Social determinants in association with postpartum blues during the transition period of COVID-19 pandemic

Background:The COVID-19 pandemic has considerably impacted individuals' lives, extensively from mental and socioeconomic aspects, that requires someone to adapt. For postpartum mothers who also need to go through the maternal psychological adaptation phase, the pandemic could impose overwhelming emotional tension on them, increasing the risk of experiencing postpartum blues. This study aims to analyze the relationship between social factors that are affected during a pandemic with the incidence of postpartum blues on screening test results during the transition period of the COVID-19 pandemic in Banyumanik, Semarang. Subjects and Method: This was a cross-sectional study conducted in Banyumanik, Semarang, from November to December 2022.39 subjects were selected using a consecutive sampling technique. The dependent variable is postpartum blues. The independent variables include marital status, employment status of the mother, employment status of the spouse, and family income level. The study instrument was EPDS questionnaire. The data were analyzed used Chi-square. Results: Out of 39 subjects, 13 (33.3%) were experiencing postpartum blues, and 26 (66.7%) were not experiencing it. Mother's employment status associated with postpartum blues. Mothers who unemployed have a risk of experiencing postpartum blues 1.65 times compared to employed, but these were not statistically significant (OR= 1.65;95% CI= 0.40 to 6.77;p= 0.727). Family income level associated with postpartum blues. Mothers with low to moderate family income reduced postpartum blues by 0.73 times compared to mothers with high income levels, but these were not statistically significant (OR= 0.73;95%CI= 0.19 to 2.80;p= 0.908). Meanwhile, marital status and spouse employment status were not related to the incidence of postpartum blues. Conclusion: Mother's employment status and family income status associated with postpartum blues. Meanwhile, marital status and spouse employment status were not related to the incidence of postpartum blues.

COVID-19 Vaccination during Pregnancy: A Structured Electronic Medical Record Data Study

Objectives: To compare pregnancy loss rates, preterm birth rates and gestational age at delivery in women vaccinated against COVID-19 during pregnancy vs. those unvaccinated. Method(s): Data were captured from Dorsata Prenatal, an electronic medical record (EMR) system that captures obstetrical data for tens of thousands of pregnancies annually. Patients who delivered between February 11, 2021-June 2, 2022, were included. The vaccinated group included women who had at least one COVID-19 vaccination documented in their EMR between 30 days prior to pregnancy and delivery. The unvaccinated group included women without a COVID-19 vaccination documented. The primary outcome measure was gestational age (GA) at delivery. We analyzed the data using chi-square tests, with significance set at p<0.01. Result(s): A total of 51,994 pregnant women were identified-7,947 (15.3%) in the vaccinated group and 44,047 (84.7%) in the unvaccinated group. Vaccination rate varied by race (Asian: 19.7%;White: 17.3%;Black: 11.2%, P<0.001), ethnicity (Latino: 8.6%;Not-Latino: 18.7%;P<0.001), marital status (Married: 19.2%;Single: 8.8%;P<0.001), mother's age (>=35 years: 20.0%;<35 years 14.2%;P<0.001), and region (Northeast: 19.2%;South: 15.2%;West: 9.1%;P<0.001). The vaccinated group had significantly lower rate of preterm delivery (Gestational Age [GA]<37 weeks;vaccinated: 7.8% vs. unvaccinated: 9.6%;P<0.001), and significantly lower rates of pregnancy loss (GA<20 weeks;vaccinated: 1.1% vs. unvaccinated: 4.1%;P<0.001). Conclusion(s): This is one of the largest real-world studies to date in women who received the COVID-19 vaccination during pregnancy. Vaccination rates varied significantly across race/ethnicity. Vaccinated patients had lower preterm delivery and pregnancy loss rates compared with unvaccinated patients.Copyright © 2023

Relevance of social capital in preserving subjective well‐being in the face of the COVID‐19 pandemic

