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1.
FEMS Microbiol Ecol ; 2024 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-39293810

RESUMO

Human decomposition in terrestrial ecosystems is a dynamic process creating localized hot spots of soil microbial activity. Longer-term (beyond a few months) impacts on decomposer microbial communities are poorly characterized and do not typically connect microbial communities to biogeochemistry, limiting our understanding of decomposer communities and their functions. We performed separate year-long human decomposition trials, one starting in spring, another in winter, integrating bacterial and fungal community structure and abundances with soil physicochemistry and biogeochemistry to identify key drivers of microbial community change. In both trials soil acidification, elevated microbial respiration, and reduced soil oxygen concentrations occurred. Changes in soil oxygen concentrations were the primary driver of microbial succession and nitrogen transformation patterns, while fungal community diversity and abundance was related to soil pH. Relative abundance of facultative anaerobic taxa (Firmicutes and Saccharomycetes) increased during the period of reduced soil oxygen. The magnitude and timing of the decomposition responses was amplified during the spring trial relative to the winter, even when corrected for thermal inputs (accumulated degree days). Further, soil chemical parameters, microbial community structure, and fungal gene abundances remained altered at the end of one year, suggesting longer-term impacts on soil ecosystems beyond the initial pulse of decomposition products.

2.
Dev Psychol ; 2024 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-39172413

RESUMO

Kagan theorized biologically based temperament types that are present in infancy, stable across development, and essential for understanding individual differences. Despite evidence, temperament research remains focused on a few prominent dimensions of temperament, without adequately addressing covariance among dimensions and temperament types. Using longitudinal twin data, we took a person-centered statistical approach to identify temperament types and examined continuity and change across five developmental periods (Ninfancy = 602; Ntoddlerhood = 522; Nearly childhood = 390; Nlate childhood = 718; Nearly adolescence = 700). We then examined the genetic and environmental etiology of temperament types. Twins were boys and girls (51-53% female), primarily Hispanic/Latinx (23-30%) and non-Hispanic/Latinx White (56-63%), and from socioeconomically diverse families (28-38% near-or-below the poverty line). Using latent profile analysis, we identified three temperament types at each age characterized by negative reactivity and dysregulation, positive reactivity and strong self-regulation, and moderate reactivity and regulation. Latent transition analyses revealed considerable continuity in membership type for "negative dysregulated" beginning in infancy, log odds = 1.58 (SE = .65) to 3.16 (SE = .77), p < .01, of remaining relative to transitioning to "typical expressive", and "positive well-regulated" beginning in early childhood, log odds = 1.41 (SE = .56) to 2.25 (SE = .47), p < .05. Twin analyses revealed moderate heritability and a consistent role of the shared environment on positive well-regulated, with negative dysregulated and typical expressive also moderately heritable with the shared environment being important at some ages. Findings support the presence of theorized biologically based temperament types that develop rapidly in infancy and toddlerhood and provide a foundation for the study of individual differences and risk and resilience processes across the lifespan. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

3.
J Exp Child Psychol ; 246: 105994, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-38991312

RESUMO

Early-life positive and adverse parental factors, such as positive parent personality and parental stress, affect the environmental context in which children develop and may influence individual differences in children's sleep health. This study examined the moderating role of early-life parental factors in the heritability (i.e., the extent to which individual differences are due to genetic influences) of objectively assessed childhood sleep duration. A total of 351 families from the Arizona Twin Project were studied. Primary caregivers (95% mothers) reported on multiple dimensions of stress and facets of their own personality when the twins were 12 months old. Seven years later (Mage = 8.43 years, SD = 0.68), families completed a home visit, and twins (51% female; 57% White, 29% Hispanic; 30% monozygotic, 39% same-sex dizygotic, 31% other-sex dizygotic) wore actigraph watches to assess their sleep, with caregivers completing similar assessments on their personality attributes and stress. Early-life positive parent personality moderated the heritability of sleep duration (Δ-2LL [-2 log likelihood] = 2.54, Δdf = 2, p = .28), such that as positive parent personality increased, the heritability of duration decreased. Early-life parental stress also moderated the genetic contribution to sleep duration (Δ-2LL = 2.02, Δdf = 2, p = .36), such that as stress increased, the heritability of duration increased. Concurrent positive parent personality and parental stress composites showed similar patterns of findings. Results highlight the likely contribution of parent positive traits and adverse experiences to the etiology of children's sleep health, with genetic influences on children's sleep more prominent in "riskier" environments. Understanding how genetics and environments work together to influence the etiology of sleep may inform prevention programs.


