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19 pages, 924 KiB  
Article
The Link Between Mothers’ Parental Burnout and Adolescent Aggression: The Roles of Maternal Rejection and Adolescent Empathy
by Qichen Wang, Yuran Qiao and Yanjie Su
Behav. Sci. 2025, 15(7), 902; https://doi.org/10.3390/bs15070902 - 3 Jul 2025
Viewed by 381
Abstract
Although previous studies have shown that parental burnout is a risk factor for adolescents’ development, much remains unknown about the associations between mothers’ parental burnout and adolescents’ aggression as well as the potential mechanisms underlying this relation. To fill these gaps, the current [...] Read more.
Although previous studies have shown that parental burnout is a risk factor for adolescents’ development, much remains unknown about the associations between mothers’ parental burnout and adolescents’ aggression as well as the potential mechanisms underlying this relation. To fill these gaps, the current study tested the relationship between mothers’ parental burnout and adolescents’ aggression, as well as the mediating role of maternal rejection and the moderating role of adolescent empathy and gender. A total of 578 Chinese adolescent–mother dyads (for adolescents, 52.42% girls, Mage = 15.30, SD = 1.67; for mothers, Mage = 42.71, SD = 5.49) completed questionnaires regarding mothers’ parental burnout, adolescent aggression, and perceived maternal rejection, as well as empathy. The results showed that mothers’ parental burnout was significantly and positively associated with adolescent aggression and that this relationship was partially mediated by adolescent-perceived maternal rejection. Furthermore, the moderated mediation analysis further revealed that adolescents’ cognitive empathy served as a buffer in the relationship between parental burnout and adolescents’ aggression. In addition, the relation between parental burnout and aggression as well as parental burnout and maternal rejection was stronger for boys. These findings emphasize the need to improve social cognitive abilities in aggression intervention programs. Full article
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14 pages, 386 KiB  
Article
The Role of Parental Qualities in Supporting Children with ADHD
by Galia Ankori, Maly Solan, Sarit Plishty, Anat Brunstein Klomek, Alan Apter and Yaron Yagil
Children 2025, 12(7), 845; https://doi.org/10.3390/children12070845 - 27 Jun 2025
Viewed by 596
Abstract
Objective: This cross-sectional study examined assumptions about the role of parenting qualities in predicting child problems. Background: Children with ADHD often experience distress, partially linked to less adaptive parenting practices. Our working assumptions are that: parental mindfulness, insecure parent attachment styles, and parental [...] Read more.
Objective: This cross-sectional study examined assumptions about the role of parenting qualities in predicting child problems. Background: Children with ADHD often experience distress, partially linked to less adaptive parenting practices. Our working assumptions are that: parental mindfulness, insecure parent attachment styles, and parental child rejection have a significant impact upon the severity of child problems and therefore should be addressed in parental training. Methods: A total of 122 Israeli parents (55 fathers (Mage = 43.8; SD = 4.01) and 67 mothers (Mage = 41.6; SD = 4.59)) of 75 children with attention deficit hyperactivity disorder (ADHD) (Mage = 8.4; SD = 1.56) completed self-report measures: the Experience of Close Relationships scale (ECR), the Mindfulness Attention Awareness Scale (MAAS), the Parental Acceptance–Rejection Questionnaire (PARQ), and Achenbach Child Behavior Checklist (CBCL). Data were analyzed using descriptive statistics, Pearson correlations, and structural equation modeling (SEM). Results: The key finding was that a latent ‘parental rejection/non-warmth’ factor mediated the relationship between (a) parents’ anxious attachment and child behavior problems, and (b) parental mindfulness and child problems. Parental rejection emerged as the strongest predictor of child difficulties. Conclusions: Parental training for parents of children with ADHD should prioritize reducing rejection while also addressing mindfulness and anxious attachment style to promote child well-being. Clinical Trial Registration: Group training for parents whose children suffer from ADHD and comorbidity using a behavioral-dynamic approach (SPBT). Registered at Veeva Vault. Full article
(This article belongs to the Special Issue Parenting a Child with Disabilities)
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14 pages, 235 KiB  
Article
The Eastern Catholic Churches and the Restoration of Unity Theology
by Buzalic Alexandru
Religions 2025, 16(6), 691; https://doi.org/10.3390/rel16060691 - 28 May 2025
Viewed by 414
Abstract
The Church of Christ is unity in diversity. Around the great centers of diffusion, the rites have been gradually defined as “the liturgical, theological, spiritual and disciplinary patrimony, culture and circumstances of the history of a distinct people, by which its own manner [...] Read more.