This paper analyzes the changes in subjective well‐being (SWB) in 11 Latin American cities at the end of the acceleration phase of the COVID‐19 pandemic, the variables that influenced these changes, and the role of the public support policies and the social capital on SWB recovery. This study, the second of a two‐phase research project, is a survey‐based comparative analysis. The 5604 survey responses obtained included 3279 observations from the research project's preceding phase, and 2325 observations conducted as part of the second project phase and current study. A multivariate linear regression model was used to evaluate the impact of the different variables related to COVID‐19 on people's SWB. Results show that the most significant positive impacts on SWB, are attributed to social capital, particularly family and social cohesion. The study confirms that the level of SWB is strongly associated with personality traits, health, and key variables such as age, marital status, and income. The different measures established to control the pandemic have not remedied the negative impacts of COVID‐19 on people's SWB. However, an increase in different degrees of SWB was observed in 10 out of the 11 cities between the initial survey and the follow‐up survey.Alternate :本文分析了11个拉丁美洲城市在2019冠状病毒病（COVID‐19）大流行加速阶段结束时的主观幸福感（SWB）变化、影响SWB变化的变量、以及公共支持政策和社会资本对SWB恢复发挥的作用。本研究是一项由两阶段组成的研究课题的第二阶段——一项基于调查的比较分析。获得的5,604份调查回复包括来自研究课题第一阶段的3,279次观察，以及课题第二阶段（本研究）进行的2,325次观察。使用多元线性回归模型评价与COVID‐19相关的不同变量对人民SWB产生的影响。结果表明，对SWB产生最显著积极影响的变量为社会资本，特别是家庭和社会凝聚力。本研究证实，SWB水平与人格特征、健康状况、以及年龄、婚姻状况和收入等关键变量强烈相关。为控制大流行而制定的不同措施并没有弥补COVID‐19对人民SWB产生的负面影响。不过，从初次调查到后续调查的期间，11个城市中有10个城市的SWB出现了不同程度的上升。Alternate :RESUMENEste artículo analiza los cambios en el bienestar subjetivo en 11 ciudades de América Latina al final de la fase de aceleración de la pandemia de COVID‐19, las variables que influyeron en estos cambios y el papel de las políticas públicas de apoyo y el capital social en la recuperación del bienestar subjetivo.Este estudio, el segundo de un proyecto de investigación de dos fases, es un análisis comparativo basado en encuestas. Las 5605 encuestas respondidas incluyeron 3279 observaciones de la fase anterior del proyecto de investigación y 2325 observaciones realizadas como parte de la segunda fase del proyecto y el estudio actual. Se utilizó un modelo de regresión lineal multivariado para evaluar el impacto de las diferentes variables relacionadas con COVID‐19 en el bienestar subjetivo de las personas.Los resultados muestran que los impactos positivos más significativos en el bienestar subjetivo se atribuyen al capital social, particularmente a la cohesión familiar y social. El estudio confirma que el nivel de bienestar subjetivo está fuertemente asociado con los rasgos de personalidad, la salud y variables clave como la edad, el estado civil y los ingresos. Las diferentes medidas establecidas para el control de la pandemia no han subsanado los impactos negativos del COVID‐19 en el bienestar subjetivo de las personas. Sin embargo, se observó un aumento en diferentes grados de bienestar subjetivo en 10 de las 11 ciudades entre la encuesta inicial y la encuesta de seguimiento.

A Cross- Sectional Assessment of Impact of COVID-19 Vaccine on Menstrual Cycle of Pharmacy and Medical Students of Qassim University, Saudi Arabia

Objectives: To determine the relationship between the COVID-19 vaccine and the menstruation and to determine the factors associated with menstrual abnormalities after COVID-19 Vaccine. Method(s): Female students from the Unaizah College of Pharmacy and Medicine at Qassim University who were over the age of menarche, had received the vaccine, were not pregnant or nursing, were not using contraceptives, did not have a history of primary ovarian insufficiency, hypothalamic menopause, or had undergone a hysterectomy were invited to participate. A universal sampling method was used to collect the data using an online method. Consequently, a total of 299 enrolled students participated in the survey. Result(s): Out of 329 registered students, 299 agreed to participate, giving a response rate of 90.88%. The mean age of the participants was 22.1 +/- 1.70, majority were unmarried (n=255;85.3%) and were from PharmD (n=206;69.8%). A total of 70(26.1%) reported to have COVID-19 infection. About 258(86.2 %) reported menstrual symptoms post-vaccination, of which 108(41.8%) reported irregular, 94(36.4 %)length of menstruation changed, for 56(21.7%) mensuration completely stopped. Only 16(6.20%) required a hospital visit to resolve post COVID vaccination menstrual symptoms. Previous COVID 19 infection significantly influenced the incidence of mensural abnormalities (p=0.03). After the second dose of the vaccine, Pfizer-BioNTech (91.3%) followed by Johnson and Johnson (66.7%), there were significant variations in the menstrual abnormalities across different vaccination types (p = 0.014). Conclusion(s): The study showed a possible link between the COVID-19 vaccine and menstrual abnormalities which needs further investigation regarding its impact on their quality of life.Copyright © 2023

