Search Results (81)

Divorce represents a significant life transition with implications for emotional well-being, social integration, and economic security. This study examines the post-divorce experiences of women in Abu Dhabi, focusing on four challenges: financial insecurity, emotional distress, co-parenting difficulties, and struggles in forming new relationships. Drawing on data from the 5th Cycle of the Abu Dhabi Quality of Life Survey (n = 4347), the study explores how these challenges affect indicators such as life satisfaction, mental health, social trust, and financial stability. The findings show financial insecurity is the most prevalent and detrimental issue, particularly among older and less-educated women. Co-parenting stress peaks among women aged 35–49, while non-Emirati women report heightened financial vulnerability. Emotional distress is associated with poor sleep, reduced trust, and digital coping behaviors. Older women face greater social reintegration challenges. Religious practice emerges as a frequent coping mechanism, especially among those experiencing stigma and isolation. Guided by the Stress Process Model, the study highlights the interplay of social and psychological stressors and offers practical insights for psychiatric and mental health practitioners supporting women through family disruption. Full article

(1) Background: This study investigates the relationship between the moral maturity levels of individuals who have experienced parental divorce or loss and their adjustment to the divorce process, considering various factors. (2) Methods: A total of 319 participants, aged between 10 and 18, who had either divorced parents or had experienced parental loss, were included in the study. Data were collected using the Adaptation to Divorce Inventory for Children and the Moral Maturity Scale. (3) Results: The results revealed that individuals who had experienced parental loss exhibited higher-than-average moral maturity levels. (4) Conclusions: A moderate, positive correlation was found between moral maturity and divorce adjustment, specifically in the areas of conflict resolution and depression–anxiety subscales. Additionally, substance use was associated with lower levels of moral maturity, while gender and educational level were significant predictors of moral maturity. These findings suggest that professional support, guidance programs, and family communication strategies are essential to promote the psychological adjustment of children affected by parental divorce or loss. Full article

Background: Insomnia disorder in childhood and adolescence has severe implications on overall well-being and development. Age-specific treatments for insomnia disorder with cognitive behavioral interventions (CBT-I) are available and effective. Nightmare disorder also has severe consequences in children and adolescents. However, less is known about children with insomnia (I) and comorbid nightmare disorder (I + N). Methods: In this retrospective study, data from 499 children and adolescents with insomnia disorder were included. The prevalence of a comorbid nightmare disorder (I + N) was calculated within three subsamples (toddlers and preschoolers 0.5–4 years, elementary school children 5–10 years, and adolescents 11–18 years). Differences between children with insomnia (I) and those with additional nightmare disorder (I + N) regarding age, sex, family background, sleep quality (SOL, WASO, TST, and SE) based on sleep logs, behavior sleep problems (based on interviews), and behavioral problems (CBCL and YSR) were calculated within each age group. Results: The overall prevalence of additional nightmares or nightmare disorder in children or adolescents with insomnia was 15–24%. We found various clinically relevant differences between I and I + N for each age group; for example, there were more sleep onset association problems in I + N elementary school children, prolonged SOL of 56 min, and about 50 min less TST and SE of 76.8% in I + N adolescents. However, most statistical tests were not significant. Especially sleep parameters but also emotional burden were more pronounced in I + N groups than in the I groups. Toddlers and preschoolers with I + N were significantly older than those with only I, had another family situation (e.g., divorced parents) significantly more often, and I + N adolescents were statistically more often anxious and depressed. Discussion: Descriptively, I + N children and adolescents seemed to be more impaired than those with insomnia only. However, a comorbid nightmare disorder cannot be recognized by insomnia-specific sleep parameters. Therefore, diagnostic procedures for insomnia should always screen for nightmares but also other sleep disorders. If necessary, CBT-I should be supplemented with nightmare-specific interventions. Full article

