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Keywords = marital conflict

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14 pages, 719 KiB  
Article
Recursive Interplay of Family and Biological Dynamics: Adults with Type 1 Diabetes Mellitus Under the Spotlight
by Helena Jorge, Bárbara Regadas Correia, Miguel Castelo-Branco and Ana Paula Relvas
Diabetology 2025, 6(8), 81; https://doi.org/10.3390/diabetology6080081 - 6 Aug 2025
Abstract
Objectives: Diabetes Mellitus involves demanding challenges that interfere with family functioning and routines. In turn, family and social context impacts individual glycemic control. This study aims to identify this recursive interplay, the mutual influences of family systems and diabetes management. Design: Data was [...] Read more.
Objectives: Diabetes Mellitus involves demanding challenges that interfere with family functioning and routines. In turn, family and social context impacts individual glycemic control. This study aims to identify this recursive interplay, the mutual influences of family systems and diabetes management. Design: Data was collected through a cross-sectional design comparing patients, aged 22–55, with and without metabolic control. Methods: Participants filled out a set of self-report measures of sociodemographic, clinical and family systems assessment. Patients (91) were also invited to describe their perception about disease management interference regarding family functioning. We first examined the extent to which family variables grouped dataset to determine if there were similarities and dissimilarities that fit with our initial diabetic groups’ classification. Results: Cluster analysis results identify a two-cluster solution validating initial classification of two groups of patients: 49 with metabolic control (MC) and 42 without metabolic control (NoMC). Independent sample tests suggested statistically significant differences between groups in family subscales- family difficulties and family communication (p < 0.05). Binary logistic regression shed light on predictors of explained variance to no metabolic control, in four models: Sociodemographic, Clinical data, SCORE-15/Congruence Scale and Eating Behavior. Furthermore, groups differ on family support, level and sources of family conflict caused by diabetes management issues. Considering only patients who co-habit with a partner for more than one year (N = 44), NoMC patients score lower on marital functioning in all categories (p < 0.05). Discussion: Family-Chronic illness interaction plays a significant role in a patient’s adherence to treatment. This study highlights the Standards of Medical Care for Diabetes, considering caregivers and family members on diabetes care. Full article
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27 pages, 619 KiB  
Article
Relationships Between Self-Esteem and Personal Attributes, Income, Consumption, and Assets: Japanese Panel Study
by Makoto Nakakita, Sakae Oya, Naoki Kubota, Tomoki Toyabe and Teruo Nakatsuma
Eur. J. Investig. Health Psychol. Educ. 2025, 15(5), 78; https://doi.org/10.3390/ejihpe15050078 - 12 May 2025
Viewed by 759
Abstract
Self-esteem is a key topic in psychology and health research. It influences well-being, happiness, and even medicine. However, existing studies on self-esteem have yielded conflicting results, suggesting that a global consensus remains elusive. This study examines how demographic and socioeconomic factors influence self-esteem [...] Read more.
Self-esteem is a key topic in psychology and health research. It influences well-being, happiness, and even medicine. However, existing studies on self-esteem have yielded conflicting results, suggesting that a global consensus remains elusive. This study examines how demographic and socioeconomic factors influence self-esteem in Japan. We analyzed panel data sampled from the entire Japanese population, with separate estimates performed for marital status and gender to account for potential differences in the impact of these factors. Using a Bayesian panel logit model with the Markov chain Monte Carlo method and the ancillarity–sufficiency interweaving strategy for efficient estimation, we found similarities and differences compared with studies from other countries. Furthermore, when comparing the overall data with data stratified by marital status and gender, we observed significant differences in how these factors influenced self-esteem, even among the same individuals. These findings underscore the importance of considering such variations when incorporating self-esteem into medical and healthcare contexts. Full article
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18 pages, 260 KiB  
Article
The Psychological Impact Among Syrian Refugees in Host Countries
by Dalia Al-Hourani, Mahmoud Al-Wriekat, Rocío Llamas-Ramos and Inés Llamas-Ramos
Healthcare 2025, 13(5), 488; https://doi.org/10.3390/healthcare13050488 - 24 Feb 2025
Viewed by 1035
Abstract
Background: Refugees face numerous challenges, including conflict, displacement, family separation, human rights violations, limited access to basic needs, and exposure to violence and torture. These experiences significantly impact their psychological well-being, leading to increased stress, anxiety, and depression. Syrian refugees in Jordan [...] Read more.
