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Sample records for prenatal marital quality

  1. Sanctification, Stress, and Marital Quality

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    Ellison, Christopher G.; Henderson, Andrea K.; Glenn, Norval D.; Harkrider, Kristine E.

    2011-01-01

    This article contributes to recent work investigating the role of religious sanctification, that is, the process via which one's spouse or marital relationship is perceived as having divine character or sacred significance. We outline a series of theoretical arguments linking marital sanctification with specific aspects of marital quality. A…

  2. MOTHERS' AND FATHERS' PRENATAL REPRESENTATIONS IN RELATION TO MARITAL DISTRESS AND DEPRESSIVE SYMPTOMS.

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    Ahlqvist-Björkroth, Sari; Korja, Riikka; Junttila, Niina; Savonlahti, Elina; Pajulo, Marjukka; Räihä, Hannele; Aromaa, Minna

    2016-07-01

    Marital distress, parental depression, and weak quality of parental representations are all known risk factors for parent-child relationships. However, the relation between marital distress, depressive symptoms, and parents' prenatal representation is uncertain, especially regarding fathers. The present study aimed to explore how mothers' and fathers' prenatal experience of marital distress and depressive symptoms affects the organization of their prenatal representations in late pregnancy. Participants were 153 pregnant couples from a Finnish follow-up study called "Steps to the Healthy Development and Well-being of Children" (H. Lagström et al., ). Marital distress (Revised Dyadic Adjustment Scale; D.M. Busby, C. Christensen, D. Crane, & J. Larson, 1995) and depressive symptoms (Edinburgh Postnatal Depression Scale) were assessed at 20 gestational weeks, and prenatal representations (Working Model of the Child Interview; D. Benoit, K.C.H. Parker, & C.H. Zeanah, 1997; C.H. Zeanah, D. Benoit, M. Barton, & L. Hirshberg, 1996) were assessed between 29 and 32 gestational weeks. The mothers' risks of distorted representations increased significantly when they had at least minor depressive symptoms. Marital distress was associated with the fathers' prenatal representations, although the association was weak; fathers within the marital distress group had less balanced representations. Coexisting marital distress and depressive symptoms were only associated with the mothers' representations; lack of marital distress and depressive symptoms increased the likelihood for mothers to have balanced representations. The results imply that marital distress and depressive symptoms are differently related to the organizations of mothers' and fathers' prenatal representations. © 2016 Michigan Association for Infant Mental Health.

  3. Stress, Communication, and Marital Quality in Couples

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    Ledermann, Thomas; Bodenmann, Guy; Rudaz, Myriam; Bradbury, Thomas N.

    2010-01-01

    The association between daily stress outside and inside of the relationship and marital functioning in the form of communication in conflict situations and marital quality was examined. We hypothesized that relationship stress mediates the association between external stress and marital functioning at the individual level, and that the association…

  4. Does Status Inconsistency Matter for Marital Quality?

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    Gong, Min

    2007-01-01

    This study tests status inconsistency theory by examining the associations between wives' and husbands' relative statuses--that is, earnings, work-time, occupational, and educational inconsistencies--and marital quality and global happiness. The author asks three questions: (a) Is status inconsistency associated with marital quality and overall…

  5. Testosterone, Marital Quality, and Role Overload

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    Booth, Alan; Johnson, David R.; Granger, Douglas A.

    2005-01-01

    In a sample of established working- and middle-class families with school-aged children (N= 307 wives and 307 husbands), neither husbands nor wives testosterone showed a direct connection with marital quality. In contrast, the association between husbands' testosterone and positive and negative marital quality (as evaluated by both spouses) was…

  6. Determinants of Marital Quality in an Arranged Marriage Society

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    Allendorf, Keera

    2013-01-01

    Drawing on a uniquely large number of items on marital quality, this study explores the determinants of marital quality in Chitwan Valley, Nepal. Marital quality is measured with five dimensions identified through exploratory factor analysis, including satisfaction, communication, togetherness, problems, and disagreements. Gender, education, and spouse choice emerge as the most important determinants of these dimensions of marital quality. Specifically, men, those with more schooling, and those who participated in the choice of their spouse have higher levels of marital quality. By contrast, caste, occupation, age at marriage, marital duration, and number of children have little to no association with marital quality. While gender, education, and spouse choice emerge as key determinants of marital quality in this context, the majority of variation in marital quality remains unexplained. PMID:23146598

  7. Dyadic Processes in Early Marriage: Attributions, Behavior, and Marital Quality

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    Durtschi, Jared A.; Fincham, Frank D.; Cui, Ming; Lorenz, Frederick O.; Conger, Rand D.

    2011-01-01

    Marital processes in early marriage are important for understanding couples' future marital quality. Spouses' attributions about a partner's behavior have been linked to marital quality, yet the mechanisms underlying this association remain largely unknown. When we used couple data from the Family Transitions Project (N = 280 couples) across the…

  8. Gender Differences in the Structure of Marital Quality.

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    Beam, Christopher R; Marcus, Katherine; Turkheimer, Eric; Emery, Robert E

    2018-05-01

    Marriages consist of shared experiences and interactions between husbands and wives that may lead to different impressions of the quality of the relationship. Few studies, unfortunately, have tested gender differences in the structure of marital quality, and even fewer studies have evaluated whether genetic and environmental influences on marital quality differ across gender. In this study, we evaluated gender differences in the structure of marital quality using independent samples of married male (n = 2406) and married female (n = 2215) participants from the National Survey of Midlife Development in the United States who provided ratings on twenty-eight marital quality items encompassing six marital quality constructs. We further explored gender differences in genetic and environmental influences on marital quality constructs in a subsample of 491 pairs of twins. Results suggest partial metric invariance across gender but structural variability in marital quality constructs. Notably, correlations between constructs were stronger in women than men. Results also support gender differences in the genetic and environmental influences on different aspects of marital quality. We discuss that men and women may approach and react to marriage differently as the primary reason why we observed differences in the structure of marital quality.

  9. Marital violence and coparenting quality after separation.

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    Hardesty, Jennifer L; Crossman, Kimberly A; Khaw, Lyndal; Raffaelli, Marcela

    2016-04-01

    Research has identified multiple predictors of coparenting quality, but few studies have investigated how intimate partner violence (IPV) affects divorcing couples' coparenting relationships. We addressed this question in a sample of 154 mothers with different marital IPV experiences. Mothers were recruited within 4 months of a divorce filing and completed two interviews 3 months apart. At Time 1, mothers reported on violence and coercive control during marriage, and postseparation behavioral (e.g., parental communication), emotional (e.g., anger), and intrusion (e.g., harassment) dynamics; at Time 2, they reported on coparenting quality (i.e., levels of support and conflict). In the overall sample, divorce and violence variables independently predicted coparenting quality. Mothers were then classified into three groups: no violence (NV; n = 74), situational couple violence (SCV; n = 46), or coercive controlling violence (CCV; n = 34). Of the 3, coparenting quality was lowest in the CCV group. While the SCV group was similar to the NV group on most divorce-related variables, the CCV group reported more hostility at separation and placed less importance on father-child relationships. Finally, patterns of association between study variables and coparenting quality showed some parallels between the SCV and NV groups. For CCV, postseparation harassment and fear were negatively associated with coparenting quality. Findings contribute to understanding predictors of coparenting quality and support the need for individualized assessments of divorce cases with attention to IPV dynamics. (c) 2016 APA, all rights reserved).

  10. Marital quality in wives of persons with alcohol dependence syndrome

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    Debasree Bora

    2017-01-01

    Full Text Available Background: Marriage is a strong bond between couples with the promise of lifelong dedication and emotional wellbeing. The effects of alcoholism in husbands may lead to disturbances in marital life. Lack of understanding, unpredictable behaviour of the husbands, and their irresponsibility in family matters can often lead to poor quality of a couple’s relationship. Aim of the study: The study is aimed to understand the marital quality of the wives of persons with alcohol dependence syndrome. Material and methods: Thirty wives of persons with alcohol dependence syndrome according to ICD-10 were taken as the sample, using purposive sample collection. Socio-demographic profile was assessed through semi-structured questionnaire while Marital Quality Scale (MQS-1995 was applied to assess the marital quality after taking their informed consent. Higher scores indicate poorer quality of marital life. Data analysis was done using SPSS for descriptive statistics. Results: The domain mean scores of rejection, understanding, and decision-making, and the total score of marital quality were high. Thus, indicating poorer quality of marital life among the wives of persons with alcohol dependence. Conclusion: Alcohol dependence is highly associated with poor marital quality as the person with alcohol dependence tends to adapt faulty communication patterns and behaviour which in turn leads to poor adjustment, unhappiness, and a high degree of dissatisfaction with relationships. Treatment plan for this group should be planned keeping these factors in consideration, as a priority.

  11. Labour division, marital quality and the ideology of gender

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    Tošić Milica

    2011-01-01

    Full Text Available Marriage is defined as a social, religious and legal community of a husband and wife, and the quality of this relationship is very important for spouses, children and the society in the widest sense. According to the definition of marriage itself it is clear that a suitable gender ideology and the attitudes towards native roles have the significant role in many aspects of the marital and family dynamics. What is more, it is considered that native roles have the leading role in the determination of the quality of marital relations by determining what people expect from their partners and marriage. The role of women and the attitudes towards their role have undergone many changes in the last few decades under the influence of particular social changes, primarily thanks to the higher employment rate of women, and consequently different gender division of labor between men and women, both at work and in families. This paper analyses how the employment of women and the change in the traditional division of labor influence the quality of marital relationships. First of all, we have indicated the significant positive, as well as negative implications which the change in the marital division of labor has to the quality of marital relations. In the end, we have tried to point out that the adopted gender ideology, traditional or egalitarian/feminist acts as an important and essential mediator in the relation between the division of labor and perceived quality of marital relationship.

  12. The Rate of Marital Fidelity and Quality of Love in Divorce Applicants with and Without Marital Infidelity Precedent

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    F Modarresi

    2014-04-01

    Full Text Available Background & aim: The issue of marital infidelity is considered as an increasing concern in our society, which is associated with instability in relationships and high rate of divorce.The purpose of this study was to investigate the level of marital adjustment and the quality of love in the applicants with a history of divorce and marital infidelity. Methods: In this qualification-analytical, cross-sectional study performed in 2012 in the Fars welfare organization, 90 people were selected by available sampling and classified into three groups with a history of marital infidelity and divorce, divorce without a history of marital infidelity and controls. Three individual groups completed the Inventory Adjustment Scale and Sternberg's love triangle. Subjects with a history of marital infidelity completed questionnaires of regarding love triangle scale again regarding upon their marital relationship. Data were analyzed by dependent t-test and ANOVA. Results: Significant differences were observed among divorce group and various aspects of marital love triangle (P<0/001.Results also revealed that there was a significant difference between the groups with and without marital infidelity, from the view point of intimacy, passion and anxiousness, commitment, and decision in relationship (P<0/001. Investigating the quality of love in individuals with marital infidelity showed differences in all aspects of Sternberg`s love triangle in relationship with wife and ultra-marital relationships (P<0/001. Conclusion: Marital incompatibility alone is not a strong reason for marital infidelity in hard conditions of life and according to the research’s results. The most significant factor in attracting for ultra- marital relationship and the quality of the relationship and love between couples were the quality of the relationship and love between couples.

  13. A Typology of Marital Quality of Enduring Marriages in Israel

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    Cohen, Orna; Geron, Yael; Farchi, Alva

    2010-01-01

    This article presents a typology of enduring marriages of Israeli couples married for at least 40 years. Based on the view that marital quality is a multidimensional phenomenon, the typology is derived from a cluster analysis of responses of husbands and wives in 51 couples to the ENRICH scale items. Three types of enduring marriages were found:…

  14. AFRICAN AMERICAN STEPFATHER?STEPCHILD RELATIONSHIPS, MARITAL QUALITY, AND MENTAL HEALTH

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    Bryant, Chalandra M.; Futris, Ted G.; Hicks, Megan R.; Lee, Tae-Kyoung; Oshri, Assaf

    2016-01-01

    This study examined associations between stepfather-stepchild relationship quality, stepfathers? depressive symptoms, and two aspects of marriage: marital quality and positive marital interactions. Marital quality was assessed in terms of commitment, trust, passionate and friendship-based love, and happiness. Marital interactions were assessed in terms of intimacy, shared activities, and verbal communication. Using data collected from 149 recently married African American stepfathers, structu...

  15. Just the Two of Us? How Parents Influence Adult Children’s Marital Quality

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    Reczek, Corinne; Liu, Hui; Umberson, Debra

    2010-01-01

    We work from a life-course perspective to explore how relationships with parents affect adult children’s marital quality. We further ask whether the effects of parents on adult children’s marital quality depend on the adult child’s gender, age, marital duration, and childhood family experiences. Growth-curve analysis of national, longitudinal data (Americans’ Changing Lives) indicated that relationships with fathers (n = 336) and mothers (n = 520) differentially affected the marital quality o...

  16. Stress in Childhood and Adulthood: Effects on Marital Quality over Time

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    Umberson, Debra; Williams, Kristi; Powers, Daniel A.; Liu, Hui; Needham, Belinda

    2005-01-01

    We work from a stress and life course perspective to consider how stress affects trajectories of change in marital quality over time. Specifically, we ask whether stress is more likely to undermine the quality of marital experiences at different points in the life course. In addition, we ask whether the effects of adult stress on marital quality…

  17. Just the Two of Us? How Parents Influence Adult Children's Marital Quality

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    Reczek, Corinne; Liu, Hui; Umberson, Debra

    2010-01-01

    We work from a life-course perspective to explore how relationships with parents affect adult children's marital quality. We further ask whether the effects of parents on adult children's marital quality depend on the adult child's gender, age, marital duration, and childhood family experiences. Growth-curve analysis of national, longitudinal data…

  18. Spillover between Marital Quality and Parent-child Relationship Quality: Parental Depressive Symptoms as Moderators

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    Kouros, Chrystyna D.; Papp, Lauren M.; Goeke-Morey, Marcie C.; Cummings, E. Mark

    2015-01-01

    Using a daily diary method, this study examined concurrent and time-lagged relations between marital and parent-child relationship qualities, providing a test of the spillover and compensatory hypotheses. Additionally, this study tested both mothers’ and fathers’ depressive symptoms as moderators of these daily linkages. Participants were 203 families, in which mothers and fathers completed daily diaries for 15 days. At the end of each reporting day, parents independently rated the emotional quality of their relationship with their spouse and with their child that day. Controlling for global levels of marital satisfaction, marital conflict, and parenting, a positive association was found between mothers’ and fathers’ daily ratings of marital quality and their ratings of parent-child relationship quality, supporting the spillover hypothesis. When considering time-lagged relations, support was found for the compensatory hypothesis for mothers: lower levels of marital quality were related to increases in mother-child relationship quality from one day to the next. Further, both maternal and paternal depressive symptoms moderated the link between marital quality and the other parent’s relationship quality with their child. Whereas maternal depressive symptoms strengthened spillover relations for fathers on the next day, paternal depression was related to less spillover for mothers on the same day. Alternative models did not find evidence for parent-child relationship quality as a predictor of changes in marital quality on the next day. The findings underscore the importance of the quality of the marital relationship for predicting the quality of other family relationships. PMID:24821519

  19. Spillover between Marital Quality and Job Satisfaction: Long-Term Patterns and Gender Differences.

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    Rogers, Stacy J.; May Dee C.

    2003-01-01

    Investigated process of spillover between marital quality and job satisfaction among married individuals. Results indicated increases in marital satisfaction were significantly related to increases in job satisfaction, and increases in marital discord were significantly related to declines in job satisfaction. These processes operate similarly for…

  20. Sexual activity and psychological health as mediators of the relationship between physical health and marital quality.

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    Galinsky, Adena M; Waite, Linda J

    2014-05-01

    The pathways linking spousal health to marital quality in later life have been little examined at the population level. We develop a conceptual model that links married older adults' physical health and that of their spouse to positive and negative dimensions of marital quality via psychological well-being of both partners and their sexual activity. We use data from 1,464 older adults in 732 marital dyads in the 2010-2011 wave of the National Social Life Health and Aging Project. We find that own fair or poor physical health is linked to lower positive and higher negative marital quality, spouse's health to positive quality, and that own and spouse's mental health and more frequent sex are associated with higher positive and lower negative marital quality. Further, we find that (a) sexual activity mediates the association between own and partner's physical health and positive marital quality, (b) own mental health mediates the association between one's own physical health and both positive and negative marital quality, and (c) partner's mental health mediates the associations of spouse's physical health with positive marital quality. These results are robust to alternative specifications of the model. The results suggest ways to protect marital quality among older adults who are struggling with physical illness in themselves or their partners.

  1. Daily communication, conflict resolution, and marital quality in Chinese marriage: A three-wave, cross-lagged analysis.

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    Li, Xiaomin; Cao, Hongjian; Zhou, Nan; Ju, Xiaoyan; Lan, Jing; Zhu, Qinyi; Fang, Xiaoyi

    2018-05-17

    Based on three annual waves of data obtained from 268 Chinese couples in the early years of marriage and using a three-wave, cross-lagged approach, the present study examined the associations among daily marital communication, marital conflict resolution, and marital quality. Results indicated unidirectional associations linking daily marital communication or marital conflict resolution to marital quality (instead of reciprocal associations); and when considered simultaneously in a single model, daily marital communication and marital conflict resolution explained variance in marital quality above and beyond each other. Furthermore, the authors also found a significant longitudinal, indirect association linking husbands' daily marital communication at Wave 1 to husbands' marital quality at Wave 3 via husbands' marital conflict resolution at Wave 2. Taken altogether, the current study adds to an emerging body of research aimed at clarifying: (a) the directionality of the associations between couple interactive processes and marital well-being; (b) the unique roles of daily marital communication and marital conflict resolution in predicting marital outcomes; and (c) how daily marital communication and marital conflict resolution may operate in conjunction with each other to shape the development of couple relationship well-being. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  2. Quality of marital life in Korean patients with spondyloarthropathy.

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    Yim, S Y; Lee, I Y; Lee, J H; Jun, J B; Kim, T H; Bae, S C; Yoo, D H

    2003-09-01

    The objectives of this study were to assess the quality of marital life (QML) in patients with spondyloarthropathy (SpA) in Korea and to identify possible gender differences in QML in patients with SpA. This was a case-control study at the outpatient unit of a tertiary care medical centre. Subjects were the patient group, composed of 47 married patients with SpA, and a comparison group composed of 47 healthy married adults with similar demographic characteristics. QML was measured using the Marital Satisfaction Inventory, Revised. As a result, QML was similar for both the male patients and the healthy men. However, the female patients had higher scores on the global distress scale (59.8 +/- 6.3 vs. 53.8 +/- 5.6, P=0.021) and the aggression scale (50.5 +/- 7.9 vs. 44.3 +/- 5.4, P=0.016) than the female comparison group. At the same time, the female patients demonstrated higher scores on the global distress scale (59.8 +/- 6.3 vs. 54.7 +/- 7.2, P=0.035) than the male patients. In conclusion, QML in Korean males with SpA was not greatly different from that of the male comparison group. However, QML in the female patients was characterised by higher global distress and a higher probability of aggression from their partner, but no significant sexual dissatisfaction.

  3. Marital Quality and Divorce Decisions: How Do Premarital Cohabitation and Nonmarital Childbearing Matter?

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    Tach, Laura M.; Halpern-Meekin, Sarah

    2012-01-01

    This study used the 1979 cohort of the National Longitudinal Survey of Youth (N = 3,481) to test whether the association between marital quality and divorce is moderated by premarital cohabitation or nonmarital childbearing status. Prior research identified lower marital quality as a key explanation for why couples who cohabit or have children…

  4. Respite Care, Stress, Uplifts, and Marital Quality in Parents of Children with Down Syndrome

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    Norton, Michelle; Dyches, Tina Taylor; Harper, James M.; Roper, Susanne Olsen; Caldarella, Paul

    2016-01-01

    Parents of children with disabilities are at risk for high stress and low marital quality; therefore, this study surveyed couples (n = 112) of children with Down syndrome (n = 120), assessing whether respite hours, stress, and uplifts were related to marital quality. Structural equation modeling indicated that respite hours were negatively related…

  5. Marital Quality in Interracial Relationships: The Role of Sex Role Ideology and Perceived Fairness

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    Forry, Nicole D.; Leslie, Leigh A.; Letiecq, Bethany L.

    2007-01-01

    African American/White interracial couples are a rapidly growing segment of the population. However, little is known about factors related to marital quality for these couples. The authors examine the relationships between sex role ideology, perception of relationship unfairness, and marital quality among a sample of 76 married African…

  6. Drinking Patterns Among Older Couples: Longitudinal Associations With Negative Marital Quality.

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    Birditt, Kira S; Cranford, James A; Manalel, Jasmine A; Antonucci, Toni C

    2018-04-16

    Research with younger couples indicates that alcohol use has powerful effects on marital quality, but less work has examined the effects of drinking among older couples. This study examined whether dyadic patterns of drinking status among older couples are associated with negative marital quality over time. Married participants (N = 4864) from the Health and Retirement Study reported on alcohol consumption (whether they drink alcohol and average amount consumed per week) and negative marital quality (e.g., criticism and demands) across two waves (Wave 1 2006/2008 and Wave 2 2010/2012). Concordant drinking couples reported decreased negative marital quality over time, and these links were significantly greater among wives. Wives who reported drinking alcohol reported decreased negative marital quality over time when husbands also reported drinking and increased negative marital quality over time when husbands reported not drinking. The present findings stress the importance of considering the drinking status rather than the amount of alcohol consumed of both members of the couple when attempting to understand drinking and marital quality among older couples. These findings are particularly salient given the increased drinking among baby boomers and the importance of marital quality for health among older couples.

  7. Alternative perspectives of quality of prenatal care in Chihuahua, Mexico

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    Lourdes Camarena O; Christine von Glascoe

    2007-01-01

    Objective: this article describes the process and results of a research on the quality of prenatal care from the perspective of pregnant women who use the principal subsystems of the Mexican healthcare system in the city of Chihuahua, Mexico. Methodology: the field of cognitive anthropology was adopted using techniques that reveal the organization of concepts of quality in prenatal care based on pregnant women’s knowledge and experience, in terms of where they decided to seek care. Results: a...

  8. Does Viewing Pornography Reduce Marital Quality Over Time? Evidence from Longitudinal Data.

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    Perry, Samuel L

    2017-02-01

    Numerous studies have examined the connection between pornography viewing and marital quality, with findings most often revealing a negative association. Data limitations, however, have precluded establishing directionality with a representative sample. This study is the first to draw on nationally representative, longitudinal data (2006-2012 Portraits of American Life Study) to test whether more frequent pornography use influences marital quality later on and whether this effect is moderated by gender. In general, married persons who more frequently viewed pornography in 2006 reported significantly lower levels of marital quality in 2012, net of controls for earlier marital quality and relevant correlates. Pornography's effect was not simply a proxy for dissatisfaction with sex life or marital decision-making in 2006. In terms of substantive influence, frequency of pornography use in 2006 was the second strongest predictor of marital quality in 2012. Interaction effects revealed, however, that the negative effect of porn use on marital quality applied to husbands, but not wives. In fact, post-estimation predicted values indicated that wives who viewed pornography more frequently reported higher marital quality than those who viewed it less frequently or not at all. The implications and limitations of this study are discussed.

  9. The effectiveness of group therapy based on quality of life on marital adjustment, marital satisfaction and mood regulation of Bushehr Male abusers

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    yoseph Dehghani

    2016-07-01

    Full Text Available Background: The purpose of this research was to study the The effectiveness of group therapy based on quality of life on marital adjustment, marital satisfaction and mood regulation of Bushehr Male abusers. Materials and Methods: In this study which was a quasi-experimental pre-test, post-test with control group, the sample group was selected by clustering sampling method from the men who referred to Bushehr addiction treatment clinics that among them a total of 30 patients randomly divided into two experimental and control groups of 15 individuals. The instrument included short version of the Marital Adjustment Questionnaire, Marital Satisfaction Questionnaire and Garnefski Emotional Regulation Scale that was completed by the participants in the pre-test and post-test stages.The experimental group was treated based on group life quality in eight sessions but the control group did not receive any treatment. Multi-variate covariance analysis is used for statistical analysis of data. Results: The results revealed that after intervention there was a significant difference between two groups in terms of marital adjustment, marital satisfaction and emotional regulation variables (P<0/001.The rate of marital adjustment, marital satisfaction and emotional regulation in experimental group compare with control group and it was significantly higher in post-test.  Conclusion: treatment based on quality of life which have formed from combination of positive psychology and cognitive-behavioral approach can increase marital adjustment, marital satisfaction and mood regulation of abusers.

  10. Incremental Validity of Spouse Ratings versus Self-Reports of Personality as Predictors of Marital Quality and Behavior during Marital Conflict

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    Cundiff, Jenny M.; Smith, Timothy W.; Frandsen, Clay A.

    2012-01-01

    The personality traits of neuroticism and agreeableness are consistently related to marital quality, influencing the individual's own (i.e., actor effect) and the spouse's marital quality (i.e., partner effect). However, this research has almost exclusively relied on self-reports of personality, despite the fact that spouse ratings have been found…

  11. Daily Marital Interaction Quality and Carotid Artery Intima Medial Thickness in Healthy Middle Aged Adults

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    Joseph, Nataria T.; Kamarck, Thomas W.; Muldoon, Matthew F.; Manuck, Stephen B.

    2014-01-01

    Objective To examine the association between marital interaction quality during daily life and subclinical cardiovascular disease (CVD). Studies have shown that marital status and quality of marriage are associated with cardiovascular health. However, little is known about the role of marital interaction quality during daily life in contributing to these effects. Methods The sample consisted of 281 healthy, employed middle-aged adults who were married or living with a partner in a marital-like relationship (mean age = 42.0 years, 88% white, 52% men). Marital interaction quality was assessed using hourly real-time Ecological Momentary Assessments (EMAs) for 4 days, with participants rating their current or recent partner interactions on positive and negative characteristics (e.g., agreeableness and conflict). Carotid artery intima medial thickness (IMT) was assessed using ultrasound imaging. Results Adjusting for demographics, positive marital interaction was inversely associated with IMT, [b = −.02 F(1, 275) = 9.18, p = .002], and negative marital interaction was positively associated with IMT, [b = .02 F(1, 275) = 10.29, p = .001]. These associations were not accounted for by behavioral and biological cardiovascular disease (CVD) risk factors and were consistent across age, sex, race, and education. The associations were also independent of marital interaction frequency, nonmarital social interaction quality, and personality factors. Global reports of marital quality, in contrast, were not associated with IMT. Conclusions Marital quality as measured during real-time interactions between partners was associated with subclinical cardiovascular disease in healthy middle-aged adults. This study supports the utility of real-time social interaction assessment for characterizing links between social relationships and cardiovascular health. PMID:24915293

  12. The Effect of Shift Work on Quality and Stability of Marital Relations.

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    White, Lynn; Keith, Bruce

    1990-01-01

    Interviewed a national panel of 1,668 married women and men in 1980 and 1983 to assess effects of shift work on 6 measures of marital quality (marital happiness, interaction, disagreements, general problems, sexual problems, and child-related problems) and probability of divorce. Results suggested that shift work has a modest but general adverse…

  13. Marital quality, coping with conflict, marital complaints, and affection in couples with a depressed wife.

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    Coyne, James C; Thompson, Richard; Palmer, Steven C

    2002-03-01

    This study compared three groups of women--outpatient depressed, inpatient depressed, and community control--and their husbands on a range of variables including marital functioning and styles of coping with conflict. Outpatient depressed couples reported greater marital distress and more destructive and less constructive tactics for resolving conflict than did community control couples. They also were more likely to have been previously married and to express regrets about having married their current husbands. There were smaller and less consistent differences for couples with inpatient depressed spouses, although inpatient couples with younger wives were similar to outpatient depressed couples. Both groups of depressed women and their husbands reported fewer expressions of affection and more complaints about the marriage than did control couples. Results are discussed in terms of interpersonal perspectives on depression.

  14. Language Acculturation, Acculturation-Related Stress, and Marital Quality in Chinese American Couples.

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    Hou, Yang; Neff, Lisa A; Kim, Su Yeong

    2018-04-01

    The current study examines the longitudinal indirect pathways linking language acculturation to marital quality. Three waves of data were collected from 416 Chinese American couples over eight years ( M age.wave1 = 48 for husbands, 44 for wives). Actor-partner interdependence model analyses revealed that for both husbands and wives, lower levels of language acculturation were associated with higher levels of stress over being stereotyped as a perpetual foreigner. Individuals' foreigner stress, in turn, was directly related to greater levels of their own and their partners' marital warmth, suggesting that foreigner stress may have some positive relational effects. However, individuals' foreigner stress also was associated with increases in their own depressive symptoms, which predicted higher levels of marital hostility in the partner. Overall, these results underscore the complexity of how language acculturation and foreigner stress relate to marital quality and the importance of considering the interdependence of the marital system.

  15. Marital quality of parents of children with spina bifida: a case-comparison study.

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    Cappelli, M; McGarth, P J; Daniels, T; Manion, I; Schillinger, J

    1994-10-01

    The impact of childhood chronic illness on parents' marital quality has received limited attention. Most studies have relied solely on mothers' reports and have not examined differences between mothers and fathers. Using a case-control design, this study compared the marital quality within and between dyads of 46 couples with children matched on the age and children matched on the age and sex of the child. During a home visit, parents completed both self-report measures and a communication observational task. Mothers' and fathers' reports of marital quality did not differ between the two groups. Also, no significant differences were found on other marital and psychosocial measures. The most interesting correlations were observed for fathers of children with spinal bifida whose marital quality was associated with parenting stress (r = -.51), depression (r = -.34), and role strain (r = -.34). Overall, the results of this study contribute to the growing body of literature demonstrating that parents of children with a chronic condition are at no greater risk for psychosocial dysfunction, including marital distress, than parents of healthy children. However, to generalize the results, additional research on marital quality with other chronic conditions is required.

  16. Is the Moderating Effect of Social Support on New Korean Mothers' Psychological Distress Contingent on Levels of Marital Quality?

    Science.gov (United States)

    Park, Ki Tae

    2018-03-01

    This study examines how levels of marital quality change the effect of social support on postpartum psychological distress among new Korean mothers using the Panel Study on Korean Children (N = 1585). In accord with findings from previous studies, this study shows that low marital quality negatively affects new mothers' mental health, but that social support alleviates psychological distress independent of marital quality. The main finding of this research is that the moderating effect of social support is contingent on levels of marital quality. Aggregated social support moderates the effects of marital quality on new mothers' mental health only when the level of marital quality is low. Furthermore, each dimension of social support (emotional, informational, and instrumental) only has a moderating effect when marital quality is low. The findings highlight the fact that the moderating effect of social support varies with the individual context and so customized social support that fits individual needs matters for the mental health of new mothers.

  17. Variation in marital quality in a national sample of divorced women.

    Science.gov (United States)

    James, Spencer L

    2015-06-01

    Previous work has compared marital quality between stably married and divorced individuals. Less work has examined the possibility of variation among divorcés in trajectories of marital quality as divorce approaches. This study addressed that hole by first examining whether distinct trajectories of marital quality can be discerned among women whose marriages ended in divorce and, second, the profile of women who experienced each trajectory. Latent class growth analyses with longitudinal data from a nationally representative sample were used to "look backward" from the time of divorce. Although demographic and socioeconomic variables from this national sample did not predict the trajectories well, nearly 66% of divorced women reported relatively high levels of both happiness and communication and either low or moderate levels of conflict. Future research including personality or interactional patterns may lead to theoretical insights about patterns of marital quality in the years leading to divorce. (c) 2015 APA, all rights reserved).

  18. Quality of Prenatal Care Services in Karabuk Community Health Center

    Directory of Open Access Journals (Sweden)

    Binali Catak

    2012-04-01

    Full Text Available The aim of the study was to evaluate the quality and quantity of prenatal care services according to gestastional week in Karabuk Community Health Center (CHC. Methods: In this descriptive study 365 pregnant women was selected as sample among 753 pregnant women registered at Karabuk CHC in 18/01/2011. 93.0% of women in the selected sample has been visited in their homes and the face to face interviews were done. The questionnaire was prepared according to Prenatal Care Management Guidelines (PCMG of Ministry of Health. Findings The number of follow-ups was not complete in 23.7% of 15-24 month, 34.4% of 25-32 month, 52,1% of 33-42 month pregnant women. At least four follow-up visits were completed only in 66,7% of postpartum women. Timing of first visit was after 15th week in 15,6% of women. In follow up visits 62.5% of of women’s height were never measured, in 13,0% the women hearth sound of infants didn’t monitored at least once. Laboratory test numbers were under the level required by PCMG. The delivery conditions weren’t planned in 41,8% of last trimester and postpartum women and training about breastfeeding wasn’t given to 15,5 of the same group. Result In family medicine model in Karabuk CHC developments in number of prenatal follow-up visits were observed, but no substantial improvements were found in quality of prenatal visits. Regular in service trainings shoud be given to family doctors and midwives. The use of prenatal care guideline published by MoH should be increased. Keywords: Prenatal care, pregnancy, timing of first visit, qality of prenatal care [TAF Prev Med Bull 2012; 11(2.000: 153-162

  19. Drivers\\' Life Quality, Marital Satisfaction, and Social Support in Cargo Terminal of Yazd City

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Morovati Sharifabadi

    2017-02-01

    Full Text Available Abstract Introduction: This is important to consider the health, social support, and marital satisfaction of drivers since they own one of the essential and stressful jobs in society. The purpose of this research was to investigate quality of life, marital satisfaction, and social support of the drivers referring to the cargo terminal of Yazd City. Methods: In order to collect data, 134 drivers in Yazd cargo terminal were selected. The ENRICH questionnaire of marital satisfaction, SF-36 questionnaire, and social support questionnaire (SSQ have been used as data collection tools. The collected data were then analyzed by Independent T test, Analysis of Variance (ANOVA, and Pearson correlation. Results: According to the results, the drivers' average age was 40.2±9.17 years old. The mean scores of marital satisfaction, quality of life, and social support were equal to 120.04±20.14 out of 175, 99.69±18.14 out of 149, and 15±4.76 out of 23, respectively. About 60.4 % of drivers were not satisfied with their jobs. There were significant relationships between weight and marital satisfaction (P=0.02, as well as between job satisfaction (P=0.003 (P=0.015 and income (P=0.047 (P=0.020, to social support and quality of life. Also, a strong significant positive relationship was observed in correlation coefficient between social support and two variables of quality of life and marital satisfaction (P=0.000. Conclusion: This can be argued that marital satisfaction, quality of life, and social support of the drivers are lower than the expected levels. Therefore, it can be concluded that physical and mental health of drivers can be effective on safety of roads; thereby it is necessary to improve their conditions in marital satisfaction, quality of life, and social support

  20. Quality of prenatal care questionnaire: instrument development and testing

    Science.gov (United States)

    2014-01-01

    Background Utilization indices exist to measure quantity of prenatal care, but currently there is no published instrument to assess quality of prenatal care. The purpose of this study was to develop and test a new instrument, the Quality of Prenatal Care Questionnaire (QPCQ). Methods Data for this instrument development study were collected in five Canadian cities. Items for the QPCQ were generated through interviews with 40 pregnant women and 40 health care providers and a review of prenatal care guidelines, followed by assessment of content validity and rating of importance of items. The preliminary 100-item QPCQ was administered to 422 postpartum women to conduct item reduction using exploratory factor analysis. The final 46-item version of the QPCQ was then administered to another 422 postpartum women to establish its construct validity, and internal consistency and test-retest reliability. Results Exploratory factor analysis reduced the QPCQ to 46 items, factored into 6 subscales, which subsequently were validated by confirmatory factor analysis. Construct validity was also demonstrated using a hypothesis testing approach; there was a significant positive association between women’s ratings of the quality of prenatal care and their satisfaction with care (r = 0.81). Convergent validity was demonstrated by a significant positive correlation (r = 0.63) between the “Support and Respect” subscale of the QPCQ and the “Respectfulness/Emotional Support” subscale of the Prenatal Interpersonal Processes of Care instrument. The overall QPCQ had acceptable internal consistency reliability (Cronbach’s alpha = 0.96), as did each of the subscales. The test-retest reliability result (Intra-class correlation coefficient = 0.88) indicated stability of the instrument on repeat administration approximately one week later. Temporal stability testing confirmed that women’s ratings of their quality of prenatal care did not change as a result of giving

  1. Quality of prenatal care questionnaire: instrument development and testing.

    Science.gov (United States)

    Heaman, Maureen I; Sword, Wendy A; Akhtar-Danesh, Noori; Bradford, Amanda; Tough, Suzanne; Janssen, Patricia A; Young, David C; Kingston, Dawn A; Hutton, Eileen K; Helewa, Michael E

    2014-06-03

    Utilization indices exist to measure quantity of prenatal care, but currently there is no published instrument to assess quality of prenatal care. The purpose of this study was to develop and test a new instrument, the Quality of Prenatal Care Questionnaire (QPCQ). Data for this instrument development study were collected in five Canadian cities. Items for the QPCQ were generated through interviews with 40 pregnant women and 40 health care providers and a review of prenatal care guidelines, followed by assessment of content validity and rating of importance of items. The preliminary 100-item QPCQ was administered to 422 postpartum women to conduct item reduction using exploratory factor analysis. The final 46-item version of the QPCQ was then administered to another 422 postpartum women to establish its construct validity, and internal consistency and test-retest reliability. Exploratory factor analysis reduced the QPCQ to 46 items, factored into 6 subscales, which subsequently were validated by confirmatory factor analysis. Construct validity was also demonstrated using a hypothesis testing approach; there was a significant positive association between women's ratings of the quality of prenatal care and their satisfaction with care (r = 0.81). Convergent validity was demonstrated by a significant positive correlation (r = 0.63) between the "Support and Respect" subscale of the QPCQ and the "Respectfulness/Emotional Support" subscale of the Prenatal Interpersonal Processes of Care instrument. The overall QPCQ had acceptable internal consistency reliability (Cronbach's alpha = 0.96), as did each of the subscales. The test-retest reliability result (Intra-class correlation coefficient = 0.88) indicated stability of the instrument on repeat administration approximately one week later. Temporal stability testing confirmed that women's ratings of their quality of prenatal care did not change as a result of giving birth or between the early postpartum

  2. Marital quality and diabetes: results from the Health and Retirement Study.

    Science.gov (United States)

    Whisman, Mark A; Li, Angela; Sbarra, David A; Raison, Charles L

    2014-08-01

    Poor marital quality is associated with many different indicators of poor health, including immunologic and metabolic responses that have relevance for distal disease outcomes such as diabetes. We conducted this study to evaluate whether poor marital quality was associated with the prevalence of diabetes in a population-based sample of Americans over the age of 50. Participants were married adults from the 2006 (N = 3,898) and 2008 (N = 3,452) waves of the Health and Retirement Study. Participants completed an interview and a self-report questionnaire, and current use of diabetes medication and glycosylated hemoglobin obtained from blood spot samples were used to index diabetes status. Marital quality was assessed with items regarding perceived frequency of positive and negative exchanges with partner. Decreasing frequency of positive exchanges and increasing frequency of negative exchanges with one's spouse were associated with higher prevalence of diabetes among men, but not women at both waves; gender significantly moderated the associations between partner exchanges and diabetes status for the 2006 data. The association between frequency of partner exchanges and diabetes status generally remained significant in men after accounting for demographic characteristics and other risk factors (obesity, hypertension, low physical activity). Poor marital quality as operationalized by rates of positive and negative partner exchanges was associated with increased prevalence of diabetes in men. These results are consistent with prior work on marriage and health, and suggest that poor marital quality may be a unique risk factor for diabetes.

  3. THE INFLUENCE OF PARENTS' MARITAL QUALITY ON ADULT CHILDREN'S ATTITUDES TOWARD MARRIAGE AND ITS ALTERNATIVES: MAIN AND MODERATING EFFECTS*

    OpenAIRE

    CUNNINGHAM, MICK; THORNTON, ARLAND

    2006-01-01

    Drawing on a panel study of parents and children, we investigate linkages between parents' marital quality and adult children's attitudes toward a range of family issues, including premarital sex, cohabitation, lifelong singlehood, and divorce. We hypothesize that parents' marital quality will be negatively related to children's support for these behaviors in adulthood and that parents' marital quality will condition the intergenerational transmission of attitudes toward these issues. We find...

  4. Conflict Resolution in Mexican-Origin Couples: Culture, Gender, and Marital Quality

    Science.gov (United States)

    Wheeler, Lorey A.; Updegraff, Kimberly A.; Thayer, Shawna M.

    2010-01-01

    This study examined associations between Mexican-origin spouses' conflict resolution strategies (i.e., nonconfrontation, solution orientation, and control) and (a) gender-typed qualities and attitudes, (b) cultural orientations, and (c) marital quality in a sample of 227 couples. Results of multilevel modeling revealed that Mexican cultural…

  5. Forecasting Friendship: How Marital Quality, Maternal Mood, and Attachment Security Are Linked to Children's Peer Relationships

    Science.gov (United States)

    Lucas-Thompson, Rachel; Clarke-Stewart, K. Alison

    2007-01-01

    Mothers' perceptions of marital quality and depressed mood and children's attachment security and friendship quality were assessed in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. One month after their birth and again when the children were 3 and 4 years old and in first and third…

  6. Predictors of maternal depression in the first year postpartum: marital status and mediating role of relationship quality.

    Science.gov (United States)

    Akincigil, Ayse; Munch, Shari; Niemczyk, Kristen C

    2010-01-01

    Existing literature has documented the associations between marital status and maternal depression within the first year postpartum. Using data that is representative of urban non-marital births in the United States with a large over-sample of non-marital births, we investigate the association of maternal depression with not only marital status but also relationship quality with the father of the baby. Quality is independently associated with maternal depression after controlling for marital status and other variables that have been documented as risk factors for maternal depression. In addition, relationship quality explains away the associations between marital status and maternal depression. After controlling for relationship quality, single women were no more likely to be depressed compared to married or cohabiting women.

  7. Associations between quality of life and marital status in cancer patients and survivors.

    Science.gov (United States)

    Han, Kyu-Tae; Kim, Sun Jung; Song, Haiyan; Chun, Sung-Youn; Kim, Chan Ok; Kim, Jung-Soo; Park, Eun-Cheol

    2014-01-01

    The cancer survival rate in Korea has substantially increased, necessitating the management of not only patients with cancer but also longer term survivors. Although the divorce rate has drastically increased in Korea, there is not sufficient research regarding the relationship between changes in marital status and quality of life (QOL) in cancer patients and survivors. Thus, we aimed to examine the relationship between marital status and QOL in such cases. This study was performed using the Community Health Survey of 2008 administered by the Korea Centers for Disease Control and Prevention (N=169,328). We used t-tests and Chi-square tests to compare demographic variables between men and women, and analysis of variance (ANOVA) to compare QOL scores among comparison groups. We also performed a multilevel analysis on the relationship between QOL and marital status while accounting for provincial differences. Decline of EuroQOL five dimensions (EQ-5D) in single patients with cancer was greater than in any other marital status group, but there was no statistically significant decline in survivors of cancer with regard to marital status. In the general population, the decline of EQ-5D was higher among single people than married people. Using the EuroQOL visual analog scale (EQ-VAS), single people had higher values than those of other marital status among both patients with cancer and survivors of cancer. In the general population, EQ-VAS values were higher for single people compared to married people. There may be a significant relationship between marital status and QOL in cancer patients and survivors. Policy interventions to manage patients with cancer who experience a decline in QOL as well as marital problems should be conducted.

  8. Is an Empty Nest Best?: Coresidence With Adult Children and Parental Marital Quality Before and After the Great Recession.

    Science.gov (United States)

    Davis, Eden M; Kim, Kyungmin; Fingerman, Karen L

    2018-03-02

    Since the Great Recession, the proportion of young adults living with their parents has risen steadily in the United States. Research on coresidence with adult children and parental marital quality is mixed, but marital quality may suffer if children coreside under certain circumstances. When coresidence signifies a deviation from normative expectations, it may be a source of stress in parents' marriages. Further, living with adult children who are suffering problems may be especially detrimental to parental marital quality. Middle-aged parents (N = 287; mean age = 50.65) completed measures of marital quality, child problems, and coresidence at 2 time points, at the onset of the Great Recession in 2008 and again in 2013. Regression analyses estimating marital quality from coresidence status revealed that coresidence with a child was associated with lower parental marital quality in 2008, but not in 2013 (when it may be considered more normative to have adult children living in the home). Additional analyses showed living with a child who was suffering problems was associated with lower marital quality in 2013. These findings suggest that coresidence may be detrimental to marital quality, but perhaps only when coresidence is nonnormative or when coresidence co-occurs with child problems.

  9. Marital Quality and Spouses' Marriage Work with Close Friends and Each Other.

    Science.gov (United States)

    Helms, Heather M.; Crouter, Ann C.; McHale, Susan M.

    2003-01-01

    Explores how husbands' and wives' marriage work with close friends and one another was linked to their perceptions of marital quality. Results showed that husbands engaged in more marriage work with their wives than with close friends, whereas wives engaged in similar levels of marriage work with their close friends and husbands. (Contains 58…

  10. No Fun Anymore: Leisure and Marital Quality across the Transition to Parenthood

    Science.gov (United States)

    Claxton, Amy; Perry-Jenkins, Maureen

    2008-01-01

    This study examines changes in leisure patterns across the transition to parenthood for dual-earner, working-class couples, as well as the relationship between leisure and marital quality. To this end, 147 heterosexual couples were interviewed across the transition to parenthood. Findings indicate that during the transition to parenthood, husbands…

  11. The Effects of Job Characteristics on Marital Quality: Specifying Linking Mechanisms.

    Science.gov (United States)

    Hughes, Diane; And Others

    1992-01-01

    Evaluated conceptual model hypothesizing that two dimensions of work-family interference, structural role difficulties and negative mood spillover, intervene in direct relationship between discrete characteristics of work and marital quality. Findings from 334 male and female white-collar workers indicated that job characteristics predicted…

  12. Parental Expressiveness as a Moderator of Coparenting and Marital Relationship Quality

    Science.gov (United States)

    Kolak, Amy M.; Volling, Brenda L.

    2007-01-01

    Driven by theory and extant research on the communication of emotions within the family, the current investigation examined marital quality and parents' emotional expressiveness as determinants of coparenting in a sample of 57 couples with young children. Specifically, mothers' and fathers' expressiveness was examined as moderators of the…

  13. Relational aggression and marital quality: A five-year longitudinal study.

    Science.gov (United States)

    Coyne, Sarah M; Nelson, David A; Carroll, Jason S; Smith, Nathan J; Yang, Chongming; Holmgren, Hailey G; Johnson, Chad

    2017-04-01

    Relational aggression occurs in many different contexts, including in romantic relationships. The current study examined associations between two subtypes of relational aggression (love withdrawal and social sabotage) and marital quality over a 5-year time period. Participants consisted of 311 married couples who completed a number of questionnaires on relational aggression and relationship quality once a year over a 5-year period. Results revealed that relational aggression was highly stable over time and that women used more relational aggression than men. Men's use of social sabotage and love withdrawal were bidirectionally related to both partners' perceptions of poor marital quality over time. Conversely, only women's use of love withdrawal was related to her own perceptions of poor marital quality over time. Collectively, these results suggest that relational aggression by men may be less common, though particularly toxic in a marital relationship. Couples are encouraged to find healthier ways of coping with problems in relationships. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  14. Marital and Parental Status and Quality of Life of Female Clerical Workers.

    Science.gov (United States)

    Kahn, Sharon E.; And Others

    1989-01-01

    Examined marital and parental status in relation to perceptions of quality of work and family roles (psychological well-being, job satisfaction, work involvement, non-occupational environment, and role demands) in female clerical workers (N=148). Found income differentiated married and unmarried women and presence of school-age children related to…

  15. SECONDARY EFFECTS OF THE LOCALIZAED PROSTATE CANCER TREATMENTS ON THE QUALITY OF LIFE AND MARITAL

    Directory of Open Access Journals (Sweden)

    MÓNICA MARÍA NOVOA GÓMEZ

    2003-07-01

    Full Text Available The general objective of this correlational-descriptive study was to analyze the relation betweenantineoplasic treatment’s secondary effects, quality of life and marital adjustment in men with localizedprostate cancer. The instruments were a structured interview about sociodemographic data, the QLQC30.v3 Inventory, to evaluate quality of life in oncology patients; the QLQ-PR25 Inventory, that is a complementary module of the previous one aimed to evaluate prostate cancer treatment’s secondaryeffects, and the Dyadic Adjustment Scale (DAS to evaluate marital adjustment. In order to select theparticipants of the study, contacts with the Javeriano Oncology Center at the San Ignacio UniversitaryHospital, the Santa Fe Foundation and the National Institute of Cancerology were made. Participantswere fifty (50 patients diagnosed with localized prostate cancer who received treatment s as radicalprostatectomy, and/or radiotherapy and/or hormonal therapy and/or brachitherapy, and with a timebetween six months and two years elapsed since the treatment. After the instruments application datawere analyzed with Kendall’s bivariate statistics. Significant correlations were found between treatment’ssecondary effects and quality of life, marital adjustment and quality of life, and treatment’s secondaryeffects and marital adjustment. Based on this results, hypothesis formulated for this study were accepted.

  16. Marital quality and self-efficacy: influence on disease management among individuals with rheumatoid arthritis.

    Science.gov (United States)

    Tewary, Sweta; Farber, Naomi

    2014-01-01

    Individuals with rheumatoid arthritis (RA) struggle to maintain improved functional ability and reduced pain levels. Health education emphasizing self-efficacy helps individuals to adjust with the disease outcome and progression. As a basis to develop comprehensive evidence-based patient education programs, the aim of the study was to examine the role of marriage as a predictor of pain and functional self-efficacy among individuals with RA. Review of the regression analysis did not provide support for the relationships between marital quality and self-efficacy. Relationships were not observed between marital quality, length of marriage, and self-efficacy as predicted by the first hypothesis. Additional regression analysis examination found that marital quality, length of marriage, pain, and health assessment together reported significant variance in self-efficacy. However, only health assessment significantly predicted self-efficacy. Other nonexamined variables could have influenced the independent marital quality effects. Future longitudinal studies with larger sample sizes can further validate the current findings.

  17. Marital Quality, Maternal Depressed Affect, Harsh Parenting, and Child Externalising in Hong Kong Chinese Families

    Science.gov (United States)

    Chang, Lei; Lansford, Jennifer E.; Schwartz, David; Farver, Joann M.

    2004-01-01

    The present study used a family systems approach to examine harsh parenting, maternal depressed affect, and marital quality in relation to children's externalising behaviour problems in a sample of 158 Hong Kong primary school children. At two time points, peers and teachers provided ratings of children's externalising behaviours, and mothers…

  18. The Impact of Intellectual Disability, Caregiver Burden, Family Functioning, Marital Quality, and Sense of Coherence

    Science.gov (United States)

    Al-Krenawi, Alean; Graham, John R.; Al Gharaibeh, Fakir

    2011-01-01

    The present article is the first to consider the impact of intellectual disability on Bedouin-Arab families' caregiver burden, family functioning, marital quality, and sense of coherence. A random sample of 300 Bedouin-Arab parents with one or more intellectually disabled children, and a control group (n = 100) completed the McMaster Family…

  19. GENDER CONFORMITY, PERCEPTIONS OF SHARED POWER, AND MARITAL QUALITY IN SAME- AND DIFFERENT-SEX MARRIAGES.

    Science.gov (United States)

    Pollitt, Amanda M; Robinson, Brandon A; Umberson, Debra

    2018-01-01

    Research on gender inequality within different-sex marriages shows that women do more unpaid labor than men, and that the perception of inequality influences perceptions of marital quality. Yet research on same-sex couples suggests the importance of considering how gender is relational. Past studies show that same-sex partners share unpaid labor more equally and perceive greater equity than do different-sex partners, and that lesbian, gay, and bisexual people are less gender conforming than heterosexuals. However, studies have not considered how gender conformity might shape inequalities and marital quality within same- and different-sex unions. In this study, we analyze dyadic data from both spouses in same- and different-sex marriages to explore how sex of spouse and gender conformity influence perceptions of shared power within the relationship, which, in turn, influences marital quality. Results show that greater gender conformity is related to stronger perceptions of shared power in different-sex and male same-sex couples but not in female same-sex couples. Perceptions of shared power are positively associated with marital quality in all union types. Our findings suggest that maintaining hegemonic masculinity and power inequalities may be salient to marriages with men. In female same-sex couples, gender and its relation to power inequalities may carry less meaning.

  20. Marital quality and relationship satisfaction in war veterans and their wives in Bosnia and Herzegovina

    Directory of Open Access Journals (Sweden)

    Miro Klaric

    2011-12-01

    Full Text Available Posttraumatic stress disorder (PTSD in war veterans and its complex emotional and behavioral characteristics affect veterans’ partners and the quality of their relationships. Although most research focuses on the effects of veterans’ PTSD on their partners/wives and their relationships, not many findings have been established on partner adjustment and marriage quality when wives suffer from PTSD as well.The aim of the research was to examine the relationship between war-related posttraumatic stress symptoms and partner's marital satisfaction in couples where one or both partners suffer from PTSD.The Harvard Trauma Questionnaire and Dyadic Adjustment Scale encompassed 154 war veterans and their wives who had been treated at Mostar Clinical Hospital in Bosnia and Herzegovina for combat-related PTSD as well as 77 veterans who did not suffer from PTSD and their wives.Veterans’ PTSD is related to lower levels of marital adjustment of their wives. Marital adjustment was significantly lower in couples where both partners had PTSD compared with couples where only the veteran had PTSD or neither partner had PTSD. Female partner's marital adjustment is best explained by his avoidance symptoms and her own level of depressiveness and re-experiencing symptoms.The results highlight the importance of recognizing PTSD in wives of traumatized veterans as well as the importance of family approach in the treatment of PTSD.For the abstract or full text in other languages, please see Supplementary files under Reading Tools online

  1. Daily marital interaction quality and carotid artery intima-medial thickness in healthy middle-aged adults.

    Science.gov (United States)

    Joseph, Nataria Tennille; Kamarck, Thomas W; Muldoon, Matthew F; Manuck, Stephen B

    2014-06-01

    To examine the association between marital interaction quality during daily life and subclinical cardiovascular disease (CVD). Studies have shown that marital status and quality of marriage are associated with cardiovascular health. However, little is known about the role of marital interaction quality during daily life in contributing to these effects. The sample consisted of 281 healthy, employed middle-aged adults who were married or living with a partner in a marital-like relationship (mean age = 42.0 years, 88% white, 52% men). Marital interaction quality was assessed using hourly real-time ecological momentary assessments for 4 days, with participants rating their current or recent partner interactions on positive and negative characteristics (e.g., agreeableness and conflict). Carotid artery intima-medial thickness (IMT) was assessed using ultrasound imaging. Adjusting for demographics, positive marital interaction was inversely associated with IMT (b = -0.02, F(1,275) = 9.18, p = .002), and negative marital interaction was positively associated with IMT (b = 0.02 F(1,275) = 10.29, p = .001). These associations were not accounted for by behavioral and biological CVD risk factors and were consistent across age, sex, race, and education. The associations were also independent of marital interaction frequency, nonmarital social interaction quality, and personality factors. Global reports of marital quality, in contrast, were not associated with IMT. Marital quality as measured during real-time interactions between partners was associated with subclinical CVD in healthy middle-aged adults. This study supports the use of real-time social interaction assessment for characterizing links between social relationships and cardiovascular health.

  2. Love and Marital Quality in Romantic Relationships Mediated and Non-Mediated by Internet

    Directory of Open Access Journals (Sweden)

    Karla Rafaela Haack

    2014-04-01

    Full Text Available Love is one of the most desired feelings by human beings. According to the triangular theory of love, it is composed of three elements: intimacy, passion and decision/commitment, which constitutes a dimension related to the quality of love the partners perceive in their relationship. This study aims to compare the three elements of love and marital quality of 86 Internet users (43 in a relationship mediated by the Internet and 43 with a physical relationship. The results indicate that there is a significant difference in the intimacy, the decision/commitment and the whole dimension of love, as well as in the marital quality between partners who have a relationship mediated by Internet and the ones in a physical relationship. We can conclude that the Internet is a great tool for people to meet, but that it is important for the relationship to develop in a face-to-face context.

  3. Factors Associated with the Utilization and Quality of Prenatal Care in Western Rural Regions of China

    Science.gov (United States)

    Dongxu, Wang; Yuhui, Shi; Stewart, Donald; Chun, Chang; Chaoyang, Li

    2012-01-01

    Purpose: The paper seeks to identify key features of prenatal care utilization and quality in western regions of China and to determine the factors affecting the quality of prenatal care. Design/methodology/approach: A descriptive, cross-sectional study was conducted. The instrument for the study was a 10-stem respondent-administered, structured…

  4. Compassionate love as a mechanism linking sacred qualities of marriage to older couples' marital satisfaction.

    Science.gov (United States)

    Sabey, Allen K; Rauer, Amy J; Jensen, Jakob F

    2014-10-01

    Previous work has underscored the robust links between sanctification of marriage and marital outcomes, and recent developments in the literature suggest that compassionate love, which is important for intimate relationships, may act as a mediator of that relationship. Accordingly, the current study used actor-partner interdependence models to examine the relationship between a spiritual cognition (i.e., perceived sacred qualities of marriage) and marital satisfaction, and to determine whether that relationship is mediated by compassionate love, in a sample of older married couples (N = 64). Results revealed that wives' greater sacred qualities of marriage were significantly and positively linked to marital satisfaction on the part of both spouses, and that these links were partially mediated by couples' reports of compassionate love. These findings highlight the importance of moving beyond simply establishing the existence of the link between global markers of involvement of religion and marriage to understanding how specific spiritual cognitions may foster better relationship quality, especially among older couples. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  5. Marital context and post-infarction quality of life: is it social support or something more?