Marital Satisfaction and Mental Health in Adults Over 40 Years Old. Associations with Self-Perceptions of Aging and Stress Related to the COVID-19 Pandemic.

Being married has been associated with a better attitude to aging and a buffer against stressful situations, factors that influence mental health. The study analyzes the role of self-perceptions of aging and stress related to the COVID-19 pandemic in the association between marital satisfaction and participants' mental health. 246 people older than 40 years in a marital/partner relationship were assessed. A path analysis was tested, where self-perceptions of aging and stress from the COVID-19 situation were proposed as mechanisms of action in the association between marital satisfaction and anxious and depressive symptoms. Marital satisfaction, self-perceptions of aging, and stress associated with the COVID-19 pandemic significantly contributed to the model and explained 31% of the variance in participants´ anxious symptomatology, and 42% of the variance in depressive symptomatology. The indirect path of self-perceptions of aging and stress associated with the COVID-19 pandemic in the link between marital satisfaction and anxious and depressive symptoms was statistically significant for both outcome variables. The findings of this study suggest that lower perceived marital satisfaction is associated with higher levels of negative self-perceptions of aging and with higher anxiety and depressive symptoms. Public significance statements: This study suggests that higher marital satisfaction may be a buffer for negative self-perception of aging, and both factors are related with experiencing less stress from COVID-19. These links are associated with less anxious and depressive symptoms.

Socioeconomic Factors Associated with Delay of Minimally Invasive Benign Gynecologic Surgery and Impact of the COVID-19 Pandemic

Objective: The effects of demographic and socioeconomic characteristics on delay of minimally invasive gynecologic surgery (MIGS) before and during the COVID-19 pandemic were studied. The primary outcome was interval between first MIGS appointment and date of surgery. Materials and Methods: This retrospective cohort study used electronic medical record data of a historical cohort who had benign MIGS in 2014-2016 (n = 370) and a cohort in 2020 during the COVID pandemic (n = 249). Included procedures were laparoscopic hysterectomy, myomectomy, adnexal surgery, or endometriosis excision. Patient demographics (race, ethnicity, age, marital status, language, insurance, and socioeconomic factors) were evaluated for associations with surgery delay (> 90 days from initial consultation to operating room date). Results: Median time to surgery was 21 days faster during the pandemic. In the historical cohort, 61% patients waited >90 days, and in the pandemic cohort, 47% patients waited >90 days. In the pandemic cohort, race and primary language were new factors associated with surgery delays. During the pandemic, a greater proportion of patients having surgery delays were Black or other races, compared to White, and a greater proportion did not speak English. After adjusting for referral indications, in multivariable logistic regression, patients who reported Other race had 3 times the odds of surgery delay, compared to White patients. Black patients had higher odds of surgery delay, although this estimate was less precise. Patients with a non-English primary language had >4 times the odds of surgery delay. Ethnicity, insurance and employment status, median household income, neighborhood segregation, and distance to hospital were not associated with surgery delay. Telemedicine accounted for 71% of visits in the pandemic cohort and was associated with a significant decrease in surgery delays with a median wait time of 87 days for patients seen via telemedicine, compared to 101 days for patients seen in-person. A higher proportion of patients using telemedicine were White and spoke English. Hispanic/Latino ethnicity, non-English primary language, and unemployment were associated with in-person versus telemedicine visits. Visit type was not correlated with insurance status, median household income, neighborhood segregation, and distance from the hospital. A risk score was calculated to summarize the estimated effect of intersectionality of multiple identities;multiple minority characteristics were correlated with surgery delays. Time to benign MIGS decreased from historical baselines during the pandemic, indicating improved access to surgical care. This benefit did not apply equally. Disproportionately, White patients who spoke English had no delays and used telemedicine;racial minority patients who did not speak English had greater odds of surgery delays and in-person appointments. Conclusions: Telemedicine can improve access to both MIGS care and surgical outcomes;additional strategies are needed to ensure that all patients receive care advances equitably. (J GYNECOL SURG 20XX:000)

