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PubMed2001

The promotion of wellness in children and families challenges and opportunities.

This article considers the effects of marital disruption on children and families, using a risk and resilience perspective. The challenges that parental divorce poses for children are widely recognized; however, less attention has been given to strategies for promoting children's resilience and healthy developmental trajectories. The purpose of this article is to redress that imbalance by highlighting the importance of understanding pathways toward risk and resilience in children in the aftermath of divorce and the ways in which this research can be integrated into effective, evidence-based preventive interventions and proactive social policies that foster supportive parent-child relationships and psychological wellness in children and families.

Adult↗
PubMed2004

Interpersonal mediators in the intergenerational transmission of marital dysfunction.

Intergenerational transmission of marital functioning was examined in a sample of 60 newlywed couples by collecting (a) retrospective reports of conflict and divorce in spouses' families of origin, (b) data on demographic variables and interactional processes likely to increase risk for adverse marital outcomes, and (c) couples' actual 4-year marital outcomes. The association between wives' parental divorce and marital outcome was mediated by their verbal and physical aggression. The association between negativity in husbands' family of origin and marital outcome was mediated by dyadic expressions of negative affect. Demographic variables did not operate as mediators. Negative interpersonal processes appear to be a vehicle by which experiences in the family of origin are carried forward into the next generation of relationships.

Adult↗
PubMed2001

Sociomedical aspects of epileptic patients: their employment and marital status.

We examined the employment and marital status of adult patients with epilepsy who did not have mental retardation and who had been treated at Hirosaki University Hospital, Hirosaki, Japan, for more than 5 years. The present study included 278 patients (142 males and 136 females) ranging from 20 to 60 years of age. We investigated the occupational status of the subjects and found that 168 had permanent jobs, but 41 patients were unemployed at the time of this survey. The proportion of the patients whose seizures were controlled at the time of this survey was 68% (114/168) in the group having permanent jobs, and 22% (9/41) in the unemployed group. Forty cases answered that they had resigned from their jobs due to occurrence of epileptic seizures. Of these patients, 13 were dismissed and 27 resigned voluntarily due to the potential for seizures. As to relationship between jobs and neuropsychiatric complications, the incidence of a past history of psychotic states in the unemployed group was significantly higher than that in the employed group. As to marital status, 13 males and 16 females (n = 29) had experienced divorce. Seven cases (two males and five females) had answered that epilepsy had been the reason for their divorce. We conclude that epilepsy or epileptic seizures have various negative effects on the patient's social life.

Adult↗
PubMed2000

Socio-economic and lifestyle factors associated with the risk of prostate cancer.

International and interethnic differences in prostate cancer incidence suggest an environmental aetiology, and lifestyle and socio-economic factors have been studied, but with divergent results. Information on a cohort of 22,895 Norwegian men aged 40 years and more was obtained from a health examination and two self-administered questionnaires. Information on incident cases of prostate cancer was made available from the Cancer Registry. We used the Cox proportional hazards model to calculate incidence rate ratios as estimates of the relative risk (RR) with 95% confidence interval (CI). Reported P-values are two-sided. During a mean follow-up of 9.3 years, 644 cases were diagnosed. Risk was elevated among men in occupations of high compared to low socio-economic status (RR = 1.30; 95% CI 1.05-1.61), and among men with high education compared to the least educated (RR = 1.56; 95% CI 1.11-2.19). A RR of 1.56 (95% CI 0.97-2.44) suggests a higher risk among divorced or separated men, compared with married men. We also found indications of a weak negative association with leisure-time physical activity (RR = 0.80; 95% CI 0.62-1.03 for high vs low activity), a weak positive association with increasing number of cigarettes (P = 0.046), while alcohol consumption was not related to the risk of prostate cancer. These results show that high socio-economic status is associated with increased risk of prostate cancer, and that divorced or separated men might be at higher risk than married men. Data from this study also indicate that high levels of physical activity may reduce prostate cancer risk.

Adult↗
PubMed2002

[Health-related lifestyles and personality traits in fathers of children of minor age. Results of a telephone inquiry].