The Church of Christ is unity in diversity. Around the great centers of diffusion, the rites have been gradually defined as “the liturgical, theological, spiritual and disciplinary patrimony, culture and circumstances of the history of a distinct people, by which its own manner of living the faith is manifested” (Code of Canons of the Eastern Churches can. 28 § 1). At the same time, the necessity of the existence of the sacred ministry for the celebration of the Eucharist and the Sacraments is the basis for the establishment of the hierarchy of bishoprics that are formed ontogenetically and diachronically around the primary diffusion center, recognized as the Mother Church or, starting from the IVth–Vth centuries, as the Patriarchates. The tensions between dissident factions culminated in the Ecclesiastical Schism of 1054, which separated Eastern Christianity from the Roman Church. The restoration of the unity of the Constantinopolitan Churches of Central and Eastern Europe began with the Union of Brest–Litovsk (1595–1596), which generated a process of gradual entry of the territories of the Eastern Churches into unity, in 1700 reaching Transylvania. The Greek Catholic Churches fought a pioneering struggle in asserting their own traditions in order to restore the unity of the Church. The Eastern churches that re-entered the unity of the Catholic Church faced a change of ecclesiological paradigm, being in a permanent struggle to preserve their own specificity and to affirm the unity. The signatories of the Union Acts rejected “the Uniatism” from the beginning, a fact accepted today within the theological dialogue between the Catholic Church and the Orthodox Churches, the canonical evolution and the treatises of Greek–Catholic theology being the result of a process of experimentation “from within” of unity and catholicity in the context of the modern and contemporary era. The United Churches have paved the way for the restoration of unity between East and West, being obligated to grasp different forms of canonical manifestation of unity in the absence of a Patriarchate in communion with the Church of Rome, during which they offer a reflection that fully grows through a theology of restoring the unity of the Church, benefiting today from the ecclesiological paradigm shift of Vatican II and by the conceptual tools provided by the traditions and the Code of Canons of the Eastern Churches. Full article
14 pages, 244 KiB  
Article
The Impact of Parental Depressive, Anxiety, and Stress Symptoms on Adolescents’ Mental Health and Quality of Life: The Moderating Role of Parental Rejection
by Eirini Sofrona and Georgios Giannakopoulos
Children 2024, 11(11), 1361; https://doi.org/10.3390/children11111361 - 9 Nov 2024
Cited by 2 | Viewed by 1752
Abstract
Background/Objectives: Parental internalizing issues, particularly maternal mental health, can significantly influence adolescents’ mental health by altering parenting behaviors and roles. This study explores the role of parental rejection in moderating the relationship between parental depressive, anxiety, and stress symptoms and adolescents’ mental [...] Read more.
