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2.
Health Qual Life Outcomes ; 17(1): 162, 2019 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-31665035

RESUMO

BACKGROUND: When a child undergoes hematopoietic cell transplantation (HCT), the impact extends to the entire family, including siblings. Assessment of the quality of life (QoL) of siblings is challenged by their general lack of availability for regular assessment by clinical providers. Thus, the use of parent proxy reporting may be useful. Our aim was to describe the QoL of siblings of HCT survivors, as reported by their parents, as well as to identify parent and family factors associated with lower sibling QoL. METHODS: A cross-sectional study was utilized to assess parent-reported QoL of the HCT recipient's sibling (Short Form (SF)-10 Health Survey for Children and the Pediatric Symptom Checklist (PSC)-17). Parent QoL was assessed using the SF-12. Multivariable linear regression was used to explore hypothesized predictors of sibling QoL, including parent QoL, family impact/function (Impact on Family Scale, Family Adaptability and Cohesion Evaluation Scales, IV, and a question asking about financial problems) while adjusting for demographic and HCT characteristics. RESULTS: Ninety-seven siblings (55% males) with a mean age of 12 years (standard deviation [SD] 4 years) were assessed, representing HCT survivors, who were an average of 5 years (SD 4 years) post-HCT. Neither sibling psychosocial (mean 49.84, SD 10.70, p = 0.87) nor physical health scores (mean 51.54, SD 8.42, p = 0.08) differed from norms. Parent proxies reported behavioral/emotional problems (PSC-17 total score > 15) in 24% of siblings. While parental ratings of their own physical health (SF-12 were higher than norms (mean 53.04, SD 8.17, p = 0.0005), mental health scores were lower (mean 45.48, SD 10.45, p < 0.0001). In multivariable analysis, lower parent emotional functioning and adverse family function were associated with lower sibling QoL, as reported by parents. CONCLUSIONS: While proxy-reported QoL of siblings did not differ significantly from normative data, both parent QoL and family function were associated with sibling QoL. Future research is needed to understand how siblings themselves perceive their QoL following HCT.


Assuntos
Transplante de Células-Tronco Hematopoéticas/psicologia , Qualidade de Vida/psicologia , Irmãos/psicologia , Adolescente , Adulto , Criança , Pré-Escolar , Estudos Transversais , Relações Familiares/psicologia , Feminino , Humanos , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Pais/psicologia , Inquéritos e Questionários
3.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 11(5): 1272-1277, out.-dez. 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1022701

RESUMO

Objective: The study's purpose has been to know the viewpoint of women crack users in regards to their motherhood experience. Methods: This qualitative study was carried out with five women who used crack during pregnancy. Data was collected from May to August 2014, through the participant observation, production of field diary and semi-structured interviews. The analysis process followed the Clifford Geertz Interpretivism. Results: The crack use is not a fundamental factor in the maternity process of women who do use it. Some factors may influence the relationship between mother and child, and also the women's experience during this process, such as the desire to be a mother, pregnancy planning and family context. Conclusion: It is imperative to think of intersectoral public health policies aiming to support the crack users in an integral manner, then reducing social inequality and proposing an approach that highlights the user possibilities, as well as the individual specificity and singularity


Objetivo: Conhecer a visão da mulher usuária de crack em relação a experiência da maternidade. Método: estudo qualitativo, com cinco mulheres que utilizaram crack na gestação. Dados coletados entre maio e agosto de 2014, através da observação participante, construção de diário de campo e entrevistas semiestruturadas. A análise seguiu o Interpretativismo, de Clifford Geertz. Resultados: o uso de crack não é fator fundamental no processo de maternidade das mulheres usuárias, alguns fatores podem influenciar na relação entre mãe e filho e na experiência da mulher neste processo, como o desejo de ser mãe, planejamento da gravidez e contexto familiar. Conclusão: deve-se pensar em políticas públicas de saúde intersetoriais, visando atender as usuárias de forma integral, diminuindo a desigualdade social e propondo uma abordagem que destaque as possibilidades, especificidade e singularidade do indivíduo


