Poor Relationship Research Articles

Impact of child poverty and adversity on perceived family support in adolescence

Abstract Background Emotional support from family members may have an important effect on adolescent health outcomes, and has been identified as a target for policy to protect against the impacts of poverty and adversity. However, few studies have assessed the extent to which poverty and adversity themselves influence the nature of emotional support that parents can provide to adolescents. We therefore aimed to investigate the impact of trajectories of poverty and family adversities on young people's relationships with their families and perceived emotional support received. Methods We analysed longitudinal data on 10976 children from the nationally representative UK Millennium Cohort Study. Exposure trajectories of poverty and family adversities were characterised using group-based multi-trajectory models. The outcomes were perceived emotional support and quality of family relationships, measured by the three-item Short Social Provisions Scale (SPS-3) and levels of parent-adolescent closeness and conflict, measured at age 14. ORs and 95% CIs were estimated using multivariable logistic regression models. Results At age 14 the overall prevalence of low perceived emotional support was 13%. Children of mothers with lower socioeconomic status (SES) were more likely to report low emotional support, with a clear social gradient. Compared with children exposed to low levels of poverty and adversity, children in the persistent adversity trajectory groups experienced higher odds of low emotional support and low-quality parent-adolescent relationship; those exposed to both persistent poverty and poor parental mental health were particularly at increased risk of experiencing poor family relationships and low perceived emotional support (aOR 2·2; 95% CI 1·7- 2·9). Conclusions Policies to improve levels of family support for UK adolescents should focus on improving modifiable determinants such as child poverty and family mental health. Key messages • Children of parents with lower socioeconomic status are more likely to experience low perceived emotional support in adolescence. • Children who experience persistent poverty and poor parental mental health are at increased risk of poor family relationships and low perceived emotional support in adolescence.

Factors affecting depression among married adults: a gender-based household cross-sectional study

BackgroundDepression is a common mental health problem all over the world including Bangladesh. World Health Organization included it in the Mental Health Gap Action Programme as one of its priority conditions. Research on this issue is scanty in Bangladesh. Therefore, we designed to a gender-based household study on associated factors of depression among married adults in Rajshahi City of Bangladesh.MethodsWe conducted this household cross-sectional study from August 01 to October 31, 2019. A total of 708 married adults currently living together in Rajshahi City were recruited for this study. We applied a multi-stage random sampling technique for selecting samples and used a semi-structured questionnaire to collect necessary information from them. The Patient Health Questionnaire-9 was used for measuring depression and frequency distribution and binary logistic regression model were used for data analysis.ResultsThe prevalence of depression (moderate to severe) was 14.4% (95% CI: 11.9–16.9) among married adults, and females (21.2%, 95% CI: 17.2–25.4) suffered more than males (7.6%, 95% CI: 4.8–10.5). A multiple binary logistic regression model established four main factors of depression among married females: (i) multiple marriage [AOR = 19.982; 95% CI: 10.081–39.610; p < 0.01]; (ii) poor relationship with spouse [AOR = 2.175; 95%CI: 1.068–4.428; p < 0.05]; (iii) chronic medical comorbidity [AOR = 1.876; 95%CI: 1.009–2.626; p < 0.05]; and (iv) 7–12 years duration of conjugal life [AOR = 2.091, 1.009–4.334; p < 0.05]. Two main factors of depression among married males were (i) multiple marriage [AOR = 24.605; 95% CI: 20.228–40.402; p < 0.01] and hard work [AOR = 4.358; 95%CI: 1.109–7.132; p < 0.05].ConclusionThe prevalence of depression was significantly high among the study population, and females were the most vulnerable group. The concerned authorities and stakeholders should take appropriate measures to manage the problem with special focus on the risk factors and the vulnerable groups.

The link between smart device use and ADHD—how can reading and physical activity make a difference?

