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1.
Rev. enferm. UERJ ; 28: e36283, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1103400

RESUMO

Objetivo: analisar a influência das composições familiares na ocorrência da gravidez na adolescência. Método:estudo caso-controle, realizado com 74 gestantes adolescentes, grupo de casos, e 74 adultas jovens sem história pregressa de gravidez na adolescência, grupo controle, pareadas pela variável renda familiar. Os dados foram coletados por meio de entrevistas estruturadas realizadas no período deagosto a outubro de 2016 em Cuiabá, Mato Grosso, e em seguida analisados pelos métodos estatísticos descritivo e inferencial. Resultados: identificou-se associação entre a ocorrência do desfecho com pertencer a famílias não nucleares, não permanecer a mesma família durante a infância e adolescência, e a constituição de uma família própria no período da adolescência. Conclusão:verificou-se que adolescentes inseridas em famílias não nucleares estão mais expostas a fatores de risco para ocorrência da gravidez na adolescência, quando comparadas às jovensprovenientes de famílias com ambos os pais.


Objective: to analyze the influence of family compositions in the occurrence of pregnancy in adolescence. Method:this is a case-control study performed with 74 pregnant adolescents, group of cases, and 74 young adults without background history of pregnancy during adolescence, group control, paired by family income. Data were collected through structured interviews conducted in the period from August to October 2016 in Cuiabá, Mato Grosso, and then analyzed by descriptive and inferential statistical methods. Results:we identified an association between the occurrence of the outcome and the belonging to non-nuclear families, as well as the non-belonging to the same family during childhood and adolescence, besides the constitution of an own family in the period of adolescence. Conclusion: checked that adolescents inserted in nonnuclear families are more exposed to risk factors for the occurrence of pregnancy in adolescence when compared to young people coming from families with both parents.


Objetivo: analizar la influencia de las composiciones familiares en la ocurrencia del embarazo adolescente. Método: estudio caso-control efectuado con 74 adolescentes embarazadas, grupo de casos, y 74 jóvenes adultas sin historia anterior de embarazo en la adolescencia, grupo de control, agrupadas por sus ingresos familiares. Los datos se recopilaron mediante entrevistas estructuradas conducidas en el periodo de agosto a octubre de 2016 en Cuiabá, Mato Grosso, y posteriormente analizados por los métodos estadísticos descriptivo e inferencial. Resultados:se identificó una asociación entre la ocurrencia del desenlace y la pertenencia a las familias no nucleares, no permanencia en la misma familia durante niñez y adolescencia, y la constitución de una familia propia en el periodo de la adolescencia. Conclusion: comprobado eso que las adolescentes insertadas en familias no nucleares están más expuestas a los factores de riesgo para la ocurrencia del embarazo adolescente en comparación con las jóvenes provenientes de familias con ambos padres biológicos.


Assuntos
Humanos , Feminino , Gravidez , Adolescente , Adulto Jovem , Gravidez na Adolescência/psicologia , Características da Família , Fatores de Risco , Comportamento do Adolescente/psicologia , Relações Familiares/psicologia , Brasil/epidemiologia , Núcleo Familiar/psicologia , Estudos de Casos e Controles , Relações Pai-Filho , Relações Mãe-Filho
2.
Texto & contexto enferm ; 29: e20190025, Jan.-Dec. 2020.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1059133

RESUMO

ABSTRACT Objective: to analyze the perceptions of the family members of users of a children's psychosocial care center, regarding the facilitating factors and the difficulties in the communication with the health professionals. Method: a qualitative and descriptive study conducted with 25 family members of users of a children's psychosocial care center in a city of Minas Gerais (Brazil). Data collection took place between April and July 2017 using focus groups and a semi-structured script for the implementation of group sessions. Data was analyzed according to content analysis, thematic category. Results: two categories emerged from the analysis: Professional-Family relationship and Suggestions to enhance communication, which included practicalities and difficulties in communication. The data showed that the professional-family relationship refers to the professionals' positive actions, which facilitate communication, and to their negative actions, which means offering a distant and dehumanized care and failing to provide guidance. The suggestions to enhance communication were directed to the interventions focused on the family and on the dynamics and management of the service. Conclusion: there is a need for collaboration among management, staff and family members, which can contribute to a better health care and to building more solidary and dialogical relationships.


