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PubMed2000

Spouse abuse recidivism in the U.S. Army by gender and military status.

Recidivism by spouse abusers was investigated using records of offenders in the U.S. Army Central Registry. Recidivism by gender and military status (active-duty or civilian spouse) was compared over a 70-month period. Between fiscal years 1989-1997, 48,330 offenders were identified in initial and recidivist incidents. Recidivism was analyzed by means of a Cox proportional hazard rate model, controlling for age, race, number of dependents, education, and substance abuse. Two different sets of survival curves were obtained: (a) Men were much more likely than women to have a recurrence and (b) within gender, civilians were more likely to have a recurrence than were active-duty military personnel. At 70 months, 30% of the male civilian offenders and 27% of the male active-duty offenders had committed a subsequent spouse abuse incident compared with 20% of the female civilian offenders and 18% of the female active-duty offenders, controlling for other variables.

Adult↗

PubMed2000

Comparison of service member and military spouse satisfaction with installation fitness facilities and exercise programs.

Satisfaction with fitness facilities has long been accepted as a positive contributing factor to physical activity, readiness, and overall quality of life for military families. Our findings are based on a random sample of military families surveyed at 38 installations worldwide and at remote locations. A total of 8,572 service member and 3,493 spouse (55% and 32% response rate, respectively) questionnaires were completed and returned. Overall, members were satisfied with fitness facilities and programs, but spouses were less satisfied and more unfamiliar with these facilities. Most valued programs were fitness centers and swimming pools. Members reported that elimination of fitness facilities would greatly decrease the quality of life on installations, particularly at sites outside the continental United States, whereas spouses reported that this would not have a dramatic effect. The results of this study could be used to direct funding allocations, improve the health and fitness of military families, and suggest areas for further research.

Adult↗

PubMed2003

A "good death" for whom? Quality of spouse's death and psychological distress among older widowed persons.

Ethicists, policy makers, and care providers are increasingly concerned with helping the dying elderly to experience a "good death." A "good death" is characterized by physical comfort, social support, acceptance, and appropriate medical care, and it should minimize psychological distress for the dying and their families. I identify the predictors of death quality and evaluate how the quality of an older adult's death affects the surviving spouse's psychological adjustment six months after the loss. Analyses use Changing Lives of Older Couples (CLOC) data, a prospective study of married persons ages 65 and older. Positive spousal relationships during the final days increase survivors' yearning yet reduce their anger. Having a spouse die a painful death is associated with elevated anxiety, yearning, and intrusive thoughts. The perception of physician negligence is associated with elevated anger. These findings suggest that improved end-of-life care and pain management will benefit both the dying and their bereaved spouses.

Adaptation, Psychological↗

PubMed1990

Effects of alcohol, gender, and role of spouses on attributions and evaluations of marital violence scenarios.

The effects of spouses' alcohol consumption, gender, and role in a marital dispute on observers' attributions of responsibility and evaluations of the spouses were examined. A major goal of the investigation was to determine whether the effects of alcohol on attributions and evaluations are gender related or role related. Based on the participation of 115 male and 181 female undergraduate students, the results partly supported the role-related effects of alcohol consumption. Respondents rated both husband and wife more negatively when they were depicted as the perpetrators than as victims. Alcohol consumption did not affect evaluations of the spouses as perpetrators. However, drinking by the husband and wife before their victimization was associated with more negative evaluations than when their victimization was not preceded by drinking. It is argued that alcohol consumption of the victim and not the perpetrator may play a more significant legitimizing role for spousal violence.

Adult↗

PubMed1995

Health of spouse caregivers of dementia patients: the role of personality and social support.

Providing care to a spouse with dementia is a challenging activity. Why one spouse caregiver copes effectively whereas another becomes demoralized, unable to cope, and at heightened risk for negative health outcomes is not well understood. There is increasing evidence that individual differences associated with effects of caregiving through the subjective appraisal of the stressor are related to health outcomes. In this study, measures of social support and personality were examined to determine their influence on health outcomes for 51 spouse caregivers of dementia patients. The finding of a relationship between health outcomes and personality and social support may help practitioners target and improve interventions with dementia patients and their families.

