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PubMed1992

[Familial and pain-related markers from the viewpoint of chronic pain patients and their partners].

Based on a general family model Saile and Schmitz (1991) developed the Pain related inventory of family adaptability and cohesion (SIFAK), which assesses three aspects of family life related to chronic pain: adaptability in dealing with chronic pain, pain related enmeshment and pain related disengagement and alienation. 40 patients with chronic low back pain and their spouses completed a revised version of the SIFAK and measures of pain intensity, pain related disability and marital satisfaction. Patients and spouses agreed more on marital satisfaction than on pain related variables. In multiple regression analyses marital satisfaction and pain related disability--each in the view of patients and spouses--were predicted by pain and family related variables. Implications for future research (other data sources, other measurement methods) and for psychological treatment of chronic pain are discussed.

Adaptation, Psychological↗
PubMed1976

Life dissatisfactions, job dissatisfaction and illness of married men over time.

This study examines the degree to which job and marital satisfaction and participation in leisure activities could predict concurrent and future health status relative to ethnicity, class and occupational factors, and mental health. Data were obtained from a longitudinal study of a random sample of 1034 Manhattan families with at least one child 6 to 18 years of age. The wives in these families were interviewed twice at 5-year intervals. Multiple regression analyses, using variables abstracted from the records of 640 wives of working husbands, indicated that husbands' health status at Time I (R = .33) and Time II, 5 years later (R = .28) was significantly predicted by the Time I assessments on 12 independent variables. The largest single unique contributor, i.e. net of all other independent variables, to concurrent husband's health was job dissatisfaction (partial r = .15), followed by husband's institutionalization for mental illness (r = .14), being Spanish (r = .10), and the factor of Unhappy Marriage (r = .09). This preliminary investigation indicated that uncertain life satisfactions were important predictors for either concurrent or future health status which operated across class, ethnic, occupational and mental health factors. These findings tend to support models which postulate stressful psychosocial conditions as potential etiologic agents in the development of illness.

Educational Status↗
PubMedDate not supplied

Assessing children's emotional security in the interparental relationship: the Security in the Interparental Subsystem Scales.

Guided by the emotional security hypothesis, this study reports on the development of a new self-report measure that assesses children's strategies for preserving emotional security in the context of interparental conflict. Participants were 924 sixth, seventh, and eighth graders and a subset of their mothers, fathers, and teachers. Exploratory and confirmatory factor analyses of the Security in the Interparental Subsystem (SIS) Scale supported a seven-factor solution, corresponding well to the three component processes (i.e., emotional reactivity, regulation of exposure to parent affect, and internal representations) outlined in the emotional security hypothesis. The SIS subscales demonstrated satisfactory internal consistency and test-retest reliability. Support for the validity of the SIS Scale is evidenced by its significant links with parent reports of children's overt reactivity to conflict, children's responses to interparental conflict simulations 6 months later, and children's psychological maladjustment and experiential histories with interparental conflict across multiple informants (i.e., child, mother, father, and teacher). Results are discussed in the context of developing recommendations for use of the SIS and advancing the emotional security hypothesis.

Adaptation, Psychological↗
PubMed1987

A prospective study of panic disorder in a Nigerian psychiatric out-patient population.

Fifteen corresponding to 3% of the 500 patients seen at the Out-patient Psychiatric Clinic of the University of Benin Teaching Hospital Nigeria between December 1985 and September 1986 met the DSM - III criteria for panic disorder. The female to male ratio was 3:1; the mean age of onset was 23.7 years and married patients dominated the group. Predisposing life events were present in four patients and in three of these the factors were multiple. Ten of the patients improved markedly on imipramine in an open drug trial design which lasted 3 months; the two non-responders had both situational and spontaneous panic attacks. The effect of social stressors as precipitants of panic attacks was highlighted.

Adolescent↗
PubMed1991

[Preliminary study of early sexual abuse].

The long term effects of sexual abuse are often measured by measuring behaviours such as social adjustment, job stability and marriage. This study was conducted to add to these internal measures. Using a semi-prospective instrument adapted from G. Kelly's repertory grid, the adolescents' perceptions of themselves and significant others are measured. Three hundred and twelve female adolescents between the ages of 13 and 19 (average age = 16) participated in the study; 79 presented with non sexual behaviour disorders (delinquency, stealing, etc.), 56 presented with serious sexual behaviour disorders (prostitution, persistent sexual promiscuity) and 177 presented with no problems requiring psychosocial intervention. Various analyses (descriptive, multiple variance, regression analysis) showed that sexual abuse significantly affects many of the adolescents' perceptions. Sexually abused adolescents perceived their two real parents as less competent and their ideal mother and father as less protective than adolescents who had not been abused. In contrast, their perception of self and the ideal self was not affected by the sexual abuse, a finding which will spark discussion.

Adolescent↗
PubMed1979

Depression in the wives of nuclear submarine personnel.