UNLABELLED: 70 fathers were interviewed by telephone, who had at least one child below 18 years of age and lived with or lived apart from their children because of separation or divorce. The questionnaire comprised information on health resources, health-relevant behaviours, sociodemographic measures, and personality traits as described by the 12 dimensions of the Freiburger Persönlichkeitsinventar (FPI). AIM OF THE STUDY: We intended to describe life situation, health-relevant behaviours and personality of separated fathers and to explore potential differences to fathers living in a normal family setting. METHODS: Cross-sectional survey with computer-aided telephone interviews (CATI). RESULTS AND CONCLUSIONS: Age of participants, number and age of children and many lifestyle parameters were similar in both groups. Separated fathers, however, showed a trend towards riskier lifestyles. There were no differences in health situation, but separated fathers did differ in quality of sleep and medication. Separated fathers also had significantly higher scores of three dimensions of personality (psychosomatic disorders, depressivity, emotional lability) and lower scores of the dimension masculinity. Divorce and separation are life events putting an extreme pychosocial strain on fathers. Psychosomatic disorders and depressivity as measured by the FPI show a distinct risk for fathers' health. A psychometric instrument like the FPI seems to be able to identify target groups for individual health prevention strategies.

Adolescent↗
PubMed1987

[Catamnestic study of 96 couples with heterologous insemination].

96 couples who had made an artificial insemination with donor sperm within 1968 and were interviewed in 1984, regardless whether the treatment was successful or not. The aim of the inquiry was to see how the partnership and the children developed as well as the actual feeling of the decision made. Three groups resulted which can be compared with each other: a) couples with successful treatment and children conceived by artificial insemination, b) couples with unsuccessful treatment by artificial insemination and consequent adoption of a child, c) couples with unsuccessful treatment by artificial insemination and without adoption of a child. 63 (65.6%) had at least one conception. 68 children were born to 55 couples. In the case of 9 men a normal conception took place after completion of the treatment. About 10% became divorced in the groups a and b and about 35% in group c. No couple regretted the treatment. The fathers of the divorced couples experienced themselves as fathers. The development of the children conceived in artificial insemination with donor sperm has not been showing any signs of unusual disturbances.

Adoption↗
PubMed2003

Dental anxiety in Iceland: an epidemiological postal survey.

In this study, we examined the prevalence of specific (dental) phobia among a sample of the Icelandic population. In addition to dental anxiety we explored factors that could be related to dental anxiety. In the period 1972-73, a stratified sample of 1641 schoolchildren in Reykjavík was selected for a study on malocclusion, dental maturation and other factors. Twenty-two years later (1995), a postal survey conducted in this group looked at many variables relating to oral health, including orofacial pain, functional oral disorders, self-perception of dental and general appearance and need for orthodontic treatment. Out of 1529 individuals contacted, 1192 completed questionnaires were returned (response rate 78%). Questions based on DSM-IV criteria of specific (dental) phobia (DP) were included. Ninety-six participants reported that they had avoided dental treatment during the previous 6 months. Twenty-one respondents fulfilled DSM-IV criteria for specific (dental) phobia (DP) and 75 admitted to many symptoms of dental anxiety (DA). Specific (dental) phobia (DP) was more prevalent among women than among men. The divorced or widowed were most at risk, as were non-salaried respondents. Most respondents attributed the onset of their phobias to a specific painful or fearful experience. There was a significant difference between the total dentally anxious (TDA = DA + DP) and the not dentally anxious (NDA) with regard to sex (women--higher TDA) and marital status (divorced or widowed--higher TDA). The TDA had statistically fewer teeth than the NDA and received dental treatment less frequently.

Adult↗
PubMed1992

Personality traits of a group of young adults from different family structures.

The impact of parental divorce and remarriage and young adults' gender on second-order personality traits, such as extraversion, anxiety, tough poise and independence, was examined. The responses of 227 young adults on the Sixteen Personality Factor Questionnaire (16PF; Cattell, Eber, & Tatsuoka, 1970) were subjected to a parametric multivariate analysis of variance. Results revealed significant differences between the anxiety scores of the young men and women as well as between those of the three different family-structure groups, but divorce and remarriage was not associated with either positive or negative personality development in this sample.

Adolescent↗
PubMed1976

Perceptual accuracy as a variable in marital adjustment.

This study investigated the ability of maritally-adjusted couples, couples attaining a divorce, and couples in counseling to predict the rewarding effects of their behavior on their spouse. Twenty-six couples, five obtaining a divorce, nine in counseling, and twelve adjusted couples completed a Marital Interaction Questionnaire in which they rated how rewarding each of the behaviors depicted was to them. Then each member predicted how rewarding it was to their spouse. Behaviors depicting six areas of marital interaction were included in the questionnaire. The computed perceptual accuracy scores were analyzed by a three-way classification-Analysis of Variance (ANOVA)-for unequal n's. This analysis yielded a significant main effect of marital status and a significant interaction between marital status by sex of spouse and between marital status by area of interaction. The maritally-adjusted group was always more accurate than the other two groups in their predictions, however, they were significantly more accurate only for selected areas of interaction.

