Critical Life Events Research Articles

'She showed me a new path, a way forward': exploring how navigation influences mental health among Guatemalan gay and bisexual men living with HIV.

Mental health problems, including anxiety and depression, are a common comorbidity among gay, bisexual and other men who have sex with men (GBMSM) living with HIV. Informed by social support theory, health navigation is a strengths-based intervention that has been demonstrated to improve HIV care outcomes. The purpose of this study was to explore how health navigation influences the mental health of GBMSM living with HIV. We analyzed longitudinal qualitative in-depth interviews conducted with GBMSM (n = 29) in a 12-month multi-component intervention to improve HIV care outcomes, including health navigation. We used narrative and thematic analytic approaches to identify salient themes, including if and how themes changed over time. Participants described that navigator support helped them maintain good mental health, prevent crises and respond to crises. Navigator support included providing motivational messaging, facilitating participants' control over their health and improving access to care, which aided with supporting mental health. Navigators also responded to acute crises by providing guidance for those newly diagnosed with HIV and support for those experiencing critical life events. Participants emphasized the importance of feeling heard and valued by their navigators and gaining hope for the future as key to their wellbeing. In conclusion, health navigation may be an effective intervention for promoting mental health among GBMSM living with HIV. Additional research is needed to examine mediating pathways between navigation and mental health, including informational support, or if navigator support moderates the relationship between stressors and mental health outcomes for GBMSM.

The Effectiveness of Transactional Analysis (TA) on Couples ` Communication Patterns among Prisoners and Their Wives, a Randomized Pilot Efficacy Trial

ABSTRACT Background Imprisonment is tied to relationship churning among romantic partners—all of which contribute to family instability. Imprisonment of a father is a serious critical life event because it can disrupt family relationships, contribute to negative outcomes for children, and aggravate material and social problems such as unemployment and social exclusion. The present study aimed to determine the effectiveness of Transactional Analysis (TA) on couple's communication patterns in prisoners and their wives. Method The method of the study was semi-experimental with a pre-test, post-test, and waiting list control group. 22 couples (44 people) were selected by convenience sampling method. They were assigned into two groups; an experimental group (11 couples) and a waiting list control group (11 couples). The participants in the experimental group were given 10 sessions of Transactional Analysis (TA) while the waiting list control group received no treatment. MANCOVA models were used to analyze the data, which was obtained from implementing CPQ. Results The findings showed that communication patterns were improved between prisoners and their wives. Therefore, the principle of TA had a positive effect on enhancing communication patterns. Conclusion the TA approach is an appropriate way to reduce communication problems of prisoners and their spouses.

Abortion: Life-Course Stages and Disruptive Life Events

AbstractPregnancy termination and its interplay with critical life stages and events has rarely been subjected to careful scrutiny in the social sciences, mainly due to a lack of high-quality survey data. Using the first eleven waves (2008–2018) of the German Family Panel Study (pairfam) and employing linear probability models, we examine women and also men with partners who either had induced abortion (N=260 women; N=170 men) or became parents (N=1478 women; N=1220 men). We frame abortion as a social process in which life circumstances and disruptive life events fundamentally shape the decision to carry a pregnancy to term or to discontinue it. We find that teenage or late pregnancy, educational enrollment, previous children, partnership dissolution, and economic uncertainty are associated with induced abortion. Our evidence suggests that abortion decisions are powerfully shaped by life-course contingencies and their complex intertwining.

Development of a women\u2019s empowerment index for Tanzania from the demographic and health surveys of 2004\u201305, 2010, and 2015\u201316

BackgroundWomen’s empowerment is a multidimensional construct which varies by context. These variations make it challenging to have a concrete definition that can be measured quantitatively. Having a standard composite measure of empowerment at the individual and country level would help to assess how countries are progressing in efforts to achieve gender equality (SDG 5), enable standardization across and within settings and guide the formulation of policies and interventions. The aim of this study was to develop a women’s empowerment index for Tanzania and to assess its evolution across three demographic and health surveys from 2004 to 2016.ResultsWomen’s empowerment in Tanzania was categorized into six distinct domains namely; attitudes towards violence, decision making, social independence, age at critical life events, access to healthcare, and property ownership. The internal reliability of this six-domain model was shown to be acceptable by a Cronbach’s α value of 0.658. The fit statistics of the root mean squared error of approximation (0.05), the comparative fit index (0.93), and the standardized root mean squared residual (0.04) indicated good internal validity. The structure of women’s empowerment was observed to have remained relatively constant across three Tanzanian demographic and health surveys.ConclusionsThe use of factor analysis in this research has shown that women’s empowerment in Tanzania is a six-domain construct that has remained relatively constant over the past ten years. This could be a stepping stone to reducing ambiguity in conceptualizing and operationalizing empowerment and expanding its applications in empirical research to study different women related outcomes in Tanzania.

