Family Acceptance Research Articles

Health-related quality of life among people living with HIV/AIDS on highly active antiretroviral treatment

Introduction: The knowledge of the effect of sociodemographic and disease-related factors on health-related quality of life (HRQoL) among people living with HIV/AIDS (PLWHA) is important for planning comprehensive health-care services for them. Material and Methods: Two hundred PLWHA on antiretroviral therapy (ART) volunteered to complete a self-reported World Health Organization's Quality of Life[FIGURE DASH]HIV brief questionnaire (WHOQoL-HIV-BREF) that examines six domains each with four items (physical, psychological, level of independence, social, environmental, and spiritual) with 25 facets and additional 5 facets specific to PLWHA (symptoms of HIV, social inclusion, forgiveness, worries about the future, and death and dying). Results: Only 135 questionnaires from 73 (53.3%) men and 63 (46.7%) women (male: female – 1.14:1) aged 20–82 years (mean ± standard deviation: 42.9 ± 10.5 years) were found complete. Eighty-five (63%) individuals were aged 41–60 years, 78 (57.8%) individuals were matriculates, graduates, or postgraduates, 76 (56.3%) respondents were married, and 38 (28.1%) were widows/widowers. Staying-alone workers comprised 43 (31.8%) individuals. Overall health and HRQoL were rated satisfactory (n = 85.2%) and good/very good (n = 74.8%) by a significantly greater number of individuals (P = 0.001). Pearson's Chi-squared test showed no statistically significant (P > α) associations between good HRQoL and variables such as age >40 years, gender, education, marital status, duration of disease, disclosure of serostatus to family, ART for >3 years, and CD4 >200 cells/mL. Conclusion: Regular ART can result in adequate control of immunosuppression and no comorbidities in a majority of PLWHA, family and social acceptance, and financial security can result in overall good HRQoL in all six domains within the WHOQoL-HIV-BREF. The study is limited by its cross-sectional study design and small sample size.

Factors Influencing Family Acceptance of People with Schizophrenia Receiving Care at Home: A Systematic Review

Factors Influencing Family Acceptance of People with Schizophrenia Receiving Care at Home: A Systematic Review

School Burnout and Depression Symptoms of Polish High School Graduates in the Context of COVID-19 Pandemic

High school graduates usually suffer from stress one month before the final exams. The research’s aim was to compare the depression and burnout symptoms measured in April 2019 (before the pandemic) and in April 2020 (during the pandemic) in the Polish high school students. The results showed that the COVID-19 pandemic affected adolescent girls more than boys, leading to higher rates of depression, student burnout, and imbalanced time perspective. Females perceived lower family acceptance than boys. Males were less depressed and more burned out during the pandemic than before, while girls not only were more burned out but were also more depressed, were imbalanced in their time perspective, and perceived lower family acceptance during the COVID-19 pandemic than before the outbreak.

Penerimaan Keluarga dengan Interaksi Sosial pada Orang dengan HIV


 This study aims to identify the relationship between family acceptance and social interaction in people with HIV. This research method uses descriptive correlation research through a cross-sectional approach. The results of the univariate analysis showed that there were 39 respondents (81.3%) in the excellent family acceptance category and 26 respondents (52.4%) in the high social interaction category for people with HIV, and the Spearman rank test found a positive and moderate correlation between family acceptance and social interactions in people with HIV (p=0.000; <α=0.05, r = 0.522). In conclusion, families and patients treat HIV-infected family members through acceptance and favorable treatment to help overcome external or internal pressure and prevent HIV education for families with sufferers.
 
 Keywords: HIV, Social Interaction, Family Acceptance

Relationship between Family Burden, Stigma, Stress, Social Support, Family Acceptance, and Family’s Ability in Caregivers of Patients with Schizophrenia

The family’s ability as a caregiver for schizophrenic patients is very necessary because it can affect the success of the treatment process provided. This article aims to determine the relationship between family burden, stigma, stress, social support, family acceptance and family’s ability in caregivers of patients with schizophrenia. This study used a quantitative method with a cross-sectional study design. The study was conducted at the outpatient polyclinic at Teuku Umar General Hospital with a total sample of 98 family members of schizophrenic patients. The results of this study indicate that family burden, stress, stigma, and acceptance are related to the family’s ability to provide care to schizophrenic patients (p = 0.0001 < 0.05). Only the social support variable has no relation with the family’s ability to provide care to schizophrenic patients (p = 0.145 > 0.05). The lack of a relationship between the social support variable and family’s ability is consistent with the stigma variable’s results, which indicates a negative stigma from the community towards the family, so social support becomes unnecessary. This study concludes that families can better care for schizophrenic patients when their burden, stress level, and stigma are reduced or lower. The greater a family accepts schizophrenia patients, the greater their ability to care for them.