Assuntos
Sono , Humanos , Masculino , Feminino , Criança , Sono/genética , Sono/fisiologia , Pais/psicologia , Personalidade/genética , Estresse Psicológico/psicologia , Estresse Psicológico/genética , Interação Gene-Ambiente , Arizona , Lactente , Actigrafia , Duração do Sono
4.
Dev Psychol ; 60(9): 1716-1732, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38976431

RESUMO

Premature infants may be at risk for lower effortful control, and subsequent lower academic achievement, peer competence, and emotional and physical wellness throughout the lifespan. However, because prematurity is related to obstetrical and neonatal complications, it is unclear what may drive the effect. Effortful control also has a strong heritable component; therefore, environmental factors during pregnancy and the neonatal period may interact with genetic factors to predict effortful control development. In this study, we aimed to dissect the influences of genetics, prematurity, and neonatal and obstetrical complications on the development of effortful control from 12 months to 10 years using a twin cohort. This study used data from the Arizona Twin Project, an ongoing longitudinal study of approximately 350 pairs of twins. Twins were primarily Hispanic/Latinx (23.8%-27.1%) and non-Hispanic/Latinx White (53.2%-57.8%), and families ranged in socioeconomic status with around one third falling below or near the poverty line. Of the twins, 62.6% were born prematurely. Effortful control was assessed via parent report at six waves. There was not a significant relationship between gestational age and effortful control regardless of whether obstetrical and neonatal complications were controlled for. Biometric twin modeling revealed that the attentional focusing subdomain of effortful control was highly heritable. Gestational age did not moderate genetic and environmental estimates. Our findings help inform the risk assessment of prematurity and provide evidence for the differing etiology of each subdomain of effortful control and the strong role of genetics in effortful control development. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Assuntos
Desenvolvimento Infantil , Humanos , Feminino , Estudos Longitudinais , Masculino , Lactente , Desenvolvimento Infantil/fisiologia , Criança , Pré-Escolar , Recém-Nascido Prematuro , Gravidez , Recém-Nascido , Idade Gestacional
5.
Sleep Med ; 111: 111-122, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37757508

RESUMO

STUDY OBJECTIVES: Growing evidence suggests concordance between parent and youth sleep. However, no known study has simultaneously examined concordance among siblings' sleep patterns. This study investigated daily and average concordance in (1) parent-youth and (2) sibling actigraphy-measured sleep, as well as the degree to which sibling concordance varied by sleeping arrangements. METHODS: 516 twin siblings (Mage = 10.74, 51% female; 30% monozygotic (MZ) twin pairs, 37% same-sex dizygotic pairs (DZ-ss), 33% opposite-sex DZ pairs (DZ-os)) and their primary caregivers (Mage = 40.59, 95% female) wore wrist-based accelerometers for 7 consecutive nights to measure sleep duration, efficiency, midpoint time, and latency. Primary caregivers also reported on demographics, youth pubertal status, and room-sharing. Two-level multilevel models were estimated to examine daily and average concordance in parent-youth and sibling sleep. RESULTS: Daily concordance was observed between parent and youth sleep duration and midpoint; average concordance was found for sleep duration, midpoint, and latency. Within sibling dyads, daily and average concordance was evident across all sleep parameters (duration, efficiency, midpoint, latency), with generally stronger concordance patterns for MZ than DZ twin pairs, and for twins who shared a room with their co-twin. CONCLUSIONS: This is the first known study to document concordance among parent-youth and siblings' actigraphy-measured sleep within the same study (i.e., triad). Our findings can help inform the development of family-level interventions targeting daily and overall sleep hygiene.