Background: Family breakdown, separation, and divorce (FBSD) are often traumatic events, particularly for fathers who face unique challenges. These include emotional, psychological, and financial struggles, often exacerbated by abusive behaviours from ex-partners. This study explores fathers’ experiences of FBSD, focusing on both the breakdown event itself and any abuse, including coercive control and parental alienation, before and after the separation. Methods: A mixed-methods approach was employed, including a survey of 141 men and follow-up interviews with 30 participants. Data were analysed using reflexive thematic analysis to identify key themes related to FBSD and associated abuse. Results: Fathers reported significant emotional, psychological, and financial distress, with many experiencing ongoing abuse and coercive control after separation. Abuse often continued through legal processes and manipulation of child access. Parental alienation emerged as a prominent form of post-separation abuse, with fathers describing attempts by ex-partners to undermine their relationships with their children. Conclusions: The findings highlight the need for gender-inclusive services that address the specific challenges fathers face during and after FBSD, particularly in relation to post-separation abuse. Targeted interventions are necessary to support fathers’ well-being and ensure their continued involvement in their children’s lives. Full article

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

Background: The COVID-19 pandemic triggered a global transition to distance learning, which significantly impacted children’s mental health. In Saudi Arabia, remote education began on 8 March 2020, lasting between 1.5 to 2.5 years. This study aims to explore the psychological effects of distance learning on children and adolescents, with a focus on mental health challenges and coping mechanisms. Methods: A cross-sectional study was conducted using an online survey distributed to parents of children aged 6 to 18 in the major metropolitan areas of Jeddah and Riyadh. The survey included demographic questions and the Arabic version of the Vanderbilt ADHD Diagnostic Rating Scale, a tool for assessing behavioral challenges, anxiety, and symptoms of attention deficit hyperactivity disorder (ADHD). Results: A total of 71.6% of families reported a positive experience with distance learning. A significant correlation was found between parents’ marital status and children’s ability to cope with remote education. Interestingly, children without ADHD symptoms experienced three times more negative outcomes than those with ADHD symptoms. However, despite reporting fewer negative experiences, children with ADHD exhibited increased symptom severity and academic difficulties. Of the students, 5.4% were diagnosed with predominantly inattentive ADHD, 1.8% with predominantly hyperactive/impulsive ADHD, and 3.9% with combined ADHD. Additionally, 7.2% of students screened positive for oppositional defiant disorder, 1.5% for conduct disorder, and 6.6% for anxiety or depression. Children from separated or divorced families were more likely to exhibit ADHD symptoms (p = 0.002). Children with ADHD symptoms reported a more positive experience with distance learning (p < 0.05). Conclusion: This study represents the first comprehensive, multi-city investigation in Saudi Arabia examining the relationship between distance learning, sociodemographic factors, and mental health symptoms in children. The findings highlight the psychological challenges faced by children during the pandemic and emphasize the need for targeted interventions to support both mental health and academic outcomes. These results offer valuable insights for future research and inform strategies to address children’s well-being in scenarios involving distance learning. Full article

Objective: The main objective of this study was to analyze the differences in parental emotional clarity and parental practices among families with a single child and families with more than one child, and their relationship with the children’s internalizing and externalizing symptomatology, specifically, anxiety–depression and aggressive behavior in a conflictive divorce context. Methods: The participants were 247 Spanish divorced parents. In total, 62% of the participants reported being the parents of one child and 38% of two children. All participants answered questionnaires that measured the variables investigated in this study. Results: The results supported the working hypothesis that families with more than one child present with less emotional clarity, which, concatenated with critical and rigid parental guidelines, is associated with children’s greater presence of anxious–depressive and aggressive symptoms. Conclusions: Families with more than one child have less positive parental guidelines and so their children express more symptoms. Full article