Analysis of social and psychological factors influencing the treatment of patients with chronic kidney disease under the regular epidemic prevention and control of coronavirus disease 2019

Objective To explore the sociodemographic and psychological factors influencing the continuity of treatment of patients with chronic kidney disease under the regular epidemic prevention and control of coronavirus disease 2019 (COVID-19). Methods A total of 277 patients with chronic kidney disease who were admitted to Department of Nephrology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University) from Apr. 2020 to Mar. 2021 were enrolled and divided into 3 groups: non-dialysis group (n=102), hemodialysis (HD) group (n=108), and peritoneal dialysis (PD) group (n=67). All patients were investigated by online and offline questionnaires, including self-designed basic situation questionnaire, self-rating anxiety scale (SAS), and self-rating depression scale (SDS). The general sociodemographic data, anxiety and depression of the 3 groups were compared, and the influence of sociodemographic and psychological factors on the interruption or delay of treatment was analyzed by binary logistic regression model. Results There were significant differences in age distribution, marital status, occupation, medical insurance type, caregiver type, whether there was an urgent need for hospitalization and whether treatment was delayed or interrupted among the 3 groups (all P<0.05). The average SAS score of 65 PD patients was 38.15+/-15.83, including 53 (81.5%) patients without anxiety, 7 (10.8%) patients with mild anxiety, and 5 (7.7%) patients with moderate to severe anxiety. The average SAS score of 104 patients in the HD group was 36.86+/-14.03, including 81 (77.9%) patients without anxiety, 18 (17.3%) patients with mild anxiety, and 5 (4.8%) patients with moderate to severe anxiety. There were no significant differences in the mean score of SAS or anxiety severity grading between the 2 groups (both P>0.05). The mean SDS scores of 65 PD patients were 53.42+/-13.30, including 22 (33.8%) patients without depression, 21 (32.3%) patients with mild depression, and 22 (33.8%) patients with moderate to severe depression. The mean SDS scores of 104 patients in the HD group were 50.79+/-10.76, including 36 (34.6%) patients without depression, 56 (53.8%) patients with mild depression, and 12 (11.6%) patients with moderate to severe depression. There were no significant differences in mean SDS scores or depression severity grading between the 2 groups (both P>0.05). The results of intra-group comparison showed that the incidence and severity of depression were higher than those of anxiety in both groups. Multivariate binary logistic regression analysis showed that high school education level (odds ratio [OR]=5.618, 95% confidence interval [CI]) 2.136-14.776, P<0.01), and unmarried (OR=6.916, 95% CI 1.441-33.185, P=0.016), divorced (OR= 5.588, 95% CI 1.442-21.664, P=0.013), urgent need for hospitalization (OR=8.655, 95% CI 3.847-19.476, P<0.01) could positively promote the continuity of treatment in maintenance dialysis patients under the regular epidemic prevention and control of COVID-19. In the non-dialysis group, no sociodemographic and psychological factors were found to be associated with the interruption or delay of treatment (P>0.05). Conclusion Education, marital status, and urgent need for hospitalization are correlated with the continuity of treatment in patients with chronic kidney disease on maintenance dialysis.Copyright © 2022, Second Military Medical University Press. All rights reserved.

Mild Androgen Insensitivity Syndrome presenting in male with infertility and sexual difficulties

Androgen insensitivity syndrome has a wide spectrum of presentations. It results from a mutation in androgen receptor (AR) gene. It ranges from mild androgen insensitivity syndrome (MAIS) which is the mildest form to complete androgen insensitivity syndrome (CAIS). In case of MAIS, the abnormality that can be observed appears to be male infertility and sexual difficulties including premature ejaculation and erectile dysfunction. In this case report, we discuss a case of MAIS in a 37-year-old male who presented with infertility, premature ejaculation, and secondary erectile dysfunction.Copyright © 2023, Ibn Sina Trust. All rights reserved.