Assuntos
Actigrafia , Irmãos , Humanos , Adolescente , Feminino , Criança , Adulto , Masculino , Cuidadores , Gêmeos Dizigóticos , Sono , Relações Pais-Filho
6.
J Cardiovasc Nurs ; 2023 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-37639560

RESUMO

BACKGROUND: Adults with heart failure (HF) experience a constellation of symptoms; however, understanding of gender differences in HF symptoms remain elusive. The aim of this study was to determine whether there are gender differences in physical and depressive symptoms and symptom patterns in HF using 2 different analytic techniques. METHODS: We performed a secondary analysis of combined data from 6 studies of adults with HF. Physical symptoms were measured with the HF Somatic Perception Scale, and depressive symptoms were measured with the Patient Health Questionnaire-9. First, we performed propensity matching with the nearest neighbor to examine the average treatment effect for HF Somatic Perception Scale and Patient Health Questionnaire-9 in the matched sample of women and men. Next, we used the entire data set in a latent class mixture model to determine patterns of symptoms. Finally, we calculated predictors of class membership with multinomial logistic regression. RESULTS: The sample (n = 524, 86.5% systolic HF) was 37% women with a mean age of 58.3 ± 13.9 years and mean number of years with HF of 6.9 ± 6.9. Three hundred sixty-six participants were matched on propensity scores; there were no significant gender differences in symptom scores between matched women (n = 183) and men (n = 183). Among all 524 participants, 4 distinct latent classes of symptom patterns indicate that many patients with HF are fatigued, some have more depressive symptoms, and others have significantly more edema or cough. Gender did not predict membership to any symptom pattern. CONCLUSIONS: There were significant gender differences in sociodemographics, health behaviors, and clinical characteristics, but not HF symptoms or symptom patterns, using either analytic technique.

7.
J Health Psychol ; 28(11): 1044-1056, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37038610

RESUMO

Pain disability is a primary target of treatment for chronic pain. Self-compassion shows promise as an intervention to reduce pain disability, but mechanisms linking self-compassion with less pain disability remain to be identified. This study examined two potential mechanisms, health self-efficacy and future self-identification (FSI), as parallel mediators of the relation between self-compassion and pain disability. Adults (N = 188; Mage = 40.34, SD = 11.53; 70.9% female) screened for chronic pain were recruited through online convenience sampling. Participants completed self-report measures of demographics, health status, and primary study variables. Self-compassion was positively associated with FSI and self-efficacy, but only self-efficacy was found to mediate the negative relation between self-compassion and pain disability, such that self-compassion was associated with higher self-efficacy, which was associated with less pain disability. Future experimental and longitudinal studies can establish whether the negative relation between self-compassion and pain disability is causal and mediated via health self-efficacy.


Assuntos
Dor Crônica , Pessoas com Deficiência , Humanos , Adulto , Feminino , Masculino , Autoeficácia , Autocompaixão , Autorrelato , Empatia
8.
Exp Clin Psychopharmacol ; 31(3): 745-755, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36355680

RESUMO

Delay discounting is a component of reward processing that affects decision-making in various health behavior domains. This study examined the discounting of gains and losses for monetary and pain outcomes among adults with and without chronic pain. Pain severity and pain catastrophizing (PC) were examined as additional moderators. This study assessed the discounting rates of 138 adults with chronic pain and 147 adults without chronic pain using online convenience sampling. Delay discounting was measured using an adjusting amount procedure, which titrates discounting rates based on participants' responses to identify points of indifference. Adults with and without chronic pain discounted losses more than gains and discounted pain outcomes more than monetary outcomes. There were no differences between groups based on chronic pain status or average self-reported pain severity. Post hoc analyses show that, on average, adults with chronic pain and high pain catastrophizing discounted monetary losses less than adults without chronic pain and low pain catastrophizing. This finding suggests that a tendency to defer immediate losses in favor of even larger delayed losses is dependent on high pain catastrophizing in the context of chronic pain. If pain catastrophizing is a more robust predictor of discounting rates than other pain metrics, then catastrophizing may be the construct that predicts risky decision-making. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Dor Crônica , Desvalorização pelo Atraso , Humanos , Adulto , Recompensa , Comportamentos Relacionados com a Saúde
9.
J Exp Psychol Gen ; 152(3): 780-793, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36095169