RESUMEN Objetivo: analizar las percepciones de los familiares de los usuarios de un centro de atención psicosocial infanto-juvenil, en relación con los factores facilitadores y las dificultades de la comunicación con los profesionales de la salud. Método: estudio cualitativo y descriptivo realizado con 25 familiares de usuarios de un centro de atención psicosocial infanto-juvenil en un municipio de Minas Gerais (Brasil). Los datos se recolectaron entre los meses de abril y junio de 2017 por medio de grupos focalizados, con la aplicación de un guión semiestructurado para desarrollar las sesiones grupales. Los datos se analizaron conforme al análisis de contenido, con la modalidad temática. Resultados: a partir del análisis surgieron dos categorías: Relación profesional-familia y Sugerencias para potenciar la comunicación; ambas abarcaron facilidades y dificultades en la comunicación. Los datos evidenciaron que la relación profesional-familia se refiere tanto a las acciones positivas de los profesionales, que facilitan la comunicación, como a sus acciones negativas, que significan ofrecer una atención distante y poco humanizada con escasa orientación. Las sugerencias para potenciar la comunicación estuvieron dirigidas a las intervenciones enfocadas en la familia y en la dinámica y organización del servicio. Conclusión: se hace evidente que es necesaria una aproximación entre la administración, el equipo de profesionales y los familiares, lo que puede ayudar a mejorar los cuidados en salud y hacer posible que se establezcan relaciones más solidarias y con más diálogo.


RESUMO Objetivo: analisar as percepções dos familiares de usuários de um centro de atenção psicossocial infantojuvenil, em relação aos fatores facilitadores e dificultadores da comunicação com os profissionais de saúde. Método: estudo qualitativo, descritivo, realizado com 25 familiares de usuários de um centro de atenção psicossocial infantojuvenil, em um município de Minas Gerais (Brasil). A coleta de dados ocorreu entre os meses de abril a julho de 2017, por meio de grupos focais, aplicando-se roteiro semiestruturado para desenvolvimento das sessões grupais. Os dados foram analisados segundo a análise de conteúdo, modalidade temática. Resultados: da análise emergiram duas categorias: Relação profissional-família e Sugestões para potencializar a comunicação, as quais abrangeram facilidades e dificuldades na comunicação. Os dados evidenciaram que a relação profissional-família diz respeito às ações positivas dos profissionais que facilitam a comunicação, e às ações negativas atuação distante, pouco humanizado, com escassez de orientação. As sugestões para potencializar a comunicação foram direcionadas às intervenções focadas na família e na dinâmica e organização do serviço. Conclusão: evidencia-se a necessidade de aproximação entre gerência, equipe de profissionais e familiares; o que pode contribuir para melhoria do cuidado em saúde e para a construção de relações mais solidárias e dialógicas.


Assuntos
Saúde Mental , Cuidadores , Comunicação , Serviços de Saúde Mental , Relações Profissional-Família , Assistência à Saúde , Relações Familiares
3.
R I Med J (2013) ; 103(8): 59-61, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-33003682