    Science.gov (United States)

    Waltz, M

    1986-01-01

    The development of a theory of quality of life following serious illness is currently an important field of endeavour in rehabilitation research. The interpersonal relationships of people and elements of the self-concept appear to be salient factors in causal models of subjective well-being. One such model developed to explain characteristic levels of well-being was used in a longitudinal study of adaptation to a first myocardial infarction. Data were collected from a national sample of male cardiac patients and their spouses on the illness and marital situation as predictors of long-term well-being or ill-being. Analyses of data from the first three waves of the study, which is to extend over 5 years after the onset of illness, are to be discussed in the paper. Marital status, the emotional quality of the spouse relationship and long-standing marital stressors were found to have direct and indirect effects on the two dimensions of the Bradburn Affect Balance Scale. The same is true of continuing problems associated with the heart attack relative to perceptions of having coped effectively with the after effects of illness. Differences in self-esteem and personal competence were suggested as mediators of socio-environmental and illness-related influences. The two-factor conception of well-being developed was found to be a useful framework for investigating positive and negative aspects of psychosocial rehabilitation. The same factors that explain differences between happy and unhappy people in social indicators research also appeared to be determinants of different trajectories of adaptation in the wake of a life-threatening illness. Previous research using theoretical models from stress research has overemphasized psychosocial morbidity and stress management and neglected positive processes of adaptation. The identification of love resources related to positive feeling states and life satisfaction has, therefore, not received the attention it deserves. This is

  6. The association between prenatal sleep quality and obstetric outcome.

    Science.gov (United States)

    Hung, Hsuan-Man; Ko, Shu-Hua; Chen, Chung-Hey

    2014-09-01

    Pregnancy-associated sleep disorder is a new category on the latest version of the International Classification of Sleep Disorders. It is a significant problem for pregnant women. The present follow-up study assesses the association between sleep quality during the second and third trimesters of pregnancy and obstetric-neonatal outcomes. A prospective follow-up study design was used. Follow-up examination of the obstetric birth records in the immediate postpartum period were carried out on 128 second-trimester and 120 third-trimester women and their newborns in two hospitals in Taiwan. Poor sleep quality was identified using the Pittsburgh Sleep Quality Index. Data were collected from October 2007 to June 2008. The prevalence of poor sleepers (Pittsburgh Sleep Quality Index score > 5) was 58% for second-trimester participants and 66% for third-trimester participants; participants who were unemployed reported a significantly higher prevalence of poor sleep quality than those who were employed. Subsequent review of the participant's obstetric birth records revealed that third-trimester poor sleepers were more likely to have had a vacuum-assisted delivery. This study identified poor sleep quality during the third trimester as a novel risk factor for vacuum-assisted delivery. We suggest that prenatal healthcare providers focus greater attention to the sleep disturbance condition of pregnant women and provide proactive sleep counseling to facilitate pregnant women's adjustment to the new psychosocial and physiological demands of motherhood.

  7. More Than a "Number": Perspectives of Prenatal Care Quality from Mothers of Color and Providers.

    Science.gov (United States)

    Coley, Sheryl L; Zapata, Jasmine Y; Schwei, Rebecca J; Mihalovic, Glen Ellen; Matabele, Maya N; Jacobs, Elizabeth A; Anderson, Cynthie K

    African American mothers and other mothers of historically underserved populations consistently have higher rates of adverse birth outcomes than White mothers. Increasing prenatal care use among these mothers may reduce these disparities. Most prenatal care research focuses on prenatal care adequacy rather than concepts of quality. Even less research examines the dual perspectives of African American mothers and prenatal care providers. In this qualitative study, we compared perceptions of prenatal care quality between African American and mixed race mothers and prenatal care providers. Prenatal care providers (n = 20) and mothers who recently gave birth (n = 19) completed semistructured interviews. Using a thematic analysis approach and Donabedian's conceptual model of health care quality, interviews were analyzed to identify key themes and summarize differences in perspectives between providers and mothers. Mothers and providers valued the tailoring of care based on individual needs and functional patient-provider relationships as key elements of prenatal care quality. Providers acknowledged the need for knowing the social context of patients, but mothers and providers differed in perspectives of "culturally sensitive" prenatal care. Although most mothers had positive prenatal care experiences, mothers also recalled multiple complications with providers' negative assumptions and disregard for mothers' options in care. Exploring strategies to strengthen patient-provider interactions and communication during prenatal care visits remains critical to address for facilitating continuity of care for mothers of color. These findings warrant further investigation of dual patient and provider perspectives of culturally sensitive prenatal care to address the service needs of African American and mixed race mothers. Copyright © 2017 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  8. PSYCHIATRIC MORBIDITY AND MARITAL QUALITY AMONG WIVES OF PATIENTS WITH ALCOHOL DEPENDENCE SYNDROME

    Directory of Open Access Journals (Sweden)

    Koustubh R

    2015-06-01

    Full Text Available BACKGROUND : Alcohol Dependence syndrome (ADS is one of the most common psychiatric disorders that has deleterious consequences not only on the patient with ADS but also hampers social , financial , and legal matters of his family hence could be considered as a disorder of the family. Spouses of patients with ADS , a key member of such dysfunctional family system , are most vulnerable to have significant psychiatric disorders like adjustment disorders , mood disorders , anxiety disorders and psychosocial problems. Hence we have undertaken this study in order to understand and address such issues which is largely neglected in psychiatric research. AIMS AND OBJECTIVES : To assess the severity of alcohol dependence & its adverse effect on families , the prevalence and pattern of psychiatric morbidity and marital quality in spouses of men with ADS and to explore the association between them. MATERIALS AND METHODS: 60 spouses of males with ADS according to Diagnostic and Statistical Manual of Mental Disorders ‑ IV (DSM IV - TR Criteria were screened for psychiatric morbidity using General Health Questionnaire and the presence of specific psychiatric disorders using Structured Cli nical Interview for DSM - IV AXIS - I & AXIS - II (SCID - I & SCID - II. Severity of alcohol dependence in males and its adverse consequences was assessed using Short Alcohol Dependence Data and Drinkers Inventory of Consequences, respectively. Marital quality was assessed using the marital quality scale. Data obtained was analyzed statistically. RESULTS : High prevalence of Psychiatric morbidity (63.33% among spouses of alcohol dependent men , with majority having Axis I diagnosis of Major Depression (35% , Anxiety and Adjustment Disorder. None of them had personality disorders on SCID II. Psychiatric morbidity , poor marital quality in spouses and high alcohol dependence in their husbands and its adverse consequences were found to be significantly correlated with each

  9. Spouses' involvement in their partners' diabetes management: associations with spouse stress and perceived marital quality.

    Science.gov (United States)

    August, Kristin J; Rook, Karen S; Franks, Melissa M; Parris Stephens, Mary Ann

    2013-10-01

    Spouses frequently attempt to influence (control) or support their chronically ill partners' adherence behaviors. Studies have documented effects of spousal control and support on chronically ill individuals, but little is known about how these two forms of involvement in a partner's disease management may be associated with spouses' stress or the quality of their interactions with their ill partners. The current study sought to address this gap by examining spouses' day-to-day involvement in their marital partner's management of type 2 diabetes (n = 129). Multilevel analyses of daily diary data revealed that on days when spouses exerted control, they reported more stress and more tense marital interactions, although these associations were more pronounced when patients exhibited poor adherence, had been ill for a longer period of time, and had more comorbid health conditions. On days when spouses provided support, in contrast, they reported less stress and more enjoyable marital interactions. The findings from the current study suggest that spouses' day-to-day stress and quality of interactions with their partners are associated with spouses' involvement in their partners' disease management, with health-related social control and support exhibiting distinctive associations.

  10. The role of marital quality and spousal support in behaviour problems of children with and without intellectual disability.

    Science.gov (United States)

    Wieland, Natalie; Baker, B L

    2010-07-01

    Children with intellectual disability (ID) have been found to be at an increased risk for developing behavioural problems. The purpose of this study was to examine the relationship between the marital domain, including marital quality and spousal support, and behaviour problems in children with and without ID. The relationship between the marital domain and child behaviour problems was examined in 132 families of 6-year-olds with and without ID. Using hierarchical regression, these relationships were also studied over time from child ages 6-8 years. Child behaviour problems were assessed with mother-reported Child Behavior Checklist. The marital domain was measured using the Dyadic Adjustment Scale-7 and the Spousal Support and Agreement Scale. Mother-reported parenting stress and observed parenting practices were tested as potential mediators of the relationship between the marital domain and child behaviour problems. Mean levels of the marital domain were not significantly different between typically developing (TD) and ID groups, but there were significantly greater levels of variance in reported marital quality in the ID group at ages 6, 7 and 8. The marital domain score at child age 6 years predicted child behaviour problems at age 8 for the TD group only. This predictive relationship appeared to be a unidirectional effect, as child behaviour problems at age 6 were not found to predict levels of the marital domain at age 8. Parenting stress partially mediated this relationship for the TD group. The marital domain may have a greater impact on behavioural outcomes for TD children. Implications for future research and interventions are discussed.

  11. WHAT CONNECTIONS BETWEEN MARITAL CONFLICT AND PARENTING QUALITY? EVIDENCE FROM PARENT’S GENDER IN SPILLOVER EFFECTS

    OpenAIRE

    Loredana Benedetto; Massimo Ingrassia

    2015-01-01

    The spillover hypothesis posits that negative emotions and behavioral patterns in marital conflicts influence parenting quality and children’s adjustment, through increasing of harsh and incoherent discipline and diminished involvement and affection. Moreover conflicts focused on childrearing issues are particularly distressing for children with often show emotional and behavioral problems. The aim of the study was to explore gender differences in the links between marital conflicts (des...

  12. The Relationship Between Quality of Life With Marital Satisfaction in Nurses in Social Security Hospital in Zahedan.

    Science.gov (United States)

    Gharibi, Maliheh; Sanagouymoharer, Gholamreza; Yaghoubinia, Fariba

    2015-06-25

    Marital satisfaction is one of the most important determinative factors of healthy function in family and can be affected by some factors. This study was conducted aimed to determine the relationship between quality of life and marital satisfaction in nurses in Social Security hospital in Zahedan. In this descriptive and correlational study, the population was the all of the nurses in various wards in Social Security hospital in Zahedan. The sample size was 103 and data collection was done through quality of life questionnaire (War and Sherborn) and Enrich Marital Satisfaction Scale. Data analysis was done through SPSS15 and using pearsons' correlation coefficient and stepwise regression. The aspects of physical functioning, role limitations due to physical health problems, role limitation due to emotional problems had a significant positive correlation and the bodily pain had a significant reverse correlation with aspects of marital satisfaction. The aspects of role limitations due to physical health problems and bodily pain were predictors of marital satisfaction. The results of study demonstrated the importance of pay attention to family issues and marital satisfaction and in this regard, the promotion of all aspects of quality of life is essential.

  13. [Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy].

    Science.gov (United States)

    Oh, Yeong Kyong; Hwang, Seon Young

    2018-02-01

    The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients. This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis. Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (β=-.39, p=.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (β=.17, p=.026), social well-being (SWB) (β=.49, p=.010), and functional well-being (FWB) (β=.38, p=.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (β=-.07, p=.024), SWB (β=-.19, p=.008), and FWB (β=-.15, p=.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB. Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients. © 2018 Korean Society of Nursing Science.

  14. Maternal depression and parenting in early childhood: Contextual influence of marital quality and social support in two samples.

    Science.gov (United States)

    Taraban, Lindsay; Shaw, Daniel S; Leve, Leslie D; Wilson, Melvin N; Dishion, Thomas J; Natsuaki, Misaki N; Neiderhiser, Jenae M; Reiss, David

    2017-03-01

    Marital quality and social support satisfaction were tested as moderators of the association between maternal depressive symptoms and parenting during early childhood (18-36 months) among 2 large, divergent, longitudinal samples (n = 526; n = 570). Unexpectedly, in both samples the association between maternal depressive symptoms and reduced parenting quality was strongest in the context of high marital quality and high social support, and largely nonsignificant in the context of low marital quality and low social support. Possible explanations for these surprising findings are discussed. Results point to the importance of accounting for factors in the broader family context in predicting the association between depressive symptoms and maternal parenting. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  15. Bad marriage, broken heart? Age and gender differences in the link between marital quality and cardiovascular risks among older adults.

    Science.gov (United States)

    Liu, Hui; Waite, Linda

    2014-12-01

    Working from a life course perspective, we develop hypotheses about age and gender differences in the link between marital quality and cardiovascular risk and test them using data from the first two waves of the National Social Life, Health, and Aging Project. The analytic sample includes 459 married women and 739 married men (aged 57-85 in the first wave) who were interviewed in both waves. We apply Heckman-type corrections for selection bias due to mortality and marriage. Cardiovascular risk is measured as hypertension, rapid heart rate, C-reactive protein, and general cardiovascular events. Results suggest that changes in marital quality and cardiovascular risk are more closely related for older married people than for their younger counterparts and that the link between marital quality and cardiovascular risk is more pronounced among women than among men at older ages. These findings fit with the gendered life course perspective and cumulative disadvantage framework. © American Sociological Association 2014.

  16. [Factors associated with the quality of prenatal care: an approach to premature birth].

    Science.gov (United States)

    Melo, Emiliana Cristina; Oliveira, Rosana Rosseto de; Mathias, Thais Aidar de Freitas

    2015-08-01

    To assess the quality of prenatal care in mothers with premature and term births and identify maternal and gestational factors associated with inadequate prenatal care. Cross-sectional study collecting data with the pregnant card, hospital records and interviews with mothers living in Maringa-PR. Data were collected from 576 mothers and their born alive infants who were attended in the public service from October 2013 to February 2014, using three different evaluation criteria. The association of prenatal care quality with prematurity was performed by univariate analysis and occurred only at Kessner criteria (CI=1.79;8.02). The indicators that contributed most to the inadequacy of prenatal care were tests of hemoglobin, urine, and fetal presentation. After logistic regression analysis, maternal and gestational variables associated to inadequate prenatal care were combined prenatal (CI=2.93;11.09), non-white skin color (CI=1.11;2.51); unplanned pregnancy (CI=1.34;3.17) and multiparity (CI=1.17;4.03). Prenatal care must follow the minimum recommended protocols, more attention is required to black and brown women, multiparous and with unplanned pregnancies to prevent preterm birth and maternal and child morbimortality.

  17. Stepparents and parenting stress: the roles of gender, marital quality, and views about gender roles.

    Science.gov (United States)

    Shapiro, Danielle

    2014-03-01

    Previous research suggests that stepparenting can be stressful, although the mechanisms that contribute to the experience of parenting stress in stepfamilies are less clear. This study examines gender, marital quality, and views about gendered family roles as correlates of parenting stress among 310 stepmothers, stepfathers, and biological mothers and fathers. Findings suggest that stepparents, and especially stepmothers, experience higher levels of parenting stress than biological parents. Findings also suggest that less traditional views about gendered family roles and higher dyadic adjustment are associated with lower parenting stress for stepparents, particularly in combination. Stepparents reporting both of these protective factors were indistinguishable in terms of parenting stress from biological parents. These findings indicate potential pathways to mitigate the stress associated with stepparenting. © 2014 FPI, Inc.

  18. Marital Alternatives and Marital Disruption.

    Science.gov (United States)

    Udry, J. Richard

    1981-01-01

    Explores the usefulness of "marital alternatives" as a dimension in explaining marital stability, using longitudinal data from a panel of married, White, urban couples from 16 urban areas. Results indicated the dimension of marital alternatives appeared to be a better predictor of marital disruption than marital satisfaction. (Author/RC)

  19. Maternal Depression and Parenting in Early Childhood: Contextual Influence of Marital Quality and Social Support in Two Samples

    Science.gov (United States)

    Taraban, Lindsay; Shaw, Daniel S.; Leve, Leslie D.; Wilson, Melvin N.; Dishion, Thomas J.; Natsuaki, Misaki N.; Neiderhiser, Jenae M.; Reiss, David

    2017-01-01

    Marital quality and social support satisfaction were tested as moderators of the association between maternal depressive symptoms and parenting during early childhood (18--36 months) among 2 large, divergent, longitudinal samples (n = 526; n = 570). Unexpectedly, in both samples the association between maternal depressive symptoms and reduced…

  20. Impact of Psychological Problems and Marital Adjustment of Iranian Veterans on Their Children's Quality of Life and Happiness

    Science.gov (United States)

    Zargar, Fatemeh

    2014-01-01

    Background: The Iran-Iraq war during the 1980-1988 has left many consequences on veterans and their families that persist long after the war ended. Objectives: The aim of this study was to evaluate the impact of psychological problems and marital adjustment of Iranian veterans on their children's quality of life and happiness 24 years after the war ended. Patients and Methods: The sample was all children of veterans in Isfahan city that registered by Veterans and Martyrs Affair Foundation (VMAF). One hundred sixty-three veterans were selected by systematic randomized sampling and the symptom checklist-90-revised (SCL-90-R) and dyadic adjustment scale (DAS) were administered for them. Their wives filled out the DAS and their children answered to World Health Organization Quality of Life-Brief version (WHOQOL-BREF) and Oxford Happiness Inventory (OHI). The data from questionnaires completed by 149 families were analyzed using the multiple regressions analysis. Results: Global Severity Index (GSI) scores of veterans and veteran's age were inversely correlated with the scores of children's quality of life, while marital adjustment of parents and number of rooms in house were positively correlated. Mother's age was inversely correlated with the scores of children's happiness, while marital adjustment of the parents, the number of rooms in their house and the number of children were positively correlated. Conclusions: In veterans' family, psychological health of the veterans and marital adjustment of the parents have a significant relationship with their children's quality of life and happiness. PMID:25599063

  1. The Comparison of Body Image, Quality of Sleep and Marital Satisfaction among Substance Abuser and Non-substance Abuser Women

    Directory of Open Access Journals (Sweden)

    Sara Behzad

    2016-05-01

    Full Text Available Background and Objective: The previous research has demonstrated that addiction treatment services for women need to be based on knowledge of female psychological needs. Therefore, the aim of current study is to compare body image, quality of sleep and marital satisfaction among substance abuser and non-substance abuser women.Materials and Methods: This study is a descriptive comparative research. 200 women including 100 substance abuser women and 100 non-substance abuser women were chosen through convenience method in Arak in 2015. The measuring instruments were Fisher body image scale (1970, Pittsburgh Sleep Quality Index (1989 and Enrich Marital Satisfaction Scale (1989. Data was analyzed utilizing t independent.Results: The results showed that there is the significant difference between marital satisfaction (P=0.001 and quality of sleep (P=0.001 among substance abuser and non-substance abuser women. Additionally, the significant difference was not observed between body image (P= 0.31 among these two groups.Conclusion: These findings emphasized that substance use decreases the quality of sleep and marital satisfaction in women. Hence, it should be considered these factors in process of therapeutic intervention in substance abuser women.

  2. Marital Quality in Deaf-Deaf and Deaf-Hearing Marriages

    OpenAIRE

    Mosier, Anthony G.

    1999-01-01

    The purpose of this study was to assess similarities and differences in marital adjustment between Deaf-Deaf and Deaf-hearing married couples. In examining marital adjustment, Spanier's Revised Dyadic Adjustment Scale (RDAS) was translated from English to American Sign Language (ASL) and administered to 30 Deaf-Deaf and 22 Deaf-hearing couple respondents. Although there were no statistically significant differences between the two groups. Deaf-Deaf couples tended to have higher marital adj...

  3. Women's and care providers' perspectives of quality prenatal care: a qualitative descriptive study

    Science.gov (United States)

    2012-01-01

    Background Much attention has been given to the adequacy of prenatal care use in promoting healthy outcomes for women and their infants. Adequacy of use takes into account the timing of initiation of prenatal care and the number of visits. However, there is emerging evidence that the quality of prenatal care may be more important than adequacy of use. The purpose of our study was to explore women's and care providers' perspectives of quality prenatal care to inform the development of items for a new instrument, the Quality of Prenatal Care Questionnaire. We report on the derivation of themes resulting from this first step of questionnaire development. Methods A qualitative descriptive approach was used. Semi-structured interviews were conducted with 40 pregnant women and 40 prenatal care providers recruited from five urban centres across Canada. Data were analyzed using inductive open and then pattern coding. The final step of analysis used a deductive approach to assign the emergent themes to broader categories reflective of the study's conceptual framework. Results The three main categories informed by Donabedian's model of quality health care were structure of care, clinical care processes, and interpersonal care processes. Structure of care themes included access, physical setting, and staff and care provider characteristics. Themes under clinical care processes were health promotion and illness prevention, screening and assessment, information sharing, continuity of care, non-medicalization of pregnancy, and women-centredness. Interpersonal care processes themes were respectful attitude, emotional support, approachable interaction style, and taking time. A recurrent theme woven throughout the data reflected the importance of a meaningful relationship between a woman and her prenatal care provider that was characterized by trust. Conclusions While certain aspects of structure of care were identified as being key dimensions of quality prenatal care, clinical and

  4. A Dyadic Approach to Infertility Stress, Marital Adjustment, and Depression on Quality of Life in Infertile Couples.

    Science.gov (United States)

    Kim, Ju Hee; Shin, Hye Sook; Yun, Eun Kyoung

    2018-03-01

    This study was conducted to examine the level of infertility stress, marital adjustment, depression, and quality of life in infertile couples and assess the actor and partner effects in these areas using the actor-partner interdependence model. Cross-sectional study. Participants were 121 infertile couples. After pilot study, data were collected from November 2012 to March 2013 using the following questionnaires: the Fertility Quality of Life, Fertility Problem Inventory, Revised Dyadic Adjustment Scale, and Beck Depression Inventory. There was a gender difference in infertility stress, depression, and quality of life. Infertility stress had actor and partner effects on the quality of life. Marital adjustment had an actor effect on the quality of life for the wives. Depression had actor and partner effects on quality of life for the wives, but only an actor effect for the husbands. This study found that there were actor and partner effects of infertility stress, marital adjustment, and depression on the quality of life in infertile couples. These findings may help nurses be aware of such effects and can be used as a baseline data in the development of nursing interventions for infertile couples.

  5. Marital conflict and early adolescents' self-evaluation: the role of parenting quality and early adolescents' appraisals.

    Science.gov (United States)

    Siffert, Andrea; Schwarz, Beate; Stutz, Melanie

    2012-06-01

    Cognitive appraisals and family dynamics have been identified as mediators of the relationship between marital conflict and children's adjustment. Surprisingly little research has investigated both meditational processes in the same study. Guided by the cognitive-contextual framework and the spillover hypothesis, the present study integrated factors from both theories early adolescents' appraisals of threat and self-blame, as well as perceived parenting quality as mediators of the link between early adolescents' perception of marital conflict and their self-evaluations (self-esteem and scholastic competence). Analyses were based on the first two waves of an ongoing longitudinal study. Participants were 176 two-parent families, and their early adolescents (50.5% girls) whose mean age was 10.61 years at Time 1 (SD =0.40) and 11.63 years at Time 2 (SD=0.39). Structural equation modeling analyses indicated that parenting quality and early adolescents' perceived threat provided indirect pathways between marital conflict and early adolescents' self-esteem 1 year later when controlling for their initial level of self-esteem. With respect to scholastic competence, only fathers' parenting was an indirect link. Self-blame did not play a role. Implications for understanding the mechanisms by which exposure to marital conflict predicts early adolescents' maladjustment are discussed.

  6. WHAT CONNECTIONS BETWEEN MARITAL CONFLICT AND PARENTING QUALITY? EVIDENCE FROM PARENT’S GENDER IN SPILLOVER EFFECTS

    Directory of Open Access Journals (Sweden)

    Loredana Benedetto

    2015-09-01

    Full Text Available The spillover hypothesis posits that negative emotions and behavioral patterns in marital conflicts influence parenting quality and children’s adjustment, through increasing of harsh and incoherent discipline and diminished involvement and affection. Moreover conflicts focused on childrearing issues are particularly distressing for children with often show emotional and behavioral problems. The aim of the study was to explore gender differences in the links between marital conflicts (destructive and constructive tactics, childrearing disagreement and parent-child relationships, in order to verify if there are different pathways for fathers and mothers in spillover effects.   Method. 110 parents (children aged 6-12 years completed the Styles of Conflict Scale (marital conflict style, the Parent Problem Checklist (disagreements about childrearing, the Alabama Parenting Questionnaire (parenting practices, and the Parenting Stress Index. Results. The links between conflict tactics and parenting practices change in function of parent’s gender. Mothers refer more frequent childrearing disagreements and increasing in punishment; furthermore - in line with the spillover hypothesis - attack and violence tactics are associated negatively with positive parenting (involvement and warmth. For fathers compromise, avoidance and attack correlate positively with effective parenting (more involvement, affection and consistency disciplinary. Conclusions. A spillover effect, that is, an extension of marital tensions in the relationship with their children with reduced quality of parenting, seems to manifest only for women. These findings, if confirmed by other studies, would be relevant from an clinical point of view to understand how paternal and maternal parenting mediate the effects of the marital disharmony on children’s adjustment.

  7. MATERNAL INTERACTION QUALITY MODERATES EFFECTS OF PRENATAL MATERNAL EMOTIONAL SYMPTOMS ON GIRLS' INTERNALIZING PROBLEMS.

    Science.gov (United States)

    Endendijk, Joyce J; De Bruijn, Anouk T C E; Van Bakel, Hedwig J A; Wijnen, Hennie A A; Pop, Victor J M; Van Baar, Anneloes L

    2017-09-01

    The role of mother-infant interaction quality is studied in the relation between prenatal maternal emotional symptoms and child behavioral problems. Healthy pregnant, Dutch women (N = 96, M = 31.6, SD = 3.3) were allocated to the "exposed group" (n = 46), consisting of mothers with high levels of prenatal feelings of anxiety and depression, or the "low-exposed group" (n = 50), consisting of mothers with normal levels of depressive or anxious symptoms during pregnancy. When the children (49 girls, 47 boys) were 23 to 60 months of age (M = 39.0, SD = 9.6), parents completed the Child Behavior Checklist (T.M. Achenbach & L.A. Rescorla, ), and mother-child interaction quality during a home visit was rated using the Emotional Availability Scales. There were no differences in mother-child interaction quality between the prenatally exposed and low-exposed groups. Girls exposed to high prenatal emotional symptoms showed more internalizing problems, if maternal interaction quality was less optimal. No significant effects were found for boys. © 2017 Michigan Association for Infant Mental Health.

  8. Maternal interaction quality moderates effects of prenatal maternal emotional symptoms on girls’ internalizing problems

    NARCIS (Netherlands)

    Endendijk, J. J.; de Bruijn, A.; van Bakel, H.J.A.; Wijnen, H.; Pop, V.J.M.; van Baar, A.L.

    2017-01-01

    The role of mother-infant interaction quality is studied in the relation between prenatal maternal emotional symptoms and child behavioral problems. Healthy pregnant, Dutch women (N = 96, M = 31.6, SD = 3.3) were allocated to the "exposed group" (n = 46), consisting of mothers with high levels of

  9. Maternal Interaction Quality Moderates Effects of Prenatal Maternal Emotional Symptoms on Girls’ Internalizing Problems

    NARCIS (Netherlands)

    Endendijk, Joyce; De Bruijn, Anouk T.c.e.; van Bakel, Hedwig J.A.; Wijnen, Hennie A.a.; Pop, Victor J.m.; van Baar, Anneloes

    2017-01-01

    The role of mother–infant interaction quality is studied in the relation between prenatal maternal emotional symptoms and child behavioralproblems. Healthy pregnant, Dutch women (N = 96, M = 31.6, SD = 3.3) were allocated to the “exposed group” (n = 46), consisting of mothers withhigh levels of

  10. Mother's marital satisfaction associated with the quality of mother-father-child triadic interaction.

    Science.gov (United States)

    Korja, Riikka; Piha, Jorma; Otava, Riia; Lavanchy-Scaiola, Chloe; Ahlqvist-Björkroth, Sari; Aromaa, Minna; Räihä, Hannele

    2016-08-01

    Low marital satisfaction has been shown to be a risk factor for early parenthood and parent-child relationship problems (Erel & Burman, ; McHale, ). The aim of this study was to assess how parental reports of marital satisfaction related to family alliance and coordination in the observed triadic interaction. The study group included 120 families. Marital satisfaction was evaluated during pregnancy, at 4 months, and at 18 months using the Revised Dyadic Adjustment Scale (RDAS; Busby, Christensen, Crane & Larsson, ) for both parents. Mother-father-child interaction was analyzed in the Lausanne Triadic Play setting and coded using the Family Alliance Assessment Scale (Favez, Lavanchy Scaiola, Tissot, Darwiche & Frascarolo, ) when the child reached 18 months of age. The mother's higher marital satisfaction at every measuring point was associated with a cooperative family alliance and/or higher family coordination at 18 months. The father's experience of marital satisfaction was not related to family interaction at any assessment point. Our study suggests that a mother's experience of lower marital satisfaction during pregnancy may be an early sign of later problems in family relationships. © 2016 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  11. Remarriage Beliefs as Predictors of Marital Quality and Positive Interaction in Stepcouples: An Actor-Partner Interdependence Model.

    Science.gov (United States)

    Garneau, Chelsea L; Higginbotham, Brian; Adler-Baeder, Francesca

    2015-12-01

    Using an Actor-Partner Interdependence Model, we examined remarriage beliefs as predictors of marital quality and positive interaction in a sample of 179 stepcouples. Three beliefs were measured using subscales from the Remarriage Belief Inventory (RMBI) including success is slim, children are the priority, and finances should be pooled. Several significant actor and partner effects were found for both wives' and husbands' beliefs. Wives' marital quality was positively associated with their own beliefs that finances should be pooled and negatively associated with their own beliefs that success is slim. Wives' reports of their own and spouses' positive interaction were both positively associated with their beliefs that finances should be pooled. Their reports of spouses' positive interaction were also negatively associated with husbands' beliefs that success is slim. Husbands' marital quality was positively associated with wives' beliefs that children are the priority, positively associated with their own beliefs that finances should be pooled, and negatively with success is slim. Positive interaction for husbands was positively associated with wives' beliefs that finances should be pooled and negatively associated with their own beliefs that success is slim. Finally, husbands' reports of positive interaction for their spouses were positively associated with wives' beliefs that finances should be pooled. Implications for future research utilizing dyadic data analysis with stepcouples are addressed. © 2015 Family Process Institute.

  12. The Mutual Effect of Marital Quality and Parenting Stress on Child and Parent Depressive Symptoms in Families of Children with Oppositional Defiant Disorder.

    Science.gov (United States)

    Lin, Xiuyun; Zhang, Yulin; Chi, Peilian; Ding, Wan; Heath, Melissa A; Fang, Xiaoyi; Xu, Shousen

    2017-01-01

    The purpose of the current study was to examine the mutual relationships between dyadic level (i.e., marital quality and parenting stress) and individual level factors (i.e., children and parental depressive symptoms) in families of children with Oppositional Defiant Disorder (ODD). Specifically, we explored whether marital interaction (marital quality) was associated with symptoms of child depression through parent-child interaction (parenting stress) and parent depressive symptoms. We also explored whether parent-child interaction was associated with symptoms of parent depression through marital interaction and child depressive symptoms. This study was conducted with 256 parent-child dyads, consisting of children with ODD and one of each child's parents. Participants were recruited from 14 primary schools located in northern, eastern, and southwestern China. Results revealed that marital quality predicted symptoms of child depression through the parenting stress, but not parent depressive symptoms; and parenting stress predicted symptoms of parent depression through marital quality, but not through child depressive symptoms. Also, parenting stress significantly and directly predicted parent depressive symptoms. We concluded in families of children with ODD, the association of marital interaction and parent-child interaction on both symptoms of parent and child depression highlighted the mutual effects of the couple subsystem and the parent-child subsystem. Furthermore, in regard to parental and child depressive symptoms, implications for intervention are provided.

  13. The Mutual Effect of Marital Quality and Parenting Stress on Child and Parent Depressive Symptoms in Families of Children with Oppositional Defiant Disorder

    Science.gov (United States)

    Lin, Xiuyun; Zhang, Yulin; Chi, Peilian; Ding, Wan; Heath, Melissa A.; Fang, Xiaoyi; Xu, Shousen

    2017-01-01

    The purpose of the current study was to examine the mutual relationships between dyadic level (i.e., marital quality and parenting stress) and individual level factors (i.e., children and parental depressive symptoms) in families of children with Oppositional Defiant Disorder (ODD). Specifically, we explored whether marital interaction (marital quality) was associated with symptoms of child depression through parent-child interaction (parenting stress) and parent depressive symptoms. We also explored whether parent-child interaction was associated with symptoms of parent depression through marital interaction and child depressive symptoms. This study was conducted with 256 parent-child dyads, consisting of children with ODD and one of each child's parents. Participants were recruited from 14 primary schools located in northern, eastern, and southwestern China. Results revealed that marital quality predicted symptoms of child depression through the parenting stress, but not parent depressive symptoms; and parenting stress predicted symptoms of parent depression through marital quality, but not through child depressive symptoms. Also, parenting stress significantly and directly predicted parent depressive symptoms. We concluded in families of children with ODD, the association of marital interaction and parent-child interaction on both symptoms of parent and child depression highlighted the mutual effects of the couple subsystem and the parent-child subsystem. Furthermore, in regard to parental and child depressive symptoms, implications for intervention are provided. PMID:29104548

  14. The Mutual Effect of Marital Quality and Parenting Stress on Child and Parent Depressive Symptoms in Families of Children with Oppositional Defiant Disorder

    Directory of Open Access Journals (Sweden)

    Xiuyun Lin

    2017-10-01

    Full Text Available The purpose of the current study was to examine the mutual relationships between dyadic level (i.e., marital quality and parenting stress and individual level factors (i.e., children and parental depressive symptoms in families of children with Oppositional Defiant Disorder (ODD. Specifically, we explored whether marital interaction (marital quality was associated with symptoms of child depression through parent-child interaction (parenting stress and parent depressive symptoms. We also explored whether parent-child interaction was associated with symptoms of parent depression through marital interaction and child depressive symptoms. This study was conducted with 256 parent-child dyads, consisting of children with ODD and one of each child's parents. Participants were recruited from 14 primary schools located in northern, eastern, and southwestern China. Results revealed that marital quality predicted symptoms of child depression through the parenting stress, but not parent depressive symptoms; and parenting stress predicted symptoms of parent depression through marital quality, but not through child depressive symptoms. Also, parenting stress significantly and directly predicted parent depressive symptoms. We concluded in families of children with ODD, the association of marital interaction and parent-child interaction on both symptoms of parent and child depression highlighted the mutual effects of the couple subsystem and the parent-child subsystem. Furthermore, in regard to parental and child depressive symptoms, implications for intervention are provided.

  15. Affiliation and control in marital interaction: interpersonal complementarity is present but is not associated with affect or relationship quality.

    Science.gov (United States)

    Cundiff, Jenny M; Smith, Timothy W; Butner, Jonathan; Critchfield, Kenneth L; Nealey-Moore, Jill

    2015-01-01

    The principle of complementarity in interpersonal theory states that an actor's behavior tends to "pull, elicit, invite, or evoke" responses from interaction partners who are similar in affiliation (i.e., warmth vs. hostility) and opposite in control (i.e., dominance vs. submissiveness). Furthermore, complementary interactions are proposed to evoke less negative affect and promote greater relationship satisfaction. These predictions were examined in two studies of married couples. Results suggest that complementarity in affiliation describes a robust general pattern of marital interaction, but complementarity in control varies across contexts. Consistent with behavioral models of marital interaction, greater levels of affiliation and lower control by partners-not complementarity in affiliation or control-were associated with less anger and anxiety and greater relationship quality. Partners' levels of affiliation and control combined in ways other than complementarity-mostly additively, but sometimes synergistically-to predict negative affect and relationship satisfaction. © 2014 by the Society for Personality and Social Psychology, Inc.

  16. Reconceptualizing Family Work: The Effect of Emotion Work on Perceptions of Marital Quality.

    Science.gov (United States)

    Erickson, Rebecca J.

    1993-01-01

    Expanded concept of family work to include emotion work as well as housework and child care. Survey data from 205 married women revealed that husbands' performance of emotion work, as compared to performance of both housework and child-care tasks, had strongest positive effect on wives' marital well-being. Emotion work was negatively related to…

  17. Investment in Child Quality over Marital States. Discussion Paper No. 1320-07

    Science.gov (United States)

    Brown, Meta; Flinn, Christopher J.

    2007-01-01

    Policies governing divorce and parenting, such as child support orders and enforcement, child custody regulations, and marital dissolution requirements, can have a large impact on the welfare of parents and children. Recent research has produced evidence on the responses of divorce rates to unilateral divorce laws and child support enforcement. In…

  18. Associations between Parents' Marital Functioning, Maternal Parenting Quality, Maternal Emotion and Child Cortisol Levels

    Science.gov (United States)

    Pendry, Patricia; Adam, Emma K.

    2007-01-01

    Associations between family functioning and children's stress hormone levels are explored, by examining how aspects of the interparental relationship (parents' marital satisfaction and parent conflict styles), the mother-child relationship (maternal involvement and warmth) and maternal emotional functioning (depression, anxiety and self-esteem)…

  19. Drivers of prenatal care quality and uptake of supervised delivery ...

    African Journals Online (AJOL)

    Background: In spite of the introduction of free maternal healthcare in Ghana, utilization of supervised delivery services continues to be low due partly to poor quality of antenatal care (ANC). Aim: The study sought to identify the determinants of perceived quality of ANC and uptake of skilled delivery services. Subjects and ...

  20. [Prenatal patient cards and quality of prenatal care in public health services in Greater Metropolitan Vitória, Espírito Santo State, Brazil].

    Science.gov (United States)

    Santos Neto, Edson Theodoro dos; Oliveira, Adauto Emmerich; Zandonade, Eliana; Gama, Silvana Granado Nogueira da; Leal, Maria do Carmo

    2012-09-01

    This study aimed to assess the completeness of prenatal care information on the patients' prenatal care cards, according to coverage by various public health services: Family Health Strategy (FHS), Community-Based Health Workers' Program (CBHWP), and traditional Primary Care Units (PCU) in Greater Metropolitan Vitória, Espírito Santo State, Brazil. In a cross-sectional study, 1,006 prenatal cards were randomly selected from postpartum women at maternity hospitals in the metropolitan area. Completeness of the cards was assessed according to the criteria proposed by Romero & Cunha, which measure the quality on a scale from excellent ( 50% incomplete cards). In general, completion of information on the cards was bad (> 20% incomplete), but cards were filled out better in the FHS than in the CBHWP and PCU, especially for tetanus vaccination (p = 0.016) and gestational weight (p = 0.039). In conclusion, the quality of prenatal care in the public health system in Greater Metropolitan Vitória fails to meet the Brazilian national guidelines for maternal and child health.

  1. Relationship between prenatal maternal stress and sleep quality in Chinese pregnant women: the mediation effect of resilience.

    Science.gov (United States)

    Li, Guopeng; Kong, Linghua; Zhou, Haiyan; Kang, Xiaofei; Fang, Yueyan; Li, Ping

    2016-09-01

    To examine the relationship between prenatal maternal stress, resilience, and sleep quality, and to determine whether resilience plays a mediating role in the relationship between prenatal maternal stress and sleep quality among pregnant women. Two hundred and thirty-one pregnant women in their second trimester participated in the study. They completed questionnaires, including: the Pittsburgh Sleep Quality Index (PSQI), the Pregnancy Stress Rating Scale (PSRS), and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). A structural equation model was used to analyze the relationships among prenatal maternal stress, resilience, and sleep quality, with resilience as a mediator. Prenatal maternal stress was negatively associated with sleep quality in pregnant women (p relationship between prenatal maternal stress and sleep quality, and the mediation effect ratio was 22.0% (p stress; however, the protective factor for sleep quality was resilience. This finding could provide scientific evidence for the development of intervention strategies with which to improve sleep quality in pregnant women. Copyright © 2016 Elsevier B.V. All rights reserved.

  2. Customer Quality during Prenatal Care in Health Care Centers in Tabriz City

    Directory of Open Access Journals (Sweden)

    Jafar Sadegh Tabrizi

    2015-07-01

    Full Text Available Background and Objectives :  Customer Quality (CQ refers to customer’s characteristics and is concerned with the knowledge, skills and confidence of health services customers who actively participate with health team in proper decision-making, appropriate activities and changing environment and health related behaviors. The purpose of this study was measuring customer quality of pregnant women during prenatal care. Materials and Methods :  This is a cross- sectional study which was conducted with the participation of 185 pregnant women who received prenatal care from urban health centers in Tabriz city. All participants were selected randomly from 40 health centers. Customer quality was measured based on CQMH-CQ questionnaire.  Questionnaire content validity was reviewed and confirmed by 10 experts and its reliability was confirmed based on Cronbach's alpha index (α = 0.714. Spss v.17 was used for data analysis. Results : According to the results, the mean score of customer quality among pregnant women was (11.29± 67.79   and only %14 of the participants reported the highest customer quality score and ability of continuity of care under stressful situations. There was a positive relationship between customer quality score and visiting midwife and a better evaluation of overall quality of care, but there was inverse relationship with early registration at health centers. Conclusion :  The participation of pregnant women in service delivery process and decision-making can promote costumer quality. Furthermore, training health care providers in empowering patients and using their abilities to improve quality of care and paying attention to patient-centered care will be helpful. ​

  3. The Role of Marital Power in Depression and Marital Distress.

    Science.gov (United States)

    Halloran, Elizabeth C.

    1998-01-01

    Drawing on sex-role theory, the learned-helplessness model of depression, and a review of empirical research, this article explores inequity in marital power as a potential third variable that explains how depression and the quality of marriage are related. Aims to generate broad-minded thinking about how marital power, depression, and marital…

  4. Resolving Marital Conflicts

    Directory of Open Access Journals (Sweden)

    Islami Hatixhe

    2017-06-01

    Full Text Available Couple relations are characterized as relations of an intimate nature dominated by constant interaction or strong interdependence and mutual influence of intense feelings between spouses. In marriages where there is conflict, there are typical examples of interaction, which result in high proportion of negative communicative acts that affect the quality of marital relationships such as: loss of confidence, the emergence of frustration, feelings of anxiety, discomfort, leading to escalation of marital conflicts. Communication as a variable has a large impact on the resolution of marital conflicts. The obtained results of our research indicate that the choice of different strategies of behavior in conflict situations among our respondents primarily depend on: the degree of persistence in the pursuit of its own interests and level of cooperation in addressing the interests of others.

  5. Mediators of sexual functioning and marital quality in chronically depressed adults with and without a history of childhood sexual abuse.

    Science.gov (United States)

    Dunlop, Boadie W; Hill, Eric; Johnson, Benjamin N; Klein, Daniel N; Gelenberg, Alan J; Rothbaum, Barbara O; Thase, Michael E; Kocsis, James H

    2015-03-01

    Sexual dysfunction is common among depressed adults. Childhood sexual abuse (CSA) and depressive symptomology are among the risk factors for sexual dysfunction, and these factors may interact to predict adult relationship functioning. Several models have been developed postulating interactions between these variables. We tested models of the effects of CSA and elucidate the associations between CSA, sexual dysfunction, depression severity, anxiety, and relationship quality in chronically depressed adults. Baseline data from 808 chronically depressed outpatients enrolled in the Research Evaluating the Value of Augmenting Medication with Psychotherapy study were evaluated using structural equation modeling. The Inventory of Depressive Symptomology, self-report version (IDS-SR) assessed depression severity, and the Mood and Anxiety Symptom Questionnaire Anxious Arousal subscale assessed anxiety. Sexual function was assessed with the Arizona Sexual Experiences Scale (ASEX), and the Quality of Marriage Index (QMI) assessed relationship quality for patients in stable relationships. CSA scores predicted depression severity on the IDS-SR, as well as lower relationship quality and sexual satisfaction. ASEX scores were significantly associated with depression severity but were not correlated with the QMI. Two models were evaluated to elucidate these associations, revealing that (i) depression severity and anxious arousal mediated the relationship between CSA and adult sexual function, (ii) anxious arousal and sexual functioning mediated the association between CSA and depression symptoms, and (iii) when these models were combined, anxious arousal emerged as the most important mediator of CSA on depression which, in turn, mediated associations with adult sexual satisfaction and relationship quality. Although CSA predicts lower relationship and sexual satisfaction among depressed adults, the long-term effects of CSA appear to be mediated by depressive and anxious symptoms. It

  6. Influence of Marital Status on the Quality of Life of Chinese Adult Patients with Epilepsy

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    Fu-Li Wang

    2017-01-01

    Conclusions: Married adult epileptic patients have better quality of life than that of unmarried adult patients in young and middle-aged age groups. Unmarried adult patients with epilepsy are more anxious and depressed than married adult patients.

  7. Calidad de la atención prenatal en el área de Mella Quality of the prenatal care in the area of Mella

    Directory of Open Access Journals (Sweden)

    Juan Guillermo del Valle Llagostera

    Full Text Available Se evaluó la calidad de la atención prenatal en el área de salud "Mella", municipio Julio Antonio Mella de la provincia de Santiago de Cuba durante el segundo semestre de 2009, con vista a lo cual se empleó la metodología propuesta por la Facultad de Salud Pública de La Habana para ello, relacionada con los componentes de una evaluación táctica. Un equipo de expertos integrados por médicos de la familia y profesores del Grupo Básico de Trabajo definió los criterios, indicadores y estándares utilizados para evaluar los datos sobre la estructura, el proceso y los resultados. El procedimiento reveló una inadecuada estructura por el mal estado de esfigmomanómetros y lámparas de cuello, adecuado nivel de competencia profesional, satisfacción por parte de las embarazadas con la asistencia médica recibida y de los médicos de familia con el servicio brindado, por lo cual se consideró que la calidad del proceso de atención prenatal en el área de "Mella" es adecuada, con independencia de algunas dificultades encontradas que deben eliminarse.The quality of the prenatal care was evaluated in the health area of "Mella", Julio Antonio Mella municipality in Santiago de Cuba during the second semester of 2009, for that purpose the proposed methodology was used by the Public Health Faculty of Havana, related to the components of a tactical evaluation. A team of experts integrated by family physicians and professors of the Work Basic Group defined the approaches, indicators and standards used to evaluate the data on the structure, the process and the results. The procedure revealed an inadequate structure due to the bad condition of the sphygmomanometer and neck lamps, appropriate level of professional competence, satisfaction of pregnant women with the medical care received and of the family physicians with the service offered, therefore it was considered that the quality of the process of prenatal care in the area of "Mella" is adequate

  8. An evaluation of the effect of infertility on marital, sexual satisfaction indices and health-related quality of life in women

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    Sameer Valsangkar

    2011-01-01

    Full Text Available Background : The effect of infertility on marital and sexual functioning, health-related quality of life (QoL and the acceptability of the treatment modalities is a poorly researched area in India. Aims and Objectives : To measure and compare the impact of infertility on marital adjustment, sexual functioning, QoL and the acceptability of various treatment modalities in infertility. Design and Setting : Hospital-based cross-sectional controlled study. Materials and Methods : Data regarding infertility, socio-demographic characteristics and treatment acceptability was obtained via a semi-structured questionnaire. validated, standardized scales were used to measure marital adjustment (abbreviated dyadic adjustment scale, sexual functioning (abbreviated sexual functioning questionnaire in cases and controls, and quality of life (FertiQol in cases. Data from 106 women attending tertiary infertility centers who met the definition of primary infertility and 212 controls attending the medical outpatient department in the same centers was obtained. Results : Body mass index and socioeconomic status were significant (P < 0.006 and < 0.0001 respectively for infertility. Fertility-enhancing regimens and adoption had the highest acceptability with a wide dispersion of range for adoption and least acceptance for sperm, egg, embryo donation and surrogate motherhood. Logistic regression analysis revealed a significant effect size of infertility on marital adjustment (Nagelkerke R 2 0.725, Cohen′s D 0.86 and sexual functioning (Nagelkerke R 2 0.73, Cohen′s D 0.815. QoL showed a decrease in mean scores on the FertiQol scale similar to normative data. Conclusions : Effective counseling, reassurance and measures to reduce the impact of the condition on marital and sexual life, overall QoL are needed to impart a holistic treatment in infertility.

  9. An evaluation of the effect of infertility on marital, sexual satisfaction indices and health-related quality of life in women.

    Science.gov (United States)

    Valsangkar, Sameer; Bodhare, Trupti; Bele, Samir; Sai, Surendranath

    2011-05-01

    The effect of infertility on marital and sexual functioning, health-related quality of life (QoL) and the acceptability of the treatment modalities is a poorly researched area in India. To measure and compare the impact of infertility on marital adjustment, sexual functioning, QoL and the acceptability of various treatment modalities in infertility. Hospital-based cross-sectional controlled study. Data regarding infertility, socio-demographic characteristics and treatment acceptability was obtained via a semi-structured questionnaire. validated, standardized scales were used to measure marital adjustment (abbreviated dyadic adjustment scale), sexual functioning (abbreviated sexual functioning questionnaire) in cases and controls, and quality of life (FertiQol) in cases. Data from 106 women attending tertiary infertility centers who met the definition of primary infertility and 212 controls attending the medical outpatient department in the same centers was obtained. Body mass index and socioeconomic status were significant (P < 0.006 and < 0.0001 respectively) for infertility. Fertility-enhancing regimens and adoption had the highest acceptability with a wide dispersion of range for adoption and least acceptance for sperm, egg, embryo donation and surrogate motherhood. Logistic regression analysis revealed a significant effect size of infertility on marital adjustment (Nagelkerke R(2) 0.725, Cohen's D 0.86) and sexual functioning (Nagelkerke R(2) 0.73, Cohen's D 0.815). QoL showed a decrease in mean scores on the FertiQol scale similar to normative data. Effective counseling, reassurance and measures to reduce the impact of the condition on marital and sexual life, overall QoL are needed to impart a holistic treatment in infertility.

  10. Infant Massage and Quality of Early Mother-Infant Interactions: Are There Associations with Maternal Psychological Wellbeing, Marital Quality, and Social Support?

    Science.gov (United States)

    Porreca, Alessio; Parolin, Micol; Bozza, Giusy; Freato, Susanna; Simonelli, Alessandra

    2016-01-01

    Infant massage programs have proved to be effective in enhancing post-natal development of highly risk infants, such as preterm newborns and drug or HIV exposed children. Less studies have focused on the role of infant massage in supporting the co-construction of early adult-child relationships. In line with this lack of literature, the present paper reports on a pilot study aimed at investigating longitudinally the quality of mother-child interactions, with specific reference to emotional availability (EA), in a group of mother-child pairs involved in infant massage classes. Moreover, associations between mother-child EA, maternal wellbeing, marital adjustment, and social support were also investigated, with the hypothesis to find a link between low maternal distress, high couple satisfaction and high perceived support and interactions of better quality in the dyads. The study involved 20 mothers and their children, aged between 2 and 7 months, who participated to infant massage classes. The assessment took place at three stages: at the beginning of massage course, at the end of it and at 1-month follow-up. At the first stage of assessment self-report questionnaires were administered to examine the presence of maternal psychiatric symptoms (SCL-90-R), perceived social support (MSPSS), and marital adjustment (Dyadic Adjustment Scale); dyadic interactions were observed and rated with the Emotional Availability Scales (Biringen, 2008) at each stage of data collection. The results showed a significant improvement in the quality of mother-child interactions, between the first and the last evaluation, parallel to the unfolding of the massage program, highlighting a general increase in maternal and child's EA. The presence of maternal psychological distress resulted associated with less optimal mother-child emotional exchanges, while the hypothesis regarding couple satisfaction and social support influence were not confirmed. These preliminary results, if replicated

  11. TSL Family Therapy Followed by Improved Marital Quality and Reduced Oxidative Stress

    Science.gov (United States)

    Kim, Jae Yop; Kim, Dong Goo; Nam, Seok In

    2012-01-01

    Objectives: The current study evaluated the effectiveness of a form of family therapy developed in Korea. The "Thank you--Sorry--Love" (TSL) model was applied to a group of elderly retired men to improve the quality of their marriage and to reduce their stress. Methods: Thirty married retired Korean men were assigned to three groups.…

  12. [Access to prenatal care and quality of care in the Family Health Strategy: infrastructure, care, and management].

    Science.gov (United States)

    Guimarães, Wilderi Sidney Gonçalves; Parente, Rosana Cristina Pereira; Guimarães, Thayanne Louzada Ferreira; Garnelo, Luiza

    2018-05-10

    This study focuses on access to prenatal care and quality of care in the Family Health Strategy in Brazil as a whole and in the North region, through evaluation of infrastructure characteristics in the health units, management, and supply of care provided by the teams, from the perspective of regional and state inequalities. A cross-sectional evaluative and normative study was performed, drawing on the external evaluation component of the second round of the Program for Improvement of Access and Quality of Primary Care, in 2013-2014. The results revealed the inadequacy of the primary healthcare network's infrastructure for prenatal care, low adequacy of clinical actions for quality of care, and the teams' low management capacity to guarantee access and quality of care. In the distribution according to geopolitical regions, the findings pertaining to the units' infrastructure indicate a direct relationship between the infrastructure's adequacy and social contexts with higher municipal human development indices and income. For the clinical actions in patient care, the teams in all the regions scored low on adequacy, with slightly better results in the North and South regions of the country. There were important differences between the states of the North, and the states with higher mean income and human development scored higher on adequacy. The results indicate important organizational difficulties in both access and quality of care provided by the health teams, in addition to visible insufficiency in management activities aimed to improve access and quality of prenatal care.

  13. Personality traits and sexual satisfaction as determinants of marital ...

    African Journals Online (AJOL)

    Yet what still remains uncertain is which factors account for the differing degrees of marital satisfaction and the fluctuations in the marital quality (e.g. marital conflict) that spouses experience over time. This study therefore sets out to investigate personality traits and sexual satisfaction as determinants of marital satisfaction ...

  14. A cross-sectional study of anxiety and marital quality among women with breast cancer at a university clinic in western Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Faten N. Al-Zaben

    2015-10-01

    Full Text Available Objectives: To examine relationship between the quality of marital relationship and anxiety among women with breast cancer (BC in the Kingdom of Saudi Arabia (KSA. Methods: This cross-sectional study recruited a consecutive series of 49 married women with BC seen in the Al-Amoudi Breast Cancer Center of Excellence at King Abdulaziz University, Jeddah, KSA in early 2013. Participants completed the Hospital Anxiety and Depression Scale, Spouse Perception Scale, and Quality of Marriage Index forms, and answered questions on demographic and cancer characteristics. Results: Anxiety symptoms indicating “possible” anxiety disorder were present in 10.4% and “probable” anxiety disorder in 14.6% (25% total. No significant relationship was found between the quality of marital relationship and anxiety symptoms (B=-0.04, standard error=0.05, t=-0.81, p=0.42. Anxiety was primarily driven by low education, poor socioeconomic status, and young age. Conclusion: Anxiety symptoms are prevalent among married women with BC seen in a university-based clinic in the KSA. Further research is needed to determine whether a diagnosis of BC adversely affects marital relationship, and whether this is the cause for anxiety in these women.

  15. Quality of family planning counseling among women attending prenatal care at a hospital in Addis Ababa, Ethiopia.

    Science.gov (United States)

    Teshome, Abel; Birara, Malede; Rominski, Sarah D

    2017-05-01

    To assess the quality of family planning counseling among women attending a prenatal clinic in Addis Ababa, Ethiopia. In a descriptive cross-sectional study conducted between February and April, 2015, at the prenatal care clinic of Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, pregnant women in their third trimester were interviewed about their experience of family planning counseling. Data were collected via a questionnaire. Logistic regression was used to assess predictors of satisfaction with the counseling service. During the study period, 400 women were interviewed. Only 139 women (34.8%) were counseled about family planning. Among those counseled, 126 (90.6%) decided to use a contraceptive method after delivery and 46 (36.7%) decided to use an injectable contraceptive. Women were more likely to report high satisfaction when their provider asked about their partner's attitude toward contraceptive methods (adjusted odds ratio 6.6; Pfamily planning methods (adjusted odds ratio 5.1; Pfamily planning counseling to improve satisfaction and quality of care. © 2017 International Federation of Gynecology and Obstetrics.

  16. Adjustment to Acute Leukemia: The Impact of Social Support and Marital Satisfaction on Distress and Quality of Life Among Newly Diagnosed Patients and Their Caregivers.

    Science.gov (United States)

    Pailler, Megan E; Johnson, Teresa M; Kuszczak, Sarah; Attwood, Kristopher M; Zevon, Michael A; Griffiths, Elizabeth; Thompson, James; Wang, Eunice S; Wetzler, Meir

    2016-09-01

    Little is known about the specific patterns of adjustment among newly diagnosed acute leukemia patients and their caregivers. This study examined the trajectories of patient and caregiver distress over time as well as the extent to which marital satisfaction and social support moderated these trajectories among those with significant-other caregivers. Forty six patient-caregiver dyads provided ratings at four time points: within 1 week of diagnosis (T1), 2 week follow-up (T2), 6 week follow-up (T3) and 12 week follow-up (T4). As anticipated, patients and caregivers reported higher levels of distress around the time of diagnosis than they did during subsequent time points. Marital satisfaction was a significant predictor of distress among patients, whereas among caregivers, social support predicted distress and quality of life. Results support the inclusion of relational variables such as social support and relationship satisfaction in the assessment of newly diagnosed patients and families in order to best identify those at risk for distress over time.

  17. Prenatal Tests

    Science.gov (United States)

    ... Careers Archives Health Topics Pregnancy Before or between pregnancies Nutrition, weight & fitness Prenatal care Is it safe? Labor & ... Report Cards Careers Archives Pregnancy Before or between pregnancies Nutrition, weight & fitness Prenatal care Is it safe? Labor & ...