Background/Objectives: Parental internalizing issues, particularly maternal mental health, can significantly influence adolescents’ mental health by altering parenting behaviors and roles. This study explores the role of parental rejection in moderating the relationship between parental depressive, anxiety, and stress symptoms and adolescents’ mental health and quality of life. Methods: One hundred thirty eight mothers (mean age: 47.96, SD = 5.06 years) and 68 fathers (mean age: 51.07, SD = 5.53 years) of adolescents aged 12–18 completed measures on mental health, parental rejection, and adolescent well-being. Results: Maternal rejection was found to moderate the relationship between maternal anxiety symptoms and adolescents’ quality of life, as well as between maternal anxiety symptoms and adolescents’ mental health problems. Paternal rejection moderated the relationship between paternal stress symptoms and adolescents’ mental health. However, parental rejection did not moderate the relationship between parental depression and adolescents’ quality of life or mental health. Conclusions: These findings highlight the distinct roles of maternal and paternal rejection in adolescent development and suggest that parental mental health, particularly anxiety and stress, has a significant impact on adolescent well-being. Future studies should consider the influence of both parents and focus on longitudinal effects. These results emphasize the need for interventions addressing parental rejection to improve adolescent outcomes. Full article
(This article belongs to the Section Pediatric Mental Health)
12 pages, 611 KiB  
Article
The Association between ADHD Symptoms and Antisocial Behavior: Differential Effects of Maternal and Paternal Parenting Behaviors
by Selma Salihovic, Xiang Zhao and Terese Glatz
Youth 2024, 4(4), 1405-1416; https://doi.org/10.3390/youth4040089 - 30 Sep 2024
Cited by 1 | Viewed by 2063
Abstract
The present study examined the moderating role of maternal and paternal behaviors on the association between ADHD symptoms and antisocial behavior. The data are from a Swedish community-based study with 2886 adolescent participants, aged 13–15. We analyzed the adolescents’ self-reports of negative and [...] Read more.
The present study examined the moderating role of maternal and paternal behaviors on the association between ADHD symptoms and antisocial behavior. The data are from a Swedish community-based study with 2886 adolescent participants, aged 13–15. We analyzed the adolescents’ self-reports of negative and positive parental behavior, ADHD symptoms, and antisocial behavior. Results show that ADHD symptoms significantly predicted levels of antisocial behavior in both maternal- and paternal-moderated regression models. Also, several significant interaction effects emerged. Fathers’ attempted understanding and mothers’ warmth significantly buffered the association with antisocial behavior. In turn, mothers’ negative behaviors—both coldness and rejection and angry outbursts—significantly enhanced the association with antisocial behavior, whereas only fathers’ angry outbursts emerged as a significant moderator. Thus, there is support for differential effects of maternal and paternal behavior on the association between ADHD symptoms and adolescent antisocial behavior. Full article
(This article belongs to the Special Issue Parent-Child Relationships in Adolescence and Young Adulthood)
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15 pages, 3231 KiB  
Article
Amelioration of Fibrosis via S1P Inhibition Is Regulated by Inactivation of TGF-β and SPL Pathways in the Human Cornea
by Sarah E. Nicholas, Sandip K. Basu, Nawajes Mandal and Dimitrios Karamichos
Int. J. Mol. Sci. 2024, 25(12), 6560; https://doi.org/10.3390/ijms25126560 - 14 Jun 2024
Cited by 1 | Viewed by 2020
Abstract
Human corneal fibrosis can lead to opacity and ultimately partial or complete vision loss. Currently, corneal transplantation is the only treatment for severe corneal fibrosis and comes with the risk of rejection and donor shortages. Sphingolipids (SPLs) are known to modulate fibrosis in [...] Read more.