Background: Refugees face numerous challenges, including conflict, displacement, family separation, human rights violations, limited access to basic needs, and exposure to violence and torture. These experiences significantly impact their psychological well-being, leading to increased stress, anxiety, and depression. Syrian refugees in Jordan may experience higher levels of depression and anxiety than those in Spain due to harsher living conditions, limited economic opportunities, uncertain legal status, inadequate mental health services, and ongoing proximity to the Syrian conflict, whereas refugees in Spain benefit from better integration, stronger support systems, and greater stability. Objective: This study aimed to assess and compare the psychological symptoms experienced by Syrian refugees in Jordan and Spain. Methods: A cross-sectional correlational design was employed to evaluate the psychological impact on Syrian refugees in both developed (Spain) and developing (Jordan) country. A sample of 200 refugees from camps, residences, and refugee centers was recruited. Psychological symptoms were measured using the Depression Anxiety Stress Scale (DASS-21). Results: The majority of participants had low income, secondary education, and were unemployed. Overall, 55.5% reported stress, 63.5% anxiety, and 68.5% depression. Higher levels of stress and depression were observed among females, unemployed individuals, and low-income groups. Age also played a critical role, with individuals aged 40–49 reporting elevated stress, anxiety, and depression compared with other age groups. Discrimination and living arrangements further influenced mental health, with low-social-connectivity communities and rural areas associated with higher anxiety and depression. Higher levels of stress and depression were observed among females in Spain and significant mental health disparities across age and income groups in Jordan. These findings underscore the need for targeted interventions addressing sociodemographic vulnerabilities to improve refugee mental health outcomes. Refugees in Jordan reported significantly higher levels of depression and anxiety compared with those in Spain. Conclusions: The findings highlight the profound psychological burden faced by Syrian refugees, particularly in Jordan, where living conditions and systemic challenges exacerbate mental health issues. Factors such as age, gender, marital status, low education, and low income were strongly associated with higher stress levels in both countries. These results underscore the need for targeted mental health interventions, improved access to psychological support, and policies that address the socioeconomic and legal challenges faced by refugees. Enhancing integration, reducing discrimination, and providing comprehensive mental health services are critical steps toward improving the well-being of this vulnerable population. Full article
(This article belongs to the Special Issue Healthcare for Immigrants and Refugees)
11 pages, 206 KiB  
Article
Execute Justice and Charity for Your People: Jewish Divorce Mediation as a Model for Intrareligious Peacekeeping
by Sarah M. Nissel
Religions 2025, 16(1), 45; https://doi.org/10.3390/rel16010045 - 6 Jan 2025
Viewed by 1013
Abstract
This article explores the complex issue of disharmony within religious marriages, focusing on Jewish approaches to divorce. Contrasting Jewish divorce mediation with other religions’ approaches to marital conflict, this article examines two Judaic models: one viewing divorce as a severe remedy permissible only [...] Read more.