Objetivo: Conocer la visión de la mujer usuaria de crack en relación a la experiencia de maternidad. Método: estudio cualitativo, con cinco mujeres que utilizaron crack en la gestación. Los datos fueron recolectados entre mayo y agosto de 2014, a través de observación participante, construcción de diario de campo y entrevistas semiestructuradas. El análisis siguió el Interpretativismo de Clifford Geertz. Resultados: uso de crack no es un factor fundamental en el proceso de maternidad de las mujeres usuarias. Algunos factores pueden influenciar en la relación entre madre e hijo y en la experiencia de la mujer en este proceso, como lo deseo de ser madre, planeamiento del embarazo y contexto familiar. Conclusión: se debe pensar en políticas públicas de salud intersectoriales, visando atender a las usuarias de forma integral, reduciendo a la desigualdad social y proponiendo un abordaje que destaque las posibilidades, especificidad y singularidad del individuo


Assuntos
Humanos , Feminino , Gravidez , Exposição Materna , Relações Materno-Fetais/psicologia , Fumar Cocaína/psicologia , Vulnerabilidade Social , Relações Familiares/psicologia , Usuários de Drogas/psicologia
4.
J Youth Adolesc ; 48(10): 1912-1923, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31520234

RESUMO

Most empirical research examining youth's gender development measures felt pressure to conform to gender norms using a composite value of felt pressure from multiple sources; however, because of the different socialization processes at work from parents, peers, and the self, analyzing these sources separately may elucidate different effects on gender development. Thus, the purpose of this study was to (a) differentiate the effects of perceived gender socialization pressure from parents, peers, and the self on early adolescents' own- and other-gender typicality, and (b) to examine whether a bi-directional relation between gender typicality and felt pressure is evident when distinguished across sources. With a sample of 212 early adolescents (54% girls; Mage = 11.11 years), felt pressure was found to be distinguishable by socialization source: adolescents' perceptions of parents, peers, and their own pressures were distinct, and each contributed differently to gender development. Pressure from self and peers were both found to relate concurrently to typicality (i.e., positively to own-gender typicality, negatively to other-gender typicality); only pressure from the self was found to have a longitudinal effect on adolescents' developing gender identity (i.e., an increase in own-gender typicality). Interestingly, other-gender typicality did not elicit higher felt pressure; in fact, it was negatively related to later felt pressure from the self, suggesting that adolescents may be developing self-acceptance of their levels of gender typicality. The findings suggest that the development of gender identity may involve a complex interplay with various sources of socialization pressures (e.g., parent, peers, self), and may further shift in relation to the adolescent's own levels of gender typicality.


Assuntos
Comportamento do Adolescente/psicologia , Desenvolvimento do Adolescente/fisiologia , Grupo Associado , Infuência dos Pares , Autoimagem , Adolescente , Criança , Relações Familiares/psicologia , Feminino , Humanos , Masculino , Pais , Socialização
6.
Metas enferm ; 22(7): 5-14, sept. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-184096

RESUMO

Objetivo: identificar las reacciones de los cuidadores familiares de pacientes con demencia en el cuidado que realizan en el ámbito domiciliario frente al cuidado efectuado en el ámbito de institucionalización de larga estancia; y estudiar la evolución en tres meses. Método: estudio analítico observacional de cohorte prospectivo en pacientes con demencia y sus cuidadores familiares (n= 287) que viven en su domicilio (PDD) o en centros de larga estancia, (PDI) que respondieron al cuestionario validado Caregiver Reaction Assessment (CRA). Tratamiento estadístico: prueba t para muestras repetidas, prueba t para muestras independientes y prueba de signos de Wilcoxon. Este estudio forma parte del proyecto europeo RightTimePlaceCare (RTPC). Resultados: se incluyeron 241 cuidadores familiares de PDD (n= 155) y de PDI (n= 86). En las subescalas de CRA en basal, en el grupo PDD tenían menos apoyo por parte de las familias (11 vs. 13; p= 0,006), mayores interferencias en las actividades de la vida diaria por el hecho de cuidar (16 vs. 18; p= 0,020), y consideraban una menor influencia de cuidar en sus finanzas comparado con el grupo PDI (10 vs. 7; p< 0,001). En el grupo PDD hubo una ligera mejora en las interferencias de las AVD (18 basal vs. 17 seguimiento; p= 0,041). Conclusión: en las reacciones de quienes cuidan de pacientes con demencia, el impacto más acentuado se produce en las interferencias de la vida diaria de los cuidadores domiciliarios y a los tres meses de seguimiento hay una mejora en esta dimensión. Además, cuando el paciente con demencia está institucionalizado el cuidador tiene mayor apoyo familiar. Estos resultados dan claves para que profesionales sanitarios enfoquen los cuidados dirigidos a la salud física


