runners whose partners were not physically active and had children (p < 0.05). Discussion These findings seem to indicate that the psychological approach to athletes in the context of crises such as the pandemic should consider not only individual aspects, but also include the family perspective.
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Affiliation(s)
- Anna Vilaregut
- FPCEE Blanquerna, Ramon Llull University, Barcelona, Spain
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Lozano‐Casanova M, Sospedra I, Oliver‐Roig A, Richart‐Martinez M, Gutierrez‐Hervas A. The combined effect of family environment and parents' characteristics on the use of food to soothe children. Food Sci Nutr 2024; 12:2588-2596. [PMID: 38628189 PMCID: PMC11016393 DOI: 10.1002/fsn3.3941] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 12/04/2023] [Accepted: 12/20/2023] [Indexed: 04/19/2024] Open
Abstract
Parental feeding practices, such as the use of food to soothe, can be shaped by various factors, including the family environment and parents' psychological characteristics and capacities. To our knowledge, the combined effect of these factors has not been studied. Furthermore, parental feeding practices have mainly been studied in women, resulting in a gender gap in the research. This study aims to investigate the combined effect of family environment and parental characteristics on the likelihood of using food to soothe children, taking the gender of both parents into account. This cross-sectional study included a sample of 846 parents (36.3% men) of 1-year-old children from different regions of Spain. Participants completed an online survey that included questionnaires to measure whether parents used food to soothe children, the family environment, parents' characteristics, and their psychological capacities. Binary logistic regression analyses were performed to identify associations between the variables. The final model showed that, within the family environment, higher levels of dyadic adjustment between couples (OR = 0.965; p = .026) were associated with a reduced likelihood of using food to soothe children, whereas the psychological characteristic of parental fatigue (OR = 1.053; p = .007) appeared to be associated with an increased likelihood. Also associated with an increased likelihood of this practice were higher parental sense of competence (OR = 1.028; p = .029) and the attention dimension of emotional intelligence (OR = 1.043; p = .007). Our study suggests that using food to soothe children may be influenced by factors at different levels, from the quality and adjustment of the couple's relationship to parental fatigue, self-competence, and emotional intelligence. For future research, it may be worthwhile contextualizing parental practices to gain a better understanding of children's behavior.
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Affiliation(s)
- Mar Lozano‐Casanova
- Nursing Department, Faculty of Health ScienceUniversity of AlicanteAlicanteSpain
| | - Isabel Sospedra
- Nursing Department, Faculty of Health ScienceUniversity of AlicanteAlicanteSpain
| | - Antonio Oliver‐Roig
- Nursing Department, Faculty of Health ScienceUniversity of AlicanteAlicanteSpain
| | | | - Ana Gutierrez‐Hervas
- Nursing Department, Faculty of Health ScienceUniversity of AlicanteAlicanteSpain
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Lopes RT, Neves ÉTB, da Costa Dutra L, Firmino RT, de Lima LCM, Paiva SM, Ferreira FM, Granville-Garcia AF. Individual and Contextual Factors Associated with Adolescents' Self-Perceived Need for Treatment. Int J Environ Res Public Health 2024; 21:395. [PMID: 38673308 PMCID: PMC11049991 DOI: 10.3390/ijerph21040395] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Revised: 03/21/2024] [Accepted: 03/21/2024] [Indexed: 04/28/2024]
Abstract
The present study aimed to investigate associations between the self-perceived dental treatment need and clinical factors, familial characteristics, and school context in adolescents. A cross-sectional study was conducted with a representative sample of 746 students aged 15 to 19 years in a medium-sized city in Brazil. Data collection involved the use of a sociodemographic questionnaire, an oral health questionnaire, and the Family Adaptability and Cohesion Scales (FACES III) instrument. Clinical examinations were performed by two trained and calibrated examiners (Kappa > 0.80) using the Nyvad criteria. A robust logistic regression analysis for complex samples was performed using a multilevel approach (α = 5%). The individual factors associated with the self-perceived treatment need were dental pain (OR = 1.08; 95% CI: 1.01-1.16), the loss of the first molars (OR = 1.09; 95% CI: 1.03-1.15), and disengaged family cohesion (OR = 1.15; 95% CI: 1.01-1.31). In terms of context, attending a public school was associated with the self-perceived treatment need (OR = 1.17; 95% CI: 1.02-1.33). Thus, the individual factors of toothache, tooth loss, and a disengaged family, as well as the school context, exerted an influence on the self-perceived treatment need.
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Affiliation(s)
- Roanny Torres Lopes
- Graduate Program in Dentistry, Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, Paraíba, Brazil;
| | | | | | - Ramon Targino Firmino
- Academic Unit of Biological Sciences, Federal University of Campina Grande, Patos 58708-110, Paraíba, Brazil;
| | - Larissa Chaves Morais de Lima
- Faculty of Medical Sciences of Campina Grande, UNIFACISA University Center, Campina Grande 58408-326, Paraíba, Brazil;
| | - Saul Martins Paiva
- Department of Child and Adolescent Oral Health, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil; (S.M.P.); (F.M.F.)
| | - Fernanda Morais Ferreira
- Department of Child and Adolescent Oral Health, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil; (S.M.P.); (F.M.F.)
| | - Ana Flávia Granville-Garcia
- Graduate Program in Dentistry, Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, Paraíba, Brazil;
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Hong YT, Ye BQ, Lin JL, Chen QH, Zhang J, Chen WT, Huang FF. Characteristics and influencing factors of demoralization in patients with lung cancer: A latent class analysis. Psychooncology 2024; 33:e6312. [PMID: 38429989 DOI: 10.1002/pon.6312] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2023] [Revised: 02/10/2024] [Accepted: 02/16/2024] [Indexed: 03/03/2024]
Abstract
OBJECTIVE Demoralization has garnered increasing attention in recent years as a significant psychological distress. This study aims to identify latent classes of demoralization in lung cancer patients using Latent Class Analysis (LCA) from a person-centered perspective and to explore the factors influencing the latent classes of demoralization. METHODS A cross-sectional study using convenience sampling was conducted among 567 lung cancer patients in three tertiary hospitals in China. LCA was employed to classify heterogeneous classes of demoralization. Multinomial logistic regression analyses were performed to explore the associations between demographic and clinical characteristics, as well as physical symptoms, resilience, family function, and coping strategies, with class membership in the identified heterogeneous subgroups of lung cancer patients. RESULTS Three latent classes of demoralization were identified: the high demoralization group (Class 1, 14.8%), the moderate demoralization-distress and helplessness group (Class 2, 37.2%), and the low demoralization group (Class 3, 48.0%). In comparison to Class 3, lung cancer patients with hypertension, higher core symptom burden, poorer resilience, dysfunctional family dynamics, and resignation coping were more likely to belong to Class 1 and Class 2. CONCLUSIONS The demoralization patterns in lung cancer patients were varied. Targeted intervention should be developed based on the characteristics of each class, and timely attention should be paid to high-risk patients.
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Affiliation(s)
- Yu Ting Hong
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Bi Qin Ye
- Department of Oncology, Affiliated Hospital of Putian University, Putian, Fujian, China
| | - Jia Ling Lin
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Qiu Hong Chen
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Juan Zhang
- The 900th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Fuzhou, Fujian, China
| | - Wei-Ti Chen
- School of Nursing, University of California Los Angeles, Los Angeles, California, USA
| | - Fei Fei Huang
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
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Ayalon L, Segel-Karpas D. A Life Course, Intergenerational Perspective on Loneliness. Int J Aging Hum Dev 2024; 98:69-83. [PMID: 36475877 DOI: 10.1177/00914150221144234] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2023]
Abstract
The present study relied on 15 dyads of adult children and their older parent to better understand intergenerational family relations from a life course perspective. Interviews were analyzed relying on qualitative thematic analysis, identifying similarities and differences within and between interviews and dyads. Our analysis resulted in three major themes. The first concerns the important role of intergenerational family relation as a means to define and conceptualize the experiences of loneliness and ways of coping with loneliness. The second theme concerned intergenerational relations as a cause (and at times a remedy) of loneliness. The third theme concerns the ability of the dyad's members to reflect on the level of loneliness of the other member in the intergenerational dyad. The findings stress the importance of intergenerational family relations throughout the life course and highlight the importance of adopting an intergenerational lens as a possible means to address loneliness.
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Affiliation(s)
- Liat Ayalon
- Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel
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Batista VC, Barreto MDS, Gomes NP, Prado E, Padoin SMDM, de Godoy FJ, Trigueiro TH, Marcon SS. Unveiling family relationships based on the context of domestic violence: a Grounded Theory. Rev Esc Enferm USP 2023; 57:e20230009. [PMID: 38131439 PMCID: PMC10740367 DOI: 10.1590/1980-220x-reeusp-2023-0009en] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 10/18/2023] [Indexed: 12/23/2023] Open
Abstract
OBJECTIVE To understand the meanings attributed to family relationships by women who have experienced domestic violence. METHOD Explanatory study using Symbolic Interactionism and Grounded Theory as references. Data were collected from March to November 2021, through online interviews with 23 women found on the social media application Facebook®. RESULTS Data analysis allowed the construction of a theoretical model consisting of three processes: "We learned that it was normal to be mistreated": experiencing a context of violence in the family of origin; "I just wanted a family": experiencing partner violence and redefining family relationships in the context of violence. CONCLUSION The meanings attributed to family relationships are elaborated and modified according to the interpretation, trajectory of confrontation, and interactions of women with other individuals and objects in the social web, over time. When experiencing domestic violence, women give new meaning to their feelings and begin to attribute new values, emotions, and empathy to family relationships, expanding their understanding of their weaknesses and potential.
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Affiliation(s)
- Vanessa Carla Batista
- Universidade Estadual de Maringá, Programa de Pós-Graduação em Enfermagem, Maringá, PR, Brazil
| | | | | | | | | | - Fernando José de Godoy
- Secretaria Municipal de Saúde de Umuarama. Unidade de Pronto Atendimento, Umuarama. PR, Brazil
| | | | - Sonia Silva Marcon
- Universidade Estadual de Maringá, Programa de Pós-Graduação em Enfermagem, Maringá, PR, Brazil
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Woods SB, Roberson PNE, Abdelkhaleq H. Family strain, but not family support, is linked to worse pain interference among midlife adults reporting new chronic pain. Fam Syst Health 2023; 41:467-477. [PMID: 37410420 PMCID: PMC10770288 DOI: 10.1037/fsh0000825] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/07/2023]
Abstract
INTRODUCTION Although family relationship quality has been linked to later chronic pain incidence for aging adults, it is unclear whether the quality of these relationships is linked to the impact of pain. We estimated longitudinal associations between family relationship quality (i.e., family support and family strain) and pain interference for adults who develop novel chronic pain across 10 years of midlife. METHOD We conducted a secondary analysis of data from the Midlife in the United States (MIDUS) study. Using path analysis, we tested whether family support and strain reported by participants (54% female, age M = 54.8 years) who denied having chronic pain at the study's second wave (MIDUS 2, 2004-2006) but reported chronic pain 10 years later (MIDUS 3, 2014-2016; N = 406) was associated with the interference of that pain with daily activities after accounting for key covariates, including sociodemographics, depression symptoms, global physical health, and MIDUS 3 reports of family support and strain. RESULTS The hypothesized model demonstrated good fit to the data based on multiple model fit indices. Greater family strain at baseline, but not family support, was significantly associated with greater pain interference 10 years later. DISCUSSION Findings build on prior studies to suggest that not only are stressful family relationships likely associated with the odds of developing chronic pain, but they are also linked to the interference of that chronic pain when it develops. We recommend biopsychosocial screening in primary care that captures family relationship quality and can inform best practices for nonpharmacological, family-based pain management. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Sarah B. Woods
- University of Texas Southwestern Medical Center, Department of Family and Community Medicine, Dallas TX, USA
| | | | - Haneen Abdelkhaleq
- University of Texas Southwestern Medical Center, Department of Family and Community Medicine, Dallas TX, USA
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Lindeman SK, Selseng LB, Lorås L, Løberg AH. Living with sibling' drug use. Bereaved siblings' family stories. Int J Qual Stud Health Well-being 2023; 18:2240576. [PMID: 37506373 PMCID: PMC10392252 DOI: 10.1080/17482631.2023.2240576] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 07/20/2023] [Indexed: 07/30/2023] Open
Abstract
Family members' problematic drug use is challenging for siblings affecting their well-being and their relationships within the family. Research about siblings living with brothers or sisters' problematic drug use and research on bereaved siblings' experiences indicates that life situations and support needs for both minor siblings and adult siblings can easily be overlooked, both in practice and in research. This article contributes to this knowledge gap by examining how siblings provide meaning to their sibling's drug use problem and how they position themselves and other family members accordingly. Qualitative semi-structured interviews were used for data collection, and fourteen bereaved siblings were interviewed. A narrative thematic analysis was chosen, and four themes were generated. These four themes, (1) Surviving difficult family life, (2) The relationships in continuous change, (3) It's worse for the parents, and (4) "We", as a synonym for the family, are presented in this article. Our findings demonstrated how complex and multifaceted siblings' stories about living with their brothers or sisters' ongoing drug use are. This study calls for more attention to siblings' situations. Siblings' lives are affected by their brothers or sisters' problems, and siblings should also be involved in routine support and treatment practices.