RESUMO

BACKGROUND AND STUDY OBJECTIVE: The COVID-19 pandemic has forced assisted living facilities (ALF) to implement strict social isolation for residents. Social isolation in the geriatric population is known to negatively impact health. Here, we describe how ALFs in Rhode Island utilized device donations received from Connect for COVID-19, a nationwide nonprofit organization which has mobilized medical students to gather devices for donations to care centers. METHODS: Rhode Island ALFs were contacted to determine if they were interested in receiving smart device donations. After donations were made, an impact survey was electronically administered. Primary Results: A total of 11 facilities completed the survey with a response rate of 24% (11/46). The facilities were located throughout all five counties in Rhode Island, with the majority located in Providence County. All but one of the facilities that responded to the survey (n=10, 90.9%) have used the devices to allow residents to video-call their family members. Seven responses (63.6%) indicated that devices were used for more than one purpose. Primary Conclusions: Smart devices were well received by Rhode Island ALFs and used for purposes beyond video conference calls. ALFs should consider advertising the need for devices to encourage community donations. Future studies should investigate the direct impact that digital connectivity has had on Rhode Island ALF residents.


Assuntos
Moradias Assistidas , Betacoronavirus , Comunicação , Infecções por Coronavirus/epidemiologia , Relações Familiares/psicologia , Pneumonia Viral/epidemiologia , Smartphone , Computadores de Mão , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Rhode Island
4.
Soins Gerontol ; 25(145): 28-30, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32988484

RESUMO

The health emergency linked to Covid-19 has been stressful for staff working in nursing home, and doubly painful for residents faced with the risk of infection and the reality of family separation. We explore in this article some psychological consequences resulting from their experience in the waning health crisis, hoping that the experience gained will allow greater efficiency in the event of a resumption of the pandemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Casas de Saúde/organização & administração , Pandemias , Pneumonia Viral/epidemiologia , Idoso , Emergências/psicologia , Relações Familiares , Humanos
5.
Medicine (Baltimore) ; 99(36): e21981, 2020 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-32899040

RESUMO

Early life family relationships affect the sexuality in adulthood, and these influences might be reflected in sexual dreams. The present study was designed to investigate the exact associations between family relationships and sexual dream experience. We therefore invited 62 frequent sexual dreamers (dreamers) and 104 healthy volunteers (controls) to answer the Sexual Dream Experience Questionnaire (SDEQ) and the Family Relationship Questionnaire (FRQ). Compared to controls, dreamers scored higher on all SDEQ factors and sexual dream frequency, higher on FRQ Paternal Abuse, and lower on FRQ General Attachment and Maternal Freedom Release. In controls, Paternal Abuse was associated with Joyfulness, Maternal Dominance with Aversion, and Maternal Abuse with dream frequency (-). In dreamers, Paternal Abuse was associated with Aversion, Bizarreness and dream frequency, and Maternal Freedom Release with Aversion (-). In conclusion, there were pronounced associations between sexual dreams and family relationships in frequent sexual dreamers. Paternal Abuse in particular was associated with sexual dream experience. Adverse family relationships might induce frequent sexual dream occurrence, and family therapy or early intervention of Paternal Abuse might alleviate the negative sexual dream experience.


Assuntos
Sonhos , Relações Familiares , Sexualidade , Adolescente , Adulto , Estudos de Casos e Controles , Feminino , Voluntários Saudáveis , Humanos , Masculino , Adulto Jovem
6.
PLoS One ; 15(9): e0238906, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915878

RESUMO

Catastrophes are known to have an impact on relationships as well as on mental health. This study evaluated differences in several mental health and well-being measures according to relationship quality during the Coronavirus Disease (COVID-19) pandemic and related lockdown measures. A cross-sectional online survey was launched four weeks after lockdown measures were implemented in Austria. Relationship quality was measured with the Quality of Marriage Index (QMI), and mental health measures included quality of life (WHO-QOL BREF psychological domain), well-being (WHO-5), depression (PHQ-9), anxiety (GAD-7), stress (PSS-10), and sleep quality (ISI). ANOVAs with Bonferroni-corrected post-hoc tests and Chisquared tests were applied. In all mental health scales, individuals with good relationship quality (n = 543) scored better than individuals with poor relationship quality (n = 190) or without relationship (n = 272). The odds ratios (OR) between the poor and good relationship quality groups were 3.5 for the PHQ-9, 3.4 for the GAD-7, and 2.0 for the ISI. Additionally, individuals without no relationship scored better on all scales than individuals with poor relationship quality (all p-values < .05). Relationship quality was related to mental health during COVID-19. The prevalence of depressive symptoms increased according to relationship quality from 13% up to 35%. Relationship per se was not associated with better mental health, but the quality of the relationship was essential. Compared to no relationship, a good relationship quality was a protective factor whereas a poor relationship quality was a risk factor.


