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PubMed2006

[Mental health of infertile women in Nigeria].

OBJECTIVE: To determine the prevalence of psychiatric morbidity and factors associated with poor mental health in women suffering from infertility. METHOD: The General Health Questionnaire (GHQ-30), Beck Depression Inventory (BDI) and the Anxiety Subscale of the Hospital Anxiety and Depression Scale (HADSA) were administered to 112 women with infertility at the time of their first presentation to a fertility clinic in a tertiary referral centre. The comparison group comprised of 96 women presenting at the family planning clinic of the same institution. In addition to demographic data, a structured questionnaire was used to collect obstetric information and clinical details from the participants. RESULTS: The prevalence of psychiatric morbidity was 46.4% (GHQ cases) in the infertile women, 37.5% and 42.9% were cases of anxiety and depression respectively. Women suffering from infertility scored significantly higher on all outcome measures of psychopathology. The results of the multiple regression analysis showed that the sociodemographic variables of the women with infertility contributed to the prediction of psychiatric morbidity (GHQ-30 score), because of the effects of age, not having at least one child and poor support from spouse ( R2 =.26 Adjusted R2=.19 F(10,101)=3.57 p=.001). Lack of support from husband also predicted depression and anxiety. Low level of education, polygamous marriage, unemployment, lack of support from in-laws and duration of illness were not predictors of mental ill health. CONCLUSION: Infertility is associated with high levels of psychiatric morbidity. Our findings reinforce the need for gynaecologist and healthcare professionals to look for psychosocial distress in women undergoing fertility treatment. Psychological interventions and improvements in the organization of care is essential to positively impact on outcome during treatment in this group of women.

Adult↗
PubMed1991

Sexual behaviors of intravenous drug users in treatment.

Sexual behaviors of a group of 313 intravenous drug users (IVDUs) (225 men, 88 women) were assessed by a structured interview at the start of an AIDS prevention project. Although the majority were celibate or monogamous during the prior year (men 52.5%, women 64.3%), many IVDUs had multiple sexual partners in that time, including 19.6% of men and 7.2% of women reporting five or more. Married male and female IVDUs were more likely to have multiple sexual partners than married people in general population samples. Only 38.5% of male and 35.4% of female IVDUs ever used condoms during the previous 5 years. Percentage of sexual encounters in which condoms were used correlated significantly with the number of partners for women (r = 0.37, p less than 0.01), but not for men (r = 0.03, ns). Use of intravenous drugs in the prior year, sharing of needles, use of stimulants, exchange of sex for money or drugs, and combining sexual events with drug use were all associated with greater numbers of sexual partners. A subset of male IVDUs engages in the dual-risk behaviors of needle sharing and unprotected intercourse with multiple partners. This group could act as a highly efficient vector for human immunodeficiency virus transmission and should become a focus of intensive preventive intervention.

Acquired Immunodeficiency Syndrome↗
PubMed2003

Time trends and determinants of completed family size in a rural community from the Basque area of Spain (1800-1969).

The focus of this work is the analysis of changes in completed family size and possible determinants of that size over time, in an attempt to characterize the evolution of reproductive patterns during the demographic transition. With this purpose in mind, time trends are studied in relation to the mean number of live births per family (as an indirect measure of fertility), using family reconstitution techniques to trace the reproductive history of each married woman. The population surveyed is a Spanish rural community called Lanciego, located at the southern end of the province of Alava (Basque Country). A total of 24,510 parish records of baptisms, marriages and burials made between 1800 and 1969 were examined to obtain the demographic data set. For each reconstituted family, the variables included in the study were the number of live births per family or family size (FAMS), year of marriage (YEAR), age at marriage of both partners (AMAN, AWOM), wife's age at the end of marriage (WEND), duration of marriage (MARD), age at first maternity (A1CH), length of reproductive span (REPS) and number of children dying before their first anniversary (MINF). Through a principal component analysis, three factors were found that explained more than 75% of the total variance. Association of variables in factors I and III was particularly useful in characterizing the variability of mean family size in pre-transitional, transitional and post-transitional cohorts. During demographic transition, a decreasing trend is observed in the variables FAMS, REPS and MINF, while variables AWOM, AMAN, WEND and A1CH show a tendency to increase over the 20th century. Results obtained by multiple regression analysis confirm that the best predictors of family size (dependent variable) were REPS and MINF, which between them explained over 85% of the total variation in FAMS (R2 = 0.853). In Lanciego, birth control seems to be present on the evidence of an increase in age at first maternity and a decrease in age at last parturition, indicating that the beginning of the reproductive span is delayed and its end is brought forward. Interaction between family size and infant mortality is discussed in the light of various hypotheses, including replacement of descendants, the so-called biological effect and the theory of r and k selection.