Background/objectives: The association between adverse childhood experiences (ACEs) and asthma severity among United States (US) adults with asthma has not been well documented. In addition, whether gender differences exist in this association has been underexplored. We aimed to examine the prevalence of asthma severity in the US adult population with asthma and investigate the association between ACEs and asthma severity by using data from non-institutionalized US adults with asthma. Methods: This cross-sectional study used data from the Adult 2019 and 2020 Behavioral Risk Factor Surveillance System (BRFSS) Asthma Call-Back Survey (ACBS), a survey of US adults aged 18 years or older in 31 US states and Puerto Rico. A total of 22934 adults with asthma participated in 2019 and 2020 ACBS. The 11 BRFSS ACE variables encompassing abuse and household dysfunction were used as ACE measures. ACE measures were summed up as cumulative ACE scores (continuous) and categorized (zero, one ACE, two ACEs, ≥ three ACEs). Asthma severity was categorized as intermittent or persistent. Weighted logistic regression models were used to assess associations of the cumulative ACE score, categorical ACE measures, and the 11 individual ACE responses with asthma severity controlling confounders. Gender differences were explored by stratifying by gender. Results: The prevalence of persistent asthma among US adults with asthma was 45.3%. The mean cumulative ACE score in adults with intermittent vs. persistent asthma was (2.43 vs. 2.70, p-value < 0.05). About 22% of adults with asthma had no ACEs, 19% had one ACE, 14% had two ACEs, and 45% had three or more ACEs. A one-unit increase in ACEs score was associated with a 5.4% increase in the odds of persistent asthma (adjusted odds ratio, aOR = 1.054 (95% confidence interval, CI = 1.01–1.10). Experiencing ≥ three ACEs compared to no ACEs was associated with 31% increased odds of persistent asthma (aOR = 1.31, 95% CI = 1.01–1.70). Individual ACE items significantly associated with persistent asthma include parent/adult ever touched you sexually (aOR = 1.33, 95% CI = 1.03–1.74), adult tried to make you touch them (aOR = 1.34, 95% CI = 1.01–1.79), any adult forced you to have sex (aOR = 1.44, 95% CI = 1.04–1.20), parental separation/divorce (aOR = 1.31, 95% CI = 1.05–1.63), and household alcohol abuse (aOR = 1.24, 95% CI = 1.01–1.53). In women, experiencing one ACE and ≥ three ACEs (compared to no ACEs) was associated with 51% and 60% increased odds of persistent asthma, respectively (aOR = 1.51, 95% CI = 1.02–2.23; aOR = 1.60, 95% CI = 1.12–2.27). No significant association was observed between ACEs and asthma severity in men; however, experiencing household physical violence (compared to no household physical violence) was associated with persistent asthma in men (aOR = 1.69, 95% CI = 1.18–2.42). Conclusions: In this cross-sectional study of US adults with asthma, exposure to ACEs was associated with higher odds of asthma overall and in women. These findings highlight the importance of preventive strategies and early interventions to reduce ACEs, potentially mitigating asthma’s severity in adulthood. Full article

Although the consequences of divorce and conflict have been extensively studied, most research has focused on children rather than ex-spouses, although variables such as parental health or co-parenting may have an influence on children’s development through processes such as emotion socialization. In addition, the relationship between these variables has never been considered in high-conflict divorces. Therefore, the present study aimed to analyze the impact of physical and psychological symptomatology and co-parenting on the emotion socialization patterns of parents experiencing high-conflict divorces. Furthermore, the moderating role of resilience was considered, as it has been highly studied as a coping mechanism in adverse situations but barely in divorce at the parental level. For this purpose, a Latent Profile Analysis was carried out with Mplus 8.10, using a sample of 239 parents from Family Visitation Centers. Results revealed, on the one hand, that parents with fewer physical and psychological symptoms sowed more emotion socialization behaviors than those with more symptomatology. On the other hand, in situations of high interparental conflict, the role of co-parenting and resilience seems less relevant than that of physical and psychological symptomatology when analyzing parental skills like emotion socialization. Full article