Objective: to identify the reactions of family caregivers for patients with dementia regarding their care in the home setting vs. care conducted in the long-term institutionalized setting; and to study their evolution at 3 months. Method: a prospective analytical observational cohort study in patients with dementia and their family caregivers (n= 287) who live at home (PDD) or in long-stay centers (PDI), and who answered the validated questionnaire Caregiver Reaction Assessment (CRA). Statistical treatment: t test for paired samples, t test for independent samples, and Wilcoxon signed-rank test. This study is part of the European project RightTimePlaceCare (RTPC). Results: the study included 241 family caregivers of PDD (n= 155) and PDI (n= 86). In the CRA sub-scales at baseline, those in the PDD arm had less support by their families (11 vs. 13; p= 0.006), higher interference in daily life activities (DLA) due to their caregiving (16 vs. 18; p= 0.020), and they considered there was a lower impact of care on their economy vs. the PDI arm (10 vs. 7; p< 0.001). There was a slight improvement in the PDD arm regarding DLA interferences (18 at baseline vs. 17 at follow-up; p= 0.041). Conclusion: in terms of the reactions of those who care for dementia patients, the highest impact occurs in daily life interferences for home caregivers, and at 3 months of follow-up there is an improvement in this dimension. Moreover, when the patient with dementia becomes institutionalized, there is higher family support for the caregiver. These results provide the keys for healthcare professionals to focus their care on the physical, psychological and social health of caregivers


Assuntos
Humanos , Masculino , Feminino , Idoso de 80 Anos ou mais , Cuidadores , Demência/enfermagem , Visita Domiciliar , Relações Familiares/psicologia , Saúde do Idoso Institucionalizado , Demência/psicologia , Inquéritos e Questionários , Saúde Mental , Estudos Longitudinais , Estudos Prospectivos
7.
Artigo em Inglês | MEDLINE | ID: mdl-31454934

RESUMO

Sleep and work-family problems attract a great attention in the construction industry because construction professionals are usually prone to work-family conflicts and sleep problems. The objective of this study was to analyze the effect of Family-Role Overload (FRO) and Work Interference with Family (WIF) on sleep sufficiency. We also included life satisfaction as a mediator and family supportive supervision behaviors (FSSB) as a moderator. Using a sample of 193 Chinese construction professionals, we collected objectively-measured sleep sufficiency data with validated wrist actigraphies and self-reported sleep sufficiency data, FRO, WIF, life satisfaction and FSSB with questionnaires through multiple waves. Results demonstrated that FRO was negatively associated with both objectively-measured and self-reported sleep sufficiency and life satisfaction played an important mediating role in this relationship. The moderating effect of life satisfaction on the path between WIF and sleep sufficiency is trivial. In addition, no significant moderating effects of FSSB were found. More substantial policies should be taken to improve the life satisfaction and sleep sufficiency of construction professionals.