Aged↗

PubMedDate not supplied

Use of skin-cancer prevention strategies among farmers and their spouses.

Epidemiologic studies show that farmers are at increased risk of skin cancer, presumed to be secondary to the increased time they spend outdoors with exposure to the sun. We surveyed a random sample of farmers and their spouses 40 years of age or older from four rural counties in Michigan on their knowledge, attitudes, and behavior regarding protection of their skin from the sun and screening medical exams for skin cancer. Questionnaires were completed by 1,342 farmers and their spouses. This was a response rate of 63.5%. Eighty to ninety percent knew the changes in the skin that could indicate cancer and required medical follow-up. Only 40% of the men and 65% of the women were likely to protect their skin when they went outdoors. Increasing age and personal history of skin cancer increased the likelihood of both men and women protecting their skin when they went outside. Additionally, higher-income women were likely to use sun protection. Despite the fact that 90% of the respondents had had a physical examination in the last three years, less than one third reported ever having had their skin examined for cancer. Increasing age, income, and education increased the likelihood of having had such an exam. The majority of those who had had a skin exam had the exam for a particular skin problem, and not as part of a routine physical examination. Farmers and their spouses need to increase their use of sun protection when going outside. Additionally, health care providers need to routinely include examination of the skin for skin cancer and alert their patients that it is being performed.

Adult↗

PubMed1997

The impact of diagnosis on cervical and endometrial cancer patients and their spouses.

How information on diagnosis of endometrial and cervical cancer was given and its impact on women (n = 60) and their spouses (n = 47) were investigated by semistructured interviews and check-lists of psychological symptoms. In most cases the first information on diagnosis was given to the woman by telephone. Half of the women with endometrial cancer and four with cervical cancer solely obtained information by telephone. The least dissatisfied patients were those who received information on diagnosis by phone and simultaneously were offered a personal visit at their earliest convenience. Almost all spouses were given the news of the diagnosis exclusively by their ill partner. This way of being informed provoked anger and bitterness among the spouses. At initiation of treatment most women (93%) and men (81%) were classified as being in a psychological crisis, and a lack of coincidence concerning the different phases of crisis was observed in half of the couples. The study emphasizes the importance of directing attention both to the needs of patients/partners and to the needs of physicians when communicating a diagnosis of cancer.

Adult↗

PubMed1998

Length of cancer patients' stay at a hospice: does it affect psychological adjustment to the loss of the spouse?

The relationship is examined between the length of stay of 134 cancer patients at a hospice and the subsequent adjustment to loss by their spouses. Regression analysis found no significant correlation between the independent variables of length of hospice stay, gender, duration of time spent bedridden, time elapsed since death, and year of diagnosis and the dependent variables of psychological adjustment by their surviving spouses as assessed by the brief symptom inventory (BSI), the psychosocial adjustment to physical illness scale (PAIS), and the Texas revised inventory of grief (TRIG) scale. An analysis of covariance, however, found that a short hospice stay (1-7 days) had a beneficial effect on the spouse's bereavement compared to a long stay (8+ days).

Adaptation, Psychological↗

PubMed1981

The Family Attitudes Questionnaire. Patients' and spouses' views of bipolar illness.

A newly devised Family Attitudes Questionnaire has been employed to quantify the perceptions of 19 bipolar manic-depressive patients and their well spouses about the etiology, familial risk, and long-term burden of bipolar illness, and to assess their abilities about marriage and childbearing. In this study, 53% of well spouses compared with 5% of patients (P less than .01) would not have had children if they had known more about bipolar illness prior to making these decisions. The overall data suggest that the bipolar patients, compared with his or her spouse, minimizes the burden and denies the heritable/familial nature of affective illness. These findings should be borne in mind for genetic counseling as well as for psychotherapy.

Adult↗

PubMed1994

Quality of life of patients with prostate cancer and their spouses. The value of a data base in clinical care.

