Partner Quality Research Articles

How both partners’ individual differences, stress, and behavior predict change in relationship satisfaction: Extending the VSA model

We pooled data from 10 longitudinal studies of 1,104 married couples to test the Vulnerability-Stress-Adaptation (VSA) model of change in relationship satisfaction. Studies contained both spouses' self-reports of neuroticism, attachment anxiety, and attachment avoidance; observational measures of engagement and opposition during problem-solving discussions at baseline; and repeated reports of both spouses' stress and marital satisfaction over several years. Consistent with the VSA model, all three individual and partner qualities predicted changes in marital satisfaction that were mediated by observations of behavior and moderated by both partners' experiences with stress. In contrast to the VSA model, however, rather than accentuating the association between individual differences and behavior, both partners' stress moderated the strength, and even direction, of the association between behavior and changes in marital satisfaction over time. Taken together, these findings indicate that 1) qualities of both couple members shape their behavioral exchanges, 2) these behaviors explain how individuals and their partners' enduring qualities predict relationship satisfaction, and 3) stress experienced by both couple members strongly determines how enduring qualities and behavior predict changes in relationship satisfaction over time. The complex interplay among both partners' enduring qualities, stress, and behavior helps explain why studies may fail to document direct main effects of own and partner enduring qualities and behavior on changes in relationship satisfaction over time.

International higher education brand alliance: the role of brand fit and world-mindedness

PurposeThis research investigates three major research questions. First, how does brand alliance type, defined by a partner's location and brand quality, affect consumers' emotional value perceptions of higher education brand alliances for dual-degree programs? Second, does perceived brand fit mediate the relationship between brand alliance type and emotional value perceptions? Third, do individual differences in world-mindedness moderate the influence of brand alliance type on emotional value perceptions?Design/methodology/approachIn total, two experiments are performed. Experiment one examines the effect of brand alliance type, at varying combinations of partner brand quality and partner location (domestic or foreign), on consumers' emotional value perceptions. Experiment two examines the moderating role of world-mindedness in the relationship between brand alliance type and consumers' emotional value perceptions.FindingsResults provide evidence that consumers' perception of brand fit mediates the relationship between brand alliance type and consumers' emotional value perceptions of the alliance. Results also indicate that world-mindedness moderates the relationship between brand alliance type and emotional value perceptions.Originality/valueThis research extends the previous literature on higher education dual-degree brand alliances and introduces world-mindedness as an important consumer-based characteristic to consider in this line of research. It answers calls for more research on higher education branding and calls for research into the potential mediating role and importance of brand fit. It provides several theoretical and managerial implications relevant to the higher education brand alliances, particularly in dual-degree programs.

Evaluation of immediate and short-term efficacy of DualStim therapy with and without intracavernosal umbilical cord-derived Wharton's jelly in patients with erectile dysfunction: Study protocol for a randomized controlled trial

IntroductionErectile dysfunction (ED) affects a significant portion of the United States population and causes negative psychological burdens that affects men and their partner's quality of life and satisfaction. Extracorporeal shock therapy (ESWT) utilizing focused ESWT and radial ESWT in Low-intensity shock wave therapy has been used to treat ED with some success. Wharton's Jelly (WJ) is a biologic substance with large amounts of stem cells, growth factors, cytokines and extracellular components. The use of combined focused and radial ESWT (DualStim therapy) with injected WJ have potential uses in ED that may have advantages over current treatments. MaterialsA randomized, single-blinded, controlled clinical trial will be conducted to evaluate the efficacy and safety of DualStim therapy and intracavernosal injection of WJ in moderate to severe ED. A total of 60 patients with moderate to severe ED will be enrolled and treated with DualStim therapy with intracavernosal injection of WJ or saline for a period of 7 weeks. The International Index of Erectile Function – Erectile Function score will be used to gauge the treatment related changes in relation to the subject's baseline. The scores will be recorded at baseline and compared to follow-ups 1,3 and 6 months post-treatment. Any adverse events or severe adverse events will be recorded in the corresponding case report forms. Sexual Encounter Profile, as well as the Global Assessment Questionnaire and the Erection Hardness Score will be used to determine the sexual activity improvement from baseline leading to optimal penetration at follow-ups 1,3 and 6 months post-treatment. DiscussionThis clinical trial is one of the first studies to determine the immediate and short-term efficacy of DualStim therapy, with and without intracavernosal injection of formulated umbilical cord-derived WJ to improve and/or restore erectile function in patients with moderate to severe ED. This study will also provide insight into the safety and efficacy of WJ. We anticipate clinically significant improvement in patients suffering from moderate and severe ED treated with DualStim therapy with WJ compared to their baseline and DualStim with saline.