Assuntos
Indústria da Construção , Conflito Familiar/psicologia , Relações Familiares/psicologia , Satisfação Pessoal , Distúrbios do Início e da Manutenção do Sono/psicologia , Engajamento no Trabalho , Tolerância ao Trabalho Programado/psicologia , Adulto , Grupo com Ancestrais do Continente Asiático/psicologia , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
9.
Pediatrics ; 144(2)2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31337695

RESUMO

OBJECTIVES: Our objective for this study was to explore the experiences of faculty in academic pediatrics who are underrepresented minorities (URMs) at 2 urban medical centers, in particular, the experiences that influenced their pursuit of academic pediatrics. METHODS: Three focus groups were conducted in 2016 with URM faculty from Howard University College of Medicine and Children's National Health System to explore how they were influenced to pursue academic pediatrics. Ten 1-on-1 interviews were also conducted in 2017 with URM faculty at Children's National Health System. Focus groups were coded and analyzed by the research team using standard qualitative methods. The 1-on-1 interviews were coded and analyzed by the primary investigator and verified by members of the research team. RESULTS: A total of 25 faculty participated in the study (15 in the focus groups and 10 in individual interviews). Eighteen of the faculty were women and 7 were men. Findings revealed that mentorship, family, and community influenced participants' career choices. Barriers for URMs in academic pediatrics included (1) lack of other URMs in leadership positions, (2) few URMs practicing academic pediatrics, and (3) the impact of racism and gender and implicit bias in the medical field. CONCLUSIONS: Mentorship and family are major influences on why URMs become academic pediatricians. Lack of URMs in leadership positions, racism, gender bias, and implicit bias are barriers for URMs in academic pediatrics. More research should be conducted on ways to enhance the experience of URMs and to reduce barriers in academia.


Assuntos
Escolha da Profissão , Docentes de Medicina/psicologia , Relações Familiares/psicologia , Mentores/psicologia , Grupos Minoritários/psicologia , Pediatria , Adulto , Idoso , Diversidade Cultural , Docentes de Medicina/educação , Feminino , Humanos , Masculino , Mentores/educação , Pessoa de Meia-Idade , Pediatria/educação
10.
Pediatrics ; 144(2)2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31320467

RESUMO

BACKGROUND AND OBJECTIVES: Poor neighborhood conditions have established associations with poorer child health, but little is known about protective factors that mitigate the effects of difficult neighborhood conditions. In this study, we tested if positive family relationships can buffer youth who live in dangerous and/or disorderly neighborhoods from poor asthma outcomes. METHODS: A total of 308 youths (aged 9-17) who were physician-diagnosed with asthma and referred from community pediatricians and/or family practitioners participated in this cross-sectional study. Neighborhood conditions around families' home addresses were coded by using Google Street View images. Family relationship quality was determined via youth interviews. Clinical asthma outcomes (asthma symptoms, activity limitations, and forced expiratory volume in 1 second percentile), asthma management behaviors (family response to asthma symptoms and integration of asthma into daily life), and asthma-relevant immunologic processes (lymphocyte T helper 1 and T helper 2 cytokine production and sensitivity to glucocorticoid inhibition) were assessed via questionnaires, interviews, spirometry, and blood draws. RESULTS: Significant interactions were found between neighborhood conditions and family relationship quality (ß = |.11-.15|; P < .05). When neighborhood danger and/or disorder was low, family relationships were not associated with asthma. When neighborhood danger and/or disorder was high, better family relationship quality was associated with fewer asthma symptoms, fewer activity limitations, and higher forced expiratory volume in 1 second percentile. Similar patterns emerged for asthma management behaviors. With immunologic measures, greater neighborhood danger and/or disorder was associated with greater T helper 1 and T helper 2 cytokine production and reduced glucocorticoid sensitivity. CONCLUSIONS: When youth live in dangerous and/or disorderly neighborhoods, high family relationship quality can buffer youth from poor asthma outcomes. Although families may not be able to change their neighborhoods, they may nonetheless be able to facilitate better asthma outcomes in their children through strong family relationships.