RESUMO

There is a need to understand the components of self-regulation, given its link to nearly every domain of functioning across the life span. This study examined the etiological underpinnings of covariance between measures of executive functioning (EF) and effortful control (EC) in middle childhood. The extent that genetic and environmental factors explain the association between EF and EC is unknown. Families were drawn from a longitudinal twin study (N = 894 twins; Mage = 8.87 years, SD = 1.10; 51.4% female; 46.8% non-Hispanic White, 28% Latino/a/x) and twins completed EF tasks during a home visit (Flanker Task, Continuous Performance Task, and Digit Span Backward) and primary caregivers (93.8% mothers) reported on their twins' EC (Attentional Focusing and Inhibitory Control). Univariate twin models showed additive genetic and nonshared environmental influences on the Flanker Task, Continuous Performance Task, Digit Span Backward, and parent-reported Inhibitory Control, and dominant genetic influences were implicated in parent-reported Attentional Focusing. Bivariate twin models revealed that additive genetic influences explained the small covariance between EF and EC. Executive attention could explain the genetic covariance between measures of EF and EC. This study suggests that EF and EC tap into the same underlying self-regulation construct, with weak correlations between constructs being attributed to measurement, rather than conceptual, differences. Elucidating the overlap between EF and EC can bring researchers closer to understanding how best to foster adaptive self-regulation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Função Executiva , Gêmeos , Criança , Feminino , Humanos , Masculino , Atenção/fisiologia , Função Executiva/fisiologia , Mães , Pais , Gêmeos/genética
10.
Insects ; 13(10)2022 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-36292827

RESUMO

Postmortem interval estimations can be complicated by the inter-individual variation present in human decomposition. Forensic entomologists may especially face challenges interpreting arthropod evidence in scenarios that are not "by the book", or that vary in unexpected ways. Therefore, it is important to report instances where blow fly colonization does not align with expected soft tissue decomposition as blow fly larvae are often used to produce a time of colonization (TOC) estimation to infer a minimum PMI. We followed the decomposition and blow fly activity of three human donors at the Anthropology Research Facility (University of Tennessee). Delayed oviposition occurred on one donor 115 d post-placement, whereas two donors experienced blow fly re-colonization after cessation of the consumption phase, one 22 d and one more than 200 d after blow fly larvae were last observed. A null hypothesis model tested whether the entomological TOC and anthropological total body score (TBS) estimations encompassed the time of placement (TOP) for each donor. While the null hypothesis was rejected for all TOC estimations, it could not be rejected for the TBS estimations. We discuss how the non-linear nature of human decomposition can pose challenges to interpreting blow fly evidence and suggest that forensic entomology practitioners should recognize these limitations in both research endeavors and applied casework.

11.
Affect Sci ; 3(2): 353-369, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36045998

RESUMO

Touch associated with sleep (sleep-touch; reported physical contact during or shortly before/after sleep) is underexplored as a distinct contributor to affect regulatory processes associated with adult sleep. Given the affect-regulating effects of interpersonal touch, we theorized that among healthy co-sleeping adults, sleep-touch would add to sleep-related effects on affective "resetting," resulting in the experience of calmer, more regulated states. We studied 210 married heterosexual couples (aged 20-67 years, 79% non-Hispanic white, 13% Latinx) assigned 14 days of twice-daily (morning/evening) sleep/mood diaries. Multilevel daily (within-couple) mediation analyses showed that as hypothesized, more reported sleep-touch was associated with happier/calmer and less angry/irritable morning mood. In turn, happier/calmer mood was associated with greater enjoyment of time with spouse (for both spouses). Sleep-touch also was linked directly to both evening positive spousal events and enjoyment ratings. Sleep-touch was associated indirectly with fewer negative spousal events and less spouse-related stress via less angry/irritable morning mood (both spouses). Further, wives' sleep-touch was related to happier/calmer husband mood and evening enjoyment; husbands' sleep-touch was unrelated to wives' reports. All associations with sleep-touch were present while accounting for subjective sleep quality, prior evening mood, non-sleep-related physical affection, day in study, and weekend versus weekday. We speculate that among relatively healthy satisfied couples, physical touch during and surrounding sleep may add to sleep's restorative and affect-regulatory functions, suggesting a pathway through which co-sleeping can improve affect regulation and ultimately relationships and health.