  18. Managing common marital stresses.

    Science.gov (United States)

    Martin, A C; Starling, B P

    1989-10-01

    Marital conflict and divorce are problems of great magnitude in our society, and nurse practitioners are frequently asked by patients to address marital problems in clinical practice. "Family life cycle theory" provides a framework for understanding the common stresses of marital life and for developing nursing strategies to improve marital satisfaction. If unaddressed, marital difficulties have serious adverse consequences for a couple's health, leading to greater dysfunction and a decline in overall wellness. This article focuses on identifying couples in crisis, assisting them to achieve pre-crisis equilibrium or an even higher level of functioning, and providing appropriate referral if complex relationship problems exist.

  19. Marital Adjustment and Psychological Distress in Japan

    Science.gov (United States)

    Li, Angela; Robustelli, Briana L.; Whisman, Mark A.

    2016-01-01

    This study was conducted to examine the association between marital adjustment and psychological distress in a large, probability sample of married adults in Japan (N = 710) from the Midlife Development in Japan (MIDJA) study. Results indicate that positive and negative dimensions of marital adjustment were significantly associated with dimensional and categorical measures of psychological distress. Furthermore, the associations between marital adjustment and psychological distress remained significant when statistically controlling for neuroticism, quality of friend and family relationships, and demographic variables. These results demonstrate that the well-established association between marital adjustment and psychological distress found in European-American countries is also found in Japan. Findings support continued research on marital functioning and psychological distress in East Asian countries. PMID:28082761

  20. "His" and "her" marriage? The role of positive and negative marital characteristics in global marital satisfaction among older adults.

    Science.gov (United States)

    Boerner, Kathrin; Jopp, Daniela S; Carr, Deborah; Sosinsky, Laura; Kim, Se-Kang

    2014-07-01

    We explore gender differences in older adults' appraisals of positive and negative aspects of their marriages, examine how these appraisals relate to global marital satisfaction, and identify distinctive marital profiles associated with global satisfaction in men and women. Data are from the Changing Lives of Older Couples Study (n = 1,110). We used a variant of principal components analysis to generate marital quality profiles, based on one's endorsement of positive and negative marital characteristics. OLS regression was used to detect associations between marital profiles and global marital satisfaction. Men offered more positive marital assessments than women, particularly on items reflecting positive treatment by one's wife. Three marital quality profiles emerged: Positive, Positive-Negative, and Negative. Although marital satisfaction was best explained by positive appraisals in both genders, they were less important for men than for women. The negative profile showed a tendency for a stronger prediction in men. Prior studies show small differences in men's and women's global marital satisfaction. Our work provides evidence that the presence and magnitude of such gender differences may vary based on the specific marital component considered. We discuss ways that gender shapes marital interactions, expectations, and perceptions, and the implications of our results for the well-being of married older adults. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. The impact of prenatal care quality on neonatal, infant and child mortality in Zimbabwe: evidence from the demographic and health surveys.

    Science.gov (United States)

    Makate, Marshall; Makate, Clifton

    2017-04-01

    The impact of the quality of prenatal care on child mortality outcomes has received less attention in sub-Saharan Africa. This study endeavoured to explore the effect of the quality of prenatal care and its individual components on neonatal, infant and under-five mortality. The empirical analysis uses data from the three most recent waves of the nationally representative Demographic and Health Survey for Zimbabwe conducted in 1999, 2005/06 and 2010/11. The results indicate that a one-unit increase in the quality of prenatal care lowers the prospect of neonatal, infant and under-five mortality by approximately 42.33, 30.86 and 28.65%, respectively. These findings remained roughly the same even after adjusting for potential mediating factors. Examining the effect of individual prenatal care components on child mortality revealed that women who receive information on possible complications arising during pregnancy are less liable to experience a neonatal death. Similarly, women who had blood pressure checks and tetanus immunizations were less likely to experience an infant or under-five death. We did not find any statistically meaningful impact on child mortality outcomes of blood and urine sample checks, iron tablet consumption, and the receipt of malarial tablets. Overall, our results suggest the need for public health policymakers to focus on ensuring high-quality prenatal care to enhance the survival prospects of Zimbabwe's infants. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. Effect of Infant Health Problem, Mother's Depression and Marital Relationship on Infant Abuse in Korea: Mediating Pathway of Marital Relationship

    Directory of Open Access Journals (Sweden)

    Kyoung-Eun Kim, PhD

    2014-06-01

    Conclusion: The findings from this study demonstrate the fundamental importance of infant health as linked to the mother's mental health, and marital relationship and increasing the quality of marital relationship may be the key to infant abuse prevention.

  3. Prenatal Diagnosis

    Directory of Open Access Journals (Sweden)

    Ozge Ozalp Yuregir

    2012-02-01

    Full Text Available Prenatal diagnosis is the process of determining the health or disease status of the fetus or embryo before birth. The purpose is early detection of diseases and early intervention when required. Prenatal genetic tests comprise of cytogenetic (chromosome assessment and molecular (DNA mutation analysis tests. Prenatal testing enables the early diagnosis of many diseases in risky pregnancies. Furthermore, in the event of a disease, diagnosing prenatally will facilitate the planning of necessary precautions and treatments, both before and after birth. Upon prenatal diagnosis of some diseases, termination of the pregnancy could be possible according to the family's wishes and within the legal frameworks. [Archives Medical Review Journal 2012; 21(1.000: 80-94

  4. Financial Stress, Parenting Quality, and the Moderating Effect of Co-Parenting Alliance within the Marital Dissolution Population

    Science.gov (United States)

    Mao, Dung Minh

    2017-01-01

    In this study, the relationship between the perception of financial stress (measured by income inadequacy), parenting quality (measured by positive parenting, consistent discipline, and good supervision), and the moderating effect that cooperative co-parenting (measured by co-parenting alliance) were investigated within a sample of parents who…

  5. Marital conflict and the quality of young children's peer play behavior: the mediating and moderating role of parent-child emotional reciprocity and attachment security.

    Science.gov (United States)

    Lindsey, Eric W; Caldera, Yvonne M; Tankersley, Laura

    2009-04-01

    Parent-child attachment security and dyadic measures of parent-child positive and negative emotional reciprocity were examined as possible mediators and moderators of the connection between marital conflict and children's peer play behavior. Eighty parents were observed in a laboratory play session with their 15- to 18-month-old child. Subsequently, at 36 months children were observed interacting with peers at their child care setting. Connections between marital conflict and children's positive peer interaction were mediated by mother-child attachment security, mother-child positive emotional reciprocity, and father-child negative emotional reciprocity. Connections between marital conflict and children's negative peer interaction were mediated by mother-child positive emotional reciprocity and father-child attachment security. Parent-child attachment security and negative emotional reciprocity emerged as important moderators of the connection between marital conflict and children's peer play behavior.

  6. Prenatal Tests

    Science.gov (United States)

    ... tests are considered routine — that is, almost all pregnant women receiving prenatal care get them. They include things like checking urine (pee) levels for protein, sugar, or signs of infection. Other non-routine ...

  7. Why Does Military Combat Experience Adversely Affect Marital Relations?

    Science.gov (United States)

    Gimbel, Cynthia; Booth, Alan

    1994-01-01

    Describes investigation of ways in which combat decreases marital quality and stability. Results support three models: (1) factors propelling men into combat also make them poor marriage material; (2) combat causes problems that increase marital adversity; and (3) combat intensifies premilitary stress and antisocial behavior which then negatively…

  8. Parental psychological distress and quality of life after a prenatal or postnatal diagnosis of congenital anomaly: a controlled comparison study with parents of healthy infants.

    Science.gov (United States)

    Fonseca, Ana; Nazaré, Bárbara; Canavarro, Maria Cristina

    2012-04-01

    Parental early adjustment to a prenatal or postnatal diagnosis of congenital anomaly has been studied mainly within a pathological and deterministic perspective, giving us an inadequate view of the impact of the diagnosis. Adopting a comprehensive approach on parental adjustment, we aimed to characterise the impact of the diagnosis on psychological distress and quality of life, in the early postdiagnosis stage. The effects of gender and the timing of the diagnosis were also examined. In this cross-sectional study, 42 couples with healthy infants and 42 couples whose infants were prenatal or postnatally diagnosed with a congenital anomaly responded to the Brief Symptom Inventory-18 and to the World Health Organization Quality of Life-Brief instrument. In the early postdiagnosis stage, parents whose infants were diagnosed with a congenital anomaly presented higher levels of psychological distress than did the parents of healthy infants (F(2,79) = 6.23, p = .003), although they displayed similar levels of quality of life (F(4,78) = 0.62, p = .647). Mothers reported more adjustment difficulties than fathers in both groups. Receiving the diagnosis in the prenatal period was associated with higher maternal psychological quality of life (Z = -2.00, p = .045). The occurrence of a diagnosis of congenital anomaly during the transition to parenthood adds to an accumulation of stress-inducing events and manifests itself in psychopathological symptoms. Maintaining a positive evaluation of well-being may be understood as a parental resource to deal with the diagnosis. The importance of adopting a comprehensive perspective on parental adjustment is highlighted. Copyright © 2012 Elsevier Inc. All rights reserved.

  9. Narcissism and newlywed marriage: Partner characteristics and marital trajectories.

    Science.gov (United States)

    Lavner, Justin A; Lamkin, Joanna; Miller, Joshua D; Campbell, W Keith; Karney, Benjamin R

    2016-04-01

    Despite narcissism's relation with interpersonal dysfunction, surprisingly little empirical research has been devoted to understanding narcissism's effect on intimate relationships in general or marital relationships in particular. The current study addressed this gap using longitudinal data from a community sample of 146 newlywed couples assessed 6 times over the first 4 years of marriage. First, we examined partner characteristics associated with higher levels of narcissism to determine the degree to which couples were matched on narcissism and related traits. Second, we examined how narcissism predicted the trajectory of marital quality over time, testing narcissism's association with initial levels of relationship functioning (the intercept) and changes in relationship functioning (the slope). Results indicated a small degree of homophily but otherwise no clear pattern of partner characteristics for individuals higher in narcissism. Hierarchical linear modeling indicated that wives' total narcissism and entitlement/exploitativeness scores predicted the slope of marital quality over time, including steeper declines in marital satisfaction and steeper increases in marital problems. Husbands' narcissism scores generally had few effects on their own marital quality or that of their wives. These findings are notable in indicating that the effects of personality characteristics on marital functioning may take some time to manifest themselves, even if they were present from early in the marriage. Future research into the mediating psychological and interpersonal processes that link wives' narcissism with poorer marital functioning over time would be valuable. (c) 2016 APA, all rights reserved).

  10. Prenatal Care.

    Science.gov (United States)

    Health Resources and Services Administration (DHHS/PHS), Rockville, MD. Office for Maternal and Child Health Services.

    This booklet is the first in a series of publications designed to provide parents with useful information about childrearing. Contents are organized into three parts. Part I focuses on the pregnancy, prenatal care, development of the baby, pregnant lifestyles, nutrition, common discomforts, and problems of pregnancy. Part II provides information…

  11. Prenatal nicotine exposure induces poor articular cartilage quality in female adult offspring fed a high-fat diet and the intrauterine programming mechanisms.

    Science.gov (United States)

    Tie, Kai; Tan, Yang; Deng, Yu; Li, Jing; Ni, Qubo; Magdalou, Jacques; Chen, Liaobin; Wang, Hui

    2016-04-01

    Prenatal nicotine exposure (PNE) induces skeletal growth retardation and dyslipidemia in offspring displaying intrauterine growth retardation (IUGR). Cholesterol accumulation resulting from cholesterol efflux dysfunction may reduce the quality of articular cartilage through fetal programming. This study evaluated the quality of articular cartilage of female adult offspring fed a high-fat diet and explored the mechanisms using a rat IUGR model established by the administration of 2.0mg/kg/d of subcutaneous nicotine from gestational days 11-20. The results demonstrated an increased OARSI (Osteoarthritis Research Society International) score and total cholesterol content, decreased serum corticosterone, and increased IGF1 and dyslipidemia with catch-up growth in PNE adult offspring. Cartilage matrix, IGF1 and cholesterol efflux pathway expression were reduced in PNE fetuses and adult offspring. Therefore, PNE induced poor articular cartilage quality in female adult offspring fed a high-fat diet via a dual programming mechanism. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Marital stability and repartnering

    DEFF Research Database (Denmark)

    Martins, Mariana V; Costa, Patrício; Peterson, Brennan D

    2014-01-01

    a second union have higher initial levels of stress in their original relationship and higher changes in stress levels over the course of treatments. These findings suggest that high infertility-related stress levels before entering fertility treatment can negatively affect the stability of marital......OBJECTIVE: To compare the trajectories of infertility-related stress between patients who remain in the same relationship and patients who repartner. DESIGN: Longitudinal cohort study using latent growth modeling. SETTING: Fertility centers. PATIENT(S): Childless men and women evaluated before...... starting a new cycle of fertility treatment and observed for a 5-year period of unsuccessful treatments. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Marital stability and infertility-related stress. RESULT(S): The majority of patients (86%) remained with their initial partner, but 14% of participants...

  13. Early participation in a prenatal food supplementation program ameliorates the negative association of food insecurity with quality of maternal-infant interaction.

    Science.gov (United States)

    Frith, Amy L; Naved, Ruchira T; Persson, Lars Ake; Rasmussen, Kathleen M; Frongillo, Edward A

    2012-06-01

    Food insecurity is detrimental to child development, yet little is known about the combined influence of food insecurity and nutritional interventions on child development in low-income countries. We proposed that women assigned to an early invitation time to start a prenatal food supplementation program could reduce the negative influence of food insecurity on maternal-infant interaction. A cohort of 180 mother-infant dyads were studied (born between May and October 2003) from among 3267 in the randomized controlled trial Maternal Infant Nutritional Interventions Matlab, which was conducted in Matlab, Bangladesh. At 8 wk gestation, women were randomly assigned an invitation time to start receiving food supplements (2.5 MJ/d; 6 d/wk) either early (~9 wk gestation; early-invitation group) or at the usual start time (~20 wk gestation; usual-invitation group) for the government program. Maternal-infant interaction was observed in homes with the use of the Nursing Child Assessment Satellite Training Feeding Scale, and food-insecurity status was obtained from questionnaires completed when infants were 3.4-4.0 mo old. By using a general linear model for maternal-infant interaction, we found a significant interaction (P = 0.012) between invitation time to start a prenatal food supplementation program and food insecurity. Those in the usual-invitation group with higher food insecurity scores (i.e., more food insecure) had a lower quality of maternal-infant interaction, but this relationship was ameliorated among those in the early-invitation group. Food insecurity limits the ability of mothers and infants to interact well, but an early invitation time to start a prenatal food supplementation program can support mother-infant interaction among those who are food insecure.

  14. Prenatal and adult exposures to smoking are associated with adverse effects on reproductive hormones, semen quality, final height and body mass index

    DEFF Research Database (Denmark)

    Ravnborg, Trine L; Jensen, Tina K; Andersson, Anna-Maria

    2011-01-01

    BACKGROUND Exposure to tobacco smoking prenatally is a risk factor for reduced semen quality, but whether the exposure has adverse effects on reproductive hormones, pubertal development or adult BMI remain largely unexplored. The aim of this study was to investigate the associations between...... these factors while controlling for the effects of current smoking in young adulthood. METHODS This cross-sectional study (1996-2006) included 3486 Danish men (median age: 19 years), participating in a semen-quality study. Data were obtained from questionnaires, physical examinations, semen analyses...... and assessments of reproductive hormones. The main outcome measures were markers of pubertal onset, BMI, reproductive hormones and semen variables. RESULTS Maternal smoking during pregnancy was associated with earlier onset of puberty (e.g. early pubic hair development in 25.2 versus 18.9% of unexposed subjects...

  15. [Marital status and place of living as social determinants of vertebral pain syndrome and disturbance of life quality in women of older age groups.

    Science.gov (United States)

    Orlyk, T V; Grygorieva, N V

    2018-01-01

    In order to study the role of the marital status and place of residence, as the social determinants of the development of vertebral pain syndrome and related disorders of life activity, the results of a survey of 148 postmenopausal women aged 50-69 years were analyzed. Respondents were divided into groups depending on their marital status (living in a family with husbands and other relatives, only with husbands or alone) and places of residence (in rural or urban areas). The results of this study suggest that family status and place of residence in women of older age groups do not directly influence on the back pain, however they contribute to impairment of vital functions associated with back pain, in particular, psychological state, general activity, working capacity, and also stipulate a higher frequency of requests for medical care and hospitalizations. In single women the level of disruption of daily activity is significantly higher, although the incidence of disability in doing household chores is significantly lower than in married women. Single women reliably seek medical help more often and are hospitalized throught back pain. It was also found the significant correlations between the place of residence and the frequency of health problems related to back pain, psychological and mood disorders, general activity, relationships with others, daily disability in work, impaired ability to move and the frequency of medical help seeking throught back pain. In conclusion, ite should be taken into account in planning of treatment and rehabilitation of women of older age groups with back pain.

  16. Types of marital intimacy and prevalence of emotional illness.

    Science.gov (United States)

    Waring, E M; Patton, D; Neron, C A; Linker, W

    1986-11-01

    Epidemiological research has demonstrated that married individuals generally experience better emotional health than the single, divorced and widowed. The married populations in these studies were not evaluated on the basis of the quality of their marital relationships. Research on the interpersonal quality of marital relationships in the general married population has rarely been reported in the psychiatric literature. A sample of the general married population (n = 250 couples) completed a self-report questionnaire which measures the quality and the quantity of intimacy in marriage. Four types of marital patterns were operationally defined by total intimacy score, pattern of scale profile, and social desirability scores. The relative frequencies of these types of marriages are reported. The prevalence of symptoms of non-psychotic emotional illness in one or both spouses in the four categories of marriage is reported. Thirty-one percent (31%) of the couples report marriages with absent and/or deficient intimacy. Couples with "absent and/or deficient" marital intimacy had a significantly higher proportion of spouses with symptoms of non-psychotic emotional illness. This study suggests that previous research may have confounded the variables of marital status and marital quality in the study of psychiatric disorder. These studies may have under-estimated the positive effect of an "optimally" intimate relationship.

  17. Premarital Pregnancy and Marital Instability

    Science.gov (United States)

    Furstenberg, Frank F., Jr.

    1976-01-01

    The marital histories of 203 young women who became premaritally pregnant in their early teens and 90 of their classmates most of whom married before pregnancy show that disruption in the courtship process and limited economic resources are the most important factors in marital dissolution. (Author/AM)

  18. [Reliability and validity of marital love scale in middle- aged and elderly couples].

    Science.gov (United States)

    Ito, Yuko; Sagara, Junko

    2012-08-01

    A marital love scale was created to study the marital quality of middle-aged and elderly couples, and the scale's reliability and validity were examined. In this study, 888 middle-aged and elderly married participants completed the marital love scale questionnaire as well as answering questions regarding marriage satisfaction and husband-wife communication. In all age groups, men scored higher than women on the marital love scale. The marital love score gradually increased from the middle-aged to the senior period, and like the marriage satisfaction score, the marital love score showed a U-shaped curve in the whole married life. The results also showed that the scale was highly correlated with marriage satisfaction and spousal self-disclosure. Thus, the validity and internal consistency of the marital love scale were confirmed.

  19. Control Prenatal

    Directory of Open Access Journals (Sweden)

    P. Susana Aguilera, DRA.

    2014-11-01

    Full Text Available Los principales objetivos del control prenatal son identificar aquellos pacientes de mayor riesgo, con el fin de realizar intervenciones en forma oportuna que permitan prevenir dichos riesgos y así lograr un buen resultado perinatal. Esto se realiza a través de la historia médica y reproductiva de la mujer, el examen físico, la realización de algunos exámenes de laboratorio y exámenes de ultrasonido. Además es importante promover estilos de vida saludables, la suplementación de ácido fólico, una consejería nutricional y educación al respecto.

  20. Infidelity in couples seeking marital therapy.

    Science.gov (United States)

    Atkins, David C; Yi, Jean; Baucom, Donald H; Christensen, Andrew

    2005-09-01

    The revelation of an affair is often an emotionally explosive event for a couple, yet little is known about specific individual and relationship factors that accompany infidelity. The present study examined the qualities of individuals and couples that differentiate couples with (n = 19) and without (n = 115) infidelity using couples from a randomized clinical trial of marital therapy. Findings indicated that couples with infidelity showed greater marital instability, dishonesty, arguments about trust, narcissism, and time spent apart. Gender also proved to be a significant moderator of several effects. Men who had participated in affairs showed increased substance use, were older, and were more sexually dissatisfied. Results offer initial clues to concomitants of affairs for couple therapists. (c) 2005 APA, all rights reserved

  1. Marital Status, Marital Transitions, and Health: A Gendered Life Course Perspective*

    OpenAIRE

    Williams, Kristi; Umberson, Debra

    2004-01-01

    We work from a life course perspective to assess the impact of marital status and marital transitions on subsequent changes in the self-assessed physical health of men and women. Our results suggest three central conclusions regarding the association of marital status and marital transitions with self-assessed health. First, marital status differences in health appear to reflect the strains of marital dissolution more than they reflect any benefits of marriage. Second, the strains of marital ...

  2. Effect of marital counselling on women's attitude towards marital

    African Journals Online (AJOL)

    Emeka Egbochuku

    issues, love and trust, socio-cultural factors, anti-social vices and lastly economic factors. ... (Dimkpa, 2007). Attitude developed by married women could be negative .... through the news and print media by encouraging women to seek marital.

  3. Attributional Models of Depression and Marital Distress.

    Science.gov (United States)

    Horneffer, Karen J.; Fincham, Frank D.

    1996-01-01

    Compares attributional models presented in depression and marital literatures by examining simultaneously their prediction of depressive symptoms and marital distress with 150 married couples. Findings show that a model including paths from depressogenic and distress-maintaining marital attributions to both depressive symptoms and marital distress…

  4. Prenatal Care Checkup

    Science.gov (United States)

    ... Careers Archives Health Topics Pregnancy Before or between pregnancies Nutrition, weight & fitness Prenatal care Is it safe? Labor & ... Report Cards Careers Archives Pregnancy Before or between pregnancies Nutrition, weight & fitness Prenatal care Is it safe? Labor & ...

  5. [Gender differences in measures of mental health associated with a marital relationship].

    Science.gov (United States)

    Ito, Yuko; Sagara, Junko

    2014-02-01

    This study examined gender differences for two measures of mental health as related to the quality of the marital relationship. Middle-aged respondents (221 female; 210 male) rated their marital satisfaction, affection, and communication. They also rated their psychological well-being and depression. The correlations between marital quality and mental health indicated that for males marital quality was more strongly associated with psychological well-being than with depression. Females showed no such difference, or their marital quality was associated with depression. This implies that for females, depression was a more sensitive measure of their mental health related to their husband-wife relationship. On the other hand, for males subjective well-being which was correlated with self-esteem was a more sensitive measure of their mental health.

  6. Prenatal risk factors for Tourette Syndrome: a systematic review.

    Science.gov (United States)

    Chao, Ting-Kuang; Hu, Jing; Pringsheim, Tamara

    2014-01-30

    Tourette Syndrome (TS) appears to be an inherited disorder, although genetic abnormalities have been identified in less than 1% of patients, and the mode of inheritance is uncertain. Many studies have investigated environmental factors that might contribute to the onset and severity of tics and associated comorbidities such as obsessive compulsive disorder (OCD) and attention deficit hyperactive disorder (ADHD). A systematic review and qualitative analysis were performed to provide a broad view of the association between pre- and perinatal factors and TS. The Medline, Embase and PsycINFO databases were searched using terms specific to Tourette's syndrome and keywords such as "pregnancy", "prenatal", "perinatal", "birth" and "neonatal". Studies were limited to studies on human subjects published in English or French through October 2012. 22 studies were included. Studies were of limited methodological quality, with most samples derived from specialty clinics, and most exposures ascertained retrospectively. The majority of the results for demographic factors of parents, including age, education, socioeconomic status, and marital status, revealed no significant association with the onset of TS, or the presence of comorbidity. Many factors were reported to be significantly associated with the onset of TS, the presence of comorbidity and symptom severity, but the most consistently reported factors were maternal smoking and low birth weight. There are few studies evaluating the relationship between pre and perinatal events and TS, and existing studies have major limitations, including the use of clinic rather than epidemiologically derived samples, retrospective data collection on pre and perinatal events and multiple hypothesis testing without appropriate statistical correction. The mechanism by which prenatal and perinatal adversities could lead to TS onset or symptom severity is unknown, but may be related to changes in the dopaminergic system as a result of early

  7. Stressors and Enhancers in the Marital/Family Life of Family Professionals and Their Spouses.

    Science.gov (United States)

    Duncan, Stephen F.; Goddard, H. Wallace

    1993-01-01

    Assessed how work as family professional is uniquely enhancing and stressful and whether enhancers and stressors are correlated with marital and family quality. Findings from 59 family professionals and their spouses strengthen idea that there are marital and family life enhancers and stressors uniquely associated with work as family professional.…

  8. Individualized choice in prenatal diagnosis : the impact of karyotyping and standalone rapid aneuploidy detection on quality of life

    NARCIS (Netherlands)

    Boormans, E. M. A.; Birnie, E.; Oepkes, D.; Boekkooi, P. F.; Bonsel, G. J.; van Lith, J. M. M.

    2010-01-01

    Objective To assess the reasons and perceptions of women who are offered a choice between karyotyping and standalone rapid aneuploidy detection (RAD) and to compare the impact of both tests on anxiety and health-related quality of life Methods In this prospective comparative study, women undergoing

  9. Prenatal education for congenital toxoplasmosis.

    Science.gov (United States)

    Di Mario, Simona; Basevi, Vittorio; Gagliotti, Carlo; Spettoli, Daniela; Gori, Gianfranco; D'Amico, Roberto; Magrini, Nicola

    2015-10-23

    Congenital toxoplasmosis is considered a rare but potentially severe infection. Prenatal education about congenital toxoplasmosis could be the most efficient and least harmful intervention, yet its effectiveness is uncertain. To assess the effects of prenatal education for preventing congenital toxoplasmosis. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 May 2015), and reference lists of relevant papers, reviews and websites. Randomized and quasi-randomized controlled trials of all types of prenatal education on toxoplasmosis infection during pregnancy. Cluster-randomized trials were eligible for inclusion. Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. Two cluster-randomized controlled trials (RCTs) (involving a total of 5455 women) met the inclusion criteria. The two included trials measured the effectiveness of the intervention in different ways, which meant that meta-analysis of the results was not possible. The overall quality of the two studies, as assessed using the GRADE approach, was low, with high risk of detection and attrition bias in both included trials.One trial (432 women enrolled) conducted in Canada was judged of low methodological quality. This trial did not report on any of the review's pre-specified primary outcomes and the secondary outcomes reported results only as P values. Moreover, losses to follow-up were high (34%, 147 out of 432 women initially enrolled). The authors concluded that prenatal education can effectively change pregnant women's behavior as it increased pet, personal and food hygiene. The second trial conducted in France was also judged of low methodological quality. Losses to follow-up were also high (44.5%, 2233 out of 5023 women initially enrolled) and differential (40% in the intervention group and 52% in the control group). The authors concluded that prenatal education for congenital toxoplasmoses has a

  10. Birth-Order Complementarity and Marital Adjustment.

    Science.gov (United States)

    Vos, Cornelia J. Vanderkooy; Hayden, Delbert J.

    1985-01-01

    Tested the influence of birth-order complementarity on marital adjustment among 327 married women using the Spanier Dyadic Adjustment Scale (1976). Birth-order complementarity was found to be unassociated with marital adjustment. (Author/BL)

  11. Diagnóstico Prenatal

    OpenAIRE

    López, Jaime Octavio; Saldarriaga, Wilmar; Fundación Valle de Lili

    2010-01-01

    Diagnóstico Prenatal/ propósitos del diagnóstico prenatal/ Tamizaje a partir del Control Prenatal/ Pacientes de bajo riesgo/ Tamizaje bioquímico/ Pacientes de alto riesgo/ Pruebas invasivas y no invasivas

  12. Preconception Care and Prenatal Care

    Science.gov (United States)

    ... Twitter Pinterest Email Print About Preconception Care and Prenatal Care What is preconception care? Preconception care is the ... improve the health of your child. What is prenatal care? Prenatal care is the health care a woman ...

  13. Group prenatal care.

    Science.gov (United States)

    Mazzoni, Sara E; Carter, Ebony B

    2017-06-01

    Patients participating in group prenatal care gather together with women of similar gestational ages and 2 providers who cofacilitate an educational session after a brief medical assessment. The model was first described in the 1990s by a midwife for low-risk patients and is now practiced by midwives and physicians for both low-risk patients and some high-risk patients, such as those with diabetes. The majority of literature on group prenatal care uses CenteringPregnancy, the most popular model. The first randomized controlled trial of CenteringPregnancy showed that it reduced the risk of preterm birth in low-risk women. However, recent meta-analyses have shown similar rates of preterm birth, low birthweight, and neonatal intensive care unit admission between women participating in group prenatal care and individual prenatal care. There may be subgroups, such as African Americans, who benefit from this type of prenatal care with significantly lower rates of preterm birth. Group prenatal care seems to result in increased patient satisfaction and knowledge and use of postpartum family planning as well as improved weight gain parameters. The literature is inconclusive regarding breast-feeding, stress, depression, and positive health behaviors, although it is theorized that group prenatal care positively affects these outcomes. It is unclear whether group prenatal care results in cost savings, although it may in large-volume practices if each group consists of approximately 8-10 women. Group prenatal care requires a significant paradigm shift. It can be difficult to implement and sustain. More randomized trials are needed to ascertain the true benefits of the model, best practices for implementation, and subgroups who may benefit most from this innovative way to provide prenatal care. In short, group prenatal care is an innovative and promising model with comparable pregnancy outcomes to individual prenatal care in the general population and improved outcomes in some

  14. Marital Satisfaction Trends in Hong Kong Between 2002 and 2012.

    Science.gov (United States)

    Zhang, Huiping; Fan, Susan; Yip, Paul

    2016-07-03

    Macrosocial changes may generate influences on marital quality. This study used data from the 2002-2012 Knowledge, Attitude, and Practice surveys conducted by the Family Planning Association of Hong Kong to track the trends of marital satisfaction of both husbands and wives over a 10-year period in Hong Kong, with associated factors. Results indicated that 85% of the husbands and around 80% of the wives reported that they were satisfied with their marital relationships, and no significant changes in general were observed for them between 2002 and 2012 except for some subgroups. Husbands aged 45-49 years, in employment and whose monthly household income between 25,000 HKD and 39,999 HKD, reported marital satisfaction decreased over the past 10 years and wives with primary education or below also reported a decreasing trend during this period. Education and family income had positive influences on the husbands' and wives' marital satisfaction, and husbands were more likely to be sensitive to the unemployment. Less than one-third of couples needed professional counseling on family-related issues, and couple conflicts and work-family conflicts were the urgent needs that should be given priority in delivering services. The implications of this study are discussed in the Chinese context of Hong Kong.

  15. Marital status and optimism score among breast cancer survivors.

    Science.gov (United States)

    Croft, Lindsay; Sorkin, John; Gallicchio, Lisa

    2014-11-01

    There are an increasing number of breast cancer survivors, but their psychosocial and supportive care needs are not well-understood. Recent work has found marital status, social support, and optimism to be associated with quality of life, but little research has been conducted to understand how these factors relate to one another. Survey data from 722 breast cancer survivors were analyzed to estimate the association between marital status and optimism score, as measured using the Life Orientation Test-Revised. Linear regression was used to estimate the relationship of marital status and optimism, controlling for potential confounding variables and assessing effect modification. The results showed that the association between marital status and optimism was modified by time since breast cancer diagnosis. Specifically, in those most recently diagnosed (within 5 years), married breast cancer survivors had a 1.50 higher mean optimism score than unmarried survivors (95 % confidence interval (CI) 0.37, 2.62; p = 0.009). The difference in optimism score by marital status was not present more than 5 years from breast cancer diagnosis. Findings suggest that among breast cancer survivors within 5 years since diagnosis, those who are married have higher optimism scores than their unmarried counterparts; this association was not observed among longer-term breast cancer survivors. Future research should examine whether the difference in optimism score among this subgroup of breast cancer survivors is clinically relevant.

  16. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors.

    Science.gov (United States)

    Shi, Peixia; Ren, Hui; Li, Hong; Dai, Qin

    2018-03-01

    Maternal depression has been intensively explored; however, less attention has been paid to maternal suicide. No studies to date have observed maternal depression and suicide at immediate prenatal and early postpartum stages. In total, 213 Chinese women were recruited in hospitals after they were admitted for childbirth. All completed a short-term longitudinal survey at perinatal stages. Women reported lower depression scores (6.65) and higher suicidal ideation incidence (11.74%) after childbirth. Prenatal depression raised the possibility of prenatal suicidal ideation, while prenatal depression and suicidal ideation increased postpartum depression and suicidal ideation. At immediate prenatal stage, marital satisfaction protected women from depression, while miscarriage experiences and self-esteem increased the risk. At early postpartum stage, in contrast, being first-time mother, marital satisfaction, and harmony with mother-in-law prevented them from depression. Our study is among the first to confirm that women have decreased depression but increased suicidal ideation at early postpartum, and a causal relationship between them, which are worthy of public attention. Potential protective (marital satisfaction, being first-time mother, and harmony with mother-in-law) or risk factors (miscarriage experiences and self-esteem) of maternal depression and suicidal ideation are identified at perinatal stages. This offers reliable guidance for clinical practice of health care. Copyright © 2018 Elsevier B.V. All rights reserved.

  17. Marital Dialogue – between Conflict, Agreement and Relationship Breakdown

    Directory of Open Access Journals (Sweden)

    Kornaszewska-Polak Monika

    2016-12-01

    Full Text Available Marital dialogue plays an essential role in shaping the relationship between spouses and supports experiencing personal I in the context of the community – We. In these couples, where dialogue is going well, it fulfils the function of a secure base forming a community based on the foundation of unity. However, contemporary culture denies an interpersonal dialogue the authenticity and engagement, emphasizing individualistic attitudes, preoccupation with oneself, leading to relationship and community disintegration and breakdown. This paper is to present the authors twenty year research into bonds, communication styles, marital conflicts and ways of coping with them. The research shows various issues related to developing the interpersonal dialogue and thus creating bonds and unity in the marriage and family. At first, the research devoted to the transmission of generation patterns in the family is presented and it is followed by presentation of selected psychological factors influencing marriage quality and marital satisfaction.

  18. Associations of Household Wealth and Individual Literacy with Prenatal Care in Ten West African Countries.

    Science.gov (United States)

    Taylor, Yhenneko J; Laditka, Sarah B; Laditka, James N; Huber, Larissa R Brunner; Racine, Elizabeth F

    2016-11-01

    Objective To examine associations of household wealth and individual literacy with prenatal care in West Africa. Methods Data on women with recent births in Benin, Burkina Faso, Ghana, Guinea, Liberia, Mali, Nigeria, Niger, Senegal and Sierra Leone were obtained from 2006 to 2010 Demographic and Health Surveys (n = 58,512). Separate logistic regressions estimated associations of literacy and wealth quintiles with prenatal care, controlling for age, parity, marital status, rural/urban residence, religion, multiple births, pregnancy wantedness, and the woman's involvement in decision-making at home. Any prenatal care was defined by ≥1 prenatal care visit. Adequate prenatal care was defined as at least four prenatal care visits beginning in the first trimester, at least one with a skilled provider. Results Seventy-eight percent of women had any prenatal care; 23 % had adequate care. Women who were not literate had lower odds of having any prenatal care (odds ratio, OR 0.29; 95 % confidence interval, CI 0.26-0.33) and lower odds of adequate care (OR 0.73, CI 0.68-0.78). Women in the poorest wealth quintile were substantially less likely to have any prenatal care than women in the wealthiest quintile (OR 0.24, CI 0.11-0.18), and less likely to have adequate care (OR 0.31, CI 0.27-0.35). Conclusions for Practice A substantial percentage of women in West Africa have no prenatal care. Few have adequate care. Illiteracy and poverty are important risk factors for having little or no prenatal care. Increasing education for girls, promoting culturally appropriate messages about prenatal care, and building trust in providers may increase prenatal care.

  19. Marital dissolution: an economic analysis.

    Science.gov (United States)

    Hunter, K A

    1984-01-01

    A longitudinal analysis of factors affecting marital dissolution in the United States is presented using data from the Coleman-Rossi Retrospective Life History. Factors considered include labor force participation of both spouses, wage growth, size of family unit, age at marriage, and educational status. The study is based on the economic analysis approach developed by Gary S. Becker and others.

  20. ISLAMIC PERSPECTIVE ON MARITAL RAPE

    Directory of Open Access Journals (Sweden)

    Muhammad Endriyo Susila

    2015-06-01

    Full Text Available Marital rape has become a controversial issue in many countries including Indonesia. For the majority of the Indonesian people, it is impossible for rape to take place inside the marriage institution, however some other peoples believe that it possibly occurs. Since it is considered as a kind of rape anyway, those who agree with that concept, insist on the government of Indonesia to qualify marital rape as an offence. This is sounded usually by the human rights activists, especially the feminists. This research is aimed to elaborate the legal position of what so-call marital rape in Islam. As a country whose population is majority Muslim, it can be understood that the development of the Indonesian law is influenced by the Islamic values. This research provide an important reference to deal with the issue of the criminalization of marital rape in Indonesia.Since the research focuses more on the study of legal materials from various sources, it is qualified as a normative legal research. To support the collection of data, interview upon the competent legal experts has also been exercised. The standard of qualification of the legal experts involving in the interview are those who are interested in Islamic Law, especially Islamic Family law as well as Islamic Criminal Law.    Based on the research finding, it is found that the type of the relationship between husband and wife as suggested in Islamic teaching naturaly prevents the what so-call marital rape to occur. It is difficult to imagine the existence of marital rape inside the Muslim familes, since the husband is bound with the obligation to treat her wife well (mu’asyarah bil ma’ruf. In sexual matter, the doctrine of mu’asyarah bil ma’ruf can be applied by respecting the need and the willingness of the wife in sexual matter. Meaning to say, the husband is obliged to fulfill his wife sexual desire in one side, and in the other side he is not allowed to force her wife for sex when she

  1. A Systematic Approach to Marital Enrichment.

    Science.gov (United States)

    Dinkmeyer, Don; Carlson, Jon

    1986-01-01

    Presents a systematic approach to enriching marital relationships. The history and current status of marital enrichment is reviewed. An Adlerian approach to marital enrichment is described. Applications of the program in enrichment groups, marriage therapy and couple groups are included. (Author)

  2. Classification of Marital Relationships: An Empirical Approach.

    Science.gov (United States)

    Snyder, Douglas K.; Smith, Gregory T.

    1986-01-01

    Derives an empirically based classification system of marital relationships, employing a multidimensional self-report measure of marital interaction. Spouses' profiles on the Marital Satisfaction Inventory for samples of clinic and nonclinic couples were subjected to cluster analysis, resulting in separate five-group typologies for husbands and…

  3. Marital Conflict, Depressive Symptoms, and Functional Impairment

    Science.gov (United States)

    Choi, Heejeong; Marks, Nadine F

    2008-01-01

    Guided by a stress process perspective, we investigated (a) whether marital conflict might directly lead to changes in depression and functional impairment, (b) whether marital conflict might indirectly lead to changes in functional impairment via depression, and (c) whether marital conflict might indirectly lead to changes in depression via…

  4. Coping Mediates the Association Between Marital Instability and Depression, but Not Marital Satisfaction and Depression

    OpenAIRE

    Fink, Brandi C.; Shapiro, Alyson F.

    2013-01-01

    The association between marital discord and depression is well established. Marital discord is hypothesized to be a stressful life event that would evoke one’s efforts to cope with it. In an effort to further understand the nature of this association, the current study investigated coping as a mediating variable between marital dissatisfaction and depression and between marital instability and depression. Both marital dissatisfaction and instability, reflecting orthogonal dimensions of marita...

  5. Intergenerational Support and Marital Satisfaction: Implications of Beliefs About Helping Aging Parents

    Science.gov (United States)

    Polenick, Courtney A.; Zarit, Steven H.; Birditt, Kira S.; Bangerter, Lauren R.; Seidel, Amber J.; Fingerman, Karen L.

    2016-01-01

    Everyday support given to aging parents is a salient aspect of married life that may have implications for marital quality. Among 132 middle-aged couples drawn from Wave 1 of the Family Exchanges Study, we examined the moderating effects of each spouse’s normative and motivational beliefs about helping parents on associations between the frequency of everyday support that wives and husbands gave to their own parents and marital satisfaction. Husbands' more frequent provision of support was linked to wives' greater marital satisfaction when reports of personal rewards linked to helping parents were high for wives or low for husbands. Conversely, wives’ more frequent provision of support was linked to husbands’ lower marital satisfaction when reports of filial obligation were low for husbands or high for wives. Findings highlight the interdependence within couples, and indicate that both spouses' perceptions are important in understanding linkages between intergenerational support and marital satisfaction. PMID:28154427

  6. Marital status, health and mortality.

    Science.gov (United States)

    Robards, James; Evandrou, Maria; Falkingham, Jane; Vlachantoni, Athina

    2012-12-01

    Marital status and living arrangements, along with changes in these in mid-life and older ages, have implications for an individual's health and mortality. Literature on health and mortality by marital status has consistently identified that unmarried individuals generally report poorer health and have a higher mortality risk than their married counterparts, with men being particularly affected in this respect. With evidence of increasing changes in partnership and living arrangements in older ages, with rising divorce amongst younger cohorts offsetting the lower risk of widowhood, it is important to consider the implications of such changes for health in later life. Within research which has examined changes in marital status and living arrangements in later life a key distinction has been between work using cross-sectional data and that which has used longitudinal data. In this context, two key debates have been the focus of research; firstly, research pointing to a possible selection of less healthy individuals into singlehood, separation or divorce, while the second debate relates to the extent to which an individual's transitions earlier in the life course in terms of marital status and living arrangements have a differential impact on their health and mortality compared with transitions over shorter time periods. After reviewing the relevant literature, this paper argues that in order to fully account for changes in living arrangements as a determinant of health and mortality transitions, future research will increasingly need to consider a longer perspective and take into account transitions in living arrangements throughout an individual's life course rather than simply focussing at one stage of the life course. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  7. Effects of communication styles on marital satisfaction and distress of parents of pediatric cancer patients: a prospective longitudinal study.

    Science.gov (United States)

    Wijnberg-Williams, Barbara J; Van de Wiel, Harry B M; Kamps, Willem; Hoekstra-Weebers, Josette E H M

    2015-01-01

    The aim of this study was to examine the longitudinal effects of communication styles on marital satisfaction and distress of parents of children treated for cancer. Marital dissatisfaction (Maudsley Marital Questionnaire), intimacy, avoidance, destructive and incongruent communication (Communication Skills Inventory) and psychological distress (General Health Questionnaire) were assessed in 115 parents of pediatric cancer patients shortly after diagnosis (T1) and 5 years later (T2). Only mothers' marital dissatisfaction increased significantly over time. No gender differences in dissatisfaction were found. Mothers had a significantly higher lack of intimacy score than fathers. All T1 communication styles were significantly univariately related to fathers' and mothers' T2 marital dissatisfaction, while not to T2 distress. Mothers' T1 marital dissatisfaction accounted for 67% and fathers' for 12% in the explained variance of T2 dissatisfaction. T1 destructive communication uniquely affected fathers' T2 marital dissatisfaction and T1 avoidant communication that of mothers. Five years after cancer diagnosis in their children, the quality of parents' marital relationships seemed largely unchanged. Parents' use of communication skills at diagnosis appeared to have limited effect on their marital dissatisfaction and no effect on their distress 5 years later. While avoidant communication seemed indicative of mothers' marital distress, fathers' seemed affected by destructive communication. Copyright © 2014 John Wiley & Sons, Ltd.

  8. Prenatal programming of childhood overweight and obesity.

    Science.gov (United States)

    Huang, Jennifer S; Lee, Tiffany A; Lu, Michael C

    2007-09-01

    To review the scientific evidence for prenatal programming of childhood overweight and obesity, and discuss its implications for MCH research, practice, and policy. A systematic review of observational studies examining the relationship between prenatal exposures and childhood overweight and obesity was conducted using MOOSE guidelines. The review included literature posted on PubMed and MDConsult and published between January 1975 and December 2005. Prenatal exposures to maternal diabetes, malnutrition, and cigarette smoking were examined, and primary study outcome was childhood overweight or obesity as measured by body mass index (BMI) for children ages 5 to 21. Four of six included studies of prenatal exposure to maternal diabetes found higher prevalence of childhood overweight or obesity among offspring of diabetic mothers, with the highest quality study reporting an odds ratio of adolescent overweight of 1.4 (95% CI 1.0-1.9). The Dutch famine study found that exposure to maternal malnutrition in early, but not late, gestation was associated with increased odds of childhood obesity (OR 1.9, 95% CI 1.5-2.4). All eight included studies of prenatal exposure to maternal smoking showed significantly increased odds of childhood overweight and obesity, with most odds ratios clustering around 1.5 to 2.0. The biological mechanisms mediating these relationships are unknown but may be partially related to programming of insulin, leptin, and glucocorticoid resistance in utero. Our review supports prenatal programming of childhood overweight and obesity. MCH research, practice, and policy need to consider the prenatal period a window of opportunity for obesity prevention.

  9. Marital Conflict, Depressive Symptoms, and Functional Impairment

    OpenAIRE

    Choi, Heejeong; Marks, Nadine F.

    2008-01-01

    Guided by a stress process perspective, we investigated (a) whether marital conflict might directly lead to changes in depression and functional impairment, (b) whether marital conflict might indirectly lead to changes in functional impairment via depression, and (c) whether marital conflict might indirectly lead to changes in depression via functional impairment. We estimated a latent variable causal model using 3 waves of data from the National Survey of Families and Households (N = 1,832)....

  10. Prenatal screening and genetics

    DEFF Research Database (Denmark)

    Alderson, P; Aro, A R; Dragonas, T

    2001-01-01

    Although the term 'genetic screening' has been used for decades, this paper discusses how, in its most precise meaning, genetic screening has not yet been widely introduced. 'Prenatal screening' is often confused with 'genetic screening'. As we show, these terms have different meanings, and we...... examine definitions of the relevant concepts in order to illustrate this point. The concepts are i) prenatal, ii) genetic screening, iii) screening, scanning and testing, iv) maternal and foetal tests, v) test techniques and vi) genetic conditions. So far, prenatal screening has little connection...... with precisely defined genetics. There are benefits but also disadvantages in overstating current links between them in the term genetic screening. Policy making and professional and public understandings about screening could be clarified if the distinct meanings of prenatal screening and genetic screening were...

  11. The human brain. Prenatal development and structure

    International Nuclear Information System (INIS)

    Marin-Padilla, Miguel

    2011-01-01

    This book is unique among the current literature in that it systematically documents the prenatal structural development of the human brain. It is based on lifelong study using essentially a single staining procedure, the classic rapid Golgi procedure, which ensures an unusual and desirable uniformity in the observations. The book is amply illustrated with 81 large, high-quality color photomicrographs never previously reproduced. These photomicrographs, obtained at 6, 7, 11, 15, 18, 20, 25, 30, 35, and 40 weeks of gestation, offer a fascinating insight into the sequential prenatal development of neurons, blood vessels, and glia in the human brain. (orig.)

  12. The human brain. Prenatal development and structure

    Energy Technology Data Exchange (ETDEWEB)

    Marin-Padilla, Miguel

    2011-07-01

    This book is unique among the current literature in that it systematically documents the prenatal structural development of the human brain. It is based on lifelong study using essentially a single staining procedure, the classic rapid Golgi procedure, which ensures an unusual and desirable uniformity in the observations. The book is amply illustrated with 81 large, high-quality color photomicrographs never previously reproduced. These photomicrographs, obtained at 6, 7, 11, 15, 18, 20, 25, 30, 35, and 40 weeks of gestation, offer a fascinating insight into the sequential prenatal development of neurons, blood vessels, and glia in the human brain. (orig.)

  13. Fulfillment of Marital Expectations in Relation to Communication Style and Parents' Marital Interactions

    OpenAIRE

    Edgington, Shawn Corey

    1996-01-01

    The purpose of this study was to examine the relationships of communication variables and parent marital variables with the fulfillment of marital expectations among newlyweds. Little research has been done on newlywed expectations and communication. This is an exploratory study conducted to determine how newlyweds' exposure to parents' marital interactions and communication styles correlated with newlyweds' fulfillment of marital expectations. Fifty newlywed couples (married 3-6 months) fill...

  14. Domestic Equality and Marital Stability

    DEFF Research Database (Denmark)

    Steingrimsdottir, Herdis; Vardardottir, Arna

    by the father while parents who had a child before were did not get this option. This created large economic incentives for parents to involve fathers in caring for their children during their first months. In this paper we use the precise timing of the introduction of the paternal quota in Iceland to evaluate...... the causal effects of paternity leave on parents’ earnings, the gender wage gap and marital stability. The results are obtained using detailed register based panel data, comparing families who had a child just before or just after the reform. Spouses who are entitled to paternity leave are less likely...

  15. Effect of Marital Counselling on Women‟s Attitude Towards Marital ...

    African Journals Online (AJOL)

    Based on the findings, the implications for counselling include organizing seminars and workshops by counsellors to teach women skills that will enhance positive marital attitudes, adoption of marital counselling programmes by employers of labour to assist women maintain desirable marital attitudes in order to promote ...

  16. The Cross-Cultural Consistency of Marital Communication Associated with Marital Distress.

    Science.gov (United States)

    Halford, W. Kim; And Others

    1990-01-01

    Compared problem-solving behaviors of four samples of couples, sorted by marital happiness/distress and culture (German and Australian). Results showed cultural differences in frequency and functional significance of negative verbal communication, along with cross-culturally consistent marital behaviors associated with marital distress. (Author/TE)

  17. The first sight of love: Relationship-defining memories and marital satisfaction across adulthood.

    Science.gov (United States)

    Alea, Nicole; Vick, Stephanie C

    2010-10-01

    The current study begins the exploration of relationship-defining memories (i.e., the first time someone met their spouse) across adulthood. Men and women ranging from 20 to 85 years old (N=267; M age=47.19) completed a measure of marital satisfaction, wrote a relationship-defining memory, and answered questions about the quality of their memory (i.e., vividness, valence, emotional intensity, and rehearsal). Data were collected online. Results indicate that individuals over 70 and those younger than 30 rehearsed relationship-defining memories most often. Women in midlife also reported more vivid memories. The quality of relationship-defining memories also predicted marital satisfaction. Relationship-defining memories that were more vivid, positive, emotionally intense, and rehearsed related to higher marital satisfaction. Age and gender differences were minimal. Results are discussed in the context of the adaptive social function of autobiographical memories, such that these memories might have a role in influencing marital satisfaction across adulthood.

  18. We can work it out: Age differences in relational pronouns, physiology, and behavior in marital conflict

    OpenAIRE

    Seider, Benjamin H.; Hirschberger, Gilad; Nelson, Kristin L.; Levenson, Robert W.

    2009-01-01

    This study examined the relationship that personal pronouns spoken during a marital conversation have with the emotional qualities of those interactions and with marital satisfaction. Middle-aged and older couples (N=154) engaged in a 15-minute conflict conversation during which physiology and emotional behavior were continuously monitored. Verbatim transcripts of the conversations were coded into two lexical categories: (a) We-ness (we-words): pronouns that focus on the couple; (b) Separaten...

  19. Construction and Validation of the Marital Justice Scale

    Directory of Open Access Journals (Sweden)

    Majid Ghaffari

    2013-11-01

    Full Text Available The main purpose of this study was to construct and validate a scale for measuring marital justice. A sample of three hundred and four voluntary and unpaid married participants (194 females, 110 males, aged between 20 and 35 years old (29.01 ± 4.44 years, were selected randomly through multi-stage sampling in Isfahan, Iran; the participants included in this sample had preschool child/children, were all in the first decade of marriage, and had at least eight grades of education. All participants were asked to complete the Marital Justice Scale (MJS, the Revised Dyadic Adjustment Scale (R-DAS; Busby, Christensen, Crane, & Larson, 1995, and the Marital Conflict Questionnaire (MCQ; Sanai Zaker, 2000. The exploratory factor analysis extracted two factors labelled ‘Procedural/interactional justice’ (twelve items and ‘Distributive justice’ (eight items which accounted for 66.70% of the total variance. The convergent and discriminant validity of the 20-item MJS were supported by an expected pattern of correlations between the scale and the measures of marital quality and marital conflict. All correlation coefficients between the mean scores of the MJS and the scores of the RDAS and the MCQ were statistically significant. The obtained internal consistency was markedly high (Cronbach’s α = .97. The test-retest reliability of the MJS was .87. The results suggest that the MJS is a reliable and valid measure; however, further studies should be carried out in other countries, based on different age groups and socio-economic levels, various developmental stages of family life cycles, diverse cultures and sub-cultures, and according to gender difference so as to validate the MJS.

  20. Existe una relación entre los programas de mejora de la calidad y la satisfacción de usuarias de atención prenatal?: experiencia en hospitales del Perú Is there a link between continuous quality improvement programs and health service users' satisfaction with prenatal care? An experience in Peruvian hospitals

    Directory of Open Access Journals (Sweden)

    Juan A. Seclen-Palacín

    2004-09-01

    .OBJECTIVES: 1. To compare the level of health service user satisfaction (US with antenatal care in hospitals where a program of continuous quality improvement (CQI was implemented, in comparison to a reference group of patients seen at hospitals that did not participate in the program. 2. To compare the reasons for dissatisfaction in both groups of users. 3. To identify the factors associated with US. METHODS: A quasi-experimental study of a representative sample of pregnant women attending prenatal care services. The women in the intervention group (n = 191 and the reference group (n = 185 were interviewed on leaving the prenatal care clinic. The dependent variable was satisfaction with prenatal care, and the independent variables were satisfaction of expectations, amiability, level of health information, perception of the equipment, waiting time, cleanliness and comfort. Descriptive and multivariate statistics were calculated. RESULTS: The intervention group showed higher rates of US (67.5% versus 55.1% in the reference group, P = 0,014. The main reasons for dissatisfaction were long waiting times and discourteous treatment, which were more frequent in the reference group. The multivariate analysis identified cordiality of the health professionals, information provided during the visit, satisfaction of expectations and implementation of the CQI program as the factors that were significantly associated with US. CONCLUSIONS: Our findings show that the CQI program in maternal and perinatal health services was positively associated with US. These results reinforce the need for cordiality during prenatal care contacts with providers, and the need to provide appropriate information to the user, in order to help increase acceptability of and adhesion to health care recommendations among pregnant women.

  1. Prenatal risk factors for Tourette Syndrome: a systematic review

    Science.gov (United States)

    2014-01-01

    Background Tourette Syndrome (TS) appears to be an inherited disorder, although genetic abnormalities have been identified in less than 1% of patients, and the mode of inheritance is uncertain. Many studies have investigated environmental factors that might contribute to the onset and severity of tics and associated comorbidities such as obsessive compulsive disorder (OCD) and attention deficit hyperactive disorder (ADHD). A systematic review and qualitative analysis were performed to provide a broad view of the association between pre- and perinatal factors and TS. Methods The Medline, Embase and PsycINFO databases were searched using terms specific to Tourette’s syndrome and keywords such as “pregnancy”, “prenatal”, “perinatal”, “birth” and “neonatal”. Studies were limited to studies on human subjects published in English or French through October 2012. Results 22 studies were included. Studies were of limited methodological quality, with most samples derived from specialty clinics, and most exposures ascertained retrospectively. The majority of the results for demographic factors of parents, including age, education, socioeconomic status, and marital status, revealed no significant association with the onset of TS, or the presence of comorbidity. Many factors were reported to be significantly associated with the onset of TS, the presence of comorbidity and symptom severity, but the most consistently reported factors were maternal smoking and low birth weight. Conclusions There are few studies evaluating the relationship between pre and perinatal events and TS, and existing studies have major limitations, including the use of clinic rather than epidemiologically derived samples, retrospective data collection on pre and perinatal events and multiple hypothesis testing without appropriate statistical correction. The mechanism by which prenatal and perinatal adversities could lead to TS onset or symptom severity is unknown, but may be related

  2. Why does women's education stabilize marriages? The role of marital attraction and barriers to divorce

    Directory of Open Access Journals (Sweden)

    Diederik Boertien

    2018-04-01

    Full Text Available Background: Despite widespread attention paid to the negative correlation between female education and divorce, we lack an explanation for it. In this study we use social exchange theory to assess two broad groups of explanations. According to the 'marital attraction' explanation, educated women's marriages have higher marital quality and marital satisfaction. According to the 'barriers to divorce' explanation, educated women's marriages include factors that raise the cost of divorcing. Many previous studies have referred to variants of the former explanation, whereas the latter has been less prominent. Our objective is to investigate the explanatory power of these two explanations. Methods: We use discrete-time event history models to document the educational gradient of divorce from first marriages using the British Household Panel Survey (N = 1,263 for the years 1996-2009. We subsequently perform a mediation analysis to explain the educational gradient in divorce and a path analysis to distinguish which factors shape marital attraction and barriers to divorce. Results: Female education is positively related to marital stability, but this association is only partly explained by educational differences in marital satisfaction and variables that shape attractions. Variables interpreted as affecting barriers to divorce, such as home ownership and having divorced parents, provide an at least equally important explanation of the educational gradient in divorce. Contribution: This paper shows that the negative female educational gradient of divorce is shaped not only by educational differences in marital attraction, but also by differences in barriers to divorce.

