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1.
Front Psychol ; 15: 1439252, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39220389

RESUMEN

Objective: To explore the causal relationship between social support, physical activity behavior, and family relationships among university students. Methods: Using the Social Support Rating Scale, the Physical Activity Behavior Self-Assessment Scale, and the Family Relationships Scale, a longitudinal follow-up survey was conducted on 412 college students in Sichuan Province at 2-month intervals in March 2024 (T1) and May 2024 (T2), to analyze the interaction mechanisms between college students' social support, physical activity behaviors, and family relationships through cross-lagging. Results: (1) There are significant gender differences in social support, physical activity behavior, and family relationships among college students. Among the cross-lagged paths found, except for the path from T1 social support to T2 family relationships (ß: 0.40 > 0.21), all other cross-lagged paths are smaller for female college students compared to male college students; (2) T1 social support was able to positively predict T2 physical activity behaviors (ß = 0.50, p < 0.001), and T1 physical activity behavior can also positively predict T2 social support (ß = 0.18, p < 0.01), but the path value T1 social support → T2 physical activity behavior is larger than T1 physical activity behavior → T2 social support. Therefore, social support is a causal variable for physical activity behavior; (3) T1 social support positively predicts T2 family relationships (ß = 0.26, p < 0.001); (4) T1 family relationships positively predict T2 physical activity behavior (ß = 0.30, p < 0.001). (5) Physical activity behavior is a mediating variable between family relationships and social support, with a mediating effect size of 0.054. Conclusion: There are gender differences in social support, physical activity behavior, and family relationships among college students; there is a longitudinal causal relationship between social support, physical activity behavior, and family relationships; social support is a causal variable of physical activity behavior, and social support is also a causal variable of family relationships, and family relationships are the Social support is a causal variable for physical activity behavior, social support is also a causal variable for family relations, and family relations are a causal variable for physical activity behavior, which has a partially mediating role in family relations and social support.

2.
J Prof Nurs ; 54: 106-112, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39266078

RESUMEN

BACKGROUND: Role-modeling videos portray how to complete a task or behave in a situation. As posited by Social Learning Theory and the Model of Transformational Learning, role-modeling videos used in the Catalyzing Relationships at the End-of-Life Program (CAREol Program©) were developed to engage and transform student learning. PURPOSE: The purpose of the study was to understand how role-modeling videos about difficult family relationships at the end of life enhance preparation of nursing and medical students for clinical practice. METHODS: A descriptive qualitative analysis was used to explore the understanding of 156 nursing and medical students' knowledge of end-of-life care expressed through journal reflections after experiencing a role-modeling video. RESULTS: Four themes emerged from the qualitative descriptive analysis: comfort, communication, time together, and forgiveness/reconciliation. CONCLUSION: Through the lens of Social Learning Theory and the Model of Transformational Learning, students learn about the importance of comfort, communication, time together, and forgiveness in family relationships at the end of life.


Asunto(s)
Estudiantes de Enfermería , Cuidado Terminal , Humanos , Estudiantes de Enfermería/psicología , Estudiantes de Medicina/psicología , Investigación Cualitativa , Grabación en Video , Comunicación , Femenino , Masculino , Desempeño de Papel , Bachillerato en Enfermería
3.
J Epidemiol Popul Health ; 72(5): 202758, 2024 Aug 03.
Artículo en Inglés | MEDLINE | ID: mdl-39098167