Adult↗
PubMed2004

Relations of husbands and wives dysphoria to marital conflict resolution strategies.

This study investigated relations between spouses' dysphoria and constructive and destructive emotions and tactics displayed by husbands and wives throughout marital conflicts. Behavioral observations were made of 267 couples' interactions during marital conflict resolution tasks. Husbands' and wives' dysphoria levels were related to particular negative marital conflict expressions and the absence of positive strategies, even after taking into account couples' marital satisfaction and their partners' levels of dysphoria. Moreover, in comparison with wives' dysphoria, husbands' dysphoria was associated with more pervasive impairments in couples" conflict strategies evident in multiple contexts of conflict resolution, including discussion of relatively minor sources of disagreement. Implications for the treatment of depressed or maritally discordant couples are discussed.

Adaptation, Psychological↗
PubMed1975

Predicting academic success for military paramedical personnel.

The utilization of selected cognitive, demographic, and personal histroy measures as predictors of academic success for Naval Hospital Corps School personnel undergoing paramedical training was investigated using a smaple of 1,448 students. A composite criterion score reflecting grade-point average as well as administrative discharge was related to a number of preservice cognitive and noncognitive predictors. Multiple regression techniques were used to weight specific variables and to predict performance in a crossvalidation sample. Findings indicated that demographic and personal histroy measures contributed uniquely to prediction of academic success.

Age Factors↗
PubMed1979

Tourette's syndrome symptom onset at age thirty-five.

It is apparent to the authors that the primary factors influencing this particular case of Tourette's Syndrome are psychological. The condition appeared to result from threatening environmental conditions causing repression. The repressed material manifested itself in multiple tics, echolalia and coprolalia. Because of this patients's extreme resistance to accept the true conditions of his situation, individual and group psychotherapy have been difficult modes of treatment.

Adult↗
PubMed2005

The relationship of adult attachment constructs to object relational patterns of representing self and others.

This study examined the relation between attachment constructs assessed by self-report and object relations constructs assessed from narratives. Young adult participants (N = 65; median age 28) completed the Reciprocal Attachment Questionnaire (West, Sheldon, &Reiffer, 1987), provided a set of interpersonal narratives rated using the Social Cognition and Object Relations Scale (SCORS; Westen, Barends, Leigh, Mendel, &Silbert, 1994), and completed other relationship-related measures. Results suggest some conceptual convergence between internal working models and representations of self, others, and relationships; for example, individuals who perceive significant others as offering a secure base for emotional connection tend to have complex, well-differentiated representations of self and others. In addition, multiple dimensions of object relationships were found to be significantly associated with participants' relationship status (current involvement in a significant relationship) and their parents' marital status.

Adolescent↗
PubMed1995

Urinary retention in sexually abused women.

Urinary retention is generally believed to be the result of neurogenic or non-neurogenic problems. In men, it is often caused by benign prostatic hypertrophy which can be treated by transurethral surgery.1 In women, however, studies have shown that urinary retention is usually caused by detrusor dysfunction rather than obstruction. Surgery on the urethra or bladder neck is, therefore, inappropriate and ineffective. Once the cause of retention has been determined (i.e whether neurogenic or non-neurogenic in origin), appropriate treatment can be decided upon. The most common neurogenic problems are diabetes mellitus, multiple sclerosis and spinal cord pathologies.(1) Patients with non-neurogenic etiology associated with urinary retention are often found to have psychosocial problems that inhibit detrusor activity causing psychogenic retention.1-4 Studies have found that woman with a history of psychosis, depression and stress/anxiety have a higher incidence of urinary retention than woman with no history of such conditions. Psychological problems involving the loss of loved one, recent marriage break-up, abortion, pelvic surgery, etc. have been found to contribute to the incidence of urinary retention. There is another group of women who may or may not exhibit psychological problems associated with psychogenic urinary retention, but who may develop the same physical manifestations. These women have been sexually abused and have not fully resolved or realized the trauma of the assault. This paper looks at four cases or urinary retention in sexually abused woman, the treatments used and the results and conclusions obtained.

Journal Article↗
PubMed1992

A comparative study of black South African children from three different contexts.