How Will Demographic Change Affect the Disease Burden of Future Epidemics?

Intro: The burden of infectious diseases is influenced by the structure of the population at risk. Population ageing may have implications for the disease burden of future epidemics. Moreover, changing household structures induced by population ageing may influence the dynamics of disease transmission and burden of infections transmitted via close contact interactions. We aim to investigate the impact of demographic change on the disease transmission dynamics and future disease burden and illustrate this for COVID-19 and influenza-like illness (ILI). Method(s): We simulate the Belgian population between 2020 and 2050 using an individual-based model with census data. The simulated population structures were used as input for an infectious disease model that distinguishes between exposure to infection in the household versus exposure in the community at large. We mimicked outbreaks of COVID-19 and ILI of varying total final size. Finding(s): The simulated population ages between 2020 and 2050, which also affects household size and composition. As the proportion of elderly people in the population increases, the overall attack rate slightly decreases because older age groups have fewer contacts and are therefore less likely to incur and transmit infections. Despite the lower per-person attack rate, the estimated disease burden increases as morbidity and mortality increases with the age at infection. Conclusion(s): The demographic changes induced by population ageing have an impact on the burden of future outbreaks of COVID-19 and ILI in Belgium. The shifting age distribution implies that the elderly, a population group with increased morbidity and mortality in case of infection, make up an increasing proportion of the total population. Population ageing also leads to an increasing proportion of single-person households and collective households (e.g. nursing homes) in the population. Since the household attack rate varies by household size and composition, the living arrangements of the elderly population influences the disease burden of future epidemics to some extent.Copyright © 2023

Remote Schooling and Mothers' Employment During the COVID-19 Pandemic by Race, Education, and Marital Status

Public schools in the United States saw unprecedented reductions to in-person instruction during the 2020–2021 school year. Using the Elementary School Operating Status database, the American Community Survey, and the Current Population Survey, we show remote instruction was associated with reduced employment among mothers compared with fathers and women without children. The gender gap in employment between mothers and fathers grew as much as 5 percentage points in areas with remote instruction. Compared to women without children, mothers' employment fell by as much as 2 percentage points under remote schooling. Employment disparities among mothers deepened by race, educational attainment, and marital status. We show employment disparities endured through spring 2021, even as many school districts returned to in-person instruction.

RESPIRATORY DISEASE FACTORS LINK WITH REDUCED SARS-CoV-2 SUSCEPTIBILITY IN PWH

Background: Despite favorable vaccine responses of people with HIV (PWH), susceptibility to SARS-CoV-2 (SCv2) infection and increased risk of COVID-19 in immunocompromised PWH continue to be of concern. Here, we searched the Swiss HIV Cohort Study (SHCS) with>9500 actively enrolled, optimally treated PWH to identify factors associated with SCv2 infection in the pre-and postvaccination area. Method(s): We utilized information on SCv2 events reported to the SHCS in 2020 -2021. To detect asymptomatic infection, we screened pre-pandemic (2019) and pandemic (2020-2021) bio-banked plasma for SCv2 antibodies (Ab). SCv2+ and matched SCv2- PWH were additionally screened for Abs to circulating human coronaviruses (HCoV). Data were compared to HIV negative (HIV-) controls. SCv2 data and >26 behavioral, immunologic and disease-parameters available in the SHCS data base were analyzed by logistic regression, conditional logistic regression, and Bayesian multivariate regression. Result(s): Considering information on the SCv2 status of 6270 SHCS participants, neither HIV-1 viral load nor CD4+ T cell levels were linked with increased SCv2 infection risk. COVID-19-linked hospitalization (87/982) and case fatality rates (8/982) were low, but slightly higher than in the general Swiss population when stratified by age. Compared to HIV-, PWH had lower SCv2 IgG responses (median effect size= -0.48, 95%-Credibility-Interval=[-0.7, -0.28]). Consistent with earlier findings, high HCoV Abs pre-pandemic (2019) were associated with a lower risk of a subsequent SCv2-infection and, in case or infection, with higher Ab responses. Examining behavioral factors unrelated to the HIV-status, people living in single-person households were less at risk of SCv2 infection (aOR= 0.77 [0.66,0.9]). We found a striking, highly significant protective effect of smoking on SCv2 infection risk (aOR= 0.46 [0.38,0.56], p=2.6*10-14) which was strongest in 2020 prior to vaccination and was even comparable to the effect of early vaccination in 2021. This impact of smoking was highly robust, occurred even in previous smokers and was highest for heavy smokers. Conclusion(s): Our unbiased cohort screen identified two controversially discussed factors, smoking and cross-protection by HCoV responses to be linked with reduced susceptibility to SCv2, validating their effect for the general population. Overall weaker SCv2 Ab responses in PWH are of concern and need to be monitored to ensure infection- and vaccine-mediated protection from severe disease.