RESUMEN

BACKGROUND: Adolescents frequently encounter a spectrum of psychiatric conditions, predominantly depressive and anxiety disorders, along with various behavioral disturbances. OBJECTIVE: This investigation aims to delineate the prevalence of depressive disorders among adolescents in urban Vietnam and to elucidate the interrelationships between familial and school-related dynamics and adolescent depression. MATERIALS AND METHODS: A cross-sectional survey was conducted in 2022, involving 507 students aged 15 to 17 from high schools in Hanoi, Vietnam. Reynolds Adolescent Depression Scale - Second Edition (RADS-2) was used to assess the presence of depressive symptoms. Social-demographic characteristics, adolescent-family and adolescent-school relationships, and academic environment characteristics of high school students were interviewed. Multivariate Tobit regression models were employed to discern contributory factors across four domains of RADS-2. RESULTS: Among the 507 adolescents, the mean scores on the RADS scale were 15.1 ± 4.2 for the dysphoric mood domain, 16.4 ± 4.0 for the anhedonia-negative domain, 13.1 ± 4.4 for the negative self-evaluation domain, and 12.4 ± 3.7 for the somatic complaints domain. The analysis indicated that adolescents with suboptimal parental relationships, absence of confidants, frequent parental conflicts, exposure to parental arguments, substantial exam-related stress, or overwhelming academic demands were more likely to exhibit elevated depressive symptoms. Conversely, adolescents who were satisfied with their friendships at school and received care, support from teachers or friends, and involved in school's extracurricular activities lower exhibited levels of depression. CONCLUSIONS: Findings reveal the significant impact of family and peer relationships, as well as academic stress, on the development of depressive symptoms. These significant results inform the design and development of future interventions aimed at mitigating depression risks among high school students, emphasizing the crucial roles of both educational institutions and family dynamics.

4.
J Genet Psychol ; : 1-17, 2024 Aug 10.
Artículo en Inglés | MEDLINE | ID: mdl-39126355

RESUMEN

This study explored the links among family connections, solitude preferences, perceptions of work (academic and job) competence, and Theory of Mind (ToM) in 73 Canadian adolescents aged 11-18 (M age = 13.1). Previous studies show significant connections among these factors, although little is known about how such associations may relate to one another, especially the role of young people's perceptions. To address these gaps in the literature, this study focused on adolescents' experiences and perceptions of their family relationships, solitude preferences, and competence in the school context and workplace. Participants completed a series of self-report measures, advanced ToM tasks and written explanation for perceived family emotional connections. Results revealed that adolescents with more positive family connections reported higher levels of self-perceived academic and job competence, embraced solitude positively, yet felt less desire to be alone. Girls showed a higher affinity for solitude than boys, and the presence of more siblings reduced the desire for solitude. Those youth who were proficient in ToM skills reported positive family connections and high levels of academic competence. Findings hold implications for future research and education in adolescent's social cognition and social and academic outcomes.

5.
Behav Sci (Basel) ; 14(7)2024 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-39062358

RESUMEN

The United States has a long history of welcoming refugees fleeing persecution, organized violence, and war. However, the welcome often does not come with adequate immigration infrastructure support necessary to rebuild life and promote family well-being. Approximately 157,000 Cambodians were accepted to resettle in the U.S. between 1975 and 1994 due to the countrywide genocide. Upon resettlement, Cambodians were placed in impoverished neighborhoods with little resources to heal and rebuild. The purpose of this study, grounded in a Human Ecological Model and guided by Critical Ethnography principles, was to conduct a formal needs assessment of Cambodian refugee families across the United States. Eighteen professionals were interviewed virtually in Khmer and/or English. The data were analyzed using the Developmental Research Sequence. The results emphasized a critical need to address mental health complications resulting from untreated mental health disorders such as posttraumatic stress, depression, anxiety-related disorders, and complicated grief, across generations. Severe disruptions in family relationships (i.e., parent-child and couple relationships) were also reported along with substance abuse in the absence of access to culturally responsive mental health treatments. Findings suggest the need for culturally tailored multilevel interventions to effectively address mental health and relational challenges of multigenerational Cambodian families.