Human corneal fibrosis can lead to opacity and ultimately partial or complete vision loss. Currently, corneal transplantation is the only treatment for severe corneal fibrosis and comes with the risk of rejection and donor shortages. Sphingolipids (SPLs) are known to modulate fibrosis in various tissues and organs, including the cornea. We previously reported that SPLs are tightly related to both, transforming growth factor beta (TGF-β) signaling and corneal fibrogenesis. The aim of this study was to investigate the effects of sphingosine-1-phosphate (S1P) and S1P inhibition on specific TGF-β and SPL family members in corneal fibrosis. Healthy human corneal fibroblasts (HCFs) were isolated and cultured in EMEM + FBS + VitC (construct medium) on 3D transwells for 4 weeks. The following treatments were prepared in a construct medium: 0.1 ng/mL TGF-β1 (β1), 1 μM sphingosine-1-phosphate (S1P), and 5 μM Sphingosine kinase inhibitor 2 (I2). Five groups were tested: (1) control (no treatment); rescue groups; (2) β1/S1P; (3) β1/I2; prevention groups; (4) S1P/β1; and (5) I2/β1. Each treatment was administered for 2 weeks with one treatment and switched to another for 2 weeks. Using Western blot analysis, the 3D constructs were examined for the expression of fibrotic markers, SPL, and TGF-β signaling pathway members. Scratch assays from 2D cultures were also utilized to evaluate cell migration We observed reduced fibrotic expression and inactivation of latent TGF-β binding proteins (LTBPs), TGF-β receptors, Suppressor of Mothers Against Decapentaplegic homologs (SMADs), and SPL signaling following treatment with I2 prevention and rescue compared to S1P prevention and rescue, respectively. Furthermore, we observed increased cell migration following stimulation with I2 prevention and rescue groups, with decreased cell migration following stimulation with S1P prevention and rescue groups after 12 h and 18 h post-scratch. We have demonstrated that I2 treatment reduced fibrosis and modulated the inactivation of LTBPs, TGF-β receptors, SPLs, and the canonical downstream SMAD pathway. Further investigations are warranted in order to fully uncover the potential of utilizing SphK I2 as a novel therapy for corneal fibrosis. Full article
(This article belongs to the Special Issue Sphingolipid Metabolism and Signaling: Role in Health and Diseases)
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15 pages, 1921 KiB  
Article
Lagged Effect of Parental Warmth on Child-to-Parent Violence through Moral Disengagement Strategies
by Nazaret Bautista-Aranda, Lourdes Contreras and M. Carmen Cano-Lozano
Children 2024, 11(5), 585; https://doi.org/10.3390/children11050585 - 11 May 2024
Cited by 4 | Viewed by 2700
Abstract
Empirical evidence supports the simultaneous relationship between parental warmth and child-to-parent violence (CPV). However, no studies analyze the lagged effects of perceived parental warmth and the potential impact of cognitive mechanisms legitimizing immoral behavior on this relationship. This study aimed to examine the [...] Read more.
Empirical evidence supports the simultaneous relationship between parental warmth and child-to-parent violence (CPV). However, no studies analyze the lagged effects of perceived parental warmth and the potential impact of cognitive mechanisms legitimizing immoral behavior on this relationship. This study aimed to examine the mediating role of moral disengagement strategies (reconstruction of immoral behavior, obscuring personal responsibility, misrepresenting injurious consequences, and blaming the victim) in the relationship between the perceived paternal and maternal warmth dimensions (warmth-communication and criticism-rejection) during childhood and CPV towards the father and mother. The sample included 2122 Spanish adolescents (57.7% female) aged 13 to 18 years. The Child-to-Parent Violence Questionnaire (CPV-Q), the Mechanisms of Moral Disengagement Scale (MMDS-S), and the Warmth Scale were used as assessment instruments. The results indicate that paternal and maternal warmth-communication is negatively associated with CPV, whereas paternal and maternal criticism-rejection and moral disengagement strategies are positively related to CPV. The mediation models show that the reconstruction of immoral behavior plays a crucial mediation role in the relationship between paternal and maternal warmth-communication and CPV as well as in the relationship between maternal criticism-rejection and CPV. The results emphasize the necessity of early prevention programs for parents promoting positive parenting practices, including parental warmth, to foster children’s adaptive socio-cognitive development. In addition, addressing moral disengagement in adolescents could help prevent or stop a pattern of violent behavior toward parents. Full article
(This article belongs to the Special Issue Child Trauma and Psychology)
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14 pages, 286 KiB  
Article
Popular Catholicism Puerto Rican Style: The Virgin of Rincón, Human Agency, and Miracles
by Angel D. Santiago-Vendrell
Religions 2024, 15(4), 463; https://doi.org/10.3390/rel15040463 - 8 Apr 2024
Viewed by 1998
Abstract
In the past, popular Catholicism in Latin America and the Caribbean was perceived with suspicion by liberation theologians and official Roman Catholicism for its eccentricities, lack of doctrinal coherence, and fears of syncretism with folk religions. Nowadays, popular Catholicism in Latin America and [...] Read more.
