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Keywords = marriage satisfaction

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14 pages, 244 KiB  
Article
A Comparative Analysis of Stress Relief, Life Satisfaction, and Quality of Life Based on Marriage Status and Gender Among Members of Society Participating in Exercise
by Ji-Hye Yang, Sicheol Jung, Hyejin Yang, Chulhwan Choi and Chul-Ho Bum
Behav. Sci. 2025, 15(4), 453; https://doi.org/10.3390/bs15040453 - 1 Apr 2025
Cited by 1 | Viewed by 551
Abstract
Modern members of society tend to feel stressed in their workplace and at home, but exercising has been shown to effectively reduce stress and increase quality of life and satisfaction. This study aimed to investigate and compare stress relief, life satisfaction, and quality [...] Read more.
Modern members of society tend to feel stressed in their workplace and at home, but exercising has been shown to effectively reduce stress and increase quality of life and satisfaction. This study aimed to investigate and compare stress relief, life satisfaction, and quality of life based on marriage status and gender among members of society who participate in exercise. We used a questionnaire survey with 311 participants, and the data were analyzed using descriptive statistics, validity and reliability, a multivariate analysis of variance (MANOVA), and a post hoc analysis. The study results showed that the single groups demonstrated higher mean scores in stress relief than the married groups. Conversely, the married groups showed higher mean scores in life satisfaction and quality of life compared with the single groups, and there were no gender differences in any of the results. In conclusion, it seems that these results were affected by the single groups’ high autonomy and the married groups’ sense of stability in the family. Full article
15 pages, 232 KiB  
Article
The Quality of Life of Iranian Mothers and Fathers of Children with Autism
by Sayyed Ali Samadi, Farzaneh Ghanimi and Roy McConkey
Children 2025, 12(4), 454; https://doi.org/10.3390/children12040454 - 31 Mar 2025
Viewed by 684
Abstract
Autism is a complex neurodevelopmental condition that has life-long impacts on individuals and their families, who are the main caregivers. This study investigated the self-reported quality of life (QoL) of Iranian mothers and fathers and aimed to identify the predictors associated with higher [...] Read more.
Autism is a complex neurodevelopmental condition that has life-long impacts on individuals and their families, who are the main caregivers. This study investigated the self-reported quality of life (QoL) of Iranian mothers and fathers and aimed to identify the predictors associated with higher scores on the World Health Organisation’s QoL brief measure (WHOQOL-BREF), particularly those related to their child’s autism. Methodology: A cross-sectional study was conducted with two national samples of parents: one in which the mothers and father were related (n = 119 families) and a second sample involving 383 unrelated mothers and fathers, making a total of 623 Iranian parents of children diagnosed with autism spectrum disorder (ASD). Participants completed self-report measures assessing QoL, perceived child-rearing stress, social support, and coping strategies as well as pertinent demographic information of themselves and their child. These were chosen on the basis of previous research. Data were analysed using descriptive statistics and linear regression analysis. Results: There were few significant differences between mothers and fathers in both samples on the various rating scales. Regression analyses identified satisfaction with personal health and with their marriage, along with support from family as the main predictors of higher quality-of-life ratings. Access to professionals and positive interactions with their children augmented the contribution to parents’ overall quality of life. The children’s autism had minimal direct impact on the parental quality of life although it likely accentuated the importance to parents of the identified predictors. Discussion: The findings support the case for services to adopt a family-centred approach to the support they provide and for a greater engagement with fathers. Three strands are proposed for future research: recruiting families who receive little or no support, the identification of strategies for meeting the personal needs of parents, and undertaking longitudinal studies of interventions to improve family quality of life and the outcomes these have on the person with autism. Full article
14 pages, 864 KiB  
Article
Factors Predicting Sexual Satisfaction of Thai Women with Cervical Cancer After Complete Treatment at Least One Year and Their Spouses
by Wunwisa Bualoy, Bualuang Sumdaengrit, Tiraporn Junda and Arb-aroon Lertkhachonsuk
Healthcare 2025, 13(2), 112; https://doi.org/10.3390/healthcare13020112 - 9 Jan 2025
Viewed by 4910
Abstract
Background: Sexual satisfaction is vital for the sexual health and well-being of both cervical cancer patients and their spouses. Sexual dissatisfaction can arise from negative treatment, making it important to examine the factors that influence sexual satisfaction. Objective: The purpose of this study [...] Read more.