Facilitating the Search for Partners on Matching Platforms

Two-sided matching platforms can control and optimize over many aspects of the search for partners. To understand how matching platforms should be designed, we introduce a dynamic two-sided search model with strategic agents who must bear a cost to discover their value for each potential partner and can do so nonsimultaneously. We characterize evolutionarily stable stationary equilibria and find that, in many settings, the platform can mitigate wasted search effort by imposing suitable restrictions on agents. In unbalanced markets, the platform should force the short side of the market to initiate contact with potential partners, by disallowing the long side from doing so. This allows the agents on the long side to exercise more choice in equilibrium. When agents are vertically differentiated, the platform can significantly improve welfare even in the limit of vanishing screening costs by forcing the shorter side of the market to propose and by hiding information about the quality of potential partners. Furthermore, a Pareto improvement in welfare is possible in this limit. This paper was accepted by Baris Ata, stochastic models and simulation.

Sífilis la gran imitadora. Reporte de caso y revisión de la literatura

Syphilis is a sexually transmitted disease caused by Treponema pallidum. Without treatment, it is chronic and highly contagious. Its varied clinical manifestations make it challenging to diagnose. We present the case of a syphilis oral lesion with a strong clinical suggestion of squamous cell carcinoma. Clinical case: a 31-year-old man with a large ulcer in the right lower lip mucosa with indurated edges, two months of evolution, associated with two enlarged neck lymph nodes (lymphadenopathy). A thorough history is taken, and laboratory tests are run, confirming the treponemal infection diagnosis. He was treated, and the injury resolved. Follow-up tests were nonreactive. Conclusions . It is important to suspect a syphilitic infection when a patient has lymphadenopathy and an oral lesion. Making the correct diagnosis allows for the proper care and recovery, avoiding complications that affect the patient’s quality of life and sexual partners.

Parent-Child Relationship Quality in the Family of Origin and Later Romantic Relationship Functioning: A Systematic Review.

A large and diverse literature has shown that parent-child relationship quality shapes development to affect later romantic relationship functioning. Guided by the developmental psychopathology framework, the current systematic review aimed to characterize the links between two major subtypes of parent-child relationship quality (parent-child attachment security and interaction quality) and several romantic relationship outcomes (i.e., adjustment, attachment security, aggression, and observed interaction quality), as well as to identify mechanisms accounting for these associations. We focused on studies that included both members of a couple/partnership for dyadic assessment of romantic relationship functioning, to more accurately and fully capture both partners' perspectives. A total of 40 articles met inclusion criteria, most of which sampled early/emerging adult couples between the ages of 18 and 26 years. Findings suggest that parent-child attachment security and interaction quality have similar associations with dyadic romantic relationship functioning, with the strongest evidence of effects on romantic relationship adjustment and observed interactions between romantic partners. Many studies found gender differences in effects, as well as cascading effects across development and over the course of a relationship. We argue that it is important for future studies to explore effects of one partner's parent-child relationship quality history on the other partner's romantic relationship adjustment and behavior, and to evaluate the extent to which parent-child attachment security mediates associations between parent-child interaction quality and romantic relationship functioning.