The authors compared levels of depression among 24 wives of nuclear submarine personnel under conditions of husband-presence and husband-absence in a crossover research design. The wives had significantly higher depression scores under conditions of husband-absence on both the Zung Depression Scale and the Multiple Affect Adjective Checklist. The results are discussed in terms of the tremendous stresses imposed on the wives as a result of the nuclear submarine deployment schedule and the failure of the Navy and the spouses to recognize and reward the wives for their efforts.

Adaptation, Psychological↗
PubMed1984

Prediction of emotional and social outcome after a heart attack.

Data from two prospectively studied series of patients recovering from heart attacks (n = 129 and 100) were analysed to determine the extent to which early findings can predict later psychological and social outcome. Some aspects of early and late outcome can be predicted with modest accuracy by multiple regression analysis of information obtained during the acute hospital admission. More accurate, and therefore clinically more useful, prediction of late outcome is possible in early convalescence. It is suggested that systematic clinical assessment during admission and a few weeks after return home could detect most patients in need of extra specialist rehabilitation.

Convalescence↗
PubMed1981

Partners of distressed transvestites.

The authors studied partners of 18 transvestites who sought consultation because of their disorder. They found that all of these women were moral masochists and that all tolerated the self-centered, obsessive-compulsive behavior of their transvestic spouses. Many of these women had experienced multiple losses and poor parenting, and their transvestic partners fulfilled their dependency needs. The authors recommend supportive and insight-oriented therapy for such women who, in order to stay with a transvestic man, sacrifice their own self-esteem and desire to engage in a mutual relationship.

Adult↗
PubMed2004

[Correlational study on management of menopause, marital satisfaction, and quality of life in middle-aged women].

PURPOSE: This study was to examine the correlations among management of menopause, marital satisfaction, and quality of life in middle-aged women. METHOD: The sample was 158 middle-aged women who were 40-64 years. Data were collected from June 14 to July 10, 2003 using questionnaires and were analyzed by using the SPSS 10.0 PC+ program. RESULT: The level of marital satisfaction was related positively to the level of quality of life(r=.504, p<.01) and management of menopause(r=.315, p<.01). In addition, there were significant correlations between the level of quality of life and management of menopause(r=.251, p<.01). In stepwise multiple regression analysis, 25.9% of the variance in quality of life was explained by marital satisfaction. CONCLUSION: Marital satisfaction and management of menopause serve to improve the quality of life of middle-aged women. It is necessary to develop an effective intervention program to improve marital satisfaction and management of menopause.

Adult↗
PubMed1991

[The use of extended family APGAR index in OPD].

The present study was designed to evaluate the clinical availability of extended family APGAR in OPD. Five hundred and twenty two patients were collected from three different out-patient departments were studied during a 6 month period. All 522 patients were over 12 years of age and asked to completed an extended family function questionnaire. The patient's age, sex, marital status, occupation, education, family role, socioeconomic status and religion were also recorded. The results showed that there were significant difference among the extended scores of patient's marital status and the socioeconomic status. We also found that patients suffering from family problems, psychosomatic problems and multiple problems have significantly lower extended scores. Because only 3 patients were diagnosed as having family problems by a chart reviewed in all 522 patients, we suggest further research on the extended family APGAR before widely using it in OPD.

Adult↗
PubMedDate not supplied

Invest in yourself. Coping with multiple roles: mother/wife/nurse.

As we rush around attending to the essentials of our lives (family, friends, clients, employers), what is left? Nursing Forum invites readers to engage in thoughts and activities that may awaken an untouched place. We hope these writings will kindle your personal involvement in something that was previously avoided--because of bias, fear, or uneasiness--in order to stretch your mind and spirit.

Adaptation, Psychological↗
PubMed2026

Identifying and Prioritizing Core Components of Relationship Education Programs: a Case Study of an Artificial Intelligence (AI) Assisted Systematic Review.

The field of prevention science seeks to identify and implement effective strategies to address social, emotional, and health challenges. A critical aspect of this endeavor is determining the core components of prevention programs that drive positive outcomes. This article presents a case study utilizing artificial intelligence (AI)-assisted systematic review methods to identify key components of healthy marriage and relationship education programs. Given the growing body of research in this domain, AI tools offer a promising means to enhance the efficiency and accuracy of literature reviews. This study employed AI to screen, code, and validate research articles, demonstrating its effectiveness in expediting systematic reviews while maintaining high accuracy in inclusion screening. This case study involved a systematic review of 22,028 resources (identified from PsycINFO, Academic Search Ultimate, and Google) and a final data set of 268 relevant studies. AI screening was integral in effectively conducting multiple rounds of screening. However, findings also highlight challenges in AI-assisted qualitative data abstraction, underscoring the continued need for human expertise in complex coding tasks. The study contributes to the ongoing discourse on integrating AI into prevention science methodologies and offers insights for optimizing AI applications in systematic reviews.

Artificial Intelligence↗
PubMed1977

Personality and background predictors of a young wife's desired family size.