BACKGROUND: Because of the dearth of information concerning the quality of life of patients with prostate cancer, a data base was established to examine the nature and extent of problems in patients' and spouses' adaptation and their interrelationships and to examine the effect of disease stage combined with treatment regimen on patients' quality of life. METHODS: One hundred seventy-two patients and 83 spouses/partners completed quality of life questionnaires in a prostate cancer health education lecture series. The measures used were the European Organization for Research and Treatment of Cancer (EORTC) Prostate Cancer Quality of Life Questionnaire, the Intrusion subscale (IS) of the Impact of Event Scale; and Selby's QL Uniscale. Fifty-five percent of patients had received medical and/or surgical hormonal therapy, 28% had received a radical prostatectomy and/or radiation therapy only, and 18% had not been placed on any treatment. RESULTS: Patients experiencing problems in adaptation were significantly more likely to have advanced stage disease; received surgical or medical hormonal therapy; and were reporting greater pain, fatigue, urinary problems, and deteriorating physical functioning. Spouses reported significantly greater psychological distress than did patients (EORTC Psychological Distress subscale, P < 0.001; IS, P < 0.001). CONCLUSIONS: A two-stage clinical evaluation is recommended, in which quality of life questionnaires would initially be used to identify patients and spouses experiencing problems in adaptation for further evaluation by a mental health professional for appropriate treatment.

Adaptation, Psychological↗

PubMed1989

Cancer incidence among spouses of patients with colorectal cancer.

The risk of colorectal cancer was examined among spouses of approximately 10,000 colorectal cancer patients. A total of 8,095 spouses were identified, and cancer cases in this cohort were sought in the Danish Cancer Registry. No excess risk was found for colorectal cancer as such. The data were also analyzed by subsite of the large bowel for the index cases and for the spouses, respectively. The estimated relative risks were in general close to unity, the only exception being the risk of right-sided colon cancer among husbands of index cases with left-sided colon cancer, RR = 2.17 (p less than 0.05). The absence of excess risk was noted regardless of the duration of marriage. The risk of other cancers with a presumed etiology similar to that of colorectal cancer (cancer of the uterine corpus, breast, prostate and biliary tract) was also close to expected values.

Colorectal Neoplasms↗

PubMed1992

Hepatitis C virus RNA in saliva of patients with posttransfusion hepatitis and low efficiency of transmission among spouses.

In a prospective study of posttransfusion hepatitis, 14 patients who were diagnosed with posttransfusion hepatitis C were enrolled randomly for the study of hepatitis C virus (HCV) RNA in saliva. Saliva and serum samples were collected on the same day. Spouses of 11 married patients were also tested for anti-C100 and HCV RNA. Paired serum and saliva samples were tested for HCV RNA by a nested polymerase chain reaction (PCR). Two primer pairs specific for the non-coding region of HCV were used for the PCR and a oligonucleotide sequence between the primers was used as the probe for Southern hybridization. Six patients were positive for HCV RNA by first round PCR amplification and an additional four patients were detected after second round PCR. All patients were negative for HCV RNA in saliva after first round PCR, while seven were positive after second round PCR amplification. All seven patients were positive for HCV RNA in paired serum samples. HCV RNA was detectable in saliva from 1 week to 38 months after the onset of hepatitis. All spouses were negative for anti-C100 and HCV RNA. We conclude that HCV RNA is present in the saliva of approximately half of patients with acute and chronic hepatitis C, and the presence of HCV RNA correlates with HCV viremia. The efficiency of HCV transmission is low among spouses.

Adult↗

PubMed1979

The spouse as facilitator for esophageal speech: a research perspective.

The role of the spouse in relation to the quality of esophageal speech of laryngectomized patients was investigated using psychodiagnostic instruments and speech ratings and through an assessment of the verbal interactions between the patient and spouse. Analysis of the results indicates that those speakers who were objectively judged to have higher quality speech and learned esophageal speech rapidly had spouses who were more likely to disagree verbally with them, addressed them in a way that encouraged long answers, and evidenced reciprocal compatibility for meeting affectional needs.

Aged↗

PubMed1990

Responses of elderly spouse caregivers.

In this paper three categories of variables were identified to predict spouses' reactions to caregiving roles: patient characteristics, the caregiving environment, and characteristics of the caregiver. Measures of these variables were administered to 159 spouse caregivers. Four domains of caregivers' responses were identified: negative emotional reactions, feelings of responsibility for the patient, feelings of abandonment by family, and impact of caregiving on daily schedules. These domains were influenced most by patient negative behaviors, physical health, and age, and by caregiver age, employment, and emotional status. Amount of assistance, affective support, and hours of care also were predictive of spouse responses.