Assuntos
Asma/epidemiologia , Asma/psicologia , Relações Familiares/psicologia , Características de Residência , Condições Sociais , Adolescente , Asma/terapia , Criança , Estudos Transversais , Feminino , Humanos , Masculino
11.
Pediatrics ; 144(2)2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31289192

RESUMO

OBJECTIVES: Asthma is a highly prevalent childhood chronic disease, with particularly high rates among poor and minority youth. Psychosocial factors have been linked to asthma severity but remain poorly understood. This study examined (1) relationships between parent and child depression and posttraumatic stress disorder (PTSD) symptoms, family functioning, and child asthma control in a sample of urban minority youth with uncontrolled asthma and (2) family functioning as a pathway linking parent depression and asthma outcomes. METHODS: Data were drawn from the baseline cohort of a randomized trial testing community interventions for children aged 5 to 16 with uncontrolled asthma (N = 223; mean age = 9.37, SD = 3.02; 85.2% Hispanic). Asthma control was defined by using the Asthma Control Test and Childhood Asthma Control Test, activity limitation, and previous-12-month asthma severity. Psychosocial measures included parent and child depression and PTSD symptoms, family chaos, and parent social support. RESULTS: Parent and child depression symptoms, but not PTSD, were associated with worse asthma control (ß = -.20 [SE = 0.06] and ß = -.12 [SE = -.03]; P < .001). Family chaos corresponded to worse asthma control, even when controlling for parent and child depression (ß = -.33; [SE = 0.15]; P < .05), and was a mediator of the parent depression-asthma path. Emotional triggers of asthma also mediated the parent depression-asthma relationship. CONCLUSIONS: Findings highlight family chaos as a mechanism underlying the relationship between parent depression and child asthma control. Addressing parent and child depression, family routines, and predictability may optimize asthma outcomes.


Assuntos
Asma/psicologia , Depressão/psicologia , Relações Familiares/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Adolescente , Adulto , Asma/diagnóstico , Asma/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Feminino , Humanos , Masculino , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/epidemiologia
12.
BMC Neurol ; 19(1): 117, 2019 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-31176359

RESUMO

BACKGROUND: Following spinal cord injury (SCI), family members are often called upon to undertake the caregiving role. This change in the nature of the relationship between the individuals with SCI and their families can lead to emotional, psychological, and relationship challenges. There is limited research on how individuals with SCI and their family caregivers adapt to their new lives post-injury, or on which dyadic coping strategies are used to maintain relationships. Thus, the objectives of this study were to obtain an in-depth understanding of 1) the experiences and challenges within a caregiving relationship post-SCI among spouses, as well as parents and adult children; and 2) the coping strategies used by caregivers and care recipients to maintain/rebuild their relationships. METHODS: A qualitative descriptive approach with an exploratory design was used. Semi-structured face-to-face and telephone interviews were conducted. Thematic analysis was used to identify key themes arising from individuals with SCI's (n = 19) and their family caregivers' (n = 15) experiences. RESULTS: Individuals with SCI and family caregivers spoke in-depth and openly about their experiences and challenges post-injury, with two emerging themes (including subsequent sub-themes). The first theme of deterioration of relationship, which reflects the challenges experienced/factors that contributed to disintegration in a relationship post-injury, included: protective behaviours, asymmetrical dependency, loss of sex and intimacy, and difficulty adapting. The second theme of re-building/maintaining the relationship, which reflects the strategies used by dyads to adjust to the changes within the relationship brought upon by the injury, included: interdependence, shifting commonalities, adding creativity into routine, and creating a new normal. CONCLUSIONS: These findings should alert healthcare professionals and peer support groups as to the need for possible education and training (e.g., coping strategies, communication skills training) as well as counseling prior to discharge to assist individuals with SCI and family caregivers with adaptation to a new life post-injury.