Picture perfect? Examining associations between relationship quality, attention to alternatives, and couples’ activities on Instagram

What do couples’ activities and behaviors on Instagram reveal about the quality of their relationships? To answer this question, we surveyed couples ( N = 178) about their perceptions of their relationships and analyzed 3,270 of their recent Instagram posts. Actor and partner effects were found between relational quality and engagement with the relationship on Instagram (i.e., the number of couple pictures and partner-initiated likes and comments). There were also actor effects of attention to Instagram alternatives on the perceived quality and actual pursuit of alternative partners, as well as a partner effect on alternative quality. The findings contribute to extending the investment model to the digital age and have methodological implications for understanding relationship dynamics on visual social network sites.

The Quality of Life and Economic Burden of Erectile Dysfunction.

Erectile dysfunction (ED) is a common disorder in adult males that results in withdrawal from sexual intimacy, psychosocial problems (ie, poor self-esteem, depression, anxiety), decreased work productivity, and reduction in quality of life for both the men suffering from ED and their female partners. A pragmatic literature review was undertaken using PUBMED to identify original research studies published over the past 20 years that assessed the impact of ED on a male’s quality of life, the impact of ED on a female partner’s quality of life, or the economic impact of ED on employers. Twenty studies were selected for inclusion. This review showed that men with ED have a poorer quality of life than men without ED (n=9 studies). Results from a global burden of illness study showed that men with ED report substantially lower SF-36 Mental and Physical Component Summary scores and SF‐6D scores compared to men without ED (p<0.001). Similarly, the partner is also negatively impacted by ED due to relationship difficulties and decreased sexual satisfaction (n=8 studies). Results from the Female Experience of Men’s Attitudes to Life Events and Sexuality study showed that females were significantly less satisfied and engaged in sexual activity less frequently after their partner developed ED (p<0.001). ED also poses a substantial economic burden on employers (n=3 studies). An observational study in men aged 40–70 showed that men with ED had significantly higher rates of absenteeism (2x) and work productivity impairment compared to men without ED (p<0.001). Overall, this contemporary review demonstrated that ED imposes a substantial quality of life burden on men and their female partners as well as a significant economic burden on their employers. These findings underscore the need for more education and awareness of the burden of ED and greater access to appropriate ED treatments to help alleviate this burden.

Influence of transition readiness from paediatric to adult health care on quality of life in child-parent dyads with long-term conditions.

To delineate the impact of perspective of children's transition readiness from paediatric to adult health care on quality of life in child-parent dyads with long-term conditions. We used Actor-Partner Interdependence Model to identify actor effects (effect of one's own transition readiness on one's own quality of life) and partner effects (effect of one's own transition readiness on the partner's quality of life). A multi-centre cross-sectional survey. The study was conducted in two paediatric hospitals in China from October 2018-August 2019. We used a researcher-designed questionnaire to collect demographic and clinical characteristics. Furthermore, we used four questionnaires assessing transition readiness and quality of life in child and parent respectively to collect data from 370 child-parent dyads. Structural equation modelling was applied to estimate the effect of actor-partner interdependence models. The total score of transition readiness had two actor effects on total child and parent quality of life controlling for age (βchildren =3.335, p=.032 and βparents =8.952, p<.001), while only one actor effect controlling for gender (βparents =8.891, p<.001). Specific transition readiness dimensions had different partner effects on different domains of children and parents' quality of life. Moreover, younger children and fathers had a better quality of life. Our study verified inherently interpersonal relationship that transition readiness appeared to influence quality of life in child-parent dyads with long-term conditions. This study was the first to verify mutual influence of transition readiness and quality of life in child-parent dyad using actor-partner interdependence model. Nurses who design the transition promoting programs should consider the effective communication between healthcare provider and child-parent dyads and support parents' involvement to improve shared understanding about managing child's condition, especially for older children and mothers.