In the past, popular Catholicism in Latin America and the Caribbean was perceived with suspicion by liberation theologians and official Roman Catholicism for its eccentricities, lack of doctrinal coherence, and fears of syncretism with folk religions. Nowadays, popular Catholicism in Latin America and the Caribbean has been a source of theological reflection, ecumenism, and religious revitalization. The apparition of the Holy Mother in 1953 at barrio Rincón in Sabana Grande, Puerto Rico, is a case study in global Catholicism that exemplifies this turn to see popular Catholicism as a source of liberation, perseverance, and deep spiritual devotion by the faithful. Using cultural, social, and reception historiography, the article argues that the Puerto Rican faithful were not passive recipients of the literary narratives of journalists covering the events as narrated by the main protagonists, the children/seers, but rather themselves formulators of history through their reception and participation. This is demonstrated by the allegiances of the faithful to popular Catholicism and their rejection of the official mandates of the clergy to ignore the events taking place at barrio Rincón regarding the apparition of the Virgin. Full article
(This article belongs to the Special Issue Global Catholicism)
18 pages, 292 KiB  
Article
Recalled Maternal Rearing Behaviour of Individuals Born Preterm and Their Mothers: The Impact of Intimate Mother–Child Contact
by Daniëlle Otten, Mareike Ernst, Alexander K. Schuster, Jonas Tesarz, Sandra Gißler, Eva Mildenberger, Norbert Pfeiffer, Manfred E. Beutel and Achim Fieß
J. Clin. Med. 2024, 13(6), 1822; https://doi.org/10.3390/jcm13061822 - 21 Mar 2024
Cited by 4 | Viewed by 3001
Abstract
Background: Preterm birth is a risk factor for a variety of detrimental health outcomes. Previous studies have identified recalled (or remembered) parental rearing behaviour as a potential modifier of preterm individuals’ mental health in adulthood. However, no investigations to date have contrasted [...] Read more.
Background: Preterm birth is a risk factor for a variety of detrimental health outcomes. Previous studies have identified recalled (or remembered) parental rearing behaviour as a potential modifier of preterm individuals’ mental health in adulthood. However, no investigations to date have contrasted the parents’ and children’s views, explored whether their congruence is associated with preterm individuals’ mental health, or tested associations with maternal self-reported first skin-on-skin contact. Methods: This cohort study involved 199 participants of the Gutenberg Prematurity Eye Study (GPES), with prospective clinical examination and psychological assessment data available for individuals born preterm and term and their mothers’ perspective on recalled parental rearing behaviour. Participants also completed the Patient Health Questionnaire-9 (PHQ-9). Results: There were substantial similarities between reported recalled maternal rearing behaviour of individuals born preterm and at term and their mothers, with individuals born preterm with lower gestational age (age of the pregnancy from the woman’s last menstrual period) recalling mothers as comparatively more controlling and overprotective. Incongruence in recalled rejection/punishment was associated with more depressive symptoms. Late first skin-to-skin contact was related to more recalled maternal rejection/punishment, less emotional warmth, and more control/overprotection. Conclusions: this study expands the knowledge about the interrelations of preterm birth, maternal rearing behaviour, and mental health, underscoring the relevance of first relationship experiences, including close intimate contact. Full article
(This article belongs to the Section Obstetrics & Gynecology)
12 pages, 4584 KiB  
Article
Prevalence of Fetal Inflammatory Response Syndrome and Villitis of Unknown Etiology in the Placenta of Saudi Women and Their Association with Baby Sex
by Waleed Aldahmash, Khaldoon Aljerian and Saleh Alwasel
Life 2024, 14(1), 79; https://doi.org/10.3390/life14010079 - 2 Jan 2024
Cited by 1 | Viewed by 2176
Abstract
Long-term health consequences are influenced by circumstances that occur during pregnancy. The convergence of the maternal and fetal circulations occurs in the placenta, which is the first organ to develop. Placental pathology provides an accurate diagnosis of amniotic sac inflammation, and pathological alterations [...] Read more.