12.
mSphere ; 7(5): e0032522, 2022 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-36135386

RESUMO

Microorganisms are key decomposers of vertebrate mortalities, breaking down body tissues and impacting decomposition progress. During human decomposition, both extrinsic environmental factors and intrinsic cadaver-related factors have the potential to impact microbial decomposers either directly or indirectly via altered physical or chemical conditions. While extrinsic factors (e.g., temperature, humidity) explain some variation in microbial response during human decomposition in terrestrial settings, recent work has noted that even under the same environmental conditions, individuals can have different decomposition patterns, highlighting the potential for intrinsic factors to impact microbial decomposers. The goal of this study was to investigate the effects of several intrinsic factors (age, sex, diseases at time of death, and body mass index [BMI]) on chemical and microbial changes in decomposition-impacted soils. In a field study conducted at the University of Tennessee Anthropology Research Facility, soils were collected from the decomposition-impacted area surrounding 19 deceased human individuals through the end of active decomposition. Soil physicochemical parameters were measured, and microbial (bacterial and fungal) communities were assessed via amplicon sequencing. BMI was shown to explain some variation in soil pH and microbial response to human decomposition. Hierarchical linear mixed (HLM) effects models revealed that BMI category significantly explained variation in pH response within decomposition-impacted soils over time (HLM F = 9.647; P < 0.001). Additionally, the relative abundance of soil Saccharomycetes in decomposition soils under underweight donors displayed little to no changes (mean maximum change in relative abundance, +6.6%), while all other BMI categories displayed an increased relative abundance of these organisms over time (normal, +50.6%; overweight, +64.4%; and obese, +64.6%) (HLM F = 3.441; P = 0.11). Together, these results reveal intrinsic factors influencing decomposition patterns, especially within the soil environment, and suggest BMI is an important factor for controlling decomposition processes. IMPORTANCE This work begins to address questions about interindividual variation in vertebrate decomposition attributed to intrinsic factors, that is, properties of the carcass or cadaver itself. Most research on factors affecting decomposition has focused on the extrinsic environment, such as temperature or humidity. While these extrinsic factors do explain some variation in decomposition patterns, interindividual variability is still observed. Understanding how intrinsic factors influence microbial decomposers will help reveal the ecological impacts of decomposition. This work also has forensic applications, as soil chemical and biological changes have been suggested as indicators of postmortem interval. We reveal factors that explain variation in the decomposition environment that should be considered in these estimates. This is particularly important as we consider the implications of variations in human populations due to diet, age, BMI, disease, toxicological loading, etc. on forensic investigations dealing with decomposing remains.


Assuntos
Microbiologia do Solo , Solo , Humanos , Solo/química , Índice de Massa Corporal , Bactérias , Cadáver
13.
Dev Psychol ; 58(10): 1849-1862, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35816590

RESUMO

Early life stress, daily life experiences, and the stress responsive hypothalamic-pituitary-adrenal (HPA) axis have each been examined as predictors of the development of psychopathology. Rarely have researchers attempted to understand the covariation or interaction among these stress domains using a longitudinal design in the prediction of symptoms of internalizing psychopathology, particularly during childhood. This study examined early family stress, daily interpersonal stress, indicators of diurnal cortisol, and internalizing symptoms in a racially/ethnically and socioeconomically diverse sample of twins (N = 970 children; Mage at outcome = 9.73; 52% female; 23.7% Hispanic/Latino, 58.8% White; 30% below middle class; Lemery-Chalfant et al., 2019). An additive model of stress, a stress mediation model, and a stress sensitization framework model each delineated potential pathways linking stress and internalizing symptoms. Supporting additive pathways, multilevel models showed that all 3 stress indicators uniquely predicted internalizing symptoms. There was a significant indirect path from early family stress to 9 year internalizing symptoms through interpersonal stress, supporting stress mediation. Family stress moderated the association between interpersonal stress and internalizing symptoms, though not in the direction that would support stress sensitization. Child stress, including daily interpersonal stress and HPA axis activity, and internalizing symptoms are prevalent and family stress is a significant precursor to child internalizing symptoms across child development. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Sistema Hipotálamo-Hipofisário , Sistema Hipófise-Suprarrenal , Criança , Feminino , Humanos , Hidrocortisona/metabolismo , Sistema Hipotálamo-Hipofisário/metabolismo , Masculino , Sistema Hipófise-Suprarrenal/metabolismo , Saliva/metabolismo , Estresse Fisiológico , Estresse Psicológico/metabolismo
14.
Nurs Res ; 71(2): 138-146, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34991149