Counseling↗
PubMed1980

Marriage and mental health.

Evidence linking psychiatric impairment with divorced marital status and the presence of marital discord is reviewed. Various theoretical models to explain these relationships are considered. Divorced marital status and marital discord are related to psychiatric impairment and mental health service utilization. Available evidence suggests that part of the impairment in these populations is secondary to factors involved in the breakdown of marital relationships and not completely explainable by premarital hypotheses. This has implications for mental health administrators.

Adaptation, Psychological↗
PubMed1987

The consequences of early marriage on marital dissolution.

This study is concerned with the negative effects of early marriage on marital stability. "The focus on this paper is an analysis of a path model which includes the estimated effects of antecedents of early marriage, early marriage and education on the probability of divorce. Findings using the [U.S.] General Social Surveys support research that suggests that early marriage is the most important varialbe influencing divorce. Further, little influence of the early marriage measure through education was found."

Americas↗
PubMed1992

Salient life events in three-generation families.

A short, simple procedure for eliciting salient life events is reported in this article. Respondents from three-generation families were asked to list events that had had an impact on them and their families. Responses were examined for content, criterion, and construct validity. The 10 events listed by 10% of at least one generation were major life cycle markers: Six (marriage, childbirth, divorce, retirement, widowhood, and ill health) pertained to the individuals, and four (marriage, birth, divorce, and ill health) pertained to their extended family networks. The expected relationship between events and depression (CES-D) was observed: The importance of low frequency events was reflected in their relationship to depression in the middle-aged and youngest generations. The importance of network events was reflected both in their presence on the lists of all age groups, and in their relationship to depression in the youngest generation.

Adult↗
PubMed1995

Nuptiality pattern in Saudi Arabia.

The data of this work are based on the 'Saudi Maternal and Child Health Survey' conducted in 1991. This was a nationwide house to house field survey. The study included 6294 ever-married Saudi female in the childbearing age who represent the target population. They were randomly selected from both urban and rural settings of the five geographical areas of Saudi Arabia. The mean current age of the sample of ever-married women was 31 years and the mean age at first marriage was 17 and 16 years for urban and rural females, respectively. Education was associated with upward shift of the age at first marriage. About 20 per cent of the sampled ever-married Saudi females got married before their 15th birthday and 83 per cent before reaching 20 years of age. These percentages are even higher in rural than urban settings. The overall percentage of women who were currently married at the time of the survey was 96 per cent. The divorced and widowed women of childbearing age were 2 and 3 per cent, respectively, of the total. Husband's educational level had positive impact on the frequency of divorce. The latter was highest among women married to illiterate husbands with a dose response pattern. Comparison has been made with the situation 4 years ago. An increase in literacy rates among Saudi ever-married women and their husbands was observed, however, a significant (P < 0.05) difference still exists between female and male literacy rates (38 and 71 per cent, respectively). The events of early marriage, before the age of 15 years, became less frequent. There is an overall decline in teenage marriages which explains a large part of the recent changes observed in nuptiality and pattern of birth in Saudi Arabia.

Adolescent↗
PubMed1991

Suspected risk factors for depression among adults 18-44 years old.

We examined suspected risk factors for depression among adults ages 18-44 years. The subjects, selected by probability sampling for a multisite collaborative study, were interviewed at baseline and again at follow-up after one year. The risk of major depression was higher for women as compared with men (RR = 1.5), and for the maritally separated or divorced versus all other adults (RR = 1.9), but at lower levels for employed men and women as compared with the unemployed (RR = 0.6). Sex and marital separation or divorce also were associated with increased risk of a less specific and severe depressive syndrome; working for pay was associated with lower risk. In addition, risk of the depressive syndrome was lower for Hispanic Americans versus all other persons (RR = 0.3), and there was an important interaction of age and sex. With increasing age, women were at increasingly higher risk for the depressive syndrome, as compared with men. Finally, the risk of simple depression was higher for women than for men (RR = 1.8), but was not strongly associated with other suspected risk factors under study once sex was taken into account.