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Affiliation(s)
- Sari Kaarina Lindeman
- Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Lillian Bruland Selseng
- Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Lennart Lorås
- Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Aina Helen Løberg
- Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
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Bhushan B, Zee PC, Grandner MA, Jaser SS, Hazkani I, Maddalozzo JP, Xu S, Ahluwalia V, Chandra A, Schroeder JW, Sharma M, Suittens DA, Berg CA. Associations of deep sleep and obstructive sleep apnea with family relationships, life satisfaction, and physical stress experience in children: a caregiver perspective. J Clin Sleep Med 2023; 19:2087-2095. [PMID: 37565827 PMCID: PMC10692943 DOI: 10.5664/jcsm.10772] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 08/09/2023] [Accepted: 08/09/2023] [Indexed: 08/12/2023]
Abstract
STUDY OBJECTIVES Obstructive sleep apnea (OSA) and poor quality of sleep negatively impacts health-related quality of life in adults, but few studies have evaluated the association between sleep disturbance (eg, OSA, inadequate sleep) and health-related quality of life domains (eg, family relations, life satisfaction) in children. METHODS Children ages 8-17 years referred to a sleep center for routine polysomnography from April 2022 to August 2022 were approached to participate in the study, and children visiting the department of pediatrics for their wellness visit were recruited for comparisons. Statistical analysis was conducted using R 3.6.0. RESULTS Ninety-nine children were recruited from the sleep clinic, and 23 children were recruited from the primary care clinic. Of these children, 62 were diagnosed with obstructive sleep apnea (31 mild, 12 moderate, 19 severe), and 37 did not meet criteria for a diagnosis. Health-related quality of life domains did not differ across OSA severity levels. Children in general had lower life satisfaction and higher physical stress experience compared to children visiting for their wellness examination (well-child visitors, P = .05 and P = .005, respectively). Children with severe OSA had significantly lower life satisfaction and significantly higher physical stress experience when compared with well-child visitors (P = .008 and P = .009, respectively). Correlation analysis showed that N3 (deep) sleep was positively associated with family relations and life satisfaction, while it was negatively associated with anger. CONCLUSIONS Based on caregiver response, N3 sleep is positively associated with family relations and life satisfaction and negatively associated with anger. Severe OSA is associated with lower life satisfaction and higher physical stress experience. CITATION Bhushan B, Zee PC, Grandner MA, et al. Associations of deep sleep and obstructive sleep apnea with family relationships, life satisfaction, and physical stress experience in children: a caregiver perspective. J Clin Sleep Med. 2023;19(12):2087-2095.
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Affiliation(s)
- Bharat Bhushan
- Department of Surgery, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
- Department of Otolaryngology Head & Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Phyllis C. Zee
- Center for Circadian and Sleep Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Michael A. Grandner
- Department of Psychology, The University of Arizona Health Sciences, Tucson, Arizona
| | - Sarah S. Jaser
- Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Inbal Hazkani
- Department of Surgery, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
| | - John P. Maddalozzo
- Department of Surgery, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
- Department of Otolaryngology Head & Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Sarah Xu
- Department of Surgery, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
| | - Vikas Ahluwalia
- Department of Surgery, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
| | - Anjali Chandra
- Department of Surgery, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
| | - James W. Schroeder
- Department of Surgery, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
- Department of Otolaryngology Head & Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Manoj Sharma
- Department of Social and Behavioral Health, University of Nevada, Las Vegas, Nevada
| | | | - Cynthia A. Berg
- Department of Psychology, College of Social and Behavioral Science, The University of Utah, Salt Lake City, Utah
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Amaslidou A, Ierodiakonou-Benou I, Bakirtzis C, Nikolaidis I, Tatsi T, Grigoriadis N, Nimatoudis I. Multiple sclerosis and mental health related quality of life: The role of defense mechanisms, defense styles and family environment. AIMS Neurosci 2023; 10:354-375. [PMID: 38188008 PMCID: PMC10767059 DOI: 10.3934/neuroscience.2023027] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Revised: 11/13/2023] [Accepted: 11/21/2023] [Indexed: 01/09/2024] Open
Abstract
Background Multiple sclerosis is a demyelinating chronic neurologic disease that can lead to disability and thus to deterioration of quality of life. Psychological parameters such as ego defense mechanisms, defense styles and family environment are important factors in the adaptation process, and as such they can play important roles in QoL. This study aims to assess the psychological factors as well as the clinical and demographic characteristics related to mental health quality of life (MHQoL). Methods This was an observational, cross-sectional study conducted in a sample of 90 people with MS in the years 2018-2020. All participants completed the following questionnaires: MSQoL-54, DSQ-88, LSI, FES-R, SOC, BDI-II, STAI. Disability was assessed using EDSS. Results In multiple linear regression, significant roles were played by depression (R2: 41.1%, p: 0.001) and, to a lesser extent, the event of a relapse (R2: 3.5%, p: 0.005), expressiveness (R2: 3.6%, p < 0.05) and image distortion style (R2: 4.5%, p: 0.032). After performing a hierarchical-stepwise analysis (excluding depression), the important factors were maladaptive defense style (R2: 23.7%, p: 0.002), the event of relapse (R2: 8.1%, p < 0.001), expressiveness (R2: 5.5%, p: 0.004) and self-sacrificing defense style (R2: 2.4%, p: 0.071). Conclusion Psychological factors play important roles in MHQoL of people with multiple sclerosis. Thus, neurologists should integrate in their practice an assessment by mental health specialists. Moreover, targeted psychotherapeutic interventions could be planned i to improve QoL.
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Affiliation(s)
- Anthi Amaslidou
- 3 Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece
| | - Ioanna Ierodiakonou-Benou
- 3 Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece
| | - Christos Bakirtzis
- 2 Department of Neurology, MS Center, School of Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece
| | - Ioannis Nikolaidis
- 2 Department of Neurology, MS Center, School of Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece
| | - Theano Tatsi
- 2 Department of Neurology, MS Center, School of Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece
| | - Nikolaos Grigoriadis
- 2 Department of Neurology, MS Center, School of Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece
| | - Ioannis Nimatoudis
- 3 Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece
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Carvalho PALD, Santos VTCD, Terra MG, Oliveira MAFD, Soares RH, Sena ELDS. Mental suffering in family daily life: a temporal journey according to Merleau-Ponty. Rev Bras Enferm 2023; 76:e20230258. [PMID: 38018623 PMCID: PMC10680397 DOI: 10.1590/0034-7167-2023-0258] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 07/04/2023] [Indexed: 11/30/2023] Open
Abstract
OBJECTIVES to describe the family's experience in relation to daily life with a family member experiencing mental suffering. METHODS a qualitative, descriptive, phenomenological study grounded in Merleau-Ponty's ontology of experience was conducted in ten households in a city in the state of Bahia, Brazil, where 24 participants of the Intersubjectivity Wheels reside. The descriptions produced were subjected to the Ambiguity Analytics technique. RESULTS the descriptions were categorized into: absence as a creative power of the sense of "being" and "not being a family"; and exclusion and acceptance as expressions of mental suffering in the family context. FINAL CONSIDERATIONS the experience of mental suffering in the family's daily life is marked by ambiguous feelings, such as joy and sadness, disappointment and satisfaction, lack of love and love. However, experiencing these feelings can mobilize the desire to "become" a family, increase the sense of autonomy and independence, and drive the formation of new family configurations.
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Zhao JL, Shen L, Shields J, Wang YX, Wu YJ, Yu Z, Li YX. Nurses' Work-Family Strategies during COVID-19 Lockdown and Their Association with Individual Health and Family Relations. Healthcare (Basel) 2023; 11:2960. [PMID: 37998452 PMCID: PMC10671543 DOI: 10.3390/healthcare11222960] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Revised: 10/31/2023] [Accepted: 11/07/2023] [Indexed: 11/25/2023] Open
Abstract
The COVID-19 lockdown forced people to stay at home and address their family duties more equally. However, since nurses themselves were involved in the closed-loop management in hospitals and unable to return home, there was also an increased likelihood of non-traditional work-family strategies emerging. To ascertain the extant and implications of this phenomenon, this cross-sectional study explores work-family management strategies among nurses during the COVID-19 lockdown and their association with nurses' individual health, family relationships, and job performance. Survey data were collected from 287 nurses who were involved in the closed-loop management in Shanghai hospitals from March to June 2022. Latent Class Analysis of seven categorical variables of nurses' work-family status (e.g., the division of childcare labor) produced a best-fit solution of five strategies (BLRT (p) < 0.001, LMR (p) = 0.79, AIC = 5611.34, BIC = 6302.39, SSA-BIC = 5703.65, Entropy = 0.938): (1) fully outsourcing to grandparents, (2) partially outsourcing to grandparents, with the husband filling in the gap, (3) the husband does it all, (4) egalitarian remote workers, and (5) a neo-traditional strategy. Nurses who applied the egalitarian strategy had less psychological distress and relationship tension and better performance than those who applied the neo-traditional strategy and performed most of the childcare. The "husband does it all" strategy and the outsourcing strategies seem to have double-edged effects, with better job performance and family relations but also more distress and fewer sleeping hours among nurses. Overall, with a view to future risk mitigation, policymakers and practitioners should be aware of the diversity of the work-family strategies among nurse families during the lockdown period, and their association with individual and family outcomes, and provide tailored support.
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Affiliation(s)
- Jia-Lin Zhao
- Department of Sociology, College of Philosophy, Law and Political Science, Shanghai Normal University, Shanghai 200234, China; (J.-L.Z.); (Y.-X.W.); (Y.-J.W.); (Y.-X.L.)
| | - Li Shen
- Department of Sociology, School of Public Affairs, Nanjing University of Science and Technology, Nanjing 210014, China
| | - John Shields
- Discipline of Work and Organisational Studies, The University of Sydney Business School, The University of Sydney, Sydney, NSW 2006, Australia;
| | - Ya-Xuan Wang
- Department of Sociology, College of Philosophy, Law and Political Science, Shanghai Normal University, Shanghai 200234, China; (J.-L.Z.); (Y.-X.W.); (Y.-J.W.); (Y.-X.L.)
| | - Yu-Jia Wu
- Department of Sociology, College of Philosophy, Law and Political Science, Shanghai Normal University, Shanghai 200234, China; (J.-L.Z.); (Y.-X.W.); (Y.-J.W.); (Y.-X.L.)
| | - Zhan Yu
- Department of Social Work, School of Social Development, East China Normal University, Shanghai 200062, China;
- Shanghai Social Science Innovation Research Base of “Research on Transitional Sociology with Chinese Characteristics”, Shanghai 200062, China
| | - Yi-Xin Li
- Department of Sociology, College of Philosophy, Law and Political Science, Shanghai Normal University, Shanghai 200234, China; (J.-L.Z.); (Y.-X.W.); (Y.-J.W.); (Y.-X.L.)