Activities of Daily Living↗

PubMed1996

Interplay of four idiotypes and interaction with autoantibodies in lupus patients, their relatives and their spouses.

Our aim was to investigate links between systemic lupus erythematosus (SLE)-associated autoantibodies, idiotypes (Id) and genetic predisposition to their development. We studied four public Ids (16/6, WRI 176 beta, RT72 and RT84), identified the Km and Gm phenotypes and sought six selected autoantibodies in 32 SLE patients, 174 of their relatives and 15 spouses. Though anti-double-stranded DNA antibody was uncommon in the relatives (9%), the range of antinuclear reactivities was as broad in the relatives as in the probands. Antibodies to the synthetic peptide U1-RNP-A 35-38 were found in 56% of the patients, 28% of their relatives and 20% of the spouses, whereas antibodies to the Golgi apparatus was present in 7% of the patients, 26% of their relatives and 33% of the spouses. However, most of these family members were unaffected. RT84 Id was positively associated with antibodies to Sm-D peptide 1-20 and to Ro/SSA 60 kD peptide 304-324, but negatively associated with anti-dsDNA activity. The median of age was significantly lower in the RT84 Id-positive than in the RT84 Id-negative individuals. These data suggest that genetic as well as environmental factors are involved in the aetiology of SLE. In addition, RT84-carrying immunoglobulins (Ab2) might be directed to one of many cross-reactive Ids of dsDNA-binding antibodies (Ab1), perhaps down-regulating their production.

Adolescent↗

PubMed1983

Spouse versus other family caregivers: psychological impact on impaired aged.

This correlational study examined negative affect among impaired aged who live with and receive care from either a spouse or a younger relative. Covariance analyses, controlling for group differences in age, health, and functional disability, soundly disconfirmed hypotheses that spouses' care would prove less stressful than would that of children. In fact, the reverse obtained for measures of number of expressed worries, negative affect toward caregivers, and perceptions of both negative affect and negative behavior of caregivers toward elderly respondents. The two care groups did not, however, differ in self-rated depression or in feelings of dependency upon care providers. Examination of social support indices revealed that Spouse and Other care groups differed only in number of other household residents who assist with health care activities; this variable was, however, unrelated to affect measures. Results are discussed in terms of differential stressors upon aged couples in contrast with recipients of second-generation relatives' assistance, and of kinship factors which may influence elders' perceptions and affect.

Adaptation, Psychological↗

PubMed1980

Spouse similarity in American and Swedish couples.

A very similar pattern of homogamy was found in samples of American and Swedish couples for physical, social, and behavioral variables. In the Swedish sample, there were only minor differences in assortment, i.e., in similarity to spouses, between MZ and DZ twins. Although our data are not conclusive on this point, there was an indication that the observed similarity of spouses for most variables is due to initial assortment rather than to convergence of phenotypes after initial contact. Exceptions are that spouses do appear to converge for highly plastic variables such as alcohol consumption and amount of social activity.

Adult↗

PubMed1990

The prevalence of human immunodeficiency virus in patients and their spouses entering a large in vitro fertilization program.

Between September 1987 and August 1989, all patients and their spouses entering our in vitro fertilization (IVF) program were screened for the human immunodeficiency virus (HIV) using the enzyme-linked immunosorbent assay (ELISA). Of 848 patients and 848 spouses tested, all but 4 patients and 1 husband tested negative. Of those who tested positive on repeat testing with ELISA, only one was positive on Western blotting (HIV prevalence, 0.59 per 1000). During this same time period 1187 samples of human cord blood were used to make tissue culture medium for the IVF embryology laboratory. One sample was discarded because of positive HIV on ELISA and Western blotting; two other samples were discarded because of positivity to the hepatitis B surface antigen. While we believe that routine HIV screening of IVF patients and their spouses is indicated, this population is of low risk for HIV positivity. Furthermore, continued screening of human sera used to make tissue culture media for IVF is mandatory.

Blotting, Western↗