Relationship between Family Burden, Stigma, Stress, Social Support, Family Acceptance, and Family's Ability in Caregivers of Patients with Schizophrenia

Relationship between Family Burden, Stigma, Stress, Social Support, Family Acceptance, and Family's Ability in Caregivers of Patients with Schizophrenia

Transition experiences of the Malay Muslim Trans women in Northern Region of Malaysia: A qualitative study.

Transgender topics are controversial in Malaysia and trans people are subject to stigma and persecution. In this study context, the transition is defined as a phase where a person changes from one gender to the gender that an individual chooses. Little is known about the transgender people's transition experiences in Malaysia. Studies have shown that transition helps boost transgender individuals in most aspects. This study seeks to understand the transition experiences of the Malay Muslim Trans women in Northern Malaysia. A qualitative study using a snowball sampling method was used to interview in-depth 13 trans women. The interviews focused on their gender transition experiences, support systems, family and friends' reactions, and coping strategies. The study found four primary themes: transition, reaction, support system, and coping method. Most of the respondents agreed that they felt conflicted about their gender at a young age and started transitioning when they were adolescents. Overall acceptance and reaction of family and society to their transition was low and not good. Most mentioned the importance of a good support system and that they received essential support from their peers in the transgender community. However, they acknowledged that family support was also crucial for them. All of the respondents specified that they did not regret their gender transition. Although this study gained insight, more is needed to understand in depth a very sensitive subject such as this.

Multiracial discrimination, religious struggles, and race-based stress among biracial Black–White and Asian-White Christians in the early 2020s: a mediation model

ABSTRACT Using a community-based sample of Black-White (N = 177) and Asian-White (N = 87) biracial Christian adults, we explored associations between multiracial discrimination (discrimination due to being mixed race), religious/spiritual (r/s) struggles, and race-based traumatic stress during the two year period of 2020–2021. We assessed whether r/s struggles mediated the association between multiracial discrimination and race-based stress for the two groups. The two mediation analyses revealed a positive indirect effect of multiracial discrimination on race-based traumatic stress through r/s struggles for both groups. In addition, the two groups showed significant differences in their reports of discrimination during the two-year period, with Black-White biracial individuals reporting more multiracial discrimination (including lack of family acceptance) than Asian-White biracials. However, no differences were found in their reports of race-based stress or r/s struggles. Implications for assessment and intervention and directions for future research are provided.

Lesbian, Gay, and Bisexual Widows' Experiences of Grief, Identity, and Support: A Qualitative Study of Relationships Following the Loss of a Spouse or Partner.

Research with lesbian, gay, and bisexual (LGB) older widows rarely focuses on familial relationships. Studies on heterosexual spousal bereavement indicate older widows face issues influencing identity but show resilience by maintaining close relationships with adult children and extended family. Though research with older LGB widows suggests similarities around loss and resilience, grief and family engagement are markedly different. Guided by Relational Cultural Theory, which illuminates how LGB women cope through connection/disconnection, this qualitative descriptive study employed semistructured, open-ended interviews with 16 LGB women, 60-85 years of age from across the United States who had lost a spouse or partner within the past 5 years. We conducted interviews regarding the perception of self as bereaved LGB women and sustained or altered relationships with biological and chosen families following the loss of their spouses/partners. Findings are illustrated in three themes around acceptance, support, and identity. Participants: (a) experienced differing levels of acceptance, tolerance, and inclusion from biological families; (b) experienced family or friends "disappearing" or providing critical support following a spouse/partner's death; and (c) negotiated challenges by creating or seeking out families of choice, new communities, and a better understanding of themselves. While LGB widows share some grief experiences with heterosexual widows, they also experience varying biological family acceptance and support, as well as the need for friends and families of choice as advocates. It is important to recognize the unique consequences of spousal loss for this population and be cognizant of the differences in normative grief.

How I Managed to Integrate: An Analysis of the Protective Factors in Determining Good Life Events and Turning Points of Three Former Prisoners in Malaysia

Imprisonment impacts the life events and turning points of former prisoners upon release. The challenges faced during societal re-integration are contributing factors that shape the life events of former prisoners upon release and subsequently determine their turning point. This study aims to prove that positive life events will cause former prisoners to shape positive turning points after release. Criminal justice studies have since strived to understand the factors that cause former prisoners to repeat their crimes after being released from prison. However, in Malaysia, not many works have explored the factors that cause former prisoners to cease committing a crime. Besides, the successful re-integration of these prisoners is still understudied. The researchers conducted a qualitative study in Kuala Lumpur with 19 former prisoners. The results revealed that 16 informants had repeatedly committed crimes, while only three managed to desist. This study will describe the views and experiences of the three former prisoners (desisters) on how they desist from crime during re-integration. Only three desisters were considered and did not include 16 other recidivist informants since the objective of this study was to identify the success factors for re-integration and to understand the protective factors of former prisoners during re-integration into society. The crucial findings were also discussed, including family acceptance, the presence of a supportive spouse, employment, avoiding negative peers, no drug addiction and being healthy. These factors managed to prevent the former prisoners from committing crimes again.