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Silva ALDSE, Ottaviani AC, Orlandi FDS, Inouye K, Zazzetta MS, Pavarini SCI, dos Santos-Orlandi AA. Social support perceived by elderly people in social vulnerability according to family functionality: a cross-sectional study. Rev Esc Enferm USP 2023; 57:e20220475. [PMID: 37947163 PMCID: PMC10642574 DOI: 10.1590/1980-220x-reeusp-2022-0475en] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 09/03/2023] [Indexed: 11/12/2023] Open
Abstract
OBJECTIVE To compare the social support as perceived by elderly persons in a context of social vulnerability according to family functionality. METHOD A cross-sectional study using a quantitative approach, carried out in São Carlos-SP, with 123 elderly people living in a context of high social vulnerability. The sample was divided into two groups: good family functionality and moderate/severe family dysfunction. Data was collected on sociodemographic characteristics, family functionality (Family APGAR) and social support (Medical Outcomes Study Social Support Scale). The Mann-Whitney, Chi-square and Fisher's exact statistical tests were used. RESULTS There was a statistically significant difference between social support and family functionality (p < 0.05). The group with good family functionality obtained higher median social support scores: affective 100.00; material 95.00; information 90.00; emotional 90.00; positive social interaction 85.00; when compared to the group with moderate/severe family dysfunction: affective 86.67; material 87.50; information 70.00; emotional 65.00; positive social interaction 65.00. CONCLUSION Elderly persons living in dysfunctional families have less perceived social support when compared to those living in families with good family functionality.
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Affiliation(s)
- Ana Laura de Souza e Silva
- Universidade Federal de São Carlos, Departamento de Enfermagem, Programa de Pós- Graduação em Enfermagem, São Carlos, SP, Brazil
| | - Ana Carolina Ottaviani
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos, SP, Brazil
| | | | - Keika Inouye
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos, SP, Brazil
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Barreto MDS, Marques FRDM, Gallo AM, Garcia-Vivar C, Carreira L, Salci MA. Striking a new balance: A qualitative study of how family life has been affected by COVID-19. Rev Lat Am Enfermagem 2023; 31:e4043. [PMID: 37937598 PMCID: PMC10631297 DOI: 10.1590/1518-8345.6705.4043] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 08/07/2023] [Indexed: 11/09/2023] Open
Abstract
OBJECTIVE to examine the repercussions of the pandemic on the family system by focusing on the perspective of family members who contracted and experienced COVID-19. METHOD an exploratory study with a qualitative approach conducted with 27 individuals who had COVID-19. Data collection took place through telephone interviews that were audio-recorded and guided by a semi-structured instrument. Data analysis was based on an inductive process supported by Reflexive Thematic Analysis. RESULTS the pandemic and illness of a family member acted as driving forces generating new and intense movements in the family system. Initially, they noticed negative repercussions such as concerns, fear, anguish, stress, distancing and social isolation. As time progressed and by using technologies to ease communication, they began to perceive positive repercussions such as increased proximity, strengthening of ties, development of new roles and care. The families also identified recovery of a balanced position, with return of certain readjustment in family dynamics and functioning. CONCLUSION health professionals need to recognize that the COVID-19 disease has imposed repercussions on family systems, proposing interventions that help families face this moment and more easily recover a balanced position for their functioning.
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Affiliation(s)
| | - Francielle Renata Danielli Martins Marques
- Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá, PR, Brasil
- Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil
| | - Adriana Martins Gallo
- Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá, PR, Brasil
- Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil
| | - Cristina Garcia-Vivar
- Universidad Pública de Navarra, Departamento de Ciencias de la Salud, Pamplona, NA, España
| | - Lígia Carreira
- Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá, PR, Brasil
- Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil
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Lee MK, Kim Y. Parental and Child Factors Associated With Internet Addiction in Children. West J Nurs Res 2023; 45:1001-1007. [PMID: 37737160 DOI: 10.1177/01939459231201248] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/23/2023]
Abstract
BACKGROUND Internet addiction has negative effects on psychological development, interpersonal relationships, and social adaptation in 10-year-old elementary school students. OBJECTIVE This study aimed to identify parental and child characteristics related to Internet addiction in lower-grade elementary school children. METHODS This study used a secondary data analysis. Data from the tenth Panel Study on Korean Children were used. In total, 1224 ten-year-old elementary school students were included in the analysis. The questionnaire included general, parental, and child characteristics. RESULTS Of all child participants, 18.5% were in the high-risk group for Internet addiction. Lower paternal and maternal spousal satisfaction, maternal education level of high school graduate or lower, and greater permissive parenting by the mother were associated with higher odds of Internet addiction among their children. Moreover, boys and children who spent more than an hour per day without adults showed higher odds of Internet addiction. CONCLUSIONS The results of this study indicate that the implementation of an intervention that improves parenting and family relationships and positively changes the environment in which children are brought up is necessary.
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Affiliation(s)
- Mee Kyung Lee
- School of Nursing and Health Sciences, Merrimack College, North Andover, MA, USA
| | - Yujeong Kim
- College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, Republic of Korea
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Misra DP, Giurgescu C, Caldwell CH, Song P, Hu M, Adaji R, Vaughan S. Fathers Matter: Black Fathers' Relationships with their Partners during Pregnancy and Postpartum. MCN Am J Matern Child Nurs 2023; 48:295-302. [PMID: 37589959 PMCID: PMC10623111 DOI: 10.1097/nmc.0000000000000953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/18/2023]
Abstract
PURPOSE To describe the characteristics of participants in the Fathers Matter study for a better understanding of fathers of the baby who engage in pregnancy research involving primarily Black couples and their relationships with their partners. STUDY DESIGN AND METHODS The Fathers Matter Study uses a prospective design, identifying father-mother dyads during pregnancy and following them until birth as part of the Biosocial Impacts on Black Births Study. Participants completed prenatal and postpartum questionnaires. RESULTS Our analyses are based on 111 fathers. Nearly all ( n = 101, 91.1%) of fathers identified as Black and 51.4% ( n = 57) had a high school diploma, graduate equivalency diploma, or higher. About half ( n = 57, 51.4%) reported annual incomes of $10,000 or less. Most reported that relationships with the mother were very close both before ( n = 100, 89.9%) and during ( n = 85, 76.6%) pregnancy. However, substantial variability was found in relationship satisfaction, involvement in the pregnancy, financial support provided, and scales of conflict and support. CLINICAL IMPLICATIONS We found homogeneity in sociodemographic and basic relationship measures. Complex measures of the father-mother relationships demonstrated considerable variability. Data from fathers may identify their contributions to successful birth outcomes. Understanding relationships between fathers and mothers could identify risk or protective characteristics to be addressed at the family or community levels.
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Biesen JN, Smith DA. Narcissism in Romantic Relationships: Using Communal Activation to Promote Relationship Enhancing Attitudes. J Psychol 2023; 157:516-547. [PMID: 37812409 DOI: 10.1080/00223980.2023.2255925] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 09/01/2023] [Indexed: 10/10/2023] Open
Abstract
Background: People with elevated vulnerable narcissism (VN) or grandiose narcissism (GN) trait levels tend to experience greater difficulties in their romantic relationships than their counterparts with lower levels of VN or GN. Although there are no evidence-based approaches to alter the interpersonal behavior of persons with VN or GN traits, experimental research shows that it is possible to produce relationship-enhancing attitudes in people with GN traits through communal activation (CA). Objective: We examined whether a CA manipulation in the context of relationship education improves attitudes that promote romantic relationship health, and whether VN and GN would moderate these associations. Method: Participants (Nwomen =148, Nmen = 71) watched psychoeducational videos on relationships and were randomly assigned to either answer questions about the videos' content (control group) or to complete CA exercises (experimental group) in addition to questionnaires to measure empathy, criticism, commitment, desire for closeness, and communication (positive interaction, demand/withdraw communication, criticize/defend communication) before and after the experimental manipulation. Results: There was a main effect of condition, such that, relative to the control group, fewer improvements in perceived demand/withdraw communication were observed in the experimental condition. VN, but not GN, moderated the link between condition and commitment, demand/withdraw and criticize/defend communication, such that elevated VN levels predicted the most improvement in commitment, demand/withdraw and criticize/defend communication in the experimental condition. Discussion: We conclude with recommendations to adopt ego-enhancing reinforcement for communal behaviors with clients who endorse GN traits and considering less personally relevant CA exercises with clients who endorse VN traits.
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Woods SB, Udezi V, Roberson PNE, Arnold EM, Nesbitt S, Hiefner A. "A cuff is not enough": A community-based participatory research approach to soliciting perspectives of African Americans with hypertension and their family members on self-management intervention features. Fam Process 2023:10.1111/famp.12935. [PMID: 37718711 PMCID: PMC10947536 DOI: 10.1111/famp.12935] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 06/20/2023] [Accepted: 08/07/2023] [Indexed: 09/19/2023]
Abstract
We aimed to solicit the perspectives of African Americans with hypertension and their family members on the desired features of a behavioral hypertension self-management intervention. Using a community-based participatory approach to intervention design, we conducted four dyadic focus groups, including African American community members with hypertension (n = 23) and their family members (n = 23), recruited from African American-serving Christian churches in a large, southern metropolitan area. We used open-ended questions to elicit participants' perspectives regarding program features they would recommend, intervention delivery, and barriers necessary to address. Our grounded theory analysis identified themes reflecting participants' recommendations for hypertension self-management interventions to enhance health literacy and provide communication training via an accessible, population-tailored, family-based approach, which they believed has the potential to create family-level impact on health across generations. Participants also recommended intervention researchers engage in advocacy (i.e., via physician education and policy change) as part of a broader impact on structural inequities driving worse hypertension and health outcomes for African Americans. The perceptions and recommendations of African Americans with a lived experience of hypertension, as well as their family members, aid in shaping acceptable and efficacious behavioral interventions aiming to promote hypertension self-management behavior while leveraging the unique power of family relationships to create sustained behavior change.
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Affiliation(s)
- Sarah B. Woods
- University of Texas Southwestern Medical Center, Department of Family and Community Medicine, Dallas TX, USA
| | - Victoria Udezi
- University of Texas Southwestern Medical Center, Department of Family and Community Medicine, Dallas TX, USA
| | | | - Elizabeth Mayfield Arnold
- University of Texas Southwestern Medical Center, Department of Family and Community Medicine, Dallas TX, USA
| | - Shawna Nesbitt
- University of Texas Southwestern Medical Center, Departments of Internal Medicine and Cardiology, Dallas TX, USA
| | - Angela Hiefner
- University of Texas Southwestern Medical Center, Department of Family and Community Medicine, Dallas TX, USA
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Kim HR, Moon SH. Predictors for runaway behavior in adolescents in South Korea: national data from a comprehensive survey of adolescents. Front Psychiatry 2023; 14:1195378. [PMID: 37663596 PMCID: PMC10469315 DOI: 10.3389/fpsyt.2023.1195378] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 07/28/2023] [Indexed: 09/05/2023] Open
Abstract
Background Runaway behavior is reported to impede the growth, mental health development, and social adjustment of adolescents. Exposure to harmful media causes problematic behaviors in adolescents, sometimes inducing them to run away from home. Methods This study examined the factors influencing adolescents' runaway behavior. Utilizing the data of 11,354 adolescents from the Survey of Media Usage and Harmful Environment among Adolescents, a hierarchical logistic regression analysis was conducted using the SPSS 24.0 program. Results The significant predictors of runaway behavior were the grade of the adolescent, deviant behaviors (drinking, smoking), autonomous control ability, relationship with family, and harmful media (p < 0.001). This regression model explained 13.1% of the variance in runaway behavior. A significant outcome of this study is that harmful media was identified as one of the factors affecting adolescents' runaway behavior. Adjusted OR and 95% CI of harmful media was 1.23 (1.10-1.38). Conclusion This study showed that individual, family, social factors, and harmful media influence adolescents' runaway behavior. The results emphasize the importance of health teachers and the need for early intervention programs, for the identification and prevention of risk factors for adolescents' runaway behavior.