Long-term health consequences are influenced by circumstances that occur during pregnancy. The convergence of the maternal and fetal circulations occurs in the placenta, which is the first organ to develop. Placental pathology provides an accurate diagnosis of amniotic sac inflammation, and pathological alterations in preterm placentas provide evidence for the causes of numerous perinatal pathologies, including spontaneous preterm births. This retrospective study aimed to re-examine placentas regarded as normal by the Obstetrics and Gynecology Department at our institution. Thirty-seven male and forty-seven female placentas were collected following full-term delivery, and the grading and staging of any evident inflammatory responses were evaluated and correlated with the babies’ sex. Full-thickness placental samples that were considered normal and not sent to the histopathology department were obtained from the central and marginal regions of placental discs. Morphological examination of the fresh placenta was conducted, and fetal and maternal inflammatory response syndromes were assessed. In addition, placental villitis of unknown etiology (VUE) and chronic deciduitis were evaluated. Immunohistochemistry was performed to evaluate the patterns of inflammation in the placenta using anti-CD8 and anti-CD68 antibodies. The correlation between silent pathologies and clinical complications or the development of fetal inflammatory response syndrome was measured. In this study, 17 (20%) maternal and 10 (12%) fetal samples showed inflammatory responses. The frequencies of chronic deciduitis and VUE were higher among pregnant Saudi women than previously reported, probably because fetal inflammatory response syndrome goes unnoticed in Saudi Arabia. In addition, the prevalence of fetal and maternal inflammatory responses was higher in the placentas of the mothers of males than in those of females, suggesting that differences occur in the inflammatory response in the placenta depending on the sex of the newborn. Grading placental inflammation (in cases of VUE) typically predicts the degree of maternal anti-fetal cellular rejection; therefore, increasing the number of placental samples sent for microscopic inspection may be preferable because of their significance in identifying the causes of chronic disorders. Full article
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13 pages, 1551 KiB  
Article
Stigma and Mental Well-Being among Teenage Mothers in the Rural Areas of Makhado, Limpopo Province
by Shonisane Emily Moganedi and Tshimangadzo Selina Mudau
Soc. Sci. 2024, 13(1), 18; https://doi.org/10.3390/socsci13010018 - 25 Dec 2023
Cited by 2 | Viewed by 9966
Abstract
Adolescent mothers experience psychological challenges, such as social withdrawal and rejection by their communities. Assuming the role of motherhood is associated with emotional and mental distress, such as fear and worry, regret and frustration, guilt and shame, and social isolation. This study adopted [...] Read more.
Adolescent mothers experience psychological challenges, such as social withdrawal and rejection by their communities. Assuming the role of motherhood is associated with emotional and mental distress, such as fear and worry, regret and frustration, guilt and shame, and social isolation. This study adopted a qualitative critical participatory action research approach. Purposive and snowballing recruitment were employed to recruit 11 teenage mothers, and semi-structured face-to-face interviews and focus group discussions were employed to generate data. All sessions were audio recorded and transcribed verbatim. Data were analysed using qualitative thematic analysis. Teenage mothers in this study reported experiencing humiliation and being subjected to degrading remarks and judgement by schoolmates. The experience of being rejected, teased, and labelled made participants feel that they were not accepted as part of their community. It was concluded that teenage mothers experienced inconsistent support from parents and community members, which led to social isolation and feeling rejected; hence, teenage mothers lacked a sense of belonging to and acceptance by their communities. Policymakers and authorities in education and healthcare should encourage social change and transformative learning and address the issue of stigma and social isolation experienced by teenage mothers in rural communities. Full article
(This article belongs to the Section Childhood and Youth Studies)
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14 pages, 334 KiB  
Article
“I Was Very Shocked, I Wanted It to Be Over”: A Qualitative Exploration of Suicidal Ideation and Attempts among Women Living with HIV in Indonesia
by Nelsensius Klau Fauk, Gregorius Abanit Asa, Caitlan McLean and Paul Russell Ward
Int. J. Environ. Res. Public Health 2024, 21(1), 9; https://doi.org/10.3390/ijerph21010009 - 20 Dec 2023
Viewed by 3000
Abstract
HIV diagnosis and poor HIV management have various detrimental impacts on the lives of people living with HIV (PLHIV). As a part of a large qualitative study investigating HIV risk factors and impacts, of which the topic of suicide is not a focus, [...] Read more.