ACTUALIZATION OF THE CONCEPT PARTNER IN GERMAN VIRTUAL POLITICAL DISCOURSE

Scientific research is focused on identifying the means of actualizing the concept PARTNER in German virtual political discourse. First, the theoretical preconditions for the analysis of the concept PARTNER in virtual political discourse are considered. The views of many leading domestic and foreign scholars on the concepts of "discourse", "virtual discourse", and "concept" are analyzed to develop our interpretation of definitions of virtual discourse, virtual political discourse, and concept. Possible means of actualization of the concepts and the researched concept PARTNER, in particular, are clarified. The meaning of the lexical unit and identifier of the concept (the word Partner) is studied, and its synonymic row is described. 500 lexical items and phrases that form the empirical basis of the study were identified with the help of a continuous sampling method on the web pages of the German government bundesregierung.de and the German parliament bundestag.de. All empirical material is subdivided into groups that are filled inhomogeneously. The noun Partner is the first or second component of compounds, and some derivative words are also formed from it. The concept of Partner is elaborated by the use of definite verbs that name actions which can be taken both by a partner and others towards him to achieve a certain goal. The lexical unit Partner is combined with a large number of adjectives (the most frequent group), which are semantically divided into five subgroups. The "partner status" subgroup is the most filled one. Two more subgroups, such as "international/national relations" and "qualities of partners " have almost the same number of words. Examples of the use of selected lexical units in context are given, and a model of the nominative field of the concept PARTNER is constructed. Its nucleus is defined with a lexical unit and identifier, a nuclear zone containing synonyms of a nuclear lexical unit, compounds with the component Partner and derivative words, and periphery (free phrases with verbs and adjectives) included. The conclusions summarize the results of the study and outline the prospects for further research.

How Do Leadership Roles Influence the Quality of Audit Partners’ Engagements?

Despite the commonality of being both owners and agents, partners’ roles and responsibilities in accounting firms can vary significantly. We first conduct 21 semi-structured interviews of U.S. audit partners who have held office, regional, or national leadership roles to understand how leaders are selected and evaluated, as well as the responsibilities for each type of leadership role. The interviews suggest that leadership roles entail significant responsibility for business growth and development and other administrative tasks, often in addition to client service responsibilities. Grounded in the insights from these interviews, we then empirically examine how audit partners’ leadership roles influence the quality of their audits in the U.S. We find that clients of audit partners in leadership roles are more likely to subsequently restate their financial statements. Further analyses suggest that partner capacity constraints, rather than impaired independence, influence this association.

Specialist tenure of audit partner and audit quality

This study aims to determine the ability of the audit quality provided by audit partners to be influenced by seasoned and unseasoned specialists using the Ordinary Least Square (OLS) regression method and discretionary loan loss provision (DLLP). This study shows that the audit quality provided by a specialist partner auditor is higher than the non-specialist. Furthermore, after classifying the specialist partner auditors as seasoned and unseasoned, the results showed that the audit quality provided by seasoned specialist partner auditors is higher than the non-specialist. While the audit quality provided by the unseasoned specialist partner auditor is almost the same as those provided by the non-specialist. This study contributes to literature on specialist auditors. The longer the audit partner is classified as a specialist, the higher the audit quality. Therefore, it can improve the quality of financial statements.

Adverse Selection in the Marriage Market: HIV Testing and Marriage in Rural Malawi.

Asymmetric information in the marriage market may cause adverse selection and delay marriage if partner quality is revealed over time. Sexual safety is an important but hidden partner attribute, especially in areas where HIV is endemic. A model of positive assortative matching with both observable (attractiveness) and hidden (sexual safety) attributes predicts that removing the asymmetric information about sexual safety accelerates marriage and pregnancy for safe respondents, and more so if they are also attractive. Frequent HIV testing may enable safe people to signal and screen. Consistent with these predictions, we show that a high-frequency, "opt-out" HIV testing intervention changed beliefs about partner's safety and accelerated marriage and pregnancy, increasing the probabilities of marriage and pregnancy by 26 and 27 percent for baseline-unmarried women over 28 months. Estimates are larger for safe and attractive respondents. Conversely, a single-test intervention lacks these effects, consistent with other HIV testing evaluations in the literature. Our findings suggest that an endogenous response to HIV risk may explain why the HIV/AIDS epidemic has coincided with systematic marriage and pregnancy delays.