Background: Sexual satisfaction is vital for the sexual health and well-being of both cervical cancer patients and their spouses. Sexual dissatisfaction can arise from negative treatment, making it important to examine the factors that influence sexual satisfaction. Objective: The purpose of this study was to explore the factors affecting the sexual satisfaction of Thai women with cervical cancer after complete treatment and their spouses. Materials and Methods: A predictive correlational study was conducted with 100 couples using convenience sampling. The study was based on the ecological theory framework. Data were collected from April 2023 to January 2024 in two tertiary hospitals through five questionnaires: a demographic questionnaire, the Thai Hospital Anxiety and Depression Scale, the Charlson Comorbidity Index, the Couple Relationship Scale, Natsal 2000, and the New Sexual Satisfaction Scale. Data analysis was performed using multiple linear regression. Results: The multiple regression analysis showed that sexual difficulties and duration of marriage predicted 25.6% of the variance in sexual satisfaction among women with cervical cancer. The duration of marriage (b = −0.48, p = 0.012) had a stronger impact than sexual difficulties (b = −2.82, p = 0.005). Sexual difficulties and couple relationships accounted for 34.9% of the variance in sexual satisfaction for spouses. Sexual difficulties (b = −3.13, p = 0.004) had a greater effect than couple relationships (b = 0.30, p = 0.003). Conclusions: Healthcare providers should promote constructive communication between couples through open, respectful, and supportive dialogue to strengthen their relationship, improve mutual understanding, address sexual difficulties, and enhance sexual satisfaction for women with cervical cancer after treatment and their spouses. The findings results can inform future intervention research aimed at improving sexual satisfaction in this population one-year post treatment. Full article
(This article belongs to the Section Women's Health Care)
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9 pages, 426 KiB  
Article
Association Between Postpartum Depression and Personality Traits Among Japanese Postpartum Mothers and Fathers
by Ayana Haku, Hitoshi Kaneko and Junko Kawahito
J. Clin. Med. 2024, 13(24), 7714; https://doi.org/10.3390/jcm13247714 - 18 Dec 2024
Viewed by 1623
Abstract
Background/Objectives: Although numerous investigations have been conducted on postpartum depression, studies on the association between postpartum depression and personality traits of mothers and fathers are lacking. This study aimed to examine the association between postpartum depression and the Big Five personality models [...] Read more.
Background/Objectives: Although numerous investigations have been conducted on postpartum depression, studies on the association between postpartum depression and personality traits of mothers and fathers are lacking. This study aimed to examine the association between postpartum depression and the Big Five personality models among Japanese mothers and fathers at one-month health check-ups. Methods: The participants were 82 couples, and they responded to the Edinburgh Postnatal Depression Scale (EPDS), the Japanese version of the Ten-Item Personality Inventory, and the Quality of Marriage Index (QMI). We examined the correlations among variables and analyzed the data using structural equation modeling (SEM). Results: Maternal neuroticism was significantly associated with maternal depression (β = 0.50, p < 0.001), and maternal extraversion was significantly associated with paternal depression (β = −0.64, p < 0.001). In addition, we found that maternal postpartum depression was associated with maternal marital satisfaction (r = −0.29, p = 0.037); however, this association disappeared in SEM. Conclusions: Our findings suggest that health practitioners should pay attention to depression and personality traits in both postpartum mothers and fathers. Moreover, we should consider the different associations between depression and personality in parents when initiating interventions. Full article
(This article belongs to the Special Issue Perinatal Mental Health Management)
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15 pages, 918 KiB  
Article
Emotion Regulation Difficulties as a Mediator Between Relationship Satisfaction Predicting Depressive Symptom Trajectories Among Couples in Couple Therapy
by Preston C. Morgan, Andrea K. Wittenborn, Garrin L. Morlan and Ryan Snyder
Behav. Sci. 2024, 14(12), 1215; https://doi.org/10.3390/bs14121215 - 18 Dec 2024
Viewed by 1741
Abstract
Although adults with depression struggle to effectively emotionally regulate themselves, these findings are limited to one partner in a romantic relationship, community samples, and cross-sectional designs. Hence, we aimed to address these gaps in the literature by investigating emotion regulation difficulties as a [...] Read more.