Instrumental support exchanges among kin and non-kin in light of personal configurations

AbstractAs exchanges of instrumental support between kin and non-kin remain essential to buffer the impact of critical life events, we consider the characteristics of personal configurations that may enhance or hinder them. Personal configurations vary in terms of their composition and two aspects of their structure: density and centrality. These dimensions are investigated to uncover whether they influence the type of instrumental support being exchanged (financial, material, and care) and the likelihood of their being reciprocal. Drawing on a representative sample of individuals living in Switzerland, results show that overall instrumental support is present in all personal configurations irrespective of their composition, but financial support is more prevalent in configurations based on parent–adult child relationships. Furthermore, configuration structures characterized by density of emotional support are positively associated with giving care support and with reciprocity, while those characterized by density of conflict are associated with giving less instrumental support overall.

Heterogeneity in Trajectories of Life Satisfaction After Reunification: The Role of Individual Resources and Life Stage in Former East Germany

For people living in the former East Germany, reunification with the former West Germany fundamentally transformed the sociopolitical system and most domains of everyday life. Previous research has revealed temporal shifts in average life satisfaction after reunification in the former East German population as a whole, but so far little is known about heterogeneity in patterns of adjustment within the population. Building on evidence of considerable diversity in trajectories of adjustment to other critical life events, in the current study we use longitudinal data from the German Socio-Economic Panel Study and growth mixture models to identify typical yet distinct trajectories of life satisfaction among former East Germans, covering the period just before reunification and four years thereafter. We identified four trajectories: continuously satisfied (experienced by 17% of the sample), upward adjusters (24%), downward adjusters (34%), and continuously dissatisfied (25%). Results of logistic regression analyses indicate that the propensity to follow a particular trajectory was strongly predicted by an individual’s baseline economic (employment, but not income), socio-relational (loneliness) and personal (education, satisfaction with health) resources. Whereas former East Germans with more resources just prior to reunification were more likely to maintain high or increase in life satisfaction, their peers with fewer resources were more apt to either maintain low or decrease in life satisfaction. People in their mid-twenties through mid-fifties (i.e., prime working age) at the time of reunification were also more likely to maintain low life satisfaction. Accordingly, reunification affected the unfolding of individual lives differently.

Do Concerns about Immigration Change after Adolescence? How Education and Critical Life Events Affect Concerns about Immigration

Abstract This study investigates whether critical life events that typically occur during early adulthood (i.e., labor market entry, unemployment, parenthood) impact concerns about immigration. Two mechanisms suggest that these critical life events lead to a widening of education-specific differences: First, the amplification of ethnic competition following critical life events may be more pronounced for individuals with low educational attainment. Second, psychological adaptation processes of individuals with low levels of education may more frequently result in scapegoating. These mechanisms provide a rationale for the education-as-buffer hypothesis, according to which individuals with lower educational attainment are more prone to exhibit increasing concerns about immigration following critical life events. Estimations of distributed fixed effects models relying on data from the German Socio-Economic Panel Study (1999–2017) show that labor market entry, unemployment, and parenthood increase concerns about immigration more strongly for individuals with low educational attainment. Replicating significant impact differences between educational groups for the three critical life events makes a strong case for the education-as-buffer hypothesis. Overall, this study demonstrates that concerns about immigration are responsive to critical life events and calls for further theorizing as to how educational attainment may shape attitudes towards immigration over the life course.