Abstract Background Attention deficit and hyperkinetic disorders (ADHD) lead to poor academic performance and relationship problems in schoolchildren. While improper use of smart devices was found to have a negative impact on children's attention and behavior, few studies used a computerized self-administered scale for children to assess suspected ADHD more accurately. Therefore, this study aimed to investigate impact of weekend smart device usage on ADHD and child behavior, as well as the moderating effect of children's reading habits and activity levels. Methods A total of 137 students aged 6-8 in Taiwan participated in this study between Dec 2022 and Mar 2023. Data was collected through the self-reported instruments of Child Behavior Checklist for Ages 6-18 to assess behavior and an online questionnaire to gauge smart device usage by parents. The Computerized Attention Diagnostic Assessment (CADA) was conducted by children to evaluate their attention performance. Multiple linear regression was used for analysis. Results After adjusting for potential confounders in a stratified analysis, we found that among children with less physical activities, higher smart device usage was associated with more anxious/depressed (β = 8.40, p &amp;lt; 0.01), social problems (β = 6.48, p = 0.01), and thought problems (β = 6.43, p = 0.02), while among those with higher activities, higher device usage was associated with better picture attention scores (β = 5.67, p = 0.0237). Meanwhile, children who don't read habitually, higher smart device usage was associated with more somatic complaints (β = 3.31, p = 0.0235). Conclusions We highlighted the modifying effects of reading and physical activities on the link between smart device usage and attention and behavioral problems. In this digital age, it is imperative to provide parents with guidance on how to encourage reading and physical activities to help children mitigate the negative impact of smart device usage, including attention deficit and emotional problems. Key messages • High device usage in inactive or non-reading children is linked to behavioral problems like anxiety, social issues, and somatic complaints. • Promoting physical activities and reading can mitigate negative effects of device usage, highlighting the need for parental guidance in the digital age.

The influence of the severity of gender dysphoria on anxiety, depression, suicidal ideation, and non-suicidal self-injury in Chinese transgender, nonbinary, and gender-diverse youth

Background: Gender dysphoria (GD) is frequently reported among transgender, nonbinary, and gender-diverse (TNG) populations, and is closely related to anxiety, depression, suicidal ideation, and non-suicidal self-injury (NSSI). This study aimed to understand how GD influences the four mental health disparities among TNG youth, and to compare these outcomes depending on the severity of GD. Methods: 96,218 College students participated in the survey, of which the analysis was run on an extracted sub-set data of 2,315 (2.40%) TNG youth, with a mean age of 19.46 (SD = 1.52). Self-reported inventories measured sociodemographic factors, the severity of GD (Utrecht Gender Dysphoria Scale-Gender Spectrum), anxiety (seven-item Generalized Anxiety Disorder Questionnaire), depression (nine-item Patient Health Questionnaire), suicidal ideation (Suicidal Behaviors Questionnaire-Revised), and NSSI (Clinician-Rated Severity of Non-Suicidal Self-Injury Scale). Binary logistic regression assessed the association between significant GD and the four psychiatric disorders. Adjusted multiple logistic regression, and directed acyclic graph (DAG) analyses were conducted to explore the activating relationship among GD, sociodemographic factors, and psychiatric disorders. Results: 1,582 (68.30%) TNG youth who experienced significant levels of GD (total scores cutoff >= 46) were entered into the analyses. Binary logistic regression displayed significantly positive associations between significant GD and anxiety, depression, suicidal ideation, and NSSI. Multiple regression models showed risk factors included poor relationship with one’s father/mother, tobacco smoking, alcohol consumption, and having a lower subjective social status. While family harmony, a higher father’s educational level, and partaking in exercise were protective factors that exerted distinct impacts on these four psychiatric disorders. DAG findings showed a poor relationship with one’s father with significant GD via other socio-demographic characteristics, activated psychiatric disorders. Conclusions: TNG youth with higher levels of GD also exhibited more severe anxiety, depression, suicidal ideation, and NSSI. Tailored interventions should be provided to prioritize relieving those with severe GD to protect TNG youth from psychiatric outcomes further.

Barriers to the completion of bachelor thesis for bachelor nursing students during their internship: A qualitative study from dual student and faculty perspectives