Although adults with depression struggle to effectively emotionally regulate themselves, these findings are limited to one partner in a romantic relationship, community samples, and cross-sectional designs. Hence, we aimed to address these gaps in the literature by investigating emotion regulation difficulties as a predictor of change in depression among couples in couple therapy. Additionally, we aimed to investigate whether emotion regulation difficulties mediated the well-established association between relationship satisfaction and changes in depression of couples in couple therapy. We examined 484 different-sex couples in couple therapy from the Marriage and Family Therapy Practice Research Network—a clinical dataset from clinics across the United States. Dyadic latent growth models revealed the actor and partner effects of emotion regulation difficulties at session 1, predicting decreases in depression trajectories across 16 sessions of couple therapy. Additionally, dyadic latent growth mediation models revealed that emotion regulation difficulties at session four did not mediate the associations between relationship satisfaction at session 1 with depression trajectories of sessions eight through 16. For couple therapy clinicians, emotion regulation difficulties can play a direct role in the treatment of depression. However, our results did not support emotion regulation difficulties as a mediator for the well-established association between relationship satisfaction and depression trajectories. Full article
(This article belongs to the Special Issue How Couple Relationships Affect Mental Health)
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17 pages, 2096 KiB  
Article
Analyzing the Effect of Factors on Individuals’ Subjective Well-Being with Quantile Bayesian Structural Equation Modeling Approach
by Zübeyde Çiçek and Nuran Bayram Arlı
Behav. Sci. 2024, 14(12), 1170; https://doi.org/10.3390/bs14121170 - 6 Dec 2024
Viewed by 1226
Abstract
This study investigates factors influencing individuals’ levels of subjective well-being by examining fundamental variables, called life domains, such as satisfaction with health, education, marriage, housing district, work life, social life, relationships, and public services. The aim is to understand how these domains affect [...] Read more.
This study investigates factors influencing individuals’ levels of subjective well-being by examining fundamental variables, called life domains, such as satisfaction with health, education, marriage, housing district, work life, social life, relationships, and public services. The aim is to understand how these domains affect various quantile values of subjective well-being. To achieve this, the Life Satisfaction Survey dataset for 2020, obtained from the Turkish Statistical Institute, was utilized, and Bayesian Quantile Structural Equation Modeling and Bayesian Structural Equation Modeling methods were applied. The empirical study indicates that all life domains were found to have a positive impact on subjective well-being, except for housing-district satisfaction and education satisfaction. In particular, for individuals with low subjective well-being, satisfaction with work life, relationships, and public services has a stronger effect on subjective well-being compared to those in higher quantiles. Conversely, marriage satisfaction has a stronger effect on subjective well-being among individuals in the higher quantiles. This study’s unique contribution is that examining subjective well-being according to quantile values provides detailed information on how the factors influencing individuals’ subjective well-being vary across different levels. Full article
(This article belongs to the Section Social Psychology)
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11 pages, 3682 KiB  
Article
Genital Attacks in Hereditary Angioedema and Their Effects on Sexual Life
by Asuman Camyar, Gokten Bulut, Melih Ozisik, Sevgi Altay, Ozlem Kuman Tuncel, Semiha Ozgul, Aytul Zerrin Sin and Nihal Mete Gokmen
Medicina 2024, 60(11), 1777; https://doi.org/10.3390/medicina60111777 - 30 Oct 2024
Cited by 2 | Viewed by 1799
Abstract
Background and Objectives: Hereditary angioedema (HAE) is characterized by unpredictable skin and mucosal angioedema attacks. We aimed to find the frequency of sexual-activity-triggered attacks (STAs) and understand how the sexual life of HAE with C1-inhibitor deficiency (HAE-C1INH) patients is affected. Materials and [...] Read more.