6.
J Affect Disord ; 362: 853-858, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39029675

RESUMEN

BACKGROUND: Antenatal depression may result in adverse outcomes for both the mother and the offspring. However, few studies have focused on the screening of pregnant women at a higher risk for antenatal depression in the first trimester. The present study aimed to assess the effect of lifestyle and family relationships on antenatal depression in the first trimester in a large Chinese population. METHODS: Cross-sectional population data were obtained from a real-world cross-sectional survey conducted in Shenzhen, China from 2020 to 2024. The data on sociodemographic characteristics, lifestyle, and family relationships were obtained using self-reported questionnaires. Antenatal depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS), with a score of ≥13 indicating the presence of probable antenatal depression. A binary logistic regression model was used to identify the risk factors of antenatal depression. RESULTS: A total of 42,363 pregnant women in the first trimester were recruited in the cross-sectional survey, among whom 3107 (7.3 %) had probable antenatal depression. We found (1) age < 25 years, (2) low or moderate economic status, (3) smoking, (4) partner smoking, (5) alcohol use, (6) lack of physical exercise, (7) poor or moderate living environment, (8) low or moderate marital happiness, and (9) never talking about problems were associated with antenatal depression. However, level of education, employment status, partner alcohol use, and living alone were not significantly related to antenatal depression in the first trimester. LIMITATIONS: The cross-sectional design and the use of self-report measures must be considered while interpreting the results. CONCLUSIONS: This study suggested that the prevalence of antenatal depression in the first trimester was 7.3 %. Public health prevention efforts aimed at reducing the prevalence of antenatal depression are recommended. Early identification of women at a higher risk in early pregnancy is necessary for preventing antenatal depression and improving quality of life.


Asunto(s)
Complicaciones del Embarazo , Primer Trimestre del Embarazo , Humanos , Femenino , Embarazo , China/epidemiología , Estudios Transversales , Adulto , Factores de Riesgo , Prevalencia , Complicaciones del Embarazo/epidemiología , Complicaciones del Embarazo/psicología , Depresión/epidemiología , Adulto Joven , Estilo de Vida
7.
World Dev ; 1792024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38882390

RESUMEN

Women's economic empowerment is recognized as a fundamental component of gender equality and global development. Despite a significant body of evidence highlighting the positive effects of women's labor force participation in low- and middle-income countries, relatively few studies have explored how caregivers of young children perceive women's economic empowerment in relation to childcare and family responsibilities. The objective of this study was to examine how mothers and fathers viewed the links between maternal employment and family caregiving dynamics specifically in terms of couples' relationships and parenting. We conducted in-depth interviews with 23 mothers and 29 fathers of young children under aged 2 years and 9 focus group discussions with mothers and fathers across 4 communities in Mwanza, Tanzania. Data were analyzed through both deductive and inductive approaches. Results revealed distinct gender differences in maternal versus paternal perceptions regarding women's engagement in income-generating activities. Mothers held favorable views towards employment and largely perceived positive effects on parenting, child, and family outcomes. On the other hand, most fathers were unsupportive of women's employment and held restrictive gender attitudes. Men feared a loss of power and perceived various negative consequences in terms of increased marital conflict, poorer maternal parenting, and worse child outcomes. Overall, this study revealed differences in maternal versus paternal perceptions about women's economic empowerment and its links with couples' relationships and parenting that were strongly shaped by gender attitudes. Women's economic empowerment programs that engage men to transform gender norms while incorporating program components to strengthen couples' relationships and promote positive parenting have potential for achieving family-wide benefits among mothers, fathers, and young children.

8.
J Neural Transm (Vienna) ; 131(9): 1095-1103, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38900273

RESUMEN

Road traffic injuries are the leading cause of death for young adults, and parents play a major role in shaping their traffic behaviour. Higher impulsivity (predictor of higher traffic risk) has been shown to be dependent on family relations and the serotonin transporter gene promoter polymorphism (5-HTTLPR). The specific mechanisms for the inheritance of risky traffic behaviour from parents to children are not clear, and the genetic aspect has not been studied before. We used data of Estonian Children Personality Behaviour and Health Study subjects (n = 596, mean age = 25.2 ± 0.6) and their parents (mothers, n = 460, mean age = 52.1 ± 5.8; fathers, n = 339, mean age = 54.1 ± 6.5). Family relationships scale, traffic risk questionnaires and Adaptive and Maladaptive Impulsivity Scale were filled out. The increased risk-taking behaviour of parents and worse quality of family relationship were significant predictors of higher traffic risk among subjects. Family support and impulsivity of fathers significantly predicted the subjects' traffic risk score in interaction with 5-HTTLPR genotype: l'/l' homozygous subjects with adaptively impulsive fathers had higher traffic risk, whereas for s'-allele carrying subjects family support was more significant. Parental role modelling and family relationships are significant predictors of future traffic behaviour of the child. Whether the behavioural example of the father or the influence of family relationships is more important in predicting future risky traffic behaviour, depends on the 5-HTTLPR genotype of the child.