This article explores the complex issue of disharmony within religious marriages, focusing on Jewish approaches to divorce. Contrasting Jewish divorce mediation with other religions’ approaches to marital conflict, this article examines two Judaic models: one viewing divorce as a severe remedy permissible only under certain circumstances, and the other allowing for divorce when a marriage is irreparably broken. The author highlights the positive Jewish commandment to peacefully divorce, discussing how mediation integrates compassion and justice, in line with Jewish legal and ethical traditions. This work emphasizes the benefits of community-based divorce mediation, including lower costs, shorter timelines, and increased communal acceptance. Jewish divorce mediation, the author argues, is particularly effective in maintaining child-centeredness and co-parenting relationships post-divorce. This article calls for a broader adoption of Jewish divorce mediation through charitable organizations to effectuate Jewish family values and provide amicable resolutions within the Jewish community. Full article
(This article belongs to the Special Issue The Global Urgency of Interreligious Studies)
17 pages, 334 KiB  
Article
Testing a Family Conflict Intervention for Parents and Typically Developing Adolescent Siblings of Individuals with Intellectual and/or Developmental Disabilities
by Vevette J. H. Yang, Kathleen N. Bergman and E. Mark Cummings
Int. J. Environ. Res. Public Health 2024, 21(12), 1666; https://doi.org/10.3390/ijerph21121666 - 13 Dec 2024
Cited by 2 | Viewed by 1064
Abstract
Parents and typically developing (TD) youth siblings of individuals with intellectual and/or developmental disabilities (IDD) often experience greater caregiving burden, stress, and hardships in family functioning. They are at increased risk of family conflict and youth adjustment problems when TD siblings are adolescents [...] Read more.
Parents and typically developing (TD) youth siblings of individuals with intellectual and/or developmental disabilities (IDD) often experience greater caregiving burden, stress, and hardships in family functioning. They are at increased risk of family conflict and youth adjustment problems when TD siblings are adolescents since they need to balance caregiving responsibilities and various changes that naturally occur during adolescence. However, there is a lack of intervention research on parents and TD adolescent siblings that focuses on family conflict and family-wide participation. This study analyzed whether participating in a brief family intervention could improve families’ knowledge of marital and family-wide conflict and TD adolescents’ adjustment problems. We found that mothers and fathers significantly improved their knowledge of marital conflict and that TD adolescents significantly improved their knowledge of family-wide conflict. We also found that fathers reported significant reductions in internalizing and externalizing problems in TD adolescents. The findings support the impact of even brief evidence-based interventions targeting family-level improvements for families with both TD adolescent siblings and individuals with IDD. The findings also accentuate the significance of involving both mothers and fathers in family intervention research, suggesting that different caregivers may experience both shared and unique benefits from participating. Full article
13 pages, 564 KiB  
Article
How Do Religious Women Cope with Marital Conflict and Hardship? Article 2
by Elizabeth M. Lyman, Loren D. Marks, David C. Dollahite, Chelom E. Leavitt, Tamara M. Chamberlain and Christina N. Cooper
Psychol. Int. 2024, 6(4), 1040-1052; https://doi.org/10.3390/psycholint6040065 - 13 Dec 2024
Viewed by 1460
Abstract
Frequent and unresolved conflict is a significant relationship risk factor for divorce, but it has also been shown that religion strengthens marriages, specifically in ways that give direction and motivation for couples in resolving marital conflict or other marital hardships. Thus, a study [...] Read more.
Frequent and unresolved conflict is a significant relationship risk factor for divorce, but it has also been shown that religion strengthens marriages, specifically in ways that give direction and motivation for couples in resolving marital conflict or other marital hardships. Thus, a study of how successful religious couples resolve conflict is pertinent in helping us better understand how to strengthen marriages and families. Our qualitative study of 113 highly religious women of diverse faiths and races found that women’s perceived relationship or connection with God reportedly impacted conflict resolution and coping with marital hardship. Results suggest greater reconciliation and unity with the women’s husbands through couple and relational processes, but more often through personal and psychological processes. We found that religious involvement led women to resources that strengthened their marriage. Resources discussed include (a) prayer, (b) scripture study, and (c) involvement in a faith community. This paper is the second in a two-part series. Full article
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15 pages, 437 KiB  
Article
How Do Religious Women Cope with Marital Conflict and Hardship?
by Elizabeth M. Lyman, Loren D. Marks, David C. Dollahite, Chelom E. Leavitt, Kaelie N. Wagner and Sidney M. Gergetz
Psychol. Int. 2024, 6(4), 1013-1027; https://doi.org/10.3390/psycholint6040063 - 30 Nov 2024
Cited by 1 | Viewed by 1720
Abstract
Frequent conflict is a significant relationship risk factor for divorce, but it has also been shown that religion strengthens marriages, specifically in ways that give direction and motivation for couples in resolving marital conflict or other marital hardships. Thus, a study of how [...] Read more.