BackgroundBachelor thesis are among the most important ways of exercising Chinese nursing students' research skills and developing critical thinking. However, there is a mismatch between the expectations and abilities of clinical nursing teachers and nursing students. Exploring the impediments to nursing students' research skills can provide a basis for developing targeted improvements. ObjectiveTo identify barriers to the completion of research projects among nursing undergraduates during their internships from the dual student and instructor perspectives. DesignDescriptive qualitative design. SettingAffected by the COVID-19 pandemic, we conducted this study at a tertiary hospital in Fuzhou, Fujian Province. ParticipantsThe study was conducted using a purposive sample of 16 nursing interns and six instructors. MethodsData were collected through semi-structured interviews to provide nursing students and instructors with various perspectives. The collected data were analysed using thematic analysis methods. ResultsThis study included 16 students (two male and 14 female; age 21.75 ± 0.66 years), six instructors (age 34.33 ± 1.97 years), which was sufficient to reach data saturation. We identified 126 codes from the interview data and obtained seven subcategories among three categories: a) Lack of scientific research training: lack of clinical instructors' experience, lack of academic training courses, and lack of necessary scientific research resources support; b) Poor communication: excessive workload, poor instructor-student relationship, and lack of communication skills; and c) Lack of support systems: lack of support from other disciplines and negative coping patterns. ConclusionsThe findings of this study will help nursing interns develop an interest in scientific research throughout their internships. Reducing barriers will also strengthen teacher training programmes, improve the teaching process, promote teacher-student communication, and provide students with necessary social support.

Construction and validation of a personalized prediction model for postpartum anxiety in pregnant women with preeclampsia.

Preeclampsia is a pregnancy-specific multi-system disease with multi-factor and multi-mechanism characteristics. The cure for preeclampsia is to terminate the pregnancy and deliver the placenta. However, it will reduce the perinatal survival rate, prolong the pregnancy cycle, and increase the incidence of maternal complications. With relaxation of the birth policy, the number of elderly pregnant women has increased significantly, and the prevalence rate of preeclampsia has increased. Inappropriate treatment can seriously affect the normal postpartum life of pregnant women. Studies have shown that postpartum anxiety in women with preeclampsia can affect physical and mental health, as well as infant growth and development. To analyze the factors influencing preeclampsia in pregnant women complicated with postpartum anxiety, and to construct a personalized predictive model. We retrospectively studied 528 pregnant women with preeclampsia who delivered in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine between January 2018 and December 2021. Their basic data were collected, and various physiological and biochemical indicators were obtained by laboratory examination. The self-rating anxiety scale was used to determine whether the women had postpartum anxiety 42 d after delivery. The independent factors influencing postpartum anxiety in early pregnant women with eclampsia were analyzed with multifactor logistic regression and a predictive model was constructed. The Hosmer-Lemeshow test and receiver operating characteristic (ROC) curve were used to evaluate the calibration and discrimination of the predictive model. Eighty pregnant women with preeclampsia admitted to our hospital from January 2022 to May 2022 were retrospectively selected to verify the prediction model. We excluded 46 of the 528 pregnant women with preeclampsia because of loss to follow-up and adverse outcomes. A total of 482 cases completed the assessment of postpartum anxiety 42 d after delivery, and 126 (26.14%) had postpartum anxiety. Bad marital relationship, gender discrimination in family members, hematocrit (Hct), estradiol (E2) hormone and interleukin (IL)-6 were independent risk factors for postpartum anxiety in pregnant women with preeclampsia (P < 0.05). Prediction model: Logit (P) = 0.880 × marital relationship + 0.870 × gender discrimination of family members + 0.130 × Hct - 0.044 × E2 + 0.286 × IL-6 - 21.420. The area under the ROC curve of the model was 0.943 (95% confidence interval: 0.919-0.966). The threshold of the model was -1.507 according to the maximum Youden index (0.757), the corresponding sensitivity was 84.90%, and the specificity was 90.70%. Hosmer-Lemeshow χ2 = 5.900, P = 0.658. The sensitivity, specificity and accuracy of the model were 81.82%, 84.48% and 83.75%, respectively. Poor marital relationship, family gender discrimination, Hct, IL-6 and E2 are the influencing factors of postpartum anxiety in preeclampsia women. The constructed prediction model has high sensitivity and specificity.

Holistic nursing care practice and associated factors among nurses in public hospitals of Wolaita zone, South Ethiopia