Good, Bad, and Ugly: Partner Support and Quality of Life Among Couples Facing Skin Cancer

When older adults in partnered relationships face a skin cancer diagnosis of one partner, couples may rely on one another for support. Previous studies have found that perceived support can influence one’s adjustment to the stressors associated with the skin cancer diagnosis, as well as influence the overall quality of life. Using dyadic data from 30 older couples (Mage = 70; SD = 7.25), this study examined positive and negative relationship-focused support strategies each partner provided and effects on the dyad’s quality of life. Dyadic path analyses simultaneously examined the impact of support received by one’s partner and its association with their own quality of life (actor effects) and their partner’s quality of life (partner effects). Positive support received by either partner, in the form of active engagement, was not associated with quality of life. In contrast, negative support in the form of protective buffering received from supporting partners was associated with poorer quality of life for themselves (β = -.37, p = .05) as well as for partners with skin cancer (β = -.43, p = .01). Similarly, overprotection, also a negative support strategy, by supporting partners was associated with poorer quality of life for partners with skin cancer (β = -.63, p < .001). Findings illustrate that not all types of support are beneficial for the overall couple relationship and couple outcomes. Implications for practice and interventions for older couples facing a cancer diagnosis will be discussed.

Challenges Related to Informal Care Partners’ Involvement in End-of-Life-Care in Assisted Living

Limited empirical evidence suggests that caregiver burden is greater for informal care partners (family and friends) in assisted living (AL) compared with other long-term care settings, particularly within context of end of life. Using qualitative data from a larger 5-year, 7-site study of end-of-life care in AL funded by the National Institute on Aging (R01AG047408), we investigate informal care partners’ involvement in end-of-life care and identify challenges related to informal caregiving that might contribute to care burden. Grounded theory analysis of ethnographic data and in-depth interviews (average interview length = 97 minutes) with 59 racially and ethnically diverse informal care partners (mean age = 60) shows that informal care partner involvement in end-of-life care varies across participants and over time and is shaped by multiple intersecting social and structural determinants. At individual levels, these include many personal, situational, and relational factors. Personal factors include but are not limited to care partners’ own physical and mental health and material resources (e.g., ability to pay for supplementary care). Situational and relational factors include care partners’ awareness (or lack thereof) of residents’ impending death and the quality of the caregiving relationship. AL and wider community-level factors include understaffing, staff turnover, inadequate hospice support, and lack of access to these services. We find that informal care partners navigate these caregiving challenges through a basic social process we conceptualize as “negotiating risks.” Strategies for easing caregiver burden and improving informal care partner and resident quality of life at end of life are implicated.

Fluctuating Dynamics of Mate Availability Promote the Evolution of Flexible Choosiness in Both Sexes.

AbstractThe evolution of choosiness has a strong effect on sexual selection, as it promotes variance in mating success among individuals. The context in which choosiness is expressed, and therefore the associated gain and cost, is highly variable. An overlooked mechanism by current models is the rapid fluctuations in the availability and quality of partners, which generates a dynamic mating market to which each individual must optimally respond. We argue that the rapid fluctuations of the mating market are central to the evolution of optimal choosiness. Using a dynamic game approach, we investigate this hypothesis for various mating systems (characterized by different adult sex ratio and latency period combinations), allowing feedback between the choosiness and partner availability throughout a breeding season while taking into account the fine variation in individual quality. Our results indicate that quality-dependent and flexible choosiness usually evolve in both sexes for various mating systems and that a significant amount of variance in choosiness is observed, especially in males, even when courtship is costly. Accounting for the fluctuating dynamics of the mating market therefore allows envisioning a much wider range of choosiness variation in natural populations and may explain a number of recent empirical results regarding choosiness in the less common sex or its variance within sexes.

Context-dependent consequences of color biases in a social fish

Abstract Colorful visual signals can provide receivers with valuable information about food, danger, and the quality of social partners. However, the value of the information that color provides varies depending on the situation, and color may even act as a sensory trap where signals that evolved under one context are exploited in another. Despite some elegant early work on color as a sensory trap, few empirical studies have examined how color biases may vary depending on context and under which situations biases can be overridden. Here, using Neolamprologus pulcher, a highly social cichlid fish from Lake Tanganyika, we conducted a series of experiments to determine color biases and investigate the effects of these biases under different contexts. We found that N. pulcher interacted the most with yellow items and the least with blue items. These biases were maintained during a foraging-based associative learning assay, with fish trained using yellow stimuli performing better than those trained using blue stimuli. However, these differences in learning performance did not extend to reversal learning; fish were equally capable of forming new associations regardless of the color they were initially trained on. Finally, in a social choice assay, N. pulcher did not display a stronger preference for conspecifics whose yellow facial markings had been artificially enhanced. Together, these findings suggest that the influence of color biases varies under different contexts and supports the situational dependency of color functions.