Asunto(s)
Genotipo , Conducta Impulsiva , Proteínas de Transporte de Serotonina en la Membrana Plasmática , Humanos , Proteínas de Transporte de Serotonina en la Membrana Plasmática/genética , Masculino , Conducta Impulsiva/fisiología , Femenino , Adulto , Persona de Mediana Edad , Asunción de Riesgos , Relaciones Familiares/psicología , Estonia , Adulto Joven , Padres/psicología , Accidentes de Tránsito , Encuestas y Cuestionarios , Polimorfismo Genético , Relaciones Padres-Hijo
9.
Front Psychol ; 15: 1330115, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38827895

RESUMEN

TIAP is an observational procedure to assess family functioning detecting simultaneously the role of each participant and the interdependence of relational behaviors. In particular, the procedure requires family members to play according to different interactive configurations (parent1-children; parent2-children, all together, children and parents as separate units) and therefore different microtransitions from one configuration to another. As such, the procedure allows to study how family members coordinate to maintain stability, promote change, and encourage members to explore different interactive configurations within the family system. TIAP has been validated through several studies conducted with different non-clinical groups of families that have highlighted the salient aspects of family functioning, and significant correlations with variables external to the family system, such as children's social-emotional competence in the educational context. This paper focuses on the use of TIAP in the contexts of assessing parental competence. Specifically, the article aims to describe, through the reference to a clinical case, the results emerged from a study conducted with 33 families involved in a parenting assessment process. The study is part of a broader collaborative project between the Child and Adolescent Neuropsychiatry Clinic of the Italian National Health Service in Parma, the University of Parma, and the Bologna Family Therapy Center. TIAP was administered to all the families involved as a complement to other tools routinely used for all cases handled by the professionals of the clinic. The coding system includes different indices. Some analyze the interactive family modes: family coordination (mutual attention and responsiveness), the responses to potentials for change (disregard, absorption, amplification), and intra-familiar exploration. Other indices concern the quality of the interactions: the relational triadic dynamic of microtransition (detaching-entrusting-welcoming-joining) and the consistency/inconsistency of the communication channels. The results highlighted how TIAP makes it possible to identify the specific interactive modalities of the different members and their interdependence and reciprocity, favoring the identification of both family weaknesses and family resources, including the children's contribution. Furthermore, the general data trend showed that TIAP indices detect some important prognostic elements capable of guiding the court's decisions.

10.
Contin Educ ; 5(1): 66-75, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38774597

RESUMEN

This study primarily aimed to develop a program that aids parents of children with Special Educational Needs (SEN), placing emphasis on the challenges encountered in communication and understanding. The Eidemiller and Justizkis's (2008) Family Relationship Analysis (FRA) served as the core method of the research. As inclusive education progresses, new challenges incessantly emerge necessitating immediate effective solutions. This research spotlights the triad of teachers, psychologists, and parents. A cornerstone of this research is the emphasis on nurturing a unique bond between school psychologists or teachers and parents. This bond should be anchored in mutual trust, motivation, and a conducive psychological environment. The overarching goal is to boost parental motivation, alleviate concerns linked to the child's condition, reinforce family relationships, and cultivate a positive enabling environment for the child. The study culminated in the rollout of a tailored program connecting parents with educational professionals. This program encompassed lectures and exercises delving into understanding challenges, coupled with innovative methods like fairy tale activities and initiatives to foster tolerance. Feedback indicated a notable positive impact on parents. The research underscores the necessity of fostering parental confidence and assuaging fears regarding their child's condition. In this context, the influence of peers and friends on the development of inclusive education should be considered in future studies.