RESUMO

BACKGROUND: Because of the COVID-19 pandemic, our research team quickly pivoted from planned face-to-face interaction with participants to virtual interactions. During this transition, we discovered invaluable new practices for conducting research remotely, including collecting physiological data. OBJECTIVE: Our objective was to describe the methodological challenges we encountered when conducting this research virtually with grandparent-grandchild dyads and describe the strategies we developed to overcome those challenges. Of primary focus were procedures for finger-stick blood sample collection. Of secondary focus were procedures for conducting virtual-based research with older adults and across multiple generations. METHODS: During an observational study utilizing a virtual platform with 11 grandparent-grandchild dyads (mean age: 64.2 ± 5.0 years for grandparents and 9.3 ± 1.9 years for grandchildren), we documented lessons learned (based on the discussion within our team and feedback we have received from participants) that could be applicable for other, similar research endeavors. RESULTS: We found several challenges in collecting blood samples, including staff were unfamiliar with providing online instruction and participants needed to develop familiarity with the blood sample collection process (without having in-person assistance), and we had to develop methods for delivering blood sample collection kits to participants safely. We also found that it took longer than expected to run procedures-a challenge that might be encountered when conducting any type of dyadic research utilizing a virtual platform-particularly involving older adults and across multiple generations. In addition, it was challenging to keep child participants engaged in the virtual interactions. We document how we employed targeted strategies to overcome those obstacles. Recommendations for strategies from our team include to provide comprehensive and clear instruction/materials on blood sampling procedure, offer generous support throughout the blood collection process, be prepared to divide study visits into more than one session as needed, proactively anticipate potential roadblocks, and carefully consider the participants' developmental stages and attention span. DISCUSSION: The insights we gained will help inform future research with grandparent-grandchild dyads in remote or rural populations utilizing virtual platforms.


Assuntos
COVID-19 , Avós , Idoso , Criança , Família , Humanos , Pessoa de Meia-Idade , Pandemias , SARS-CoV-2
15.
J Fam Psychol ; 36(1): 102-113, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34197156

RESUMO

Associations between effortful control and physical and mental health were examined among triads of mothers and twin children by simultaneously modeling the effects of one's own effortful control on one's own health (actor effects) with the effects of the other two family members' effortful control on one's health (partner effects). Families (N = 761 individuals; 254 families) included mothers (Mage = 39.98, SD = 5.64) and their twin children (Mage = 8.58, SD = 0.57; 51% female; 54.7% non-Hispanic White, 28% Hispanic). Mothers completed online and in-person questionnaires, and mothers' and children's body composition indicators and dominant-handgrip strength were directly assessed during two home visits. Actor effects dominated in families with twin boys and mixed-sex twins, whereas partner effects were more apparent in families with twin girls. In addition, the effects of children's effortful control on mothers' health depended on the sex of the twins. Findings uncovered important family dynamics linking effortful control to health, including that associations may vary by sex match of children in the family. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Força da Mão , Mães , Adulto , Criança , Relações Familiares , Feminino , Humanos , Masculino , Inquéritos e Questionários , Gêmeos
16.
Int J Drug Policy ; 100: 103531, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34818602