Assuntos
Adaptação Psicológica , Cuidadores/psicologia , Relações Familiares/psicologia , Traumatismos da Medula Espinal/enfermagem , Traumatismos da Medula Espinal/reabilitação , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Adulto Jovem
13.
Compr Child Adolesc Nurs ; 42(sup1): 267-276, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31192720

RESUMO

The aim of this study was to examine the effects of cognitive behavior group therapy (CBGT) and family psychoeducation (FPE) in promoting and maintaining adolescent mental health. This quantitative study used a quasi-experiment method, pre- and post-testing with a control group design. A total of 86 adolescents were selected using the purposive sampling method and allocated into two groups that were administered different types of intervention. The first intervention group was provided with mental health education and adolescent developmental stimulation only, which was carried out with individual exercises of stimulation. The second intervention group was provided with mental health education and adolescent developmental stimulation in addition to CBGT and FPE. A mental health continuum short-form questionnaire was used to determine mental health scores. The results showed that most of the adolescents received flourishing mental health scores. These scores significantly increased after receiving mental health education and developmental stimulation, as well as CBGT and FPE. Our results indicate that mental health education and developmental stimulation can be used to promote and maintain good mental health. CBGT and FPE can be used not only to treat mental health problems but also to promote flourishing mental health.


Assuntos
Terapia Cognitivo-Comportamental/normas , Saúde Mental/normas , Adolescente , Comportamento do Adolescente/psicologia , Terapia Cognitivo-Comportamental/métodos , Relações Familiares/psicologia , Feminino , Promoção da Saúde/métodos , Promoção da Saúde/normas , Humanos , Masculino , Saúde Mental/tendências , Psicoterapia de Grupo/métodos , Psicoterapia de Grupo/normas , Inquéritos e Questionários
14.
Compr Child Adolesc Nurs ; 42(sup1): 284-290, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31192729

RESUMO

Adolescents are vulnerable to some risk factors in their lives, such as emotional and behavioral problems, problems in the family, and relationship problems within their peer group. This study aimed to describe these risk factors in adolescents. This study used a descriptive statistic design with a cross-sectional approach. The study sample consisted of 292 students in the 8th grade at a junior high school, selected through a purposive sampling technique. The adolescents experienced emotional and behavioral problems, as well as relationship problems with their peers, which within the study was categorized as normal, while problems in the family have the borderline score. It is essential to promote mental health in adolescents in order to maintain good emotional conditions and behaviors, as well as good relationships within their peer group. In the meantime, mental health promotion programs should be given to adolescents and their families to prevent problems among adolescents that will affect their mental health condition.


Assuntos
Comportamento do Adolescente/psicologia , Saúde Mental/normas , Adolescente , Estudos Transversais , Relações Familiares/psicologia , Feminino , Humanos , Indonésia , Masculino , Pais/psicologia , Grupo Associado , Fatores de Risco , Estudantes/psicologia , Inquéritos e Questionários
15.
PLoS One ; 14(6): e0214617, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31166955

RESUMO

Adolescence is a developmental phase in which feelings of loneliness often increase. It is also a time period during which computer-mediated communication (CMC) is frequently used by youth to communicate with their peers. Strong family relationships protect youth from experiencing a wide range of adversities and mental health problems, including loneliness, and yet use of CMC to contact peers may leave adolescents feeling disconnected and lonely while also limiting the amount of time they spend with their family. This study examines the association between CMC and feelings of loneliness among Canadian youth, with family communication explored as an effect modifier. The study base was the Canadian 2013-2014 Health Behaviour in School-aged Children study used in a cross-sectional analysis (N = 30117; grades 6-10). Random-effects multilevel Poisson regression methods were used to quantify risks for adolescent loneliness among daily vs. non-daily users of verbal CMC (e.g., Skype, phone calls), text/instant messaging and social media CMC with friends. Effect modification was tested via the inclusion of modelled interaction terms. Family communication quality moderated the relationship between daily CMC use and loneliness among Canadian youth. Among youth experiencing high relative quality of family communication, daily use of verbal and social media CMC to contact friends was positively associated with reports of loneliness, compared to non-daily users. Findings suggest that family communication must remain central in societal discussions of youth loneliness, mental health and use of CMC.