11.
BMC Psychol ; 12(1): 213, 2024 Apr 17.
Artículo en Inglés | MEDLINE | ID: mdl-38632630

RESUMEN

BACKGROUND: Adolescence is a pivotal stage vulnerable to mental health issues like anxiety and depression. While family relationships, mental toughness, and personality traits are known to impact adolescent mental health, their interactive and moderating roles are not fully understood. AIM: This study aims to investigate the mediating role of mental toughness in the relationship between family relationships and depression among high school students, and to examine the varying impacts of personality traits on this mediation. METHOD: A cross-sectional study was conducted on a sample of 734 adolescents. Participants completed measures assessing family relationships, mental toughness, personality traits, and mental health outcomes (depression). Latent Profile Analysis, Multiple Regression Analysis, and Structural Equation Modeling, to investigate these relationships. RESULTS: The study found that mental toughness significantly mediates the relationship between family relationships and depression. Notably, this mediating effect varied between personality type; it was more pronounced in the moderate-reserved type compared to the proactive-engaged type. LPA identified two distinct personality types of students based on their personality traits, with differential patterns of family relationships, mental toughness, and depression. Multiple regression analysis indicated that character and adaptability, components of mental toughness, were significant negative predictors of depression. CONCLUSION: The study contributes to understanding the dynamics of adolescent mental health, particularly in the context of Chinese high school students. It underscores the importance of considering family dynamics, personality traits, and mental toughness in developing effective mental health interventions for adolescents.


Asunto(s)
Depresión , Personalidad , Humanos , Adolescente , Depresión/psicología , Estudios Transversales , Salud Mental , Relaciones Familiares
12.
J Health Psychol ; : 13591053241245098, 2024 Apr 06.
Artículo en Inglés | MEDLINE | ID: mdl-38581351

RESUMEN

Cambodian refugees resettled in the United States were severely affected by genocidal trauma and have been trapped in decades of intergenerational transmission of traumatic stress and relational disruptions without much public attention. This manuscript reports on data collected as part of a Cambodian needs assessment that employed methodological principles of critical ethnography and was grounded by a human ecological theoretical model. Eighteen professionals who served Cambodian communities were interviewed. The interviews were transcribed in Khmer or/and English and analyzed using the Developmental Research Sequence resulting in three domains (Pre-Migration, During Migration, and Post Resettlement in the United States) and four categories (i.e. Impact on Self, Couple Relationships, Parent-Child Relationships, and Context) within each domain. The thematic findings emphasize intergenerational transmission of psychopathology, disruptions in parent-child relationships, and a critical need to support parents to promote positive child development within Cambodian communities.

13.
Rev. Baiana Saúde Pública ; 48(1): 293-307, 20240426.
Artículo en Portugués | LILACS | ID: biblio-1555844

RESUMEN

Quando atuamos no nível da Atenção Primária, nas Equipes de Saúde da Família, o vínculo com a população e com os atendidos é essencial para o desenvolvimento do trabalho de cuidado. Conhecendo o território, é possível uma aproximação e um fazer consistente com as ferramentas adequadas, que visem à melhoria da população adscrita e do núcleo familiar. Assim, este trabalho tem como objetivo relatar um caso de acompanhamento de uma família cadastrada em uma Equipe de Saúde da Família do Município de Montes Claros, MG, utilizando-se as seguintes ferramentas de abordagem familiar: Genograma, Ecomapa, Ciclo de Vida, F.I.R.O. e P.R.A.C.T.I.C.E. Elas permitiram o aprofundamento na dinâmica familiar, em seu histórico de saúde e convivência social, possibilitando a proposição de uma intervenção adequada. A coleta de dados foi feita em entrevistas nas visitas domiciliares realizadas pelos profissionais. As propostas de intervenção foram feitas por meio da conferência familiar realizada com seus membros. As ferramentas de abordagem familiar possibilitaram que a equipe interviesse de acordo com a realidade da família em questão, gerando um cuidado em saúde em uma perspectiva ampliada.