Frequent conflict is a significant relationship risk factor for divorce, but it has also been shown that religion strengthens marriages, specifically in ways that give direction and motivation for couples in resolving marital conflict or other marital hardships. Thus, a study of how successful religious couples resolve conflict is pertinent in helping us better understand how to strengthen marriages and families. Our qualitative study of 113 highly religious women of diverse faiths and races found that women’s perceived relationship or connection with God reportedly impacted conflict resolution and coping with marital hardship. Results suggest greater reconciliation and unity with the women’s husbands through couple and relational processes, but more often through personal and psychological processes. The main themes that emerged are: (a) God is at the center of the marriage, and (b) God changed our character (internal manifestations) enabling us to be better prepared to navigate conflict and endure hardships in marriage. Part two of this paper will examine how external manifestations of a relationship with God (i.e., prayer, scripture study, and involvement in a faith community) further help women of faith cope with marital conflict and hardship. Full article
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11 pages, 286 KiB  
Article
Parental Attachment and Psychosocial Adjustment in Adolescents Exposed to Marital Conflict
by Jesús Maya, Isabel Fuentes, Ana Isabel Arcos-Romero and Lucía Jiménez
Children 2024, 11(3), 291; https://doi.org/10.3390/children11030291 - 29 Feb 2024
Cited by 2 | Viewed by 3166
Abstract
(1) Background: Interparental conflict is a phenomenon that poses a serious threat not only to the quality of life of the couple but also to the father–child relationship, mother–child relationship, and well-being of adolescents. This study examined the difference in parental attachment and [...] Read more.
(1) Background: Interparental conflict is a phenomenon that poses a serious threat not only to the quality of life of the couple but also to the father–child relationship, mother–child relationship, and well-being of adolescents. This study examined the difference in parental attachment and adjustment in adolescents exposed to marital conflict versus those not exposed to parental conflicts in low-income areas. (2) Methods: 67 adolescents involved in Child Welfare Services (CWS) in disadvantaged neighbourhoods in southern Spain were examined. The sample was split into two groups according to the exposure to marital conflict. Subsequently, differences between groups were analysed on father attachment, mother attachment, aggression, antisocial behaviour, and emotional intelligence. (3) Results: Primarily, the data showed significantly worse attachment with the father among conflict-exposed versus non-conflict-exposed adolescents. These results were not found for the attachment with the mother. Additionally, greater anger and worse stress management were found in conflict-exposed adolescents. (4) Conclusions: The results partially confirmed the spillover and compensatory hypothesis. Practical implications point out that developing preventive interventions that protect the father–adolescent attachment in situations of family conflict is recommended. Full article
(This article belongs to the Special Issue Advances in Mental Health and Well-Being in Children)
10 pages, 388 KiB  
Article
Serial Dual Mediating Effects of Parenting Stress on Life Satisfaction among Parents of School-Aged Children with Chronic Conditions
by Jeong-Won Han, Boeun Yang and Hanna Lee
Healthcare 2024, 12(4), 461; https://doi.org/10.3390/healthcare12040461 - 11 Feb 2024
Viewed by 1995
Abstract
This study examines the serial dual mediating effects of marital conflict and self-esteem on the relationship between parenting stress and life satisfaction in parents of school-aged children with chronic conditions. This study aims to present foundational data for developing nursing interventions for parents [...] Read more.