Adolescent↗
PubMed1999

The effects of marital dissolution and marital quality on health and health service use among women.

BACKGROUND: Little is known about the impact of marital dissolution and/or marital harmony on health service use. OBJECTIVES: To examine the ways in which marital dissolution and/or marital quality influence health and health service use. RESEARCH DESIGN: The Americans' Changing Lives (ACL) survey was designed to provide a longitudinal study of successful aging. The ACL contains a nationally representative sample of people over age 24, with an oversampling of individuals age 60 and above. SUBJECTS: Nine hundred and twenty seven female subjects who were married at baseline (1986); 101 (10.9%) of those were no longer married at follow up (1989). MEASURES: Health status and health service use at follow up. RESULTS: Marital dissolution, alone and together with marital quality, was associated with worsened mental and physical health and increased mental health service use. Marital harmony was associated with better sleep and fewer depressive symptoms and physician visits. Widowhood was associated with worsened health, but not with greater health service use. Separated women and women divorced from a discordant marriage were not more depressed but used more mental health services. Women separated from a marriage they had rated as harmonious increased their alcohol consumption. CONCLUSIONS: Marital dissolution increases the risk for mental and physical health problems, some of which emerge only among women who had harmonious marriages. Marital harmony appears protective against physician visits. Widows should be encouraged to seek help for their health difficulties. Separated women should be counseled that they are at heightened risk for increased alcohol consumption. Divorced and separated women appear to seek help for emotional problems, over and above depressive symptoms.

Alcohol Drinking↗
PubMed2000

The relationship between serial monogamy and rape in the United States (1960-1995).

In mating systems where individuals pair, separate and re-pair repeatedly (i.e. serial monogamy), some males monopolize more than one female's reproductive life span and thus leave other males effectively mateless. Males who cannot secure females through traditional methods may seek alternatives, such as rape, to ensure gene passage into future generations. Analysis of US government records shows that (i) divorce and remarriage patterns in the United States are likely to increase the variance in male reproductive success, and (ii) rates of divorce and rape correlate positively. The former result suggests that serial monogamy increases the variance in male, relative to female, reproductive success and the latter result suggests that this variance influences the frequency of rape in American society. Because raped females sometimes become pregnant and take these pregnancies to term, our results indicate that rape has current adaptive significance.

Divorce↗
PubMed1989

Coping with family transitions: winners, losers, and survivors.

This article presents the results of a longitudinal study of the effects of divorce and remarriage on children's adjustment. It was found that individual characteristics, such as children's temperament, family relations, and extrafamilial factors, played an important role in exacerbating or buffering children from negative consequences associated with their parents' marital transitions. Although boys in divorced families and children in remarried families showed more problems in adjustment than did children in nondivorced families, some also showed remarkable resiliency in the face of multiple life stressors.

Adaptation, Psychological↗
PubMed2005

Social and environmental conditions across the life course and age at menopause in a British birth cohort study.

OBJECTIVE: To assess whether socio-economic status, environmental stress and hardship throughout the life course are associated with age at menopause. DESIGN: Birth cohort study. SETTING: England, Scotland, Wales. SAMPLE: A total of 1515 women from a stratified sample of all births in one week in 1946. METHODS: Age at menopause was collected using annual postal questionnaires from age 47 to 53 years. Information on socio-economic conditions and hardship were collected at contacts throughout life from age 2 to 43 years. Socio-economic indicator variables were defined to represent cumulative exposure to hardship in childhood and in adulthood. MAIN OUTCOME MEASURES: Age at menopause. RESULTS: Cox's proportional hazard models indicated that women whose fathers were in a manual social class occupation at three time points during her childhood had an earlier age at menopause than those whose fathers were in non-manual occupations at all three (HR: 1.51; 95% CI: 0.93-2.47). Similar findings were seen for household crowding. These socio-economic gradients could not be explained by adult socio-economic status, behaviour and lifestyle or by psychological health and stress, but were attenuated by other early life factors. Women who experienced parental divorce early in life (before five years of age) had double the rate of menopause of those whose parents did not divorce (HR: 2.14; 95% CI: 1.33-3.42). There were no consistent findings with adult socio-economic indicators. CONCLUSIONS: There is some evidence of a cumulative effect of socio-economic circumstances in childhood, but not in adulthood, on age at menopause. Childhood nutrition, cognition and emotional stress possibly underlie the social gradient.

Adult↗