Assuntos
Infecções por Coronavirus/psicologia , Relações Familiares , Relações Interpessoais , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/psicologia , Quarentena/psicologia , Adolescente , Adulto , Idoso , Áustria , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Isolamento Social , Fatores Socioeconômicos
7.
Soins Pediatr Pueric ; 41(315): 28-30, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32951693

RESUMO

The family provides a holding and benevolent environment, allowing the subject to construct himself psychically. Beyond the family, the group of belonging allows an individual to feel that he or she exists. During migration, belonging can be broken: loss of country, language, family, social status, etc. In France, a reception programme for migrants in families helps them to integrate and rebuild their lives. The initial family dynamic is modified. Some important points need to be taken into account during this reception: motivations, consequences on family dynamics and psychological reshuffling.


Assuntos
Relações Familiares/psicologia , Migrantes/psicologia , Afeganistão/etnologia , Feminino , França , Humanos , Masculino , Migrantes/estatística & dados numéricos
8.
Medicine (Baltimore) ; 99(38): e22027, 2020 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-32957319

RESUMO

To understand the self-rated depression scores of military recruits and to analyze the relationship between depression, the family environment, and coping styles.Multistage stratified cluster random sampling was used to study participants who, in September 2014, had enrolled as military personnel in the Xinjiang military. The participants were requested to complete the Chinese versions of the Self-rated Depression Scale (SDS), the Family Environment Scale (FES-CV), and the Simplified Coping Style Questionnaire (SCSQ). Between-groups comparisons were performed using a t test and Mann-Whitney U test. Correlations were determined utilizing Spearman rank correlation coefficient, and the influencing factors of the SDS scores were analyzed using logistic regression.The average score of the SDS among the 323 participants was 42.53 ±â€Š8.51. Specifically, the score of the "high school and below" group was higher than that of the "college and above" group [i.e., (43.98 ±â€Š8.30)] vs [(40.43.98 ±â€Š8.30) vs (37.94 ±â€Š5.50), P < .05]. The SDS score of the "nonstudent" (i.e., social status before enlistment) group was higher than that of the "student" group [(i.e., 45.00 ±â€Š7.60) vs (40.42 ±â€Š8.02), P < .05] and the SDS score of the "smoking" group was higher than that of the "nonsmoking" group [i.e., (45.33 ±â€Š7.74 vs 40.34 ±â€Š7.58, P < .05)]. In addition, the scores related to the entertainment, organization, and controllability of the SDS≥50 group were lower than those observed for the SDS < 50 group, (i.e., Ps < .05). The SDS score was positively correlated with the SCSQ (r = 0.30) negative copying style score (r = 0.30), positively correlated with the FES-CV contradiction score (r = 0.32), and negatively correlated with the FES-CV knowledge score (r = -0.43), entertainment score (r = -0.42), organization score (r = -0.37), and controllability score (r = -0.28), respectively, (Ps < .05). The results of the logistic regression analysis showed that entertainment was contained in the final regression equation (P < .001) with odds radio (95% confidence interval) of 0.512 (0.319-0.824).A correlation was found between depression among military personnel and their family environment, and entertainment may be a potential protective factor against depression.