In work at Primary Care level with Family Health Strategies, the bond with the served population and families is essential to develop care work. Knowing the territory makes it possible to approach and act consistently with the appropriate tools to improve the enrolled population and family nuclei. Thus, this study aims to report a case study of a family registered with a family health team in the municipality of Montes Claros, MG, using the following family approach tools: Genogram, Ecomapa, Life Cycle, F.I.R.O., and P.R.A.C.T.I.C.E. The use of these tools made it possible to delve deeper into family dynamics, their health history, and social coexistence, making it possible to propose an appropriate intervention. Data were collected by interviews during home visits carried out by professionals. Intervention proposals were made by family conferences held with family members. Family approach tools enabled the family health team to act, intervening according to the reality of the family in question and enabling health care from a broader perspective.


Cuando trabajamos en el nivel de atención primaria, en equipos de Estrategias de Salud Familiar, el vínculo con la población y las familias atendidas es fundamental para el desarrollo del trabajo de asistencia. El conocimiento del territorio permite abordar y actuar coherentemente con las herramientas adecuadas, encaminadas a mejorar la población asignada y el núcleo familiar. Así, este trabajo tiene como objetivo describir un estudio de caso de una familia registrada en un equipo de salud familiar en la ciudad de Montes Claros, Minas Gerais (Brasil), utilizando las siguientes herramientas de abordaje familiar: Genograma, Ecomapa, Ciclo de Vida, F.I.R.O. y P.R.A.C.T.I.C.E. El uso de estas herramientas permitió profundizar en la dinámica familiar, su historia de salud y convivencia social, lo que posibilitó proponer una intervención adecuada. La recolección de datos se realizó por entrevistas durante visitas domiciliarias realizadas por profesionales. Las propuestas de intervención se realizaron por conferencias familiares realizadas con los familiares. Las herramientas del abordaje familiar permitieron al equipo de salud familiar actuar interviniendo de acuerdo con la realidad de la familia en cuestión y posibilitando la atención de la salud desde una perspectiva más amplia.


Asunto(s)
Humanos
14.
Int J Dev Disabil ; 70(1): 137-147, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38456139

RESUMEN

Background: Priority given to supported decision-making has increased internationally since the United Nations General Assembly adopted the Convention on the Rights of Persons with Disabilities (CRPDs). Nations worldwide have moved to ratify and enact the CRPD. Methods: A questionnaire survey on the supported decision-making status was conducted in Japan and Taiwan (60 and 73 people, respectively; N = 133, 82 women and 51 men). Survey items were objective indicators based on the CRPD. Results: In both countries, people who are older (vs younger) or those having more (vs less) experience supporting persons with intellectual disabilities were more likely to practice supported decision-making. Relationships between persons with intellectual disabilities and family members are vital. Conclusions: It is necessary to establish appropriate supported decision-making methods, that do not depend on aspects such as support experience, for persons with intellectual disabilities in Japan and Taiwan. Additionally, it is necessary to clarify the relationship with the family in supported decision-making for persons with intellectual disabilities and to work together appropriately.

15.
Adv Life Course Res ; 59: 100583, 2024 03.
Artículo en Inglés | MEDLINE | ID: mdl-38448089

RESUMEN

This article introduces the concept of "unlinked lives" and illustrates its significance for scholarship on the life course. There are many lessons to be learned about human interdependence by focusing not on relationships that are formed and then maintained, but instead on relationships that are lost or ended by choice or circumstance, such as through changes in institutional affiliations, social status and positions or places. Unlinked lives carry important social meanings, are embedded in complex social processes, and bring consequences for the wellbeing of individuals, families, and societies. To develop this concept, we put forward nine key propositions related to when and how unlinkings happen as processes, as well as some of the consequences of being unlinked as a status or outcome. The coupling of "unlinked lives" with "linked lives" offers a crucial avenue for advancing life course theories and research, integrating scholarship across multiple life periods and transitions, and bridging the two now-distinct traditions of intellectual inquiry on the life course and on social networks.