Self-reported health and life satisfaction in older emergency department patients: sociodemographic, disease-related and care-specific associated factors

BackgroundSelf-reported health (SRH) and life satisfaction (LS) are patient-reported outcomes (PROs) that independently predict mortality and morbidity in older adults. Emergency department (ED) visits due to serious health problems or accidents might pose critical life events for patients. This study aimed (a) to characterize older patients’ SRH and LS during the distinct event of an ED stay, and (b) to analyze concomitant associations of PROs with ED patients’ sociodemographic, disease-specific and care-related variables.MethodsStudy personnel recruited mostly older ED patients from three disease groups during a two-year period (2017–2019) in eight EDs in central Berlin, Germany, in the context of the health services research network EMANet. Cross-sectional data from the baseline patient survey and associated secondary data from hospital information systems were analyzed. Multilevel linear regression models with random intercept were applied to assess concomitant associations with SRH (scale: 0 (worst) to 100 (best)) and LS (scale: 0 (not at all satisfied) to 10 (completely satisfied)) as outcomes, including sensitivity analyses.ResultsThe final sample comprised N = 1435 participants. Mean age was 65.18 (SD: 16.72) and 50.9% were male. Mean ratings of SRH were 50.10 (SD: 23.62) while mean LS scores amounted to 7.15 (SD: 2.50). Better SRH and higher LS were found in patients with cardiac symptoms (SRH: β = 4.35, p = .036; LS: β = 0.53, p = .006). Worse SRH and lower LS were associated with being in need of nursing care (SRH: β = − 7.52, p < .001; LS: β = − 0.59, p = .003) and being unemployed (SRH: β = − 8.54, p = .002; LS: β = − 1.27, p < .001). Sex, age, number of close social contacts, and hospital stays in the previous 6 months were additionally related to the outcomes. Sensitivity analyses largely supported results of the main sample.ConclusionsSRH and LS were associated with different sociodemographic and disease-related variables in older ED patients. Nursing care dependency and unemployment emerged as significant factors relating to both outcomes. Being able to identify especially vulnerable patients in the ED setting might facilitate patient-centered care and prevent negative health outcomes. However, further longitudinal research needs to analyze trajectories in both outcomes and suitable intervention possibilities in the ED setting.Trial registrationEMANet sub-studies were registered separately: German Clinical Trials Register (EMAAge: DRKS00014273, registration date: May 16, 2018; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00014273; EMACROSS: DRKS00011930, registration date: April 25, 2017; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00011930); ClinicalTrials.gov (EMASPOT: NCT03188861, registration date: June 16, 2017; https://clinicaltrials.gov/ct2/show/NCT03188861?term=NCT03188861&draw=2&rank=1).

“Please Miss, Please!”: An observational study of young people’s social and emotional experiences post-transition to secondary school

The secondary school transition is considered a critical life event by practitioners and researchers alike, and the challenges presented by the pupils during this transition continues to be high-profile in educational, social and political contexts. This study focused on Year 7 pupils aged 11 to 12 years old in their first year of secondary school. Classroom observations of around 120 pupils using an open framework recording procedure offered real-time insights into the everyday lived experiences of these adolescents. The paper illustrates the skills and behaviours that children brought to their secondary school transition, and as such reveals how the transition should be perceived as both an event and a social and emotional learning process. The findings of this study highlight the challenges of flexibility and diversity within peer networks after the move to secondary school and the impact the transition can have on the pupils’ sense of self. The analysis is discussed in terms of implications for schools, practitioners and researchers with suggestions for further studies with this under-researched and vulnerable group.

Appreciation and job control predict depressive symptoms: results from the Study on Mental Health at Work

ObjectiveDepressive symptoms are a leading cause of disability retirement and sick leave. The aim of this study was to assess the risk of depressive symptoms in German employees and its associations with factors from both the occupational and the non-occupational domain and gender.MethodsIn the second wave of the German Study of Mental Health at Work (SMGA), a representative sample of 2640 German employees (52% women) was studied. Depressive symptoms were assessed with the PHQ-9 questionnaire. Psychosocial occupational and non-occupational conditions were assessed with quantitative interviews. In this cross-sectional sample, the association of these factors with depressive symptoms was examined using logistic regression models.ResultsFactors from both the occupational and the non-occupational domain were associated with risk of depressive symptoms. Low appreciation from superior (ORmen 2.1 (95% CI 1.2–3.7); ORwomen 3.2 (95% CI 2.1–4.8)), low job control (ORmen 2.9 (95% CI 1.6–5.4); ORwomen 1.6 (95% CI 1.0–2.5)), and critical life events (ORmen 3.0 (95% CI 1.6–5.4); ORwomen 2.3 (95% CI 1.5–3.7)) had the strongest association with risk of depressive symptoms. The association with quantitative demands was stronger in caregivers than in non-caregivers. The results indicated possible differences in the associations of working conditions between men and women, and between family caregivers and non-caregivers.ConclusionFactors from both work and private life are associated with depressive symptoms, especially appreciation, job control, and critical life events. Gender differences, with respect to appreciation and influence at work, suggest a more gender sensitive approach to psychosocial occupational health research and interventions.