This study compares family characteristics and developmental outcomes of black children (N = 300) from 3 rural contexts in South Africa: the homeland, the resettlement, and the white-owned farms. Parents in the homeland were more likely to be married and had more education, less household crowding, and lower mobility than parents in the other 2 areas, and higher occupational status than parents from the farms. Child outcomes paralleled these differences in material resources and family stability. Children from the homeland scored higher than children from the resettlement or farms on head circumference, vocabulary, quantitative skill, and self-concept, with no significant differences between the latter 2 areas on these outcome variables. Children from the homeland also scored higher than resettlement children on weight, copying skill, and height, with children from the farms measuring lowest on height. Child outcomes were highly intercorrelated in all 3 residence areas, but correlations among family variables, and between family and child variables, showed different patterns across areas. Parent education, occupation, and crowding were the most consistent predictors of physical development, cognitive development, and self-concept. Family mobility and marital status, however, showed different relationships to other family variables and to child outcomes across the 3 environments. These results highlight the importance of studying children in multiple environmental contexts, because family characteristics are not associated uniformly across residence areas.

Achievement↗
PubMed2006

Psychological adaptation after marital disruption: the effects of optimism and perceived control.

The present study explored the extent to which the two personality factors--perceived control and dispositional optimism--are related to psychological adaptation after marital disruption. A sample of 658 recently divorced individuals participated in the study by filling in an anonymous questionnaire. Bivariate findings revealed that perceived control and optimism were strongly related to psychological adaptation. However, when both predictors were included in a multiple regression analysis, optimism had a much larger effect than perceived control. The findings clearly indicate that personality factors account for a substantial proportion of the variance in adaptation to marital disruption.

Adaptation, Psychological↗
PubMed1977

Families with multiple cases of urinary system tumors: brief communication.

A study of three families living in villages with endemic nephropathy (EN) in Vratza district, Bulgaria, revealed 9 members with urinary system tumors (UST), 7 with UST and EN, and 7 with EN. Most cases were registered from 1962 to 1976. The predominant form was transitional cell neoplasms of the kidney pelvis and ureter in patients 40-60 years old. In about 40% of the patients more than one site in the urinary system was involved. One ovarian carcinoma was also registered in these families during this period. Persons related by marriage and coming from nonendemic families and villages were also affected by both diseases. In other branches of the three families living in other households or villages, only one case of EN was found.

Adult↗
PubMed2001

Reproductive health needs of young persons in markets and motor parks in south west Nigeria.

The aim of the study was to assess the reproductive health needs of out-of-school males and females aged 12-26 years working in markets and motor parks in Ibadan using Focus Group Discussions (FGD) and a survey questionnaire. Result revealed that sexual experience was higher among males (80%) compared to females (66%). Multiple concurrent sexual partnerships were found to be common among unmarried young men (71%) than women (51%) but means to prevent pregnancy or sexually transmitted disease (STD) were rarely employed. The knowledge of HIV was high (70%) though very few (12%) were aware that an infected individual would remain asymtomatic. Moreover, 36.5% thought that condoms make sex less enjoyable. Between 6 and 9% used a method for disease prevention within marriage or regular partnerships compared to 16% in casual contacts. Despite high exposure to risk, the prevalence of STDs was low as only 4% of the sexually experienced males and 9% of females were infected with Candida Albicans, Chlamydia trachomatis and Trichomonas vaginitis or Neisseria gonorrhea. The ready availability of antibiotics may account for this apparent discrepancy. These findings suggest that out of school adolescents working in motor parks needs sexuality education and counseling backed up with clinical services.

Adolescent↗
PubMedDate not supplied

Consanguinity, twinning and secondary sex ratio in the population of Karnataka, south India.

Consanguineous marriages are strongly favoured in the state of Karnataka. Of 65,492 marriages studied 33.07% were consanguineous, equivalent to a coefficient of inbreeding (F) of 0.0298. The twinning rate was low, 6.9 per thousand, whereas the secondary sex ratio, 0.5221, was higher than in comparable major human populations. Consanguinity exerted no significant effect on either parameter. The results also indicate that consanguinity is not associated with excess antenatal losses and suggest the possibility of enhanced selection against mutations at X chromosome loci.

Consanguinity↗
PubMedDate not supplied

Giving birth: the voices of Orthodox Jewish women living in Canada.

OBJECTIVE: To describe the meaning of the childbirth experience to Orthodox Jewish women living in Canada. DESIGN: In this phenomenologic study, audiotaped interviews were conducted. Tapes were transcribed verbatim and analyzed for emergent themes. Demographic data also were collected. SETTING AND PARTICIPANTS: Thirty Orthodox Jewish women who had given birth to healthy full-term newborns at a university-affiliated Jewish hospital in Montreal, Canada, participated in the study. Data were collected within 2 weeks after childbirth, either in the mother's postpartum hospital room or in her home. RESULTS: The following themes reflecting spiritual/cultural dimensions of the childbirth experience were identified: (a) birth as a significant life event, (b) birth as a bittersweet paradox, (c) the spiritual dimensions of giving birth, (d) the importance of obedience to rabbinical law, and (e) a sense of support and affirmation. CONCLUSION: This study documents cultural, religious, and spiritual dimensions of the childbirth experience of Orthodox Jewish women living in Canada. Knowledge and appreciation of the multiple dimensions of childbirth reflected by this study's findings can contribute to holistic and culturally competent nursing care of women and newborns.