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Affiliation(s)
- Hyung Ran Kim
- Department of Health Insurance Review and Assessment Service, Kwangju Christian Hospital, Gwangju, Republic of Korea
| | - So-Hyun Moon
- Department of Nursing, College of Medicine, Chosun University, Gwangju, Republic of Korea
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Cherrier C, Courtois R, Rusch E, Potard C. Parental Attachment, Self-Esteem, Social Problem-Solving, Intimate Partner Violence Victimization in Emerging Adulthood. J Psychol 2023; 157:451-471. [PMID: 37548989 DOI: 10.1080/00223980.2023.2242561] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Revised: 06/23/2023] [Accepted: 07/25/2023] [Indexed: 08/08/2023] Open
Abstract
Emerging adults can experience conflicts with their dating partner, leading to intimate partner violence (IPV). In order to understand the vulnerability factors involved in IPV victimization, the current study explored a serial multiple mediation model to determine the links between parental attachment (to the father and mother), self-esteem, and social problem solving (SPS) on the three forms of IPV (psychological, physical and sexual). Based on an online survey, 756 emerging adults (84.8% women, mean age = 23.52) completed self-report questionnaires related to parental attachment, self-esteem, SPS (avoidance and impulsive/carelessness style), and IPV during the past year. The study design was cross-sectional and data were analyzed through partial least structural equation modeling (PLS-SEM) technique. The findings did not support serial multiple mediation model, as the indirect effects of the two specific mediation models were not significant. However, the total indirect effects were significant, indicating a cascade effect chain of events between the variables; insecure parental attachment was related to lower self-esteem, which was associated with poor SPS skills (especially impulsive/carelessness style), which in turn was associated with both psychological and physical violence victimization. The implications of the findings for promoting the life skills of emerging adults, such as problem solving or self-esteem, to enable them to handle their relationship conflicts are discussed.
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Affiliation(s)
| | - Robert Courtois
- University of Tours
- Tours University Hospital (CHRU of Tours)
| | - Emmanuel Rusch
- University of Tours
- Tours University Hospital (CHRU of Tours)
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Huczewska I, Mynarska M. From parentification to parenthood: caregiving responsibilities in childhood and childbearing desire in young adulthood. J Reprod Infant Psychol 2023:1-15. [PMID: 37265431 DOI: 10.1080/02646838.2023.2220356] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
INTRODUCTION Childbearing and childrearing challenge parents' physical, social and emotional capacities. Childbearing motivations and desires are indicators of person's psychological readiness to meet these challenges and to establish a healthy bond with the child. Yet, much uncertainty still exists on how childbearing motivations and desires develop in the life course and to what extent early experiences in the family of origin contribute to their development. OBJECTIVE The overall goal of the present study was to understand the relationship between early caregiving responsibilities (i.e. childhood parentification) in the family of origin and childbearing motivations and the desire to have a first child. METHODS In the cross-sectional design study, childless Polish adults (N = 384; 20-35 years old) completed a set of self-report measures. Different dimensions of parentification experienced in childhood were measured retrospectively using the Parentification Inventory, and childbearing-related variables were assessed using the Childbearing Questionnaire. Data were analysed using mediation analyses. RESULTS We found that past experiences of parent- and sibling-oriented parentification were positively associated with the desire to have a child, and these relationships were fully mediated by positive childbearing motivation. Further, our results showed that satisfaction with childhood caregiving responsibilities positively predicted childbearing desire, and this effect was partially mediated by positive and negative childbearing motivation. CONCLUSION Individuals' early caring activities, especially when they evoke feelings of satisfaction and appreciation in the child, may play an important role in shaping childbearing motivations and desires that underlie their future reproductive behaviours.
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Affiliation(s)
- Izabela Huczewska
- Institute of Psychology, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Poland
| | - Monika Mynarska
- Institute of Psychology, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Poland
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Velásquez Restrepo LE, Basto Hernández GJ, Muñoz Astudillo MN. Socio-family Factors Predictive of Adaptative Coping Post COVID-19 Pandemic in Nursing Students from a Private University. Invest Educ Enferm 2023; 41:e05. [PMID: 38589323 PMCID: PMC10599705 DOI: 10.17533/udea.iee.v41n2e05] [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: 10/25/2022] [Accepted: 05/25/2023] [Indexed: 04/10/2024]
Abstract
Objective To identify socio-academic and family functionality factors - communication, cohesion, and flexibility - as predictive stimuli of adaptive coping of nursing university students in the post-COVID-19 pandemic. Methods A cross-sectional descriptive study with stratified random sampling, with participation by 416 Nursing students from a private university in Pereira (Colombia), who answered a self-completed sociodemographic characterization survey, the Olson et al., communication scale, FACES III scale to assess family cohesion and flexibility, and the Calixta Roy CAPS scale to assess coping and adaptation capacity. Binary logistic regression and Hosmer-Lemeshow goodness-of-fit were performed to determine predictors of success, using SPSS v.26. Results The profiles of the participants showed a higher proportion of women (78.4%), ages between 21 and 30 years (57.5%), young people who study and work (60.1%), and those who have an academic session on Friday and Saturday (67.5%). Nursing students perceive that their families communicate efficiently and satisfactorily (85.8%), have strong cohesion with a tendency towards attachment (73.6%) and flexibility, show a tendency towards chaos (70.7%) and have adaptive coping (48.5%). The success predictors for adaptive coping were female sex (p=0.007), academic session Friday and Saturday (p=0.042), occupation, study, and work (p=0.026), socioeconomic strata 4.5 and 6 (p=0.041), good or very good communication (p=0.001), balanced family cohesion (p = 0.048), and balanced family flexibility (p=0.039). Conclusion This study found that good family functionality and having adequate socioeconomic conditions were predictors of higher coping and adaptation capacity during the COVID-19 pandemic in the nursing students who participated in the study.
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Scott RK, Nadorff DK, Barnett M, Yancura L. Respect Your Elders: Generativity and Life Satisfaction in Caregiving Grandparents. Int J Aging Hum Dev 2023; 96:335-349. [PMID: 35404172 DOI: 10.1177/00914150221092128] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Erikson's theory of psychosocial development defines generativity as the drive to benefit future generations and leave a legacy. Generativity has been shown to predict life satisfaction, but generative concern and action can be impacted by factors such as perceived respect from younger generations. This study utilized caregiving grandparents aged 40 and older to assess the extent to which perceived respect mediated the relation between generativity and life satisfaction. Perceived respect from a grandchild mediated the relation between generative concern expressed by caregiving grandparents and life satisfaction after controlling for demographic variables that have been shown to influence heterogeneity and overall well-being in caregiving grandparent samples. These findings suggest that the relation between life satisfaction and generativity in grandparents may depend, in part, on perceived respect from grandchildren, intimating that the implications of generativity may be influenced by the perceived appreciation of its recipients.
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Affiliation(s)
- Rachel K Scott
- Clinical Psychology, 5547Mississippi State University, Starkville, MS, USA
| | - Danielle K Nadorff
- Clinical Psychology, 5547Mississippi State University, Starkville, MS, USA
| | - Melissa Barnett
- Family Studies and Human Development, 22165The University of Arizona, Tucson, AZ, USA
| | - Loriena Yancura
- Family and Consumer Sciences, 3949University of Hawai'i at Honolulu, Honolulu, HI, USA
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Woods SB, Hiefner AR, Udezi V, Slaughter G, Moore R, Arnold EM. 'They should walk with you': the perspectives of African Americans living with hypertension and their family members on disease self-management. Ethn Health 2023; 28:373-398. [PMID: 35227154 DOI: 10.1080/13557858.2022.2040958] [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] [Indexed: 05/05/2023]
Abstract
OBJECTIVES African Americans are at significantly greater risk for hypertension, as well as worse hypertension-related morbidity and mortality than other racial/ethnic groups. Prior research aiming to address these health disparities has focused on improving individual patient self-management, with few studies testing family-centered interventions. We aimed to explore the perspectives of African Americans with hypertension and their family members on hypertension, self-management, and reciprocal family-hypertension impacts to inform future intervention design. DESIGN We conducted four dyadic focus groups (90-120 minutes) of African American adults with hypertension (i.e. patients) and their family members. We recruited patients (n = 23) and their family members (n = 23) from four African American-serving Christian churches over a period of three months (69.6% female, M age = 60.73 years). Patient-family member dyads were interviewed conjointly (groups ranged from 4 to 6 dyads, each) by facilitators using open-ended questions to elicit perspectives regarding contributors to hypertension, self-management strategies, family influence on self-management, and the impact of hypertension on the family. A grounded theory approach was used for analysis. RESULTS Participants' responses highlighted themes of societal risk factors and barriers (e.g. racism-related stress worsens blood pressure), influences of African American culture (e.g. culturally-informed diet practices), the patient-physician relationship (e.g. proactive communication is beneficial), family-level influences on health (e.g. family monitoring patients' health behaviors), and patient-level risk factors and self-management strategies (e.g. prayer to cope with stress). Themes reflected a hierarchical, nested, ecological structure such that themes within unique levels of participants' social systems affected, and were affected by, stress, change, or behavior in the other levels. CONCLUSIONS African American adults with hypertension and their family members described multilevel influences on hypertension and disease self-management, with a strong emphasis on the value of family support. Developing culturally appropriate, family-centered interventions to improve hypertension self-management will be an important next step.
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Affiliation(s)
- Sarah B Woods
- Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Angela R Hiefner
- Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Victoria Udezi
- Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Gabriele Slaughter
- Medical School, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Rachel Moore
- Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA
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Woods SB, Hiefner A, Roberson PNE, Zahra N, Arnold EM, Udezi V. Depressed mood and environmental mastery as potential pathways linking family relationship quality and disease self-management for African Americans with hypertension. Fam Process 2023; 62:230-253. [PMID: 35634971 DOI: 10.1111/famp.12789] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 04/06/2022] [Accepted: 04/15/2022] [Indexed: 06/15/2023]
Abstract
African Americans are at significantly greater risk of hypertension and worse cardiovascular outcomes than other racialized groups, yet hypertension intervention effects remain limited. Thus, it is necessary to understand the potential mechanisms whereby interventions may be more effectively targeted to improve health. Supported by prior research evidence and guided by the Biobehavioral Family Model, this study examined associations between family relationship quality, psychological wellbeing, and self-management behaviors for African Americans with hypertension. Data were pooled from three Midlife Development in the U.S. projects, resulting in a sample of 317 African Americans (63.4% female, Mage = 53.32) with self-reported high blood pressure in the past 12 months. We tested four cross-sectional multiple mediator models, with depressed mood and environmental mastery mediating associations between family strain and exercise, smoking, problematic alcohol use, and stress-eating. Environmental mastery mediated the association between greater family strain and decreased odds of achieving recommended exercise levels; greater odds of reporting problematic alcohol use; and greater stress-eating. Though family strain was associated with depressed mood in each model, this variable did not serve as an indirect pathway to self-management behaviors. Family strain, and the potential pathway identified via environmental mastery, may be a meaningful predictor of disease self-management for African Americans with hypertension. Longitudinal studies are needed to examine directionality and to support intervention trials for improving self-management and hypertension outcomes.