Facilitating the use of personal safety alerting device with older adults: The views, experiences and roles of relatives and health care professionals

To explore relatives’, community nurses’ and general practitioners’ perspectives and experiences in promoting Personal Safety Alerting Device (PSAD) use among community-dwelling older adults, we applied a qualitative study design. Altogether 15 focus groups and 11 semi-structured interviews were conducted. Data-analysis followed the Qualitative Analysis Guide of Leuven. PSAD use was considered to be complex. Relatives and health care professionals are involved in a negotiation process comprising three phases: A) waiting for a critical event in the older adult's everyday life; B) introducing the idea of a PSAD; C) deciding on and supporting PSAD use. In conclusion, the actors involved in PSAD use should be aware of the negotiation process, which is complex, dynamic, iterative and needs time. While nurses play a crucial role, they lack sufficient knowledge for comprehensive PSAD counselling. The negotiation process could serve as an example for other technologies in the context of aging in place.

Personality Development in Emerging Adulthood-How the Perception of Life Events and Mindset Affect Personality Trait Change.

Personality changes throughout the life course and change is often caused by environmental influences, such as critical life events. In the present study, we investigate personality trait development in emerging adulthood as a result of experiencing two major life events: graduating from school and moving away from home. Thereby, we examined the occurrence of the two life events per se and the subjective perception of the critical life event in terms of valence. In addition, we postulate a moderation effect of the construct of mindset, which emphasizes that beliefs over the malleability of global attributes can be seen as predictors of resilience to challenges. This suggests that mindset acts as a buffer for these two distinct events. In a large longitudinal sample of 1,243 people entering adulthood, we applied latent structural equation modeling to assess mean-level changes in the Big Five, the influence of life events per se, the subjective perception of life events, and a moderating role of mindset. In line with maturity processes, results showed significant mean-level changes in all Big Five traits. While no changes in the Big Five dimensions were noted when the mere occurrence of an event is assessed, results indicated a greater increase in extraversion and diminished increase in emotional stability when we accounted for the individual's (positive/negative) perception of the critical life event. In case of extraversion, this also holds true for the moderator mindset. Our findings contribute valuable insights into the relevance of subjective appraisals to life events and the importance of underlying processes to these events.

Experiences and Perceived Effects of Rosary Praying: A Qualitative Study

The aim of this study is to explore experiences and perceived effects of the Rosary on issues around health and well-being, as well as on spirituality and religiosity. A qualitative study was conducted interviewing ten Roman Catholic German adults who regularly practiced the Rosary prayer. As a result of using a tangible prayer cord and from the rhythmic repetition of prayers, the participants described experiencing stability, peace and a contemplative connection with the Divine, with Mary as a guide and mediator before God. Praying the Rosary was described as helpful in coping with critical life events and in fostering an attitude of acceptance, humbleness and devotion.

Exploring high mortality rates among people with multiple and complex needs: a qualitative study using peer research methods

ObjectiveTo explore the perceived reasons underlying high mortality rates among people with multiple and complex needs.DesignQualitative study using peer research.SettingNorth East of England.ParticipantsThree focus group discussions were held involving (1)...