HIV diagnosis and poor HIV management have various detrimental impacts on the lives of people living with HIV (PLHIV). As a part of a large qualitative study investigating HIV risk factors and impacts, of which the topic of suicide is not a focus, this paper describes the factors contributing to suicidal ideation and attempts that arose naturally in the stories of women living with HIV (WLHIV; n = 52) in Yogyakarta and Belu districts, Indonesia. The participants were recruited using the snowball sampling technique. Guided by a qualitative data analysis framework, the data were thematically analysed. The findings were grouped into four main themes: (i) the women experienced immense psychological challenges due to the infection, spousal transmission, fear of mother-to-child transmission, and losing a child due to AIDS, which triggered suicidal ideation and attempts; (ii) the lack of awareness of HIV management strategies resulted in them feeling trapped and overwhelmed, and the associated negative thoughts and the anticipation and experience of HIV stigma influenced their thoughts of suicide; (iii) the lack of social support from family and friends during the early stages of HIV diagnosis, compounded with pre-existing financial difficulties, lack of income, unemployment, and feeling overburdened, also triggered the women’s thoughts of suicide; and (iv) family breakdown following HIV diagnosis, concern about future relationships, and fear of being rejected or abandoned by their partner were also influencing factors for suicidal ideation and attempts among the women. The findings indicate the need for a nuanced approach to counselling within HIV care interventions for couples to support the acceptance of each other’s HIV status whilst maintaining psychological wellbeing. Additionally, the findings indicate the importance of HIV education and awareness among community members for the de-stigmatisation of HIV and to increase the acceptance of PLHIV by their families and communities. Full article
11 pages, 873 KiB  
Review
Lysinuric Protein Intolerance and Its Nutritional and Multisystemic Challenges in Pregnancy: A Case Report and Literature Review
by Adriana Pané, Camila Milad, Marta Santana-Domínguez, Núria Baños, Cristina Borras-Novell, Gerard Espinosa, Laura Magnano, Meritxell Nomdedeu, Pedro Juan Moreno-Lozano, Frederic Cofan, Mercè Placeres, Rosa Maria Fernández, Judit García-Villoria, Glòria Garrabou, Irene Vinagre, Laura M. Tanner, Cristina Montserrat-Carbonell and Maria de Talló Forga-Visa
J. Clin. Med. 2023, 12(19), 6405; https://doi.org/10.3390/jcm12196405 - 8 Oct 2023
Cited by 1 | Viewed by 2928
Abstract
Lysinuric protein intolerance (LPI) is a rare inborn error of metabolism (IEM), classified as an inherited aminoaciduria, caused by mutations in the SLC7A7 gene, leading to a defective cationic amino acid transport. The metabolic adaptations to the demands of pregnancy and delivery cause [...] Read more.
Lysinuric protein intolerance (LPI) is a rare inborn error of metabolism (IEM), classified as an inherited aminoaciduria, caused by mutations in the SLC7A7 gene, leading to a defective cationic amino acid transport. The metabolic adaptations to the demands of pregnancy and delivery cause significant physiological stress, so those patients affected by IEM are at greater risk of decompensation. A 28-year-old woman with LPI had experienced 3 early miscarriages. While pregnancy was finally achieved, diverse nutritional and medical challenges emerged (food aversion, intrauterine growth restriction, bleeding risk, and preeclampsia suspicion), which put both the mother and the fetus at risk. Moreover, the patient requested a natural childbirth (epidural-free, delayed cord clamping). Although the existence of multiple safety concerns rejected this approach at first, the application of novel strategies made a successful delivery possible. This case reinforces that the woman’s wish for a non-medicated, low-intervention natural birth should not be automatically discouraged because of an underlying complex metabolic condition. Achieving a successful pregnancy is conceivable thanks to the cooperation of interdisciplinary teams, but it is still important to consider the risks beforehand in order to be prepared for possible additional complications. Full article
(This article belongs to the Special Issue Diagnosis and Treatment of Rare Diseases)
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14 pages, 880 KiB  
Article
Resilience and Strategic Emotional Intelligence as Mediators between the Disconnection and Rejection Domain and Negative Parenting among Female Intimate Partner Violence Victims
by Klaudia Sójta, Małgorzata Juraś-Darowny, Aleksandra Margulska, Wioletta Jóźwiak-Majchrzak, Anna Grażka and Dominik Strzelecki
Brain Sci. 2023, 13(9), 1290; https://doi.org/10.3390/brainsci13091290 - 6 Sep 2023
Viewed by 1602
Abstract
(1) Background: The exposure of children to intimate partner violence (IPV) is associated with a wide range of negative effects on children’s development, where as parenting practice is considered to be one of the key factors mediating and mitigating this. Studies have found [...] Read more.