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Affiliation(s)
- Sarah B Woods
- Department of Family and Community Medicine, UT Southwestern Medical Center, University of Texas Southwestern Medical School, Dallas, Texas, USA
| | - Angela Hiefner
- Department of Family and Community Medicine, UT Southwestern Medical Center, University of Texas Southwestern Medical School, Dallas, Texas, USA
| | | | - Nida Zahra
- Department of Family and Community Medicine, UT Southwestern Medical Center, University of Texas Southwestern Medical School, Dallas, Texas, USA
| | - Elizabeth Mayfield Arnold
- Department of Family and Community Medicine, UT Southwestern Medical Center, University of Texas Southwestern Medical School, Dallas, Texas, USA
| | - Victoria Udezi
- Department of Family and Community Medicine, UT Southwestern Medical Center, University of Texas Southwestern Medical School, Dallas, Texas, USA
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26
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Love G, Helgason AR, Kristjansson AL. A single-item measure of childhood relationship quality and association with adult health and health behaviours. Scand J Public Health 2023; 51:233-240. [PMID: 34148442 DOI: 10.1177/14034948211022431] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 11/16/2022]
Abstract
AIMS Adverse childhood experiences are known to relate positively to various health risks and adverse health behaviour in adult life, although the precise mechanisms are still debated. The aim of this study was to investigate whether a single-item measure of the quality of childhood relationships with family and household members might show a similar association. METHODS We measured the overall quality of relationships with family and household members during the first 18 years of life. A one-dimensional question scored 0-10 (N=4983) was included in the ongoing SIBS Iceland Patient Association's national 'Life and Health' public health prevention project among adults. Relationship quality was then assessed against measures of health and health behaviour using 21 validated scales. RESULTS A lower childhood relationships score was associated with a higher risk of all 21 suboptimal health and health behaviour outcomes in adulthood, with adjusted effect sizes measured by standardised betas (magnitude 0.111-0.284), variance explained (1.3-8.5%) and per-point adjusted odds ratios (1.10-1.30). The strongest associations were found with measures of social and mental health, followed by physical health, alcohol and tobacco use, sleeping problems, financial sustenance, physical pain and aerobic fitness. CONCLUSIONS
Odds were found to match well with pooled odds ratios presented in a systematic review of 37 adverse childhood experiences studies. This may indicate that a one-dimensional relationships question is a useful substitute in surveys in which a traditional multi-question adverse childhood experiences scale cannot be accommodated. Further investigations are recommended to investigate the applicability of a single adverse childhood experiences question.
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Affiliation(s)
| | - Asgeir R Helgason
- Department of Public Health Sciences, Karolinska Institutet, Sweden.,Department of Psychology, Reykjavik University, Iceland.,Head Office, Icelandic Cancer Society, Iceland
| | - Alfgeir L Kristjansson
- School of Public Health, West Virginia University, USA.,Icelandic Center for Social Research and Analysis, Reykjavik University, Iceland
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27
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Abstract
Description A poem expressing a daughter's love for her father through their shared passions for cardiology and medicine.
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28
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Woods SB, Strenth C, Day P, Tsewang T, Aparicio K, Ross K, Ventimiglia J, Jetpuri Z. Relational and individual stress pathways linking discrimination and ageing cardiometabolic health. Stress Health 2023; 39:35-47. [PMID: 35599438 DOI: 10.1002/smi.3166] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 04/18/2022] [Accepted: 05/16/2022] [Indexed: 02/05/2023]
Abstract
Perceived discrimination is a significant risk factor for worse ageing health outcomes. Yet, the specific individual and relational stress pathways linking discrimination to disease are less understood, especially in the context of cardiometabolic health. We tested family stress and psychophysiological distress (negative affect and high-risk lipid/fat metabolism) as mediators linking perceived discrimination to cardiometabolic morbidity and health appraisal over 20 years for midlife adults. Using data from participants who completed the Biomarker Project (2004-2009) of the Midlife in the U.S. project, and examining data over the study's three waves (1995-1996, 2004-2006, and 2013-2014), we used structural equation modelling to test pathways for participants who reported zero cardiometabolic conditions at baseline (n = 799). Greater Time 1 discrimination was associated with greater Time 2 family strain, which was in turn associated with worse negative affect; worse Time 2 negative affect was associated with worse Time 3 health appraisal; metabolic lipids risk did not serve as an indirect pathway to Time 3 cardiometabolic morbidity (χ2 = 147.74, p < 0.001; RMSEA = 0.056; CFI = 0.902; SRMR = 0.047). The inclusion of family in interventions to mitigate the impact of discrimination may be indicated for promoting cardiometabolic wellness.
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Affiliation(s)
- Sarah B Woods
- Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Chance Strenth
- Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Philip Day
- Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Tenzin Tsewang
- Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Kimberly Aparicio
- Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Kristin Ross
- Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Joseph Ventimiglia
- Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Zaiba Jetpuri
- Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
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29
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Kwiatkowska-Ciotucha D, Grześkowiak A, Załuska U, Peternek P. Grandparents' Professional and Educational Activity: A Positive or Negative Impact on Relationships with Grandchildren? Int J Environ Res Public Health 2023; 20:2248. [PMID: 36767615 PMCID: PMC9916170 DOI: 10.3390/ijerph20032248] [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] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 01/22/2023] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
'Baby boomers' are the first generation whose representatives-both male and female-are, to a great extent, or plan to be, professionally active in their old age. Increased professional activity of this group influences family relations and the perception of the roles of grandmothers and grandfathers. This article attempts to assess the impact of grandparents' professional and educational activity on relationships with grandchildren. The study relies on data from an international comparative survey conducted using the CAWI method in representative groups of Internet users from seven European countries and a proprietary questionnaire. The study was conducted in May 2022, and the total research sample included 3008 people. The analysis covered answers to the questions on the perceived impact of grandparents' activity on the performance of family roles. To analyze the results, tests of the equality of means (t-test, ANOVA) were used to check for differences in assessments due to respondents' characteristics. The use of exploratory factor analysis made it possible to distinguish two groups of factors-those having a positive impact on the relationship with grandchildren and those having a negative one. The SEM (structural equation modeling) model was used to find an answer to the question of which factor-positive or negative-has a greater impact on trust in grandparents as carers. The results of the conducted analyses indicated the existence of statistically significant differences in the perception of the role of grandmothers and grandfathers due to such characteristics of the respondents as age, gender, or country of residence. It is possible to conclude that positive perceptions of grandparents' professional and educational activity encourage greater confidence in them in the context of performing family roles.
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Affiliation(s)
| | - Alicja Grześkowiak
- Department of Econometrics and Operational Research, Wroclaw University of Economics and Business, 53 345 Wrocław, Poland
| | - Urszula Załuska
- Department of Logistics, Wroclaw University of Economics and Business, 53-345 Wrocław, Poland
| | - Piotr Peternek
- Department of Econometrics and Operational Research, Wroclaw University of Economics and Business, 53 345 Wrocław, Poland
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30
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Abstract
Governments of numerous countries implemented school closures to contain the COVID-19 pandemic. Several investigations have shown the negative impact of social-distancing policies and school closures on children worldwide. Recently, research also demonstrated adverse effects on adults' well-being. The development of children is strongly affected by their parent's emotional state. The present study aimed to examine parental stress levels caused by a short period of homeschooling in December 2020 in Germany. A structured survey was set up and distributed randomly via social media and parent associations. We observed a significant increase in stress and concerns. Family conflicts significantly increased, social isolation was feared, and powerlessness and helplessness ascended. Risk factors were parental education levels, parental working time, and teaching features like the frequency of feedback, correction, and accessibility.
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Affiliation(s)
- Isabelle May
- Department of Educational
Psychology and Research on Excellence, Friedrich-Alexander-Universität
Erlangen-Nürnberg (FAU), Nuremberg, Germany
| | - Sarah Awad
- Department of Educational
Psychology and Research on Excellence, Friedrich-Alexander-Universität
Erlangen-Nürnberg (FAU), Nuremberg, Germany
| | - Matthias S. May
- Medical Faculty, Friedrich-Alexander-Universität
Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Albert Ziegler
- Department of Educational
Psychology and Research on Excellence, Friedrich-Alexander-Universität
Erlangen-Nürnberg (FAU), Nuremberg, Germany
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Abstract
Coronavirus disease 2019 (COVID-19) is a new infectious disease that has had a significant impact on daily life. This study investigated the effect of changes in family life due to COVID-19 on depressive mood and stress perception. We used data from the "Survey on changes in family life due to COVID-19" in Korea. The final study population comprised 1500 adults with children aged ≤19 years. Of the total respondents, 59.3% responded that depressive mood and stress had increased due to COVID-19. However, among them, 46.6% did not attempt to resolve or could not find a way to resolve their depressive mood and stress. In multiple logistic regression analyses, a decrease in household income and increased household expenditure due to COVID-19 were significantly associated with an increased risk of depressive mood and stress perception. Depressive mood and stress were significantly higher in respondents who had experienced family conflicts. These results could be used to assess changes in family life and manage mental health when a new infectious disease occurs. Therefore, it is necessary to assess the long-term effects of changes in family life due to COVID-19 on mental health.
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Affiliation(s)
- Min-Su Kim
- Department of Public Health, Graduate
School of Health Science, Chosun University, Gwangju, Republic of Korea,Department of Planning Team, Chosun
University Hospital, Gwangju, Republic of Korea
| | - Mi Ah Han
- Department of Preventive Medicine,
College of Medicine, Chosun University, Gwangju, Republic of Korea,Mi Ah Han, Department of Preventive
Medicine, College of Medicine, Chosun University, 309 Philmum-daero, Dong-gu,
Gwangju 61452, Republic of Korea.
| | - Jong Park
- Department of Preventive Medicine,
College of Medicine, Chosun University, Gwangju, Republic of Korea
| | - So Yeon Ryu
- Department of Preventive Medicine,
College of Medicine, Chosun University, Gwangju, Republic of Korea
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32
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Azemi F, Avdyli M, Bytyqi V. Understanding gambling in the United Kingdom: A qualitative study on the experiences of gamblers' families. Front Psychol 2023; 14:1009923. [PMID: 36949903 PMCID: PMC10026345 DOI: 10.3389/fpsyg.2023.1009923] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 01/19/2023] [Indexed: 03/08/2023] Open
Abstract
This study focuses on understanding the experiences of family members of problem gamblers in the United Kingdom and the gambling consequences in their lives. Family members of problem gamblers, even though they suffer from gambling consequences, the impacts of gambling are under-researched. Qualitative research through in-depth interviews was employed. Thematic analysis was used to gain a deeper insight into gambling. Nine female participants were interviewed based on a semi-structured questionnaire. The results of this study indicated that close family members of problem gamblers had suffered not only financial devastation but also harsh psychological and mental health damages. Furthermore, family members suffer from gamblers' abusive and violent behaviors. Addiction was a key factor of gamblers' habit; fear, anxiety, and depression were some of the health issues derived from gambling. Overall, gambling addiction leads to further addiction, crime, and severe, family-relation sufferings. The study results suggest that the London Gambling Commission and regulating authority should change gambling policy, reduce gambling points, and limit gambling slot machines in food markets and community areas. More support is needed for family members affected by gamblers' addictive gambling behaviors.
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Affiliation(s)
- Ferid Azemi
- Kosovo Academy for Public Safety, Vushtrri, Kosovo, Albania
| | | | - Vilard Bytyqi
- Kosovo Academy for Public Safety, Vushtrri, Kosovo, Albania
- *Correspondence: Vilard Bytyqi,
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33
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Marinho JDS, Batista IB, Nobre RADS, Guimarães MSA, dos Santos-Orlandi AA, Brito TRP, Pagotto V, Saidel MGB, Fusco SDFB, Maia FDOM, Corona LP, Nunes DP. Burden, satisfaction caregiving, and family relations in informal caregivers of older adults. Front Med (Lausanne) 2022; 9:1059467. [PMID: 36619643 PMCID: PMC9813492 DOI: 10.3389/fmed.2022.1059467] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Accepted: 12/08/2022] [Indexed: 12/24/2022] Open
Abstract
Introduction Family caregivers of older persons devote much of their time and energy to caring for another person. This exposure may burden caregivers and compromise their health and quality of life. Objective To investigate the relationship between burden, sociodemographic, caregiving, and health characteristics of informal caregivers of dependent older adults. Methods Cross-sectional and analytical study carried out in Palmas, Tocantins, Brazil, with 52 informal caregivers of older persons who need full-time help for basic living activities. Caregivers' burden was assessed by Zarit Burden Interview (ZBI). Data were analyzed using a T-test, Pearson's correlation, and Multiple Linear Regression. Results The ZBI mean score of caregivers was 26.3 points (SD = 14.6; min = 0; max = 68). Burden scores were higher among caregivers who did not receive help from other people in care (p = 0.016), reported family dysfunction (p = 0.001), and had depression symptoms (p = 0.007). A correlation was found between the scores of burdens and satisfaction with care (r = 0.76; p < 0.001) and perceived material support (r = -0.30; p = 0.40). Satisfaction with care (β: 0.61; p < 0.001) and family dysfunction (β: 8.07; p = 0.033) were significantly associated with the burden score. Conclusion Caregivers with dysfunctional families and satisfaction with the care presented the highest-burden scores. The findings reveal the need for strategies to facilitate mediation and reduce caregiver burden by strengthening the family network support or providing professional assistance.