Background and Objectives: Hereditary angioedema (HAE) is characterized by unpredictable skin and mucosal angioedema attacks. We aimed to find the frequency of sexual-activity-triggered attacks (STAs) and understand how the sexual life of HAE with C1-inhibitor deficiency (HAE-C1INH) patients is affected. Materials and Methods: Adult HAE-C1INH patients were included in this cross-sectional study, which started in March 2020. Demographic information, marriage properties, gender-specific sexual life characteristics, and the HAE-specific histories of the patients were collected. The Hospital Anxiety and Depression Scale (HADS) and the Turkish version of the New Sexual Satisfaction Scale (NSSS) were applied to all participants. Results: Among 42 symptomatic HAE patients, 33 (78.57%) had genital attacks and 17 (42.5%) had STAs. Ten (58.8%) had genital pain, tenderness, or swelling, and five (29.4%) had isolated abdominal and groin pain. Eight (47.1%) patients with STAs experienced a HAE attack during their first time engaging in sexual intercourse. Anxiety/depression scales, NSSS scores, and distribution of other HAE attack localizations were similar in patients with and without STAs, and no gender differences were observed. Compared to the patients without STAs, the ratio of patients who stated that their sexual lives were negatively affected and that they lost their sexual desire was higher in patients with STAs. Conclusions: Genital or abdominal attacks triggered by sexual activity may be more common than thought. Sexual activity should also be questioned for evaluating attack triggers. There is a possibility of triggering an attack with the first and ongoing sexual intercourse, and patients should be informed to keep their attack treatment medications ready in advance. Full article
(This article belongs to the Section Hematology and Immunology)
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12 pages, 453 KiB  
Article
Differences in Marital Satisfaction and Intention for Subsequent Childbirth by Latent Profile of Family Values among Parents with Young Children in Korea
by Youseok Choi and Ji-young Lim
Behav. Sci. 2024, 14(10), 868; https://doi.org/10.3390/bs14100868 - 25 Sep 2024
Viewed by 1333
Abstract
Background: The focus is on family values, marital satisfaction, and the intention for subsequent childbirth. By classifying parents based on family values and examining marital satisfaction and the intention for subsequent childbirth within these groups, the study will provide insights into future childbirth [...] Read more.
Background: The focus is on family values, marital satisfaction, and the intention for subsequent childbirth. By classifying parents based on family values and examining marital satisfaction and the intention for subsequent childbirth within these groups, the study will provide insights into future childbirth trends and identify factors influencing the intention for subsequent childbirth among different groups. Methods: This study was conducted with parents of children aged 0 to 5 attending six daycare centers in Korea, using a questionnaire to gather responses regarding family values, intention for subsequent childbirth, and marital satisfaction. Descriptive statistics were employed to analyze the characteristics of the key variables, and latent profile analysis was conducted to classify latent groups based on family values. In the verification of differences, the three-step approach was used. Results: First, the latent profile analysis revealed three groups: the ‘neutral values group’ with lower emphasis on gender roles compared to other group, the ‘individualistic values group’ with lower values on marriage and children but higher emphasis on gender roles, and the ‘family-centered values group’ characterized by higher levels of various sub-factors in overall family values. Second, comparing marital satisfaction and intention for subsequent childbirth among latent groups, the FCVG showed significantly higher levels than the TVG and the IVG. Conclusions: In their marriages, couples differed in the values they held regarding parenting, marriage, and children. Therefore, maintaining strong values in marriage and parenting and establishing a family serve as the foundation for realizing new selfhood through parenthood. Simultaneously, forming values within the new roles of being a spouse and a parent is crucial. Full article
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16 pages, 436 KiB  
Article
Determinants of Quality of Life (QoL) in Female Caregivers in Elderly Care Facilities in Korea
by Hee-Kyung Kim and Hye-Suk Oh
Behav. Sci. 2024, 14(1), 53; https://doi.org/10.3390/bs14010053 - 15 Jan 2024
Cited by 2 | Viewed by 2200
Abstract
Background: The purpose of this study was to analyze the effects of general characteristics, fatigue, depression, self-efficacy, job stress and interpersonal relationships on the quality of life (QoL) of caregivers in nursing hospitals and use them as basic data for intervention programs to [...] Read more.