감정코칭 놀이프로그램이 유아의 사회적 기술과 자아존중감에 미치는 영향

The purposes of this study are to develop a play program through emotional coaching and to verify its effects by applying the program to 5-year-old children. Literature related to emotional coaching and play programs were reviewed in order to develop the program. The literature review findings allowed to organize a plan for the program, which was subsequently applied to children in the field. The subjects of the study were 40 children at the age of five (20 children in the experimental group and 20 children in the control group) from a daycare center located in Gyeonggi-do. A total of 12 play programs through emotional coaching were conducted for 12 weeks to examine the effects on the children in the experimental group. The results of the study are as follows. The play program had a positive effect on all subfactors of the children’s overall social skills, social cooperative spirit, interaction, and independence. This indicates that the children's social skills improved by actively interacting and communicating with their peers while performing an emotional coaching activity centered on the play, and the children's social skills improved by actively interacting and communicating with their peers while performing an emotional coaching activity centered on the play. Thus, children felt positive emotions in social relationships with their peers through the program, family acceptance improved through love and interest from their parents, and their self-esteem improved emotionally. These results indicate that the program is very effective in improving the children's social skills and self-esteem.

Isolation, Characterization, and Genome Analysis of a Novel Bacteriophage, Escherichia Phage vB_EcoM-4HA13, Representing a New Phage Genus in the Novel Phage Family Chaseviridae.

Shiga toxin-producing Escherichia coli (STEC) is one of the leading causes of foodborne illnesses in North America and can lead to severe symptoms, with increased fatality risk for young children. While E. coli O157:H7 remains the dominant STEC serotype associated with foodborne outbreaks, there has been an increasing number of non-O157 STEC outbreaks in recent years. For the food industry, lytic bacteriophages offer an organic, self-limiting alternative to pathogen reduction-one that could replace or reduce the use of chemical and physical food processing methods. From EHEC-enriched sewage, we isolated a novel bacteriophage, vB_EcoM-4HA13 (4HA13). Phenotypic characterizations revealed 4HA13 to possess a myoviral morphotype, with a high specificity to non-motile O111 serotype, and a long latent period (90 min). Through genomic analyses, this 52,401-bp dsDNA phage was found to contain 81 CDS, but no detectable presence of antibiotic resistance, integrase, or virulence genes. A BLASTn search for each of the identified 81 CDS yielded homologues with low levels of similarity. Comparison of RNA polymerase and terminase large subunit amino acid sequences led to the proposal and acceptance of a new bacteriophage family, Chaseviridae, with 4HA13 representing a new species and genus. The discovery of this phage has broadened our current knowledge of bacteriophage diversity.

Perspectives of Mainline Protestant Christian Pastors on the Consequences of Familial Acceptance and Rejection of LGB Members: Understanding the Role of Religion for Family Therapists

Perspectives of Mainline Protestant Christian Pastors on the Consequences of Familial Acceptance and Rejection of LGB Members: Understanding the Role of Religion for Family Therapists

Coaching in an Acute Pediatric Setting: A Qualitative Approach to Understanding the Perspectives of Occupational Therapists

Aims To identify barriers and enablers to implementing coaching in acute pediatric settings from the perspective of occupational therapists and develop an implementation plan to address the identified barriers at a large metropolitan hospital. Methods Participatory Action Research was used, and two stages of focus groups were conducted with 17 occupational therapists working in an acute pediatric hospital. Reflexive thematic analysis was employed for data analysis. Results Stage one themes; (1) Lack of clarity around coaching definition, (2) Acute setting barriers to coaching, (3) Family acceptance and appropriateness, and (4) Enablers for coaching. Stage two themes; (1) Addressing skepticism about coaching, (2) Logistics and approvals, and (3) Implementation strategies for coaching. In Stage Two, participants and researchers developed an implementation plan. Conclusion Occupational therapists perceived coaching as hard to implement in acute pediatric settings due to acuity of caseloads and traditional medical models. The six-step implementation plan aims to enhance therapist knowledge and motivation as well as reduce environmental barriers, with the aim of embedding coaching into acute pediatric settings.

Representation of a `positive experience' of surrogacy in Yazd, Iran: A qualitative study.