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Affiliation(s)
- Jéssica da Silva Marinho
- Postgraduate Science and Health Teaching Program, Federal University of Tocantins, Palmas, Tocantins, Brazil
| | - Ilaise Brilhante Batista
- Postgraduate Science and Health Teaching Program, Federal University of Tocantins, Palmas, Tocantins, Brazil
| | | | | | | | | | - Valéria Pagotto
- School of Nursing, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - Maria Giovana Borges Saidel
- Graduate Program in Nursing, University of Campinas, São Paulo, Brazil
- School of Nursing, University of Campinas, São Paulo, Brazil
| | - Suzimar de Fátima Benato Fusco
- Graduate Program in Nursing, University of Campinas, São Paulo, Brazil
- School of Nursing, University of Campinas, São Paulo, Brazil
| | - Flavia de Oliveira Motta Maia
- Graduate Program in Nursing, University of Campinas, São Paulo, Brazil
- School of Nursing, University of Campinas, São Paulo, Brazil
| | | | - Daniella Pires Nunes
- Graduate Program in Nursing, University of Campinas, São Paulo, Brazil
- School of Nursing, University of Campinas, São Paulo, Brazil
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34
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Erlandsson SI, Hornborg C, Sorbring E, Dauman N. Is ADHD a way of conceptualizing long-term emotional stress and social disadvantage? Front Public Health 2022; 10:966900. [PMID: 36424967 PMCID: PMC9680974 DOI: 10.3389/fpubh.2022.966900] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Accepted: 10/10/2022] [Indexed: 11/06/2022] Open
Abstract
Background The prevalent, neuropsychiatric, deficit perspective on children and youth diagnosed with ADHD prohibits a multidimensional approach where socio-economic status, family stress and relationships within the families are relevant factors to examine. Assessments of ADHD through the use of rating scales and short-term interventions may lead not only to overdiagnosis but also to a reductionistic approach in the psychiatric field. This literature review aims to address research outside the prevailing discourse on ADHD as an organic brain dysfunction and broaden the perspectives on children's behavioral difficulties. Methods The articles included in this applied, mixed-method, systematic review includes 26 peer-reviewed articles, both English and French, with a search focus on ADHD in children and youth related to Attachment styles and relationships. Results In the studies reported, researchers approached correlations between ADHD and attachment in different ways, and in most cases, there was a caution to address causality. The role of parents was found to be both buffering and aggravating for the appearance of ADHD. In the French case studies, the diagnosis was conceptualized as a relational phenomenon where the child's behavior was inseparable from family member's suffering. Discussion This review article illustrates how children's difficulties in terms of ADHD symptoms can be addressed through a paradigm where emotional and cognitive dysregulation is understood through psychosocial factors rather than as a neurological condition. In our view, to avoid an overly reductionistic and medicalized approach to children's behavioral difficulties, it is time to reiterate the value of the biopsychosocial perspective. Conclusion Professionals and researchers need to acknowledge that becoming diagnosed with ADHD has a strong connection to economic disadvantage, social status, and familial care. The academic discourse of addressing brain dysfunctions might serve the unintended purpose of masking emotional stress and social disadvantage that manifests across generations. A biopsychosocial approach to ADHD including family, emotional history, and socio-economic issues could imply a lesser focus on medical treatment as a first choice.
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Affiliation(s)
- Soly I. Erlandsson
- Department of Social and Behavioral Studies, University West, Trollhättan, Sweden
| | - Christoffer Hornborg
- Department of Sociology and Work Science, Gothenburg University, Gothenburg, Sweden
- Campus Västervik, Västervik, Sweden
| | - Emma Sorbring
- Department of Social and Behavioral Studies, University West, Trollhättan, Sweden
- Campus Västervik, Västervik, Sweden
| | - Nicolas Dauman
- Department of Psychology, Université de Poitiers, Univ Rennes, Univ Angers, Univ Brest, RPPSY, Poitiers, France
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35
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Appleby R, Wright S, Williams L, Stanley M. Australian parents' experiences of owning an autism assistance dog. Health Soc Care Community 2022; 30:e4113-e4121. [PMID: 35352418 PMCID: PMC10084065 DOI: 10.1111/hsc.13805] [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] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 01/14/2022] [Accepted: 03/10/2022] [Indexed: 06/14/2023]
Abstract
Autism assistance dogs (AADs) increase safety for children with autism and their families. Autism assistance dogs can also decrease familial stress and the isolation which families may experience due to fear for their child's safety and judgement from others within the community. Currently there is a paucity of literature on parents' experiences of AADs. Therefore, this study aimed to develop a rich understanding of parents' experiences of owning an AAD. A mixed methods design was utilised, with a qualitative descriptive design and the use of occupational mapping. Eight families were recruited through an Australian AAD programme and participated in semi-structured in-depth interviews throughout 2017. The interviews were analysed thematically. Mobility in the community before and after introduction of the dog was measured using occupational mapping. Families plotted on Google Map printouts the places they frequented before and after placement of their dog. Five major themes emerged from the analysis of the interviews: freedom through restraint; expanding our world; a calming/sensory tool (AAD); "at the end of the day they're dogs"; and, friendship and personal growth. The occupational maps demonstrated a median increase of 8.5 more places and 20.50 km further travelled from home after having the dog for over a year. Families with an AAD experienced an expanded world for the child and their family. Families experienced freedom in the places they could go, decreased isolation due to the safety which the dog provides. Occupational mapping supported the qualitative data, showing increased mobility and decreased isolation of the family. The paradox of freedom through restraint is a new and key finding which requires further exploration. The results provide support for funding and increased awareness of AAD programmes. Future longitudinal comparative studies are needed to explore the long-term impact of AADs on the child and family.
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Affiliation(s)
- Rebecca Appleby
- Allied Health and Human PerformanceUniversity of South AustraliaAdelaideSouth AustraliaAustralia
- Present address:
Novita422 Salisbury HighwayParafield GardensSouth AustraliaAustralia
| | - Shelley Wright
- Allied Health and Human PerformanceUniversity of South AustraliaAdelaideSouth AustraliaAustralia
| | - Lindy Williams
- Allied Health and Human PerformanceUniversity of South AustraliaAdelaideSouth AustraliaAustralia
| | - Mandy Stanley
- Allied Health and Human PerformanceUniversity of South AustraliaAdelaideSouth AustraliaAustralia
- Present address:
Occupational TherapySchool of Medical and Health SciencesEdith Cowan UniversityPerthWestern AustraliaAustralia
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Abstract
OBJECTIVES Although young-onset dementia (YOD) affects the whole family system, this population is still under-represented in literature, and no progress in care provision has been made. Hence, additional evidence is necessary to understand how family and social relationships are affected by YOD and care challenges, as to provide recommendations for clinical practice and service improvement from a family perspective. METHOD Family carers were recruited via one memory clinic and the local Alzheimer's Associations in Italy. Semi-structured interviews explored their experiences with YOD, the impact of the condition on their lives, family and social relationships, and the support and care they received. Transcripts were coded by three researchers and analysed using inductive thematic analysis. RESULTS Thirty-eight interviews were conducted with 26 spouses and 12 adult children. Three themes emerged: 1) Problems around diagnosis, 2) Lack of post-diagnostic support, and 3) Living with YOD as a family. Overall, problems occurred across the dementia pathway. Without appropriate support, it was difficult for families to adjust to living with YOD and to the associated changes in family roles and relationships. CONCLUSIONS Since optimal care depends on good family relationships, better support for families in the adaptation to condition would likely benefit patient care while ensuring social inclusion and health equity for vulnerable groups.
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Affiliation(s)
- Ilaria Chirico
- Department of Psychology, University of Bologna, Bologna, Italy
| | | | - Simona Linarello
- Center for Cognitive Disorders and Dementia, Local Health Care Unit, Bologna, Italy
| | - Elisa Ferriani
- Center for Cognitive Disorders and Dementia, Local Health Care Unit, Bologna, Italy.,Department of Oncology, Local Health Care Unit, Bologna, Italy
| | - Enrica Marrocco
- Center for Cognitive Disorders and Dementia, Local Health Care Unit, Bologna, Italy.,Department of Oncology, Local Health Care Unit, Bologna, Italy
| | - Rabih Chattat
- Department of Psychology, University of Bologna, Bologna, Italy
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37
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Vale AR, de Avó LRDS, Pilotto RF, Germano CMR, Melo DG. Quality of life of Brazilian families who have children with Rubinstein-Taybi syndrome: An exploratory cross-sectional study. Am J Med Genet A 2022; 188:3294-3305. [PMID: 35913016 DOI: 10.1002/ajmg.a.62914] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 06/03/2022] [Accepted: 07/10/2022] [Indexed: 01/31/2023]
Abstract
This exploratory cross-sectional study aimed to examine the family quality of life (FQoL) among 51 Brazilian families who have children with Rubinstein-Taybi syndrome, a rare genetic disorder. Data were collected using sociodemographic and clinical data forms, as well as the Beach Center FQoL Scale, a 5-point Likert scale ranging from "very dissatisfied" (1) to "very satisfied" (5). The average score of the overall FQoL was 3.93 ± 0.64. Families' scores were higher for family interaction (4.17 ± 0.76), parenting (4.13 ± 0.61), and disability-related support (4.08 ± 0.76) domains, and lower for the family's emotional well-being (3.31 ± 0.96) and physical/material well-being (3.76 ± 0.82) domains. Family income, attendance at religious services, presence of ocular abnormalities, and aggressive behavior explained 46.2% of the variance in the overall FQoL. In summary, FQoL seems to be anchored in aspects such as family interaction and the care of parents, and be negatively affected by emotional issues, physical, and material limitations. In this context, psychological assistance should be provided to both parents and siblings whenever indicated, for improving emotional well-being and increasing family resilience. Additionally, investments in social policies, services, and human and material resources are needed to improve the physical and material conditions of families, promote better health care, and therefore reduce the family burden.
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Affiliation(s)
- Amanda Rodrigues Vale
- Department of Medicine, Federal University of São Carlos (UFSCar), São Carlos, São Paulo, Brazil
| | - Lucimar Retto da Silva de Avó
- Department of Medicine, Federal University of São Carlos (UFSCar), São Carlos, São Paulo, Brazil.,National Institute on Population Medical Genetics, INAGEMP, Porto Alegre, Rio Grande do Sul, Brazil
| | - Rui Fernando Pilotto
- Department of Genetics, Federal University of Paraná (UFPR), Curitiba, Paraná, Brazil
| | - Carla Maria Ramos Germano
- Department of Medicine, Federal University of São Carlos (UFSCar), São Carlos, São Paulo, Brazil.,National Institute on Population Medical Genetics, INAGEMP, Porto Alegre, Rio Grande do Sul, Brazil
| | - Débora Gusmão Melo
- Department of Medicine, Federal University of São Carlos (UFSCar), São Carlos, São Paulo, Brazil.,National Institute on Population Medical Genetics, INAGEMP, Porto Alegre, Rio Grande do Sul, Brazil
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38
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Fujino Y, Okawara M, Hino A, Muramatsu K, Nagata T, Tateishi S, Tsuji M, Ogami A, Ishimaru T. A Prospective Cohort Study of Presenteeism and Increased Risk of Divorce Among Japanese Workers. J Occup Environ Med 2022; 64:e695-e699. [PMID: 35959895 PMCID: PMC9640257 DOI: 10.1097/jom.0000000000002670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
OBJECTIVE We examined the association between the presenteeism and the risk of divorce among Japanese workers during the COVID-19 pandemic. METHODS A prospective study of 27,036 individuals was conducted starting in December 2020, with 18,560 (68.7%) participating in the follow-up in December 2021. The Work Functioning Impairment Scale (WFun) was used to measure the degree of work function impairment. RESULTS Compared with the group with the lowest WFun score, the odds ratio for the group with moderate WFun was 1.16 (95% confidence interval, 0.74 to 1.82; P = 0.525), and the odds ratio for the group with the highest WFun was 1.76 (95% confidence interval, 1.18 to 2.62; P = 0.006). CONCLUSIONS This study suggests that supporting workers with presenteeism has important implications not only from the perspective of labor productivity in management but also for the individual's quality of life in terms of family relationships.