Assuntos
Adaptação Psicológica , Depressão/epidemiologia , Relações Familiares/psicologia , Militares/psicologia , Adulto , Fatores Etários , China/epidemiologia , Estudos Transversais , Humanos , Masculino , Fumar/epidemiologia , Adulto Jovem
9.
Public Health ; 186: 110-115, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32801093

RESUMO

OBJECTIVE: This study examined the association between changing family relationships (marital relationships and parent-child relationships) and adolescents' mental health in transitional China. It further explored the potential moderating role of living arrangements in the abovementioned associations. STUDY DESIGN: The study design used in the study is a longitudinal study. METHODS: Data were derived from wave 1 (academic year: 2013-2014, grade 7) and wave 2 (academic year: 2014-2015, grade 8) of the China Education Panel Survey (CEPS). We used fixed-effects models in the longitudinal data analysis (N = 7237). RESULTS: Descriptive analysis indicated significant changes in both adolescents' mental health and self-reported family relationships during the transition from grade 7 to grade 8. The fixed-effects models showed that high marital quality and close parent-child relationships improved the mental health of adolescents. Interaction analysis suggested that paternal living arrangements significantly moderated the association between the father-child relationships and adolescents' mental health: effects of the father-child relationships were weaker among those living away from their biological fathers than among those living with their biological fathers. CONCLUSIONS: Family relationships play an important role in shaping Chinese adolescents' psychological status. However, the effect of the father-child relationships varies based on the paternal living arrangements. This finding highlights the importance of considering the context in examining the effects of family relationships on adolescents' well-being.


Assuntos
Relações Familiares , Saúde Mental , Adolescente , Comportamento do Adolescente , Grupo com Ancestrais do Continente Asiático , Criança , China , Características da Família , Relações Pai-Filho , Feminino , Humanos , Estudos Longitudinais , Masculino , Casamento , Modelos Estatísticos , Relações Pais-Filho , Autorrelato , Inquéritos e Questionários
10.
Arch. argent. pediatr ; 118(4): 252-: I-257, I, agosto 2020. tab, ilus
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-1118488

RESUMO

Introducción. La calidad de vida relacionada con la salud (CVRS) es una medida de resultado de salud. Evalúa el impacto subjetivo y global de las enfermedades en la vida cotidiana. Brinda información multidimensional sobre el bienestar físico, relación familiar y sus pares. Los estudios de CVRS de hermanos son limitados.Objetivo. Comparar CVRS de los hermanos de pacientes pediátricos con patologías reumáticas crónicas, trasplante renal o hepático con la de niños sanos con hermanos sin enfermedades crónicas.Resultados. Se compararon hermanos de niños con trasplante renal (n: 65), trasplante hepático (n: 35) y patologías reumáticas crónicas (n: 36) con el grupo control de niños sanos (n: 51). El grupo total de hermanos tuvieron puntuación más baja, estadísticamente significativa, en las dimensiones bienestar físico, amigos-apoyo social y recursos económicos. Los hermanos de trasplante renal tuvieron baja puntuación en las dimensiones de bienestar físico (p < 0,02; tamaño del efecto ­TE­: 0,66) y recursos económicos (p < 0,01; TE: 0,66). Los hermanos de trasplante hepático percibieron menor bienestar físico (p = 0,04), tenían menos amigos y apoyo social (p < 0,01), dificultades en el entorno escolar (p < 0,02) y recursos económicos (p < 0,01). Los hermanos de patologías reumáticas crónicas tuvieron menor bienestar físico (p < 0,05; TE: 0,44) y apoyo social-amigos (p < 0,01; TE: 0,58).Conclusión. La CVRS de niños/as sanos de hermanos con patologías crónicas es menor en bienestar físico, amigos-apoyo social y recursos económicos comparada con el grupo de niños sanos.