A questionnaire that included 19 personality, socioeconomic, and general background variables was administered to 160 childless Caucasian, Protestant wives of college students to discover variables that offered promise as predictors of desired family size. Of the samples, 66% wanted two children, and 14% wanted three children. Four variables--feelings of alienation, father's social class level, level of overt anxiety, and childhood family size--had a combined multiple correlation of .39 with desired family size in a stepwise regression analysis and accounted for almost 15% of the desired family size variance. Results suggest that although desired family size remains difficult to predict, personality factors may be as significant as socioeconomic factors in its prediction.

Age Factors↗
PubMed1987

The married woman's retirement decision: a methodological comparison.

Data from the University of Michigan's Panel Study of Income Dynamics were used to investigate married women's retirement decisions. Results are presented from a methodological comparison of parameter estimates derived under both single- and multiple-equation frameworks using logit analyses. This study finds that: the married woman's decision is influenced significantly by her own wage wealth, Social Security wealth, pension wealth, and age, and it is significantly influenced by her spouse's wage wealth and his labor force status.

Age Factors↗
PubMed1994

Risk factors for HIV-1 infection in adults in a rural Ugandan community: a case-control study.

OBJECTIVE: To study in depth sexual history and sexual behaviour variables as risk factors for HIV-1 infection in a rural Ugandan population. METHODS: Following a socioeconomic and serological survey of a rural population in Masaka District, south-west Uganda, 233 randomly selected HIV-1-positive cases and 233 negative controls matched on age and village of residence, were invited in October 1990 to participate in a case-control study. A total of 132 cases and 161 controls attended for in-depth investigation including an interview about sexual behaviour. RESULTS: The factor most strongly associated with increased risk of infection was a greater number of lifetime sexual partners, with odds ratios (OR) of 2.1 and 4.9 for those reporting 4-10 and 11 or more partners, respectively, compared with those reporting less than four partners. Having only one sexual partner did not provide complete protection, a total of seven (one male, six female) subjects reporting only one sexual partner were HIV-1-positive. Other significant factors were a history of genital ulcers [OR, 2.9; 95% confidence intervals (CI), 1.0-9.1) and not being a Muslim (OR, 5.4; 95% CI, 1.8-16.5) suggesting a possible protective effect of circumcision. There was a suggestion that those who married within the last 7 years (OR, 2.4; 95% CI, 0.9-6.1) and men exposed to menstrual blood (OR, 5.7; 95% CI, 0.7-49.8) were at an increased risk of HIV-1 infection. CONCLUSIONS: These results confirm the predominant role of sexual behaviour in the HIV-1 epidemic. Of particular concern is the observation of HIV-1 infection among those reporting only one partner. Where HIV-1 infection is widely distributed in the general population, risk reduction strategies should, in addition to the promotion of partner reduction, place strong emphasis on safe-sex techniques.

Adolescent↗
PubMed1979

Locus of control and contraceptive knowledge, attitudes and practice.

A series of 100 interviews with women attending ante-natal clinics at two Sydney public hospitals assessed their contraceptive knowledge, attitudes, and practice and locus of personal control (whether they believed they controlled their own lives). Multiple regression analyses showed that locus of control was significantly related to their attitudes to contraception, but not to their contraceptive knowledge or practice. The implications of that finding for family planning programmes and sex education are discussed.

Adolescent↗
PubMed1976

Social aspects of venereal disease aboard a U.S. navy destroyer.

This paper describes the social characteristics of venereal disease patients aboard a US Navy destroyer. The research team administered questionnaires to 247 crew members at the outset of the ship's 7 month-overseas deployment. When the ship returned to home port, the research staff gathered demographic and occupational information plus disciplinary records, job performance ratings, and complete dispensary visit information for the deployment period. The morbidity data indicated that 48% of the entire crew experienced at least one case of VD, and of these VD patients, 38% had multiple infections. A set of variables that best predicted VD incidence was determined by means of multiple regression analysis. These variables included disciplinary record, pay grade, division or type of job ("blue-collar" versus "white-collar"), and education. Other variables that correlated with VD incidence were age, length of service, marital status, performance ratings, and verbal aptitude scores.

Adolescent↗
PubMed1991

Behaviour change in HIV infected subjects following health education.

A total of 85 HIV seropositive subjects among consecutive new registrants in the STD Department were given health education measures directed to avoiding high risk behaviours and also the events with a high potential for transmission of infection. The emphasis was on the use of condoms, discontinuing promiscuity, abstaining from homosexual acts and avoidance of pregnancy and advice against marriage for those contemplating it. The Health Education Programme was delivered individually to each subject over two or three sessions, each lasting for 30 to 45 min. At the time of follow up (one to 24 months) 42 per cent of subjects had become non-promiscuous. There was a good compliance on advice against marriage and pregnancy. Seven infants born during the follow up period were seronegative. The use of condom was not found to be acceptable. The prostitutes comprised the most resistant group to education. Among the factors that influenced the behaviour change favourably was the absence of earlier STD or a short duration of the current STD. Literacy, marital status, awareness of AIDS did not influence the outcome of education. The study demonstrated the feasibility of health education at individual level in the clinical setting of an STD Department. A longer follow-up may indicate the sustainability of behaviour change in the subjects.

Adult↗