This study examines the serial dual mediating effects of marital conflict and self-esteem on the relationship between parenting stress and life satisfaction in parents of school-aged children with chronic conditions. This study aims to present foundational data for developing nursing interventions for parents caring for children with chronic illnesses. Of the 2150 parents who participated in the 13th Panel Study on Korean Children (PSKC), 271 raising a child with a chronic illness were enrolled in the study. The serial dual mediating effect was analyzed using PROCESS macro Model 6. The serial dual mediating effects of parenting stress, marital conflict, and self-esteem on parents’ life satisfaction were analyzed. Marital conflict and self-esteem had significant serial multiple mediating effects on the relationship between stress and life satisfaction in fathers (B = −0.11, bootstrap 95% CI = −0.16–−0.06) and mothers (B = −0.06, bootstrap 95% CI = −0.09–−0.03). Our results suggest that marital conflict increases with increasing parenting stress and that increased marital conflict sequentially reduces self-esteem, ultimately diminishing life satisfaction in parents raising a child with a chronic condition. Thus, relevant nursing interventions and social support are essential to boost the life satisfaction of parents raising children with chronic conditions. Full article
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19 pages, 689 KiB  
Article
A Survey of Public Opinion on Community Cats’ General Health and Relationship Quality with Residents in Urban China
by Xuan Gu, Zilin Zhang, Guo Peng, Anru Ni, Bo Wang, Xiufan Xiong, Yujie Liu and Li Wang
Animals 2024, 14(3), 525; https://doi.org/10.3390/ani14030525 - 5 Feb 2024
Cited by 4 | Viewed by 3308
Abstract
The management and coexistence of community cats in urban areas is a growing concern amid global urbanization. Through a survey-based investigation, we examine the residents’ perceptions of the general health of community cats and human-cat relationships in urban China. The data from 5382 [...] Read more.
The management and coexistence of community cats in urban areas is a growing concern amid global urbanization. Through a survey-based investigation, we examine the residents’ perceptions of the general health of community cats and human-cat relationships in urban China. The data from 5382 participants revealed that approximately 70% of participants perceived community cats as being in good health, and 60% reported harmonious or non-conflict coexistence between residents and these cats. Around 45% of the participants rescued or helped community cats, 38% expressed their intention to adopt, and 18% complained about the issues of community cats to management staff. Linear, logistic, and multilevel-logistic regressions were employed to examine the associations between the types of cities and communities or the participants’ socio-demographics and the perceived well-being of community cats or human-cat relationships. The results show that the cats in fourth-tier cities (e.g., county-level cities) had poorer living conditions than in first-tier cities (e.g., Beijing), while the cats in urban village communities (e.g., villages in the city) were less likely to exhibit good health than in ordinary commercial housing communities. The results also show that socio-demographic variables, such as educational attainment, marital status, and income level, predicted participants’ relationships with community cats. This study is the first of its kind. It provides valuable insights for stakeholders to develop effective policies and interventions on cat management, emphasizing the need for tailored strategies in diverse urban settings and populations. Full article
(This article belongs to the Special Issue Animal Welfare from a Cross-Cultural Perspective)
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17 pages, 494 KiB  
Article
Work–Family Conflict and Its Sustainability Implications among Married Immigrants Working in the USA
by Neena Gopalan, Nicholas J. Beutell, Joseph G. Grzywacz, Wendy Middlemiss, Srikant Manchiraju and Sapna Srivastava
Sustainability 2023, 15(19), 14595; https://doi.org/10.3390/su151914595 - 8 Oct 2023
Cited by 1 | Viewed by 1903
Abstract
There is a paucity of research on the work and family dynamics of immigrants who arrive in the U.S. on visas. Work–family conflict among immigrants is a sustainability issue because it affects social cohesion, economic vitality, and the overall wellbeing of communities. This [...] Read more.