  3. Marital relationship, parenting practices, and social skills development in preschool children.

    Science.gov (United States)

    Hosokawa, Rikuya; Katsura, Toshiki

    2017-01-01

    This study examined the pathways by which destructive and constructive marital conflict leading to social skills development in preschool children, are mediated through negative and positive parenting practices. Mothers of 2931 Japanese children, aged 5-6 years, completed self-report questionnaires regarding their marital relationship (the Quality of co-parental communication scale) and parental practices (the Alabama parenting questionnaire). The children's teachers evaluated their social skills using the Social skills scale. Path analyses revealed significant direct paths from destructive marital conflict to negative parenting practices and lower scores on the self-control component of social skills. In addition, negative parenting practices mediated the relationship between destructive marital conflict and lower scores on cooperation, self-control, and assertion. Our analyses also revealed significant direct paths from constructive marital conflict to positive parenting practices, and higher scores on cooperation and assertion. Positive parenting practices mediated the relationship between constructive marital conflict and higher scores on self-control and assertion. These findings suggest that destructive and constructive marital conflict may directly and indirectly influence children's social skills development through the mediation of parenting practices.

  4. relationship between parenting styles and marital adjustment

    African Journals Online (AJOL)

    PROF. BARTH EKWEME

    positive and significant joint relationship between the parenting styles and marital adjustment of married ... correlate significantly with marital adjustment of married teachers in secondary ... In other words, it refers to the management of ... dealing with each other so as to reduce ill-feeling. ..... Behavior exchange in happy.

  5. Marital and Life Satisfaction among Gifted Adults

    Science.gov (United States)

    Perrone-McGovern, Kristin M.; Boo, Jenelle N.; Vannatter, Aarika

    2012-01-01

    Spousal giftedness, dual-career status, and gender were studied in relation to marital and life satisfaction among gifted adults. The data for the present study were collected twice over a 5-year period in order to examine the stability of the findings over time. Results indicated that marital satisfaction was significantly related to life…

  6. relationship between parenting styles and marital adjustment

    African Journals Online (AJOL)

    PROF. BARTH EKWEME

    The relationship between permissive parenting style and marital adjustment was also very low, positive and insignificant. There was a low, positive and significant joint relationship between the parenting styles and marital adjustment of married teachers in secondary schools in Obio/Akpor Local Government Area of Rivers ...

  7. influence of spousal communication on marital stability

    African Journals Online (AJOL)

    Engr E. Egbochukwu

    marital stability on the basis of gender and length of years in marriage. Based on the findings of this study, it was recommended, amongst others, that marriage ... now to work on the communication between husband and wife. ..... the critical value of 1.96. .... assume more active role in encouraging marital communication.

  8. Everyday Marital Conflict and Child Aggression

    Science.gov (United States)

    Cummings, E. Mark; Goeke-Morey, Marcie C.; Papp, Lauren M.

    2004-01-01

    Children's immediate aggressive responding to exposure to marital conflict was examined. Participants were 108 families with 8- to 16-year-old children (53 boys, 55 girls), with diary records of children's reactions to marital conflict in the home completed by 103 mothers (n = 578 records) and 95 fathers (n = 377 records) during a 15-day period.…

  9. Consanguineous Marriage and Marital Adjustment in Turkey.

    Science.gov (United States)

    Fisiloglu, Hurol

    2001-01-01

    Investigates the relationship between consanguineous marriage and marital adjustment in Turkey. The results of the study show that the consanguineous marriage group had significantly lower marital adjustment and had more conflict with extended family than the nonconsanguineous marriage group. The finding is discussed in the context of research and…

  10. Adolescents' responses to marital conflict: The role of cooperative marital conflict.

    Science.gov (United States)

    Zhou, Nan; Buehler, Cheryl

    2017-10-01

    Not all youth exposed to hostile marital interactions develop negative responses to marital conflict. Cooperative marital conflict has long been considered as an important way of managing conflict and may serve as an important context in which hostility might convey during marital interactions. In light of little prior attention placed on the positive side of conflict processes, the main and moderating effects of cooperative marital conflict on youth responses to marital conflict were examined in a sample of 416 2-parent families using a multimethod, 2-year prospective design. Cooperative marital conflict was associated with decreases in youth emotional dysregulation, perceived threat, and behavioral dysregulation, and increases in constructive family representations and coping efficacy. As a specific dimension of cooperation, effective conflict resolution was associated uniquely with elevated youth coping efficacy, and decreased emotional and behavioral dysregulation; marital warmth was associated uniquely with increased constructive family representations. Significant interactions between marital hostility and marital cooperation also were found. These findings highlight the importance of examining cooperation above and beyond hostility in studies of marital conflict in order to better understand youth development during early adolescence. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  11. Marital Expectations in Strong African American Marriages.

    Science.gov (United States)

    Vaterlaus, J Mitchell; Skogrand, Linda; Chaney, Cassandra; Gahagan, Kassandra

    2017-12-01

    The current exploratory study utilized a family strengths framework to identify marital expectations in 39 strong African American heterosexual marriages. Couples reflected on their marital expectations over their 10 or more years of marriage. Three themes emerged through qualitative analysis and the participants' own words were used in the presentation of the themes. African Americans indicated that there was growth in marital expectations over time, with marital expectations often beginning with unrealistic expectations that grew into more realistic expectations as their marriages progressed. Participants also indicated that core expectations in strong African American marriages included open communication, congruent values, and positive treatment of spouse. Finally, participants explained there is an "I" in marriage as they discussed the importance of autonomy within their marital relationships. Results are discussed in association with existing research and theory. © 2016 Family Process Institute.

  12. Prenatal Care: Second Trimester Visits

    Science.gov (United States)

    ... Pregnancy week by week During the second trimester, prenatal care includes routine lab tests and measurements of your ... too. By Mayo Clinic Staff The goal of prenatal care is to ensure that you and your baby ...

  13. Prenatal Care: Third Trimester Visits

    Science.gov (United States)

    ... Pregnancy week by week During the third trimester, prenatal care might include vaginal exams to check the baby's position. By Mayo Clinic Staff Prenatal care is an important part of a healthy pregnancy, ...

  14. Prenatal Genetic Counseling (For Parents)

    Science.gov (United States)

    ... Videos for Educators Search English Español Prenatal Genetic Counseling KidsHealth / For Parents / Prenatal Genetic Counseling What's in ... can they help your family? What Is Genetic Counseling? Genetic counseling is the process of: evaluating family ...

  15. Effect of Marital Relationship Enrichment Program on Marital Satisfaction, Marital Intimacy, and Sexual Satisfaction of Infertile Couples.

    Science.gov (United States)

    Masoumi, Seyedeh Zahra; Khani, Somayeh; Kazemi, Farideh; Kalhori, Fatemeh; Ebrahimi, Reyhaneh; Roshanaei, Ghodratollah

    2017-10-01

    Infertile couples only think of having children during their sexual intercourse, and their constant concern about this issue increases their stress level. Psychosocial and social stress leads to decreased life satisfaction, increased marital problems, and reduced sexual confidence. This study aims to determine the effect of enrichment program on marital and sexual satisfaction as well as marital intimacy among infertile couples. This randomized controlled clinical trial was conducted on 50 infertile couples in 2013 in Hamedan. The marital relationship enrichment program was taught to the experimental group during seven 90 minutes sessions. Enrich marital satisfaction, Linda Berg sexual satisfaction, and marital intimacy questionnaires were completed by both groups in 3 pretest steps immediately after the end of training sessions, and 8 weeks later. The results were analyzed in STATA11 software using t test, Chi-square, ANCOVA, RM-ANOVA, and Bonferroni post-hoc test. To check the data normality, Kolmogorov-Smirnov test was used. Pintimacy immediately after the test (P=0.04) and 8 weeks after the test (Pintimacy and also marital and sexual satisfaction in infertile couples (Registration Number: IRCT201604299014N97). Copyright© by Royan Institute. All rights reserved.

  16. Marital adjustment of patients with substance dependence, schizophrenia and bipolar affective disorder

    Directory of Open Access Journals (Sweden)

    Shital S Muke

    2014-01-01

    Full Text Available Background: Marital adjustment is considered as a part of social well-being. Disturbed marital relationship can directly affect the disease adjustment and the way they face disease outcomes and complications. It may adversely affect physical health, mental health, the quality-of-life and even economic status of individuals. Aim: The aim of this study was to compare the marital adjustment among patients with substance dependence, schizophrenia and bipolar affective disorder. Materials and Methods: The sample consisted of each 30 patients with substance dependence, bipolar affective disorder and schizophrenia, diagnosed as per international classification of diseases-10 diagnostic criteria for research with a minimum duration of illness of 1 year were evaluated using marital adjustment questionnaire. The data was analyzed using parametric and non-parametric statistics. Results: Prevalence of poor marital adjustment in patients with schizophrenia, bipolar affective disorder and substance dependence was 60%, 70% and 50% respectively. There was a significant difference on overall marital adjustment among substance dependence and bipolar affective disorder patients. There was no significant difference on overall marital adjustment among patients with substance dependence and schizophrenia as well as among patients with schizophrenia and bipolar affective disorder. On marital adjustment domains, schizophrenia patients had significantly poor sexual adjustment than substance dependence patients while bipolar affective disorder patients had significantly poor sexual and social adjustment compared with substance dependence patients. Conclusion: Patients with substance dependence have significant better overall marital adjustment compared with bipolar affective disorder patients. Patients with substance dependence have significantly better social and sexual adjustment than patients with bipolar affective disorder as well as significantly better sexual

  17. Effects after prenatal radiation exposures

    International Nuclear Information System (INIS)

    Streffer, C.

    2001-01-01

    The mammalian organism is highly radiosensitive during all prenatal developmental periods. For most effects a dose relationship with a threshold is observed. These threshold doses are generally above the exposures from medical diagnostic procedures. The quality and extent of radiation effects are very much dependent on the developmental stage during which an exposure takes place and on the radiation dose. An exposure during the preimplantation period will cause lethality. Malformations are usually induced after exposures during the major organogenesis. Growth retardation is also possible during the late organogenesis and foetal periods. The lower limits of threshold doses for these effects are in the range of 100 mGy. A radiation exposure during the early foetal period can lead to severe mental retardation and impairment of intelligence. There are very serious effects with radiation doses above 0.3 Gy. Carcinogenesis can apparently occur after radiation exposures during the total prenatal development period. The radiation risk factor up to now has not been clear, but it seems that it is in the range of risk factors for cancer that are observed after exposures during childhood. For radiation doses that are used in radiological diagnostics the risk is zero or very low. A termination of pregnancy after doses below 100 mGy should not be considered. (author)

  18. Prenatal stress in pigs

    NARCIS (Netherlands)

    Kranendonk, Godelieve

    2006-01-01

    Studies in many species, including humans, have demonstrated that stress during gestation can have long-term developmental, neuroendocrine, and behavioural effects on the offspring. Because pregnant sows can be subjected to regular stressful situations, it is relevant to study whether prenatal

  19. The Relationship between Marital and Sexual Satisfaction among Married Women Employees at Golestan University of Medical Sciences, Iran.

    Science.gov (United States)

    Ziaee, Tayebe; Jannati, Yadollah; Mobasheri, Elham; Taghavi, Taraneh; Abdollahi, Habib; Modanloo, Mahnaz; Behnampour, Naser

    2014-01-01

    There are various elements affecting the healthy family such as marital satisfaction. Various factors such as sexual satisfaction have an important impact on satisfaction of marital relationship. The present study aimed to determine the association of marital satisfaction with sexual satisfaction among sexually active employee women. This analytical descriptive study was carried on 140 married women employed at educational and medical centers of Golestan University of Medical Sciences. Questionnaires for data collection included Enrich Marital Satisfaction Questionnaire and self-constructed questionnaire (demographic characteristic and sexual satisfaction). Data were analyzed using descriptive statistics, χ(2) and Spearman statistical test. Statistical significant level was set as 0.05. The findings showed that in marital satisfaction scale, the majority of the participants (63.6%) were very satisfied and none of them were very unsatisfied. In sexual satisfaction scale, most of the participants (56.4%) expressed extremely satisfaction rate and only 0.7% were not satisfied with their sexual relationship. Marital satisfaction was significantly associated with sexual satisfaction (p ≤ 0.001). So with the increase of sexual satisfaction, there was an increase in marital satisfaction accordingly. The findings indicated that there was a significant association between sexual satisfaction and age (p = 0.086). Level of education was associated significantly with the marital satisfaction (p = 0.038). The effects of sexual satisfaction on marital satisfaction were moderated by number of children and the level of education. The findings have implications for improving of couples' marital satisfaction by highlighting the need for awareness of sexual quality. According to the findings, it seems that development of educational programs and pre-marriage counseling is necessary. Continuous education would be helpful after marriage in addressing couples' unique transitional

  20. The Relationship between Marital and Sexual Satisfaction among Married Women Employees at Golestan University of Medical Sciences, Iran

    Science.gov (United States)

    Ziaee, Tayebe; Jannati, Yadollah; Mobasheri, Elham; Taghavi, Taraneh; Abdollahi, Habib; Modanloo, Mahnaz; Behnampour, Naser

    2014-01-01

    Objective: There are various elements affecting the healthy family such as marital satisfaction. Various factors such as sexual satisfaction have an important impact on satisfaction of marital relationship. The present study aimed to determine the association of marital satisfaction with sexual satisfaction among sexually active employee women. Methods: This analytical descriptive study was carried on 140 married women employed at educational and medical centers of Golestan University of Medical Sciences. Questionnaires for data collection included Enrich Marital Satisfaction Questionnaire and self-constructed questionnaire (demographic characteristic and sexual satisfaction). Data were analyzed using descriptive statistics, χ2 and Spearman statistical test. Statistical significant level was set as 0.05. Results: The findings showed that in marital satisfaction scale, the majority of the participants (63.6%) were very satisfied and none of them were very unsatisfied. In sexual satisfaction scale, most of the participants (56.4%) expressed extremely satisfaction rate and only 0.7% were not satisfied with their sexual relationship. Marital satisfaction was significantly associated with sexual satisfaction (p ≤ 0.001). So with the increase of sexual satisfaction, there was an increase in marital satisfaction accordingly. The findings indicated that there was a significant association between sexual satisfaction and age (p = 0.086). Level of education was associated significantly with the marital satisfaction (p = 0.038). The effects of sexual satisfaction on marital satisfaction were moderated by number of children and the level of education. Conclusion: The findings have implications for improving of couples' marital satisfaction by highlighting the need for awareness of sexual quality. According to the findings, it seems that development of educational programs and pre-marriage counseling is necessary. Continuous education would be helpful after marriage in

  1. Violência física entre parceiros íntimos na gestação como fator de risco para a má qualidade do pré-natal Violencia física entre parejas íntimas en la gestación como factor de riesgo para la mala calidad del prenatal Physical intimate partner violence during gestation as a risk factor for low quality of prenatal care

    Directory of Open Access Journals (Sweden)

    Claudia Leite Moraes

    2010-08-01

    seleccionadas en proceso de muestreo aleatorio simple entre un conjunto de nacidos vivos a término en 2000. Las informaciones sobre la asistencia prenatal fueron obtenidas a partir de la tarjeta de la gestante y por medio de entrevistas cara a cara. Para la evaluación de la calidad de la asistencia prenatal se utilizó el índice de Kotelchuck. Para la identificación de las situaciones de violencia, fue utilizada la versión brasilera del instrumento Revised Conflict Tactics Scales. Se utilizó la regresión logística no condicional para evaluar el efecto de la exposición, posterior al control de las variables de confusión. RESULTADOS: Aún después del ajuste por variables socioeconómicas, demográficas, reproductivas y relativas a los hábitos de vida de la pareja, la violencia física entre parejas íntimas durante la gestación permaneció asociada a la mala calidad de la asistencia prenatal. Mujeres que relataron haber sido víctimas de abuso físico durante la gestación poseían 2,2 veces más chance de presentar una asistencia prenatal inadecuada en comparación con aquellas sin historia de violencia física. CONCLUSIONES: Los resultados indican la necesidad del rastreo de situaciones de conflicto familiar desde el inicio del prenatal buscando su enfrentamiento y una mayor adhesión de las gestantes victimizadas al acompañamiento.OBJECTIVE: To evaluate physical intimate partner violence during gestation as an independent risk factor for low quality of prenatal care. METHODS: A cross-sectional study was carried out at three public maternity wards of the municipality of Rio de Janeiro (Southeastern Brazil. The 528 puerperal women included in the study were selected by simple random sampling from all babies born at term in 2000. Prenatal care information was collected through the pregnant woman's card and face-to-face interviews. The Kotelchuck index was employed to assess the quality of prenatal care. In order to identify violence situations, the Brazilian version

  2. Conflict management style and marital satisfaction.

    Science.gov (United States)

    Greeff, A P; de Bruyne, T

    2000-01-01

    The aim of this study was to investigate whether there is one conflict management style that correlated more significantly with marital satisfaction than any other. In addition, spousal satisfaction with how marital conflict is managed was also examined, as were gender differences. Fifty-seven couples who had been married for at least 10 years took part in the study. Results showed that the collaborative conflict management style has the highest correlation with both marital satisfaction and spousal satisfaction with conflict management in the marriage. In contrast, where one or both of the spouses used the competitive conflict management style, the lowest marital satisfaction was reported. The results were also interpreted in terms of cultural and gender differences.

  3. Sources of Marital Conflict in Five Cultures

    Directory of Open Access Journals (Sweden)

    Lisa M. Dillon

    2015-01-01

    Full Text Available This analysis of previously collected data examined four fitness-relevant issues for their possible role in marital conflict. These were sex, finances, division of labor, and raising children, selected in light of their pertinence to sex differences in reproductive strategies. Over 2,000 couples in five diverse cultures were studied. Marital conflict was assessed by the Problems with Partner scale, which was previously shown to demonstrate measurement invariance across cultures and genders. All four issues were significantly related to perceived marital problems in almost all cases. Thus, conflict tended to arise around issues relevant to reproductive strategies. A few cultural idiosyncrasies emerged and are discussed. In all cultures, wives reported more problems than husbands. Another important issue was kindness. The results suggest that a key factor in marital success or failure may be kindness necessary to sustain this prolonged and intimate relationship of cooperation for raising one's offspring.

  4. African American women and prenatal care: perceptions of patient-provider interaction.

    Science.gov (United States)

    Dahlem, Chin Hwa Y; Villarruel, Antonia M; Ronis, David L

    2015-02-01

    Poor patient-provider interaction among racial/ethnic minorities is associated with disparities in health care. In this descriptive, cross-sectional study, we examine African American women's perspectives and experiences of patient-provider interaction (communication and perceived discrimination) during their initial prenatal visit and their influences on perceptions of care received and prenatal health behaviors. Pregnant African American women (n = 204) and their providers (n = 21) completed a pre- and postvisit questionnaire at the initial prenatal visit. Women were also interviewed face to face at the subsequent return visit. Women perceived high quality patient-provider communication (PPC) and perceived low discrimination in their interaction with providers. Multiple regression analyses showed that PPC had a positive effect on trust in provider (p prenatal care satisfaction (p prenatal health behaviors. Findings suggest that quality PPC improves the prenatal care experience for African American women. © The Author(s) 2014.

  5. Marital Biography, Social Security Receipt, and Poverty

    OpenAIRE

    Lin, I-Fen; Brown, Susan L.; Hammersmith, Anna M.

    2017-01-01

    Increasingly, older adults are unmarried, which could mean a larger share is at risk of economic disadvantage. Using data from the 2010 Health and Retirement Study, we chart the diverse range of marital biographies, capturing marital sequences and timing, of adults who are age eligible for Social Security and examine three indicators of economic well-being: Social Security receipt, Social Security benefit levels, and poverty status. Partnereds are disproportionately likely to receive Social S...

  6. The Effects of Life Skills Training on Marital Satisfaction of Married Women: A Case Study in Dogonbadan, Iran

    Directory of Open Access Journals (Sweden)

    A Abbasi

    2012-02-01

    Full Text Available Background & Aim: Successful family relationships and marital satisfaction largely depends on couples’ awareness of their marital or parental roles. Marital relations training could provide adaptation with expected roles for both husband and wife. The main objective of the present study was to evaluate the effectiveness of life skills training on marital satisfaction in married women. Methods: The present quasi-experimental study which was carried out in 2010 examined fifty married women in Dogonbadan, Iran. The Enrich Marital Satisfaction Questionnaire and related demographic data which was collected prior and one year after training, were used for the study. T-test was used for data analysis. Results: The mean age, average number of children, and the average length of marriage were 35, 1.8, and 10.36 years respectively. The average of all scores was significantly different in pretest and post test (p<0.002. Also, the scores of personality objects (p<0.05, marital relationships (p<0.001, conflict resolution (p<0.001, and financial and economic monitoring (p<0.001 were significantly different. The differences in mean scores of subscales in relationship with relatives and friends, leisure activities, and marriage and children were not statistically significant. Conclusion: The results showed that marital skills' training is effective in improving the marital status and satisfaction, and also improved the quality of life among married couples.

  7. Everyday marital conflict and child aggression.

    Science.gov (United States)

    Cummings, E Mark; Goeke-Morey, Marcie C; Papp, Lauren M

    2004-04-01

    Children's immediate aggressive responding to exposure to marital conflict was examined. Participants were 108 families with 8- to 16-year-old children (53 boys, 55 girls), with diary records of children's reactions to marital conflict in the home completed by 103 mothers (n = 578 records) and 95 fathers (n = 377 records) during a 15-day period. Child responses to analog presentations of marital conflict tactics were also obtained. Exposure to destructive conflict tactics and negative parental emotionality increased the likelihood of aggressive behavior in children when they witnessed marital conflict, whereas constructive conflict tactics and positive parental emotionality decreased the probability of aggression. Conflict topics presumed to be threatening to the child (child- or marital-related) also heightened the likelihood of aggression. Aggressive responding to conflict in both home and laboratory predicted externalizing behavior problems. Fathers' and mothers' separate diary reports, and child responses to analog presentation of conflict, provided generally consistent findings. An exposure hypothesis for marital conflict as an influence on child aggression is discussed.

  8. The Prenatal Care at School Program

    Science.gov (United States)

    Griswold, Carol H.; Nasso, Jacqueline T.; Swider, Susan; Ellison, Brenda R.; Griswold, Daniel L.; Brooks, Marilyn

    2013-01-01

    School absenteeism and poor compliance with prenatal appointments are concerns for pregnant teens. The Prenatal Care at School (PAS) program is a new model of prenatal care involving local health care providers and school personnel to reduce the need for students to leave school for prenatal care. The program combines prenatal care and education…

  9. Relationship between Hardiness and Marital Satisfaction in Women with Breast Cancer

    Directory of Open Access Journals (Sweden)

    Farideh Nabizadeh

    2016-09-01

    Full Text Available Background: When a couple confronts cancer, there is a major impact on their psychosocial life. Marital life and satisfaction with that are important factors in the quality of life of breast cancer patient. The aim of this research was to predict marital satisfaction based on hardiness in women with breast cancerMethods: A total of 100 women with breast cancer participated in this study and completed the Kobasa Personal View Survey and ENRICH (evaluation and nurturing relationship issues, communication, and happiness Marital Satisfaction Scale. The study was conducted in Rasol Akrm Hospital, Tehran, Iran. Descriptive statistics, correlation, and linear regression were used for data analysis.Results: The results showed a significant relationship between hardiness and marital satisfaction. Moreover, hardiness determined 13% of the variance of marital satisfaction.Conclusions: Hardiness as an efficient coping style in breast cancer is an important factor to increase perceived marital satisfaction in breast cancer. Therefore, healthcare professionals such as psycho-oncologists can promote resiliency in breast cancer patients by improving cognitive hardiness in their patients.

  10. [Prenatal care in Latin America].

    Science.gov (United States)

    Buekens, P; Hernández, P; Infante, C

    1990-01-01

    Available data on the coverage of prenatal care in Latin America were reviewed. In recent years, only Bolivia had a coverage of prenatal care of less than 50 per cent. More than 90 per cent of pregnant women received prenatal care in Chile, Cuba, the Dominican Republic, and Puerto Rico. Prenatal care increased between the 1970 and 1980 in the Dominican Republic, Ecuador, Guatemala, Honduras, Mexico, and Peru. The coverage of prenatal care decreased in Bolivia and Colombia. The mean number of visits increased in Cuba and Puerto Rico. The increase of prenatal care in Guatemala and Honduras is due to increased care by traditional birth attendants, compared to the role of health care institutions. We compared the more recent data on tetanus immunization of pregnant women to the more recent data on prenatal care. The rates of tetanus immunization are always lower than the rates of prenatal care attendance, except in Costa Rica. The rates of tetanus immunization was less than half as compared to the rates of prenatal care in Bolivia, Guatemala, and Peru. To improve the content of prenatal care should be an objective complementary to the increase of the number of attending women.

  11. We can work it out: age differences in relational pronouns, physiology, and behavior in marital conflict.

    Science.gov (United States)

    Seider, Benjamin H; Hirschberger, Gilad; Nelson, Kristin L; Levenson, Robert W

    2009-09-01

    This study examined the relationship that personal pronouns spoken during a marital conversation have with the emotional qualities of those interactions and with marital satisfaction. Middle-aged and older couples (N = 154) engaged in a 15-min conflict conversation during which physiology and emotional behavior were continuously monitored. Verbatim transcripts of the conversations were coded into 2 lexical categories: (a) we-ness (we-words), pronouns that focus on the couple; (b) separateness (me/you-words), pronouns that focus on the individual spouses. Analyses revealed that greater we-ness was associated with a number of desirable qualities of the interaction (lower cardiovascular arousal, more positive and less negative emotional behavior), whereas greater separateness was associated with a less desirable profile (more negative emotional behavior, lower marital satisfaction). In terms of age differences, older couples used more we-ness words than did middle-aged couples. Further, the associations between separateness and marital satisfaction were strongest for older wives. These findings indicate that the emotional aspects of marital quality are expressed in the natural language of couples engaged in conversation. (c) 2009 APA, all rights reserved.

  12. Relationships between attachment and marital satisfaction in married couples

    Directory of Open Access Journals (Sweden)

    Patrícia Gallerová

    2016-01-01

    four selfrepot questionnaires. The childhood attachment was measured by Attachment History Paragraphs (Granqvist & Kirkpatrick, 2004, adult attachment was measured by The Experiences in Close Relationships Questionnaire (Brennan, Clark, & Shaver, 1998 and satisfaction in marriage was measuredby two measures: Quality Marriage Index (Norton, 1983 and Kansas Marital Satisfaction Scale (Schumm, Bollman, & Jurich, 1997.The research sample consisted of 78 heterosexual married couple, together 156 people. The average length of marriages is 20.76 years. Participants were instructed to complete the questionnaires independently. The relations between variables were examined by correlation analysis and cluster analysis. People with a secure attachment style and their partners were most satisfied with their marriages. Our study showed relation between dismissive attachment style and low level of marital satisfaction for the individual, and for the partner of the examined one. The results of our study did not suggest any relationship between childhood attachment and marital satisfaction. The results indicate that secure attachment style is related to higher level of relationship satisfaction, in spite of stressful situation or demanding changes which are occurring in marriage. People with insecure attachment style devote a lot of effort to reinforce marital and couple relationship stability during difficult situations in relationship. Connection between marital satisfaction and childhood attachment has not been proven. The reason may be that childhood attachment is not always totally stable and it can be changed by life experience or personal characteristics of the individual. Our research confirmed that attachment is related to satisfaction in marriage. Research of relationship between attachment and factors affecting marriage is very beneficial, because new finding in this topic can help in clinical practice.

  13. Genital Herpes in Marital Partners

    Directory of Open Access Journals (Sweden)

    Mary Jacob

    1988-01-01

    Full Text Available During 1983-86, 225 patients were clinically diagnosed to have genital herpes (GH at our clinic. Of these, 90 men and 55 women were currently married. All the spouses were screened clinically and through standardized techniques for isolation and typing of herpes simplex virus, serological testing and Papanicolaou smear. There were 90 couples in whom at least one spouse had GH and in 38 (42% couples both partners had GH. Clinically, 49% of wives and 75% of husbands of GH patients were diagnosed to have the disease. The spouses of recurrent GH patients had a higher frequency of the disease than spouses of primary GH patients. Among spouses who were clinically asymptomatic, 40% had high serological titres suggestive of GH. Wives generally experienced more severe symptoms, especially pain in the lesions. Majority of lesions in both the partners were vesicles and ulcers. Prodromata were more among recurrent GH patients in both the partners. The frequency of recurrences wasalso similar in spouses. Seventy percent of wives and 40% of husbands could not identify any precipitating factor. Intercourse, physical stress and rich food were cited as possible factors in the remaining. All the wives had acquired the diseases through their husbands who were promiscuous. Fifty percent of husbands had been infected before marriage. Given the fact that asymptomatic carriers exist, it is better to consider all marital partners of GH as infected. Repeated and long-term follow, - up examination, particularly of wives of GH patients is therefore essential as an important socio-preventive aspect of this disease.

  14. Human prenatal diagnosis

    International Nuclear Information System (INIS)

    Filkins, K.; Russo, R.J.

    1985-01-01

    The multiauthor text is written as a ''guide to rationalize and clarify certain aspects of diagnosis, general counseling and intervention'' for ''health professionals who provide care to pregnant women.'' The text is not aimed at the ultrasonographer but rather at the physicians who are clinically responsible for patient management. Chapters of relevance to radiologists include an overview of prenatal screening and counseling, diagnosis of neural tube defects, ultrasonographic (US) scanning of fetal disorders in the first and second trimesters of pregnancy, US scanning in the third trimester, multiple gestation and selective termination, fetal echo and Doppler studies, and fetal therapy. Also included are overviews of virtually all currently utilized prenatal diagnostic techniques including amniocentesis, fetal blood sampling, fetoscopy, recombinant DNA detection of hemoglobinopathies, chorionic villus sampling, embryoscopy, legal issues, and diagnosis of Mendelian disorders by DNA analysis

  15. Qualidade da atenção ao pré-natal na Estratégia Saúde da Família em Sobral, Ceará Calidad de la atención en el pre-natal en la Estrategia Salud de Familia en Sobral, CE, Brasil Quality of pre-natal care in Family Health Strategy in Sobral, CE, Brazil

    Directory of Open Access Journals (Sweden)

    Francisco Rosemiro Guimarães Ximenes Neto

    2008-10-01

    Full Text Available Diante das políticas públicas que envolvem a qualidade da atenção ao pré-natal, este estudo teve como objetivo avaliar a qualidade da atenção ao pré-natal nos territórios da Estratégia Saúde da Família, do município de Sobral, à luz do referencial teórico de Avedis Donabedian. Trata-se de um estudo de caráter descritivo-exploratório, desenvolvido em Centros de Saúde da Família de Sobral, Ceará. Dos quatorze Centros de Saúde investigados, quatro se mostraram com indicadores adequados para o pré-natal. Porém, ainda que existam inadequações na estrutura física, não existem impedimentos para que se ofereça um atendimento de qualidade haja vista que o processo e os resultados também interferem na qualidade da assistência.Frente a las políticas públicas que impliquen la calidad de la atención a la salud prenatal, el estudio tiene como objetivo: evaluar la calidad de la atención prenatal a los territorios en la Estrategia de Salud de la Familia de la ciudad de Sobral, a la luz del referencial teórico de AVEDIS Donabedian. Se trata de un estudio exploratorio de carácter descriptivo, desarrollado por los Centros de Salud Familiar de Sobral - Ceará. De los catorce Centros de Salud investigaron, cuatro fueron con los indicadores apropiados para la atención prenatal. Pero a pesar de que hay deficiencias en la estructura física, no hay impedimentos a fin de proporcionar una calidad de la atención hay una opinión de que el proceso y los resultados también interferir con la calidad de la atención.Face to public policies involving the quality of care for prenatal, the study aims to: assess the quality of prenatal care to the territories in the Family Health Strategy of the city of Sobral in the light of theoretical reference of Avedis Donabedian. This is a descriptive- exploratory study, developed by Family Health Units of Sobral, CE, Brazil. Of the fourteen Centers Health investigated, four were with appropriate

  16. Prenatal testosterone and stuttering.

    Science.gov (United States)

    Montag, Christian; Bleek, Benjamin; Breuer, Svenja; Prüss, Holger; Richardt, Kirsten; Cook, Susanne; Yaruss, J Scott; Reuter, Martin

    2015-01-01

    The prevalence of stuttering is much higher in males compared to females. The biological underpinnings of this skewed sex-ratio is poorly understood, but it has often been speculated that sex hormones could play an important role. The present study investigated a potential link between prenatal testosterone and stuttering. Here, an indirect indicator of prenatal testosterone levels, the Digit Ratio (2D:4D) of the hand, was used. As numerous studies have shown, hands with more "male" characteristics (putatively representing greater prenatal testosterone levels) are characterized by a longer ring finger compared to the index finger (represented as a lower 2D:4D ratio) in the general population. We searched for differences in the 2D:4D ratios between 38 persons who stutter and 36 persons who do not stutter. In a second step, we investigated potential links between the 2D:4D ratio and the multifaceted symptomatology of stuttering, as measured by the Overall Assessment of the Speaker's Experience of Stuttering (OASES), in a larger sample of 44 adults who stutter. In the first step, no significant differences in the 2D:4D were observed between individuals who stutter and individuals who do not stutter. In the second step, 2D:4D correlated negatively with higher scores of the OASES (representing higher negative experiences due to stuttering), and this effect was more pronounced for female persons who stutter. The findings indicate for the first time that prenatal testosterone may influence individual differences in psychosocial impact of this speech disorder. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. Depression, Marital Satisfaction, and Marital and Personality Measures of Sex Roles.

    Science.gov (United States)

    Whisman, Mark A.; Jacobson, Neil S.

    1989-01-01

    Examined relationship between depression, marital satisfaction, and marital and personality measures of sex roles in 50 couples in which woman was clinically depressed and 24 nondepressed, nondistressed control couples. Found that, compared to nondepressed couples, couples in which woman was depressed showed greater inequality in decision-making.…

  18. Trajectories of Marital Conflict across the Life Course: Predictors and Interactions with Marital Happiness Trajectories

    Science.gov (United States)

    Kamp Dush, Claire M.; Taylor, Miles G.

    2012-01-01

    Using typologies outlined by Gottman and Fitzpatrick as well as institutional and companionate models of marriage, the authors conducted a latent class analysis of marital conflict trajectories using 20 years of data from the Marital Instability Over the Life Course study. Respondents were in one of three groups: high, medium (around the mean), or…

  19. Children's Perceived Agency in the Context of Marital Conflict: Relations with Marital Conflict over Time

    Science.gov (United States)

    Schermerhorn, Alice C.; Cummings, E. Mark; Davies, Patrick T.

    2005-01-01

    Consistent with the bidirectional perspective on parent-child relations, the current study examined children's perceptions of agency in the context of marital conflict. A storytelling task was completed by 11 5 five-year-old children, tapping perceived agency. These children and their mothers and fathers completed measures of marital conflict at…

  20. Bidirectional Associations Between Newlyweds' Marital Satisfaction and Marital Problems over Time.

    Science.gov (United States)

    Lavner, Justin A; Karney, Benjamin R; Williamson, Hannah C; Bradbury, Thomas N

    2017-12-01

    Prevailing views of marital functioning generally adopt the view that marital problems predict decreases in marital satisfaction, but alternative theoretical perspectives raise the possibility that lowered satisfaction can also predict increases in problems. The current study sought to integrate and compare these perspectives by examining the bidirectional cross-lagged associations between newlyweds' reports of their marital satisfaction and marital problems over the first 4 years of marriage. Using annual assessments from 483 heterosexual newlywed couples, we find evidence for problem-to-satisfaction linkages as well as satisfaction-to-problem linkages. Satisfaction was a stronger predictor of marital problems early in marriage but not as time passed; by Year 4 only problem-to-satisfaction linkages remained significant. These findings are consistent with the idea that couples with more problems go on to report lower levels of satisfaction and couples with lower levels of satisfaction go on to report more marital problems. This dynamic interplay between global judgments about relationship satisfaction and ongoing specific relationship difficulties highlights the value of examining bidirectional effects to better understand marital functioning over time. © 2016 Family Process Institute.

  1. Genes Underlying Positive Influence Of Prenatal Environmental ...

    African Journals Online (AJOL)

    Genes Underlying Positive Influence Of Prenatal Environmental Enrichment And ... Prenatal environmental enrichment (EE) has been proven to positively affect but ... Conclusion: The negative-positive prenatal effect could contribute to altered ...

  2. Relationship between Spiritual Health with Marital Satisfaction

    Directory of Open Access Journals (Sweden)

    M Salehi

    2017-03-01

    Full Text Available BACKGROUND AND OBJECTIVE: Spiritual health is the basis of family and community health. In marital relationships, several factors led to the satisfaction of wives from each other. In the meantime, the role of spirituality is crucial from surrounded on all aspects of human life. This study was performed with aim of analyzing the relationship between spiritual health with marital satisfaction and Comparison of them between men and women. METHODS: The sectional study was conducted on 341 married students of Medical Sciences in Azad University, Sari branch.  Criterion variable (spiritual health and predictor variable (marital satisfaction were measured by standard questionnaires including Paloutzian & Ellison (1982 and Enrich(2000  with 5-item Likert scale with a minimum score of 1 (very low to maximum score of 5 (very high and also two groups of men and women were compared. FINDINGS: Spiritual health had direct and meaningful relationship with marital satisfaction (CI-95% R= 0.009.There was no difference of marital satisfaction in men with average of 3.36±0.35 and women with average of 3.44±0.43 (p=0.342 but, the spiritual health in men with average of 2.7±0.25 was more than women with average of 2.6±0.14 (p=0.000. CONCLUSION: According the results, there was no difference of marital satisfaction in man and woman but, the spiritual health in men was more than women. Marital satisfaction had increased by increasing spiritual health in men and women students. 

  3. Marital Biography, Social Security Receipt, and Poverty.

    Science.gov (United States)

    Lin, I-Fen; Brown, Susan L; Hammersmith, Anna M

    2017-01-01

    Increasingly, older adults are unmarried, which could mean a larger share is at risk of economic disadvantage. Using data from the 2010 Health and Retirement Study, we chart the diverse range of marital biographies, capturing marital sequences and timing, of adults who are age eligible for Social Security and examine three indicators of economic well-being: Social Security receipt, Social Security benefit levels, and poverty status. Partnereds are disproportionately likely to receive Social Security and they enjoy relatively high Social Security benefits and very low poverty levels. Among singles, economic well-being varies by marital biography and gender. Gray divorced and never-married women face considerable economic insecurity. Their Social Security benefits are relatively low, and their poverty rates are quite high (over 25%), indicating Social Security alone is not sufficient to prevent these women from falling into poverty. By comparison, gray widoweds are the most advantaged singles.

  4. Maternity leave, women's employment, and marital incompatibility.

    Science.gov (United States)

    Hyde, J S; Essex, M J; Clark, R; Klein, M H

    2001-09-01

    This research investigated the relationship between the length of women's maternity leave and marital incompatibility, in the context of other variables including the woman's employment, her dissatisfaction with the division of household labor, and her sense of role overload. Length of leave, work hours, and family salience were associated with several forms of dissatisfaction, which in turn predicted role overload. Role overload predicted increased marital incompatibility for experienced mothers but did not for first-time mothers, for whom discrepancies between preferred and actual child care were more important. Length of maternity leave showed significant interactions with other variables, supporting the hypothesis that a short leave is a risk factor that, when combined with another risk factor, contributes to personal and marital distress.

  5. Playfulness and prenatal alcohol exposure: a comparative study.

    Science.gov (United States)

    Pearton, Jordan Louise; Ramugondo, Elelwani; Cloete, Lizahn; Cordier, Reinie

    2014-08-01

    South Africa carries a high burden of alcohol abuse. The effects of maternal alcohol consumption during pregnancy are most pronounced in poor, rural communities. Earlier research suggests that children with prenatal alcohol exposure have poor social behaviour; however, to date, no research has investigated their playfulness. This study investigated the differences in playfulness of children with and without prenatal alcohol exposure. Grade one learners with a positive history of prenatal alcohol exposure (n = 15) and a reference group without a positive history of prenatal alcohol exposure (n = 15) were filmed engaging in free play at their schools. The Test of Playfulness was used to measure playfulness from recordings. Data were subjected to Rasch analysis to calculate interval level measure scores for each participant. The overall measure scores and individual Test of Playfulness social items were subjected to paired samples t-tests to calculate if significant differences existed between the groups. Children with prenatal alcohol exposure had a significantly lower mean overall playfulness score than the reference group (t = -2.51; d.f. = 28; P = 0.02). Children with prenatal alcohol exposure also scored significantly lower than the reference group on 5 of the 12 Test of Playfulness items related to social play. This research suggests that children with prenatal alcohol exposure are more likely to experience poorer overall quality of play, with particular deficits in social play. Considering play is a child's primary occupation, this finding becomes pertinent for occupational therapy practice, particularly in post-apartheid South Africa, where high prenatal alcohol exposure prevalence rates are couched within persistent socio-economic inequalities. © 2014 Occupational Therapy Australia.

  6. The Role of Marital Burnout and Early Maladaptive Schemas in Marital Satisfaction between Young Couples

    Directory of Open Access Journals (Sweden)

    Arghavan Kebritchi

    2016-12-01

    Full Text Available Given the fundamental role of the family structure and the importance of proper marriages in modern society as well as the important role of childhood and its effect on marital relations in adulthood, this study aimed to investigate the role of burnout, early maladaptive schemas and style in marital satisfaction among young couples. This study is a correlation (multiple regressions and descriptive research. The sample consisted of 100 couples (100 females and 100 males, couples aged 20 to 35 years with a high school diploma or higher education who were randomly chosen from student couples of Tehran and Karaj Kharazmi university or other couples out of university which filled out four questionnaires. Following questionnaires were used as research tools: Pines’ Couple Burnout Measure (CBM, Enrich’s Marital Satisfaction (Enrich, Yang’s early maladaptive schemas (EMSQ-R.[6][8]. Results showed that there were three interactive relationships among these variables, so that all three variables were investigated and separately explained concerning marital satisfaction. There was a significant negative correlation between marital burnout and all other subscales and marital satisfaction, and a significant positive correlation between marital burnout and all maladaptive schemas except emotional deprivation schema.

  7. Female scarcity reduces women's marital ages and increases variance in men's marital ages.

    Science.gov (United States)

    Kruger, Daniel J; Fitzgerald, Carey J; Peterson, Tom

    2010-08-05

    When women are scarce in a population relative to men, they have greater bargaining power in romantic relationships and thus may be able to secure male commitment at earlier ages. Male motivation for long-term relationship commitment may also be higher, in conjunction with the motivation to secure a prospective partner before another male retains her. However, men may also need to acquire greater social status and resources to be considered marriageable. This could increase the variance in male marital age, as well as the average male marital age. We calculated the Operational Sex Ratio, and means, medians, and standard deviations in marital ages for women and men for the 50 largest Metropolitan Statistical Areas in the United States with 2000 U.S Census data. As predicted, where women are scarce they marry earlier on average. However, there was no significant relationship with mean male marital ages. The variance in male marital age increased with higher female scarcity, contrasting with a non-significant inverse trend for female marital age variation. These findings advance the understanding of the relationship between the OSR and marital patterns. We believe that these results are best accounted for by sex specific attributes of reproductive value and associated mate selection criteria, demonstrating the power of an evolutionary framework for understanding human relationships and demographic patterns.

  8. Female Scarcity Reduces Women's Marital Ages and Increases Variance in Men's Marital Ages

    Directory of Open Access Journals (Sweden)

    Daniel J. Kruger

    2010-07-01

    Full Text Available When women are scarce in a population relative to men, they have greater bargaining power in romantic relationships and thus may be able to secure male commitment at earlier ages. Male motivation for long-term relationship commitment may also be higher, in conjunction with the motivation to secure a prospective partner before another male retains her. However, men may also need to acquire greater social status and resources to be considered marriageable. This could increase the variance in male marital age, as well as the average male marital age. We calculated the Operational Sex Ratio, and means, medians, and standard deviations in marital ages for women and men for the 50 largest Metropolitan Statistical Areas in the United States with 2000 U.S Census data. As predicted, where women are scarce they marry earlier on average. However, there was no significant relationship with mean male marital ages. The variance in male marital age increased with higher female scarcity, contrasting with a non-significant inverse trend for female marital age variation. These findings advance the understanding of the relationship between the OSR and marital patterns. We believe that these results are best accounted for by sex specific attributes of reproductive value and associated mate selection criteria, demonstrating the power of an evolutionary framework for understanding human relationships and demographic patterns.

  9. Prenatal Care: First Trimester Visits

    Science.gov (United States)

    ... care provider will discuss the importance of proper nutrition and prenatal vitamins. Your first prenatal visit is a good time to discuss exercise, sex during pregnancy and other lifestyle issues. You might also discuss your work environment and the use of medications during pregnancy. If ...

  10. Marital and Parent-Child Relationships in Families with Daughters Who Have Eating Disorders

    Science.gov (United States)

    Latzer, Yael; Lavee, Yoav; Gal, Sharon

    2009-01-01

    This study assesses and compares the relationship between parents' marital quality, parent-child relationship, and severity of eating-related psychopathology in families with and without eating disorders. Data are collected from the mother, father, and daughter of 30 families with a daughter diagnosed with anorexia or bulimia and from 30 matched…

  11. Marital Satisfaction and Parenting Experiences of Mothers and Fathers of Adolescents and Adults with Autism

    Science.gov (United States)

    Hartley, Sigan L.; Barker, Erin T.; Seltzer, Marsha Mailick; Greenberg, Jan S.; Floyd, Frank J.

    2011-01-01

    The association of marital satisfaction with parenting burden and quality of the parent-child relationship was examined in 91 married mothers and fathers of co-residing adolescents and adults with autism spectrum disorders. Within-couple differences between mothers and fathers in how child characteristics related to these parenting experiences…

  12. Prenatal Stress as a Risk-and an Opportunity-Factor.

    Science.gov (United States)

    Hartman, Sarah; Freeman, Sara M; Bales, Karen L; Belsky, Jay

    2018-04-01

    Two separate lines of research indicate (a) that prenatal stress is associated with heightened behavioral and physiological reactivity and (b) that these postnatal phenotypes are associated with increased susceptibility to both positive and negative developmental experiences. Therefore, prenatal stress may increase sensitivity to the rearing environment. We tested this hypothesis by manipulating prenatal stress and rearing-environment quality, using a cross-fostering paradigm, in prairie voles. Results showed that prenatally stressed voles, as adults, displayed the highest behavioral and physiological reactivity when cross-fostered to low-contact (i.e., low-quality) rearing but the lowest behavioral and physiological reactivity when cross-fostered to high-contact (i.e., high-quality) rearing; non-prenatally stressed voles showed no effect of rearing condition. Additionally, while neither prenatal stress nor rearing condition affected oxytocin receptor binding, prenatally stressed voles cross-fostered to high-contact rearing showed the highest vasopressin-1a receptor binding in the amygdala. Results indicate that prenatal stress induces greater environmental sensitivity, making it both a risk and an opportunity factor.

  13. Provider role attitudes, marital satisfaction, role overload, and housework: a dyadic approach.

    Science.gov (United States)

    Helms, Heather M; Walls, Jill K; Crouter, Ann C; McHale, Susan M

    2010-10-01

    Treating the marital dyad as the unit of analysis, this study examined the within-couple patterning of 272 dual-earner spouses' provider role attitudes and their longitudinal associations with marital satisfaction, role overload, and the division of housework. Based on the congruence of husbands' and wives' provider role attitudes, couples were classified into one of four types: (a) main-secondary, (b) coprovider, (c) ambivalent coprovider, and (d) mismatched couples. Nearly half of all spouses differed in their attitudes about breadwinning. A series of mixed model ANCOVAs revealed significant between- and within-couple differences in human capital characteristics, spouses' perceptions of marital satisfaction and role overload, and the division of housework across 3 years of measurement. Coprovider couples reported higher levels of marital satisfaction and a more equitable division of housework than the other couple groups. Wives in the ambivalent coprovider couples' group reported higher levels of role overload than their husbands to a greater extent than was found in the other couple groups. As the first study to adopt a dyadic approach that considers the meanings that both spouses in dual-earner couples ascribe to paid employment, these findings advance understanding of how dual-earner spouses' provider role attitudes serve as contexts for marital quality, behavior, and role-related stress.

  14. Prenatal vitamins: what is in the bottle?

    Science.gov (United States)

    Duerbeck, Norman B; Dowling, David D; Duerbeck, Jillinda M

    2014-12-01

    Nearly all obstetricians routinely prescribe prenatal vitamins to their pregnant patients at the time of the first prenatal visit. Many times, patients' understanding of the health benefits of prenatal vitamins differs substantially from that of the prescribing physician. The following is a review of the most common ingredients found in prenatal vitamins and their purported health benefits.

  15. The role of stress on close relationships and marital satisfaction.

    Science.gov (United States)

    Randall, Ashley K; Bodenmann, Guy

    2009-03-01

    Stress is a concept that has received increased attention in marital research during the last decade, showing that it plays an important role in understanding the quality and stability of close relationships. Evidence suggests that stress is a threat to marital satisfaction and its longevity. Research has been based upon theoretical models of stress in close relationships, specifically family stress models [e.g., Hill, R. (1958). Generic features of families under stress. Social Casework, 39, 139-150.; McCubbin, H. I., & Patterson, J. M. (1983). Family transitions: Adaptation to stress. In H. I. McCubbin & C. R. Figley (Eds.), Stress and the family: Coping with normative transitions (Vol. 2, pp. 5-25). New York: Brunner/Mazel] and couple's stress model's proposed by Karney, Story, and Bradbury [Karney, B. R., Story, L. B., & Bradbury, T. N. (2005). Marriages in context: Interactions between chronic an acute stress among newlyweds. In T. A. Revenson, K. Kayser, & G. Bodenmann (Eds.), Couples coping with stress: Emerging perspectives on dyadic coping (pp.13-32). American Psychological Association: Washington, D.C.] and Bodenmann [Bodenmann, G. (1995). A systemic-transactional conceptualization of stress and coping in couples. Swiss Journal of Psychology, 54, 34-49.; Bodenmann, G. (2005). Dyadic coping and its significant for marital functioning. In T. Revenson, K. Kayser, & G. Bodenmann (Eds.), Couples coping with stress: Emerging perspectives on dyadic coping (pp.33-50). American Psychological Association: Washington, D.C.]. In this review we: (1) examine the various theoretical models of stress, (2) analyze and summarize the typologies relating to stress models (internal versus external, major versus minor, acute versus chronic), and (3) summarize findings from stress research in couples that has practical significance and may inspire clinical work. Future directions in research and clincial significance are suggested.

  16. Emotional intelligence, happiness, hope and marital satisfaction ...

    African Journals Online (AJOL)

    Emotional Intelligence Scale, Subjective-happiness Scale, Adult Trait-hope Scale and the Marital Satisfaction Scale were used to collect data from the participants. Statistical analysis involved the use of Simple Linear and Standard Multiple regression. Findings indicated that, emotional intelligence did not have a significant ...

  17. Autonomy as a Predictor of Marital Violence.

    Science.gov (United States)

    Byrne, Christina A.; And Others

    Recent qualitative investigations of abusive men have indicated that power and control of the wife are central themes in incidents of marital violence. Furthermore, anecdotal and empirical evidence suggest that abusive husbands hold more traditional sex-role stereotypes, are more possessive and jealous, and are more controlling than nonabusive…

  18. Marital Jealousy: A Structural Exchange Perspective.

    Science.gov (United States)

    McDonald, Gerald W.

    Although the experience of jealously is among the most common of experiences in intimate relationships, little theoretical or empirical work has been done from a sociologial perspective to increase our understanding of this aspect of male-female relationships. An investigation of marital jealousy as a sociological rather than a psychological…

  19. Natural and Professional Help during Marital Disruption.

    Science.gov (United States)

    Toro, Paul A.; Zax, Melvin

    Although few people bring their psychological problems to mental health professionals, research in the area of 'natural' help is rudimentary. To investigate the process and effectiveness of natural professional groups in helping individuals experiencing marital disruption, 42 helpers (14 mental health professionals, 14 divorce lawyers, and 14…

  20. [Problem-solving strategies and marital satisfaction].

    Science.gov (United States)

    Kriegelewicz, Olga

    2006-01-01

    This study investigated the relation between problem-solving strategies in the marital conflict and marital satisfaction. Four problem-solving strategies (Dialogue, Loyalty, Escalation of conflict and Withdrawal) were measured by the Problem-Solving Strategies Inventory, in two versions: self-report and report of partners' perceived behaviour. This measure refers to the concept of Rusbult, Johnson and Morrow, and meets high standards of reliability (alpha Cronbach from alpha = 0.78 to alpha = 0.94) and validity. Marital satisfaction was measured by Marriage Success Scale. The sample was composed of 147 marital couples. The study revealed that satisfied couples, in comparison with non-satisfied couples, tend to use constructive problem-solving strategies (Dialogue and Loyalty). They rarely use destructive strategies like Escalation of conflict or Withdrawal. Dialogue is the strategy connected with satisfaction in a most positive manner. These might be very important guidelines to couples' psychotherapy. Loyalty to oneself is a significant positive predictor of male satisfaction is also own Loyalty. The study shows that constructive attitudes are the most significant predictors of marriage satisfaction. It is therefore worth concentrating mostly on them in the psychotherapeutic process instead of eliminating destructive attitudes.

  1. Pre-marital and Marital Counselling: Implications for the School Guidance Counsellor

    Science.gov (United States)

    Schlesinger, Benjamin

    1978-01-01

    One of the foremost tasks of young people contemplating marriage is the discovery of their basic selfhood and their continued growth as people; this is the first goal in pre-marital counseliling. (Author)

  2. Marital Contracts of One- Versus Two-Career Couples.

    Science.gov (United States)

    Wachowiak, Dale G.; Barret, Robert L.

    One- and two-career married couples, though existing on comparable total family incomes, may be experiencing very different marital situations. The marital agreements of one- and two-career couples were compared to examine the relationship between marital adjustment and the one- versus two-career situation. Married college students and their…

  3. Clinical Use of the Marital Satisfaction Inventory: Two Case Studies.

    Science.gov (United States)

    Wills, Robert M.; Snyder, Douglas K.

    1982-01-01

    Describes the clinical use of the Marital Satisfaction Inventory (MSI), a multidimensional self-report measure of marital interaction. Two case studies of couples in marital therapy are presented. The MSI is presented as a cost-efficient procedure, permitting objective assessment across multiple areas of a couple's relationship. (Author/JAC)

  4. A Multidimensional Comparison of Maritally and Sexually Dysfunctioned Couples.

    Science.gov (United States)

    Berg, Phyllis; Snyder, Douglas K.

    The Marital Satisfaction Inventory (MSI) is a potential instrument for differentiating couples with specific sexual distress from those with more general marital complaints. Couples (N=45) expressing primary complaints of dissatisfaction with their sexual relationship and couples (N=45) expressing primary complaints of generalized marital distress…

  5. Effectiveness of “Marital Skills training for mastectomy women” in improving marital satisfaction of husbands

    Directory of Open Access Journals (Sweden)

    Bahman Bahmani

    2017-09-01

    Full Text Available One of the health issues related to patients suffering from cancer is paying attention to mental health of the patients and their families. This research was carried out to determine the effect of teaching marital life skills for mastectomy women in the increase of marital satisfaction of this group of patients as well as its direct effect on their spouses’ satisfaction. This was a quasi-experimental research designed as pretest/posttest with random assignment and control group. 22 women suffering from breast cancer, undergoing mastectomy, treated by radiotherapy and having marital satisfaction lower than the moderate level based on the short form (40-question of the ENRICH (evaluation and nurturing relationship issues, communication and happiness questionnaire were selected via purposive sampling and divided into experimental and control groups using random assignment. The pretest was carried out on experimental and control groups and the husbands. The intervention was performed during 12 didactic sessions, two a week, for women of the experimental group in the absence of their husbands. Results indicated that the mean score of marital satisfaction in mastectomy women and their husbands in the experimental group was higher than that of the control group, and the difference was statistically significant. In conclusion, the combined intervention method used in this research was effective in increasing marital satisfaction of mastectomy women, and had also a positive effect on their husbands’ marital satisfaction.

  6. Investigating the Determinants of Maternal Empowerment During Pregnancy: A Strategy for Prenatal Healthcare Promotion

    Directory of Open Access Journals (Sweden)

    Narjes Sadat Borghei

    2017-07-01

    Full Text Available Background: Empowerment of pregnant mothers promotes their health and pregnancy outcomes. Given the importance of empowerment of women during pregnancy, this study was conducted to determine the level of empowerment during pregnancy and its determinants. Method: This cross-sectional study was carried out on 161 pregnant mothers who were selected using random cluster sampling in Gorgan, North East of Iran in 2015. To measure the level and determinants of empowerment, Kameda’s prenatal empowerment scale was used. Data analysis was carried out using descriptive and inferential statistical tests including linear regression analysis. P< 0.05 was considered significant. Results: The regression analysis showed that age at first pregnancy (βeta standardized coefficient (β=0.474, marital satisfaction (β=0.239 and spiritual support (β=0.227 had the highest coefficient in the regression. However, the age of marriage, the size of family as well as experience of violence had negative impact on prenatal empowerment. Conclusion: Awareness of determinants of maternal empowerments could help policy makers to develop programs for promotion of mothers' empowerment during pregnancy. It seems that through developing counseling and educational programs with special focus on reducing domestic violence and enhancing marital satisfaction as well as offering spiritual support could promote prenatal empowerment and as a consequence facilitate moving towards safe motherhood.

  7. Women in very low quality marriages gain life satisfaction following divorce.

    Science.gov (United States)

    Bourassa, Kyle J; Sbarra, David A; Whisman, Mark A

    2015-06-01

    Although marital dissolution is associated with increased risk for poor mental and physical health outcomes, many people report improvements in functioning after divorce. To study the hypothesis that women in lower quality marriages would report the best outcomes upon separation/divorce, we investigated the combined effects of marital quality, gender, and marital status for predicting changes in life satisfaction (LS). Participants (N = 1,639; 50.3% men) were drawn from a nationally representative sample (Midlife in the United States Study), which included assessments of marital quality, marital status, and LS, at 2 time points (T1 and T2), roughly 10 years apart. Hierarchical linear regression analyses revealed an interaction between marital quality, marital status, and gender when predicting residual change in LS. Divorced women evidenced a negative association between marital quality and later LS, whereas continuously married women had a positive association between marital quality and later LS. In addition, women in higher quality marriages that become divorced showed the lowest LS, and women in lowest quality marriages show the highest LS among women with similar levels of marital quality. There was no association between marital quality and later LS for divorced or continuously married men. This work extends prior findings regarding gender differences in marital quality to postdivorce well-being, and suggests women in the lowest quality marriages may gain LS following divorce. (c) 2015 APA, all rights reserved).