Introduction. Health-related quality of life (HRQoL) is a measure of health outcomes. It assesses the subjective and overall impact of diseases on daily life. It also provides multidimensional data about physical well-being, family and peers relations. HRQoL studies on siblings are limited.Objective. To compare HRQoL among siblings of pediatric patients with chronic rheumatic diseases, kidney or liver transplant and healthy children whose siblings had no chronic conditions.Results. The siblings of children with kidney transplant (n: 65), liver transplant (n: 35), and chronic rheumatic diseases (n: 36) were compared to the healthy children group (n: 51). The total siblings group had a lower, statistically significant score in the physical well-being, social support and peers, and financial resources dimensions. The siblings of kidney transplant patients had a low score in the physical well-being (p < 0.02; effect size [ES]: 0.66) and financial resources (p < 0.01; ES: 0.66) dimensions. The siblings of liver transplant patients perceived a lower physical well-being (p = 0.04), less social support and peers(p < 0.01), and difficulties in relation to school environment (p < 0.02) and financial resources (p < 0.01). The siblings of those with chronic rheumatic diseases had a lower score in the physical well-being (p < 0.05; ES: 0.44) and social support and peers (p < 0.01; ES: 0.58) dimensions.Conclusion. HRQoL among healthy children whose siblings have a chronic disease was lower in the physical well-being, social support and peers, and financial resources dimensions compared to the healthy children group.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Qualidade de Vida , Doença Crônica , Pacientes , Apoio Social , Estudos de Casos e Controles , Estudos Transversais , Irmãos , Relações Familiares
13.
PLoS One ; 15(7): e0233906, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32687501

RESUMO

After more than four decades of research and almost 100 attachment studies, the mechanisms of intergenerational transmission of attachment still remain unclear. To better understand the mechanisms moderating the associations of attachment orientations from one generation to the next, this empirical study examined the roles of 1) shared and non-shared environmental factors that characterize critical events in adulthood such as career choice, income and child care; 2) gender differences in attachment between parents (Generation 1, G1) and their adult offspring (Generation 2, G2) and their possible interactions. A sample of 321 families with G2 adults aged 18 and over and two G1 parents up to the age of 81 took part in this study. Both generations completed the Experiences in Close Relationships attachment measure as well as a comprehensive detailed measure of current core characteristics in adulthood (e.g. employment status, income, whether they had children) and demographic variables (gender, age). The findings suggest that the associations between the attachment orientations of G1 and the attachment orientations of G2 were moderated by G2's income, their G1 paternal income and employment status, whether G2 had children (G3) of their own, and their family status after controlling for the age of G2, and the age of both paternal and maternal G1. When the associations for both paternal and maternal G1attachment orientation with both their male and female G2 was analyzed separately, this accounted for 35% of the variance of males' G2 attachment orientation. The discussion focuses on the contribution of these findings to attachment theory and draws clinical conclusions.


Assuntos
Crianças Adultas/psicologia , Catexia , Identidade de Gênero , Avós/psicologia , Pais/psicologia , Meio Social , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Aprendizagem da Esquiva , Criança , Relações Familiares , Feminino , Humanos , Relação entre Gerações , Masculino , Pessoa de Meia-Idade , Relações Pais-Filho , Fatores Socioeconômicos , Adulto Jovem
14.
Fam Process ; 59(3): 1045-1059, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32621755

RESUMO

This report introduces the COVID-19 Family Environment Scale (CHES), which aims to measure the impact of social distancing due to COVID-19 on household conflict and cohesion. Existing measures do not capture household experiences relevant to the pandemic, in which families are largely confined to their homes while sharing a life-threatening situation. Using best practice guidelines, we developed a pool of items and revised them with review by a panel of experts, and cognitive interviewing with community respondents. We administered the CHES by online survey to 3,965 adults. The CHES consists of 15 items for each of two subscales, household conflict (α = .847) and household cohesion (α = .887). Exploratory factor analysis yielded two factors, corresponding to the intended conflict and cohesion items, which accounted for 29% of variance. Confirmatory factor analysis partially supported the 2-factor model (RMSEA = .057; CFI = .729, TLI = .708, and SRMR = .098). The CHES also contains 25 optional items to describe respondent and household characteristics, and household-level COVID-19 exposure. The CHES, publicly available at https://elcentro.sonhs.miami.edu/research/measures-library/covid-19/index.html, provides a tool for measuring the impact of the COVID-19 pandemic on important determinants of resilience in the face of major stressful events. Further work is needed to address the factor structure and establish validity of the CHES.