Assuntos
Comportamento do Adolescente/psicologia , Comportamento Infantil/psicologia , Comunicação , Relações Familiares/psicologia , Solidão/psicologia , Adolescente , Canadá , Criança , Computadores , Estudos Transversais , Feminino , Amigos , Humanos , Relações Interpessoais , Masculino , Mídias Sociais
16.
J Addict Nurs ; 30(2): 114-122, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31162215

RESUMO

INTRODUCTION: Drug abuse is a social event and one of the worse health problems in the current age. Nowadays, the inclination of young people has changed from traditional drugs to more sophisticated and industrial drugs such as ecstasy, glass, and crack. Increasing drug abuse can be sought in families' lifestyles as an effective factor on individuals' health. The disturbance in family functioning can be associated with an individual's antisocial behaviors like addiction. Therefore, the current study is aimed at determining the relationship between lifestyle and family functioning of family members of patients with amphetamine abuse who referred to drug rehabilitation clinics in Southeast Iran. METHOD: This is a correlational descriptive study conducted on 196 family members of patients with amphetamine abuse who referred to drug rehabilitation clinics in Southeast Iran. Data were collected through the use of demographic, family functioning, and lifestyle questionnaires. Data analysis was performed with SPSS 19 using independent t test, one-way analysis of variance, and Pearson correlation coefficient test. RESULTS: The total mean score of lifestyle was observed to be 105.77 ± 24.39. Among the dimensions of lifestyle, the highest mean score was associated with health responsibility (26.28 ± 7.43), whereas the lowest mean score was associated with exercise (12.7 ± 5.1). In addition, the results showed that the total mean score of family functioning was 129.25 ± 20.97. Among the dimensions of family functioning, the highest mean score was associated with general functioning (26.07 ± 4.92), whereas the lowest mean score was associated with affective responsiveness (13.16 ± 2.88). There was a positive and significant relationship between lifestyle and family functioning, such that the increase in the mean score of lifestyle increased the score of family functioning (r = .34, p = .001). CONCLUSION: Because lifestyle is associated with family functioning of patients with amphetamine abuse, basic measures can be taken in families to prevent addiction by increasing information to families, which enhances their lifestyle and functioning.


Assuntos
Transtornos Relacionados ao Uso de Anfetaminas/psicologia , Relações Familiares/psicologia , Família/psicologia , Estilo de Vida , Adulto , Transtornos Relacionados ao Uso de Anfetaminas/epidemiologia , Transtornos Relacionados ao Uso de Anfetaminas/reabilitação , Escolaridade , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Masculino
18.
Int J Behav Med ; 26(4): 427-436, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31236873

RESUMO

BACKGROUND: The associations between family strain, depression, and chronic pain interference vary across individuals, suggesting moderated relations, and one possible moderator is somatic amplification. The current study examined a moderated mediation model that investigated (a) whether depression mediated the relation between non-spouse family strain and chronic pain interference and (b) whether somatic amplification moderated the association between depression and chronic pain interference. METHODS: Data came from 933 adults who participated in the National Survey of Midlife Development in the USA. Participants completed telephone interviews or self-report measures. RESULTS: The relationship between non-spouse family strain and chronic pain interference was mediated by depression, and this mediation depended on the degree of somatic amplification. Specifically, individuals who experienced more non-spouse family strain were more likely to experience depression and higher levels of chronic pain interference. Somatic amplification significantly moderated the effect of depression on chronic pain, such that individuals with higher levels of somatic amplification and depression were likely to experience higher levels of chronic pain interference. The indirect effect of non-spouse family strain on chronic pain through depression was significant for low, middle, and high levels of somatic amplification. CONCLUSIONS: The presence of chronic pain has been associated with family dynamics changing, which may be linked with higher levels of non-spouse family strain. A negative family environment may be related to the development of depression, which may be associated with the severity and inability to cope with chronic pain. Somatic amplification may strengthen the association between depression and pain intensity.