RESUMO

BACKGROUND: There is speculation that enrollment in U.S. state medical cannabis programs differs depending on whether adult recreational cannabis use is legal. If true, this could have implications for public health and policy. METHODS: Using medical cannabis registry data from U.S. states with a mandatory registry between 2013 and 2020 (N = 23 states), this study examined time-trends in medical cannabis cardholder enrollment and tested whether enrollment trends differed depending on adult recreational cannabis legalization. RESULTS: Multilevel models showed that time-trends for registered active medical cardholders differed during years when adult recreational cannabis use was legal versus not legal (time*recreational cannabis law interaction: b = -0.004, p < 0.01, 95% CI = -0.005, -0.003). The population prevalence of registered active medical cardholders increased over time in years when recreational cannabis was not legal (i.e., medical-only years; b = 0.004, p < 0.001, 95% CI = 0.003, 0.004, corresponding to an increase of 380 cardholders per 100,000 people per year), and decreased in years when recreational cannabis was legal (i.e., recreational years; b = -0.001, p < 0.001, 95% CI = -0.002, -0.001, corresponding to a decrease of 100 cardholders per 100,000 people per year). Time-trends were similar for each sex (male, female) and age group (18-30/35, 30/35+), with each cardholder group showing increases in medical-only years and decreases in recreational years. In medical-only years, there were no differences in enrollment time-trends across sex, but older cardholder (30/35+) enrollment increased at a faster rate than younger cardholder enrollment (18-30/35) (F = 16.199, p < 0.001). In recreational years, male cardholder enrollment decreased at a faster rate than female cardholder enrollment (F = 7.347, p < 0.01), but there was no difference in trends across age. Three states, all with medical-only years, provided data on ethnicity/race. Results showed significant increases from 2016 to 2020 in enrollment of White, African-American, and Hispanic individuals. CONCLUSIONS: Findings suggest that recreational cannabis legalization is associated with decreasing enrollment in medical cannabis programs, particularly for males.


Assuntos
Cannabis , Alucinógenos , Maconha Medicinal , Adulto , Agonistas de Receptores de Canabinoides , Etnicidade , Feminino , Humanos , Legislação de Medicamentos , Masculino , Estados Unidos/epidemiologia
17.
Psychol Serv ; 19(Suppl 1): 106-119, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34807665

RESUMO

The majority of women veterans experience chronic pain and many have comorbid posttraumatic stress disorder (PTSD). To enhance resilience in these veterans in terms of both physical functioning and psychosocial well-being, a mindfulness-based, trauma-informed, eight-session group pilot program was designed to target emotion regulation and social belonging. Women who engaged in treatment were asked to complete questionnaires assessing pain, functioning, and affective and social well-being before and after the program. The present retrospective research study evaluated (a) whether women who engaged in treatment showed pre-to-post treatment improvement in psychosocial and physical functioning and (b) whether women referred to the program who engaged versus did not engage in treatment differed in demographic and clinical data (i.e., pain diagnoses, mental health diagnoses, documented trauma history) obtained from medical record review. The sample consisted of 36 women who began the program and filled out a pregroup questionnaire (intent-to-treat sample; ITT) and 105 women who were referred but did not engage in treatment. The majority had a documented history of trauma, a mood disorder, and a PTSD diagnosis. ITT analyses indicated that veterans showed moderate-to-large pre-post improvements in pain severity, pain catastrophizing, physical functioning, depression, self-compassion, and positive affect. Veterans who engaged in treatment were similar to those who did not in demographics, number of pain diagnoses, and mental health diagnoses, but were more likely to have a documented history of trauma. Despite the limitations of this study, the findings are encouraging and point to the value of a future randomized controlled trial. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Dor Crônica , Atenção Plena , Transtornos de Estresse Pós-Traumáticos , Veteranos , Dor Crônica/terapia , Feminino , Humanos , Estudos Retrospectivos , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos de Estresse Pós-Traumáticos/terapia , Veteranos/psicologia
18.
J Behav Med ; 44(4): 551-562, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33723674

RESUMO

Associations between poor sleep and pain may be amplified for children who also have depressive or anxious symptoms. This study examined associations between child sleep at eight years and recurrent pain at nine years along with the moderating role of internalizing symptoms. Families were from a community-based, ongoing longitudinal study (N = 632 children). At eight and nine years, twins (49.2% female, 56.7% non-Latinx European American, 28.8% Latinx) and caregivers participated in assessments focused on child sleep and pain, respectively. Approximately 53% of children had pain in at least one location at least monthly. Internalizing symptoms at age eight were positively associated with number of pain sites at age nine. Lower sleep efficiencies were associated with more pain sites for children with higher levels of internalizing symptoms. Later midpoint times were associated with more pain sites for children with lower levels of internalizing symptoms. Interventions focused on improving children's pain outcomes may consider targeting sleep behaviors and mental health.