Background: The purpose of this study was to analyze the effects of general characteristics, fatigue, depression, self-efficacy, job stress and interpersonal relationships on the quality of life (QoL) of caregivers in nursing hospitals and use them as basic data for intervention programs to improve the quality of life of caregivers. Methods: The participants in the study were 137 caregivers, aged 52–76, who were actively working in nursing hospitals. Data were collected from caregivers by visiting 9 hospitals in 6 cities, with a questionnaire of fatigue, depression, self-efficacy, job stress, interpersonal relationship, quality of life. Results: Age, marriage, marital satisfaction, education, education experience of QoL, monthly income, perceived economic status, hobby or leisure activity, and number of disease showed differences in the degree of QoL at a statistically significant level. In stage 1, economic status (β = −0.18, p = 0.033) and hobby or leisure activity (β = 0.19, p = 0.025) were influencing factors (F = 4.58, p < 0.001). In stage 2, monthly income (β = −0.19, p = 0.034) and perceived economic status (β = −0.18, p = 0.035) were influencing factors. In stage 3, age (β = −2.80, p = 0.006), perceived economic status (β = −2.41, p = 0.017), self-efficacy (β = 3.19, p = 0.002) and interpersonal relationship (β = 7.12, p < 0.001) were influencing factors which showed 61.5% explanatory power (F = 12.88, p < 0.001). Since the subject’s fatigue, depression, and stress did not affect the quality of life, further research is needed. Conclusions: In order to improve the quality of life of caregivers, it would be necessary to develop interventions for raising their self-efficacy and interpersonal relationship by considering their degree of economic status, hobby or leisure activity, monthly income, and age. Full article
(This article belongs to the Special Issue Job-Related Stress, Burnout and Quality of Life)
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29 pages, 5397 KiB  
Article
Comparison of a Hybrid Firefly–Particle Swarm Optimization Algorithm with Six Hybrid Firefly–Differential Evolution Algorithms and an Effective Cost-Saving Allocation Method for Ridesharing Recommendation Systems
by Fu-Shiung Hsieh
Electronics 2024, 13(2), 324; https://doi.org/10.3390/electronics13020324 - 11 Jan 2024
Cited by 11 | Viewed by 2022
Abstract
The optimization and allocation of transport cost savings among stakeholders are two important issues that influence the satisfaction of information providers, drivers and passengers in ridesharing recommendation systems. For optimization issues, finding optimal solutions for nonconvex constrained discrete ridesharing optimization problems poses a [...] Read more.