BackgroundHolistic nursing care is an approach to patient care that takes into account the physical, social, spiritual, and psychological needs of the patient. Providing holistic care has been found to be an effective way to prevent diseases and death, as well as improve the quality of healthcare provided to patients. However, despite its perceived benefits, many nurses lack experience with holistic care and only focus on patients’ physical needs, treating them as biological machines while ignoring their spiritual, mental, and social needs. Therefore, this study aimed to assess the practice of holistic nursing care and its associated factors among nurses.MethodsA hospital-based cross-sectional study was conducted among 422 sampled Nurses working in public hospitals in Wolaita Zone. Systematic random sampling was applied to select the study participants. A self-administered, pretested questionnaire was used to collect the data. The collected data were entered into Epi Data version 4.6 and analyzed using SPSS version 25. Binary and multivariable logistic regression analyses were used to identify factors associated with holistic nursing care practice. Statistical significance was declared at a p-value less than 0.05. The strength of the association was indicated by the AOR and 95% CI.ResultThe study found that the overall practice of holistic nursing care was 21%. Nurses with a diploma in nursing (AOR: 0.28; 95% CI: 0.11, 0.71), nurses working in a hospital with no continuous in-service learning (AOR: 0.39; 95% CI: 0.20, 0.76), nurses with a poor relationship with patients (AOR: 0.31; 95% CI: 0.16, 0.58), and nurses with poor knowledge of holistic nursing care practice (AOR: 0.41; 95% CI: 0.21, 0.7) were factors associated with a lower likelihood of practicing holistic nursing care.ConclusionThis study found that the practice of holistic nursing care among nurses working in public hospitals in the Wolaita Zone was low. Level of education, the unit of work, continuous in-service learning, the nurse-patient relationship, and the knowledge of nurses were factors associated with holistic nursing care. The provision of in-service training and the creation of trusting, positive relationships were suggested to improve the practice of holistic nursing care.

Peer relationships and adolescent internet addiction: Variable-centered and person-centered approaches

This research aimed to examine the relationship between peer relationships (i.e., popularity, peer rejection, and loneliness) and internet addiction among Chinese adolescents, as well as explore the underlying mechanisms. Cross-sectional data from 1,388 Chinese adolescents, including 46.4 % girls, with a mean age of 14.53 years (±1.98 years), was analyzed. Latent profiles analysis identified three peer relationship profiles: the popular peer status profile (61.2 %), the moderate peer status profile (32.2 %), and the unpopular peer status profile (6.6 %). The mediating roles of self-annoyance and self-control were found in the associations between peer relationships and internet addiction using both variable and person-centered approaches. These findings hold significant implications for tailoring intervention programs that target the prevention of internet addiction among adolescents with poor peer relationships.

The relationship between the COVID-19 anxiety and self-efficacy of patients undergoing hemodialysis: a cross-sectional study

BackgroundThe spread of the COVID-19 increased anxiety and stress among patients undergoing hemodialysis. Unpleasant experiences in the lives of these patients reduced their quality of life. Self-efficacy is an effective factor that can improve the quality of life of patients undergoing hemodialysis. Therefore, this study aimed to investigate the relationship between the COVID-19 anxiety and self-efficacy in patients undergoing hemodialysis.MethodsThis cross-sectional, descriptive and analytical study used purposive sampling to select 110 patients undergoing hemodialysis in Sirjan from October to late November 2021. Demographic and clinical information questionnaire, the Corona Disease Anxiety Scale, and the General Self-Efficacy Scale were used to collect data. Data were analyzed using SPSS25. A significance level < 0.05 was considered.ResultsThe results showed that the mean score of COVID-19 anxiety was 13.14 ± 7.38, which was lower than the midpoint of the questionnaire. The mean self-efficacy score was 57.72 ± 9.68, with 73.8% (N = 79) of the participants having high self-efficacy and 26.2% (N = 28) having moderate self-efficacy. We found no significant relationship between self-efficacy and the COVID-19 anxiety (P = 0.31), as well as between self-efficacy and the psychological dimension of the corona disease anxiety scale (P = 0.96), but we observed a negative, poor and significant relationship between self-efficacy and its physical dimension (P = 0.048).ConclusionsPatients undergoing hemodialysis showed low anxiety and high self-efficacy. No significant relationship was found between COVID-19 anxiety and self-efficacy, but a weak correlation was observed with the physical dimension of anxiety. Increasing self-efficacy through patient education and support can improve outcomes and reduce hospitalizations for these patients.