There is a paucity of research on the work and family dynamics of immigrants who arrive in the U.S. on visas. Work–family conflict among immigrants is a sustainability issue because it affects social cohesion, economic vitality, and the overall wellbeing of communities. This study examined work–family conflicts and work–life support among married immigrants (n = 182) born abroad but currently holding permanent resident status (also known as ‘green card holders’) in the U.S. Specifically, we examined how work variables (job intensity and work–life support) may either lead to or reduce job burnout, how burnout may be related to work–family conflict, and how these variables influence marital agreement, marital happiness, and job satisfaction. The results suggested that, in general, job factors had direct as well as indirect impacts through burnout, on both work and family outcomes. Job burnout moderated the relationship between work interfering with family and marital agreement. Martial agreement was significantly predicted by multiple variables. Suggestions for future research on this understudied population are offered along with practical and theoretical contributions related to the sustainability of immigrants, their families, and society. Full article
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26 pages, 3039 KiB  
Review
Influence of Food Type on Human Psychological–Behavioral Responses and Crime Reduction
by Masoud Heidari, Yalda Khodadadi Jokar, Shirin Madani, Sharifeh Shahi, Mohammad Sharif Shahi and Mohammad Goli
Nutrients 2023, 15(17), 3715; https://doi.org/10.3390/nu15173715 - 25 Aug 2023
Cited by 12 | Viewed by 10768
Abstract
The purpose of this narrative review is to emphasize the importance of food consumption and meal selection on mental health and brain function, including psychological and behavioral reactions such as mood, loving relationships, violence, and criminal activity. Additionally, by being aware of the [...] Read more.
The purpose of this narrative review is to emphasize the importance of food consumption and meal selection on mental health and brain function, including psychological and behavioral reactions such as mood, loving relationships, violence, and criminal activity. Additionally, by being aware of the link between food and mental health, the community can be encouraged to make informed food choices in order to avoid unfavorable outcomes like criminality. Food behaviors are shifting significantly over the world. There are also significant changes in mood, sadness, happiness, and violence, as well as the spread of the variety and severity of mental diseases that lead to violent acts. Food intake and meal selection have evolved over the last ten years as the variety and accessibility of food options have become easier and more diverse. These modifications might have both beneficial and bad consequences. This article examines the relationship between food intake and its impact on marital satisfaction. The goal of this review is to support or refute the claim that food influences mood, love, or criminal behavior, or vice versa. Various diets can have an impact on one’s mental health and brain, influencing psychological reactions and behavioral responses such as mood, loving relationships, violence, and even criminal activity. Food insecurity has been demonstrated in various studies to have a negative impact on health and psychological well-being, leading to despair, loss of happiness, marital conflict, and violence. For example, herbal extracts and flavonoids have the potential to improve gut microbiota and treat mood disorders. Understanding how the gut–brain axis communicates might help guide interventions for mood and cognitive function. Since the root of most diseases and behaviors is significantly related to the type of food consumed, this research addresses this issue in order to reduce the cost of treatment and prevention of crime and delinquency at the community level by consciously choosing the food consumed by the society. In other words, prevention is always better than cure. Full article
(This article belongs to the Section Nutrition and Public Health)
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18 pages, 1132 KiB  
Review
Domestic Factors as Determinant of Sickness Absence with Psychiatric Disorders: A Scoping Review of Nordic Research Published between 2010–2019
by Gunnel Hensing, Varsha Rajagopalan and Carin Staland-Nyman
Int. J. Environ. Res. Public Health 2023, 20(13), 6292; https://doi.org/10.3390/ijerph20136292 - 4 Jul 2023
Cited by 1 | Viewed by 1932
Abstract
Uneven division of domestic factors may contribute to sex differences in sickness absence with psychiatric disorders. The aim of this scoping review was to compile current Nordic research on domestic factors and sickness absence with psychiatric disorders. A systematic search was performed to [...] Read more.