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Berge SD, Brekke M, Meland E, Mildestvedt T. How do general practitioners handle couple relationship problems in consultations? A focus group study. Fam Pract 2022; 39:913-919. [PMID: 35179196 PMCID: PMC9508873 DOI: 10.1093/fampra/cmac010] [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] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Couple relationship problems are common and associated with health problems. The aim of this study was to explore general practitioners' (GPs') experiences, expectations, and educational needs when dealing with couple relationship problems in consultations. METHODS We conducted an exploratory qualitative study by carrying out 3 semistructured focus group interviews with 18 GPs. We used systematic text condensation for the analyses. RESULTS Participants shared their experiences of handling couple relationship problems in consultations. Three main themes emerged: (i) pragmatic case-finding: golden opportunities to reveal patients' couple relationship problems; (ii) conceptual and role confusion; (iii) professional competence and personal experience. While issues in relationships could serve as an explanation for relevant clinical problems, some GPs questioned whether relationship issues are strictly medical. All participants had engaged in individual supportive therapy, but none saw themselves as therapists. The interviews revealed that an individual supportive focus might lead to a consolidation of 1 partner's view, rather than challenging their position. Long-term doctor-patient relationships made it easier to talk about these issues. CONCLUSIONS This study revealed several paradoxes. GPs are confident in offering individual supportive therapy for couple relationship issues but should be aware of substantial pitfalls such as side-taking and constraining change. Despite dealing with relationship problems, GPs do not see themselves as therapists. They use professional and personal experience but would benefit from increasing their skills in cognitive restructuring promoting behavioural flexibility facing relationship problems.
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Affiliation(s)
- Siri D Berge
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Mette Brekke
- General Practice Research Unit, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway
| | - Eivind Meland
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Thomas Mildestvedt
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
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Lange S, Mędrzycka-Dąbrowska W, Friganović A, Religa D, Krupa S. Patients' and Relatives' Experiences of Delirium in the Intensive Care Unit-A Qualitative Study. Int J Environ Res Public Health 2022; 19:11601. [PMID: 36141873 PMCID: PMC9517594 DOI: 10.3390/ijerph191811601] [Citation(s) in RCA: 2] [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] [Received: 07/06/2022] [Revised: 09/06/2022] [Accepted: 09/13/2022] [Indexed: 06/16/2023]
Abstract
(1) Introduction: Delirium is a cognitive disorder that affects up to 80% of ICU patients and has many negative consequences. The occurrence of delirium in an ICU patient also negatively affects the relatives caring for these patients. The aim of this study was to explore patients' and their families' experiences of delirium during their ICU stay. (2) Method: The study used a qualitative design based on phenomenology as a research method. A semi-structured interview method was used to achieve the aim. The responses of patients and their families were recorded and transcribed, and the data were coded and analyzed. (3) Results: Eight interviews were conducted with past ICU patients who developed delirium during hospitalization and their family members. The mean age of the participants was 71 years. Of the eight patients, 2 (25%) were female and 6 (75%) were male. The relationships of the 8 carers with the patients were wife (in 4 cases), daughter (in 2 cases), and son (in 2 cases). The average length of time a patient stayed in the ICU was 24 days. The following themes were extracted from the interviews: education, feelings before the delirium, pain, thirst, the day after, talking to the family/patient, and return home. (4) Conclusions: Post-delirium patients and their families feel that more emphasis should be placed on information about delirium. Most patients feel embarrassed and ashamed about events during a delirium episode. Patients fear the reaction of their families when delirium occurs. Patients' families are not concerned about their relatives returning home and believe that the home environment will allow them to forget the delirium events more quickly during hospitalization.
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Affiliation(s)
- Sandra Lange
- Department of Internal and Pediatric Nursing, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland
| | - Wioletta Mędrzycka-Dąbrowska
- Department of Anaesthesiology Nursing & Intensive Care, Faculty of Health Sciences, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland
| | - Adriano Friganović
- Department of Anesthesiology and Intensive Medicine, University Hospital Centre Zagreb, 10000 Zagreb, Croatia
- Department of Nursing, University of Applied Health Sciences, Mlinarska Cesta 38, 10000 Zagreb, Croatia
| | - Dorota Religa
- Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institute, 17177 Stockholm, Sweden
| | - Sabina Krupa
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Warzywna 1A, 35-310 Rzeszow, Poland
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Chen M, Chen Q, Lo CKM, Kelley SJ, Chan KL, Ip P. Attitudes toward Grandparental Involvement in Hong Kong: A Trend Analysis. Int J Environ Res Public Health 2022; 19:9858. [PMID: 36011490 PMCID: PMC9408704 DOI: 10.3390/ijerph19169858] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 06/29/2022] [Revised: 08/05/2022] [Accepted: 08/07/2022] [Indexed: 06/15/2023]
Abstract
This article examines individuals' attitudes toward the involvement of grandparents in family issues in Hong Kong. While existing studies have largely focused on the nature and types of grandparents' involvement in childcare, it is worth conducting a quantitative investigation of the attitudes in the general population about grandparental involvement. Drawing on the 2011, 2013, 2015, and 2017 waves of the Family Surveys, the study examined the trend in attitudes toward grandparental involvement with 8932 HK residents. Multivariate linear regression analyses were performed to assess individual and family relationship factors associated with the attitudes toward grandparental involvement. Results show that although most people held positive attitudes toward grandparental involvement, there was a significant drop in the agreement with grandparental involvement in 2017 across all age groups. The findings imply that intergenerational support tends to be weakened in HK in recent years. Involving grandparents in family issues in HK was more likely to be need-driven rather than value-driven, as parent respondents had relatively more positive attitudes toward grandparental involvement compared with non-parents. Positive family and intergenerational relationships were significantly associated with the positive attitudes toward grandparental involvement. Policymakers and service providers should recognize the changes in people's attitudes toward family lives and provide appropriate support such as family counselling, (grand)parenting programs and childcare support to promote the wellbeing of families and older adults.
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Affiliation(s)
- Mengtong Chen
- Department of Social Work, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong, China
| | - Qiqi Chen
- Department of Social Work, School of Sociology and Anthropology, Xiamen University, Xiamen 361005, China
| | - Camilla Kin Ming Lo
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China
| | - Susan J. Kelley
- Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA 30303, USA
| | - Ko Ling Chan
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China
| | - Patrick Ip
- Department of Paediatrics and Adolescent Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China
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Skandrani S, Feldman M, Nater-Mewes R. Editorial: Contemporary Families: Therapeutic Support for New Challenges. Front Sociol 2022; 7:958271. [PMID: 35814286 PMCID: PMC9260834 DOI: 10.3389/fsoc.2022.958271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 06/08/2022] [Indexed: 06/15/2023]
Affiliation(s)
- Sara Skandrani
- UR 4430 Clinique Psychanalyse Développement, Université Paris Nanterre, Nanterre, France
| | - Marion Feldman
- UR 4430 Clinique Psychanalyse Développement, Université Paris Nanterre, Nanterre, France
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Kara T, Alpgan Ö. Maternal perception of spousal support in raising children with developmental disability in the context of family and child variables. J Child Adolesc Psychiatr Nurs 2022; 35:250-256. [PMID: 35218093 DOI: 10.1111/jcap.12372] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Revised: 12/30/2021] [Accepted: 02/13/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The purpose of this study was to examine the relationship between the variables of mental, physical, and emotional problems in children with developmental disabilities (DDs) and the spousal support perceived by the mothers of those children. METHODS One hundred forty-three children diagnosed with autism spectrum disorder (ASD, n:43), intellectual disability (ID, n:28), cerebral palsy (CP, n:47), or Down syndrome (DS, n:25) were included in this study. The support that mothers received from their spouses was evaluated using the Spousal Support Scale (SSS). Aggressive behavior in the children was evaluated using the anger-aggression subscale of the Social Competence and Behavior Evaluation Scale (SCBE-30). The data obtained were then subjected to statistical comparisons. RESULTS Multiple comparisons revealed no significant difference between the DD diagnosis groups (ID, CP, ASD, and DS) in terms of spousal support or spousal support sub-dimension scores (p > 0.05). Significant negative correlation was found between anger-aggression subscale scores and SSS sub-parameters (emotional support r = -0.315 p < 0.001, financial and informational support r = -0.285 p < 0.001, appreciation r = -0.299 p < 0.001, social support r = -0.381 p < 0.001, and spouse support score r = -0.389 p < 0.001). CONCLUSION Children's anger-aggression levels were adversely affected by a lack of spousal support for their mothers.
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Affiliation(s)
- Tayfun Kara
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Alanya Alaaddin Keykubat University, Antalya, Turkey
| | - Ömer Alpgan
- Department of Child and Adolescent Psychiatry, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
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Moscato E, Patronick J, Wade SL. Family functioning and adaptation following pediatric brain tumor: A systematic review. Pediatr Blood Cancer 2022; 69:e29470. [PMID: 34842339 DOI: 10.1002/pbc.29470] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 10/29/2021] [Accepted: 11/02/2021] [Indexed: 11/10/2022]
Abstract
INTRODUCTION Pediatric brain tumor survivors (PBTS) experience psychosocial difficulties and poor quality of life (QOL). Family functioning may be adversely impacted by the stress of diagnosis and associated symptoms, which may, in turn, affect PBTS outcomes. The objective of this study was to complete a systematic review of family functioning and psychosocial outcomes in PBTS. METHODS We conducted systematic searches of PubMed and PsychInfo. Full-text articles (n = 324) were screened and 14 were included. A risk-of-bias assessment was conducted to evaluate the quality of study conclusions. RESULTS Studies examined associations of family functioning with adaptive, social, emotional, and behavioral outcomes, and QOL. More adaptive family functioning (cohesiveness, effective communication, lower conflict) was associated with better PBTS outcomes. Studies were limited by heterogeneous/small samples and cross-sectional designs. CONCLUSIONS Results provide preliminary support for the relationship between family functioning and psychosocial outcomes. Common outcome measures and prospective research designs can further advance understanding.
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Affiliation(s)
- Emily Moscato
- Department of Psychology, University of Cincinnati, Cincinnati, Ohio, USA.,Pediatric Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
| | - Jamie Patronick
- Department of Psychology, University of Cincinnati, Cincinnati, Ohio, USA.,Pediatric Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
| | - Shari L Wade
- Department of Psychology, University of Cincinnati, Cincinnati, Ohio, USA.,Pediatric Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.,Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
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45
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Estrada-Fernández ME, Gil-Lacruz M, Gil-Lacruz AI, Viñas-López A. The impact of community care: Burden and quality of life of the informal caregivers of patients with severe mental disorder. J Community Psychol 2022; 50:487-501. [PMID: 33999449 DOI: 10.1002/jcop.22594] [Citation(s) in RCA: 2] [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] [Received: 02/13/2021] [Revised: 04/08/2021] [Accepted: 04/09/2021] [Indexed: 06/12/2023]
Abstract
This study analyzes the dimensions and consequences of the burden of caregivers of patients with SMD (Severe Mental Disorder) and the repercussions that this role has on their quality of life and health in the physical, psychic and social spheres. This is a descriptive cross-sectional study and inferential observational study which explores caregivers of patients with SMD admitted to Psychiatry Day Hospital (Huesca, Spain). The technique of consecutive cases was used as a technique for sampling and sample selection. An individualized interview was arranged, where sociodemographic data were collected and scales and instruments were administered. 52 caregivers met the inclusion criteria. The female sex predominates (67%), being the patient's mother (48%). The average age of caregivers is 60 years old. Almost 60% of the sample presents intense burden and alterations of general mental health, 77% reveal anxiety and depression, and 46% little social support. Burden is associated with hospitalization within the last year, anxiety, or total social support received. It is appreciated how the diagnosis of a chronic disease constitutes an important challenge for the patient and their family, due to the burden of the disease and the impact of the new routines imposed by the continuous treatment.