Parent Aggression Exposure and Negative Expectancies in Couple Conversation: Rejection Sensitivity as a Mediator

Abstract Purpose Exposure to aggression during childhood or adolescence has been linked to negative outcomes, including poor future romantic relationship functioning. As a step toward understanding such intergenerational influences, the present study investigates whether aggression exposure in the family-of-origin is associated with negative expectancies of romantic partner interactions when facing a challenging couple discussion. Rejection sensitivity is tested as a mediator of this association, and gender was explored as a potential moderator. Method Negative expectancies were assessed before a 10-minute discussion about desired changes in the relationship in a sample of young adult dating couples. To test the theorized relationship between variables, the study employed self-report measures of parent aggression, rejection sensitivity, and negative expectancies. Results Multilevel analyses showed that exposure to family-of-origin aggression was positively associated with negative expectancies about the upcoming change discussion task, even after controlling for dating aggression within the current relationship. Additionally, rejection sensitivity mediated the association between parent aggression and negative expectancies. Gender did not moderate these associations. Conclusions Findings suggest that individuals who experience aggression in their family-of-origin are more likely to anticipate negative interactions with their dating partner during young adulthood. Results also highlight rejection sensitivity as a key mechanism of this process. Taken together, these findings help to explain why some individuals have negative expectancies as they approach difficult discussions with a romantic partner, which may be a putative link in the intergenerational continuity of aggression.

Grandparent alcohol use disorder and grandparent-grandchild relationships.

Involvement of grandparents in grandchildren's lives is important for grandchild well-being. Studies suggest that the quality of relationships between grandparents and their adult children may "spill over" to the quality of their relationships with their grandchildren. However, no research has tested whether grandparent alcohol use disorder (AUD) disrupts intergenerational relationships. This is important because grandchildren may not benefit from closeness with grandparents with AUD. In a sample of 295 parents and their children (N = 604) from a larger longitudinal study oversampled for familial AUD, this study tested whether grandparents (G1, "Generation 1") with AUD had poorer relationships with their adult children (G2 "Generation 2") in terms of greater stress and less support provided and less closeness with their grandchildren (G3, "Generation 3"). We also tested whether poorer G1-G2 relationship quality predicted less G1-G3 closeness. Finally, we tested whether effects of G1 AUD on G1-G3 closeness were explained by G1-G2 relationship quality. Separate models were estimated for maternal and paternal grandparents. We found evidence for three indirect effects. First, G1 maternal grandparent AUD predicted greater stress in the G1 grandmother-G2 mother relationship, which was associated with greater closeness between maternal grandmothers and grandchildren. This indirect effect was replicated in G1 paternal grandfathers and G2 fathers. Additionally, G1 paternal grandparent AUD was associated with lower levels of support provided from G1 grandfathers to G2 fathers, which predicted less closeness between paternal grandfathers and grandchildren. The results demonstrate complex intergenerational effects of AUD on family relationships and consistent with the hypothesized "spillover" effect of intergenerational relationships. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Associations between marital quality and the prognosis of breast cancer in young Chinese women: 10.3-year median follow-up.

Some evidence has revealed that marital status is an important predictor of breast cancer (BC) prognosis. However, what role marital quality plays in the effect of marital status on BC prognosis remains unclear. We conducted a prospective cohort study of women aged 20-50 years with stage I-III BC treated in accordance with a standard treatment protocol. The following three categories of marital quality were assessed: marital satisfaction, sexual relationship, and couple communication. The log-rank test was used to compare survival. Cox proportional hazards models were used to estimate hazard ratio (HR) and 95% confidence interval (CI) for recurrence and metastasis, BC-specific mortality, and overall mortality, adjusting for clinical variables. A total of 1,043 married women were initially recruited in the study. Forty-five (4.3%) patients refused to participate in this study and 141 (13.5%) were excluded from the analysis. Among 857 participants, there were 59 deaths, including 57 from BC. Multivariate Cox regression analysis showed that patients with poor marital satisfaction had significantly higher risks of recurrence and metastasis (HR 3.942, 95% CI: 1.903-8.167), BC-specific mortality (HR 3.931, 95% CI: 1.896-8.150), and overall mortality (HR 3.916, 95% CI: 1.936-7.924). Those with poor sexual relationship had significantly higher risks of recurrence and metastasis (HR 5.763, 95% CI: 3.012-11.027), BC-specific mortality (HR 5.724, 95% CI: 2.992-10.949), and overall mortality (HR 5.653, 95% CI: 2.993-10.680). Our results identified a subset of BC patients who have a poor prognosis, namely, those with poor marital quality. Early screening for marital quality and applying necessary social support interventions are helpful in improving the prognosis of patients with poor marital quality.