Uneven division of domestic factors may contribute to sex differences in sickness absence with psychiatric disorders. The aim of this scoping review was to compile current Nordic research on domestic factors and sickness absence with psychiatric disorders. A systematic search was performed to identify studies from the Nordic countries published between 1 January 2010 and 31 December 2019. Twelve studies were included. Marital status, family situation, work-home interference (in both directions), social affiliation, and loss of child/young adult (suicide, accident, or natural death) were identified as measures of domestic factors. In 8 of the 12 studies, domestic factors were used as co-variates, while four used them as the main exposure. Social affiliation, home-to-work conflict, and total workload were not associated with the outcome. One study found that parents with children older than two years, widows/widowers, and those divorced or unmarried had an increased risk of sickness absence with psychiatric disorders. One study found that work-to-home conflict was associated with sickness absence with stress-related diagnoses in men, and with other mental disorders in women. Finally, one study found that losing a son or daughter aged 16–24 years increased the risk of future sickness absence with a psychiatric disorder regardless of the cause of death. Future studies need to develop concepts, study designs, and measurements to move this research area further. In particular, the concept of “unpaid domestic work” needs theoretical and empirical development. Full article
(This article belongs to the Special Issue Domestic Work and Health)
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11 pages, 956 KiB  
Article
Marital Conflict, Family Socioeconomic Status, and Depressive Symptoms in Migrant Children: A Moderating Mediational Model
by Liuhua Ying, Yanli Wang and Shasha Yu
Behav. Sci. 2023, 13(6), 441; https://doi.org/10.3390/bs13060441 - 24 May 2023
Cited by 3 | Viewed by 2604
Abstract
The present study examines the roles of parent–child communication and peer attachment in the relationships between marital conflict, family socioeconomic status (SES), and depressive symptoms in migrant children. The present study was a cross-sectional design. A total of 437 children were selected from [...] Read more.
The present study examines the roles of parent–child communication and peer attachment in the relationships between marital conflict, family socioeconomic status (SES), and depressive symptoms in migrant children. The present study was a cross-sectional design. A total of 437 children were selected from 2 public schools of migrant children, and they were assessed on measures of marital conflict, family SES, parent–child communication, peer attachment, and depressive symptoms. Results showed that peer attachment moderates the relationships between marital conflict, parent–child communication, and depressive symptoms. That is, for migrant children with high peer attachment, marital conflict influences depressive symptoms directly, but also indirectly through parent–child communication. For migrant children with low peer attachment, marital conflict only exerts a direct influence on depressive symptoms. In addition, parent–child communication mediates the relationship between family SES and depressive symptoms, although the mediating effects were not significant for groups with a high or a low level of peer attachment. Thus, parent–child communication serves as one critical pathway, linking marital conflict, or family SES, with depressive symptoms. Furthermore, peer attachment acts as a buffer against the negative effects of marital conflict on depressive symptoms. Full article
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14 pages, 284 KiB  
Article
Clinical Sexologists’ Perceptions of the Potentials, Downfalls, and Best Practices for Digitally Delivered Therapy: A Lesson from Lockdown Due to COVID-19 in Portugal
by Ivanilda B. Costa, Andreia A. Manão and Patrícia M. Pascoal
Behav. Sci. 2023, 13(5), 376; https://doi.org/10.3390/bs13050376 - 4 May 2023
Cited by 5 | Viewed by 2048
Abstract
Professionals who work in clinical sexology intervene in situations related to mental health, such as sexual dysfunctions and marital conflicts, often with vulnerable populations, e.g., people with chronic illnesses or trans people. In this work, we wanted to understand the perceptions these professionals [...] Read more.
Professionals who work in clinical sexology intervene in situations related to mental health, such as sexual dysfunctions and marital conflicts, often with vulnerable populations, e.g., people with chronic illnesses or trans people. In this work, we wanted to understand the perceptions these professionals have about using Internet interventions and how they perceive—based on their COVID-related experience and the reflections it brought about non-face-to-face interventions—the use of online interventions. During the first lockdown due to COVID-19 in Portugal, we used an online survey and collected answers from 39 Portuguese sexual health professionals to open questions about the use of Internet interventions. The data were analyzed following the summative content analysis procedures. Our results showed that sexual health professionals had several difficulties in clinical practice during the lockdown period, such as the perception that sexuality moved to the backseat in people’s lives. Even so, they stated that Internet interventions have several advantages, such as easy accessibility and excellent promotion of social justice. However, disadvantages were also pointed out. The current study allowed us to understand clinicians’ perception of the impact of the pandemic on sexual healthcare access and brought recommendations for good practice of sexual medicine with e-health. Full article
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