Assuntos
Infecções por Coronavirus/psicologia , Conflito Familiar/psicologia , Relações Familiares/psicologia , Pneumonia Viral/psicologia , Escalas de Graduação Psiquiátrica/normas , Quarentena/psicologia , Adolescente , Adulto , Betacoronavirus , Criança , Infecções por Coronavirus/prevenção & controle , Análise Fatorial , Características da Família , Terapia Familiar/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Reprodutibilidade dos Testes , Distância Social , Adulto Jovem
15.
Fam Process ; 59(3): 922-936, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32677711

RESUMO

The COVID-19 pandemic has a pervasive effect on all aspects of family life. We can distinguish the collective societal and community effects of the global pandemic and the risk and disease impact for individuals and families. This paper draws on Rolland's Family Systems-Illness (FSI) model to describe some of the unique challenges through a multisystemic lens. Highlighting the pattern of psychosocial issues of COVID-19 over time, discussion emphasizes the evolving interplay of larger systems public health pandemic challenges and mitigation strategies with individual and family processes. The paper addresses issues of coping with myriad Covid-19 uncertainties in the initial crisis wave and evolving phases of the pandemic in the context of individual and family development, pre-existing illness or disability, and racial and socio-economic disparities. The discussion offers recommendations for timely family oriented consultation and psychoeducation, and for healthcare clinician self-care.


Assuntos
Infecções por Coronavirus/psicologia , Relações Familiares/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Adaptação Psicológica , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Análise de Sistemas
16.
Fam Process ; 59(3): 1060-1079, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32678461

RESUMO

During the recent COVID-19 outbreak in Spain, we explored the individual and relational well-being of people confined together with their partners and/or children during the first 3 weeks of state-regulated lockdown. Adults 18 years or older (N = 407) completed an online survey that included demographic, household, and employment information along with standardized measures of psychological distress (State-Trait Anxiety and Beck Depression) and relationship functioning-either the Dyadic Adjustment Scale if there were no children in the household or a Basic Family Relations Evaluation Questionnaire (CERFB) measuring conjugal, parental, and coparental functions. Qualitative analyses of responses to an open-ended question about perceived changes in couple or family dynamics during lockdown revealed nine specific themes comprising two overarching categories: relational improvement and deterioration. The overall prevalence of improvement themes (61.7%) exceeded deterioration themes (41.0%), with increased (re)connection and conflict atmosphere cited most often. Quantitative analyses found elevated levels of state anxiety but not trait anxiety or depression during lockdown. Consistent with the qualitative results, couples having no children at home reported high levels of dyadic adjustment, but with children present CERFB parental functioning exceeded conjugal functioning, a pattern sometimes associated with child triangulation into adult conflicts. Although correlates of psychological distress (e.g., unemployment, perceived economic risk) were relatively stable across subgroups, predictors of relationship functioning varied substantially with household/parental status (e.g., telecommuting and employment facilitated conjugal functioning only for couples with children).


Assuntos
Infecções por Coronavirus/psicologia , Pais/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Parceiros Sexuais/psicologia , Estresse Psicológico/diagnóstico , Adolescente , Adulto , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Relações Familiares/psicologia , Feminino , Humanos , Masculino , Pandemias/prevenção & controle , Poder Familiar/psicologia , Pneumonia Viral/prevenção & controle , Prevalência , Escalas de Graduação Psiquiátrica , Pesquisa Qualitativa , Espanha/epidemiologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Adulto Jovem
17.
PLoS One ; 15(7): e0235677, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32678843