Assuntos
Distúrbios do Início e da Manutenção do Sono , Sono , Ansiedade/epidemiologia , Criança , Feminino , Humanos , Estudos Longitudinais , Masculino , Dor
19.
J Child Psychol Psychiatry ; 61(10): 1070-1079, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32926441

RESUMO

BACKGROUND: Prior research has established links between poor sleep and problems in emotion regulation. Impulsivity and anger/frustration are core features of child psychopathology. Further, sleep problems are commonly associated with psychopathology. This study examined shared and unique genetic and environmental influences on sleep, impulsivity, and anger/frustration in the middle childhood period with potential ramifications for psychopathology. METHODS: Families (29.9% monozygotic, 38.6% same-sex dizygotic, 31.5% opposite-sex dizygotic) from a longitudinal twin study participated (N = 613 twins). Twins (Mage  = 8.37, SD = 0.66; 49% female; 58% non-Latinx European American, 30% Latinx) wore actigraph watches for seven days to assess sleep. Primary caregivers (95.3% mothers) completed standardized questionnaires to assess twins' temperament (impulsivity, anger/frustration). RESULTS: Univariate ACE twin structural equation models indicated strong genetic influences (76%) on impulsivity, whereas the largest proportion of variance in anger/frustration was attributed to the shared environment (56%). Bivariate model fitting indicated that sleep-impulsivity and sleep-anger/frustration associations in children are genetic; thus, a mutual underlying genetic factor likely contributes to the commonality in these associations. CONCLUSIONS: Given evidence that sleep problems, impulsivity, and anger/frustration are mechanisms associated with psychopathology, our findings suggest a genetic commonality and the need to focus on shared and unique risk factors when understanding etiology. Early intervention and prevention efforts should target both sleep problems and high levels of impulsivity and anger/frustration in children, which may have implications for later psychopathology.


Assuntos
Ira , Comportamento Impulsivo , Psicopatologia , Sono/genética , Criança , Regulação Emocional , Feminino , Humanos , Masculino , Transtornos Mentais/genética , Transtornos do Sono-Vigília/genética , Temperamento , Gêmeos Dizigóticos/genética , Gêmeos Monozigóticos/genética
20.
Eur J Pain ; 24(10): 2038-2047, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32866341

RESUMO

BACKGROUND: Parental responses to children's pain shape how children interpret and cope with pain symptoms through parental modelling and operant conditioning. Evidence suggests that parental distraction is effective in reducing children's acute pain responses, but findings are inconsistent across pain tolerance, intensity and unpleasantness, and are limited to samples of primarily middle and upper-middle class families. Although socioeconomically disadvantaged families may have fewer psychological resources to cope with pain, no studies have examined whether the utility of parent distraction varies by family socioeconomic status (SES). The current study tested the hypothesis that relations between parental distraction and acute pain responses in children vary by family SES, with children from higher versus lower SES families experiencing more substantial benefits. METHODS: Children's pain symptoms and parents' use of verbal distraction during a cold pressor task were examined in a community sample of 530 twin children aged 7-12 years old and their primary caregivers. RESULTS: Parental distraction was positively associated with children's pain tolerance and unrelated to intensity and unpleasantness, but these associations are qualified by significant moderation. In families with higher SES, parental distraction was an effective technique in children's pain management, associated with more pain tolerance and less pain intensity and unpleasantness. However, for families with lower SES, these same benefits were not present. CONCLUSIONS: Findings suggest that the effectiveness of parental distraction for children's acute pain may depend on family SES. SIGNIFICANCE: Study findings suggest that the effects of parental distraction on children's responses to an acute pain task vary by family SES. Although parental distraction may be effective for higher SES children, further research is needed to identify whether and why distraction may not be beneficial for lower SES families.


Assuntos
Dor Aguda , Adaptação Psicológica , Criança , Humanos , Manejo da Dor , Pais , Classe Social
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