  8. Biological effects of prenatal irradiation

    International Nuclear Information System (INIS)

    Streffer, Christian

    1997-01-01

    After large releases of radionuclides, exposure of the embryo or fetus can take place by external irradiation or uptake of radionuclies. The embryo and fetus are radiosensitive throughout prenatal development. The quality and extent of radiation effects depend on the development stage. During the preimplantation period (one to 10 days postconception, p.c.) a radiation exposure of at least 0.2 Gy can cause the death of the embryo. Malformations are only observed in rare cases when genetic predisposition exist. Macroscopic, anatomical malformations are induced only after irradiation during the major organogenesis (two to eight weeks p.c.). A radiation dose of about 0.2 Gy is a doubling dose for the malformation risks as extrapolated from experiments with rodents. The human embryo may be more radioresistant. During early fetogenesis (8-15 weeks p.c.) a high radiosensitivity exists for the developmental of the brain. Radiation doses of 1.0 Gy cause severe mental retardation in about 40% of the exposed fetuses. It must be taken into account that a radiation exposure during the fetal period can also induce cancer. It is generally assumed that the risk exists at about the same level as for children. (Author)

  9. Early prenatal syphilis

    Directory of Open Access Journals (Sweden)

    Santosh Rathod

    2010-01-01

    Full Text Available Syphilis in pregnancy still remains a challenge despite the availability of adequate diagnostic tests for serological screening and penicillin therapy. We report a case of 2 month old female infant who presented with runny nose, papulosquamous lesions over both palms and soles and perianal erosions since 1 month after birth. Cutaneous examination revealed moist eroded areas in the perianal region and fine scaly lesions over palms and soles. Radiograph of both upper limbs and limbs revealed early periosteal changes in lower end of humerus and lower end of tibia. Diagnosis of early pre-natal syphilis was confirmed by Child′s Serum Rapid Plasma Reagin Antibody test [S.RPR] being positive with 1:64 dilution while that of mother was 1:8.

  10. Prenatal anxiety effects: A review.

    Science.gov (United States)

    Field, Tiffany

    2017-11-01

    This review is based on literature on prenatal anxiety effects that was found on Pubmed and PsycINFO for the years 2010-2016. Prenatal anxiety is thought to have distinct features, although it has been measured both by specific prenatal anxiety symptoms as well as by standardized anxiety scales. Its prevalence has ranged from 21 to 25% and it has been predicted by a number of pregnancy - related variables such as unintended pregnancy, demographic variables such as low acculturation and income and psychosocial factors including pessimism and partner tension. Prenatal anxiety effects on pregnancy include increased cortisol levels, pro-inflammatory cytokines, obstetric problems and cesarean section. Effects on the neonate include lower gestational age, prematurity, less insulin-like growth factor in cord blood, less exclusive breast-feeding and less self-regulation during the heelstick procedure. Prenatal anxiety effects continue into infancy and childhood both on physiological development and emotional/mental development. Among the physiological effects are lower vagal activity across the first two years, and lower immunity, more illnesses and reduced gray matter in childhood. Prenatal anxiety effects on emotional/mental development include greater negative emotionality and in infants, lower mental development scores and internalizing problems. Anxiety disorders occur during childhood and elevated cortisol and internalizing behaviors occur during adolescence. Interventions for prenatal anxiety are virtually nonexistent, although stroking (massaging) the infant has moderated the pregnancy - specific anxiety effects on internalizing behaviors in the offspring. The limitations of this literature include the homogeneity of samples, the frequent use of anxiety measures that are not specific to pregnancy, and the reliance on self-report. Nonetheless, the literature highlights the negative, long-term effects of prenatal anxiety and the need for screening and early

  11. Postnatal outcomes of prenatally diagnosed 45,X/46,XX.

    Science.gov (United States)

    Tokita, Mari J; Sybert, Virginia P

    2016-05-01

    High quality information is critical for informed decision-making in pregnancy following a prenatal diagnosis of sex chromosome aneuploidy. The goal of this study was to define the spectrum of outcomes in patients with prenatally diagnosed 45,X/46,XX mosaic Turner syndrome in order to provide a better basis for genetic counseling at the time of intrauterine diagnosis. Phenotype data for twenty-five patients with prenatally diagnosed 45,X/46,XX mosaicism were collected by retrospective chart review and, when possible, semi-structured telephone interview. Existing data from a cohort of 58 patients with postnatally diagnosed 45,X/46,XX mosaicism were used for comparison. Relative to those diagnosed postnatally, prenatal patients were more likely to have normal growth and normal secondary sexual development, less likely to manifest distinctive Turner syndrome features such as nuchal webbing and edema, and had significantly fewer renal defects. These differences underscore the need for a nuanced approach to prenatal counseling in cases of 45,X/46,XX mosaicism. © 2016 Wiley Periodicals, Inc.

  12. Prenatal care and socioeconomic status: effect on cesarean delivery.

    Science.gov (United States)

    Milcent, Carine; Zbiri, Saad

    2018-03-10

    Cesarean deliveries are widely used in many high- and middle-income countries. This overuse both increases costs and lowers quality of care and is thus a major concern in the healthcare industry. The study first examines the impact of prenatal care utilization on cesarean delivery rates. It then determines whether socioeconomic status affects the use of prenatal care and thereby influences the cesarean delivery decision. Using exclusive French delivery data over the 2008-2014 period, with multilevel logit models, and controlling for relevant patient and hospital characteristics, we show that women who do not participate in prenatal education have an increased probability of a cesarean delivery compared to those who do. The study further indicates that attendance at prenatal education varies according to socioeconomic status. Low socioeconomic women are more likely to have cesarean deliveries and less likely to participate in prenatal education. This result emphasizes the importance of focusing on pregnancy health education, particularly for low-income women, as a potential way to limit unnecessary cesarean deliveries. Future studies would ideally investigate the effect of interventions promoting such as care participation on cesarean delivery rates.

  13. The association between discontinuing hormonal contraceptives and wives' marital satisfaction depends on husbands' facial attractiveness.

    Science.gov (United States)

    Russell, V Michelle; McNulty, James K; Baker, Levi R; Meltzer, Andrea L

    2014-12-02

    How are hormonal contraceptives (HCs) related to marital well-being? Some work suggests HCs suppress biological processes associated with women's preferences for partner qualities reflective of genetic fitness, qualities that may be summarized by facial attractiveness. Given that realizing such interpersonal preferences positively predicts relationship satisfaction, any changes in women's preferences associated with changes in their HC use may interact with partner facial attractiveness to predict women's relationship satisfaction. We tested this possibility using two longitudinal studies of 118 newlywed couples. Trained observers objectively rated husbands' facial attractiveness in both studies. In study 1, wives reported their marital satisfaction every 6 mo for 4 y and then reported the history of their HC use for their relationship. In study 2, wives reported whether they were using HCs when they met their husbands and then their marital satisfaction and HC use every 4 mo for up to three waves. In both studies, and in an analysis that combined the data from both studies, wives who were using HCs when they formed their relationship with their husband were less satisfied with their marriage when they discontinued HCs if their husband had a relatively less attractive face, but more satisfied if their husband had a relatively more attractive face. Beginning HCs demonstrated no consistent associations with marital satisfaction. Incongruency between HC use at relationship formation and current HC use was negatively associated with sexual satisfaction, regardless of husbands' facial attractiveness. These findings suggest that HC use may have unintended implications for women's close relationships.

  14. Associations Between Participant Ratings of PREP for Strong Bonds and Marital Outcomes 1 Year Postintervention.

    Science.gov (United States)

    Allen, Elizabeth S; Post, Kristina M; Markman, Howard J; Rhoades, Galena K; Stanley, Scott M

    2017-07-01

    After completing a relationship education program, collecting participant evaluations of the program is common practice. These are generally used as an index of "consumer satisfaction" with the program, with implications for feasibility and quality. Rarely have these ratings been used as predictors of changes in marital quality, although such feedback may be the only data providers collect or have immediate access to when considering the success of their efforts. To better understand the utility of such ratings to predict outcomes, we evaluated links between participant ratings and changes in self-reported marital satisfaction and communication scores one year later for a sample of 191 Army couples who had participated in a relationship education program delivered by Army chaplains (PREP for Strong Bonds). Overall ratings of general satisfaction with the program and the leader did not predict changes in marital outcomes one year later, whereas higher ratings of how much was learned, program helpfulness, increased similarity in outlook regarding Army life, and helpfulness of communication skills training predicted greater change in communication skills one year later. Higher ratings of items reflecting intent to invest more time in the relationship, and increased confidence in constructive communication and working as a team with the spouse predicted greater increases in both marital satisfaction and communication skills one year later. The constructs of intention and confidence (akin to perceived behavioral control) suggest that the Theory of Planned Behavior may be particularly useful when considering which Army couples will show ongoing benefit after relationship education.

  15. "Quality of prenatal and maternal care: bridging the know-do gap" (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa.

    Science.gov (United States)

    Blank, Antje; Prytherch, Helen; Kaltschmidt, Jens; Krings, Andreas; Sukums, Felix; Mensah, Nathan; Zakane, Alphonse; Loukanova, Svetla; Gustafsson, Lars L; Sauerborn, Rainer; Haefeli, Walter E

    2013-04-10

    Despite strong efforts to improve maternal care, its quality remains deficient in many countries of Sub-Saharan Africa as persistently high maternal mortality rates testify. The QUALMAT study seeks to improve the performance and motivation of rural health workers and ultimately quality of primary maternal health care services in three African countries Burkina Faso, Ghana, and Tanzania. One major intervention is the introduction of a computerized Clinical Decision Support System (CDSS) for rural primary health care centers to be used by health care workers of different educational levels. A stand-alone, java-based software, able to run on any standard hardware, was developed based on assessment of the health care situation in the involved countries. The software scope was defined and the final software was programmed under consideration of test experiences. Knowledge for the decision support derived from the World Health Organization (WHO) guideline "Pregnancy, Childbirth, Postpartum and Newborn Care; A Guide for Essential Practice". The QUALMAT CDSS provides computerized guidance and clinical decision support for antenatal care, and care during delivery and up to 24 hours post delivery. The decision support is based on WHO guidelines and designed using three principles: (1) Guidance through routine actions in maternal and perinatal care, (2) integration of clinical data to detect situations of concern by algorithms, and (3) electronic tracking of peri- and postnatal activities. In addition, the tool facilitates patient management and is a source of training material. The implementation of the software, which is embedded in a set of interventions comprising the QUALMAT study, is subject to various research projects assessing and quantifying the impact of the CDSS on quality of care, the motivation of health care staff (users) and its health economic aspects. The software will also be assessed for its usability and acceptance, as well as for its influence on

  16. Uncertainty, Risk Taking and Marital Happiness

    OpenAIRE

    Anderson-Jones, William

    2009-01-01

    Abstract: By analysing the effect of internal and external risks on marital happiness this paper concludes that social welfare is maximised by employment status and limiting the negative effect of children. Muslim, Christian and Sikh marriages were predominantly found to be unhappier as a parent in the household specialised in domestic labour and didn’t enter the workforce. ‘Non-religious’ groups have higher levels of female employment and consequently happier marriages. The discussion sugges...

  17. Aphasia: its effect on marital relationships.

    Science.gov (United States)

    Williams, S E; Freer, C A

    1986-04-01

    The primary purpose of this study was to determine if a relationship exists between marital satisfaction and knowledge of aphasia of the spouse of a stroke patient. Other factors such as the severity of the aphasia, length of time poststroke, and length of marriage were also examined. The subjects, 16 spouses of aphasic patients, were grouped according to severity of the aphasia (mild, moderate, severe). Spouses completed a Knowledge of Aphasia questionnaire and pre/poststroke forms of a Marital Satisfaction Scale (MSS). The questionnaire measured spouse understanding of aphasia, while the MSS examined changes in spouse attitudes toward their marriages after the patients became aphasic. Neither spouses' knowledge of aphasia nor its severity was related to their marital satisfaction. However, there was a significant negative change between the pre/poststroke MSS scores. Spouses of mildly impaired patients were less knowledgeable about aphasia than were those of severely impaired patients. Results are discussed in terms of the counseling needs of families of aphasic patients.

  18. Improving marital relationships: strategies for the family physician.

    Science.gov (United States)

    Starling, B P; Martin, A C

    1992-01-01

    Marital conflict and divorce are prevalent in our society, and patients frequently ask family physicians to assist them with marital difficulties. These difficulties are often associated with a decline in health, resulting in additional stress to the marital unit. A MEDLINE search was undertaken using the key words "family medicine," "marital therapy," "marital counseling," "brief psychotherapy," and "short-term psychotherapy." The bibliographies of generated articles were searched for additional references. The authors used the resources of their individual behavioral science libraries, as well as their clinical experiences. With adequate training, many family physicians can include marital counseling skills in their clinical repertoires. Family life cycle theory provides a framework for understanding the common stresses of marital life and also guides the family physician in recommending strategies to improve marital satisfaction. The physician's role is twofold: (1) to identify couples in crisis, and (2) to provide preventive strategies geared to assist couples in achieving pre-crisis equilibrium or higher levels of functioning. For physicians whose practices do not include marital counseling, an understanding of the basic techniques can be beneficial in effectively referring appropriate couples for marital therapy.

  19. Aging issues: unanswered questions in marital and family therapy literature.

    Science.gov (United States)

    Lambert-Shute, Jennifer; Fruhauf, Christine A

    2011-01-01

    Researchers have reviewed couple and family therapy journals to determine the extent to which issues concerning older populations are addressed. In an effort to extend previous work, we conducted content analyses of 957 articles published in three of the leading marital and family therapy journals between 1997 and 2006. From the articles, 27 (2.8%) mentioned aging or included older adults in their sample. Results indicate that the number of articles emphasizing older adults has not substantially increased. While this result has been substantiated by other researchers in previous years, a new finding in this study concerns the quality of articles on aging issues. The articles reviewed in this study indicated a greater focus on aging issues and addressing issues during this life cycle stage. © 2011 American Association for Marriage and Family Therapy.

  20. Oregon's Coordinated Care Organizations Increased Timely Prenatal Care Initiation And Decreased Disparities.

    Science.gov (United States)

    Muoto, Ifeoma; Luck, Jeff; Yoon, Jangho; Bernell, Stephanie; Snowden, Jonathan M

    2016-09-01

    Policies at the state and federal levels affect access to health services, including prenatal care. In 2012 the State of Oregon implemented a major reform of its Medicaid program. The new model, called a coordinated care organization (CCO), is designed to improve the coordination of care for Medicaid beneficiaries. This reform effort provides an ideal opportunity to evaluate the impact of broad financing and delivery reforms on prenatal care use. Using birth certificate data from Oregon and Washington State, we evaluated the effect of CCO implementation on the probability of early prenatal care initiation, prenatal care adequacy, and disparities in prenatal care use by type of insurance. Following CCO implementation, we found significant increases in early prenatal care initiation and a reduction in disparities across insurance types but no difference in overall prenatal care adequacy. Oregon's reforms could serve as a model for other Medicaid and commercial health plans seeking to improve prenatal care quality and reduce disparities. Project HOPE—The People-to-People Health Foundation, Inc.

  1. Assessing quality of maternity care in Hungary: expert validation and testing of the mother-centered prenatal care (MCPC) survey instrument.

    Science.gov (United States)

    Rubashkin, Nicholas; Szebik, Imre; Baji, Petra; Szántó, Zsuzsa; Susánszky, Éva; Vedam, Saraswathi

    2017-11-16

    Instruments to assess quality of maternity care in Central and Eastern European (CEE) region are scarce, despite reports of poor doctor-patient communication, non-evidence-based care, and informal cash payments. We validated and tested an online questionnaire to study maternity care experiences among Hungarian women. Following literature review, we collated validated items and scales from two previous English-language surveys and adapted them to the Hungarian context. An expert panel assessed items for clarity and relevance on a 4-point ordinal scale. We calculated item-level Content Validation Index (CVI) scores. We designed 9 new items concerning informal cash payments, as well as 7 new "model of care" categories based on mode of payment. The final questionnaire (N = 111 items) was tested in two samples of Hungarian women, representative (N = 600) and convenience (N = 657). We conducted bivariate analysis and thematic analysis of open-ended responses. Experts rated pre-existing English-language items as clear and relevant to Hungarian women's maternity care experiences with an average CVI for included questions of 0.97. Significant differences emerged across the model of care categories in terms of informal payments, informed consent practices, and women's perceptions of autonomy. Thematic analysis (N = 1015) of women's responses identified 13 priority areas of the maternity care experience, 9 of which were addressed by the questionnaire. We developed and validated a comprehensive questionnaire that can be used to evaluate respectful maternity care, evidence-based practice, and informal cash payments in CEE region and beyond.

  2. Predictors of Inadequate Prenatal Care in Methamphetamine-Using Mothers in New Zealand and the United States

    Science.gov (United States)

    LaGasse, Linda L.; Wouldes, Trecia A.; Arria, Amelia M.; Wilcox, Tara; Derauf, Chris; Newman, Elana; Shah, Rizwan; Smith, Lynne M.; Neal, Charles R.; Huestis, Marilyn A.; DellaGrotta, Sheri; Lester, Barry M.

    2013-01-01

    This study compared patterns of prenatal care among mothers who used methamphetamine (MA) during pregnancy and non-using mothers in the US and New Zealand (NZ), and evaluated associations among maternal drug use, child protective services (CPS) referral, and inadequate prenatal care in both countries. The sample consisted of 182 mothers in the MA-Exposed and 196 in the Comparison groups in the US, and 107 mothers in the MA-Exposed and 112 in the Comparison groups in NZ. Positive toxicology results and/or maternal report of MA use during pregnancy were used to identify MA use. Information about sociodemographics, prenatal care and prenatal substance use was collected by maternal interview. MA-use during pregnancy is associated with lower socio-economic status, single marital status, and CPS referral in both NZ and the US. Compared to their non-using counterparts, MA-using mothers in the US had significantly higher rates of inadequate prenatal care. No association was found between inadequate care and MA-use in NZ. In the US, inadequate prenatal care was associated with CPS referral, but not in NZ. Referral to CPS for drug use only composed 40 % of all referrals in the US, but only 15 % of referrals in NZ. In our study population, prenatal MA-use and CPS referral eclipse maternal sociodemographics in explanatory power for inadequate prenatal care. The predominant effect of CPS referral in the US is especially interesting, and should encourage further research on whether the US policy of mandatory reporting discourages drug-using mothers from seeking antenatal care. PMID:22588827

  3. Prenatal Lead Exposure Modifies the Impact of Maternal Self-Esteem on Children's Inattention Behavior.

    Science.gov (United States)

    Xu, Jian; Hu, Howard; Wright, Rosalind; Sánchez, Brisa N; Schnaas, Lourdes; Bellinger, David C; Park, Sung Kyun; Martínez, Sandra; Hernández-Avila, Mauricio; Téllez-Rojo, Martha Maria; Wright, Robert O

    2015-08-01

    To prospectively evaluate the association of maternal self-esteem measured when their offspring were toddlers with the subsequent development of attention deficit hyperactivity disorder (ADHD)-like behavior in their school-age offspring and the potential modifying effects of prenatal lead exposure. We evaluated a subsample of 192 mother-child pairs from a long-running birth-cohort project that enrolled mothers in Mexico from 1994-2011. Prenatal lead exposure was assessed using cord blood lead and maternal bone lead around delivery (tibia and patella lead, measured by K-x-ray-fluorescence). When children were 2 years old, maternal self-esteem was measured using the Coopersmith Self-Esteem Inventory. When children were 7-15 years old, children's blood lead levels and ADHD symptoms were assessed, and Conners' Parent Rating Scale-Revised and Behavior Rating Inventory of Executive Function-Parent Form were used as measures of ADHD-like behavior. Adjusting for family economic status, marital status, maternal education and age, child's age and sex, and children's current blood lead levels, increased maternal self-esteem was associated with reduced child inattention behavior. Compared with those among high prenatal lead exposure (P25-P100), this association was stronger among low prenatal lead exposure groups (P1-P25, P values for the interaction effects between prenatal lead exposure and maternal self-esteem levels of self-esteem scores was associated with 0.6- to 1.3-point decrease in Conners' Parent Rating Scale-Revised and Behavior Rating Inventory of Executive Function-Parent Form T-scores among groups with low cord blood lead and patella lead (P1-P25). Children experiencing high maternal self-esteem during toddlerhood were less likely to develop inattention behavior at school age. Prenatal lead exposure may play a role in attenuating this protective effect. Copyright © 2015 Elsevier Inc. All rights reserved.

  4. Travel distance to prenatal care and high blood pressure during pregnancy.

    Science.gov (United States)

    Shi, Lu; MacLeod, Kara E; Zhang, Donglan; Wang, Fan; Chao, Margaret Shin

    2017-02-01

    To assess whether poor geographic accessibility to prenatal care, as indicated by long distance trips to prenatal care, produced high blood pressure (HPB) during pregnancy. Using the 2007 Los Angeles Mommy and Baby Study for women without hypertension prior to pregnancy (n = 3405), we compared self-reported HBP by travel distance to prenatal care controlling for age, race/ethnicity, marital status, education, household income, weight status, and physical activity. Results of the multilevel logistic regression shows traveling more than 50 mi to prenatal care is associated with an increased odds for having HPB during pregnancy (odds ratio [OR] = 2.867, 95% confidence interval [CI] = 1.079,7.613), as compared with a travel distance shorter than 5 mi. Traveling 5-14 mi (OR = 0.917, 95% CI = 0.715-1.176), 15-29 mi (OR = 0.955, 95% CI = 0.634-1.438), or 30-50 mi (OR = 1.101, 95% CI = 0.485-2.499) were not significantly associated with more risk of HBP during pregnancy. To our knowledge, no previous studies have examined the association between poor geographic accessibility to care and the possible harms of travel burdens for pregnant women. Future research that replicates these findings can assist in developing recommendations for pregnant women and health-care accessibility.

  5. Trajectories of marital, parent-child, and sibling conflict during pediatric cancer treatment.

    Science.gov (United States)

    Katz, Lynn Fainsilber; Fladeboe, Kaitlyn; Lavi, Iris; King, Kevin; Kawamura, Joy; Friedman, Debra; Compas, Bruce; Breiger, David; Lengua, Liliana; Gurtovenko, Kyrill; Stettler, Nicole

    2018-05-28

    The stress of having a child with cancer can impact the quality of relationships within the family. The current study describes the longitudinal trajectory of marital, parent-child, and sibling conflict beginning around the time of diagnosis through the first year of treatment. We examined the average level of marital, parent-child, and sibling conflict at each monthly time point in the first year of treatment; the proportion of families that fall into the distressed range of marital, parent-child, and sibling conflict at each time point; the typical trajectory of conflict during the first year of treatment and whether there are differences in trajectories across families. A total of 160 families of children newly diagnosed with cancer (Mage = 5.6 years; range = 2-18 years) participated in a short-term prospective longitudinal study. Primary caregivers provided monthly reports of marital, parent-child, and sibling conflict. Using multilevel modeling (MLM), most families showed stability in quality of family relationships, although considerable between-family variability was observed. For married couples, 25-36% of couples were in the distressed range at one time point over the first year of treatment. For married couples, more distress occurred at earlier months, particularly month 3. For parent-child and sibling dyads, the most difficult time periods were during later months. Implications for development of interventions that target at-risk family relationships are discussed. Identifying processes that predict between-family variability in trajectories of family relationships is an important next step, particularly for the marital relationship. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  6. Prenatal care in your second trimester

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000557.htm Prenatal care in your second trimester To use the sharing ... Gregory KD, Ramos DE, Jauniaux ERM. Preconception and prenatal care. In: Gabbe SG, Niebyl JR, Simpson JL, et ...

  7. Prenatal care in your third trimester

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000558.htm Prenatal care in your third trimester To use the sharing ... Gregory KD, Ramos DE, Jauniaux ERM. Preconception and prenatal care. In: Gabbe SG, Niebyl JR, Simpson JL, et ...

  8. Prenatal exposure to anticonvulsants and psychosexual development

    NARCIS (Netherlands)

    Dessens, A. B.; Cohen-Kettenis, P. T.; Mellenbergh, G. J.; vd Poll, N.; Koppe, J. G.; Boer, K.

    1999-01-01

    Animal studies have shown that prenatal exposure to the anticonvulsant drugs phenobarbital and phenytoin alters steroid hormone levels which consequently leads to disturbed sexual differentiation. In this study, possible sequelae of prenatal exposure to these anticonvulsants on gender development in

  9. Prenatal Testing: MedlinePlus Health Topic

    Science.gov (United States)

    ... Dept. of Health and Human Services Office on Women's Health Start Here Prenatal Tests (Nemours Foundation) Also in Spanish Prenatal Tests (March of Dimes Birth Defects Foundation) Also in Spanish ...

  10. Neurodevelopmental Outcomes of Prenatal Stress

    Directory of Open Access Journals (Sweden)

    M. Genco Usta

    2012-03-01

    Full Text Available The influence of prenatal stress on psychopathology has been observed in many animal and human studies. In many studies, stress during prenatal period has been shown to result in negative feedback dysregulation and hyperactivity of hypothalamo-pituitary-adrenocortical axis. Prenatal stres also may cause increased risk of birth complications, startle or distress in response to novel and surprising stimuli during infancy; lower Full Scale IQs, language abilities and attention deficiency in period of 3-5 years; increased risk of attention deficit hyperactivity syndrome, anxiety symptoms, depressive disorder and impulsivity during adolescence. Additionally, timing of prenatal stress is also important and 12-22 weeks of gestation seems to be the most vulnerable period. The results underline the need for early prevention and intervention programs for highly anxious women during pregnancy. Administration of prenatal stress monitoring to public health programs or removing pregnant women who have been exposed to life events such as natural disaster, terror attack to secure areas that provide basic needs may be crucial.

  11. Marriage Matters But How Much? Marital Centrality Among Young Adults.

    Science.gov (United States)

    Willoughby, Brian J; Hall, Scott S; Goff, Saige

    2015-01-01

    Marriage, once a gateway to adulthood, is no longer as widely considered a requirement for achieving adult status. With declining marriage rates and delayed marital transitions, some have wondered whether current young adults have rejected the traditional notion of marriage. Utilizing a sample of 571 young adults, the present study explored how marital centrality (the expected importance to be placed on the marital role relative to other adult roles) functioned as a unique and previously unexplored marital belief among young adults. Results suggested that marriage remains an important role for many young adults. On average, young adults expected that marriage would be more important to their life than parenting, careers, or leisure activities. Marital centrality profiles were found to significantly differ based on both gender and religiosity. Marital centrality was also associated with various outcomes including binge-drinking and sexual activity. Specifically, the more central marriage was expected to be, the less young adults engaged in risk-taking or sexual behaviors.

  12. Reviewing Sexual Function After Delivery and Its Association with Some of the Demographic Marital Satisfaction Factors

    Directory of Open Access Journals (Sweden)

    Kh. Broumandfar

    2012-04-01

    Full Text Available Background: Desirable sexual function has an important role in strengthening the marital life of the couples. Sexual disorders can cause mental pressure and affect quality of life and marital relationship. Methods: This was a descriptive correlation study in one group and one phase covering multivariables. The study sample included 384 women after delivery period that had the following inclusion criteria: the age of at least 18 years, delivery in 38-42 pregnancy weeks, primiparous and multiparous women, living in the city, single pregnancy, and twelve months elapsed from the delivery. The required data such demographic, marital satisfaction and sexual function index were collected through reporting questionnaire. The data were analyzed using descriptive and inferential statistical methods using software SPSS. Results: The findings of the study indicated that the most prevalent disorder of the sexual relationship in postpartum was dyspareunia and the least prevalent was the sexual desire. There was no significant association between sexual function and, age, education degree , body mass index ,body size and job, but there was a significant association for other factors such as the economic, residence and marital satisfaction (p<0.01. Conclusion: It is recommended that sexual problems after delivery be placed on the list of health teaching issues to pass easily this period of time. Women should be assured that these problems gradually would be improved and they should learn using proper techniques to decrease dyspareunia which is a sexual disorder in postpartum period.

  13. The Effect of Welfare Reform on Women's Marital Bargaining Power

    OpenAIRE

    Bird, Mia

    2011-01-01

    Marital bargaining models predict changes in the policy environment that affect the relative well-being of husbands and wives in divorce will indirectly affect the distribution of power within marriage. This study estimates the effect of 1996 welfare reform policies on the marital bargaining power of women with young children. Although the distribution of marital power cannot be directly observed, I utilize Consumer Expenditure data to infer shifts in bargaining power from changes in family d...

  14. PRENATAL ASSESSMENT OF THEIR WOMEN OF REGIONAL HOSPITAL IN THE CITY OF TEFÉ-AM

    Directory of Open Access Journals (Sweden)

    Márcio Antônio Couto Ferreira

    2011-04-01

    Full Text Available With the objective of evaluating the quality of prenatal and analyse the epidemiological data of their women in the city of Tefé, in the interior of the Amazon, was a study descriptive and quantitative, secondary source documentation, by evaluation of the book of records that contain information about the card of their women who attended prenatal 93 in Tefé Regional Hospital of that city in April 2009. The results showed that the average age of women in labour was 23.3 years, most completed elementary education, and more than 50% have stable relationship, being three the number of children. Regarding prenatal assessment, 55% prenatal began until the fourth month, approximately 46% held six consultations during the prenatal,22.6% had 65.6% have 6 queries, at least 1 time basic examinations and 77% were immunized. The comparison of these results with other studies conducted in different regions of Brazil served as a tool to compare prenatal assessment in several Brazilian States. Is of great value the result of this research for improvement of care, since there are no records of assessment of quality of care provided during prenatal Amazonas State and also to encourage new research in the State.

  15. Father involvement and marital relationship during transition to parenthood: differences between dual and single-earner families.

    Science.gov (United States)

    Menéndez, Susana; Hidalgo, M Victoria; Jiménez, Lucía; Moreno, M Carmen

    2011-11-01

    Research into the process of becoming mother or father shows very conclusively that this important life transition is accompanied by both a decrease in marital quality and a more traditional division of labour. In this paper these changes are analyzed with special emphasis on the relationships between them and exploring the role played in this process by the mother's work status. Results showed a significant link between the development of marital quality and violated expectations regarding father involvement on childrearing. Dual-earner families were characterized by a specific pattern of changes, with greater stability than single-earner families in marital and parental roles during transition to parenthood and a significant role played by spouse support as a partner, but not as a parent.

  16. The Development of Marital Maturity Scale

    Directory of Open Access Journals (Sweden)

    Muhammed YILDIZ

    2017-06-01

    Full Text Available In this study, validity, reliability and item analysis studies of the Marital Maturity Scale prepared to test whether individuals are ready for marriage have been done. Studies of the development of the scale were made on 623 individuals, consisting of single adults. In the validity studies of the scale, explanatory and confirmatory factor analyses and criterion related validity studies were performed. Factor analysis revealed that the scale had four dimensions. The four factors in the measurement account for 60.91% of the total variance. The factor loadings of the items in the scale range from 0.42 to 0.86. Inonu Marriage Attitude Scale was used in the criterion related validity studies. Correlation value of the two scales r=0.72 (p=0.000 was found significant. It was determined that the subscales of the scale had a significant correlation with the total scale. The cronbach alpha value of the first dimension of the scale was 0.85, the cronbach alpha value of the second dimension of the scale was 0.68, the cronbach alpha value of the third dimension of the scale was 0.80, the cronbach alpha value of the fourth dimension of the scale was 0.91 and the cronbach alpha value of the total scale was 0.90. Test retest results r=0.70, (p=0.000 were found significant. In the item analysis studies, it was revealed that in the lower 27% group, the individuals in the upper 27% group were significantly different in all items (p=0.000. The item total correlation value of the items in the scale was between 0.40 and 0.63. As a result of the assessments, it was concluded that the Marital Maturity Scale was a reliable and valid instrument to measure marital maturity of single adults

  17. Prenatal Care: New Hampshire Residents - 1976.

    Science.gov (United States)

    Mires, Maynard H.; Sirc, Charles E.

    Data from 1976 New Hampshire birth certificates were used to examine the correlations between the degree (month of pregnancy that prenatal care began) and intensity (number of prenatal visits) of prenatal care and low infant birth weight, illegitimacy, maternal age, maternal education, and complications of pregnancy. The rate of low birth weight…

  18. Congenital lung malformations: correlation between prenatal and ...

    African Journals Online (AJOL)

    Aim: Congenital lung malformations are a common finding during prenatal ultrasonography (US). Investigations were completed by means of prenatal MRI and postnatal computed tomographic (CT) scan. The purpose of this study was to compare these prenatal findings with postnatal findings and pathological findings after ...

  19. Waiting-List Controlled Trial of Cognitive Marital Therapy in Severe Marital Discord.

    Science.gov (United States)

    Waring, Edward M.; And Others

    1991-01-01

    Evaluated effectiveness of marital therapy designed to enhance intimacy through self-disclosure of personal constructs. Couples in therapy (n=22) and controls (n=19) showed significant reduction in symptoms of nonpsychotic emotional illness. Couples in therapy subjectively reported improvement. Found significant pattern of improvement for wives in…

  20. Divorce Costs and Marital Dissolution in a One-to-One Matching Framework With Nontransferable Utilities

    Directory of Open Access Journals (Sweden)

    Ismail Saglam

    2013-03-01

    Full Text Available In this paper, we use a two-period one-to-one matching model with incomplete information to examine the effect of changes in divorce costs on marital dissolution. Each individual who has a nontransferable expected utility about the quality of each potential marriage decides whether to marry or to remain single at the beginning of the first period. Individuals married in the first period learn the qualities of their marriages at the beginning of the second period and then decide whether to stay married or to unilaterally divorce. We show that, for any society, there exist matching environments where the probability of the marital dissolution does not reduce divorce costs under gender-optimal matching rules. In such environments, an allocation effect of divorce costs with an ambiguous sign outweighs an incentive effect that is always negative. We also show that these results may also arise under stable matching rules that are not gender optimal.

  1. Qualidade do processo da assistência pré-natal: unidades básicas de saúde e unidades de Estratégia Saúde da Família em município no Sul do Brasil Quality of prenatal care: traditional primary care and Family Health Strategy units in a city in southern Brazil

    Directory of Open Access Journals (Sweden)

    Elenir Terezinha Rizzetti Anversa

    2012-04-01

    Full Text Available O processo da atenção pré-natal em unidades básicas de saúde tradicionais (UBS e unidades de Estratégia Saúde da Família (ESF foi avaliado em Santa Maria, Rio Grande do Sul, Brasil. Foram entrevistadas 795 puérperas que realizaram pré-natal nas UBS ou ESF. Utilizou-se quatro níveis de qualidade: nível 1 (índice de Kessner modificado por Takeda; nível 2, que adiciona ao nível 1 procedimentos clinico-obstétricos; nível 3, que acrescenta ao nível 1 exames laboratoriais; e nível 4, que considera todos os parâmetros anteriores. A atenção pré-natal realizada na ESF foi superior a das UBS em todos os níveis, com diferenças estatisticamente significativas nos níveis 1 e 2. As gestantes da ESF receberam mais orientações. A atenção pré-natal foi favorável à ESF, devendo ser melhorada em relação aos procedimentos e exames, a fim de aprimorar a assistência pré-natal e fortalecer a atenção primária à saúde.Prenatal care in traditional primary care units (UBS and Family Health Strategy units (ESF was evaluated by a cross-sectional study from July 2009 to February 2010 in Santa Maria, Rio Grande do Sul State, Brazil. Seven hundred and ninety-five postpartum women who had received prenatal care in either of the two types of units were interviewed. Four quality levels were used: level 1 (Kessner index modified by Takeda; level 2, which adds clinical obstetric procedures to level 1; level 3, which adds laboratory tests to level 1; and level 4, which includes all the above parameters. Prenatal care in the Family Health Strategy was superior to that of traditional primary care at all levels, with statistically significant differences in levels 1 and 2. Pregnant women received more guidance and prenatal care was superior in the Family Health Strategy. The study favored the Family Health Strategy, but improvement is still needed in the performance of procedures and laboratory tests in order to enhance prenatal care and

  2. The rested relationship: Sleep benefits marital evaluations.

    Science.gov (United States)

    Maranges, Heather M; McNulty, James K

    2017-02-01

    Remaining satisfied with a relationship often requires thinking in ways that use self-regulatory resources-satisfied couples discount undesirable experiences when forming global evaluations of the relationship. Nevertheless, recent work indicates that the self-regulatory resources required to engage in these processes are limited. Although consuming new energy may be one way to replenish these limited resources, sleep is another. The current study used a daily diary study of 68 newlywed couples to examine the implications of sleep for daily marital evaluations. Every day for up to 7 days, both members of the couples reported their evaluations of their interpersonal specific experiences, global relationship satisfaction, and amount of sleep. Multilevel analysis revealed that spouses were more satisfied on days after which they had slept for a longer period of time. Furthermore, sleep also buffered husbands', but not wives', marital satisfaction against the implications of negative specific evaluations-husbands were better able to remain more globally satisfied despite negative evaluations of specific aspects of the relationship on days following more sleep. These findings suggest that sleep may offer self-regulatory benefits and should thus be incorporated into existing interpersonal models that highlight the importance of self-regulation. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  3. An Interdependent Look at Perceptions of Spousal Drinking Problems and Marital Outcomes

    Science.gov (United States)

    Rodriguez, Lindsey M.; Neighbors, Clayton

    2015-01-01

    Research indicates a bidirectional association between heavy alcohol use and marital quality among couples. The current research extends previous research on the role of interpersonal perception by examining how partner drinking and perceiving one’s partner’s drinking as problematic are associated with subsequent marital outcomes. Moreover, we evaluated how perceiving one’s partner to have a drinking problem was associated with marital functioning, and whether that association differed based on the partner’s actual drinking. Married couples (N = 123 dyads) with at least one spouse who consumed alcohol regularly completed measures of alcohol use and consequences, the perception that their spouse’s drinking was problematic, and marital adjustment (i.e., relationship satisfaction, commitment, and trust). Results from actor-partner interdependence models using structural equations modeling indicated that for husbands, partner heavy drinking was associated with lower adjustment. Additionally, for husbands, perceiving their spouse had a drinking problem was associated with lower adjustment for both themselves and their wives. Moreover, significant interactions between partner drinking and the perception of partner drinking problem on marital adjustment emerged, controlling for amount of consumption. Specifically, perceiving one’s partner’s drinking as a problem was only negatively associated with relationship adjustment if the partner reported higher levels of heavy drinking. This pattern was stronger for husbands. Results illustrate the importance of interpersonal perception, gender differences, and the use of dyadic data to model the complex dynamic between spouses with regard to alcohol use and how it affects relationship outcomes. PMID:26091752

  4. A Review of Marital Intimacy-Enhancing Interventions among Married Individuals.

    Science.gov (United States)

    Kardan-Souraki, Maryam; Hamzehgardeshi, Zeinab; Asadpour, Ismail; Mohammadpour, Reza Ali; Khani, Soghra

    2016-08-01

    Lack of intimacy is currently the main concern rather than main concern of the experts in psychology and counseling. It is considered as one of the most important causes for divorce and as such to improve marital intimacy a great number of interventions have been proposed in the literature. Intimacy training and counseling make the couples take effective and successful steps to increase marital intimacy. No study has reviewed the interventions promoting marital intimacy after marriage. Thus, this review study aimed to classify the articles investigating the impact of interventional programs on marital intimacy after marriage. In April 2015, we performed a general search in Google Scholar search engines, and then we did an advanced search the databases of Science Direct, ProQuest, SID, Magiran, Irandoc, Pubmed, Scopus, Cochrane Library, and Psych info; Cumulative Index to Nursing and Allied Health Literature (CINAHL). Also, lists of the references of the relevant articles were reviewed for additional citations. Using Medical Subject Headings (MESH) keywords: Intervention (Clinical Trials, Non-Randomized Controlled Trials, Randomized Controlled Trials, Education), intimacy, marital (Marriage) and selected related articles to the study objective were from 1995 to April 2015. Clinical trials that evaluated one or more behavioral interventions to improve marital intimacy were reviewed in the study. 39 trials met the inclusion criteria. Eleven interventions had follow-up, and 28 interventions lacked follow-up. The quality evidence for 22 interventions was low, for 15 interventions moderate, and for one intervention was considered high. Findings from studies were categorized in 11 categories as the intimacy promoting interventions in dimensions of emotional, psychological, physical, sexual, temporal, communicational, social and recreational, aesthetic, spiritual, intellectual intimacy, and total intimacy. Improving and promoting communication, problem solving, self

  5. A Review of Marital Intimacy-Enhancing Interventions among Married Individuals

    Science.gov (United States)

    Kardan-Souraki, Maryam; Hamzehgardeshi, Zeinab; Asadpour, Ismail; Mohammadpour, Reza Ali; Khani, Soghra

    2016-01-01

    Background: Lack of intimacy is currently the main concern rather than main concern of the experts in psychology and counseling. It is considered as one of the most important causes for divorce and as such to improve marital intimacy a great number of interventions have been proposed in the literature. Intimacy training and counseling make the couples take effective and successful steps to increase marital intimacy. No study has reviewed the interventions promoting marital intimacy after marriage. Thus, this review study aimed to classify the articles investigating the impact of interventional programs on marital intimacy after marriage. Search Methods: In April 2015, we performed a general search in Google Scholar search engines, and then we did an advanced search the databases of Science Direct, ProQuest, SID, Magiran, Irandoc, Pubmed, Scopus, Cochrane Library, and Psych info; Cumulative Index to Nursing and Allied Health Literature (CINAHL). Also, lists of the references of the relevant articles were reviewed for additional citations. Using Medical Subject Headings (MESH) keywords: Intervention (Clinical Trials, Non-Randomized Controlled Trials, Randomized Controlled Trials, Education), intimacy, marital (Marriage) and selected related articles to the study objective were from 1995 to April 2015. Clinical trials that evaluated one or more behavioral interventions to improve marital intimacy were reviewed in the study. Main Results: 39 trials met the inclusion criteria. Eleven interventions had follow-up, and 28 interventions lacked follow-up. The quality evidence for 22 interventions was low, for 15 interventions moderate, and for one intervention was considered high. Findings from studies were categorized in 11 categories as the intimacy promoting interventions in dimensions of emotional, psychological, physical, sexual, temporal, communicational, social and recreational, aesthetic, spiritual, intellectual intimacy, and total intimacy. Authors’ Conclusions

  6. Prenatal meditation influences infant behaviors.

    Science.gov (United States)

    Chan, Ka Po

    2014-11-01

    Meditation is important in facilitating health. Pregnancy health has been shown to have significant consequences for infant behaviors. In view of limited studies on meditation and infant temperament, this study aims to explore the effects of prenatal meditation on these aspects. The conceptual framework was based on the postulation of positive relationships between prenatal meditation and infant health. A randomized control quantitative study was carried out at Obstetric Unit, Queen Elizabeth Hospital in Hong Kong. 64 pregnant Chinese women were recruited for intervention and 59 were for control. Outcome measures were cord blood cortisol, infant salivary cortisol, and Carey Infant Temperament Questionnaire. Cord blood cortisol level of babies was higher in the intervention group (pmeditation can influence fetal health. Carey Infant Temperament Questionnaire showed that the infants of intervention group have better temperament (pmeditation in relation to child health. Present study concludes the positive effects of prenatal meditation on infant behaviors and recommends that pregnancy care providers should provide prenatal meditation to pregnant women. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

  7. What Happens during Prenatal Visits?

    Science.gov (United States)

    ... smoke, drink, or take drugs, and whether you exercise regularly. Ask about your stress level. Perform prenatal blood tests to do the ... increased risk of health problems during pregnancy? Will stress during pregnancy affect my ... minerals linked to problem with ovulation Release: Elevated blood pressure before pregnancy may increase chance ...

  8. Specificity of the Association between Marital Discord and Longitudinal Changes in Symptoms of Depression and Generalized Anxiety Disorder in the Irish Longitudinal Study on Ageing.

    Science.gov (United States)

    Whisman, Mark A; Robustelli, Briana L; Labrecque, Lindsay T

    2018-03-25

    This longitudinal study was conducted to evaluate actor and partner effects of marital discord on changes in symptoms of depression and generalized anxiety disorder (GAD) in a large population sample of Irish adults (N = 1,445 couples), adjusting for the potential confounds of quality of other social relationships and other psychopathology symptoms. The Actor-Partner Interdependence Model was used to examine actor and partner effects of marital discord on changes in symptoms of depression and GAD at a 2-year follow-up. Additional models examined these associations adjusting for family and friend discord and symptoms of the other type of psychopathology (depressive or GAD symptoms). Actor effects of marital discord on depressive and anxiety symptoms were greater for men than for women. There were significant, positive actor effects of marital discord on depressive symptoms for husbands and wives, which remained significant when adjusting for family and friend discord and GAD symptoms. There were significant, positive actor effects of marital discord on GAD symptoms for husbands, which remained significant when adjusting for family and friend discord and depressive symptoms. Results demonstrate that longitudinal associations between marital discord and depressive symptoms (for wives and husbands) and GAD symptoms (for husbands) are incremental to other rival explanations (family and friend discord and the other set of symptoms). Findings provide evidence for a potential causal association leading from marital discord to symptoms of depression and GAD. © 2018 Family Process Institute.

  9. 22 CFR 146.445 - Marital or parental status.

    Science.gov (United States)

    2010-04-01

    ... EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 146.445 Marital or parental status. (a) Status..., or marital status that treats students differently on the basis of sex. (b) Pregnancy and related...

  10. 45 CFR 86.40 - Marital or parental status.

    Science.gov (United States)

    2010-10-01

    ... BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 86.40 Marital or parental status... parental, family, or marital status which treats students differently on the basis of sex. (b) Pregnancy...

  11. 22 CFR 229.445 - Marital or parental status.

    Science.gov (United States)

    2010-04-01

    ... EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 229.445 Marital or parental status. (a) Status..., or marital status that treats students differently on the basis of sex. (b) Pregnancy and related...

  12. Marital History and the Burden of Cardiovascular Disease in Midlife

    Science.gov (United States)

    Zhang, Zhenmei

    2006-01-01

    This study examines the effects of marital history on the burden of cardiovascular disease in midlife. With use of data from the 1992 Health and Retirement Study, a series of nested logistic regression models was used to estimate the association between marital history and the likelihood of cardiovascular disease. Results suggest that, in midlife,…

  13. Work Identity and Marital Adjustment in Blue-Collar Men.

    Science.gov (United States)

    Gaesser, David L.; Whitbourne, Susan Krauss

    1985-01-01

    Investigated the relationship between work-identity and satisfaction and marital adjustment in 40 married male blue-collar workers, ages 25 to 41 years. Satisfaction with extrinsic work factors related to marital adjustment, while satisfaction with intrinsic work factors negatively related to secondary role salience. Age negatively related to…

  14. Marital Satisfaction and Depression as Predictors of Physical Health Status.

    Science.gov (United States)

    Weiss, Robert L.; Aved, Barbara M.

    1978-01-01

    Results indicate correlation between physical health status and depression was greater for wives than husbands. For wives, marital satisfaction and depression were related through uncontrolled variance in physical health status. For husbands, significant relationship between marital satisfaction and depression remained when physical health was…

  15. Non-marital cohabitation in the Republic of Serbia

    Directory of Open Access Journals (Sweden)

    Ranđelović Dragana

    2017-01-01

    Full Text Available Non-marital cohabitation, as a community of life of two people connected only by the feeling of love and desire for living together, without form and registration, is an institution as old as marriage. Throughout history, attitude of the legislator has been changing from forbidding to ignoring it. In our society there is a negative attitude towards non-marital cohabitations, which is the result of patriarchal ideas and customs. However, the Constitution of the Republic of Serbia and the Family Law equate marriage and non-marital cohabitation. In this paper, the author will try to determine to what extent in terms of effects the marital and non-marital cohabitation are equal, or to what extent the rights of non-marital partners are recognized. The subject of analysis are primarily the Constitution and Family law, but also many other regulations governing the issues relating to the rights and obligations of non-marital cohabitation partners. In fact, although Family law equalizes marriage and non-marital cohabitation, they are not equal either de facto or de jure. The author will try to point out the deficiencies in the legal regulations, the practical problems and suggest possible and better solutions.

  16. Relationship between Parenting Styles and Marital Adjustment of ...

    African Journals Online (AJOL)

    The data obtained from these instruments were subjected to multiple regression analysis using SPSS and the results showed that there was a low, positive and significant relationship between authoritative parenting style and marital adjustment. The relationship between authoritarian parenting style and marital adjustment ...

  17. The Impact of Job Insecurity on Marital and Family Relationships.

    Science.gov (United States)

    Larson, Jeffry H.; And Others

    1994-01-01

    Examined relationship between perceived stress resulting from job insecurity and marital and family functioning. Data from 111 married couples in which at least 1 spouse was working in insecure job environment showed that job insecurity stress was related in systematic way to marital and family dysfunction and number of family problems reported.…

  18. Marriage, sexuality, and holiness: Aspects of marital ethics in the ...

    African Journals Online (AJOL)

    Qumran, Jubilees) texts, this article outlines the marital concepts existing in the NT environment. In this context, the reciprocal community and the duration of the marital relationship are emphasized while sexuality remains wholly limited to reproduction. The core of the article offers a concrete analysis of texts from the Corpus ...

  19. Marital status behavior of women in the former Soviet Republics

    NARCIS (Netherlands)

    Scherbov, S; Darsky, L.

    1995-01-01

    This paper uses the most recent data and life table analysis to describe the marital behaviour of women in the republics of the former USSR. For the first time a multistate life table analysis was used to describe the marital careers of women from all the 15 republics. In the near future, such a

  20. Gender Ideology, Marital Disruption, and the Employment of Married Women.

    Science.gov (United States)

    Greenstein, Theodore N.

    1995-01-01

    A study of 3,284 married women hypothesizes that nontraditional working women are more likely to experience marital disruption than traditional working women. Number of hours of paid employment per week was negatively related to marital stability for women holding nontraditional gender ideologies but not for women with traditional views. (JPS)

  1. Gender-Wise Comparison on Emotional Intelligence and Marital ...

    African Journals Online (AJOL)

    The research aims at exploring and comparing the marital satisfaction and emotional intelligence of people between age 25-65. Tools used were namely Marital Satisfaction Scale (MSS) and Exploring Emotional Abilities (EEA). A fairly representative data of 316 respondents was collected from Maharashtra, India.

  2. marital status and occupation versus serum total cholesterol and hdl

    African Journals Online (AJOL)

    DR. AMIN

    ABSTRACT. The influence of marital status and occupation on serum total cholesterol (TC) and high density lipoprotein cholesterol (HDL – CH) concentrations was studied in sixty one (61) adult male and female Hausa subjects aged 20 – 50 years. Irrespective of marital status and occupation, female subjects had higher ...

  3. [Innovative Prenatal Testing: Clinical Applications and Ethical Considerations].

    Science.gov (United States)

    Huang, Mei-Chih; Lin, Shio-Jean; Chen, Chih-Ling; Huang, Tzu-Jung

    2017-10-01

    The biomedical technology related to prenatal screen/diagnosis has developed rapidly in recent decades. Many prenatal genetic examinations are now available to assist pregnant women to better understand the status and development of their fetus. Moreover, many commercial advertisements for innovative prenatal examinations are now shown in the media. Cell-free DNA Screening (cfDNA screening), a non-invasive prenatal testing (NIPT) procedure, is a safe and high accuracy test that may be done at an earlier gestational age to screen for fetal aneuploidy. The following questions should be considered when applying cfDNA screening in clinical practice: 1. what is cfDNA screening, 2. who are its potential users, and 3. what ethical and policy considerations are associated with this examination? This article provides relevant information, clinical practice guidelines, and ethical / policy considerations related to cfDNA screening. Discussing cases involving different clinical situations helps promote understanding of cfDNA screening and maternal-care quality.

  4. Using an electronic medical record to improve communication within a prenatal care network.

    Science.gov (United States)

    Bernstein, Peter S; Farinelli, Christine; Merkatz, Irwin R

    2005-03-01

    In 2002, the Institute of Medicine called for the introduction of information technologies in health care settings to improve quality of care. We conducted a review of hospital charts of women who delivered before and after the implementation of an intranet-based computerized prenatal record in an inner-city practice. Our objective was to assess whether the use of this record improved communication among the outpatient office, the ultrasonography unit, and the labor floor. The charts of patients who delivered in August 2002 and August 2003 and received their prenatal care at the Comprehensive Family Care Center at Montefiore Medical Center were analyzed. Data collected included the presence of a copy of the prenatal record in the hospital chart, the date of the last documented prenatal visit, and documentation of any prenatal ultrasonograms performed. Forty-three charts in each group were available for review. The prenatal chart was absent in 16% of the charts of patients from August 2002 compared with only 2% in August 2003 charts (P intranet-based prenatal chart significantly improves communication among providers.

  5. Marital Conflict in Older Couples: Positivity, Personality, and Health

    Science.gov (United States)

    Iveniuk, James; Waite, Linda J.; McClintock, Martha K.; Teidt, Andrew D.

    2016-01-01

    We examine the implications of health and personality characteristics for late-life marital conflict, using data from the 2010–11 wave of the National Social Life Health and Aging Project (NSHAP), a nationally representative study with data on both partners in 955 marital and cohabitational dyads. Using these data, we relate characteristics of husbands to characteristics of their wives, and vice versa. Wives with husbands in fair or poor physical health are more likely to report high levels of marital conflict, but the reverse is not true. Similarly, wives report more conflict when their husbands are high on Neuroticism, high on Extraversion, and low on a new measure we call Positivity. Our findings point to noteworthy gender differences between men and women in the associations between individual characteristics and levels of marital conflict. We point to differences between husbands’ and wives’ marital roles as a contributor to these differences. PMID:27274569

  6. Demand-Withdraw Patterns in Marital Conflict in the Home.

    Science.gov (United States)

    Papp, Lauren M; Kouros, Chrystyna D; Cummings, E Mark

    2009-06-01

    The present study extended laboratory-based findings of demand-withdraw communication into marital conflict in the home and further explored its linkages with spousal depression. U.S. couples (N = 116) provided diary reports of marital conflict and rated depressive symptoms. Hierarchical linear modeling results indicated that husband demand-wife withdraw and wife demand-husband withdraw occurred in the home at equal frequency, and both were more likely to occur when discussing topics that concerned the marital relationship. For both patterns, conflict initiator was positively linked to the demander role. Accounting for marital satisfaction, both demand-withdraw patterns predicted negative emotions and tactics during marital interactions and lower levels of conflict resolution. Spousal depression was linked to increased likelihood of husband demand-wife withdraw.

  7. Perceptions of marital interaction among black and white newlyweds.

    Science.gov (United States)

    Oggins, J; Veroff, J; Leber, D

    1993-09-01

    Perceptions of marital interactions were gathered from a representative sample of urban newlywed couples (199 Black and 174 White). A factor analysis of the reports found 6 factors common to husbands and wives: Disclosing Communication, Affective Affirmation, Negative Sexual Interaction, Traditional Role Regulation, Destructive Conflict, and Constructive Conflict. Avoiding Conflict was specific to men and Positive Coorientation was specific to women. Wives reported fewer constructive and more destructive conflict behaviors. Compared with Whites, Blacks reported more disclosure, more positive sexual interactions, and fewer topics of disagreement. They also more often reported leaving the scene of conflict and talking with others more easily than with the spouse. As hypothesized, perceptions that marital interactions affirm one's sense of identity strongly predicted marital well-being. Although regression analyses predicting marital happiness yielded few interactions with race or gender, those that are significant, coupled with race and gender differences in perceiving interaction, suggest taking a contextual orientation to the meaning of marital interaction.

  8. Prenatal genetic testing, counseling and follow-up of 33 Egyptian pregnant females with history of mucopolysaccharidoses

    Directory of Open Access Journals (Sweden)

    Khaled R. Gaber

    2015-04-01

    Conclusion: Early prenatal screening and diagnosis, through a systematic multidisciplinary approach, to all cases of mucopolysaccharidoses are recommended, to improve the quality of life and to avoid the presence of other associated fetal developmental malformations.

  9. Burning the Candle at Both Ends: Extramarital Sex as a Precursor of Marital Disruption.

    Science.gov (United States)

    Demaris, Alfred

    2013-11-01

    This study examines several aspects of the association between engaging in extramarital sex and the disruption of one's marriage. In particular: is there a differential effect on disruption depending on the gender of the perpetrator? Is the effect of infidelity primarily due to its negative impact on marital quality and one's resistance to divorce? Are there characteristics of marriages that condition the effect of infidelity? Panel data on 1621 respondents followed from 1980 - 2000 in the Marital Instability Over the Life Course survey were utilized to answer these questions. Interval-censored Cox regression analysis revealed several noteworthy findings. Reports of problems due to extramarital involvement were strongly related to marital disruption, even holding constant the quality of the marriage. Although men were about three times more likely to be the cheating spouse, there was no difference in the effect of an affair on the marriage according to gender of the cheater. Approximately 40% of the effect of extramarital sex on disruption is accounted for by the mediating factors. Two moderators of infidelity's positive effect on disruption were found: the effect was substantially stronger for very religious couples, but weaker when the wife was in the labor force.