Adolescent↗
PubMed1995

Risk factors for spontaneous abortion among Saudi women.

The objective of this study was to identify important risk factors for spontaneous abortion (SA) among Saudi women. It was a case-control study conducted at King Khalid University Hospital, Riyadh, Saudi Arabia. The cases were 226 consecutive women hospitalized for SA between October 1992 and January 1993. The controls were 226 consecutive women who had normal delivery in the same hospital during the same period. Bivariate analysis using chi-square tests and estimates of relative risks indicated a positive association of age at menarche with risk of SA (P < 0.01). Also, there was a significant higher risk of SA when a women was married to a blood related husband than if married to a non relative (RR = 2.1). The number of previous abortions was also positively related to the risk of SA in the current pregnancy (P < 0.01). Compared to primigravidas, the risk of SA was 3.2 times greater than if the outcome of the most recent pregnancy was also an SA. Other factors that had significant bivariate association with SA were a family history of SA, abdominal trauma, and infection during pregnancy. When multiple logistic regression was used to adjust for the effects of confounding variables, all the factors that showed significant bivariate association with SA (except outcome of the last pregnancy) remained significant. Early menarche may be protective, but further study is needed to confirm this. Greater attention should be given to pregnant women who had personal or family history of SA and those who had trauma and/or infection during pregnancy. Premarital counselling concerning consanguineous marriages is recommended.

Abortion, Spontaneous↗
PubMed2003

Menopause-related symptoms: what are the background factors? A prospective population-based cohort study of Swedish women (The Women's Health in Lund Area study).

OBJECTIVE: The purpose of this study was to analyze the influence of sociodemographic characteristics and environmental factors on self-reported menopause-related symptoms among middle-aged Swedish women. STUDY DESIGN: Women who were born in the years 1935 to 1945 and who were living in the Lund area of southern Sweden were investigated. Each woman completed a generic questionnaire and underwent a personal interview that pertained to sociodemographic characteristics, lifestyle, and current health-related problems. With these background factors, the frequency and intensity of hot flushes and vaginal dryness were determined; risk factor analysis was evaluated with the use of the multiple regression models. RESULTS: There were 6917 participants, with a response rate of 64%. A lower risk for hot flushes was related to older age, high education, and vigorous physical exercise. The major risk factors for vasomotor complaints were current weight gain, part-time employment, oophorectomy, unhealthy lifestyle, and concomitant health problems. Light smoking, late age of menopause, higher education, and excessive weight reduced the risk of vaginal dryness. However, older age, marriage, and chronic diseases negatively affected vaginal complaints. The background factors had less impact on symptoms in women who used hormone replacement therapy. CONCLUSION: Sociodemographic characteristics, lifestyle, and concomitant health problems appear to be important modifiable determinants for menopause-related symptoms.

Age Distribution↗
PubMed1983

Predicting couples' response to brief directive sex therapy.

Pretreatment Marital Satisfaction Inventory (MSI) scores for 26 couples entering brief directive sex therapy were correlated with posttreatment ratings of dissatisfaction with the frequency of intercourse and individuals' lack of affection for their partner. Six of 11 MSI scores obtained at intake predicted termination ratings of sexual distress, and five scales predicted posttreatment ratings of marital distress. Separate multiple regression analyses for both outcome criteria permitted the delineation of separate MSI predictors for these two distinct components of couples' therapeutic response. Results confirm previous implications of marital distress as a moderator of couples' response to sex therapy.

Adult↗
PubMed1997

Adult attachment processes: individual and couple perspectives.

This paper overviews a new approach to understanding the range of difficulties experienced in close attachment relationships in adulthood. Drawing on the work of Bowlby, four prototypic adult attachment patterns are defined in terms of the intersection of two underlying dimensions, the positivity of the person's self-image and the positivity of the person's image of others (Bartholomew, 1990; Bartholomew & Horowitz, 1991). The distinct interpersonal difficulties associated with each attachment pattern are described. Findings are presented indicating that individual differences in attachment have implications for the quality of adults' romantic relationships, and that attachment theory may be helpful in understanding violent spousal relationships. Five current issues in the study of adult attachment are addressed: the stability of attachment patterns, the associations between attachment and general personality factors, the relative merits of categorical and prototype assessments of attachment, the identification of multiple attachments in adulthood, and the specificity of adult attachment patterns. It is suggested that the four-category model of adult attachment is especially sensitive to the range and complexity of attachment-related difficulties experienced in adulthood.

Adult↗