We aimed to examine vaccine hesitancy and knowledge towards influenza vaccines among Jordanian parents. Data were collected via an online questionnaire distributed between October 2023 and March 2024. They included sections on demographics, parental attitudes towards childhood vaccines (PACVs), and knowledge and practices towards influenza vaccines. Associations were examined using the chi-squared test. A binary logistic regression model was utilized to determine predictors of vaccine usage. A total of 3208 participants were included, of which 9.3% were vaccine hesitant per the PACV categorization. Fathers were more likely to be vaccine hesitant (OR: 1.40; 95CI: 1.07–1.85). Similarly, divorced parents (OR: 1.80; 95CI: 1.05–3.12) were significantly more vaccine hesitant compared to their married counterparts. Conversely, higher monthly income (OR: 0.66; 95CI: 0.48–0.92), working in healthcare settings (OR: 0.71; 95CI: 0.51–0.98), and adherence to national vaccination policies (OR: 0.07; 95CI: 0.04–0.13) were significantly associated with a lower likelihood of vaccine hesitancy. Multivariate analysis shows that a healthcare-related occupation (OR: 0.62; 95CI: 0.44–0.87), semi-compliance (OR: 0.37; 95CI: 0.22–0.64), full compliance (OR: 0.08; 95CI: 0.05–0.13) with national vaccine guidelines, and knowledge scores of influenza and vaccines (OR: 0.79; 95CI: 0.75–0.84) were the only independent factors influencing vaccine hesitancy. Finally, non-hesitant participants were significantly more likely to give the influenza vaccine to their children at the present or future time (OR: 2.07; 95CI: 1.53–2.80). Our findings highlight the complexity of vaccine hesitancy and underscore the importance of tailored interventions. Cultural, socioeconomic, and individual factors play significant roles in shaping attitudes toward vaccination. An understanding of the aforementioned among Jordanian parents provides insights for public health initiatives. Compliance with national vaccination guidelines and addressing concerns about vaccine safety are essential for improving childhood vaccination rates in Jordan. Full article

Growing rates of childhood obesity globally create concern for individuals’ health outcomes and demands on health systems. While many policy approaches focus on macro-level interventions, we examine how the type of stability of a family structure might provide opportunities for policy interventions at the micro level. We examine the association between family structure trajectories and childhood overweight and obesity across three Anglophone countries using an expanded set of eight family structure categories that capture biological relationships and instability, along with potential explanatory variables that might vary across family trajectories and provide opportunities for intervention, including access to resources, family stressors, family structure selectivity factors, and obesogenic correlates. We use three datasets that are representative of children born around the year 2000 and aged 11 years old in Australia (n = 3329), the United Kingdom (n = 11,542), and the United States (n = 8837) and nested multivariate multinomial logistic regression models. Our analyses find stronger relationships between child overweight and obesity and family structure trajectories than between child obesity and obesogenic factors. Children in all three countries are sensitive to living with cohabiting parents, although in Australia, this is limited to children whose parents have been cohabiting since before their birth. In the UK and US, parents starting their cohabitation after the child’s birth are more likely to have children who experience obesity. Despite a few differences across cross-cultural contexts, most of the relationship between family structures and child overweight or obesity is connected to differences in families’ access to resources and by the types of parents who enter into these family structures. These findings suggest policy interventions at the family level that focus on potential parents’ education and career prospects and on income support rather than interventions like marriage incentives. Full article

The scientific literature supports that practicing positive coparenting leads to the healthy development of children. Consequently, professional interest in parenting and coparenting has experienced significant growth, and evaluating coparenting is crucial in family psychology for establishing action protocols in clinical practice. An instrument highly regarded within the scientific community for evaluating coparenting dynamics is The Coparenting Relationship Scale (CRS). This research aims to achieve two objectives: first, to adapt the CRS for the Spanish population of both engaged and separated/divorced parents and to ascertain its reliability, validity, and factorial invariance psychometric properties; second, to assess the effectiveness of the total coparenting measure in categorizing sample participants. A cross-sectional non-experimental investigation was conducted to address these objectives. The first objective was answered by conducting an instrumental study, and the second by an exploratory study using classification techniques and a causal-comparative study using multivariate inferential methods. It was concluded that the model comprising 20 items across two factors, Positive Coparenting and Negative Perception of Coparenting, is the simplest and best fit for the Spanish parent sample; it is invariant regarding gender and marital status, and the measures derived from each factor demonstrate reliability and convergent and discriminant validity. The resulting questionnaire for Spanish parents is named CRS-S_Eg-S&D. The Coparental Vitality measure calculated using the total weighted measure of CRS-S_Eg-S&D allows the sample of participants to be divided into three differentiated clusters called Coparental Robustness, Moderate Coparenting, and Coparenting Rickets. Full article