Asunto(s)
Instituciones de Salud , Acontecimientos que Cambian la Vida , Humanos , Aprendizaje , Perspectiva del Curso de la Vida , Red Social
16.
Fam Process ; 2024 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-38417918

RESUMEN

As a cultural trauma, the Holocaust exerted negative psychological effects on many survivors, with such effects often extending to their families. Research has explored these effects with respect to the survivors' children and grandchildren, but the experiences of the next generation have yet to be canvassed. Knowledge about resilience in Holocaust survivor families is also comparatively sparse. In this exploratory study, 10 semi-structured interviews were conducted with Australian great-grandchildren of Holocaust survivors, garnering perspectives concerning the genocide's impact on family functioning. Six superordinate themes were identified through Interpretive Phenomenological Analysis: The experience of being raised by the third generation, honoring traumatic family histories, the need to move on, proudly identifying with the Holocaust, valuing achievement and ambition, and the importance of not taking things for granted. The findings suggest that multiple generations within survivor families grapple with the lingering negative effects of the Holocaust. Concurrently, attempting to redress these effects has the potential to benefit family dynamics and processes.

17.
Soc Sci Med ; 340: 116452, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38171170

RESUMEN

Research on coparenting is virtually absent from the refugee literature, despite its importance for family systems, children's bio-behavioural and emotional development, and intergenerational responses to social change. In 2022, we conducted 30 semi-structured interviews with Syrian refugees in Jordan and used thematic analysis to examine how fathers and mothers (n = 15 dyads) enacted parenting together. We identified four approaches characterising how couples navigated coparenting interactions, family cohesion, and intergenerational change. These were negotiation, mirroring, anchoring, and transformation. Specifically, Syrian couples negotiated how to balance responsibilities, sought emotions and behaviours that reflected calm and respect, prioritised family togetherness over education or resettlement opportunities, and, strikingly, adopted gentler parenting approaches to transform intergenerational experiences. Underpinning these four themes were efforts to uphold family dignity. Syrians described themselves as ordinary parents, eschewing the label of refugee parents and building a normal life for their families after war and displacement. Our thematic analysis offers methodological and conceptual advances in exemplifying how to capture a dyadic understanding of coparenting and why refugees strive to parent in ways that sustain mental health and dignity. This systems-level analysis of coparenting in dignity is specifically relevant to strengthening the processes of family-level communication and to designing integrated programs that support caregiving, wellness, and family unity. Our findings lay the groundwork for developing a relational, agentic model of family caregiving systems in the context of precarity and forced displacement.


Asunto(s)
Padre , Pueblos de Medio Oriente , Madres , Refugiados , Niño , Femenino , Humanos , Masculino , Padre/psicología , Salud Mental , Madres/psicología , Responsabilidad Parental/psicología , Padres/psicología , Refugiados/psicología , Respeto
18.
BMC Geriatr ; 24(1): 45, 2024 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-38200439

RESUMEN

BACKGROUND: Research indicates that it is the quality of the closest relationships in the mixture of social relations that matters most for older adults. For older foreign-born, especially those who migrate late in life, the family is often the only socioeconomical resource they can lean on. This study aims to explore how older foreign-born perceive the role of family as they age. METHODS: The study design has a grounded theory approach. Data consist of individual open-ended interviews with 15 foreign-born informants aged between 60 and 85 years old who migrated to Sweden as adults from various parts of the world. RESULTS: The findings demonstrate that family was an essential part of the informants' lives as they lived for their families and their families lived for them. Family solidarity was described as a cultural heritage they took over from their original families and a cultural heritage they wished to pass on to their future generations. They found that this was what separated them as foreign-born from native-born. Memories of their parents reminded them of their biological, social, and cultural heritages. The intimate relationship with their spouses in a life course had served as a source of validation of their individual identities and promoted personal growth and self-esteem. The role as a loving and caring parent entailed a sense of accomplishment and satisfaction for the life lived. And now as grandparents, the role as a link between the family's historical heritage and the future generation entailed not only a sense of coherence as they aged but also hope and meaning beyond their own lives. CONCLUSIONS: The older foreign-born experienced life satisfaction as they aged with their families. Family meant community and solidarity. It was in the family that they found their distinct roles that had defined them. Family was an indispensable part of their social identity. The findings highlight the importance of older foreign-born being studied from a family and lifetime perspective.