Critical incidents in anorexia nervosa: perspectives of those with a lived experience

BackgroundAlthough social-emotional difficulties are believed play a key role in anorexia nervosa (AN), there is uncertainty regarding what these difficulties might look like. Previous research has largely focused on a “disease model” of social-emotional processing in AN with little attention paid to positive emotions and experiences. Therefore, the aim of the present study was to obtain a fuller picture of critical life events as identified by those with lived AN experience.MethodsThirty-four participants aged 16–48 with current or past AN completed an online survey describing self-defined positive and difficult critical events. Thematic analysis was used to assess patterns in participants narrative responses.ResultsTwo major themes were identified in the descriptions of positive critical events: Moments of celebration and Unexpected positive outcomes. These major themes revealed increased external focus and some corrective experiences that challenged the participants pre-existing expectations leading to new positive outcomes. Difficult events clustered into life events that were identified as Eating disorder (ED) related and Non-ED related and included the dimensions of relational conflict and feeling unsupported.DiscussionThe findings suggest that although negative emotionality was identified in the accounts of those with lived experience of AN capacity for “big-picture” thinking with and explicit focus on others was also identified. Moreover, an openness to corrective experiences that worked to challenge negative expectations was evident for some participants. Together these findings have scope as targets for further clinical research and treatment interventions.

Adverse Life Events: Do Home Care Clients Have Resources for Mastering Them?

Objectives: Research on life stressors and adverse life events has a long tradition. Few studies have addressed this topic in connection to very old people. Life stressors, especially major life stressors (MLSs) experienced by clients of home care services in the community have rarely been the subject of studies. Considering this gap, we investigated the prevalence of MLSs in home care clients. We examined the effects that MLSs have on their mood and health status as well as the impact of clients' social resources on MLSs and their outcomes.Method: We used assessment data from 2,884 home care clients in six European countries. The methodological basis was the comprehensive and standardized interRAI Home Care Assessment (interRAI HC).Results: Fifteen point four percent of the sample—that consisted of women and men with an average age of 82.89 years–experienced an MLS in the last 6 months before the assessment. They were more depressed than persons without these experiences, and their health status indicated a higher level of instability and deterioration. At reassessment after 6 months, the situation changed. Despite the fact that both outcomes of the MLSs, depression and health status became worse in the reassessment-sample, home care clients without MLS were more affected by the worsening, especially that of depression. The expected buffering impact of social resources was low.Discussion: Although this study worked with limited information on MLSs, it could contribute to closing various knowledge gaps. The study shows that the MLSs represent a prevalent problem in a population of home care clients and that this problem has negative consequences for their mood and the stability of their health status. Furthermore, this research took up the situation of very old and vulnerable adults, who have previously rarely been considered in studies on major critical life events and stressors.Conclusion and Research Perspective: Future research on MLSs has to take up the issue of the time passage between the MLS and the impact on health and well-being of individuals dependent on care. It has to determine immediate as well as later consequences and identify those factors that are appropriate to reduce the MLS-effects on very old people dependent on care.

Biological parameters of stem borer Stromatium barbatum reared on grapevine wood logs under laboratory conditions

Stem borer Stromatium barbatum has recently emerged as a serious pest problem of grapevines in India. Hidden biology and lack of effective chemical control of stem borer warranted finding out weak links in its life cycle which aids in formulating effective management strategies. Being a monovoltine pest with annual life cycle, the systematic studies on developmental biology and stage specific mortality of stem borer in grapes are limited. In present study, a cohort life table was constructed for S. barbatum by rearing it on grapevine wood logs in the laboratory at 27 ± 1 ℃ temperature and 65 ± 5% RH. The life cycle of S. barbatum was tracked from egg hatching through larval and pupal stages till adult emergence and observations were recorded on stage specific developmental durations and mortality of immature stages, and longevity and fecundity of adult stages. The results revealed that the mean durations of egg, larvae and pupae were 6.60 ± 0.28 days, 296.10 ± 1.06 days and 19.70 ± 1.17 days, respectively. The adults after emerging from pupae could survive up to 36.40 ± 0.81 days. The egg hatching and adult emergence from pupae were 42.51% and 83.02%, respectively. S. barbatum population attained a net reproductive rate of 64.96 females/female/generation and a gross reproductive rate of 72.93 females/female/generation in her mean oviposition period of 9.80 ± 0.13 days. The data indicated that, S. barbatum population potentially might increase with an intrinsic rate (rm) of 0.087 females/female/day and a finite rate $$(\lambda )$$ of 1.09 females/ female/ day with a doubling time of 9.98 days and a mean generation time of 324.30 days. The mortality was relatively higher during the egg and larval stages, which was then gradually decreased for rest of the life span when S. babatum was reared on grapevine wood logs under laboratory conditions. Generation mortality for S. barbatum was 90.72%. The present study has generated detailed information on critical life events such as days to egg hatch, adult longevity and fecundity, time required for adults to oviposit after mating, and age-stage specific mortality. This could facilitate formulation and implementation of effective management strategies for S. barbatum in grape vineyards.