The optimization and allocation of transport cost savings among stakeholders are two important issues that influence the satisfaction of information providers, drivers and passengers in ridesharing recommendation systems. For optimization issues, finding optimal solutions for nonconvex constrained discrete ridesharing optimization problems poses a challenge due to computational complexity. For the allocation of transport cost savings issues, the development of an effective method to allocate cost savings in ridesharing recommendation systems is an urgent need to improve the acceptability of ridesharing. The hybridization of different metaheuristic approaches has demonstrated its advantages in tackling the complexity of optimization problems. The principle of the hybridization of metaheuristic approaches is similar to a marriage of two people with the goal of having a happy ending. However, the effectiveness of hybrid metaheuristic algorithms is unknown a priori and depends on the problem to be solved. This is similar to a situation where no one knows whether a marriage will have a happy ending a priori. Whether the hybridization of the Firefly Algorithm (FA) with Particle Swarm Optimization (PSO) or Differential Evolution (DE) can work effectively in solving ridesharing optimization problems needs further study. Motivated by deficiencies in existing studies, this paper focuses on the effectiveness of hybrid metaheuristic algorithms for solving ridesharing problems based on the hybridization of FA with PSO or the hybridization of FA with DE. Another focus of this paper is to propose and study the effectiveness of a new method to allocate ridesharing cost savings to the stakeholders in ridesharing systems. The developed hybrid metaheuristic algorithms and the allocation method have been compared with examples of several application scenarios to illustrate their effectiveness. The results indicate that hybridizing FA with PSO creates a more efficient algorithm, whereas hybridizing FA with DE does not lead to a more efficient algorithm for the ridesharing recommendation problem. An interesting finding of this study is very similar to what happens in the real world: “Not all marriages have happy endings”. Full article
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29 pages, 966 KiB  
Article
Machine Learning for Sarcopenia Prediction in the Elderly Using Socioeconomic, Infrastructure, and Quality-of-Life Data
by Minje Seok, Wooseong Kim and Jiyoun Kim
Healthcare 2023, 11(21), 2881; https://doi.org/10.3390/healthcare11212881 - 1 Nov 2023
Cited by 17 | Viewed by 3365
Abstract
Since the WHO’s 2021 aging redefinition emphasizes “healthy aging” by focusing on the elderly’s ability to perform daily activities, sarcopenia, which is defined as the loss of skeletal muscle mass, is now becoming a critical health concern, especially in South Korea with a [...] Read more.
Since the WHO’s 2021 aging redefinition emphasizes “healthy aging” by focusing on the elderly’s ability to perform daily activities, sarcopenia, which is defined as the loss of skeletal muscle mass, is now becoming a critical health concern, especially in South Korea with a rapidly aging population. Therefore, we develop a prediction model for sarcopenia by using machine learning (ML) techniques based on the Korea National Health and Nutrition Examination Survey (KNHANES) data 2008–2011, in which we focus on the role of socioeconomic status (SES), social infrastructure, and quality of life (QoL) in the prevalence of sarcopenia. We successfully identify sarcopenia with approximately 80% accuracy by using random forest (RF) and LightGBM (LGB), CatBoost (CAT), and a deep neural network (DNN). For prediction reliability, we achieve area under curve (AUC) values of 0.831, 0.868, and 0.773 for both genders, males, and females, respectively. Especially when using only male data, all the models consistently exhibit better performance overall. Furthermore, using the SHapley Additive exPlanations (SHAP) analysis, we find several common key features, which mainly contribute to model building. These include SES features, such as monthly household income, housing type, marriage status, and social infrastructure accessibility. Furthermore, the causal relationships of household income, per capita neighborhood sports facility area, and life satisfaction are analyzed to establish an effective prediction model for sarcopenia management in an aging population. Full article
(This article belongs to the Topic Artificial Intelligence in Healthcare - 2nd Volume)
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11 pages, 271 KiB  
Article
Factors Affecting the Life Satisfaction of School-Aged Children with Vietnamese Immigrant Mothers in Korea
by Yoon-Hee Cho and Joohyun Lee
Healthcare 2023, 11(17), 2465; https://doi.org/10.3390/healthcare11172465 - 4 Sep 2023
Viewed by 1887
Abstract
Low life satisfaction among multicultural children is an important issue related to children’s mental health in Korea. The purpose of this study was to identify factors influencing the life satisfaction of children whose Vietnamese mothers migrated to Korea for marriage. Data from the [...] Read more.