Asunto(s)
Envejecimiento , Internacionalidad , Humanos , Anciano , Anciano de 80 o más Años , Teoría Fundamentada , Satisfacción Personal , Proyectos de Investigación
19.
Psychol Sport Exerc ; 71: 102570, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38008392

RESUMEN

Adapted recreation programs involving the entire family may offer ways to enhance relationships in families with a child living with a disability because they enable participating together in new and potentially empowering experiences. This study examined family members' perspectives on their lived experiences with their relationships within their family and how they perceived they were affected by their participation in an adapted summer camp for families with a child living with a disability. We conducted a collective case study with five families who participated in a week-long camp. A focus group was conducted with each family and analyzed using reflexive thematic analysis. Participation in the camp impacted family relationships by reducing isolation for mothers; alleviating stress and anxiety which helped families bond; providing shared experience which led to mutual understanding, communication, and support; improving independence and confidence of the child living with a disability; facilitating sibling bonding and parent comfort with giving siblings more responsibility; and enhancing families' confidence to participate in family activities beyond the camp. These findings elucidate how participation in this type of program can impact relationships in families that include a child living with a disability and inform future program design.


Asunto(s)
Padres , Hermanos , Niño , Femenino , Humanos , Madres , Relaciones Familiares , Investigación Cualitativa
20.
Child Obes ; 20(1): 1-10, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-36827448

RESUMEN

Background: Patient-reported outcomes (PROs) can assess chronic health. The study aims were to pilot a survey through the PEDSnet Healthy Weight Network (HWN), collecting PROs in tertiary care pediatric weight management programs (PWMP) in the United States, and demonstrate that a 50% enrollment rate was feasible; describe PROs in this population; and explore the relationship between child/family characteristics and PROs. Methods: Participants included 12- to 18-year-old patients and parents of 5- to 18-year-olds receiving care at PWMP in eight HWN sites. Patient-Reported Outcomes Measurement Information System (PROMIS®) measures assessed global health (GH), fatigue, stress, and family relationships (FR). T-score cut points defined poor GH or FR or severe fatigue or stress. Generalized estimating equations explored relationships between patient/family characteristics and PROMIS measures. Results: Overall, 63% of eligible parents and 52% of eligible children enrolled. Seven sites achieved the goal enrollment for parents and four for children. Participants included 1447 children. By self-report, 44.6% reported poor GH, 8.6% poor FR, 9.3% severe fatigue, and 7.6% severe stress. Multiple-parent household was associated with lower odds of poor GH by parent proxy report [adjusted odds ratio (aOR) 0.69, 95% confidence interval (CI) 0.55-0.88] and poor FR by self-report (aOR 0.36, 95% CI 0.17-0.74). Parents were significantly more likely to report that the child had poor GH and poor FR when a child had multiple households. Conclusions: PROs were feasibly assessed across the HWN, although implementation varied by site. Nearly half of the children seeking care in PWMP reported poor GH, and family context may play a role. Future work may build on this pilot to show how PROs can inform clinical care in PWMP.


Asunto(s)
Salud Global , Obesidad Infantil , Niño , Humanos , Estados Unidos/epidemiología , Adolescente , Obesidad Infantil/epidemiología , Obesidad Infantil/terapia , Relaciones Familiares , Padres , Medición de Resultados Informados por el Paciente , Calidad de Vida
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