Klinefelter syndrome (KS), characterized by an additional X-chromosome in males, manifests in a wide range of neuroendocrine and psychiatric symptoms. Individuals with KS often face increased risks of hormonal dysfunction, leading to depression and anxiety, although extended research during pediatric and adolescent age is still limited. This critical phase, decisive for KS children, is influenced by a combination of genetic, environmental and familial factors, which impact brain plasticity. In this report, we reviewed, in a narrative form, the crucial KS psychopathological hallmarks in children. To better describe neuroendocrine and neuropsychiatric outcomes in children with KS, we presented the case of an 11-year-old prepubertal child with mosaic KS who was referred to our Center of Developmental Psychopathology due to a decline in his academic performance, excessive daytime fatigue and increased distractibility over the past few months. Family history revealed psychiatric conditions among first- and second-degree relatives, including recently divorced parents and a 15-year-old sister. Early-onset persistent depressive disorder and anxious traits were diagnosed. Timely identification of susceptible children, with thorough examination of familial psychiatric history, environmental influences and neurocognitive profile, alongside targeted interventions, could potentially mitigate lifelong psychopathology-related disabilities in pediatric and adolescent KS cases, including those with mosaic KS. Full article

Limited studies have empirically investigated the impact of adverse childhood experiences (ACEs) among Black clergy and religious leaders despite their status as helping professionals who are implicated in times of crisis. In light of cultural considerations that position African American churches as trusted institutions linking local communities of color with various social services, African American religious leaders are particularly implicated during crisis situations such as the COVID-19 pandemic. Accordingly, the present study investigates the relationships between adverse childhood experiences, religious coping, and social support from one’s congregation among a sample of Black religious leaders within Christian churches. Compared to a national sample of Black Americans, we observed significantly higher prevalence rates for four forms of adverse childhood experiences: emotional neglect, parental separation or divorce, mental illness in the household, and an incarcerated family member. The results from two moderated moderation statistical models indicated that higher adverse childhood experiences predicted greater endorsement of PTSD symptoms and that negative religious coping strengthened this relationship. Furthermore, this moderation effect was itself moderated by greater perceived emotional support from one’s congregation, such that greater support mitigated this moderation effect. Conversely, we also found that positive religious coping has the potential to compensate for the lack of emotional support from the congregation. Implications for caring for clergy and religious leaders both within the church and in seminaries are provided. Full article

Breastfeeding is the natural way to feed a baby in the first months of life. It is an option with a low environmental impact, as it is a natural and renewable food that does not pollute. It is the optimal food for the infant, with nutritional and immunological advantages that reduce the prevalence of pregnancy disorders and provide benefits for the infant, the mother, and the environment. Its premature abandonment may have medium- and long-term consequences, as the use of formula milk is much more polluting. A descriptive, observational, cross-sectional study was carried out between December 2020 and January 2021, involving 96 breastfeeding women. Sociodemographic and obstetric variables were collected. A validated Spanish version of the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF) was used. Factors that may lead to the early cessation of breastfeeding among the mothers that were studied are a high level of education, a lack of preparation for childbirth, a lack of security, a lack of confidence in preparation for childbirth, a lack of self-confidence, discomfort with breastfeeding in the presence of others, and a low level of maternal satisfaction. Married women and women whose partners support breastfeeding are significantly more satisfied with exclusive breastfeeding than single and divorced women. Adequate and protocolised care must be provided. Education and support for parents to allow for optimal breastfeeding and reduce the environmental impact of formula feeding is essential. Full article