Low life satisfaction among multicultural children is an important issue related to children’s mental health in Korea. The purpose of this study was to identify factors influencing the life satisfaction of children whose Vietnamese mothers migrated to Korea for marriage. Data from the Multicultural Adolescents Panel Study (MAPS) conducted by the National Youth Policy Institute (NYPI) in 2020 were used. The participants were 586 elementary school students. The mean age was 11.01 years (SD 0.19), and 52.0% were girls. Based on Engel’s biopsychosocial (BPS) model, biological factors (gender, physical health, and body mass index), psychological factors (mental health, acculturative stress, self-esteem, and general stress), and sociocultural factors (family economic status, social support, and parenting style) were measured and analyzed by using hierarchical multiple regression. In the final model, self-esteem (β = 0.399, p < 0.001), parental social support (β = 0.184, p < 0.001), and neglectful parenting style (β = 0.085, p = 0.031) were positively related to children’s life satisfaction, whereas general stress (β = −0.213, p < 0.001) and acculturative stress (β = −0.104, p = 0.002) were negatively related. The overall explanatory power was 41.7%. In conclusion, it is necessary to develop a specialized program that focuses on strengthening the bonds between parents and their children to enhance family functioning for multicultural families. Full article
(This article belongs to the Section Nutrition and Public Health)
11 pages, 259 KiB  
Article
Psychological Well-Being, Self-Esteem, Quality of Life and Gender Differences as Determinants of Post-Traumatic Growth in Long-Term Knee Rotationplasty Survivors: A Cohort Study
by Maria Grazia Benedetti, Ilaria Tarricone, Manuela Monti, Laura Campanacci, Maria Giulia Regazzi, Tiziano De Matteis, Daniela Platano and Marco Manfrini
Children 2023, 10(5), 867; https://doi.org/10.3390/children10050867 - 12 May 2023
Cited by 4 | Viewed by 2489
Abstract
Rotationplasty (RP) is a special surgical technique for bone tumors of the lower limb and is the chosen procedure for children under 6 with bone sarcoma in the distal femur. Leg reconstruction results in an unusual aspect of the limb potentially giving life-long [...] Read more.
Rotationplasty (RP) is a special surgical technique for bone tumors of the lower limb and is the chosen procedure for children under 6 with bone sarcoma in the distal femur. Leg reconstruction results in an unusual aspect of the limb potentially giving life-long emotional outcomes, especially considering the young age of most RP patients. Although the high level of the quality of life of these patients has been previously reported, aspects related to long-term psychological well-being, self-esteem and life satisfaction, particularly regarding the gender, procreation and parenting, have never been explored. The aim of this study was to assess the general degree of psychological well-being of RP patients, with specific reference to gender, procreation and parenting. Twenty long-term RP survivors of high-grade bone sarcoma participated in the study. They were administered the following validated questionnaires: HADS for psychological well-being (degree of anxiety and depression), Temperament and Character Inventory (TCI), RSES for self-esteem, SF-36 for quality of life, SWLS extended to life satisfaction, and ABIS for body image integration. Data on education, marriage, employment and parenthood were gathered. All the scores obtained were very close to normal references. The only gender difference was found for the TCI Cooperativeness scale, which was higher in women than in men. A satisfactory psychological well-being in terms of both self-esteem and integration of the prosthetic joint limb into one’s body image, with relatively limited amount of anxiety/depression, good quality of life, and good temperament and character traits, was found. No major gender differences were reported. Full article
12 pages, 1270 KiB  
Article
A Cross-Sectional Analysis of Intimacy Problems, Stress Levels, and Couple Satisfaction among Women with Thrombophilia Affected by Recurrent Pregnancy Loss
by Razvan Nitu, Radu Neamtu, Olivera Iordache, Lavinia Stelea, George Dahma, Geanina Sacarin, George Socol, Aris Boarta, Carmen Silaghi, Daiana Puichita and Mircea Mihai Diaconu
Int. J. Environ. Res. Public Health 2023, 20(2), 1208; https://doi.org/10.3390/ijerph20021208 - 10 Jan 2023
Cited by 3 | Viewed by 2727
Abstract
Recurrent pregnancy loss (RPL) is one of the most challenging and difficult areas of reproductive treatment due to the immense emotional suffering inflicted on families and couples affected by RPL. As a result, it is predicted that couples experiencing recurrent pregnancy loss would [...] Read more.