(1) Background: The exposure of children to intimate partner violence (IPV) is associated with a wide range of negative effects on children’s development, where as parenting practice is considered to be one of the key factors mediating and mitigating this. Studies have found mixed results regarding the impact of female IPV victimization on maternal parenting practice; however, the most frequently tested hypothesis suggests that the cumulative stress of the IPV experience may emotionally deregulate the mother, contributing to an increased risk of neglected and abusive parenting practices. Little is still known about the factors determining the observed differences in maternal parenting practices among IPV victims. Thus, in our study, we use mediation models to provide preliminary results exploring the role of resilience and strategic emotional intelligence in the relationship between women’s disconnection and rejection (D/R) schema domain and maternal parenting practice among IPV victims. (2) Methods: A total of 48 female survivors of IPV and 48 age-matched women with no prior experience of IPV completed a set of tests examining parenting practices, the D/R domain, resilience and emotional intelligence. (3) Results: IPV victimization was associated with significantly higher rates of negative parenting practices. The D/R domain was found to be a significant predictor of parental autonomy attitude and level of parental competence, and these relationships were fully mediated by resilience with strategic emotional intelligence and resilience, respectively. (4) Conclusions: The results shed light on the under-researched relationship between early maladaptive schemas and parenting behavior in the context of IPV. The implications for clinical practice and further research can be drawn based on the study findings. Full article
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15 pages, 1445 KiB  
Article
Childhood Vaccine Attitude and Refusal among Turkish Parents
by Osman Kurt, Osman Küçükkelepçe, Erdoğan Öz, Hülya Doğan Tiryaki and Mehmet Emin Parlak
Vaccines 2023, 11(8), 1285; https://doi.org/10.3390/vaccines11081285 - 26 Jul 2023
Cited by 3 | Viewed by 2267
Abstract
We aimed to understand and resolve anti-vaccine attitudes by examining the factors associated with vaccine attitudes and exploring potential strategies to improve childhood vaccination rates. Between 2014 and 2021, a total of 628 families refused vaccination in Adiyaman. A total of 300 families [...] Read more.
We aimed to understand and resolve anti-vaccine attitudes by examining the factors associated with vaccine attitudes and exploring potential strategies to improve childhood vaccination rates. Between 2014 and 2021, a total of 628 families refused vaccination in Adiyaman. A total of 300 families accepted visits and were visited. During the visits, the families were administered a questionnaire to determine the reasons for vaccine rejection and their opinions on the matter. While providing general information about the vaccine, parents were encouraged to reconsider their decision, and at the end, parents completed the questionnaire. The questionnaire included sociodemographic questions, reasons for vaccine refusal, and a vaccine attitude scale. Among the participants in the study, 9.3% were convinced about the vaccine. The mean vaccine attitude scale score was calculated as 23.6 ± 2.5 (min = 15–max = 29). Significantly higher rates of persuasion were observed among fathers (17.3%) compared to mothers (7.7%) (p = 0.038). Participants who had received some vaccinations had a higher rate of persuasion (11.6%) compared to those who had not received any vaccinations (2.6%) (p = 0.02). Childhood vaccine refusal is a complex issue that has been the subject of numerous studies. Studies on this subject will increase awareness of vaccines. Full article
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