Massive rhizobial genomic variation associated with partner quality in Lotus-Mesorhizobium symbiosis.

Variation in partner quality is commonly observed in diverse cooperative relationships, despite the theoretical prediction that selection favoring high-quality partners should eliminate such variation. Here, we investigated how genetic variation in partner quality could be maintained in the nitrogen-fixing mutualism between Lotus japonicus and Mesorhizobium bacteria. We reconstructed de novo assembled full-genome sequences from nine rhizobial symbionts, finding massive variation in the core genome and the similar symbiotic islands, indicating recent horizontal gene transfer (HGT) of the symbiosis islands into diverse Mesorhizobium lineages. A cross-inoculation experiment using 9 sequenced rhizobial symbionts and 15L. japonicus accessions revealed extensive quality variation represented by plant growth phenotypes, including genotype-by-genotype interactions. Variation in quality was not associated with the presence/absence variation in known symbiosis-related genes in the symbiosis island; rather, it showed significant correlation with the core genome variation. Given the recurrent HGT of the symbiosis islands into diverse Mesorhizobium strains, local Mesorhizobium communities could serve as a major source of variation for core genomes, which might prevent variation in partner quality from fixing, even in the presence of selection favoring high-quality partners. These findings highlight the novel role of HGT of symbiosis islands in maintaining partner quality variation in the legume-rhizobia symbiosis.

How Big-4 Firms Improve Audit Quality

This paper studies whether and how Big-4 firms provide higher-quality audits than non-Big-4 firms. Specifically, we first examine a Big-4 effect and then explore three sources of the Big-4 effect. To test the Big-4 effect, we use a unique data set of individual audit partners for a large sample of private companies and a novel research design exploiting the fact that auditees may follow the auditor who switches affiliation from a non-Big-4 firm to a Big-4 firm. Thus, we compare audit quality and audit fees of the same partner–auditee pairs before and after the switch. The results show that the Big-4 effect exists in the private-firm segment. More important, we find evidence for three sources of the Big-4 effect. First, Big-4 firms are able to recruit non-Big-4 partners who deliver higher audit quality than other non-Big-4 partners in the preswitch period. Second, enhanced learning has taken place after the switch. Third, the increased audit quality can also be attributed to stronger incentives/monitoring. These are new findings to the literature. This paper was accepted by Suraj Srinivasan, accounting.

The quality of sexual life after vaginal surgical interventions

Introduction. The malfunction of the supporting pelvic system generates signs and symptoms that require various procedures. The aim of our study was to evaluate whether vaginal surgical interventions for genital prolapse or urinary incontinence have an impact on patients’ sexual quality of life. Materials and methods. We studied 40 eligible women who underwent vaginal surgical procedures in Saint John Hospital, Bucharest. Patients completed a questionnaire 6 months after the intervention. Results. Patients who underwent vaginal surgery for prolapse were 50-64 years of age. The most frequent vaginal surgical intervention was vaginal hysterectomy (32.5%), followed by anterior and posterior colporaphy (17.5%), and direct cystopexy (15.0%). Regarding their sexual life, 42.5% patients described improvement in sexual life, 22.5% described decreased libido after surgery, and 35% indicated no significant improvement. 57.5% of women indicated that they had no sexual discomfort (57.5%), whereas 27.5% had dyspareunia and 15% had dysuria. There was no negative impact on patients’ male partner quality of sexual intercourse after intervention. Conclusions. Vaginal surgical interventions for genital prolapse or urinary incontinence do not appear to lead to significant alteration of quality of sexual life in women.