Perspectives of people with HIV/AIDS on psychosocial disorders on motivation and quality of Life

The cause of death of people with HIV/AIDS (ODHA) is not only caused by immunodeficiency factors but also caused by the influence of stigma or social discrimination received, resulting in psychosocial disorders on motivation and quality of life. This study aims to determine the perspective of PLHIV on psychosocial disorders due to discrimination and stigma received and its impact. This research is a qualitative research with a field research design. Data collection using Focus Group Discussion and in-depth interviews involving 18 informants at Yayasan Pelangi Maluku. The impact of psychosocial disorders is experienced as a decrease in the quality and motivation of life. Decreased quality of life was reported by informants, including poor social relationships, problems accepting HIV status, and anger of PLHIV towards themselves. The decrease in motivation to live with PLHIV is reflected in the unwillingness to seek treatment, suicidal ideation, and the desire to transmit HIV. This study showed the existence of psychosocial disorders with a large impact on the motivation and quality of life of PLHIV. This shows the importance of psychosocial assistance to PLHIV through continuous education for families and communities to reduce stigma and discrimination and its impact on PLHIV.

Forecasting the South African Real Spot-rate Curve During Covid-19 Stress

Purpose: The aim of this study is to investigate the performance of forecasting the South African real spot rate curve using different mathematical term-structure models during the Covid-19 period. This study follows previous studies by Reid (2009) and Mashoene et al., 2021) where dynamic term-structure models performed well compared to static term-structure models over normal market conditions. For high volatility, normality often breaks, which might result in a need for recalibration in the currently used methodology or a total change in the methodology.&#x0D; Methodology: This study explores the dynamism of both dynamic term-structure models, which follow the Nelson-Siegel framework, and static term-structure models with the option of recalibration of model parameters to account for a change in macro-economic dynamics brought by the effect of the Covid-19 pandemic. The forecasting exercise was applied to term-structure models following the Nelson-Siegel framework using AR(1) process.&#x0D; Findings: The incorporation of macroeconomic factors performed poorly in estimating future model parameters. This could be attributable to the effect of global stress, which resulted in poor linear relationships between macroeconomic and financial factors. Recalibration process on static Nelson-Siegel term-structure models improved the models' performance, especially during the high volatility/period of total economic shutdown due to the Covid-19 pandemic.&#x0D; Implications: The application of static Nelson-Siegel term-structure models with recalibrated parameters might improve bond pricing processes and risk management strategies in emerging markets, especially during market stress.

Screening for psychosocial risks among physicians in a pediatric hospital

Over the past decades, productivity practices at hospital resulted in staff overload and burnout. Prompted by physicians’ complaints, this study assessed the level of psychosocial risk among senior pediatricians in a university hospital.The survey used the checklist of Quebec's National Institute of Public Health that comprises two six-indicator parts: “Context” and “Key Components” of the Organization.The psychosocial risk level was evaluated by a physician–psychologist duo during interviews of homogeneous groups of workers. The indicators were scored, tabulated, and discussed.The survey led to a substantial qualitative and quantitative clarification of physicians’ working conditions, claims, and needs. Regarding Context, the staff reported mainly: (a) cumbersome organization and norms vs. limited human resources (lack of stability, incentives, and promotions); (b) absenteeism and presenteeism; (c) reluctance to seek care or advice for fear of discredit; (d) presence of verbal violence; (e) self-imposed harsh returns-to-work; (f) work–life conflicts and difficult mental disconnection from work. Regarding the Key Components, the staff reported mainly: (a) work overload (physical, mental, psychological, and relational/social), continuous stress, and perceived exhaustion; (b) low job satisfaction and insufficient recognition; (c) inconstant support by their superiors; (d) poor job relationships and colleagues’ support; (e) occasional participation and lack of real autonomy and/or strategy sharing.The survey succeeded in underlining concerning issues that required the immediate attention of occupational physicians and managers. It proved the method feasible and valuable in the medical context despite a high diversity of staff functions and degrees.