The social and cultural challenges facing surrogate mothers have been explored in several studies. However, few studies have discussed the motivations of surrogate mothers, their expressions and interpretations of their lived experiences, and their feelings of personal and spiritual satisfaction. This study aims to present the positive experiences of surrogate mothers from a phenomenological perspective. Using a phenomenological approach, this study was conducted from September 2020 to January 2021 in the city of Yazd, Iran. Participant observation and semi-structured interviews were used to collect the data among 12 participants with at least 1 experience of surrogate motherhood. Our findings showed that, despite having had harsh physical and socio-cultural experiences such as fear of social labeling and stigma, participants felt a kind of inner satisfaction and a positive view of their actions. A core theme found in the study was mothers' satisfaction. The main categories included feminine self-sacrifice and positive rewards. Feminine self-sacrifice included 2 sub-categories: creating happiness and conveying motherly feelings, while positive rewards included good childbirth, family acceptance, and halal income. This study showed that surrogate mothers experience conflicting feelings of inner satisfaction and social stigma during surrogacy. Some of those interviewed were willing to go through surrogacy again, but they feared social labeling and stigma, being misunderstood by others who are not fully informed about surrogacy, and being subjected to family and social disapproval.

21.3 Use of Family Therapy in Working Toward Family Acceptance With Gender-Diverse Youth

Working with families of gender-diverse youth is a crucial part of their overall treatment plan, particularly when working in the context of a multidisciplinary Gender Clinic team. Attendees will leave with a better understanding of how to incorporate family therapy techniques into daily clinical practice when working with gender-diverse youth.

Echoes of the past: prevalence and correlates of PTSD among formerly abducted youths in northern Uganda: findings from the WAYS study

BackgroundPost-traumatic stress disorder (PTSD) has considerable and persistent effects on survivors of war, particularly in postconflict areas. Yet, evidence on what keeps survivors on the path of PTSD remains scarce.AimsThe...

TO TRANSITION OR NOT TO TRANSITION: MULTIDISCIPLINARY APPROACHES TO FAMILIES WITH TRANSGENDER AND GENDER-DIVERSE YOUTH

Gender-diverse youth and their families are increasingly presenting to mental health settings beyond specialized gender clinics, yet clinical competence lacks among providers. Child and adolescent psychiatrists should understand the impact of family acceptance and rejection for these individuals and incorporate family therapy concepts in the clinical setting. This includes exploration of complex intersectional youth and family identities.

Experiences of White partners in Black–White romantic relationships in the United States: A qualitative study

AbstractObjectiveThe purpose of this study was to provide new information on the lived experiences of White individuals in Black–White interracial relationships, including the impact of the social climate on these relationships.BackgroundWhile attitudes toward Black–White relationships have improved more than in previous decades, they still occur less frequently, are the least accepted, and are regarded more negatively when compared with all other interracial pairings. This warrants more research on the issues concerning interracial couples.MethodParticipants (n = 7) included five women and two men who self‐identified as White that were in, or formerly in, a Black–White romantic relationship of at least three months. Participants completed a semi‐structured interview with the researcher. Qualitative content analysis was used due to the exploratory nature of the research questions.ResultsParticipants reported external stressors (i.e., discriminatory, or racist encounters in public) and lack of familial acceptance of their relationship throughout their relationship. In addition, the social and political climate seemed to impact discussions about race within the couple.ConclusionIndividuals in Black–White romantic relationships experience challenges within their private and public lives due to race.ImplicationsThis research study demonstrates a way in which researchers should aim to look at individuals, couples, and families as different units of analysis situated in a particular socio‐cultural context. Future studies can also explore the ways in which White partners can support their Black partner.

Parental and Child Diagnosis Storytelling and Self-Image in French Children With Cleft lip With or Without Cleft Palate.

Psychosocial adjustment can be challenging for children with cleft lip with or without a cleft palate (CL ± P). Previous studies have linked social integration with self-acceptance and highlighted the impact of the parents' stress on self-acceptance. Teasing can be linked to children having difficulties explaining their diagnosis to others. This prospective research aimed to gain a better understanding of family communication about cleft, children's oral storytelling about their cleft, and explore their self-image and perceived familial acceptance. Parents and their children with CL ± P (N = 54; average age: 5.6 years). Semistructured interviews with parents and structured interviews with children were conducted regarding their oral storytelling focusing on scars from cleft lip surgery. Children completed a projective test to explore their self-image and perceptions of familial acceptance. Language screening was completed with the French Wechsler Preschool Primary Scale of Intelligence-Fourth Edition. Only 30% of children explained their cleft in a way appropriate for peers, including presence at birth, having had surgery, and scar location. Children's ability to explain their cleft was not related to language performance, which was in the average range of 84%. Children's cleft explanations were dependent on parents' narratives and education methods, including the use of verbal explanations and preoperative photographs. Children's storytelling was related to their self-image and perceived parental acceptance. Cleft teams should assist families in building their cleft story based on a complete explanation with photographs and a positive and accepting approach.