Recurrent pregnancy loss (RPL) is one of the most challenging and difficult areas of reproductive treatment due to the immense emotional suffering inflicted on families and couples affected by RPL. As a result, it is predicted that couples experiencing recurrent pregnancy loss would have an increase in marital problems, stress levels, and anxiety, preventing them from achieving their family goals. The current cross-sectional study aimed to target pregnant women with thrombophilia with a history of RPL to observe their intimacy problems, stress levels, and couple satisfaction by completing a series of digital questionnaires. These patients were considered as the reference group, while the control group was formed by other women with thrombophilia and a history of RPL who eventually achieved pregnancy and gave birth. A total of 238 complete questionnaires were recorded (157 in the reference group and 81 in the control group). It was observed that women in the reference group who did not give birth had a significantly higher proportion of three or more pregnancy attempts (54.1% vs. 39.5%) and a significantly higher proportion of three more pregnancy losses (68.8% vs. 55.6%). It was observed that patients in the reference group were more likely to be emotion-oriented (42.7% vs. 27.2%). Also, women in the reference group had higher levels of dissatisfaction and lower levels of self-acceptance, pleasure, and marital quality scores. The total SII and DSCS scores were significantly lower than women with thrombophilia with a history of RPL who eventually gave birth. Women from the reference group had significantly greater intimacy problems and stress levels while having lower openness scores and self-esteem scores than women in the control group. It is possible that women with thrombophilia and recurrent pregnancy loss are more dissatisfied with their marriages than those who subsequently had one child. Since the financial status of those who achieved pregnancy was observed to be higher, it is likely that they achieved pregnancy by ART interventions, as they reported in questionnaires. It is important to target families afflicted by thrombophilia and other reasons for infertility to ease their access to ART therapies. By achieving their objectives, affected families will minimize dissatisfaction, divorce rates, and stress. Full article
(This article belongs to the Special Issue Maternal Perinatal Mental Health: 2nd Edition)
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18 pages, 1374 KiB  
Article
Romantic Duration, Relationship Quality, and Attachment Insecurity among Dating Couples
by Harry Freeman, Jeffrey Simons and Nicholas F. Benson
Int. J. Environ. Res. Public Health 2023, 20(1), 856; https://doi.org/10.3390/ijerph20010856 - 3 Jan 2023
Cited by 15 | Viewed by 12124
Abstract
For many young adults today dating is not taken as a path to marriage, but as a relationship to be considered on its own terms with a beginning, middle, and end. Yet, research has not kept pace as most studies that look at [...] Read more.
For many young adults today dating is not taken as a path to marriage, but as a relationship to be considered on its own terms with a beginning, middle, and end. Yet, research has not kept pace as most studies that look at relationships over time focus on marriages. In the present study, we look at individual differences and normative patterns of dating relationship quality over time. We tested a path model of associations between relationship duration, attachment insecurity, and four relationship quality domains (sexual frequency, commitment, satisfaction, and companionship) among a large sample of dating young adults (N = 1345). Based on a conceptual model of romantic relationship development, results supported expectations that dating trajectories are curvilinear, with unique patterns of accent, peak, and decent for each relationship domain. Dating duration also moderated the relationship between dating quality and attachment insecurity with anxious attachment becoming a more salient predictor of lower satisfaction and lower commitment in long-term versus short-term relationships. A quadratic interaction with sexual frequency indicated that insecurity predicted less sexual activity in new relationships, more activity among relationships between two and four years, but then less again in longer-term relationships. Findings suggest patterns of stability and change in dating relationships during emerging adulthood that complement those observed from the marriage literature. Full article
(This article belongs to the Special Issue Attachment in Couple, Parent-Child and Sibling Relationships)
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