  10. Adequate and Ever Use of Prenatal Care in Fars Province 2000-2010

    Directory of Open Access Journals (Sweden)

    Aliyar Ahmadi

    2016-10-01

    Full Text Available Abstract Background: Prenatal care consists of a series of clinical visits and services offered to pregnant women throughout the antepartum period. Despite advances in the extent of prenatal care use in Iran, some women still avoid using these services. It is, therefore, very important to investigate the prevalence of prenatal care use, and to identify the factors associated with it. This study analyzes prenatal care use in Fars Province between 2000 and 2010, identifying the associations between women’s demographic and socio-economic characteristics and prenatal care use. Methods: The study is quantitative and based on secondary data drawn from IDHS 2000 and MIDHS 2010. The sample consisted of 765 individuals from Fars Province. The data were weighted to reflect the characteristics of the rural-urban population. Statistical analyses were carried out using SPSS-18. In the inferential analysis, bivariate and multivariate logistic regressions were applied. Results: It was indicated that both the quantity and quality of prenatal care increased during 2000–2010. Obstetricians and gynecologists became the primary reference point for women accessing healthcare during this period. Our study indicates that, in the final analytical model, the educational attainment (OR=1.32, P=0.035, urban place of residence (OR=10.49, P=0.003, sanitary and health status of households (OR=5.04, P<0.001, and knowledge of family planning (OR=1.14, P<0.001 were significantly related to the use of prenatal care. Conclusion: Women who do not have access to prenatal care are mainly from families with low socio-economic status. Thus socially vulnerable groups receive deficient prenatal care, indicating the need for government investment and planning in a comprehensive insurance system.

  11. Direct and indirect effects of unilateral divorce law on marital stability.

    Science.gov (United States)

    Kneip, Thorsten; Bauer, Gerrit; Reinhold, Steffen

    2014-12-01

    Previous research examining the impact of unilateral divorce law (UDL) on the prevalence of divorce has provided mixed results. Studies based on cross-sectional cross-country/cross-state survey data have received criticism for disregarding unobserved heterogeneity across countries, as have studies using country-level panel data for failing to account for possible mediating mechanisms at the micro level. We seek to overcome both shortcomings by using individual-level event-history data from 11 European countries (SHARELIFE) and controlling for unobserved heterogeneity over countries and cohorts. We find that UDL in total increased the incidence of marital breakdown by about 20 %. This finding, however, neglects potential selection effects into marriage. Accordingly, the estimated effect of unilateral divorce laws becomes much larger when we control for age at marriage, which is used as indicator for match quality. Moreover, we find that UDL particularly affects marital stability in the presence of children.

  12. Effects of marital conflict on subsequent triadic family interactions and parenting.

    Science.gov (United States)

    Kitzmann, K M

    2000-01-01

    This study examined marital conflict's indirect effects on children through disruptions in family alliances and parenting. Forty married couples were observed interacting with their 6-8-year-old sons after pleasant and conflictual discussions. After conflictual discussion, fathers showed lower support/engagement toward sons, and coparenting styles were less democratic. Couple negativity was correlated with family negativity, regardless of the topic of discussion, which suggests continuity in the affective quality of the two family subsystems. Mothers' marital satisfaction moderated families' responses to the experimental manipulation. The results provide stronger evidence than previously available of a causal link between conflict and disrupted parenting. Further research is needed to identify which conflict-related disruptions in parenting influence the development of children's problems.

  13. Infant mortality and prenatal care: contributions of the clinic in the light of Canguilhem and Foucault.

    Science.gov (United States)

    Figueiredo, Paula Pereira de; Lunardi Filho, Wilson Danilo; Lunardi, Valéria Lerch; Pimpão, Fernanda Demutti

    2012-01-01

    This review study aimed to verify how studies conducted in Brazil have related infant mortality to prenatal care and to present contributions of the clinic in the light of Canguilhem and Foucault for qualification of the care. An integrative literature review was conducted from searches in the databases SciELO, LILACS, MEDLINE and BDENF for the period 2000 to 2009. The relationship between infant mortality and prenatal care is related to the insufficient number of consultations or to the quality of the care provided. Even when the number of and routine consultations in the prenatal care were adequate, avoidable deaths were present. For the qualification of prenatal care, it is suggested that the clinical knowledge and other elements that comprise the process of human living are considered, in order that the clinical view is enlarged and articulated to the technologies available in the health system and, together, they are able to contribute to the reduction of infant mortality in Brazil.

  14. Exploring disparities in prenatal care between refugees and local South African women.

    Science.gov (United States)

    Kibiribiri, Edith T; Moodley, Dhayendre; Groves, Allison K; Sebitloane, Motshedisi H

    2016-02-01

    To explore possible disparities in prenatal care between refugees and South African women attending public health facilities in an urban setting in South Africa. A cross-sectional, mixed methods study was conducted at four public health clinics providing prenatal services in Durban between January 29, 2013, and June 15, 2013. Pretested client-satisfaction questionnaires were administered to 200 women attending immunization services at the clinics whose infants were aged 6 months or younger. An additional 16 refugees participated in in-depth interviews. Finally, a maternity chart audit was conducted to compare the quality of basic prenatal care. Among the women enrolled, 78 (39.0%) were refugees and 122 (61.0%) were South African citizens. Dissatisfaction was reported by 23 (19.3%) of 119 citizens and 32 (43.2%) of 74 refugees (Prefugees, 37 citizens) did not reveal significant disparities in the quality of prenatal care. The most recurring categories arising in the in-depth interviews were linguistic barriers and the challenges faced when using informal interpreters. There were no significant disparities in prenatal care; however, refugees unable to communicate in the local languages reported that they were not provided with relevant health information and occasionally faced restricted access to prenatal services. Copyright © 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  15. Psychological Effect of Prenatal Diagnosis of Cleft Lip and Palate: A Systematic Review.

    Science.gov (United States)

    Sreejith, V P; Arun, V; Devarajan, Anooj P; Gopinath, Arjun; Sunil, Madhuri

    2018-01-01

    Cleft lip and/or palate is the most common congenital craniofacial anomaly. Prenatal diagnosis of the craniofacial anomalies is possible with the advent of newer imaging modalities. The identification of the defect at an early stage in the pregnancy helps the parents to be well informed and counseled regarding the treatment possibilities and outcomes of cleft lip and palate (CLP) treatment. To analyze the psychological effects of prenatal diagnosis of CLP on the parents. PubMed, Cochrane, and Google Scholar searches were made with search strings "prenatal diagnosis cleft lip palate," "antenatal diagnosis," "anomaly scan," "psychological effect cleft lip palate," and "prenatal counseling cleft lip palate." Of the results obtained, studies which evaluated the psychological aspects of parents of cleft children were further included in the study. Electronic search yielded 500 articles after duplication removal. Forty studies concentrated on the results of the scan and their implications predominantly in the diagnosis and management of cleft and other related abnormalities. Eight studies discussed the effects of prenatal diagnosis and counseling on the parents. Prenatal diagnosis enables appropriate and timely counseling of the parents by the cleft team and helps instill a sense of preparedness for the family which highly improves the quality of treatment received by the child enabling a near-to-normal quality and standard of life.

  16. Marital Relationship and Its Associated Factors in Veterans Exposed to High Dose Chemical Warfare Agents

    Directory of Open Access Journals (Sweden)

    Shervin Assari

    2008-06-01

    Full Text Available Objective: The aim of this study was to determine the associates of marital relationship in mustard exposed veterans.Materials and Methods: Two hundred ninety two married Iranian mustard exposed veterans, who had been exposed to single high dose mustard gas in Iraq-Iran war, were assessed for marital adjustment with Revised Dyadic Adjustment Scale (RDAS. Census sampling was done. The patients' quality of life (SF-36, spirometric measures and war related data were also extracted.Results: A total of 189 subjects (65% completed our study. The mean (±SD of the RDAS Total score, RDAS Dyadic Consensus , RDAS Affectional Expression, RDAS Dyadic Satisfaction , and RDAS Dyadic Cohesion were 50.61 (8.16, 16.67 (2.77, 7.62 (1.84, 14.76 (3.39, and 11.54 (3.79, respectively. RDAS Dyadic satisfaction was correlated with SF-36 and all its sub-scores (p<0.05. RDAS total score showed significant correlation with SF-36 total score and most of its sub-scores (p<0.05. RDAS affective expression was significantly correlated with role limitation, social function, general mental health, vitality, General health perceptions, physical composite score (PCS and mental composite score (MCS (p<0.05. RDAS dyadic consensus was not correlated with any SF-36 sub-scores.Conclusion: Veterans health team including physicians, psychologists and/or psychiatrists should know that poorer marital satisfaction is linked with lower quality of life scores, late after mustard exposure, although marital relationship is independent of spirometric findings, age, duration from exposure and comorbidity score.

  17. Prenatal Screening Using Maternal Markers

    Directory of Open Access Journals (Sweden)

    Howard Cuckle

    2014-05-01

    Full Text Available Maternal markers are widely used to screen for fetal neural tube defects (NTDs, chromosomal abnormalities and cardiac defects. Some are beginning to broaden prenatal screening to include pregnancy complications such as pre-eclampsia. The methods initially developed for NTDs using a single marker have since been built upon to develop high performance multi-maker tests for chromosomal abnormalities. Although cell-free DNA testing is still too expensive to be considered for routine application in public health settings, it can be cost-effective when used in combination with existing multi-maker marker tests. The established screening methods can be readily applied in the first trimester to identify pregnancies at high risk of pre-eclampsia and offer prevention though aspirin treatment. Prenatal screening for fragile X syndrome might be adopted more widely if the test was to be framed as a form of maternal marker screening.

  18. Prenatal Diagnosis of Osteogenesis Imperfecta

    Directory of Open Access Journals (Sweden)

    Özgür Özyüncü

    2010-04-01

    Full Text Available Skeletal dysplasias are a group of diseases with a wide spectrum related to bone and cartilage. Some forms are lethal whereas some forms have milder clinical progression. Prenatal diagnosis of skeletal dysplasias may be possible especially when there is an index case in the family. Ultrasonography plays the central role in prenatal diagnosis and most common sonographic features are angulation of long bones, bending of femur or bowing signin the long bones. We present a case whose follow up for fetal short extremities ended with termination of pregnancy. The differential diagnosis is hard and depend especially on the fetal x-ray. Final diagnosis was lethal type osteogenesis imperfecta.

  19. Prenatal diagnosis of arachnoid cyst

    Directory of Open Access Journals (Sweden)

    Korkut Daglar

    2016-12-01

    Full Text Available Arachnoid cysts are rare, usually benign, space-occupying central nervous system lesion. They are the results of an accumulation of cerebrospinal-like fluid between the cerebral meninges and diagnosed prenatally as a unilocular, simple, echolucent area within the fetal head. They may be primary (congenital (maldevelopment of the meninges or secondary (acquired (result of infection trauma, or hemorrhage. The primary ones typically dont communicate with the subarachnoid space whereas acquired forms usually communicate. In recent years, with the development of radiological techniques, the clinical detectability of arachnoid cysts seems to have increased. We report a case of primary arachnoid cyst that were diagnosed prenatally by using ultrasonography and magnetic resonance imaging . [Cukurova Med J 2016; 41(4.000: 792-795

  20. Radioimmunoassays in prenatal genetic diagnosis

    International Nuclear Information System (INIS)

    Santavy, J.; Janouskova, M.; Fingerova, H.; Krikal, Z.

    1981-01-01

    Prenatal medicine strives to reveal hereditary disorders and congenital malformations before delivery. The application of RIA significantly widened the spectrum of available diagnostic possibilities. We first focused our attention on determining alpha-1-fetoprotein in the amniotic fluid and the serum. We used the results of 33 examinations of the amniotic fluid and 100 samples of the blood serum to compile a graph of physiological values during pregnancy. The graph is used in assessing clinical samples in suspect congenital disorders of neural tube closure and other malformations. In the last two years we have tested testosterone determination in the amniotic fluid to ascertain prenatally the fetal sex in early pregnancy. The results were satisfactory and agreed in 70.6%. (author)

  1. Prenatal diagnosis of boomerang dysplasia.

    Science.gov (United States)

    Wessels, Marja W; Den Hollander, Nicolette S; De Krijger, Ronald R; Bonifé, Luisa; Superti-Furga, Andrea; Nikkels, Peter G; Willems, Patrick J

    2003-10-01

    Boomerang dysplasia, atelosteogenesis type 1 and Piepkorn dysplasia are bone dysplasias with an overlapping clinical spectrum characterized by deficient formation and ossification of specific elements of the skeleton. Typical symptoms include micromelia with diminished ossification, and a characteristic bowed and boomerang-like aspect of the long tubular bones. We report here a new case of boomerang dysplasia, which was detected prenatally in the 16th week of gestation by ultrasound. Copyright 2003 Wiley-Liss, Inc.

  2. Ovarian cysts on prenatal MRI

    International Nuclear Information System (INIS)

    Nemec, Ursula; Nemec, Stefan F.; Bettelheim, Dieter; Brugger, Peter C.; Horcher, Ernst; Schöpf, Veronika; Graham, John M.; Rimoin, David L.; Weber, Michael; Prayer, Daniela

    2012-01-01

    Objective: Ovarian cysts are the most frequently encountered intra-abdominal masses in females in utero. They may, at times, require perinatal intervention. Using magnetic resonance imaging (MRI) as an adjunct to ultrasonography (US) in prenatal diagnosis, we sought to demonstrate the ability to visualize ovarian cysts on prenatal MRI. Materials and methods: This retrospective study included 17 fetal MRI scans from 16 female fetuses (23–37 gestational weeks) with an MRI diagnosis of ovarian cysts after suspicious US findings. A multiplanar MRI protocol was applied to image and to characterize the cysts. The US and MRI findings were compared, and the prenatal findings were compared with postnatal imaging findings or histopathology. Results: Simple ovarian cysts were found in 10/16 cases and complex cysts in 7/16 cases, including one case with both. In 11/16 (69%) cases, US and MRI diagnoses were in agreement, and, in 5/16 (31%) cases, MRI specified or expanded the US diagnosis. In 6/16 cases, postnatal US showed that the cysts spontaneously resolved or decreased in size, and in 1/16 cases, postnatal imaging confirmed a hemorrhagic cyst. In 4/16 cases, the prenatal diagnoses were confirmed by surgery/histopathology, and for the rest, postnatal correlation was not available. Conclusion: Our results illustrate the MRI visualization of ovarian cysts in utero. In most cases, MRI will confirm the US diagnosis. In certain cases, MRI may provide further diagnostic information, additional to US, which is the standard technique for diagnosis, monitoring, and treatment planning.

  3. Ovarian cysts on prenatal MRI

    Energy Technology Data Exchange (ETDEWEB)

    Nemec, Ursula [Department of Radiology, Division of Neuroradiology and Musculoskeletal Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Nemec, Stefan F., E-mail: stefan.nemec@meduniwien.ac.at [Department of Radiology, Division of Neuroradiology and Musculoskeletal Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Medical Genetics Institute, Cedars Sinai Medical Center, 8700 Beverly Boulevard, PACT Suite 400, Los Angeles, CA 90048 (United States); Bettelheim, Dieter [Department of Obstetrics and Gynaecology, Division of Prenatal Diagnosis and Therapy, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Brugger, Peter C. [Center of Anatomy and Cell Biology, Integrative Morphology Group, Medical University Vienna, Waehringerstrasse 13, A-1090 Vienna (Austria); Horcher, Ernst [Department of Pediatric Surgery, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Schoepf, Veronika [Department of Radiology, Division of Neuroradiology and Musculoskeletal Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Graham, John M.; Rimoin, David L. [Medical Genetics Institute, Cedars Sinai Medical Center, 8700 Beverly Boulevard, PACT Suite 400, Los Angeles, CA 90048 (United States); Weber, Michael; Prayer, Daniela [Department of Radiology, Division of Neuroradiology and Musculoskeletal Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria)

    2012-08-15

    Objective: Ovarian cysts are the most frequently encountered intra-abdominal masses in females in utero. They may, at times, require perinatal intervention. Using magnetic resonance imaging (MRI) as an adjunct to ultrasonography (US) in prenatal diagnosis, we sought to demonstrate the ability to visualize ovarian cysts on prenatal MRI. Materials and methods: This retrospective study included 17 fetal MRI scans from 16 female fetuses (23-37 gestational weeks) with an MRI diagnosis of ovarian cysts after suspicious US findings. A multiplanar MRI protocol was applied to image and to characterize the cysts. The US and MRI findings were compared, and the prenatal findings were compared with postnatal imaging findings or histopathology. Results: Simple ovarian cysts were found in 10/16 cases and complex cysts in 7/16 cases, including one case with both. In 11/16 (69%) cases, US and MRI diagnoses were in agreement, and, in 5/16 (31%) cases, MRI specified or expanded the US diagnosis. In 6/16 cases, postnatal US showed that the cysts spontaneously resolved or decreased in size, and in 1/16 cases, postnatal imaging confirmed a hemorrhagic cyst. In 4/16 cases, the prenatal diagnoses were confirmed by surgery/histopathology, and for the rest, postnatal correlation was not available. Conclusion: Our results illustrate the MRI visualization of ovarian cysts in utero. In most cases, MRI will confirm the US diagnosis. In certain cases, MRI may provide further diagnostic information, additional to US, which is the standard technique for diagnosis, monitoring, and treatment planning.

  4. Prenatal diagnosis of horseshoe lung and esophageal atresia

    International Nuclear Information System (INIS)

    Goldberg, Shlomit; Ringertz, Hans; Barth, Richard A.

    2006-01-01

    We present a case of horseshoe lung (HL) and esophageal atresia suspected prenatally on US imaging and confirmed with fetal MRI. Prenatal diagnosis of HL and esophageal atresia allowed for prenatal counseling and informed parental decisions. (orig.)

  5. Prenatal diagnosis of horseshoe lung and esophageal atresia

    Energy Technology Data Exchange (ETDEWEB)

    Goldberg, Shlomit; Ringertz, Hans [Stanford University School of Medicine, Radiology Department, Stanford, CA (United States); Barth, Richard A. [Stanford University School of Medicine, Radiology Department, Stanford, CA (United States); Lucile Packard Children' s Hospital, Radiology, Palo Alto, CA (United States)

    2006-09-15

    We present a case of horseshoe lung (HL) and esophageal atresia suspected prenatally on US imaging and confirmed with fetal MRI. Prenatal diagnosis of HL and esophageal atresia allowed for prenatal counseling and informed parental decisions. (orig.)

  6. Prenatal and Postnatal Management of Hydronephrosis

    Science.gov (United States)

    Rao, Pravin K.; Palmer, Jeffrey S.

    2009-01-01

    The majority of pregnant women in the U.S. undergo prenatal ultrasonography and approximately 0.5% of these examinations will detect fetal malformations. Up to one-half of these abnormalities include the genitourinary system and the most common urological finding is hydronephrosis. Some conditions associated with prenatal hydronephrosis portend a poor prognosis, while others can follow a fairly benign course. This review focuses on the definition and prenatal assessment of hydronephrosis, fetal intervention, and postnatal management. PMID:19618087

  7. Prenatal ultrasound diagnosis of omphalocele

    International Nuclear Information System (INIS)

    Rio Romero, Luskenia del; Blanco Figueredo, Nadia; Rodriguez Dominguez, Zulay

    2014-01-01

    Omphalocele is an abdominal wall defect at the midline characterized by herniation of abdominal contents and covered by peritoneum and amnion. The aim of this paper is to present a case of omphalocele with gestational age of 23 weeks and prenatal diagnosis by ultrasonography. Using ultrasound diagnosis in a patient inquest made 40 years of age in the second trimester (gestational age 23 weeks) showed a level of the anterior fetal echogenic image that sticks through the abdominal wall and then locate the cord umbilical. Stomach is seen displaced and loss of normal anatomy of the abdominal circumference. Genetic counseling was conducted at the Municipal Center for Genetics of Manzanillo. Pathologically the fetus presented short and wide neck, low-set ears, defect omphalomesenteric of ductal closure, hernia sac occupied by the caudate lobe of the liver and gallbladder bed, wide base heart dissection showing cava-cava absence of interventricular septum was observed pulmonary valve stenosis most dilation of supravalvular pulmonary artery, large defect and aorta intraventricular septum ride, which speaks in favor of a heart rate troncoconal fallop trilogy over the omphalocele. Prenatal diagnosis by ultrasonography is an efficient and reliable method for prenatal diagnosis of omphalocele

  8. [Recent advances in prenatal diagnostics].

    Science.gov (United States)

    Lapaire, O; Holzgreve, W; Miny, P; Hösli, I; Hahn, S; Tercanli, S

    2006-11-01

    During the last years, technical improvements have increased the possibilities in prenatal ultrasound. During the eighties and nineties, fetal malformations were increasingly detected and specified. Since a few years, the measurement of the fetal nuchal translucency between 11 and 14 weeks of gestation has been implemented to calculate the individual risk, in combination with most recent biochemical markers. Today, the sonographic measurement of the nuchal translucency is regarded as a valuable screening tool for chromosomal anomalies in prenatal medicine. Beside standardized examinations, a profound information and counseling of the pregnant women should be emphasized. With the improvement of the specific maternal risk calculation, using the sonographic measurement of the nuchal translucency, the biochemical markers and the maternal age, unnecessary invasive examinations may be prevented and their overall number can significantly be reduced. The same trend is seen in the whole field of prenatal medicine, illustrated by the detection of the fetal rhesus D status from the maternal blood and the use of Doppler ultrasound in the management of fetal anemia.

  9. Marital conflict in early childhood and adolescent disordered eating: emotional insecurity about the marital relationship as an explanatory mechanism.

    Science.gov (United States)

    George, Melissa W; Fairchild, Amanda J; Mark Cummings, E; Davies, Patrick T

    2014-12-01

    Disordered eating behaviors, including frequent dieting, unhealthy weight control behaviors (e.g., vomiting and skipping meals for weight loss) and binge eating are prevalent among adolescents. While negative, conflict-ridden family environments have long been implicated as problematic and a contributing factor to the development of disordered eating, few studies have examined the influence of marital conflict exposure in childhood to understand the development of these behaviors in adolescence. The current study investigates the impact of marital conflict, children's emotional insecurity about the marital relationship, and disordered eating behaviors in early adolescence in a prospective, longitudinal study of a community sample of 236 families in Midwest and Northeast regions of the U.S. Full structural mediation analyses utilizing robust latent constructs of marital conflict and emotional insecurity about the marital relationship, support children's emotional insecurity as an explanatory mechanism for the influence of marital conflict on adolescent disordered eating behaviors. Findings are discussed with important implications for the long-term impact of marital conflict and the development of disordered eating in adolescence. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Prenatal Diagnosis of Congenital Adrenal Hyperplasia.

    Science.gov (United States)

    Yau, Mabel; Khattab, Ahmed; New, Maria I

    2016-06-01

    Congenital adrenal hyperplasia (CAH) owing to 21-hydroxylase deficiency is a monogenic disorder of adrenal steroidogenesis. To prevent genital ambiguity, in girls, prenatal dexamethasone treatment is administered early in the first trimester. Prenatal genetic diagnosis of CAH and fetal sex determination identify affected female fetuses at risk for genital virilization. Advancements in prenatal diagnosis are owing to improved understanding of the genetic basis of CAH and improved technology. Cloning of the CYP21A2 gene ushered in molecular genetic analysis as the current standard of care. Noninvasive prenatal diagnosis allows for targeted treatment and avoids unnecessary treatment of males and unaffected females. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. The effect of marital status on pregnancy outcome in Israel: a retrospective case-control study.

    Science.gov (United States)

    Lurie, Samuel; Zalmanovitch, Anath; Golan, Abraham; Sadan, Oscar

    2010-12-01

    Previous studies have observed an association between unmarried status of the mother and adverse perinatal outcome such as increased rate of preterm deliveries, low birthweight and small-for-gestational-age infants. In Israel, attendance of prenatal care is imposed by the state and is not related to socioeconomic status; therefore, unmarried women are expected to have a similar prenatal care as married women. The objective of this study is to test the hypothesis that unmarried and married pregnant women have a similar perinatal outcome. In a retrospective case-control study, analysis of the records of women who gave birth at the delivery ward of Edith Wolfson Medical Center (a tertiary health care center) over a one-year period (2005) with respect to marital status was performed. The cases group included 304 unmarried women who were matched with 1:1 ratio for maternal age, parity, and number of fetuses in the current pregnancy. Unmarried women (n = 304) were more likely to smoke during pregnancy (35.2% vs 15.2%, P vs 54.4 ± 4.4 min, P vs 421.0 ± 25.3 min P unmarried women had similar length of gestation, preterm delivery rate, mode of delivery, low birthweight rates, low Apgar scores or meconium passage during labor as married women. In Israel, unmarried and married pregnant women may have almost similar pregnancy outcomes on length of gestation, mode of delivery and Apgar score. © 2010 The Authors. Journal of Obstetrics and Gynaecology Research © 2010 Japan Society of Obstetrics and Gynecology.

  12. A Call to Revisit the Prenatal Period as a Focus for Action Within the Reproductive and Perinatal Care Continuum.

    Science.gov (United States)

    Handler, Arden; Johnson, Kay

    2016-11-01

    Objectives The broad maternal and child health community has witnessed increased attention to the entire continuum of reproductive and perinatal health concerns over the past few years. However, both recent discouraging trends in prenatal care access and utilization and a renewed understanding of prenatal care as a critical anchor of the reproductive/perinatal health continuum for women who do get pregnant demand a new effort to focus on the prenatal period as a gateway for maternal and infant health. Methods This commentary: describes the Medicaid expansions and the momentum for universal access to prenatal care of the 1980-1990s; examines the pivot away from this goal and its aftermath; provides a rationale for why renewed attention to prenatal care and the prenatal period is essential; and, explores the potential focus of an updated prenatal care agenda. Conclusion We conclude that increasing women's access to high quality prenatal care will require substantial effort at the clinical, community, policy, and system levels. Only when attention is paid to all phases of the reproductive/perinatal health continuum with an emphasis on continuity between all periods, and on the social determinants that affect health and well-being, will our nation be able to ensure the health of all women across the life course (whether or not they ever become mothers), while simultaneously fulfilling our nation's promise that all children-no matter their income or race/ethnicity-will have the opportunity to be born well.

  13. Effect of Family Structure on Marital Attitudes of Adolescents.

    Science.gov (United States)

    Ganong, Lawrence; And Others

    1981-01-01

    Assesses the effect of exposure to different family structures (single parent families, reconstituted families, intact families) on the marital socialization of 127 males and 194 female adolescents. (Author/CM)

  14. Human Fertility Increases with the Marital-radius

    DEFF Research Database (Denmark)

    Labouriau, Rodrigo; Amorim, António

    2008-01-01

    We report a positive association between marital radius (distance between mates' birthplaces) and fertility detected in a large population. Spurious association due to socioeconomic factors is discarded by a conditional analysis involving income, education, and urbanicity. Strong evidence...

  15. Indirect Estimation of Selected Measures of Fertility and Marital ...

    African Journals Online (AJOL)

    DLHS6

    2018-01-09

    Jan 9, 2018 ... marital status distribution data of India especially of the 2011 census in deriving indirectly the fertility measures .... 2011 Census, Economic and Political weekly, EPW Vol. ... Indirect Estimates of Total Fertility Rate Using Child.

  16. Self-Esteem, Coping Efforts and Marital Adjustment

    Directory of Open Access Journals (Sweden)

    Claude Bélanger

    2014-11-01

    Full Text Available The main objective of this study is to investigate the relationship between self-esteem, specific coping strategies and marital adjustment. The sample consists of 216 subjects from 108 couples who completed the Dyadic Adjustment Scale, the Rosenberg Self-Esteem Scale and the Ways of Coping Checklist. The results confirm the presence of a relationship between self-esteem, specific coping strategies and marital adjustment in men and women. High self-esteem and marital adjustment are associated with the use of problem solving strategies and less avoidance as a way of coping. Moreover, cross analyses reveal that one’s feelings of self-worth are associated with his/her spouse's marital adjustment. The theoretical implications of these results are discussed.

  17. Kin Group Affiliation and Marital Violence Against Women in Ghana.

    Science.gov (United States)

    Sedziafa, Alice Pearl; Tenkorang, Eric Y

    2016-01-01

    The socialization of men and women in Ghana often confers either patrilineal or matrilineal rights, privileges, and responsibilities. Yet, previous studies that explored domestic and marital violence in sub-Saharan Africa, and Ghana, paid less attention to kin group affiliation and how the power dynamics within such groups affect marital violence. Using the 2008 Ghana Demographic and Health Survey and applying ordinary least squares (OLS) techniques, this study examined what influences physical, sexual, and emotional violence among matrilineal and patrilineal kin groups. Results indicate significant differences among matrilineal and patrilineal kin groups regarding marital violence. Socioeconomic variables that capture feminist and power theories were significantly related to sexual and emotional violence in matrilineal societies. Also, variables that tap both cultural and life course epistemologies of domestic violence were strongly related to physical, sexual, and emotional violence among married women in patrilineal kin groups. Policymakers must pay attention to kin group affiliation in designing policies aimed at reducing marital violence among Ghanaian women.

  18. Influence of hyperprotection (overexactness on marital problems

    Directory of Open Access Journals (Sweden)

    Sergey A. Kapustin

    2016-03-01

    Full Text Available As it was mentioned in one of the previous papers, basic styles of parenting in families with parent-child problems were hyperprotection and overexactness. Another paper described a new so-called existential criterion of normal and abnormal personality based on the works of Erich Fromm. Applying this criterion to personality evaluation of overprotecting and overexacting parents in families with parent-child problems showed that their personality could be identified as abnormal. Research on the influence of hyperprotection and overexactness at children personality development in these families, where existential criterion was also applied, showed that these parenting styles contribute to promoting child specific abnormal personality types: oriented on external assistance, oriented on compliance with other people’s requirements and oriented on protest against such compliance. In the present study, the direct or indirect hyperprotection or overexactness in 80 per cent of cases was observed. Direct hyperprotection or overexactness means that theyare clearly determined in relationship of the married couple. Indirect hyperprotection or overexactness indicates that the couple has abnormal personality types that date have roots in the childhood under the influence of the hyperprotection and overexactness. Classification of these cases was developed, based on various types of direct or indirect input of hyperprotection and overexactness in emerging marital problems. A variety of problems in couples are shown to be closely connected with abnormality of their own personality or the personality of their immediate environment, primarily wives, husbands and parents.

  19. Sex Preferences, Marital Dissolution and the Economic Status of Women

    OpenAIRE

    Bedard, Kelly; Deschenes, Olivier

    2003-01-01

    The rise in the divorce rate over the past 40 years is one of the fundamental changes in American society. A seemingly ever-increasing number of women and children spend some fraction of their life in single female-headed households, leading many to be concerned about the economic circumstances of these women their and children. Estimating the cause-to-effect relationship between marital dissolution and female economic status is complicated because the same factors that increase marital insta...

  20. Demand-Withdraw Patterns in Marital Conflict in the Home

    OpenAIRE

    Papp, Lauren M.; Kouros, Chrystyna D.; Cummings, E. Mark

    2009-01-01

    The present study extended laboratory-based findings of demand-withdraw communication into marital conflict in the home and further explored its linkages with spousal depression. U.S. couples (N = 116) provided diary reports of marital conflict and rated depressive symptoms. Hierarchical linear modeling results indicated that husband demand-wife withdraw and wife demand-husband withdraw occurred in the home at equal frequency, and both were more likely to occur when discussing topics that con...

  1. Marital, parental, and whole-family predictors of toddlers' emotion regulation: The role of parental emotional withdrawal.

    Science.gov (United States)

    Gallegos, Martin I; Murphy, Sarah E; Benner, Aprile D; Jacobvitz, Deborah B; Hazen, Nancy L

    2017-04-01

    The present study aims to address how dyadic and triadic family interactions across the transition to parenthood contribute to the later development of toddlers' adaptive emotion regulation using structural equation modeling methods. Specifically, we examined the interrelations of observed marital negative affect before childbirth, parents' emotional withdrawal during parent-infant interactions at 8 months, and coparenting conflict at 24 months as predictors of toddlers' adaptive emotion regulation at 24 months. Data for the present study were drawn from a longitudinal dataset in which 125 families were observed across the transition to parenthood. Results suggested that prenatal marital negativity predicted mothers' and fathers' emotional withdrawal toward their infants at 8 months postbirth as well as coparenting conflict at 24 months postbirth. Coparenting conflict and father-infant emotional withdrawal were negatively associated with toddlers' adaptive emotion regulation; however, mother-infant emotional withdrawal was not related. The implications of our study extend family systems research to demonstrate how multiple levels of detrimental family functioning over the first 2 years of parenthood influence toddlers' emotion regulation and highlight the importance of fathers' emotional involvement with their infants. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  2. A study on relationship between emotional maturity and marital satisfaction

    Directory of Open Access Journals (Sweden)

    Seyed Esmael Mosavi

    2012-04-01

    Full Text Available Marriage is one of the most important events of people's lives and when it happens, it could have both positive and negative consequences. In this paper, we present an empirical study to investigate the relationship between emotional maturity and marital satisfaction using a classical questionnaire. The study chooses all people aged 25-35 who live in region 10 of the city of Esfahan, Iran. The proposed study splits the main hypothesis into five detailed questions, which considers the relationship between marital satisfaction with five other components including emotional instability, return emotional, social maladjustment, close character and lack of independence. The results indicate a negative correlation between marital satisfaction and these items and t-student confirmed that there are meaningful relationship between marital satisfaction and emotional instability, return emotional, close character and lack of independence but there is no meaningful relationship between marital satisfaction and social maladjustment. In summary, the survey concluded that there is meaningful relationship between marital satisfaction and emotional maturity.

  3. Marital Processes, Arranged Marriage, and Contraception to Limit Fertility

    Science.gov (United States)

    Ghimire, Dirgha J.; Axinn, William G.

    2013-01-01

    An international transition away from familially-arranged marriages toward participation in spouse choice has endured for decades and continues to spread through rural Asia today. Though we know this transformation has important consequences for childbearing early in marriage, we know much less about longer-term consequences of this marital revolution. This study draws upon theories of family and fertility change and a rural Asian panel study designed to investigate changes in both marital and childbearing behaviors to investigate these long-term consequences. Controlling for social changes that shape both marital practices and childbearing behaviors, and explicitly considering multiple dimensions of marital processes, we find evidence consistent with an independent, long-standing association of participation in spouse choice with higher rates of contraception to terminate childbearing. These results add a new dimension to the evidence linking revolutions in marital behavior to long-term declines in fertility, but also motivate new research to consider a broader range of long-term consequences of changing marital processes. PMID:23709184

  4. Prenatal care: preparation for childbirth in primary healthcare in the south of Brazil.

    Science.gov (United States)

    Gonçalves, Mariana Faria; Teixeira, Érica Mairene Bocate; Silva, Márcia Aparecida Dos Santos; Corsi, Nathalia Maciel; Ferrari, Rosângela Aparecida Pimenta; Pelloso, Sandra Marisa; Cardelli, Alexandrina Aparecida Maciel

    2018-03-12

    To evaluate the relationship between prenatal care and delivery guidelines In Primary Health Care. This is a cross-sectional study, with 358 puerperal women of a public maternity from the south of Brazil. The data collection was performed from July to October of 2013, with prenatal card data transcription and a structured interview. The data has been analyzed through the use of the Chi-square test (p≤0.05). The prenatal care had a high coverage (85,5%) and early start by 71,8% of the women, however, 52% of them did not receive orientation for the childbirth. There was a statistical association between receiving orientation for the childbirth and fewer visits (p=0.028), longer interval between the last prenatal visit and the childbirth (p=0.002), and the classification of the prenatal care as intermediate and inadequate (p=0.024). Despite of the ideal number of visits, the quality of care has been classified as intermediate or inadequate, besides that, precarious access to the orientation for the childbirth during the prenatal care has been evidenced.

  5. Association between Prenatal and Postnatal Psychological Distress and Toddler Cognitive Development: A Systematic Review.

    Science.gov (United States)

    Kingston, Dawn; McDonald, Sheila; Austin, Marie-Paule; Tough, Suzanne

    2015-01-01

    Maternal psychological distress is one of the most common perinatal complications, affecting up to 25% of pregnant and postpartum women. Research exploring the association between prenatal and postnatal distress and toddler cognitive development has not been systematically compiled. The objective of this systematic review was to determine the association between prenatal and postnatal psychological distress and toddler cognitive development. Articles were included if: a) they were observational studies published in English; b) the exposure was prenatal or postnatal psychological distress; c) cognitive development was assessed from 13 to 36 months; d) the sample was recruited in developed countries; and e) exposed and unexposed women were included. A university-based librarian conducted a search of electronic databases (Embase, CINAHL, Eric, PsycInfo, Medline) (January, 1990-March, 2014). We searched gray literature, reference lists, and relevant journals. Two reviewers independently evaluated titles/abstracts for inclusion, and quality using the Scottish Intercollegiate Guideline Network appraisal tool for observational studies. One reviewer extracted data using a standardized form. Thirteen of 2448 studies were included. There is evidence of an association between prenatal and postnatal distress and cognitive development. While variable effect sizes were reported for postnatal associations, most studies reported medium effect sizes for the association between prenatal psychological distress and cognitive development. Too few studies were available to determine the influence of the timing of prenatal exposure on cognitive outcomes. Findings support the need for early identification and treatment of perinatal mental health problems as a potential strategy for optimizing toddler cognitive development.

  6. Prenatal Air Pollution Exposure and Early Cardiovascular Phenotypes in Young Adults.

    Directory of Open Access Journals (Sweden)

    Carrie V Breton

    Full Text Available Exposure to ambient air pollutants increases risk for adverse cardiovascular health outcomes in adults. We aimed to evaluate the contribution of prenatal air pollutant exposure to cardiovascular health, which has not been thoroughly evaluated. The Testing Responses on Youth (TROY study consists of 768 college students recruited from the University of Southern California in 2007-2009. Participants attended one study visit during which blood pressure, heart rate and carotid artery arterial stiffness (CAS and carotid artery intima-media thickness (CIMT were assessed. Prenatal residential addresses were geocoded and used to assign prenatal and postnatal air pollutant exposure estimates using the U.S. Environmental Protection Agency's Air Quality System (AQS database. The associations between CAS, CIMT and air pollutants were assessed using linear regression analysis. Prenatal PM10 and PM2.5 exposures were associated with increased CAS. For example, a 2 SD increase in prenatal PM2.5 was associated with CAS indices, including a 5% increase (β = 1.05, 95% CI 1.00-1.10 in carotid stiffness index beta, a 5% increase (β = 1.05, 95% CI 1.01-1.10 in Young's elastic modulus and a 5% decrease (β = 0.95, 95% CI 0.91-0.99 in distensibility. Mutually adjusted models of pre- and postnatal PM2.5 further suggested the prenatal exposure was most relevant exposure period for CAS. No associations were observed for CIMT. In conclusion, prenatal exposure to elevated air pollutants may increase carotid arterial stiffness in a young adult population of college students. Efforts aimed at limiting prenatal exposures are important public health goals.

  7. Access to and Satisfaction with Prenatal Care Among Pregnant Women with Physical Disabilities: Findings from a National Survey.

    Science.gov (United States)

    Mitra, Monika; Akobirshoev, Ilhom; Moring, Nechama Sammet; Long-Bellil, Linda; Smeltzer, Suzanne C; Smith, Lauren D; Iezzoni, Lisa I

    2017-12-01

    Previous qualitative studies suggest that women with physical disabilities face disability-specific barriers and challenges related to prenatal care accessibility and quality. This study aims to examine the pregnancy and prenatal care experiences and needs of U.S. mothers with physical disabilities and their perceptions of their interactions with their maternity care clinicians. We conducted the first survey of maternity care access and experiences of women with physical disabilities from 37 states. The survey was disseminated in partnership with disability community agencies and via social media and targeted U.S. women with a range of physical disabilities who had given birth in the past 10 years. The survey included questions regarding prenatal care quality and childbirth and labor experiences. A total of 126 women with various physical disability types from 37 states completed the survey. Almost half of the respondents (53.2%) reported that their physical disability was a big factor in their selection of a maternity care provider and 40.3% of women reported that their prenatal care provider knew little or nothing about the impact of their physical disability on their pregnancy. Controlling for maternal demographic characteristics and use of mobility equipment, women who reported that their prenatal care provider lacked knowledge of disability and those who felt they were not given adequate information were more likely to report unmet needs for prenatal care. The findings from this study suggest the need for training and education for clinicians regarding the prenatal care needs of women with physical disabilities.

  8. Prenatal sonographic diagnosis of focal musculoskeletal anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Ryu, Jung Kyu; Cho, Jeong Yeon; Lee, Young Ho; Kim, Ei Jeong; Chun, Yi Kyeong [Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2002-09-15

    Focal musculoskeletal anomalies are various and may be an isolated finding or may be found in conjunction with numerous associations, including genetic syndromes, Karyotype abnormals, central nervous system anomalies and other general musculoskeletal disorders. Early prenatal diagnosis of these focal musculoskeletal anomalies nor only affects prenatal care and postnatal outcome but also helps in approaching other numerous associated anomalies.

  9. Prenatal sonographic diagnosis of focal musculoskeletal anomalies

    International Nuclear Information System (INIS)

    Ryu, Jung Kyu; Cho, Jeong Yeon; Lee, Young Ho; Kim, Ei Jeong; Chun, Yi Kyeong

    2002-01-01

    Focal musculoskeletal anomalies are various and may be an isolated finding or may be found in conjunction with numerous associations, including genetic syndromes, Karyotype abnormals, central nervous system anomalies and other general musculoskeletal disorders. Early prenatal diagnosis of these focal musculoskeletal anomalies nor only affects prenatal care and postnatal outcome but also helps in approaching other numerous associated anomalies.

  10. Prenatal Diagnosis Of Tay-Sachs Disease

    Directory of Open Access Journals (Sweden)

    Özgür Özyüncü

    2010-04-01

    CONCLUSION: Tay-Sachs disease can be diagnosed prenatally by measuring hexosaminidase enzyme activity in fetal tissue samples with an acceptable complication rate. Prenatal diagnosis should be offered to families who have affected siblings with Tay-Sachs disease.

  11. Improved prenatal detection of chromosomal anomalies

    DEFF Research Database (Denmark)

    Frøslev-Friis, Christina; Hjort-Pedersen, Karina; Henriques, Carsten U

    2011-01-01

    Prenatal screening for karyotype anomalies takes place in most European countries. In Denmark, the screening method was changed in 2005. The aim of this study was to study the trends in prevalence and prenatal detection rates of chromosome anomalies and Down syndrome (DS) over a 22-year period....

  12. Prenatal Maternal Stress Programs Infant Stress Regulation

    Science.gov (United States)

    Davis, Elysia Poggi; Glynn, Laura M.; Waffarn, Feizal; Sandman, Curt A.

    2011-01-01

    Objective: Prenatal exposure to inappropriate levels of glucocorticoids (GCs) and maternal stress are putative mechanisms for the fetal programming of later health outcomes. The current investigation examined the influence of prenatal maternal cortisol and maternal psychosocial stress on infant physiological and behavioral responses to stress.…

  13. Pai syndrome: challenging prenatal diagnosis and management

    Energy Technology Data Exchange (ETDEWEB)

    Blouet, Marie [Centre Hospitalier Universitaire de Caen, Department of Radiology, Caen (France); University of Lower Normandie, Caen (France); Belloy, Frederique [Centre Hospitalier Universitaire de Caen, Department of Radiology, Caen (France); Jeanne-Pasquier, Corinne [Centre Hospitalier Universitaire de Caen, Department of Pathology, Caen (France); Leporrier, Nathalie [University of Lower Normandie, Caen (France); Centre Hospitalier Universitaire de Caen, Department of Genetics, Caen (France); Benoist, Guillaume [University of Lower Normandie, Caen (France); Centre Hospitalier Universitaire, Pole Femmes-Enfants, Department of Obstetrics and Gynecology, Caen (France)

    2014-09-15

    Pai syndrome is a rare disorder that includes midline cleft lip, pericallosal lipoma and cutaneous polyp of the face. We report a case of prenatal diagnosis using sonography and MRI. We emphasize the importance of facial examination with prenatal association of midline cleft lip and pericallosal lipoma in making the diagnosis of Pai syndrome. (orig.)

  14. Using marital status and continuous marital satisfaction ratings to predict depressive symptoms in married and unmarried women with systemic sclerosis: A Canadian Scleroderma Research Group Study

    NARCIS (Netherlands)

    Levis, B.; Rice, D.B.; Kwakkenbos, C.M.C.; Steele, R.J.; Hagedoorn, M.; Hudson, M.; Baron, M.; Thombs, B.D.

    2016-01-01

    Objective: Married persons have, on average, better mental health than nonmarried persons. Among married persons, marital satisfaction is associated with better mental health. Studies on mental health in married and nonmarried persons that consider marital satisfaction have categorized patients as

  15. Using Marital Status and Continuous Marital Satisfaction Ratings to Predict Depressive Symptoms in Married and Unmarried Women With Systemic Sclerosis : A Canadian Scleroderma Research Group Study

    NARCIS (Netherlands)

    Levis, Brooke; Rice, Danielle B.; Kwakkenbos, Linda; Steele, Russell J.; Hagedoorn, Mariet; Hudson, Marie; Baron, Murray; Thombs, Brett D.

    Objective. Married persons have, on average, better mental health than nonmarried persons. Among married persons, marital satisfaction is associated with better mental health. Studies on mental health in married and nonmarried persons that consider marital satisfaction have categorized patients as

  16. Prenatal exposition on ionizing radiations

    International Nuclear Information System (INIS)

    2001-01-01

    The Sessions on Prenatal Exposition on Ionizing Radiations was organized by the Argentine Radioprotection Society, in Buenos Aires, between 8 and 9, November 2001. In this event, were presented papers on: biological effects of ionizing radiation; the radiation protection and the pregnant woman; embryo fetal development and its relationship with the responsiveness to teratogens; radioinduced delayed mental; neonatal irradiation: neurotoxicity and modulation of pharmacological response; pre implanted mouse embryos as a model of uranium toxicity studies; hereditary effects of the radiation and new advances from the UNSCEAR 2001; doses estimation in embryo

  17. Prenatal radiation doses from radiopharmaceuticals

    International Nuclear Information System (INIS)

    Rojo, A.M.; Gomez Parada, I.M.; Di Trano, J.L.

    1998-01-01

    The radiopharmaceutical administration with diagnostic or therapeutic purpose during pregnancy implies a prenatal radiation dose. The dose assessment and the evaluation of the radiological risks become relevant due to the great radiosensitivity of the fetal tissues in development. This paper is a revision of the available data for estimating fetal doses in the cases of the more frequently used radiopharmaceuticals in nuclear medicine, taking into account recent investigation in placental crossover. The more frequent diagnostic and therapeutic procedures were analyzed according to the radiation doses implied. (author) [es

  18. Early prenatal vitamin D concentrations and social-emotional development in infants.

    Science.gov (United States)

    Chawla, Devika; Fuemmeler, Bernard; Benjamin-Neelon, Sara E; Hoyo, Cathrine; Murphy, Susan; Daniels, Julie L

    2017-12-04

    Many pregnant women in the United States have suboptimal vitamin D, but the impact on infant development is unclear. Moreover, no pregnancy-specific vitamin D recommendations have been widely accepted. Given the ubiquitous expression of vitamin D receptors in the brain, we investigated the association between early prenatal plasma 25-hydroxyvitamin D (25(OH)D) concentrations and children's social and emotional development in the Newborn Epigenetic Study, a prospective study of pregnancies from 2009 to 2011 in Durham, North Carolina. We measured 25(OH)D concentrations in first or second trimester plasma samples and categorized 25(OH)D concentrations into quartiles. Covariates were derived from maternal questionnaires. Mothers completed the Infant Toddler Social-Emotional Development Assessment when children were 12-24 months of age. We used multivariable linear regression to evaluate associations between 25(OH)D and specific behavior scores, adjusted for season of blood draw, maternal age, education, parity, smoking, marital status, prepregnancy BMI, and infant gender. We investigated effect-measure modification by race/ethnicity. Of the 218 mother-infant pairs with complete data, Black mothers had much lower 25(OH)D concentrations as compared to White and Hispanic mothers. After adjustment, lower prenatal 25(OH)D was associated with slightly higher (less favorable) Internalizing scores among White children, but lower (more favorable) Internalizing scores among Black and Hispanic children. Lower prenatal 25(OH)D also appears to be associated with higher (less favorable) dysregulation scores, though only among White and Hispanic children. Though imprecise, preliminary results warrant further investigation regarding a role for prenatal vitamin D on children's early social and emotional development.

  19. Opportunities and challenges in prenatal diagnosis : towards personalized fetal genetics

    NARCIS (Netherlands)

    Lichtenbelt, K.D.

    2013-01-01

    In this thesis we studied the efficacy and utilization of prenatal screening and prenatal diagnosis in the Netherlands and the increasing options for prenatal genetic diagnosis in general. In chapter 1 background information on prenatal screening and diagnosis in pregnancies conceived through

  20. Work-family spillover revisited: Is there hope for marital happiness in the dual-earner family?

    Directory of Open Access Journals (Sweden)

    R. Smit

    2001-08-01

    Full Text Available In the past few decades social scientists have increasingly become aware of the dynamic qualities of gender and marital roles in the family. The changes taking place in terms of both the role contents and role behaviour of especially dual-earner couples have been identified as aspects affecting family life to a large extent. The increasing interface between the work and family spheres, based on the so-called work-family spillover model, has led to the conventional thesis that the non-traditional role behaviour of dualearner spouses and marital dissolution are causally related. The strenuous lifestyle associated with the dual-earner family may therefore have a detrimental effect on marital and familial relationships. This article gives, in the first place, an overview of the dilemmas the dualearner family may be confronted with. In the second place, possible intervening or mediating variables that may come into play in the process of facilitating a work-family fit in the dual-earner family are discussed. Recent research suggests that these intervening variables may not only help dualearner families to cope successfully with strenuous dilemmas, but may even contribute to the experience of higher levels of marital integration and happiness.

  1. Prenatal exposure to bereavement and type-2 diabetes: a Danish longitudinal population based study.

    Directory of Open Access Journals (Sweden)

    Jasveer Virk

    Full Text Available BACKGROUND: The etiology of type-2 diabetes is only partly known, and a possible role of prenatal stress in programming offspring for insulin resistance has been suggested by animal models. Previously, we found an association between prenatal stress and type-1 diabetes. Here we examine the association between prenatal exposure to maternal bereavement during preconception and pregnancy and development of type-2 diabetes in the off-spring. METHODS: We utilized data from the Danish Civil Registration System to identify singleton births in Denmark born January 1(st 1979 through December 31(st 2008 (N = 1,878,246, and linked them to their parents, grandparents, and siblings. We categorized children as exposed to bereavement during prenatal life if their mothers lost an elder child, husband or parent during the period from one year before conception to the child's birth. We identified 45,302 children exposed to maternal bereavement; the remaining children were included in the unexposed cohort. The outcome of interest was diagnosis of type-2 diabetes. We estimated incidence rate ratios (IRRs from birth using log-linear poisson regression models and used person-years as the offset variable. All models were adjusted for maternal residence, income, education, marital status, sibling order, calendar year, sex, and parents' history of diabetes at the time of pregnancy. RESULTS: We found children exposed to bereavement during their prenatal life were more likely to have a type-2 diabetes diagnosis later in life (aIRR: 1.31, 1.01-1.69. These findings were most pronounced when bereavement was caused by death of an elder child (aIRR: 1.51, 0.94-2.44. Results also indicated the second trimester of pregnancy to be the most sensitive period of bereavement exposure (aIRR:2.08, 1.15-3.76. CONCLUSIONS: Our data suggests that fetal exposure to maternal bereavement during preconception and the prenatal period may increase the risk for developing type-2 diabetes in

  2. The Role of Father Involvement and Marital Satisfaction in the Development of Family Interactive Abilities: A Multilevel Approach.

    Science.gov (United States)

    Simonelli, Alessandra; Parolin, Micol; Sacchi, Chiara; De Palo, Francesca; Vieno, Alessio

    2016-01-01

    The study aims to investigate the development of family interactions from pregnancy to preschool age in a longitudinal perspective, using multilevel analysis. Also, it explored the impact of couple relationship and father involvement in childcare on the developmental trend of the quality of mother-father-child interactions. One hundred and three primiparous families were assessed at 7th month of pregnancy, 4th, 9th, and 18th months of child's life and during preschool age (36-48th), using the observational procedure named, Lausanne Trilogue Play. Parents' perception of marital satisfaction was assessed with the Dyadic Adjustment Scale at each point of measure; moreover, in the postnatal assessment, parents completed the Father Involvement Questionnaire. Results showed that family interactions increase over time. Secondly, a decrease of marital adjustment is associated with an improvement of the quality of family interactions. Moreover, father involvement predicts the quality of family interactions from the earliest stages of child's life. In a longitudinal perspective, family interactions and marital quality show opposite developmental trends and father's involvement represents a particularly important feature of the family.

  3. The Comparison of Marital Satisfaction between Fertile and Iinfertile Women

    Directory of Open Access Journals (Sweden)

    Seyed Abdolmajid Bahrainian

    2009-04-01

    Full Text Available Objectives: This research studied and compared marital satisfaction level of the women who have infertility problem with those who does not have this problem. Methods: Totally 180 persons participated (90 infertile women and 90 fertile women were participated in this study. Participants were comprised of those referring to 3 Tehran city infertility centers. For data gathering in this research, the constructed questionnaire and Enrich Marital Satisfactions questionnaire have been used. Data analysis has been done with use of two independent t-tests and one way variance analysis has been done. Results: Results showed significant difference in satisfaction level of the fertile and infertile women, while, our research hypotheses were not confirmed in this regard by studying factors effective on marital satisfaction of the infertile women. The number of unsuccessful pregnancies whether in fertile women or infertile women didn’t have considerable effect on the marital satisfaction, while, effect of this factor on marital satisfaction level of the infertile women was higher than that on the fertile women. Discussion: Generally, by inclusion of limitations in this plan, it is impossible to generalize the present research results with difficulty, though it is inevitable to emphasize on negative consequences of the spouses' life and it is important to pay attention to its different dimensions.

  4. A Theoretical Explanation of Marital Conflicts by Paradigmatic Approach

    Directory of Open Access Journals (Sweden)

    اسماعیل جهانی دولت آباد

    2017-06-01

    Full Text Available Due to the economic, social and cultural changes in recent decades and consequently alterations in the form and duties of families and expectations of individuals from marriage, the institution of the family and marriage are enormously involved with different challenges and conflicts in comparison to past years. Fragile marital relationships, conflicts and divorce are results of such situations in Iran. Accordingly, the present study, which is designed through meta-analysis and deduction based on the concept analysis and reconceptualization of recent studies, has committed to manifest a proper different paradigm to explain marital conflicts. This paradigm is relying on various theoretical approaches, particularly the theory of symbolic interactionism as the main explanatory mean, and also applying the concept of “Marital Paradigm” as the missing information in previous studies of this field. It explains the marital conflicts between couples as paradigmatic conflicts; and its main idea is that marital conflict is not the result of one or more fixed and specified factors, but it is the production of encountering the opposing (or different paradigms.

  5. Emotion regulation predicts marital satisfaction: more than a wives' tale.

    Science.gov (United States)

    Bloch, Lian; Haase, Claudia M; Levenson, Robert W

    2014-02-01

    Emotion regulation is generally thought to be a critical ingredient for successful interpersonal relationships. Ironically, few studies have investigated the link between how well spouses regulate emotion and how satisfied they are with their marriages. We utilized data from a 13-year, 3-wave longitudinal study of middle-aged (40-50 years old) and older (60-70 years old) long-term married couples, focusing on the associations between downregulation of negative emotion (measured during discussions of an area of marital conflict at Wave 1) and marital satisfaction (measured at all 3 waves). Downregulation of negative emotion was assessed by determining how quickly spouses reduced signs of negative emotion (in emotional experience, emotional behavior, and physiological arousal) after negative emotion events. Data were analyzed using actor-partner interdependence modeling. Findings showed that (a) greater downregulation of wives' negative experience and behavior predicted greater marital satisfaction for wives and husbands concurrently and (b) greater downregulation of wives' negative behavior predicted increases in wives' marital satisfaction longitudinally. Wives' use of constructive communication (measured between Waves 1 and 2) mediated the longitudinal associations. These results show the benefits of wives' downregulation of negative emotion during conflict for marital satisfaction and point to wives' constructive communication as a mediating pathway. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  6. Emotion regulation predicts marital satisfaction: More than a wives’ tale

    Science.gov (United States)

    Bloch, Lian; Haase, Claudia M.; Levenson, Robert W.

    2014-01-01

    Emotion regulation is generally thought to be a critical ingredient for successful interpersonal relationships. Ironically, few studies have investigated the link between how well spouses regulate emotion and how satisfied they are with their marriages. We utilized data from a 13-year, 3-wave longitudinal study of middle-aged (40–50 years old) and older (60–70 years old) long-term married couples, focusing on the associations between downregulation of negative emotion (measured during discussions of an area of marital conflict at Wave 1) and marital satisfaction (measured at all three waves). Downregulation of negative emotion was assessed by determining how quickly spouses reduced signs of negative emotion (in emotional experience, emotional behavior, and physiological arousal) after negative emotion events. Data were analyzed using actor-partner interdependence modeling. Findings showed that (a) greater downregulation of wives’ negative experience and behavior predicted greater marital satisfaction for wives and husbands concurrently and (b) greater downregulation of wives’ negative behavior predicted increases in wives’ marital satisfaction longitudinally. Wives’ use of constructive communication (measured between Waves 1 and 2) mediated the longitudinal associations. These results show the benefits of wives’ downregulation of negative emotion during conflict for marital satisfaction and point to wives’ constructive communication as a mediating pathway. PMID:24188061

  7. Types of marital closeness and mortality risk in older couples.

    Science.gov (United States)

    Tower, Roni Beth; Kasl, Stanislav V; Darefsky, Amy S

    2002-01-01

    This study examines the impact of marital closeness on survival over 6 years in a community-dwelling sample of 305 older couples. Closeness is defined as 1) naming one's spouse as a confidant or source of emotional support (vs. not naming) and 2) being named by spouse on at least one of the two dimensions (vs. not being named). The survival effects of both naming and being named are examined in Cox proportional hazard regressions, controlling for sociodemographic, health status, and behavioral variables. Husbands who were named by their wives but did not name them were least likely to have died after 6 years. Compared with them, husbands in marriages with the other three styles of closeness were from 3.30 to 4.68 times more likely to be dead. Wives' results showed the same pattern of effects, with the same marital style being most protective as for husbands, but the effects were weaker. However, wives' results were strongly moderated by parenting status: those who had ever had children who were in the marital closeness pattern of wife naming husband but not being named by him were highly protected. Compared with these wives, others who had had children were from 8.26 to 10.95 times less likely to be alive after 6 years. The same pattern of marital closeness most benefited husbands and those wives who had had children. These findings are not explained adequately by social support or marital role theory although they fit the latter more closely.