RESUMO

Access to toilets and latrines represents both a development indicator and a significant factor in child mortality and physical development. The lack of latrines in rural India therefore constitutes a major global health challenge. Given the urban-rural gap in latrine ownership across India, I investigated how family ties to major cities, which extend beyond the local community affected by neighbors' defecation practices, shaped latrine ownership in rural India. Using the national Rural Economic & Demographic Survey 2006 (n = 7,949), I analyzed the geographies of family ties, types of exchange and rural latrine ownership. Receiving family visits from major cities increased the likelihood of having a latrine (33% higher odds). The relationship between family visitors from major cities and rural latrine ownership was stronger for wealthier households (.031 increase in average marginal effect of urban visitors for a .5 standard deviation increase in household assets at the mean). Material support from family also increased the likelihood of latrine ownership (7.8% higher odds for each additional $200USD) suggesting that family members not living in major cities may still contribute necessary resources. The importance of personalized connections beyond the village, particularly to major cities, suggests that linking geographically disparate sanitation interventions may produce synergies.


Assuntos
Relações Familiares , Saneamento/estatística & dados numéricos , Toaletes/estatística & dados numéricos , Estudos Transversais , Características da Família , Humanos , Índia , População Rural , Inquéritos e Questionários , População Urbana
20.
Clin J Am Soc Nephrol ; 15(9): 1259-1266, 2020 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-32665227

RESUMO

BACKGROUND AND OBJECTIVES: During the coronavirus disease 2019 outbreak, the treatment of families with children on long-term KRT is challenging. This study was conducted to identify the current difficulties, worries regarding the next 2 months, and mental distress experienced by families with children on long-term KRT during the coronavirus disease 2019 outbreak and to deliver possible management approaches to ensure uninterrupted treatment for children on long-term KRT. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: A multicenter online survey was conducted between February 10 and 15, 2020, among the families with children on long-term KRT from five major pediatric dialysis centers in mainland China. The primary caregivers of children currently on long-term KRT were eligible and included. Demographic information, severe acute respiratory syndrome coronavirus 2 infection status, current difficulties, and worries regarding the next 2 months were surveyed using a self-developed questionnaire. The Patient Health Questionnaire-9 and the General Anxiety Disorder Scale-7 were used to screen for depressive symptoms and anxiety, respectively. RESULTS: Among the children in the 220 families included in data analysis, 113 (51%) children were on dialysis, and the other 107 (49%) had kidney transplants. No families reported confirmed or suspected cases of coronavirus disease 2019. Overall, 135 (61%) and 173 (79%) caregivers reported having difficulties now and having worries regarding the next 2 months, respectively. Dialysis supply shortage (dialysis group) and hard to have blood tests (kidney transplantation group) were most commonly reported. A total of 29 (13%) caregivers had depressive symptoms, and 24 (11%) had anxiety. After the survey, we offered online and offline interventions to address their problems. At the time of the submission of this paper, no treatment interruption had been reported. CONCLUSIONS: The coronavirus disease 2019 outbreak has had physical, mental, logistical, and financial effects on families with children on long-term KRT.


Assuntos
Betacoronavirus/patogenicidade , Infecções por Coronavirus/prevenção & controle , Família/psicologia , Nefropatias/terapia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Terapia de Substituição Renal , Adaptação Psicológica , Adolescente , Adulto , Fatores Etários , Cuidadores/psicologia , Criança , China/epidemiologia , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Efeitos Psicossociais da Doença , Relações Familiares , Feminino , Pesquisas sobre Serviços de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde , Interações entre Hospedeiro e Microrganismos , Humanos , Nefropatias/psicologia , Masculino , Saúde Mental , Pessoa de Meia-Idade , Segurança do Paciente , Pneumonia Viral/psicologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Terapia de Substituição Renal/efeitos adversos , Medição de Risco , Fatores de Risco , Fatores de Tempo , Resultado do Tratamento
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