Assuntos
Dor Crônica/psicologia , Depressão/psicologia , Relações Familiares/psicologia , Dor Nociceptiva/psicologia , Adaptação Psicológica , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autorrelato
19.
Pediatrics ; 144(1)2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31235609

RESUMO

BACKGROUND: Because little is known about long-term effects of adolescent protective factors across multiple health domains, we examined associations between adolescent connectedness and multiple health-related outcomes in adulthood. METHODS: We used weighted data from Waves I and IV of the National Longitudinal Study of Adolescent to Adult Health (n = 14 800). Linear and logistic models were used to examine associations between family and school connectedness in adolescence and self-reported health risk behaviors and experiences in adulthood, including emotional distress, suicidal thoughts and attempts, physical violence victimization and perpetration, intimate partner physical and sexual violence victimization, multiple sex partners, condom use, sexually transmitted infection (STI) diagnosis, prescription drug misuse, and other illicit drug use. RESULTS: In multivariable analyses, school connectedness in adolescence had independent protective associations in adulthood, reducing emotional distress and odds of suicidal ideation, physical violence victimization and perpetration, multiple sex partners, STI diagnosis, prescription drug misuse, and other illicit drug use. Similarly, family connectedness had protective effects for emotional distress, all violence indicators, including intimate partner violence, multiple sex partners, STI diagnosis, and both substance use indicators. Compared to individuals with low scores for each type of connectedness, having high levels of both school and family connectedness was associated with 48% to 66% lower odds of health risk behaviors and experiences in adulthood, depending on the outcome. CONCLUSIONS: Family and school connectedness may have long-lasting protective effects across multiple health outcomes related to mental health, violence, sexual behavior, and substance use. Increasing both family and school connectedness during adolescence has the potential to promote overall health in adulthood.


Assuntos
Saúde do Adolescente , Relações Familiares/psicologia , Instituições Acadêmicas , Distância Social , Identificação Social , Isolamento Social/psicologia , Marginalização Social/psicologia , Adolescente , Adulto , Comportamento Perigoso , Feminino , Nível de Saúde , Inquéritos Epidemiológicos , Humanos , Modelos Lineares , Modelos Logísticos , Estudos Longitudinais , Masculino , Saúde Mental , Fatores de Proteção , Psicologia do Adolescente , Autorrelato
20.
Clin Obes ; 9(5): e12326, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31232524

RESUMO

Our overall objective was to describe the parent-child, romantic, and family dynamics of adult weight management program (WMP) patients, and associations with children's and partners' weight status. First, we determined if family functioning mediated the effect between parent-child feeding practices and perceived child weight status, and romantic relationship anxiety and avoidance and perceived partner weight status. Second, we assessed if perceived child and partner weight status moderated the associations between family functioning and parent-child feeding practices and romantic relationship anxiety and avoidance, respectively. Patients (N=203) who resided with a child and partner from two WMPs completed assessments of parent-child feeding practices (Child Feeding Questionnaire), romantic relationship anxiety and avoidance (Relationship Structures Questionnaire), family functioning (Family Assessment Device General Functioning Scale), and perceived child and partner weight status. Bivariate analyses determined differences in weight status and relationship dynamics and family functioning, and mediation and moderation analyses were conducted to answer the two research questions. Family functioning was not a mediator between romantic relationship dynamics and partner weight status or parent-child dynamics and child weight status. Lower family functioning was associated with higher parent-child restrictive feeding practices, only among children with overweight/obesity. Similarly, lower family functioning was associated with higher anxiety and avoidance in romantic relationships, only for partners with overweight/obesity. Patients with children and/or partners with overweight/obesity reported more impaired family dynamics and functioning, compared to patients with children and/or partners with a healthy weight status.


Assuntos
Peso Corporal , Relações Familiares/psicologia , Programas de Redução de Peso/métodos , Adulto , Estatura , Manutenção do Peso Corporal , Criança , Fenômenos Fisiológicos da Nutrição Infantil , Comportamento Alimentar , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Obesidade/psicologia , Sobrepeso/psicologia , Relações Pais-Filho , Pais/psicologia , Obesidade Pediátrica/psicologia , Parceiros Sexuais/psicologia , Inquéritos e Questionários
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