  8. Individual and mutual predictors of marital satisfaction among prostate cancer patients and their spouses.

    Science.gov (United States)

    Chien, Ching-Hui; Chuang, Cheng-Keng; Liu, Kuan-Lin; Huang, Xuan-Yi; Pang, See-Tong; Wu, Chun-Te; Chang, Ying-Hsu; Liu, Hsueh-Erh

    2017-12-01

    To determine the individual and mutual predictors of the marital satisfaction of couples in which the husband experienced prostate cancer. Marital satisfaction of patients with prostate cancer has been insufficiently studied in Asian countries as compared with Western countries. This study used a prospective and repeated-measures design. Seventy Taiwanese couples in which the husband had prostate cancer completed measures at 6 and 12 months post-treatment. Assessments of physical symptoms, marital satisfaction, coping behaviour and psychological distress were made. Multiple linear regression was used to analyse the data. The marital satisfaction of patients with prostate cancer and that of their spouses were significantly correlated. At 6 months, spouses' marital satisfaction, patients' appraisal of prostate cancer as a threat and patients' serum prostate-specific antigen levels were found to be the predictors of patients' marital satisfaction. Furthermore, patients' marital satisfaction and their spouses' psychological distress were predictors of spouses' marital satisfaction. At 12 months, spouses' marital satisfaction and patients' appraisal of prostate cancer as harm were predictors of patients' marital satisfaction. Finally, spouses' marital satisfaction (at 6 months) and appraisal of prostate cancer as a threat were predictors of spouses' marital satisfaction. At 6 months post-treatment, patients' and spouses' marital satisfaction will influence each other. However, at 12 months, patients' marital satisfaction exerts an insignificant effect on spouses' marital satisfaction. Moreover, patients' serum prostate-specific antigen level or the negative appraisal of prostate cancer affects their marital satisfaction. Spouses' marital satisfaction is affected by psychological distress and their negative appraisal of prostate cancer. The results can be used to develop interventions for prostate cancer couples. Such an intervention can be used to modify couples

  9. Financial satisfaction and financial stressors in marital satisfaction.

    Science.gov (United States)

    Archuleta, Kristy L; Britt, Sonya L; Tonn, Teresa J; Grable, John E

    2011-04-01

    Using a sample of 310 married respondents from one U.S. Midwestern state, a test was conducted to examine the association of financial satisfaction and financial stressors in a spouse's decision to stay married to the same person or leave the relationship. The role of demographic and socioeconomic variables, religiosity, psychological constructs, financial satisfaction, and financial stressors as factors influencing marital satisfaction was tested. Financial stressors were measured using a list of financial stressors adapted from the literature. Financial satisfaction was measured with a one-item scale. The Kansas Marital Satisfaction Scale was used as a validation tool to assess whether individuals would marry or not marry again. Religiosity and financial satisfaction were positively associated with marital satisfaction. A negative interaction between financial satisfaction and financial stressors was also noted. Findings suggest that respondents who are financially satisfied tend to be more stable in their marriages.

  10. Marital status, childlessness, and social support among older Canadians.

    Science.gov (United States)

    Penning, Margaret J; Wu, Zheng

    2014-12-01

    Despite evidence of increasing diversification of family structures, little is known regarding implications of marital and parental status for access to social support in later life. Using data from Statistics Canada's 2007 General Social Survey, this study assessed the impact of marital and parental status intersections on social support among adults aged 60 and older (n = 11,503). Two-stage probit regression models indicated that among those who were currently married or separated/divorced, childless individuals were more likely to report instrumental (domestic, transportation) and emotional support from people outside the household. Conversely, among never-married or widowed older adults, being childless was associated with reduced domestic support but without differences in other support domains. Findings suggest that marital and parental status intersections are not uniformly positive, neutral, or negative regarding implications for extra-household social support. Future work should address complexities of these relationships in order to better understand rapidly changing family structures.

  11. Naturalization, reciprocity and marks of marital violence: male defendants' perceptions

    Directory of Open Access Journals (Sweden)

    Gilvânia Patrícia do Nascimento Paixão

    Full Text Available ABSTRACT Objective: to analyze male criminals' perception about marital violence. Method: An exploratory, descriptive, qualitative study undertaken with 23 men who were criminally prosecuted for marital violence. A multimethod data collection was conducted, with individual interview and focal group techniques combined, between May and December 2015. The data collected were initially categorized using the NVIVO® 11 software program, and then organized using the Collective Subject Discourse method. Results: the collective discourses reveal that, in the male's perception, conjugal violence is inherent in a marital relationships: it is a private, reciprocal problem that leaves body marks. Conclusion: gender dissymmetry as a social construct is evidenced, signaling the need to create spaces for reflection and re-signification of men and women, from a gender perspective.

  12. Situs anomalies on prenatal MRI

    International Nuclear Information System (INIS)

    Nemec, Stefan F.; Brugger, Peter C.; Nemec, Ursula; Bettelheim, Dieter; Kasprian, Gregor; Amann, Gabriele; Rimoin, David L.; Graham, John M.; Prayer, Daniela

    2012-01-01

    Objective: Situs anomalies refer to an abnormal organ arrangement, which may be associated with severe errors of development. Due regard being given to prenatal magnetic resonance imaging (MRI) as an adjunct to ultrasonography (US), this study sought to demonstrate the in utero visualization of situs anomalies on MRI, compared to US. Materials and methods: This retrospective study included 12 fetuses with situs anomalies depicted on fetal MRI using prenatal US as a comparison modality. With an MRI standard protocol, the whole fetus was assessed for anomalies, with regard to the position and morphology of the following structures: heart; venous drainage and aorta; stomach and intestines; liver and gallbladder; and the presence and number of spleens. Results: Situs inversus totalis was found in 3/12 fetuses; situs inversus with levocardia in 1/12 fetuses; situs inversus abdominis in 2/12 fetuses; situs ambiguous with polysplenia in 3/12 fetuses, and with asplenia in 2/12 fetuses; and isolated dextrocardia in 1/12 fetuses. Congenital heart defects (CHDs), vascular anomalies, and intestinal malrotations were the most frequent associated malformations. In 5/12 cases, the US and MRI diagnoses were concordant. Compared to US, in 7/12 cases, additional MRI findings specified the situs anomaly, but CHDs were only partially visualized in six cases. Conclusions: Our initial MRI results demonstrate the visualization of situs anomalies and associated malformations in utero, which may provide important information for perinatal management. Using a standard protocol, MRI may identify additional findings, compared to US, which confirm and specify the situs anomaly, but, with limited MRI visualization of fetal CHDs.

  13. Prenatal stress, prematurity and asthma

    Science.gov (United States)

    Medsker, Brock; Forno, Erick; Simhan, Hyagriv; Celedón, Juan C.

    2016-01-01

    Asthma is the most common chronic disease of childhood, affecting millions of children in the U.S. and worldwide. Prematurity is a risk factor for asthma, and certain ethnic or racial minorities such as Puerto Ricans and non-Hispanic Blacks are disproportionately affected by both prematurity and asthma. In this review, we examine current evidence to support maternal psychosocial stress as a putative link between prematurity and asthma, while also focusing on disruption of the hypothalamic-pituitary-adrenal (HPA) axis and immune responses as potential underlying mechanisms for stress-induced “premature asthma”. Prenatal stress may not only cause abnormalities in the HPA axis but also epigenetic changes in the fetal glucocorticoid receptor gene (NR3C1), leading to impaired glucocorticoid metabolism. Moreover, maternal stress can alter fetal cytokine balance, favoring Th2 (allergic) immune responses characteristic of atopic asthma: IL-6, which has been associated with premature labor, can promote Th2 responses by stimulating production of IL-4 and IL-13. Given a link among stress, prematurity, and asthma, future research should include birth cohorts aimed at confirming and better characterizing “premature asthma”. If confirmed, clinical trials of prenatal maternal stress reduction would be warranted to reduce the burden of these common co-morbidities. While awaiting the results of such studies, sound policies to prevent domestic and community violence (e.g. from firearms) are justified, not only by public safety but also by growing evidence of detrimental effects of violence-induced stress on psychiatric and somatic health. PMID:26676148

  14. Marite Kallasma - diktorist eetrinägude direktoriks / Tuuli Koch

    Index Scriptorium Estoniae

    Koch, Tuuli

    2008-01-01

    Legendaarne telediktor Marite Kallasma pälvis president Toomas Hendrik Ilveselt Valgetähe V klassi teenetemärgi. Praegu on Marite Kallasma eetrinõustaja ja diktorite õpetaja. Vt. samas: teenetemärgi pälvinud kaitseliitlane Janek Tšeljadinov, USA ajaloolane ja ajakirjanik Anne Applebaum, briti ajaloolane Antony Beevor, Portugali president Anibal Cavaco Silva, briti ajaloolane Norman Davies, Narva sümfooniaorkestri looja Anatoli Štšura, Kallaste vanausuliste koguduse esimees Pavel Varunin, Eesti Entsüklopeediakirjastuse kunstiline toimetaja Maie-Hele Segerkrantz

  15. Leisure Activity Patterns and Marital Conflict in Iran

    Science.gov (United States)

    Ahmadi, Khodabakhsh; Saadat, Hassan; Noushad, Siena

    2016-01-01

    Background: Over the past few decades, the association between leisure activity patterns and marital conflict or satisfaction has been studied extensively. However, most studies to date have been limited to middle-class families of developed societies, and an investigation of the issue, from a developing country perspective like Iran, is non-existent. Objectives: In an observational, analytical, cross-sectional study we aimed to investigate the relationship between leisure activity patterns and marital conflict in a nationally representative sample of Iranian married males. Patients and Methods: Using the cluster sampling method, a representative sample of 400 Iranian married individuals from seven provinces of Iran was surveyed. Self-administered surveys included a checklist collecting demographic and socioeconomic characteristics of the enrolled participants, leisure time questionnaire, and marital conflict questionnaire. The main patterns of leisure activity were derived from principal component analysis. For each pattern, factor scores were calculated. The relationship between factor scores and marital conflict were assessed using multivariate linear regression models accounting for the potential confounding effects of age, education, socioeconomic status, job status, number of children, duration of marriage, and time spent for leisure. Results: Two hundred and ninety-nine respondents completed the leisure time and marital conflict questionnaires. Five major leisure patterns were identified accounting for 60.3% of the variance in data. The most dominant pattern was family-oriented activities (e.g. spending time with family outdoors and spending time with family indoors) and was negatively linked to marital conflict (standardized beta= −0.154, P = 0.013). Of the four remaining patterns, three only included individual activities and one was a family-individual composite. Individual patterns exhibited discrepant behavior; while the pattern involving activities

  16. Interplay between marital attributions and conflict behavior in predicting depressive symptoms.

    Science.gov (United States)

    Ellison, Jenna K; Kouros, Chrystyna D; Papp, Lauren M; Cummings, E Mark

    2016-03-01

    Marital attributions-that is, causal inferences and explanations spouses make about their partners' behavior-have been implicated as predictors of relationship functioning. Extending previous work, we examined marital attributions as a moderator of the link between marital conflict and depressive symptoms 1 year later. Participants were 284 couples who reported on marital attributions and depressive symptoms. Couples also engaged in a videotaped marital conflict interaction, which was later coded for specific conflict behaviors. The results showed that husbands' and wives' marital attributions about their partner moderated relations between marital conflict behavior and later depressive symptoms, controlling for global marital sentiments. For husbands, positive behavior and affect during marital conflict predicted a decrease in depressive symptoms, but only for husbands' who made low levels of responsibility and causal attributions about their wives. Wives' causal attributions about their partner also moderated relations between positive behavior and affect during marital conflict and husbands' later depressive symptoms. Reflecting an unexpected finding, negative behavior and affect during marital conflict predicted increases in wives' depressive symptoms, but only for wives who made low levels of responsibility attributions about their partner. The findings suggest that, for husbands, low levels of negative marital attributions for spouses may be protective, strengthening the positive effect of constructive conflict behaviors for their mental health, whereas for wives low levels of responsibility attributions about their spouse may be a risk factor, exacerbating the negative effect of negative marital conflict behaviors on their later depressive symptoms. (c) 2016 APA, all rights reserved).

  17. Marital stability, satisfaction and well-being in old age: variability and continuity in long-term continuously married older persons.

    Science.gov (United States)

    Margelisch, Katja; Schneewind, Klaus A; Violette, Jeanine; Perrig-Chiello, Pasqualina

    2017-04-01

    Recent research shows that the well-documented positive effects of marital stability on well-being and health outcomes are conditional upon the quality of marriage. To date, few studies have explored the relationship between marital satisfaction, well-being and health among very long-term married individuals. This study aims at identifying groups of long-term married persons with respect to marital satisfaction and comparing them longitudinally concerning their well-being outcomes, marital stressors, personality and socio-demographic variables. Data are derived from a survey (data collection 2012 and 2014) with 374 continuously married individuals at wave 1 (mean age: 74.2 years, length of marriage: 49.2 years) and 252 at wave 2. Cluster analyses were performed comparing the clusters with regard to various well-being outcomes. The predictive power of cluster affiliation and various predictors at wave 1 on well-being outcomes at wave 2 was tested using regression analyses. Two groups were identified, one happily the other unhappily married, with the happily married scoring higher on all well-being and health outcomes. Regression analyses revealed that group affiliation at wave 1 was not any longer predictive of health, emotional loneliness and hopelessness two years later, when taking into account socio-demographic variables, psychological resilience and marital strain, whereas it remained an important predictor of life satisfaction and social loneliness. Marital satisfaction is associated with health and well-being in older couples over time, whereas psychological resilience and marital strain are major predictors explaining the variance of these outcomes.

  18. Anticipated ethical challenges with growing molecular prenatal ...

    African Journals Online (AJOL)

    Anticipated ethical challenges with growing molecular prenatal diagnosis in Nigeria. ... Bayero Journal of Pure and Applied Sciences ... Ethical standards in medical laboratories are derived from medical ethics therefore, the four fundamental ...

  19. Prenatal Inflammation Linked to Autism Risk

    Science.gov (United States)

    ... Thursday, January 24, 2013 Prenatal inflammation linked to autism risk Maternal inflammation during early pregnancy may be related to an increased risk of autism in children, according to new findings supported by ...

  20. Eugenesia y diagnóstico prenatal

    OpenAIRE

    González Salvat, Rosa María; González Labrador, Ignacio

    2002-01-01

    El uso del diagnóstico prenatal en la práctica de la genética médica ha hecho que se recuerden teorías eugenésicas. Se realizó una revisión histórica de este término y se relacionó con el uso del diagnóstico prenatal (DPN) y el aborto selectivo a la luz de los conocimientos bioéticos actuales. The use of the prenatal diagnosis in the practice of medical genetics has led us to remember eugenic theories. A historical review of this term was made and it was connected with the use of prenatal ...

  1. Prenatal and pubertal testosterone affect brain lateralization

    NARCIS (Netherlands)

    Beking, T; Geuze, R H; van Faassen, M; Kema, I P; Kreukels, B P C; Groothuis, T G G

    After decades of research, the influence of prenatal testosterone on brain lateralization is still elusive, whereas the influence of pubertal testosterone on functional brain lateralization has not been investigated, although there is increasing evidence that testosterone affects the brain in

  2. prenatal ultrasound diagnosis of discordant occipital encephalocele

    African Journals Online (AJOL)

    drclement

    PRENATAL ULTRASOUND DIAGNOSIS OF DISCORDANT OCCIPITAL. ENCEPHALOCELE IN MULTIPLE PREGNANCY - A CASE REPORT. *O.U Ogbeide (MBBS, FMCR), *EJ IKUBOR (MBBS). *Department of Radiology University of Benin Teaching Hospital, Benin-City, Nigeria. Correspondence: Dr Ogbeide Osesogie ...

  3. Presenting the Prenatal Caregiving Experiences Questionnaire

    DEFF Research Database (Denmark)

    Røhder, Katrine; Trier, Christopher Høier; Brennan, Jessica

    to the child´s attachment system. The Prenatal Caregiving Experiences Questionnaire (PCEQ) (Brennan, George, & Solomon, 2013) is the first questionnaire that directly assesses prenatal caregiving representation. This poster presentation brings together different researchers who use the instrument in ongoing...... longitudinal research projects. The poster includes a description of the development of the PCEQ questionnaire, the theoretical background, as well as preliminary data on future mothers and fathers from the WARM study....

  4. Can economics be applied to prenatal screening?

    OpenAIRE

    Nicholas Phin

    1990-01-01

    This paper is a review of the economics of prenatal screening as seen from a medical point of view. The difficulties and controversies over the economic analysis are examined with specific reference to screening for Down syndrome. The aims and principles of prenatal screening are set out and discussed before reviewing the attempts that have been made to assess the costs and benefits of screening for Down syndrome. The major problem identified is the measurement and valuation of benefits. This...

  5. The capacity for romantic intimacy: exploring the contribution of best friend and marital and parental relationships.

    Science.gov (United States)

    Scharf, M; Mayseless, O

    2001-06-01

    This study examined, in a longitudinal design, the contributions of three different relationships, namely marital, parent-child and best friend, to the capacity for intimacy in romantic relationships of Israeli male adolescents, as well as the mediating role of socio-emotional capacities. Eighty-four 17-year-old adolescents and their parents filled out questionnaires concerning the quality of these relational contexts. Four years later the Intimacy Status Interview was administered to the adolescents at the conclusion of their mandatory military service to examine closeness, separateness, and commitment within their romantic relationships. Results showed that all relational contexts were related to capacity for intimacy (directly or indirectly), with higher relational qualities associated with better capability for intimacy. The marital relationship was associated with intimacy through its effect on the parent-child relationships. The effects of the parent-child relationships on the capacity for intimacy were mediated through the adolescents' socio-emotional capabilities. The contribution of the parent-adolescent relationships to the capacity for closeness and commitment was further mediated through relationships with the best friend, whereas the contribution to the capacity for separateness was not. A substantial number of our participants showed high capability for intimacy although in the military service context the circumstances for the development of intimacy were quite limited and non-optimal. Exploration of the separateness and closeness facets of intimacy in romantic relationships in the two sexes and in other contexts is recommended. Copyright 2001 The Association for Professionals in Services for Adolescents.

  6. The Process of the Formation of Post-marital Relationship from the Perspective of Men

    Directory of Open Access Journals (Sweden)

    SU Panjehband

    2016-11-01

    Full Text Available Background & aim: The Increasing phenomenon of post-marital relationship in the society has had adverse consequences. One of the consequences, is the instability of family foundations and the disintegration of social cells (families. The aim of this study was to determine the formation process of meta-marital relationship from mens viewpoint. Methods: The methodology of this study was grounded theory method. 16 men with purposive sampling method were selected as participants in Gachsaran city, Iran. The data was obtained through semi-structured interviews and was analyzed due to the three stages of "open, axial and selective" coding. Results: Findings of the study were categorized in three major categories: the emotional disproportionate relationship-sexual between men and women's, and, socio-cultural structure predisposing of men and women's sexual dissatisfaction and incorrect criteria for choosing a spouse and one core category named extramarital relationship, hiding object was created. Conclusion: Men Narrative participants indicated that due to spouse selection of "being unemployed, elder girl age, girl escape from his parental house, the divorced couple, and of man being widowed”, were are indications thay they were forced to be married. Also, due to “employed women and pressing sexual desire “was the tool selection. In most of these marriages, men and women had a great age difference, and initially there was no love among them. The prevailing of cold atmospherel and indifference in the marital relations caused led to the fact that they could not meet the emotional needs of each other. Moreover, the culture of modesty dominant over most of the Iranian families has banned the talk of sex and its quality not only in public environments such as schools, universities, radio and television, but also in the family and even between men and women as a "taboo", and these couples can not talk about the quality of their sex life with eachother

  7. Facial transplantation in a blind patient: psychologic, marital, and family outcomes at 15 months follow-up.

    Science.gov (United States)

    Lemmens, Gilbert M D; Poppe, Carine; Hendrickx, Hannelore; Roche, Nathalie A; Peeters, Patrick C; Vermeersch, Hubert F; Rogiers, Xavier; Lierde, Kristiane Van; Blondeel, Phillip N

    2015-01-01

    Quality of life has frequently been reported to improve after vascularized composite allotransplantation of the face. However, psychosocial functioning of the partner or of particular patient groups such as blind patients are until now less well investigated. The aim of this study is to investigate psychologic, marital, and family functioning of a blind 54-year-old patient, Mr. A, and his partner after facial transplantation. Depressive and anxiety symptoms, hopelessness, personality, coping, resilience, illness cognitions, marital support, dyadic adjustment, family functioning, and quality of life of Mr. A and his partner were assessed before and after facial transplantation and at 15 months follow-up. Reliable change index (RCI) was further calculated to evaluate the magnitude of change. Most psychologic, marital, and family scores of both Mr. A and his partner were within a normative and healthy range before and after transplant and at 15 months follow-up. Resilience (RCI: 3.6), affective responsiveness (RCI: -3.6), and disease benefits (RCI: 2.6) of Mr. A further improved at 15 months follow-up whereas the physical quality of life (RCI: -14.8) strongly decreased. Only marital support (RCI: -2.1) and depth (RCI: -2.0) of the partner decreased at 15 months. The results of this study point to positive psychosocial outcomes in a blind patient after facial transplantation. Further, they may underscore the importance of good psychosocial functioning before transplantation of both partners and of their involvement in psychologic and psychiatric treatment. Therapeutic, V. Copyright © 2015 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

  8. Prenatal ultrasonographic findings of cloacal anomaly

    Energy Technology Data Exchange (ETDEWEB)

    Song, Mi Jin [Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2002-09-15

    To evaluate the ultrasonographic characteristic of a rare malformation comples, Cloacal anomaly on prenatal ultrasonography. From March 1991 to July 2001, eight cases with the persistent cloaca (4 cases in female and 1 case in male) and cloacal exstrophy (3 cases) diagnosed by prenatal ultrasound examination were included, and all of them were pathologically confirmed by autopsy. One radiologist retrospectively analyzed the prenatal sonographic images, including the urinary bladder, kidney, pelvic cyst, abdominal wall defect and amount of amniotic fluid. The ultrasonographic diagnosis was established at 21.8 {+-} 7.8 weeks of gestation. The prenatal ultrasonographic findings of the persistent cloaca were absent bladder (n=2), distended bladder (n=2) and small thick bladder (n=1). Sonography of the kidney showed normal (n=2), hydronephrosis (n=1), dysplasia (n=1) and unilateral hydronephrosis with absent contralateral kidney (n=1). Four fetuses showed septated pelvic cyst; three fetuses, oligohydramnios. The prenatal ultrasonographic findings of cloacal exstrophy included absent bladder (n=3), normal kidney (n=1), hydronephrosis (n=1) and absent kidney (n=1). All fetuses with cloacal exstrophy had abdominal wall defect while two of them had oligohydramnios. A prenatal diagnosis of persistent cloaca can be confidently made when there is septated pelvic cyst combined oligohydramnios, sediments within the cyst and intraluminal calcifications. Cloacal exstrophy should be included in diagnosis if there is a low abdominal wall defect with absent urinary bladder.

  9. Prenatal ultrasonographic findings of cloacal anomaly

    International Nuclear Information System (INIS)

    Song, Mi Jin

    2002-01-01

    To evaluate the ultrasonographic characteristic of a rare malformation comples, Cloacal anomaly on prenatal ultrasonography. From March 1991 to July 2001, eight cases with the persistent cloaca (4 cases in female and 1 case in male) and cloacal exstrophy (3 cases) diagnosed by prenatal ultrasound examination were included, and all of them were pathologically confirmed by autopsy. One radiologist retrospectively analyzed the prenatal sonographic images, including the urinary bladder, kidney, pelvic cyst, abdominal wall defect and amount of amniotic fluid. The ultrasonographic diagnosis was established at 21.8 ± 7.8 weeks of gestation. The prenatal ultrasonographic findings of the persistent cloaca were absent bladder (n=2), distended bladder (n=2) and small thick bladder (n=1). Sonography of the kidney showed normal (n=2), hydronephrosis (n=1), dysplasia (n=1) and unilateral hydronephrosis with absent contralateral kidney (n=1). Four fetuses showed septated pelvic cyst; three fetuses, oligohydramnios. The prenatal ultrasonographic findings of cloacal exstrophy included absent bladder (n=3), normal kidney (n=1), hydronephrosis (n=1) and absent kidney (n=1). All fetuses with cloacal exstrophy had abdominal wall defect while two of them had oligohydramnios. A prenatal diagnosis of persistent cloaca can be confidently made when there is septated pelvic cyst combined oligohydramnios, sediments within the cyst and intraluminal calcifications. Cloacal exstrophy should be included in diagnosis if there is a low abdominal wall defect with absent urinary bladder.

  10. Family structure and use of prenatal care

    Directory of Open Access Journals (Sweden)

    Elisabete Alves

    2015-06-01

    Full Text Available This cross-sectional study intended to assess the use of prenatal care according to the family structure in a population with free universal access to prenatal care. In 2005-2006, the Portuguese birth cohort was assembled by the recruitment of puerperae at public maternity wards in Porto, Portugal. In the current analysis, 7,211 were included. Data on socio-demographic characteristics, obstetric history, and prenatal care were self-reported. Single mothers were considered as those whose household composition did not include a partner at delivery. Approximately 6% of the puerperae were single mothers. These women were more likely to have an unplanned pregnancy (OR = 6.30; 95%CI: 4.94-8.04, an inadequate prenatal care (OR = 2.30; 95%CI: 1.32-4.02, and to miss the ultrasound and the intake of folic acid supplements during the first trimester of pregnancy (OR = 1.71; 95%CI: 1.30-2.27; and OR = 1.67; 95%CI: 1.32-2.13, respectively. The adequacy and use of prenatal care was less frequent in single mothers. Educational interventions should reinforce the use and early initiation of prenatal care.

  11. Barriers to adequate prenatal care utilization in American Samoa

    Science.gov (United States)

    Hawley, Nicola L; Brown, Carolyn; Nu’usolia, Ofeira; Ah-Ching, John; Muasau-Howard, Bethel; McGarvey, Stephen T

    2013-01-01

    Objective To describe the utilization of prenatal care in American Samoan women and to identify socio-demographic predictors of inadequate prenatal care utilization. Methods Using data from prenatal clinic records, women (n=692) were categorized according to the Adequacy of Prenatal Care Utilization Index as having received adequate plus, adequate, intermediate or inadequate prenatal care during their pregnancy. Categorical socio-demographic predictors of the timing of initiation of prenatal care (week of gestation) and the adequacy of received services were identified using one way Analysis of Variance (ANOVA) and independent samples t-tests. Results Between 2001 and 2008 85.4% of women received inadequate prenatal care. Parity (P=0.02), maternal unemployment (P=0.03), and both parents being unemployed (P=0.03) were negatively associated with the timing of prenatal care initation. Giving birth in 2007–2008, after a prenatal care incentive scheme had been introduced in the major hospital, was associated with earlier initiation of prenatal care (20.75 versus 25.12 weeks; Pprenatal care utilization in American Samoa is a major concern. Improving healthcare accessibility will be key in encouraging women to attend prenatal care. The significant improvements in the adequacy of prenatal care seen in 2007–2008 suggest that the prenatal care incentive program implemented in 2006 may be a very positive step toward addressing issues of prenatal care utilization in this population. PMID:24045912

  12. The Marital/Family Life of the Family Theapist: Stressors and Enhancers.

    Science.gov (United States)

    Wetchler, Joseph L.; Piercy, Fred P.

    1986-01-01

    Discusses possible stressors and enhancers of marital and family life for the family therapist. The results are examined in terms of respondents' gender, work setting, theoretical orientation, number of hours worked, income, age, and marital status. (Author/BL)

  13. Longitudinal associations between marital stress and externalizing behavior : Does Parental Sense of Competence Mediate Processes?

    NARCIS (Netherlands)

    van Eldik, W. M.; Prinzie, Peter; Dekovic, M.; de Haan, A.D.

    2017-01-01

    Ecological theories emphasize associations between children and elements within their family system, such as the marital relationship. Within a developmental perspective, we longitudinally examined (a) dynamic associations between marital stress and children’s externalizing behavior, (b) mediation

  14. Longitudinal associations between marital stress and externalizing behavior: Does parental sense of competence mediate processes?

    NARCIS (Netherlands)

    Eldik, W.M. van; Prinzie, P.; Dekoviç, M.; Haan, A.D. de

    2017-01-01

    Ecological theories emphasize associations between children and elements within their family system, such as the marital relationship. Within a developmental perspective, we longitudinally examined (a) dynamic associations between marital stress and children's externalizing behavior, (b) mediation

  15. Marital Satisfaction and Its Influencing Factors in Fertile and Infertile Women.

    Science.gov (United States)

    Amiri, Mohammad; Sadeqi, Zakieh; Hoseinpoor, Mohammad Hassan; Khosravi, Ahmad

    2016-09-01

    Objective: To determine marital satisfaction and its influencing factors among fertile and infertile women in Shahroud. Materials and methods: In this comparative study, 1528 participants (511 infertile and1017 fertile women) were evaluated using Enrich Marital Satisfaction Scale. Data were analyzed using chi-square and t-test. Results: A total of 1402 participants (78.7%) had high marital satisfaction. The results show that no significant differences exist between marital satisfaction, marital communication, conflict resolution and idealistic distortion in fertile and infertile women. However, a significant difference was observed between marital satisfaction, and job, spouse's job and income in fertile and infertile groups, but the place of residence, education, spouse's education and fertility status showed no significant difference. Conclusion: Results showed that infertility does not reduce marital satisfaction. Since marital satisfaction is moderate in both groups, sex education for people bound to marry and sexual counseling for couples can lead to improved sexual satisfaction.

  16. Marital Satisfaction and Its Influencing Factors in Fertile and Infertile Women

    Directory of Open Access Journals (Sweden)

    Mohammad Amiri

    2016-12-01

    Full Text Available Objective: To determine marital satisfaction and its influencing factors among fertile and infertile women in Shahroud.Materials and methods: In this comparative study, 1528 participants (511 infertile and1017 fertile women were evaluated using Enrich Marital Satisfaction Scale. Data were analyzed using chi-square and t-test.Results: A total of 1402 participants (78.7% had high marital satisfaction. The results show that no significant differences exist between marital satisfaction, marital communication, conflict resolution and idealistic distortion in fertile and infertile women. However, a significant difference was observed between marital satisfaction, and job, spouse’s job and income in fertile and infertile groups, but the place of residence, education, spouse's education and fertility status showed no significant difference.Conclusion: Results showed that infertility does not reduce marital satisfaction. Since marital satisfaction is moderate in both groups, sex education for people bound to marry and sexual counseling for couples can lead to improved sexual satisfaction.

  17. Knowledge and perceptions on toxoplasmosis among pregnant women and nurses who provide prenatal in primary care.

    Science.gov (United States)

    Sousa, Jayra Adrianna da Silva; Corrêa, Rita da Graça Carvalhal Frazão; Aquino, Dorlene Maria Cardoso de; Coutinho, Nair Portela Silva; Silva, Marcos Antonio Custódio Neto da; Nascimento, Maria do Desterro Soares Brandão

    2017-06-01

    Toxoplasmosis is an infection that affects almost a third of the world population. In adults, it is often asymptomatic, although having important manifestation in children- infected by placental transmission. The prenatal is an important moment, requiring actions in women's care during pregnancy, in order to prevent diseases that could compromise the mother and the child's life. This is a descriptive study of qualitative approach aimed to understand the perception of nurses and pregnant women about toxoplasmosis during primary - prenatal care. The study was conducted in five selected primary health care units, in the municipality of São Luis - MA. The sample consisted of 15 nurses working in nursing consultation and 15 pregnant women attended in prenatal care. For data collection, a semi-structured questionnaire and an interview guide covering issues related to knowledge and conduct on toxoplasmosis were used. For analysis, the content analysis technique was used. The answers were transcribed, organized and grouped thematically, where the following categories emerged: knowledge about examination requests; knowledge about toxoplasmosis; guidance during prenatal consultation; knowledge of nurses about the avidity test; procedures and guidelines on reagent cases. Pregnant women showed unawareness about toxoplasmosis and its effects. Nurses, although having basic knowledge about the subject, showed little applicability regarding pregnant women's guidance. The nurse plays an important role in educational activities regarding pregnant women, contributing to the quality of prenatal care. Pregnant women were shown to have some knowledge about toxoplasmosis, although they said they did not have assurance about prevention.

  18. Seven-year neurodevelopmental scores and prenatal exposure to chlorpyrifos, a common agricultural pesticide.

    Science.gov (United States)

    Rauh, Virginia; Arunajadai, Srikesh; Horton, Megan; Perera, Frederica; Hoepner, Lori; Barr, Dana B; Whyatt, Robin

    2011-08-01

    In a longitudinal birth cohort study of inner-city mothers and children (Columbia Center for Children's Environmental Health), we have previously reported that prenatal exposure to chlorpyrifos (CPF) was associated with neurodevelopmental problems at 3 years of age. The goal of the study was to estimate the relationship between prenatal CPF exposure and neurodevelopment among cohort children at 7 years of age. In a sample of 265 children, participants in a prospective study of air pollution, we measured prenatal CPF exposure using umbilical cord blood plasma (picograms/gram plasma) and 7-year neurodevelopment using the Wechsler Intelligence Scale for Children, 4th edition (WISC-IV). Linear regression models were used to estimate associations, with covariate selection based on two alternate approaches. On average, for each standard deviation increase in CPF exposure (4.61 pg/g), Full-Scale intelligence quotient (IQ) declined by 1.4% and Working Memory declined by 2.8%. Final covariates included maternal educational level, maternal IQ, and quality of the home environment. We found no significant interactions between CPF and any covariates, including the other chemical exposures measured during the prenatal period (environmental tobacco smoke and polycyclic aromatic hydrocarbons). We report evidence of deficits in Working Memory Index and Full-Scale IQ as a function of prenatal CPF exposure at 7 years of age. These findings are important in light of continued widespread use of CPF in agricultural settings and possible longer-term educational implications of early cognitive deficits.

  19. Prenatal care utilization in Zimbabwe: Examining the role of community-level factors.

    Science.gov (United States)

    Makate, Marshall; Makate, Clifton

    2017-12-01

    This paper assesses the importance of community-level factors on prenatal care utilization in Zimbabwe. The analysis is performed using data from the two most recent rounds of the nationally representative Demographic and Health Survey for Zimbabwe conducted in 2005/06 and 2010/11 linked with other community-level data. We use logistic, generalized linear regressions as well as multilevel mixed models to examine the factors associated with the frequency, timing and quality of prenatal care. Our results suggest that contraceptive prevalence, religious composition, density of nurses, health expenditures per capita and availability of government hospitals in communities are important predictors of prenatal care use in Zimbabwe. These findings have important implications for public health policy in Zimbabwe - a country with unfavorable maternal and child health outcomes. Copyright © 2017 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

  20. A Qualitative Study of Factors Influencing Decision-Making after Prenatal Diagnosis of down Syndrome.

    Science.gov (United States)

    Reed, Amy R; Berrier, Kathryn L

    2017-08-01

    Previous research has identified twenty-six factors that may affect pregnancy management decisions following prenatal diagnosis of DS; however, there is no consensus about the relative importance or effects of these factors. In order to better understand patient decision-making, we conducted expansive cognitive interviews with nine former patients who received a prenatal diagnosis of DS. Our results suggest that patients attached unique meanings to factors influencing decision-making regardless of the pregnancy outcome. Nineteen of the twenty-six factors previously studied and four novel factors (rationale for testing, information quality, pregnancy experience, and perception of parenting abilities and goals) were found to be important to decision-making. We argue that qualitative studies can help characterize the complexity of decision-making following prenatal diagnosis of DS.

  1. Marital Conflict Behaviors and Implications for Divorce over 16 Years

    Science.gov (United States)

    Birditt, Kira S.; Brown, Edna; Orbuch, Terri L.; McIlvane, Jessica M.

    2010-01-01

    This study examined self-reported marital conflict behaviors and their implications for divorce. Husbands and wives (N = 373 couples; 47% White American, 53% Black American) reported conflict behaviors in Years 1, 3, 7, and 16 of their marriages. Individual behaviors (e.g., destructive behaviors) and patterns of behaviors between partners (e.g.,…

  2. 29 CFR 36.530 - Marital or parental status.

    Science.gov (United States)

    2010-07-01

    ... Office of the Secretary of Labor NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR... Education Programs or Activities Prohibited § 36.530 Marital or parental status. (a) General. A recipient... household or principal wage earner in such employee's or applicant's family unit. (b) Pregnancy. A recipient...

  3. 10 CFR 1042.445 - Marital or parental status.

    Science.gov (United States)

    2010-01-01

    ... Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION... Education Programs or Activities Prohibited § 1042.445 Marital or parental status. (a) Status generally. A... status that treats students differently on the basis of sex. (b) Pregnancy and related conditions. (1) A...

  4. Does Marital Status Influence the Parenting Styles Employed by Parents?

    Science.gov (United States)

    Ashiono, Benard Litali; Mwoma, Teresa B.

    2015-01-01

    The current study sought to establish whether parents' marital status, influence their use of specific parenting styles in Kisauni District, Kenya. A correlational research design was employed to carry out this study. Stratified sampling technique was used to select preschools while purposive sampling technique was used to select preschool…

  5. Influence of Spousal Communication on Marital Stability: Implication ...

    African Journals Online (AJOL)

    It is often said that the home is the basic unit of the larger society. Thus when the home is settled, the society is at peace. The main focus of this study was to find out the influence of spousal communication on marital stability: Implications for Conducive Home Environment. A researcher-designed questionnaire titled ...

  6. The marital dynamics of conflict over the division of labor

    NARCIS (Netherlands)

    Kluwer, E.S.; Heesink, J.A.M.; Van de Vliert, E.

    The division of labor as a source of conflict is a concern for many couples. This study goes beyond the mere prediction of the amount of marital conflict by scrutinizing the relationship between spouses' discontent with the division of labor, their conflict interaction patterns, and subsequent

  7. Grieving Together and Apart: Bereaved Parents' Contradictions of Marital Interaction

    Science.gov (United States)

    Toller, Paige W.; Braithwaite, Dawn O.

    2009-01-01

    The researchers adopted relational dialectics theory (Baxter & Montgomery, 1996) to examine the discourse of 37 bereaved parents. Research questions guiding the study were what dialectical contradictions do bereaved parents experience when communicating with their marital partner after their child's death and how do bereaved parents and their…

  8. Matrilineal Family Ties and Marital Dissolution in Ghana

    Science.gov (United States)

    Takyi, Baffour K.; Gyimah, Stephen Obeng

    2007-01-01

    Although previous work has attributed the instability of African marriages to the diffusion of Western norms and values in the region, fewer attempts have been made to empirically assess how Africa's internal institutional structures, such as extended kinship ties, impact marital outcomes. Guided by rational choice and exchange theories, we argue…

  9. Transient Structured Distance as a Maneuver in Marital Therapy

    Science.gov (United States)

    Greene, Bernard L.; And Others

    1973-01-01

    Experience with 73 cases has shown the value of Transient Structured Distance as a maneuver in marriage therapy. While the TSD is a radical form of intervention with risks of anxiety reactions, homosexual panic, or divorce, it has proved effective with difficult forms of acute or chronic marital disharmony. (Author)

  10. The Contribution of Marital Happiness to Global Happiness.

    Science.gov (United States)

    Glenn, Norval D.; Weaver, Charles N.

    1981-01-01

    Data from six U.S. national surveys compared the estimated contributions to global happiness and marital happiness and satisfaction with each of seven aspects of life, ranging from work to friendships. Findings indicated that Americans depend very heavily on their marriages for their psychological well-being. (Author)

  11. Effects Of Emotional Intelligence On Marital Adjustment Of Couples ...

    African Journals Online (AJOL)

    Couples should be helped to develop emotion management skills. Couples should be taught emotional sensitivity skills. Our educational systems should not only develop learners' Intelligence (IQ) but their Emotional intelligence (EQI) competencies too. Emotional intelligence should form part of the criteria for marital choice ...

  12. Communication in marital homes and work performance among ...

    African Journals Online (AJOL)

    This study investigated the influence of communication in marital homes on secondary school teachers work performance in Akwa Ibom State. One research question and one hypothesis were formulated to guide the study. The ex-post facto research design was used in the study. Using stratified random sampling technique, ...

  13. Improving Marital Prediction: A Model and a Pilot Study.

    Science.gov (United States)

    Dean, Dwight G.; Lucas, Wayne L.

    A model for the prediction of marital adjustment is proposed which presents selected social background factors (e.g., education) and interactive factors (e.g., Bienvenu's Communication scale, Hurvitz' Role Inventory, Dean's Emotional Maturity and Commitment scales, Rosenberg's Self-Esteem scale) in order to account for as much of the variance in…

  14. Racial and Marital Status Differences in Faculty Pay.

    Science.gov (United States)

    Toutkoushian, Robert K.

    1998-01-01

    Study estimated how pay disparity varied by race, marital status, gender, and field. Results show considerable differences overall, with unexplained wage gaps for racial/ethnic group, dramatic variations between men and women, and further by field. Earnings differences among racial/ethnic categories are not uniform. The return on marriage for men…

  15. Comparing different thinking styles and marital satisfaction among ...

    African Journals Online (AJOL)

    The purpose of the present study was to compare different thinking styles and marital satisfaction among engineers of urban and nonurban areas. The design of this study was casual-comparative. The sample population of this study consisted of the engineers who were members of engineers' society of Sari city among ...

  16. The Impact of Marital Separation/Divorce on Children.

    Science.gov (United States)

    Jacobson, Doris S.

    1978-01-01

    Reports on a study of the impact of marital separation/divorce on children aged 3-17 during the 12-month period following the parental separation. Results suggests that a child's adjustment is directly related to the amount of interparent hostility to which the child has been exposed. (Author)

  17. Marriage, sexuality, and holiness: Aspects of marital ethics in the ...

    African Journals Online (AJOL)

    ... an equal and holistic relationship of the marital partners. Simultaneously – and here the Pauline texts extend beyond the borders of their environment – sexual intercourse is valued as an important component of the relationship between husband and wife. Here, the relationship of marriage, including the physical union of ...

  18. The Effects of Occupational Prestige, Marital Status and ...

    African Journals Online (AJOL)

    This study investigated the perceptions of mothers as a function of their marital status, prestige and technological level of their jobs. 320 university students and civil servants participated in the study. Each subject rated a briefly described working woman as a stimulus person on a 24 seven-point bipolar scales that describe ...

  19. The influence of marital factors on genital human papilloma virus ...

    African Journals Online (AJOL)

    Aim: To study the association between marital factors and human papilloma virus (HPV) infection of the cervix. Method: The subjects were 450 randomly selected sexually active women attending the antenatal, postnatal, gynaecology and family planning clinics in the Department of Obstetrics and Gynaecology of the ...

  20. Self-Concept Disconfirmation, Psychological Distress, and Marital Happiness.

    Science.gov (United States)

    Schafer, Robert B.; And Others

    1996-01-01

    Uses self-verification and self-discrepancy theories to test a model of subjective and objective self-disconfirmation, self-efficacy, depression, and marital happiness. Expands issues of self-validation by evaluating self-efficacy in the relationship between self-disconfirmation and depression, and the effect of self-concept disconfirmation of…

  1. Marital and Family Characteristics of Workers, March 1973.

    Science.gov (United States)

    Bureau of Labor Statistics (DOL), Washington, DC.

    This brief report presents and discusses statistics on the marital and family characteristics of workers in 1973 [e.g., nearly 40 million married men and 20 million married women were among the 88 million person labor force, and of the 1.7 million increase in the labor force, three-quarters consisted of married women (34 percent), single men (24…

  2. 15 CFR 8a.530 - Marital or parental status.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Marital or parental status. 8a.530 Section 8a.530 Commerce and Foreign Trade Office of the Secretary of Commerce NONDISCRIMINATION ON THE... of seniority and any other benefit or service, and reinstatement, and under any fringe benefit...

  3. 15 CFR 8a.445 - Marital or parental status.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Marital or parental status. 8a.445 Section 8a.445 Commerce and Foreign Trade Office of the Secretary of Commerce NONDISCRIMINATION ON THE... same policies as any other temporary disability with respect to any medical or hospital benefit...

  4. Marital Adjustment to Adult Diabetes: Interpersonal Congruence and Spouse Satisfaction.

    Science.gov (United States)

    Peyrot, Mark; And Others

    1988-01-01

    Investigated adjustment to insulin-treated diabetes among 20 adult patients and spouses. Found illness-related perceptions of patients and spouses were positively correlated and discrepancies decreased with increasing duration of marriage after diagnosis. Marital satisfaction of spouses was negatively related to knowledge about diabetes,…

  5. Combining Marriage and Career: The Professional Adjustment of Marital Teachers

    Science.gov (United States)

    Rizvi, Afroz Haider

    2016-01-01

    In the paper, the researcher attempted to assess Professional Adjustment status and level of teachers according to their marital status on a sample of 792 teachers. Teachers have been classified into two categories viz. married and unmarried. To evaluate the status of professional adjustment of teachers, a tool viz. "Manual on Teachers…

  6. Parental marital status and peer influence as corelates of teenage ...

    African Journals Online (AJOL)

    The study examined the effects of parental marital status and peer influence on the occurrence of teenage pregnancy among 324 female teens in south-south, Nigeria. The participants responded to a valid scale. The Pearson correlation and Multiple Regression procedures were used to investigate the predictive capacity of ...

  7. Marital Meaning: Exploring Young Adults' Belief Systems about Marriage

    Science.gov (United States)

    Hall, Scott S.

    2006-01-01

    The purpose of the study is to examine the meaning that the institution of marriage can hold for young, unmarried adults, based on their systems (or collections) of beliefs about marriage. Based on symbolic interactionism, it is argued that marital meaning has implications for how people behave prior to and during marriage that may relate to…

  8. Marital Instability And Depression Among Public Servants In Cross ...

    African Journals Online (AJOL)

    This study was carried out to establish the relationship between marital instability as a determinant of depression among public servant in cross river state, Nigeria. The study adopted the ex-post fact design. The sample consisted of 500 (429 males 71 female) public servants who were randomly selected from state ...

  9. Marital Adjustment, Stress and Depression among Working and Non ...

    African Journals Online (AJOL)

    The present study is aimed at exploring the relationship between marital adjustment, stress and depression. Sample of the study consisted of 150 working and non-working married women (working married women = 75, non-working married women = 75). Their age ranged between 18 to 50 years. Their education was at ...

  10. Work Identity and Marital Adjustment in Blue-Collar Men.

    Science.gov (United States)

    Gaesser, David L.; Whitbourne, Susan Krauss

    The expansion theory, which maintains that an individual has unlimited energy to expend in work or marital involvement, and the drain theory, which maintains that an individual's energy for work can be depleted by overcommitment to family, compete with each other in explaining the effect of worklife on the adult male's family relationships. To…

  11. Partner Killing by Men in Cohabiting and Marital Relationships

    Science.gov (United States)

    Shackelford, Todd K.; Mouzos, Jenny

    2005-01-01

    Using a national-level U.S. database, T. K. Shackelford (2001) calculated rates of uxoricide (the murder of a woman by her romantic partner) by relationship type (cohabiting or marital), by ages of the partners, and by the age difference between partners. Women in cohabiting relationships were 9 times more likely to be killed by their partner than…

  12. Marital status is a prognostic factor in amyotrophic lateral sclerosis.

    Science.gov (United States)

    Spataro, R; Volanti, P; Lo Coco, D; La Bella, V

    2017-12-01

    Several variables have been linked to a shorter survival in patients with amyotrophic lateral sclerosis (ALS), for example, female sex, older age, site of disease onset, rapid disease progression, and a relatively short diagnostic delay. With regard to marital status, previous studies suggested that living with a partner might be associated to a longer survival and a higher likelihood to proceed to tracheostomy. Therefore, to further strengthen this hypothesis, we investigated the role of marital status as a prognostic variable in a cohort of ALS patients. We performed a retrospective analysis on 501 consecutive ALS patients for which a complete disease's natural history and clinical/demographic data were available. At diagnosis, 409 patients (81.6%) were married or lived with a stable partner, whereas 92 patients (18.4%) were single/widowed/divorced. In our ALS cohort, being married was associated with a median longer survival (married, 35 months [24-50] vs unmarried, 27 months [18-42]; Pmarried and unmarried patients were significantly different in many clinical and demographic variables, including age at disease onset, gender, body mass index, and number of children. Cox regression analysis showed that age at onset, diagnostic delay, and marital status were independent predictors of survival. In unmarried patients, female sex was also significantly associated with shorter survival. Marital status is a prognostic factor in ALS, and it significantly affects survival. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  13. Marital Values and Factors Associated With Marriage Stability.

    Science.gov (United States)

    Rambo, Brenda Clanton; And Others

    The breakdown of marriage within American society is a serious problem as evidenced by high divorce rates and numerous separations and family problems. A Marriage Values Questionnaire, developed to determine reasons for marrying and staying married and the impact of religion on marital stability, was completed by 305 subjects, ranging in age from…

  14. Post-partum depression, anxiety and marital satisfaction: A ...

    African Journals Online (AJOL)

    2018-03-22

    Mar 22, 2018 ... 1Department of Psychology, ... The first weeks and months postpartum may be associated with emotional upheaval.2 The nursing ... partum depressive symptoms,14,15,16,17 and marital problems ... reported a significant positive association ... satisfaction, and the importance of mental health promotion.

  15. Marital Property Reforms: Implications for Older Farm Women.

    Science.gov (United States)

    Scholl, Kathleen K.

    Throughout American history, marital property reform has been a concern of farm women. With most of the farm family's business assets in real estate, women without the right of ownership can find that they have limited wealth and no influence in the distribution of the farm's assets. The National Conference of Commissioners on Uniform State Laws…

  16. Marriage Meets the Joneses: Relative Income, Identity, and Marital Status

    Science.gov (United States)

    Watson, Tara; McLanahan, Sara

    2011-01-01

    This paper investigates the effect of relative income on marriage. Accounting flexibly for absolute income, the ratio between a man's income and a local reference group median is a strong predictor of marital status, but only for low-income men. Relative income affects marriage even among those living with a partner. A 10 percent higher reference…

  17. Developmental Patterns in Marital Satisfaction: Another Look at Covenant Marriage

    Science.gov (United States)

    DeMaris, Alfred; Sanchez, Laura A.; Krivickas, Kristi

    2012-01-01

    This study investigated differences in the trajectory of marital satisfaction in the first 7 years between couples in covenant versus standard marriages. The authors analyzed data on 707 Louisiana marriages from the Marriage Matters Panel Survey of Newlywed Couples, 1998-2004, using multivariate longitudinal growth modeling. When the sample was…

  18. Coping strategies for marital stress as reported by lecturers of ...

    African Journals Online (AJOL)

    The study investigated coping strategies for marital stress as reported by lecturers of a college of education. Lecturers were stratified into different strata of schools in the college i.e School of Education, Science, Arts and Social Sciences, Vocational Technology and Languages, after which a simple random sampling ...

  19. Sources of marital stress experienced by married people as ...

    African Journals Online (AJOL)

    The study investigated sources of marital stress experienced by married people as perceived by lecturers of College of Education. Respondents were stratified into different strata of gender, age group, educational qualification and number of children, after which simple random sampling technique was used for selecting 20 ...

  20. Does offering prenatal screening influence pregnant women's attitudes regarding prenatal testing?

    NARCIS (Netherlands)

    Kleinveld, J.H.; van den Berg, M.; van Eijk, J.T.; van Vugt, J.M.G.; van der Wal, G.; Timmermans, D.R.M.

    2008-01-01

    Objectives: This study aims to find out whether offering prenatal screening for Down syndrome and neural tube defects influences pregnant women's attitudes toward having a screening test. Methods: Women were randomised into a group that was offered prenatal screening and a group that was not offered

  1. Prenatal Education of Parents About Newborn Screening and Residual Dried Blood Spots: A Randomized Clinical Trial.

    Science.gov (United States)

    Botkin, Jeffrey R; Rothwell, Erin; Anderson, Rebecca A; Rose, Nancy C; Dolan, Siobhan M; Kuppermann, Miriam; Stark, Louisa A; Goldenberg, Aaron; Wong, Bob

    2016-06-01

    Research clearly indicates that current approaches to newborn blood spot screening (NBS) education are ineffective. Incorporating NBS education into prenatal care is broadly supported by lay and professional opinion. To determine the efficacy and effect of prenatal education about newborn screening and use of residual dried blood spots (DBS) in research on parental knowledge, attitudes, and behaviors. A randomized clinical trial of prenatal educational interventions, with outcomes measured by survey at 2 to 4 weeks postpartum. Participants were recruited from obstetric clinics in Salt Lake City, Utah; San Francisco, California; and the Bronx, New York. Eligible women were English- or Spanish-speaking adults and did not have a high-risk pregnancy. A total of 901 women were enrolled. Participants who completed the follow-up survey included 212 women in the usual care group (70% retention), 231 in the NBS group (77% retention), and 221 women in the NBS + DBS group (75% retention). Those who completed the survey were similar across the 3 groups with respect to age, ethnicity, race, education, marital status, income, obstetric history, and language. Participants were randomized into 1 of 3 groups: usual care (n = 305), those viewing an NBS movie and brochure (n = 300), and those viewing both the NBS and DBS movies and brochures (n = 296). Two to four weeks postpartum, women completed a 91-item survey by telephone, addressing knowledge, attitudes, and behavior with respect to opting out of NBS or DBS for their child. A total of 901 women (mean age, 31 years) were randomized and 664 completed the follow-up survey. The total correct responses on the knowledge instrument in regard to NBS were 69% in the usual care group, 79% in the NBS group, and 75% in the NBS + DBS group, a significant between-group difference (P Educational interventions can be implemented in the prenatal clinic, using multimedia tools and electronic platforms. Prenatal education is

  2. Factors associated with teenage marital pregnancy among Bangladeshi women.

    Science.gov (United States)

    Sayem, Amir M; Nury, Abu Taher Ms

    2011-05-20

    Teenage pregnancy is a public health concern both in developed and developing world. In Bangladesh, most of the first pregnancies occur immediately after marriage, especially among teenagers. Although women aged 15-29 years are the most fertility contributing women in Bangladesh, studies are not yet conducted on teenage pregnancy within this group of women. In the current study, an attempt had been made to identify the factors affecting teenage marital pregnancy in women aged 15-29 years. A cross sectional survey was carried out in 389 women, selected with a convenience sampling technique. Participants were selected on the basis of two criteria, such as married women and age within 15-29 years. We excluded women aged more than 29 years as we attempted to conduct study within high fertility contributing women and with the assumption that they may provide data subjected to relatively high level of recall bias as marital pregnancy may be a longer past event to them. In the analysis, we applied bi-variate and multi-variate logistic regression technique to find out odds ratio of teenage marital pregnancy. Result revealed that 72.5% of the participants experienced first marital pregnancy during their teenage, with a mean age of 17.88 years (SD = 2.813). Multivariate logistic regression analysis revealed that participants aged 20-24 years had higher likelihood (OR 1.971, 95% CI 1.132 to 3.434), whereas participants aged 25-29 years had lower likelihood (OR 0.054, 95% CI 0.016 to 0.190) of experiencing teenage marital pregnancy compared to participants aged 15-19 years. In addition, participants desired for >2 children had significant higher odds (OR 3.573, 95% CI 1.910 to 6.684) and participants born in urban area had significant lower odds (OR 0.458, 95% CI 0.228 to 0.919) for teenage marital pregnancy. Based on the findings, we conclude that in order to reduce teenage marital pregnancy, consideration should be given on women's desired number of children and birth place

  3. Leisure Activity Patterns and Marital Conflict in Iran.

    Science.gov (United States)

    Ahmadi, Khodabakhsh; Saadat, Hassan; Noushad, Siena

    2016-01-01

    Over the past few decades, the association between leisure activity patterns and marital conflict or satisfaction has been studied extensively. However, most studies to date have been limited to middle-class families of developed societies, and an investigation of the issue, from a developing country perspective like Iran, is non-existent. In an observational, analytical, cross-sectional study we aimed to investigate the relationship between leisure activity patterns and marital conflict in a nationally representative sample of Iranian married males. Using the cluster sampling method, a representative sample of 400 Iranian married individuals from seven provinces of Iran was surveyed. Self-administered surveys included a checklist collecting demographic and socioeconomic characteristics of the enrolled participants, leisure time questionnaire, and marital conflict questionnaire. The main patterns of leisure activity were derived from principal component analysis. For each pattern, factor scores were calculated. The relationship between factor scores and marital conflict were assessed using multivariate linear regression models accounting for the potential confounding effects of age, education, socioeconomic status, job status, number of children, duration of marriage, and time spent for leisure. Two hundred and ninety-nine respondents completed the leisure time and marital conflict questionnaires. Five major leisure patterns were identified accounting for 60.3% of the variance in data. The most dominant pattern was family-oriented activities (e.g. spending time with family outdoors and spending time with family indoors) and was negatively linked to marital conflict (standardized beta= -0.154, P = 0.013). Of the four remaining patterns, three only included individual activities and one was a family-individual composite. Individual patterns exhibited discrepant behavior; while the pattern involving activities like 'watching TV', 'non-purposive time spending', and

  4. Factors associated with teenage marital pregnancy among Bangladeshi women

    Directory of Open Access Journals (Sweden)

    Nury Abu Taher MS

    2011-05-01

    Full Text Available Abstract Background Teenage pregnancy is a public health concern both in developed and developing world. In Bangladesh, most of the first pregnancies occur immediately after marriage, especially among teenagers. Although women aged 15-29 years are the most fertility contributing women in Bangladesh, studies are not yet conducted on teenage pregnancy within this group of women. In the current study, an attempt had been made to identify the factors affecting teenage marital pregnancy in women aged 15-29 years. Methods A cross sectional survey was carried out in 389 women, selected with a convenience sampling technique. Participants were selected on the basis of two criteria, such as married women and age within 15-29 years. We excluded women aged more than 29 years as we attempted to conduct study within high fertility contributing women and with the assumption that they may provide data subjected to relatively high level of recall bias as marital pregnancy may be a longer past event to them. In the analysis, we applied bi-variate and multi-variate logistic regression technique to find out odds ratio of teenage marital pregnancy. Results Result revealed that 72.5% of the participants experienced first marital pregnancy during their teenage, with a mean age of 17.88 years (SD = 2.813. Multivariate logistic regression analysis revealed that participants aged 20-24 years had higher likelihood (OR 1.971, 95% CI 1.132 to 3.434, whereas participants aged 25-29 years had lower likelihood (OR 0.054, 95% CI 0.016 to 0.190 of experiencing teenage marital pregnancy compared to participants aged 15-19 years. In addition, participants desired for >2 children had significant higher odds (OR 3.573, 95% CI 1.910 to 6.684 and participants born in urban area had significant lower odds (OR 0.458, 95% CI 0.228 to 0.919 for teenage marital pregnancy. Conclusions Based on the findings, we conclude that in order to reduce teenage marital pregnancy, consideration should

  5. 5 CFR 720.901 - Equal opportunity without regard to politics or marital status.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Equal opportunity without regard to politics or marital status. 720.901 Section 720.901 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT... Regard to Politics or Marital Status § 720.901 Equal opportunity without regard to politics or marital...