‘It’s Too nice’: Adapting iSupport Lite for Ethnically Diverse Family Carers of a Person with Dementia

ABSTRACT OBJECTIVES Resources to support dementia carers from ethnically diverse families are limited. We explored carers’ and service providers’ views on adapting the World Health Organization’s iSupport Lite messages to meet their needs. METHODS Six online workshops were conducted with ethnically diverse family carers and service providers (n = 21) from nine linguistic groups across Australia. Recruitment was via convenience and snowball sampling from existing networks. Data were analyzed using thematic analysis. RESULTS Participants reported that iSupport Lite over-emphasized support from family and friends and made help-seeking sound “too easy”. They wanted messages to dispel notions of carers as “superheroes”, demonstrate that caring and help-seeking is stressful and time-consuming, and that poor decision-making and relationship breakdown does occur. Feedback was incorporated to co-produce a revised suite of resources. CONCLUSIONS Beyond language translation, cultural adaptation using co-design provided participants the opportunity to develop more culturally relevant care resources that meet their needs. These resources will be evaluated for clinical and cost-effectiveness in future research. CLINICAL IMPLICATIONS By design, multilingual resources for carers must incorporate cultural needs to communicate support messages. If this intervention is effective, it could help to reduce dementia care disparities in ethnically diverse populations in Australia and globally.

The Effect of Negative Past Experiences, Poor Relationship Quality and Rumor on Brand Hate: A Research on Fast Food Industry

The Effect of Negative Past Experiences, Poor Relationship Quality and Rumor on Brand Hate: A Research on Fast Food Industry

Internal factors, reducing the effectiveness of management systems

The article considers internal factors that reduce the effectiveness of management systems. Three key factors have been identified. The first is the poor relationship between modern IT systems that are widely implemented in enterprises (1C, SAP, etc.) and documents describing the system. The second is the low level of awareness of management system implementation specialists about the variety of applied tools. The third is the lack of understanding and direct relationship of how the implementation of an effective management system affects the economic performance of the company.

Excessive Evaluation Anxiety (XEA): The Last Two Decades

Background: Excessive evaluation anxiety (XEA) refers to disproportionate or increased evaluation anxiety among those affected by evaluation (e.g., stakeholders) characterized by the sole presence of negative consequences. It can compromise evaluator-stakeholder relationships, presenting as a barrier for program evaluation. Moreover, XEA can both cause and be caused by resistance to evaluation, which is an interrelated topic that shares many common causes, characteristics, and mitigation strategies. The participatory and interactive nature of modern evaluation approaches can exacerbate the presence of XEA. However, researchers have not explored the current state of literature on XEA.&#x0D; Purpose: To explore the current state of the literature on XEA over the past 20 years.&#x0D; Setting: Not applicable.&#x0D; Intervention: Not applicable.&#x0D; Research Design: Literature review.&#x0D; Data Collection and Analysis: We conducted a literature search of Academic Search Complete, Web of Science, and Scopus. We complemented the database search by a journal search of the American Journal of Evaluation, Evaluation, and the Canadian Journal of Program Evaluation. We then conducted a thematic analysis of the articles that met the inclusion criteria.&#x0D; Findings: Upon review of the articles, we identified four main themes in the literature related to XEA. Specifically, XEA: leads to poor evaluator-stakeholder relationships; is influenced by cultural factors; can be mitigated through the development of interpersonal skills; and can be mitigated through a systematic and evidence-based approach to evaluation.&#x0D; Keywords: Excessive evaluation anxiety, resistance to evaluation, program evaluation, evaluator-stakeholder relationships

An intergenerational study of parental bonding on perceptions of parental and spousal criticism and marital relationship quality in Singapore.

Criticism is a form of interpersonal social rejection and destructive conflict behavior which has been associated with poor relationship outcomes in both parent-child and marital relationships. However, the role of the individual's perceptions of parental and spousal criticism in influencing the perceptions of criticism of other members in the family unit has not been examined. This study investigated the associations between parental bonding and perceptions of parental and spousal criticism across generations in Singapore. In all, 134 Singaporean married parent dyads (G2) and one child (G3) of each dyad were recruited. G2 parent participants completed the Perceived Criticism measure for their parents (G1) and spouses, the Parental Bonding Instrument and the Quality of Marriage Index. G3 children participants completed the Perceived Criticism measure for their parents (G2). Path analysis found that G2 perceptions of parental bonding were significant predictors of G2's perceptions of G1 parental criticism, which significantly predicted both G2's perceptions of spousal criticism and G3's perceptions of G2 parental criticism. Perceptions of spousal criticism were also found to predict marital relationship quality in G2 participants. Findings highlight the intergenerational transmission of perceptions of criticism across relationships in the family unit, providing support that parenting practices and communication patterns in one generation can predict those in the next generation in the Singaporean context. Future studies can look to replicate the findings in other cultures and include further investigations into sibling relationships as well.