Lived experience of pedagogical boomerang in mathematics teaching-learning

The purpose of this study was to explore the critical life-events of the first author's journey of learning and teaching mathematics that prompted critical thinking about his past experiences as a student and teacher. It portrays a paradigmatic shift from a traditionalist thinker to a constructivist actor in the classroom from the critical life-events within and out of classroom experiences by using autoethnography as the writing and research genre by connecting his personal experiences in the social, cultural, and teaching/learning contexts of Nepal. The major themes emerged from the autoethnography were-- Thinking Narratively: Joining a School and Dropping Out; Thinking Narratively: Back to School and Dropping In; Thinking Interpretively: Dropping out of School; Thinking Poetically: Dropping in School; and Nightmare of the First Teaching: A Pedagogical Boomerang. These themes portrayed a pedagogical boomerang in learning and teaching mathematics from a remote village in Western Nepal to the neighborhood of the capital city Kathmandu.

Effects of aging on the skin and gill microbiota of farmed seabass and seabream

BackgroundImportant changes in microbial composition related to sexual maturation have been already reported in the gut of several vertebrates including mammals, amphibians and fish. Such changes in fish are linked to reproduction and growth during developmental stages, diet transitions and critical life events. We used amplicon (16S rRNA) high-throughput sequencing to characterize the skin and gill bacterial microbiota of farmed seabass and seabream belonging to three different developmental age groups: early and late juveniles and mature adults. We also assessed the impact of the surrounding estuarine water microbiota in shaping the fish skin and gill microbiota.ResultsMicrobial diversity, composition and predicted metabolic functions varied across fish maturity stages. Alpha-diversity in the seabass microbiota varied significantly between age groups and was higher in older fish. Conversely, in the seabream, no significant differences were found in alpha-diversity between age groups. Microbial structure varied significantly across age groups; moreover, high structural variation was also observed within groups. Different bacterial metabolic pathways were predicted to be enriched in the microbiota of both species. Finally, we found that the water microbiota was significantly distinct from the fish microbiota across all the studied age groups, although a high percentage of ASVs was shared with the skin and gill microbiotas.ConclusionsWe report important microbial differences in composition and potential functionality across different ages of farmed seabass and seabream. These differences may be related to somatic growth and the onset of sexual maturation. Importantly, some of the inferred metabolic pathways could enhance the fish coping mechanisms during stressful conditions. Our results provide new evidence suggesting that growth and sexual maturation have an important role in shaping the microbiota of the fish external mucosae and highlight the importance of considering different life stages in microbiota studies.

Delving into the detail: Greater episodic detail in narratives of a critical life event predicts an increase in adolescent depressive symptoms across one year

Depressed people have reduced ability to recall specific autobiographical memories, yet the role of reduced memory specificity in the development of adolescent depression is unclear. Two reasons are the limited longitudinal studies with this age group and the dominant use of just one measure of memory specificity, the Autobiographical Memory Test (AMT; Williams & Broadbent, 1986). In the current one-year longitudinal study, community adolescents (N = 132, M = 16.13 years at Time 1) wrote about a life turning point, and their narratives were coded with respect to the amount of episodic and semantic detail. Participants also completed an adapted version of the Minimal Instructions AMT. Greater episodic detail in young people's turning point narrative was positively associated with depressive symptoms separately at Times 1 and 2, and uniquely predicted increases in depressive symptoms across the year. A non-positive valence of the turning point resolution also positively predicted Time 2 depressive symptoms. In contrast, specificity as assessed by the AMT did not predict such an increase. The results suggest that episodic detail in highly self-relevant narratives may be a sensitive predictor of increases in adolescent depressive symptoms across time. We consider excessive self focus and retrieval style as potential explanations of our findings.