  6. Marital and Family Therapy in the Treatment of Multiple Personality Disorder.

    Science.gov (United States)

    Sachs, Roberta G.; And Others

    1988-01-01

    Explores marital and family therapy in treatment of Multiple Personality Disorder (MPD), discussing role of family of origin in MPD development and role of nuclear family in its perpetuation. Suggests family and marital interventions, illustrating them with case examples. Proposes involving MPD client in marital or family therapy, in addition to…

  7. Prenatal stress may increase vulnerability to life events comparison with the effects of prenatal dexamethasone

    DEFF Research Database (Denmark)

    Hougaard, Karin; Andersen, Maibritt B; Kjaer, Sanna L

    2005-01-01

    naïve at the time of ASR testing, whereas the other had been through blood sampling for assessment of the hormonal stress response to restraint, 3 months previously. Both prenatal CMS and dexamethasone increased ASR in the offspring compared to controls, but only in prenatally stressed offspring......Prenatal stress has been associated with a variety of alterations in the offspring. The presented observations suggest that rather than causing changes in the offspring per se, prenatal stress may increase the organism's vulnerability to aversive life events. Offspring of rat dams stressed...... of the acoustic startle response. Further, a single aversive life event showed capable of changing the reactivity of prenatally stressed offspring, whereas offspring of dams going through a less stressful gestation was largely unaffected by this event. This suggests that circumstances dating back to the very...

  8. Prenatal screening for fetal aneuploidy in singleton pregnancies.

    Science.gov (United States)

    Chitayat, David; Langlois, Sylvie; Douglas Wilson, R

    2011-07-01

    studies. There were no language restrictions. Searches were updated on a regular basis and incorporated in the guideline to August 2010. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies. The previous Society of Obstetricians and Gynaecologists of Canada guidelines regarding prenatal screening were also reviewed in developing this clinical practice guideline. The quality of evidence was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care. This guideline is intended to reduce the number of prenatal invasive procedures done when maternal age is the only indication. This will have the benefit of reducing the numbers of normal pregnancies lost because of complications of invasive procedures. Any screening test has an inherent false-positive rate, which may result in undue anxiety. It is not possible at this time to undertake a detailed cost-benefit analysis of the implementation of this guideline, since this would require health surveillance and research and health resources not presently available; however, these factors need to be evaluated in a prospective approach by provincial and territorial initiatives. RECOMMENDATIONS 1. All pregnant women in Canada, regardless of age, should be offered, through an informed counselling process, the option of a prenatal screening test for the most common clinically significant fetal aneuploidies in addition to a second trimester ultrasound for dating, assessment of fetal anatomy, and detection of multiples. (I-A) 2. Counselling must be non-directive and must respect a woman's right to accept or decline any or all of the testing or options offered at any point in the process. (III-A) 3. Maternal age alone is a poor minimum standard for prenatal screening

  9. Characteristics of patients receiving midwife-led prenatal care in Canada: results from the Maternity Experiences Survey (MES).

    Science.gov (United States)

    Abdullah, Peri; Gallant, Sabrina; Saghi, Naseem; Macpherson, Alison; Tamim, Hala

    2017-06-02

    The aim of this study was to determine the characteristics of women in Canada who received care from a midwife during their prenatal period. The findings of this study were drawn from the Maternity Experiences Survey (MES), which was a cross-sectional survey that assessed the experiences of women who gave birth between November 2005 and May 2006. The main outcome variable for this study was the prenatal care provider (i.e. midwife versus other healthcare providers). Demographic, socioeconomic, as well as health and pregnancy factors were evaluated using bivariate and multivariate models of logistic regression. A total of 6421 participants were included in this analysis representing a weighted total of 76,508 women. The prevalence of midwife-led prenatal care was 6.1%. The highest prevalence of midwife-led prenatal care was in British Columbia (9.8%), while the lowest prevalence of midwife-led prenatal care was 0.3% representing the cumulative prevalence in Nova Scotia, Prince Edward Island, Newfoundland and Labrador, New Brunswick, Saskatchewan, and Yukon. Factors showing significant association with midwife-led prenatal care were: Aboriginal status (OR = 2.26, 95% CI: 1.41-3.64), higher education with bachelor and graduate degree attainment having higher ORs when compared to high-school or less (OR = 2.71, 95% CI: 1.71-4.31 and OR = 3.17, 95% CI: 1.81-5.55, respectively), and alcohol use (OR = 1.63, 95% CI: 1.17-2.26). Age, marital status, immigrant status, work during pregnancy, household income, previous pregnancies, perceived health, maternal Body Mass Index (BMI), and smoking during the last 3 months of pregnancy were not significantly associated with midwife care. In general, women who were more educated, have aboriginal status, and/or are alcohol drinkers were more likely to receive care from midwives. Since MES is the most recent resource that includes information about national midwifery utilization, future studies can provide more up

  10. The couple context of pregnancy and its effects on prenatal care and birth outcomes.

    Science.gov (United States)

    Hohmann-Marriott, Bryndl

    2009-11-01

    The couple context of pregnancy and newborn health is gaining importance with the increase in births to unmarried couples, a disproportionate number of which were not intended. This study investigates the association of early prenatal care, preterm birth, and low birth weight with the couple relationship context, including partners' joint intentions for the pregnancy, their marital status at conception, and the presence of relationship problems during pregnancy. Data are drawn from the first wave of the Early Childhood Longitudinal Study--Birth Cohort, a representative study of births in 2001. The sample is composed of parents residing together with their biological child at the time the child is 9 months old, where both the mother and father completed the self-report interview (N = 5,788). Couple-level multivariate logistic regression models, weighted to account for the complex sampling design, were used in the analysis. Risk of inadequate prenatal care and preterm birth was increased when partners did not share intentions or when neither partner intended the pregnancy. Couples were at additional risk of inadequate prenatal care when the pregnancy was conceived nonmaritally and when the mother did not tell the father about the pregnancy, particularly when neither partner intended the pregnancy. The risk of premature birth was particularly high when the partners were unmarried and either or both did not intend the pregnancy. The couple context of pregnancy is important for a healthy pregnancy and birth. When the partner is present, practitioners and programs should maintain a focus on the couple, and researchers should make every effort to include the father's own perspective.

  11. The prenatal roots of music

    Directory of Open Access Journals (Sweden)

    David Ernest Teie

    2016-08-01

    Full Text Available Although the idea that pulse in music may be related to human pulse is ancient and has recently been promoted by researchers (Parncutt, 2006; Snowdon & Teie, 2010, there has been no ordered delineation of the characteristics of music that are based on the sounds of the womb. I describe features of music that are based on sounds that are present in the womb: tempo of pulse (pulse is understood as the regular, underlying beat that defines the meter, amplitude contour of pulse, meter, musical notes, melodic frequency range, continuity, syllabic contour, melodic rhythm, melodic accents, phrase length, and phrase contour. There are a number of features of prenatal development that allow for the formation of long-term memories of the sounds of the womb in the areas of the brain that are responsible for emotions. Taken together, these features and the similarities between the sounds of the womb and the elemental building blocks of music allow for a postulation that the fetal acoustic environment may provide the bases for the fundamental musical elements that are found in the music of all cultures. This hypothesis is supported by a one-to-one matching of the universal features of music with the sounds of the womb: 1 all of the regularly heard sounds that are present in the fetal environment are represented in the music of every culture, and 2 all of the features of music that are present in the music of all cultures can be traced to the fetal environment.

  12. Quality

    International Nuclear Information System (INIS)

    Burnett, N.; Jeffries, J.; Mach, J.; Robson, M.; Pajot, D.; Harrigan, J.; Lebsack, T.; Mullen, D.; Rat, F.; Theys, P.

    1993-01-01

    What is quality? How do you achieve it? How do you keep it once you have got it. The answer for industry at large is the three-step hierarchy of quality control, quality assurance and Total quality Management. An overview is given of the history of quality movement, illustrated with examples from Schlumberger operations, as well as the oil industry's approach to quality. An introduction of the Schlumberger's quality-associated ClientLink program is presented. 15 figs., 4 ills., 16 refs

  13. The Role of the Emotional Intelligence and Emotional Schema in Womenn’s Marital Satisfaction

    Directory of Open Access Journals (Sweden)

    جعفر حسني

    2014-01-01

    Full Text Available The present study investigated the role of emotional intelligence and emotional schema in marital satisfaction among women. A sample of 200 married women (100 employed and 100 household women was selected randomly and completed measures of emotional schemas, emotional intelligence, and marital satisfaction. The results of stepwise regression analysis showed that attention and clarity components of emotional intelligence are significant predictors of most marital satisfaction dimensions. Also, blame, agreement, simplistic view of emotions and higher values towards emotional schemas predicted different dimensions of marital satisfaction. Based on the findings it can be concluded that the emotional intelligence and effective emotional schema play a key role in marital satisfaction.

  14. Relations of husbands and wives dysphoria to marital conflict resolution strategies.

    Science.gov (United States)

    Du Rocher Schudlich, Tina D; Papp, Lauren M; Cummings, E Mark

    2004-03-01

    This study investigated relations between spouses' dysphoria and constructive and destructive emotions and tactics displayed by husbands and wives throughout marital conflicts. Behavioral observations were made of 267 couples' interactions during marital conflict resolution tasks. Husbands' and wives' dysphoria levels were related to particular negative marital conflict expressions and the absence of positive strategies, even after taking into account couples' marital satisfaction and their partners' levels of dysphoria. Moreover, in comparison with wives' dysphoria, husbands' dysphoria was associated with more pervasive impairments in couples" conflict strategies evident in multiple contexts of conflict resolution, including discussion of relatively minor sources of disagreement. Implications for the treatment of depressed or maritally discordant couples are discussed.

  15. The premarital communication roots of marital distress and divorce: the first five years of marriage.

    Science.gov (United States)

    Markman, Howard J; Rhoades, Galena K; Stanley, Scott M; Ragan, Erica P; Whitton, Sarah W

    2010-06-01

    Using data from 210 couples who provided data across the first 5 years of marriage, we examined how premarital communication quality was related to divorce and later distress. The results showed that premarital observed negative and positive communication nearly reached significance as predictors of divorce, while self-reported negative communication was significantly associated with divorce. In terms of marital adjustment, we found that both premarital observed and self-reported negative premarital communication (but not observed positive communication) were associated with lower adjustment during the first 5 years of marriage. The most important questions addressed in this study pertain to how positive and negative dimensions of communication change over time and how these changes are related to being distressed or nondistressed after 5 years of marriage. This is the first study, to our knowledge, to examine the changes in communication over time that are so central to theories of the development of marital distress and for research-based interventions. We found that all couples showed decreases in negative communication over time, but the nondistressed group declined significantly more than the distressed group in negative communication, suggesting they are handling negative emotions better. Implications for future research on the development of relationship distress and for enhancing research-based couples' intervention programs are provided. (c) 2010 APA, all rights reserved.

  16. The effects of cystic fibrosis on couples: marital satisfaction, emotions, and coping strategies.

    Science.gov (United States)

    Delelis, Gérald; Christophe, Véronique; Leroy, Sylvie; Vanneste, Johanne; Wallaert, Benoît

    2008-12-01

    An earlier diagnosis and better overall multidisciplinary care enable people suffering from Cystic Fibrosis (CF) to have a life expectancy of 40. Consequently, new populations and questions about the development of the life of couples have arisen. This study by questionnaires takes a first look at marital adjustment, anxiety, depression, and emotion focused, social support focused, and problem focused coping strategies in 16 CF patients and their partners. As a whole, the couples' marital adjustment level was good; it was higher for men who were patients than men who were partners, and vice versa for women. Anxiety was high for at least one partner in 10 of the couples; depression, for at least one partner in seven of them. The participants seem to use coping strategies to a lesser extent than the general population. The results are discussed in terms of how the quality of life as a couple with one partner suffering from CF is affected by the proper mutual adjustment of the partners.

  17. Disorganized Cortical Patches Suggest Prenatal Origin of Autism

    Science.gov (United States)

    ... 2014 Disorganized cortical patches suggest prenatal origin of autism NIH-funded study shows disrupted cell layering process ... study suggests that brain irregularities in children with autism can be traced back to prenatal development. “While ...

  18. Informed consent: attitudes, knowledge and information concerning prenatal examination

    DEFF Research Database (Denmark)

    Dahl, Katja; Kesmodel, Ulrik; hvidman, lone

    2006-01-01

    Background: Providing women with information enabling an informed consent to prenatal examinations has been widely recommended. Objective: The primary purpose of this review is to summarise current knowledge of the pregnant woman's expectations and attitudes concerning prenatal examinations, as w...

  19. Medicaid reimbursement, prenatal care and infant health.

    Science.gov (United States)

    Sonchak, Lyudmyla

    2015-12-01

    This paper evaluates the impact of state-level Medicaid reimbursement rates for obstetric care on prenatal care utilization across demographic groups. It also uses these rates as an instrumental variable to assess the importance of prenatal care on birth weight. The analysis is conducted using a unique dataset of Medicaid reimbursement rates and 2001-2010 Vital Statistics Natality data. Conditional on county fixed effects, the study finds a modest, but statistically significant positive relationship between Medicaid reimbursement rates and the number of prenatal visits obtained by pregnant women. Additionally, higher rates are associated with an increase in the probability of obtaining adequate care, as well as a reduction in the incidence of going without any prenatal care. However, the effect of an additional prenatal visit on birth weight is virtually zero for black disadvantaged mothers, while an additional visit yields a substantial increase in birth weight of over 20 g for white disadvantaged mothers. Copyright © 2015 Elsevier B.V. All rights reserved.

  20. Marital and Parental Satisfaction of Married Physicians with Children

    Science.gov (United States)

    Warde, Carole M; Moonesinghe, Kushan; Allen, Walter; Gelberg, Lillian

    1999-01-01

    OBJECTIVE To evaluate personal and professional factors associated with marital and parental satisfaction of physicians. STUDY DESIGN Cross-sectional study. PARTICIPANTS A survey was sent to equal numbers of licensed male and female physicians in a Southern California county. Of 964 delivered questionnaires, 656 (68%) were returned completed. Our sample includes 415 currently married physicians with children, 64% male and 36% female. MEASUREMENTS AND MAIN RESULTS Ratings of marital and parental satisfaction were measured on a 5-point Likert scale, 5 being extremely satisfied. Prevalence of work and home life factors was also evaluated. The mean score for marital satisfaction was 3.92 (range 1.75–5.0). Approximately half of the physicians reported high levels of marital satisfaction (63% of male physicians and 45% of female physicians). The gender difference disappeared after adjusting for age differences. Two factors were associated with high marital satisfaction: a supportive spouse (odds ratio [OR] 10.37; 95% confidence interval [CI] 2.66, 40.08) and role conflict (OR 0.61; 95% CI 0.42, 0.88). The mean score for parental satisfaction was 3.43 (range 1.0–5.0), and approximately two thirds of both male and female physicians reported at least moderate levels of parental satisfaction. The major factors associated with parental satisfaction were a supportive spouse (OR 2.24; 95% CI 1.32, 3.80), role conflict (OR 0.35; 95% CI 0.23, 0.53), salaried practice setting (OR 2.14; 95% CI 1.21, 3.81), marriage to a spouse working in a profession (OR 2.14; 95% CI 1.21, 3.81), and marriage to a spouse working as a homemaker (OR 2.33; 95% CI 1.20, 4.56). Number of hours worked was not found to be related to either satisfaction score, but rather to an intervening variable, role conflict. CONCLUSIONS For physicians with children, our study indicates that minimizing the level of role conflict and having a supportive spouse are associated with higher levels of marital and

  1. FATHERS' AND MOTHERS' REPRESENTATIONS OF THE INFANT: ASSOCIATIONS WITH PRENATAL RISK FACTORS.

    Science.gov (United States)

    Vreeswijk, Charlotte M J M; Rijk, Catharina H A M; Maas, A Janneke B M; van Bakel, Hedwig J A

    2015-01-01

    Parents' representations of their infants consist of parents' subjective experiences of how they perceive their infants. They provide important information about the quality of the parent-infant relationship and are closely related to parenting behavior and infant attachment. Previous studies have shown that parents' representations emerge during pregnancy. However, little is known about prenatal (risk) factors that are related to parents' representations. In a prospective study, 308 mothers and 243 fathers were followed during pregnancy and postpartum. Prenatal risk factors were assessed with an adapted version of the Dunedin Family Services Indicator (T.G. Egan et al., ; R.C. Muir et al., ). At 26 weeks' gestation and 6 months' postpartum, parents' representations of their children were assessed with the Working Model of the Child Interview (C.H. Zeanah, D. Benoit, L. Hirshberg, M.L. Barton, & C. Regan). Results showed stability between pre- and postnatal representations, with fathers having more disengaged representations than did mothers. In addition, prenatal risk factors of parenting problems were associated with the quality of parents' prenatal (only in mothers) and postnatal representations. This study provides valuable information concerning parents at risk of developing nonbalanced representations of their children. In clinical practice, these families could be monitored more intensively and may be supported in developing a more optimal parent-infant relationship. © 2015 Michigan Association for Infant Mental Health.

  2. Association between Prenatal and Postnatal Psychological Distress and Toddler Cognitive Development: A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Dawn Kingston

    Full Text Available Maternal psychological distress is one of the most common perinatal complications, affecting up to 25% of pregnant and postpartum women. Research exploring the association between prenatal and postnatal distress and toddler cognitive development has not been systematically compiled. The objective of this systematic review was to determine the association between prenatal and postnatal psychological distress and toddler cognitive development.Articles were included if: a they were observational studies published in English; b the exposure was prenatal or postnatal psychological distress; c cognitive development was assessed from 13 to 36 months; d the sample was recruited in developed countries; and e exposed and unexposed women were included. A university-based librarian conducted a search of electronic databases (Embase, CINAHL, Eric, PsycInfo, Medline (January, 1990-March, 2014. We searched gray literature, reference lists, and relevant journals. Two reviewers independently evaluated titles/abstracts for inclusion, and quality using the Scottish Intercollegiate Guideline Network appraisal tool for observational studies. One reviewer extracted data using a standardized form.Thirteen of 2448 studies were included. There is evidence of an association between prenatal and postnatal distress and cognitive development. While variable effect sizes were reported for postnatal associations, most studies reported medium effect sizes for the association between prenatal psychological distress and cognitive development. Too few studies were available to determine the influence of the timing of prenatal exposure on cognitive outcomes.Findings support the need for early identification and treatment of perinatal mental health problems as a potential strategy for optimizing toddler cognitive development.

  3. The accuracy of 2D ultrasound prenatal sex determination ...

    African Journals Online (AJOL)

    Most of the women were happy even when the sex differed from that which they desired. Conclusion: Prenatal sonographic sex determination has a high sensitivity index. Consequently we advocate its use prior to more invasive sex tests. Keywords: Accuracy, gender determination, prenatal gender, prenatal sex, sex ...

  4. Empowering Women's Prenatal Communication: Does Literacy Matter?

    Science.gov (United States)

    Roter, Debra L; Erby, Lori H; Rimal, Rajiv N; Smith, Katherine C; Larson, Susan; Bennett, Ian M; Cole, Katie Washington; Guan, Yue; Molloy, Matthew; Bienstock, Jessica

    2015-01-01

    This study was designed to evaluate the impact of an interactive computer program developed to empower prenatal communication among women with restricted literacy skills. A total of 83 women seeing 17 clinicians were randomized to a computer-based communication activation intervention (Healthy Babies Healthy Moms [HBHM]) or prenatal education (Baby Basics [BB]) prior to their prenatal visit. Visit communication was coded with the Roter Interaction Analysis System, and postvisit satisfaction was reported. Participants were on average 24 years of age and 25 weeks pregnant; 80% were African American. Two thirds scored ≤8th grade on a literacy screener. Women with literacy deficits were more verbally active, disclosed more medical and psychosocial/lifestyle information, and were rated as more dominant by coders in the HBHM group relative to their counterparts in the BB group (all ps literacy in the HBHM relative to the BB group (p literacy deficits. Satisfaction, however, tended to be lower for these women.

  5. Prenatal diagnosis of congenital paraesophageal hiatal hernia

    Directory of Open Access Journals (Sweden)

    Min Jeng Cho

    2018-05-01

    Full Text Available Abstracts: Congenital paraesophageal hiatal hernia (CPEH is a rare condition. CPEH can cause important clinical problems such as gastric volvulus, hematemesis, vomiting, failure to thrive, and respiratory distress, it requires early diagnosis and prompt surgical treatment. In this paper, we describe a case of CPEH that was suspected in a prenatal ultrasound. Postnatal upper gastrointestinal contrast series confirmed a CPEH with intrathoracic gastric volvulus. An emergency operation was performed. The stomach was reduced, the hiatal defect was repaired by crural approximation, and a Nissen fundoplication was done. The prenatal diagnosis of CPEH is unusual, but prenatal detection is important because it allows planned neonatal surgery before the onset of complications and reduces long-term morbidity. Keywords: Congenital paraesophageal hiatal hernia, Antenatal diagnosis, Gastric volvulus

  6. Prenatal diagnosis of lissencephaly: A case report

    Directory of Open Access Journals (Sweden)

    Cerovac Nataša

    2016-01-01

    Full Text Available Introduction. Lissencephaly (“smooth brain” forms a major group of brain malformations due to abnormal neuronal migration. It can cause severe intellectual and motor disability and epilepsy in children. The prenatal diagnosis of this malformation is rare. Case report. We presented a case of the prenatal diagnosis of lissencephaly. A 30-year old pregnant woman was reffered to the hospital at the week 35 of gestation for magnetic resonance imaging (MRI after an ultrasound examination demonstrated fetal cerebral ventriculomegaly. Fetal MRI of the brain showed “smooth”, agyrya cortex. The female infant was born at term with birth weight of 2,500 g and Apgar score 8, showing global developmental delay. Postnatal ultrasound and MRI confirmed classical lissencephaly. She is now 8 years old and has spastic quadriparesis, mental retardation and epilepsy. Conclusion. Confirmation of the ultrasound diagnosis with MRI is desirable for the prenatal diagnosis of lissencephaly.

  7. Women's Education, Marital Violence, and Divorce: A Social Exchange Perspective.

    Science.gov (United States)

    Kreager, Derek A; Felson, Richard B; Warner, Cody; Wenger, Marin R

    2013-06-01

    Drawing on social exchange theories, the authors hypothesized that educated women are more likely than uneducated women to leave violent marriages and suggested that this pattern offsets the negative education - divorce association commonly found in the United States. They tested these hypotheses using 2 waves of young adult data on 914 married women from the National Longitudinal Study of Adolescent Health. The evidence suggests that the negative relationship between women's education and divorce is weaker when marriages involve abuse than when they do not. The authors observed a similar pattern when they examined the association of women's proportional earnings and divorce, controlling for education. Supplementary analyses suggested that marital satisfaction explains some of the association among women's resources, victimization, and divorce but that marital violence continues to be a significant moderator of the education - divorce association. In sum, education appears to benefit women by both maintaining stable marriages and dissolving violent ones.

  8. The Impact of Adolescent Deviance on Marital Trajectories.

    Science.gov (United States)

    Doherty, Elaine Eggleston; Green, Kerry M; Ensminger, Margaret E

    2012-01-01

    Marriage is a key life event that has numerous benefits. Recent research extends these benefits to include desistance from crime and drug use yet there has been little investigation regarding whether deviant behavior in adolescence impacts long-term marital patterns. Since rates of marriage are low among African Americans and rates of adolescent deviance and crime are high, we investigate the long-term relationship between the two drawing on longitudinal data from the Woodlawn cohort of urban African Americans. This article investigates whether serious adolescent delinquency and marijuana use predict marital trajectories, controlling for known correlates. Multivariate findings indicate that within this African-American population, deviance predicts the probability of marriage, stability of marriage, and timing of marriage for men yet deviance relates solely to the probability of marriage for women.

  9. Marital status of people with epilepsy in Korea.

    Science.gov (United States)

    Kim, Myeong-Kyu; Kwon, Oh-Young; Cho, Yong-Won; Kim, Yosik; Kim, Sung-Eun; Kim, Hoo-Won; Lee, Sang Kun; Jung, Ki-Young; Lee, Il Keun

    2010-11-01

    A multicentre face-to-face interview was conducted to identify factors contributing to the marital status of people with epilepsy (PWE) in Korea. The marriage rate of PWEs was only 80% and the divorce rate was more than double that in the general population. Among the single subjects, 34% replied that they were unmarried because of epilepsy, and 76% of divorced PWEs replied that epilepsy was the cause of the divorce. The factors affecting the single and divorced status in PWEs included gender, an earlier onset of seizure and seizure onset before marriage. Not informing the spouse of the disease before marriage for fear of discrimination was not related to disadvantage in marriage negotiation or to divorce. Social stigmatization of epilepsy continues and impacts on the marital status of PWEs in Korea. However, there is no correlation between the perceived and the enacted stigmas of epilepsy. Copyright © 2010 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  10. Prenatal ultrasound findings of fetal neoplasms

    International Nuclear Information System (INIS)

    Lee, Soo Hyun; Cho, Jeong Yeon; Song, Mi Jin; Min, Jee Yeon; Han, Byoung Hee; Lee, Young Ho; Cho, Byung Jae; Kim, Seung Hyup

    2002-01-01

    A variety of neoplasms can develop in each tetal organ. Most fetal neoplasms can be detected by careful prenatal ultrasonographic examination. Some neoplosms show specific ultrasonographic findings suggesting the differential diagnosis, but others do not. Knowledge of the presence of a neoplasm in the fetus may alter the prenatal management of a pregnancy and the mode of delivery, and facilitates immediate postnatal treatment. During the last five years, we experienced 32 cases of fetal neoplasms in a variety of organs. We describe their typical and ultrasonographic findings with correlating postnatal CT, MRI, and pathologic findings

  11. Prenatal intestinal volvulus: look for cystic fibrosis.

    Science.gov (United States)

    Chouikh, Taieb; Mottet, Nicolas; Cabrol, Christelle; Chaussy, Yann

    2016-12-21

    Intestinal volvulus is a life-threatening emergency requiring prompt surgical management. Prenatal intestinal volvulus is rare, and most are secondary to intestinal atresia, mesenteric defect or without any underlying cause. Cystic fibrosis (CF) is known to cause digestive tract disorders. After birth, 10-15% of newborns with CF may develop intestinal obstruction within a few days of birth because of meconial ileus. 1 This obstruction is a result of dehydrated thickened meconium obstructing the intestinal lumen. We report two cases of fetuses with prenatal diagnosis of segmental volvulus in whom CF was diagnosed. 2016 BMJ Publishing Group Ltd.

  12. The doctor's wife: mental illness and marital pattern.

    Science.gov (United States)

    Miles, J E; Krell, R; Lin, T Y

    1975-01-01

    It is a clinical impression that physicians' wives present in disproportionately large numbers as psychiatric patients; that in the vast majority severe marital problems are present; and that the marital relationships show a similar pattern. The purpose of this paper is to ascertain whether the latter two impressions have any basis in fact. Accordingly, a random sample of twenty physicians' wives who had been in-patients in the University of British Columbia Health Sciences Centre Hospital during the period March 1, 1969 to May 31, 1973, and whose husbands had been interviewed, was selected. The records were reviewed to obtain personal data, pertinent psychiatric history, diagnosis, the personality of husband and wife and information on the marital relationship. These conclusions emerged: 1. Ninety per cent of the patients had a primary diagnosis of depressive neurosis. 2. Ninety-five per cent of the patients had a secondary diagnosis of personality disorder, hysterical personality and passive-aggressive personality in order of frequency. 3. In 90 per cent of the patients there was a history of suicidal preoccupation or attempt. 4. In 55 per cent of the patients there was a history of significant drug and/or alcohol abuse. 5. The patients were more frequently ward management problems. 6. A common marital pattern was noted: a dependent, histrionic wife and an emotionally detached husband. 7. The cases were characterized by their complexity, severity, long duration and difficulties involving the patient and spouse in an appropriate treatment plan. The authors discuss the implications of this study, particularly its significance in provoking examination of what measures might be utilized for early detection and intervention with those physicians and physician-marriages at risk.

  13. Marital Satisfaction and Sexual Satisfaction in Married Men in Tehran

    OpenAIRE

    Sayed Hadi Sayed Alitabar; Roya Hamidi; Saeid Ghanbari; Ali Zadeh Mohammadi; Mojtaba Habibi Asgarabad

    2016-01-01

    Background and Objective: Premarital sex in big cities like Tehran, has increased significantly and could also have an impact on future relations people after marriage. The main objective of this study was to compare marital satisfaction and sexual satisfaction in married men with and without a history of premarital sex.Materials and Methods: This research was causal-comparative. The population of this study consists of all married men less than 45 years in Tehran. 144 married men in Tehran w...

  14. Marital Processes around Depression: A Gendered and Relational Perspective

    OpenAIRE

    Thomeer, Mieke Beth; Umberson, Debra; Pudrovska, Tetyanna

    2013-01-01

    Despite extensive evidence of the importance of marriage and marital processes for mental health, little is known about the interpersonal processes around depression within marriage and the extent to which these processes are gendered. We use a mixed methods approach to explore the importance of gender in shaping processes around depression within marriage; we approach this in two ways. First, using quantitative longitudinal analysis of 2,601 couples from the Health and Retirement Study (HRS)...

  15. Study of marital communication in marriages with infidelity

    OpenAIRE

    Martín-Lanas, R. (Raquel); Beunza-Nuin, M.I. (Mª Isabel); Cano-Prous, A. (Adrián); Tricas-Sauras, S. (Sandra); Manrique-Astiz, E. (Eduardo); Aubá-Guedea, E. (Enrique)

    2011-01-01

    INTRODUCTION Infidelity has a significant psychological impact on marriages and families. Marriages with an infidelity experience show a great number of premarital communication problems such as low rates of positive interaction and high rates of invalidation and negative interaction (1). OBJECTIVES To analyse communicative resources of spouses belonging to marriages with at least one unfaithfulness episode. To compare marital communication depending on the sex of the unfaithfu...

  16. MARITAL RELATIONSHIP AND EXPECTATIONS ABOUT PARENTHOOD IN GAY COUPLES

    OpenAIRE

    Meletti, Alexandre Trevisani; Scorsolini-Comin, Fabio

    2015-01-01

    The aim of this study was to understand the processes of construction of the marital relationship and expectations about parenthood in same-sex couples. It has been interviewed four gay couples (four men and four women) who have been living together for four years, on average. Semi-structured interviews have been used and the technique of the life history has been also performed in an individual appliance. They have also been audio taped, fully and literally transcribed. The content analysis ...

  17. Marital Status and Survival in Patients with Carcinoid Tumors.

    Science.gov (United States)

    Greenleaf, Erin K; Cooper, Amanda B; Hollenbeak, Christopher S

    2016-01-01

    Marital status is a known prognostic factor in overall and disease-specific survival in several types of cancer. The impact of marital status on survival in patients with carcinoid tumors remains unknown. We hypothesized that married patients have higher rates of survival than similar unmarried patients with carcinoid tumors. Using the Surveillance, Epidemiology, and End Results database, we identified 23,126 people diagnosed with a carcinoid tumor between 2000 and 2011 and stratified them according to marital status. Univariate and multivariable analyses were performed to compare the characteristics and outcomes between patient cohorts. Overall and cancer-related survival were analyzed using the Kaplan-Meier method. Multivariable survival analyses were performed using Cox proportional hazards models (hazards ratio [HR]), controlling for demographics and tumor-related and treatment-related variables. Propensity score analysis was performed to determine surgical intervention distributions among married and unmarried (ie, single, separated, divorced, widowed) patients. Marital status was significantly related to both overall and cancer-related survival in patients with carcinoid tumors. Divorced and widowed patients had worse overall survival (HR, 1.33 [95% confidence interval {CI}, 1.08-1.33] and 1.34 [95% CI, 1.22-1.46], respectively) and cancer-related survival (HR, 1.15 [95% CI, 1.00-1.31] and 1.15 [95% CI, 1.03-1.29], respectively) than married patients over five years. Single and separated patients had worse overall survival (HR, 1.20 [95% CI, 1.08-1.33] and 1.62 [95% CI, 1.25-2.11], respectively) than married patients over five years, but not worse cancer-related survival. Unmarried patients were more likely than matched married patients to undergo definitive surgical intervention (62.67% vs 53.11%, respectively, P married patients have a survival advantage after diagnosis of any carcinoid tumor, potentially reflecting better social support and financial means

  18. Attitudes of pregnant women and male partners towards non-invasive prenatal testing and widening the scope of prenatal screening

    NARCIS (Netherlands)

    van Schendel, Rachèl V.; Kleinveld, Johanna H.; Dondorp, Wybo J.; Pajkrt, Eva; Timmermans, Danielle R. M.; Holtkamp, Kim C. A.; Karsten, Margreet; Vlietstra, Anne L.; Lachmeijer, Augusta M. A.; Henneman, Lidewij

    2014-01-01

    Non-invasive prenatal testing (NIPT) and its potential to test for multiple disorders has received much attention. This study explores attitudes of women and men towards NIPT, and their views on widening the scope of prenatal testing in a country with a low uptake of prenatal screening (The

  19. Meaningfulness of Service and Marital Satisfaction in Army Couples

    Science.gov (United States)

    Bergmann, Jeffrey S.; Renshaw, Keith D.; Allen, Elizabeth S.; Markman, Howard J.; Stanley, Scott M.

    2015-01-01

    The vast numbers of military service members who have been deployed since 2001 highlights the need to better understand relationships of military couples. A unique consideration in military couples is the concept of meaningfulness of service, or the value service members and their partners place on military service in spite of the sacrifices it requires. In a sample of 606 Army couples, we used path analysis to examine how male service members’ and female spouses’ perceived meaningfulness of service added to the prediction of marital satisfaction in both members of the couple, when accounting for service members’ PTSD symptoms. Spouses’ perceived meaningfulness of service was linked with higher marital satisfaction in spouses, regardless of service member’s perceived meaningfulness of service. Service members’ perceived meaningfulness of service was also associated with increased marital satisfaction in service members, but only when their spouses also perceived higher meaningfulness. There were no significant interactions between service members’ PTSD and either partner’s perceived meaningfulness. Implications for enhanced attention to spousal perceptions of meaningfulness of service are discussed. PMID:25046347

  20. Hostile behavior during marital conflict alters pituitary and adrenal hormones.

    Science.gov (United States)

    Malarkey, W B; Kiecolt-Glaser, J K; Pearl, D; Glaser, R

    1994-01-01

    We evaluated hormonal changes and problem-solving behaviors in 90 newlywed couples who were admitted to a hospital research unit for 24 hours. The subjects were selected on the basis of stringent mental and physical health criteria, and admissions were scheduled during the follicular phase of the woman's menstrual cycle. For frequent, unobtrusive endocrine sampling during the interaction tasks, a long polyethylene tube was attached to a heparin well, allowing nurses to draw blood samples at set intervals, out of subjects' sight. Five blood samples were obtained before, during, and after a 30-minute structured problem-solving or conflict task. The conflict session was recorded on videotapes that were later scored for problem-solving behaviors using the Marital Interaction Coding System (MICS). Marital conflict and MICS-coded hostile or negative behavior during conflict was closely linked to changes in serum hormonal levels across five of the six hormones we studied, in spite of the high marital satisfaction of our newlywed couples and the healthy lifestyles demanded by our exclusion criteria. Hostile behavior was associated with decreased levels of prolactin (PRL) and increases in epinephrine (EPI), norepinephrine (NEPI), ACTH, and growth hormone (GH), but not cortisol. These data suggest that the endocrine system may be an important mediator between personal relationships and health.

  1. Meaningfulness of service and marital satisfaction in Army couples.

    Science.gov (United States)

    Bergmann, Jeffrey S; Renshaw, Keith D; Allen, Elizabeth S; Markman, Howard J; Stanley, Scott M

    2014-10-01

    The vast numbers of military service members who have been deployed since 2001 highlights the need to better understand relationships of military couples. A unique consideration in military couples is the concept of meaningfulness of service, or the value service members and their partners place on military service in spite of the sacrifices it requires. In a sample of 606 Army couples, the authors used path analysis to examine how male service members' and female spouses' perceived meaningfulness of service added to the prediction of marital satisfaction in both members of the couple, when accounting for service members' PTSD symptoms. Spouses' perceived meaningfulness of service was linked with higher marital satisfaction in spouses, regardless of service member's perceived meaningfulness of service. Service members' perceived meaningfulness of service was also associated with increased marital satisfaction in service members, but only when their spouses also perceived higher meaningfulness. There were no significant interactions between service members' PTSD and either partner's perceived meaningfulness. Implications for enhanced attention to spousal perceptions of meaningfulness of service are discussed. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  2. Marital exogamy in the Aland Islands, Finland, 1750-1949.

    Science.gov (United States)

    Relethford, J H; Mielke, J H

    1994-01-01

    Marriage records from 1750 through 1949 were used to examine effects of population size, geographic distance, and temporal change on rates of marital exogamy in the Aland Islands, Finland. Exogamy rates for individuals (not couples) were computed for 15 Aland parishes in each of four 50-year time periods, giving a total of 60 observations. These rates were analysed with respect to population size using a quadratic regression model. Regression analyses were also used to examine the relationship of marital exogamy with two measures of geographic distance--average distance to all other parishes and nearest-neighbour distance. Analysis of variance was used to examine temporal trends. Multiple regression analyses were used to examine all of these factors simultaneously. Marital exogamy is highest in smaller and larger populations, and less in medium-sized populations. Higher exogamy rates in small populations are related to the lack of available mates in small groups. Higher exogamy rates in larger populations may reflect economic attraction of larger groups. Exogamy rates are lower in the more geographically isolated parishes. From 1750 through 1899 there is little change in exogamy rates, whereas exogamy rates double after 1900. This temporal change reflects changes in transportation technology and other cultural factors promoting increased migration. The multiple regression model shows population size, geographic distance, and temporal change are all significant correlates of exogamy, collectively explaining a large percentage of variation in rates (R2 = 0.79).

  3. Sexual Conduct before Marriage and Subsequent Marital Happiness in Shanghai

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Objective To investigate the links between wives' marital happiness and premarital sex and related consequences in Shanghai during 1980sMethods About 8 000 newly married couples were followed up at the 3rd and 15th month after their marriage.Results About 12% of them reported premarital intercourse. This proportion was higher among less educated couples with blue-collar jobs. About 63% of the sexually active caused pregnant before marriage. Most pregnancies were legitimised by marriage but 1/4 ended in induced abortion. Over 3/4 (78%) of wives reported that they were happy with the marriage in general, while 72% of wives were happy with the sexual aspects of their marriage. Results showed a strong relationship between marital happiness and the occurrence of a premarital abortion. Less educated and late-marring women were more likely to assess their marriage neutrally or negatively.Conclusion Unhappiness with marriage in general and with marital sexual life were significantly higher among women with premarital abortion, and among less educated and late-marrying women.

  4. Decision aids that support decisions about prenatal testing for Down syndrome: an environmental scan.

    Science.gov (United States)

    Leiva Portocarrero, Maria Esther; Garvelink, Mirjam M; Becerra Perez, Maria Margarita; Giguère, Anik; Robitaille, Hubert; Wilson, Brenda J; Rousseau, François; Légaré, France

    2015-09-24

    Prenatal screening tests for Down syndrome (DS) are routine in many developed countries and new tests are rapidly becoming available. Decisions about prenatal screening are increasingly complex with each successive test, and pregnant women need information about risks and benefits as well as clarity about their values. Decision aids (DAs) can help healthcare providers support women in this decision. Using an environmental scan, we aimed to identify publicly available DAs focusing on prenatal screening/diagnosis for Down syndrome that provide effective support for decision making. Data sources searched were the Decision Aids Library Inventory (DALI) of the Ottawa Patient Decision Aids Research Group at the Ottawa Health Research Institute; Google searches on the internet; professional organizations, academic institutions and other experts in the field; and references in existing systematic reviews on DAs. Eligible DAs targeted pregnant women, focused on prenatal screening and/or diagnosis, applied to tests for fetal abnormalities or aneuploidies, and were in French, English, Spanish or Portuguese. Pairs of reviewers independently identified eligible DAs and extracted characteristics including the presence of practical decision support tools and features to aid comprehension. They then performed quality assessment using the 16 minimum standards established by the International Patient Decision Aids Standards (IPDASi v4.0). Of 543 potentially eligible DAs (512 in DALI, 27 from experts, and four on the internet), 23 were eligible and 20 were available for data extraction. DAs were developed from 1996 to 2013 in six countries (UK, USA, Canada, Australia, Sweden, and France). Five DAs were for prenatal screening, three for prenatal diagnosis and 12 for both). Eight contained values clarification methods (personal worksheets). The 20 DAs scored a median of 10/16 (range 6-15) on the 16 IPDAS minimum standards. None of the 20 included DAs met all 16 IPDAS minimum standards

  5. Importance of Marital Characteristics and Marital Satisfaction: A Comparison of Asian Indians in Arranged Marriages and Americans in Marriages of Choice

    Science.gov (United States)

    Madathil, Jayamala; Benshoff, James M.

    2008-01-01

    To date, little research has been published related to cross-cultural differences in such marital factors as love, intimacy, happiness, and satisfaction. The present study compares factors contributing to marital satisfaction and examines correlations between the importance of these factors and the level of satisfaction for three groups: Asian…

  6. Marital Processes Linking Gender Role Attitudes and Marital Satisfaction Among Mexican-Origin Couples: Application of an Actor-Partner Interdependence Mediation Model.

    Science.gov (United States)

    Helms, Heather M; Supple, Andrew J; Hengstebeck, Natalie D; Wood, Claire A; Rodriguez, Yuliana

    2018-01-24

    Informed by dyadic approaches and culturally informed, ecological perspectives of marriage, we applied an actor-partner interdependence mediation model (APIMeM) in a sample of 120 Mexican-origin couples to examine (a) the associations linking Mexican immigrant husbands' and wives' gender role attitudes to marital satisfaction directly and indirectly through marital processes (i.e., warmth and negativity) and (b) whether the associations between spouses' gender role attitudes and marital processes were moderated by wives' employment. Although previous research has identified spouses' gender role attitudes as potential predictors of spouses' marital satisfaction, no study has examined these links in a dyadic model that elucidates how gender role attitudes may operate through processes to shape marital satisfaction and conditions under which associations may differ. We found that when spouses reported less sex-typed attitudes, their partners reported feeling more connected to them and more satisfied with the marriage, regardless of whether wives were employed. Our results suggest that marital satisfaction was highest for those Mexican-origin couples in which marital partners were less sex-typed in their attitudes about marital roles to the extent that partners' attitudinal role flexibility promoted spouses' feelings of warmth and connection to their partner. © 2018 Family Process Institute.

  7. [Prenatal management of isolated IUGR].

    Science.gov (United States)

    Senat, M-V; Tsatsaris, V

    2013-12-01

    To evaluate the performance of different antenatal tools for the monitoring of fetuses with isolated intrauterine growth restriction (IUGR). To define the prenatal management of IUGR and indications for delivery before and after 32 weeks of gestation. PubMed, Embase and the Cochrane databases were searched using the keywords "IUGR", "fetal growth restriction", "cardiotocography", "amniotic fluid", "ultrasound assessment", "biophysical profile", "Doppler ultrasonography", "randomized trial", "meta-analysis". These terms were also combined together. Fetal monitoring of isolated IUGR should be based on the combined use of fetal heart rate (FHR) and ultrasound Doppler. The use of computerized FHR, with short-term variability (STV) measurement allows longitudinal monitoring and provides objective values upon which to decide very premature delivery (LE3). The use of umbilical Doppler is associated with a decrease in perinatal morbidity, especially in IUGR (LE1). It should be the first-line mean for the monitoring of SGA and IUGR fetuses (LE1). The additional use of cerebral Doppler is associated with a better predictive value for a poor perinatal outcome than the umbilical Doppler alone (LE3). Therefore, cerebral Doppler should be used in fetuses with IUGR, whether the umbilical Doppler is normal or not. As morbidity and mortality is increased in IUGR with pathological ductus venosus, the use of this Doppler should be considered in the monitoring of IUGR at before 32 weeks (professional consensus). Routine hospitalization is not mandatory for the monitoring of fetuses with IUGR/SGA. However, tertiary referral is advisable in cases of severe IUGR at between 26 to 32 weeks (professional consensus). The decision for delivery cannot be standardized and should be based on the combined analysis of gestational age, fetal heart rate analysis and Doppler study (professional consensus). Monitoring of fetuses with IUGR and decision for delivery should be based on the combined

  8. Young women's preferences for market work: responses to marital events.

    Science.gov (United States)

    Spitze, G D; Waite, L J

    1981-01-01

    A causal model of changes in women's longrun tastes for paid employment was developed. It is based on the premise that women have a certain preference for market versus home work at the beginning of a year and that during the year some women experience a marital event, which may be a 1st marriage, a 1st birth, or the breakup of an existing marriage. This marital event may then cause some of the women experiencing it to revise their relative tastes for employment and work in the home. It is argued that changes in the level of such resources as time and money and changes in feelings of personal fulfillment that occur as a result of marriage, 1st birth, or divorce are responsible for alterations in market work preferences. Data from the National Longitudinal Survey of Young Women were used to examine how women's relative preference for market work and home work are affected by the transitions of 1st marriage, marital dissolution, and 1st birth. This survey includes yearly data on over 5000 young women over a recent 5 year period. Personal interviews were conducted with a national probability sample of the noninstitutionalized female population age 14-24 in 1968, with yearly reinterviews through 1973. The impact of a 1st marriage during a year on preference for market work at the end of that year was consistently negative from ages 14 through 23. The likelihood that a young woman prefers market to home work at age 35 decreases from 10-20 percentage points upon 1st marriage. Women who first marry beyond age 24 experience no change in preferences for labor force participation. The positive impact of marital dissolution on a young woman's preference for labor force participation was substantial--between 18 and 29 percentage points--and tended to be higher the later it occurred. The experience of marital dissolution causes women to need to prepare for work. The results suggest that it also increases their desire to work. A 1st birth had no immediate impact but was followed

  9. Attachment orientations as mediators in the intergenerational transmission of marital satisfaction.

    Science.gov (United States)

    Jarnecke, Amber M; South, Susan C

    2013-08-01

    Previous research suggests that there is an intergenerational transmission of marital satisfaction, such that parents' marital satisfaction predicts their adult child's marital satisfaction. The mechanisms that explain this phenomenon remain relatively unknown. In the current study, we examined the role of parent-child attachment orientations and romantic relationship attachment orientations as mediators in the intergenerational transmission of marital satisfaction. Participants (N = 199) were cohabiting newlywed couples who had been married for 12 months or less. All participants separately completed measures of own marital satisfaction, attachment orientations to romantic partners, attachment orientations to rearing parents, and perceptions of parents' marital satisfaction. Data was analyzed using the actor-partner interdependence model in a structural equation modeling framework to account for the nonindependent nature of the data. This allowed for examination of gender differences across husbands and wives and provided overall fit of the hypothesized model. Results supported a partially mediating effect of parent-child attachment and romantic partner attachment on the intergenerational transmission of marital satisfaction, although effects differed by gender. For husbands, the direct effect from parents' marital satisfaction to own satisfaction was partially mediated through anxious attachment styles. There was no direct effect from parents to own marital satisfaction for wives; however, there were significant links from parent's satisfaction to attachment orientations in childhood and adulthood, which in turn impacted wives satisfaction. Findings from this study provide an integrated look at the implications that attachment has on the intergenerational transmission of marital functioning. © 2013 American Psychological Association

  10. Prenatal care: associations with prenatal depressive symptoms and social support in low-income urban women.

    Science.gov (United States)

    Sidebottom, Abbey C; Hellerstedt, Wendy L; Harrison, Patricia A; Jones-Webb, Rhonda J

    2017-10-01

    We examined associations of depressive symptoms and social support with late and inadequate prenatal care in a low-income urban population. The sample was prenatal care patients at five community health centers. Measures of depressive symptoms, social support, and covariates were collected at prenatal care entry. Prenatal care entry and adequacy came from birth certificates. We examined outcomes of late prenatal care and less than adequate care in multivariable models. Among 2341 study participants, 16% had elevated depressive symptoms, 70% had moderate/poor social support, 21% had no/low partner support, 37% had late prenatal care, and 29% had less than adequate prenatal care. Women with both no/low partner support and elevated depressive symptoms were at highest risk of late care (AOR 1.85, CI 1.31, 2.60, p care (AOR 0.74, CI 0.54, 1.10, p = 0.051). Women with moderate/high depressive symptoms were less likely to experience less than adequate care compared to women with low symptoms (AOR 0.73, CI 0.56, 0.96, p = 0.022). Social support and partner support were negatively associated with indices of prenatal care use. Partner support was identified as protective for women with depressive symptoms with regard to late care. Study findings support public health initiatives focused on promoting models of care that address preconception and reproductive life planning. Practice-based implications include possible screening for social support and depression in preconception contexts.

  11. The social context of marital happiness in urban Indian couples: interplay of intimacy and conflict.

    Science.gov (United States)

    Sandhya, Shaifali

    2009-01-01

    This research examines the happiness of 182 married, urban Hindu husbands and wives. Prior research emphasizes that the processes mediating well-being diverge across cultures with personal desires not impacting the happiness of non-Western couples. However, with globalization as self needs become important, barometers of happiness such as intimacy and conflict in a relationship assume a critical role in the quality and longevity of marriage, even for non-Western marriages in a contemporary India. Participants were 91 Indian couples, married an average of 11 years, from three socioeconomic classes, three family structures, and arranged and love marriages. Results reveal that happy couples, compared with unhappy couples, reported agreement, empathy, validation, support, and fulfilled expectations. Couples' experience and expression of intimacy, affected by social context, also predicted enhanced levels of happiness in marriage while conflict had a negative effect on marital happiness. This research suggests how personal desires may be transforming cultural practices.

  12. Angry responses to infant challenges: parent, marital, and child genetic factors associated with harsh parenting.

    Science.gov (United States)

    Hajal, Nastassia; Neiderhiser, Jenae; Moore, Ginger; Leve, Leslie; Shaw, Daniel; Harold, Gordon; Scaramella, Laura; Ganiban, Jody; Reiss, David

    2015-01-01

    This study examined genetic and environmental influences on harsh parenting of adopted 9-month-olds (N = 503), with an emphasis on positive child-, parent-, and family-level characteristics. Evocative gene-environment correlation (rGE) was examined by testing the effect of both positive and negative indices of birth parent temperament on adoptive parents' harsh parenting. Adoptive fathers' harsh parenting was inversely related to birth mother positive temperament, indicating evocative rGE, as well as to marital quality. Adoptive parents' negative temperamental characteristics were related to hostile parenting for both fathers and mothers. Findings support the importance of enhancing positive family characteristics in addition to mitigating negative characteristics, as well as engaging multiple levels of the family system to prevent harsh parenting. © 2015 The Authors. Child Development © 2015 Society for Research in Child Development, Inc.

  13. Baixo peso ao nascer e condições maternas no pré-natal Bajo peso al nacer y condiciones maternas en el período prenatal Low birth weight and maternal conditions in pre-natal

    Directory of Open Access Journals (Sweden)

    Áurea Tamami Minagawa

    2006-12-01

    ón en la adolescencia y también priorizando la atención de las mujeres sin compañero.This study was carried in the area covered by the Hospital Universitário of the University of São Paulo in order to verify the relationship between birth weight and maternal work and prenatal, nutritional (height, initial and final weight and weight gain during gestation and socioeconomic-demographic (age, marital status, level of education, family income conditions. It was based on a sample of 101 children. The occurrence of low birth weight (LBW (5.1% did not show association with maternal work nor with prenatal. On the other hand, LBW showed significant association with the following maternal variables: weight gain during the pregnancy under 7 kilograms, mother's age under 20 years old and marital status (single mothers. Despite the low occurrence of LBW, the results point out to the importance of taking measures to reduce LBW, in particular through the control of prenatal weight gain and prenatal among adolescents. Moreover, a policy of educating women, and in particular single women, about pregnancy, childbirth and nutrition seem an obvious necessity.

  14. Developmental Programming: Prenatal and Postnatal Androgen Antagonist and Insulin Sensitizer Interventions Prevent Advancement of Puberty and Improve LH Surge Dynamics in Prenatal Testosterone-Treated Sheep

    OpenAIRE

    Padmanabhan, Vasantha; Veiga-Lopez, Almudena; Herkimer, Carol; Abi Salloum, Bachir; Moeller, Jacob; Beckett, Evan; Sreedharan, Rohit

    2015-01-01

    Prenatal T excess induces maternal hyperinsulinemia, early puberty, and reproductive/metabolic defects in the female similar to those seen in women with polycystic ovary syndrome. This study addressed the organizational/activational role of androgens and insulin in programming pubertal advancement and periovulatory LH surge defects. Treatment groups included the following: 1) control; 2) prenatal T; 3) prenatal T plus prenatal androgen antagonist, flutamide; 4) prenatal T plus prenatal insuli...

  15. Follow-up studies in prenatal medicine

    NARCIS (Netherlands)

    Nagel, Hélène Theodora Catharina

    2007-01-01

    With the availability of prenatal diagnostics in the last century, the fetus became a patient. Obstetricians looked togheter with neonatologist and pediatric surgeons, who in the past needed to treat sick neonates, for an earlier moment of treatment. An example of such a shift towards an earlier

  16. Prenatal Cocaine Exposure and Infant Cortisol Reactivity

    Science.gov (United States)

    Eiden, Rina D.; Veira, Yvette; Granger, Douglas A.

    2009-01-01

    This study examined the effects of prenatal cocaine exposure on infant hypothalamic-pituitary-adrenal axis activity and reactivity at 7 months of infant age. Participants were 168 caregiver-infant dyads (87 cocaine exposed, 81 not cocaine exposed; 47% boys). Maternal behavior, caregiving instability, and infant growth and behavior were assessed,…

  17. Effect of brain prenatal irradiations (review)

    International Nuclear Information System (INIS)

    Nyagu, A.I.; Loganovskij, K.N.; Loganovskaya, T.K.

    1998-01-01

    Tendency of intellectual deficiency and emotion disturbance among children which were irradiated in womb was found. Study of the risk of endogenic psychic disorder development and, first of all, schizophrenia in pre-natally irradiated children, as a result of Chernobyl catastrophe, is of special interest. 256 refs., 1 tab

  18. Prenatal diagnosis of amniotic band syndrome

    Directory of Open Access Journals (Sweden)

    Laxmi Devi Padmanabhan

    2016-01-01

    Full Text Available Amniotic band can cause a broad spectrum of anomalies ranging from simple band constrictions to major craniofacial and visceral defects. It can cause significant neonatal morbidity. Accurate diagnosis will help in the management of the present pregnancy and in counseling with regard to future pregnancies. Here we report three cases of amniotic band syndrome detected in the prenatal period.

  19. Ultrasound demonstration of prenatal renal vein thrombosis

    International Nuclear Information System (INIS)

    Sanders, L.D.; Jequier, S.

    1989-01-01

    This case report illustrates the sonographic appearance of such calcifications which to our knowledge have not been described. We observed abnormalities on a prenatal ultrasound at 37 weeks of gestation and calcifications within the kidney on ultrasound during the neonatal period in an infant of a mother with Class B diabetes mellitus. (orig.)

  20. Prenatal risk indicators of a prolonged pregnancy

    DEFF Research Database (Denmark)

    Olesen, Annette Wind; Westergaard, Jes Grabow; Olsen, Jørn

    2006-01-01

    BACKGROUND: Few prenatal risk factors of prolonged pregnancy, a pregnancy of 42 weeks or more, are known. The objective was to examine whether sociodemographic, reproductive, toxicologic, or medical health conditions were associated with the risk of prolonged pregnancy. METHODS: Data from...