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Affiliation(s)
| | - Marta Gil-Lacruz
- Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain
| | - Ana I Gil-Lacruz
- Department of Management and Organisation, University of Zaragoza, Zaragoza, Spain
| | - Antonio Viñas-López
- Department of Traumatology and Orthopaedics Surgery Unit, San Jorge Hospital, Huesca, Spain
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46
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Teixeira OFB, Xavier SPL, Félix NDDC, da Silva JWM, de Abreu RMSX, Miranda KCL. Repercussions of the COVID-19 pandemic for people with autism and their family members: A scoping review. Rev Lat Am Enfermagem 2022; 30:e3729. [PMID: 36629727 PMCID: PMC9818295 DOI: 10.1590/1518-8345.5965.3729] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 07/08/2022] [Indexed: 01/11/2023] Open
Abstract
OBJECTIVE to map the diverse scientific evidence available about the repercussions of the COVID-19 pandemic for people with Autism Spectrum Disorder and their family members. METHOD a scoping review conducted in the following databases: MEDLINE, CINAHL, SciELO, SCOPUS, EMBASE and Wiley Online Library, in August and September 2021. The protocol of this review was registered at the Open Science Framework under DOI 10.17605/OSF.IO/JYTVD. The data were analyzed and synthesized in a narrative way. RESULTS a total of 46 publications identified indicate that the pandemic period brought about countless repercussions for the population with autism and their family members when experiencing serious difficulties in the changes or irregularities of the scheduled routines and limited access to education, therapies and social support. CONCLUSION the diverse evidence suggests that the COVID-19 pandemic intensified the inequalities already experienced by individuals with autism and their family members, with negative consequences in the emotional, psychological, behavioral and social aspects, interfering with the quality of life and mental health of this population segment. Future studies on individuals with autism and their families during public health crisis periods are of fundamental importance for planning psychiatric, psychosocial and educational interventions.
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Affiliation(s)
- Olga Feitosa Braga Teixeira
- Universidade Federal de Campina Grande, Unidade Acadêmica da Escola Técnica De Saúde de Cajazeiras, Cajazeiras, PB, Brazil
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
| | - Samyra Paula Lustoza Xavier
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Universidade Regional do Cariri, Centro de Ciências Biológicas e da Saúde, Iguatu, CE, Brazil
| | | | - José Wagner Martins da Silva
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Universidade Regional do Cariri, Centro de Ciências Biológicas e da Saúde, Iguatu, CE, Brazil
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Leal TR, de Lima LCM, Neves ÉTB, Arruda MJALLA, Perazzo MF, Paiva SM, Serra-Negra JM, Ferreira FDM, Granville-Garcia AF. Factors associated with awake bruxism according to perceptions of parents/guardians and self-reports of children. Int J Paediatr Dent 2022; 32:22-30. [PMID: 33730404 DOI: 10.1111/ipd.12786] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 03/06/2021] [Accepted: 03/09/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Bruxism is a repetitive activity of the masticatory muscles that has been associated with orofacial disorders and psychosocial factors AIM: The aim of this study was to investigate associations between possible awake bruxism (PAB) and family functioning, bullying, and dental caries in children 8-10 years of age. DESIGN A school-based study was conducted with 739 pairs of parents/guardians and children. The parents/guardians answered the Family Adaptability and Cohesion Evaluation Scales for the establishment of family functioning. Information on bullying due to dental conditions was collected from the children. Dental caries in the children was evaluated using International Caries Detection and Assessment System criteria. A directed acyclic graph was used to define the theoretical model and select control factors. Descriptive analysis was performed, followed by multivariate logistic regression for complex samples. RESULTS Considering the parental reports, fewer years of mother's schooling, a low family income, very flexible family adaptability, and cavitated dental caries were associated with PAB. The female sex, bullying, and orofacial dysfunction were associated with self-reported PAB. CONCLUSIONS Therefore, the factors associated with PAB differ according to the reports of parents/guardians or self-reports of children. Healthcare providers should consider both reports for a more effective intervention addressing PAB.
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Affiliation(s)
- Tiago Ribeiro Leal
- Post-Graduation Program in Dentistry, Dental School, Universidade Estadual da Paraíba - UEPB, Campina Grande, Brazil
| | - Larissa Chaves Morais de Lima
- Post-Graduation Program in Dentistry, Dental School, Universidade Estadual da Paraíba - UEPB, Campina Grande, Brazil
| | - Érick Tássio Barbosa Neves
- Post-Graduation Program in Dentistry, Dental School, Universidade Estadual da Paraíba - UEPB, Campina Grande, Brazil
| | | | - Matheus França Perazzo
- Department of Pediatric Dentistry and Orthodontics, Dental School, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, Brazil
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, Dental School, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, Brazil
| | - Júnia Maria Serra-Negra
- Department of Pediatric Dentistry and Orthodontics, Dental School, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, Brazil
| | - Fernanda de Morais Ferreira
- Department of Pediatric Dentistry and Orthodontics, Dental School, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, Brazil
| | - Ana Flávia Granville-Garcia
- Post-Graduation Program in Dentistry, Dental School, Universidade Estadual da Paraíba - UEPB, Campina Grande, Brazil
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Zheng Y, Zhang H, Fan Q. Discordance between family report and clinical assessment of suicide attempts: a prospective study from the emergency department. Gen Psychiatr 2022; 34:e100576. [PMID: 34970640 PMCID: PMC8666883 DOI: 10.1136/gpsych-2021-100576] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 10/08/2021] [Indexed: 11/22/2022] Open
Abstract
Background Developing accurate identification methods for individuals with suicide attempts and providing them with follow-up care and supports can be a vital component of all comprehensive suicide prevention strategies. However, because of the difficulties concerning one’s intentions behind injurious behaviour, identifying suicide attempts is a challenge for families and clinicians. Aims The aim of this study was to investigate the differences between family report and clinical assessment for suicide attempts in the emergency department (ED). Methods A total of 148 patients with suspected suicide attempts (SSAs) and 148 family caregivers in the ED were enrolled. The suicide risk module of the Chinese version of the MINI International Neuropsychiatric Interview and the self-report measure were used to assess those with SSA’s suicidal behaviours. The Family Adaptability and Cohesion Evaluation Scales and semi-structured interviews were used to investigate the characteristics of suicide risk and demographics of patients with SSA, as well as the rate and influencing factors of omitted suicide attempts reported by family caregivers. Results The underreporting rate for family reported suicide attempts in the ED was 69.0%. The suicide attempts group indicated lower mean scores on perceptions of family resources, adaptability and cohesion. Patients' suicide risk rating (OR=0.152, 95% CI: 0.037 to 0.620, p=0.009), adult-children relationship (OR=5.037, 95% CI: 1.478 to 17.167, p=0.010) and caregiver’s age (OR=0.279, 95% CI: 0.103 to 0.757, p=0.012) might be associated with underreporting by families. If patients committed suicide attempts through a falling injury or medication overdose, their families may have misreported the suicide attempt. Conclusions The discordance of suicide attempt records between family report and clinical assessment reveals the limitations of family self-reports when identifying suicide attempts. Interviews and observations, together with information from certain diagnoses, should be combined to accurately identify suicide attempters in the ED.
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Affiliation(s)
- Yue Zheng
- East China University of Science and Technology, Shanghai, China.,Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Haiyin Zhang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Qing Fan
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China
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Abstract
The biopsychosocial model has been applied through collaborative care dementia models to the diagnosis, symptom management, and treatment of dementia with a focus specifically on the person with dementia. Because individuals with dementia are increasingly dependent upon others particularly as the illness advances, dementia care requires the involvement and commitment of others, usually family, along with support from community-based resources. Hence, the quality and effectiveness of a person's dementia care are shaped in large part by the foundation of family relationships and the social and community networks in which they are embedded. While most current dementia care models incorporate biopsychosocial principles and recognize the essential role that family members play as caregivers, they fail to consider a patient's family system and relationships as potential risk factors or social determinants for care outcomes. This paper introduces a biopsychosocial-ecological framework to dementia care that is person-centered and "family-framed" in that it targets factors that influence care considerations at both the individual and relational levels of the social ecological networks that the patient and their family members occupy. We use this model to illustrate how current dementia care practices tend to focus exclusively on the individual patient and caregiver levels but fail to identify and address important relational considerations that cut across levels. We call for the need to add assessment of family relational histories of persons with dementia and family members who care for them in order to better meet the needs of the patient and the caregiver and to prevent harm. This model accentuates the need for interprofessional education on family assessments and caregiver-centered care, as well as interdisciplinary, collaborative models of dementia care that assume more accountability for meeting the needs of family caregivers in addition to those of persons with dementia.
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Affiliation(s)
- Carol Ann Podgorski
- Department of Psychiatry, University of Rochester, Rochester, NY, United States
| | - Sharon D. Anderson
- Department of Family Medicine, University of Alberta, Edmonton, AB, Canada
| | - Jasneet Parmar
- Department of Family Medicine, University of Alberta, Edmonton, AB, Canada
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50
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Terui T, Yoshida K, Sasaki M, Murakami M, Goto A. The Association Between Fathers' Self-assessment of Their Own Parenting and Mothers' Recognition of Paternal Support: A Municipal-Based Cross-Sectional Study. J Epidemiol 2021; 31:608-614. [PMID: 32863372 PMCID: PMC8593574 DOI: 10.2188/jea.je20200108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background Discrepancies between parents’ reports of paternal parenting have been gaining attention, but epidemiological evidence is scarce in Asia. This study aimed to clarify agreement/discrepancy between paternal and maternal recognition of paternal parenting and the association between actual paternal parenting time and background factors. Methods Data from couples whose children attended 4-month child health check-ups in Fukushima City were analyzed (N = 509). Based on paternal recognition of paternal parenting (PRPP) and maternal recognition of paternal support (MRPS), couples were classified into four groups. Each group’s paternal household work and parenting time were analyzed. Univariable and multivariable analysis were performed to investigate the association between agreement/discrepancy and background factors of children and parents. Results Frequency of positive agreement (PRPP+ and MRPS+) was 83.9%, whereas negative agreement (PRPP− and MRPS−) was 2.6%. As for discrepancy, PRPP+ and MRPS− was 8.4% and PRPP− and MRPS+ was 5.1%. Fathers’ total median parenting time was 2 (weekdays) and 6 (weekends) hours, and showed significant differences among the four groups. Multivariable analysis revealed that compared to positive agreement, maternal mental health condition and pregnancy intention were significantly associated with the discrepancy PRPP+ and MRPS−, paternal mental health condition and marital satisfaction with the discrepancy PRPP− and MRPS+, and maternal mental health condition with negative agreement. Conclusions We identified differences in parenting time and mental health characteristics among couples depending on agreement/discrepancy in recognition of paternal parenting. Assessing both parents’ profiles is necessary in clinical practice to promote paternal participation in childcare.
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Affiliation(s)
- Toshihiro Terui
- International Community Health, Graduate School of Medicine, Fukushima Medical University
| | - Kazuki Yoshida
- Center for Integrated Science and Humanities, Fukushima Medical University
| | - Mie Sasaki
- Faculty of Humanities, Saitama Gakuen University
| | - Michio Murakami
- Department of Health Risk Communication, Fukushima Medical University School of Medicine
| | - Aya Goto
- Center for Integrated Science and Humanities, Fukushima Medical University
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