Mediating effect of mindfulness level on the relationship between marital quality and postpartum depression among primiparas.

BACKGROUND: Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery. Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among couples. AIM: To investigate the correlations among mindfulness, marital quality, anxiety, and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among primiparas. METHODS: A cross-sectional study was conducted. The self-administered questionnaire was submitted online through smartphones. The levels of mindfulness, anxiety, depression, and marital quality were respectively investigated by the mindful attention awareness scale (MAAS), the self-rating anxiety scale (SAS), the self-rating depression scale (SDS), and the marriage perception scale (MPS) in these enrolled Han and Tujia primiparas. RESULTS: No statistical significance was observed in the prevalence of postpartum anxiety and depression, nor scores of MAAS and MPS-Total in different regions or ethnicities (P > 0.05). However, MPS-Marital interaction (P < 0.05), MPS-Family relationship (MPS-FR) (P < 0.01), and MPS-Marital conflict (MPS-MC) (P < 0.01) scores of urban primiparas were higher than those of rural primiparas. The MPS-MC score of Han primiparas was higher than that of Tujia primiparas (P < 0.05). Negative correlations were observed between MAAS and SAS (r = -0.457, P < 0.01), and MAAS and SDS (r = -0.439, P < 0.01). SAS has revealed a highly positive correlation with SDS (r = 0.720, P < 0.01) and a weak negative correlation with MPS (r = -0.200, P < 0.05). Besides, a weak negative correlation was observed between MAAS and MPS-MC (r = -0.184, P < 0.05), and a weak positive correlation was noticed between SAS and MPS-MC (r = -0.225, P < 0.01). Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR and postpartum anxiety (P < 0.05, 95%CI: -0.384 to 0.033), MPS-MC and postpartum anxiety (P < 0.01, 95%CI: 0.027-0.193), MPS-FR and postpartum depression (P < 0.05, 95%CI: -0.365 to 0.031), and MPS-MC and postpartum depression (P < 0.01, 95%CI: 0.022-0.206). CONCLUSION: Mindfulness demonstrates negative correlations with marital conflict, postpartum anxiety and depression, and it may have cross-ethnic and trans-regional characteristics. Although the mindfulness levels have revealed no significant mediating effect between the total score of marital quality and postpartum depression in this study, it demonstrates a full mediation effect on the relationships between family relationships, marital conflict, and postpartum anxiety and depression.

The association between online learning, parents' marital status, and internet addiction among adolescents during the COVID-19 pandemic period: A cross-lagged panel network approach.

INTRODUCTION: Previous research has identified the association between online learning and Internet addiction (IA) and the role of family factors in it. However, few studies have treated IA as a multidimensional mechanism and explored the underlying linkage of online learning, IA, and parental marital status with a cross-lagged network approach. The study aimed to examine the relationship between online learning during the COVID-19 pandemic, Internet addiction (IA), and parental marital status among Chinese adolescents. METHODS: The sample consisted of 2356 adolescents who completed the Internet Addiction Test twice over a four-month period. Four symptom networks and two cross-lagged panel networks were performed. RESULTS: The results showed that adolescents from divorced families had a higher prevalence of IA (27 %) compared to those from non-divorced families (17 %). The strongest cross-lagged association was found between "spending more time online" and "preferring the excitement online". In the divorced group, "school grades suffering" had the highest influence, while in the non-divorced group, "anticipation" had the highest influence. CONCLUSION: This study highlights the relationship between online learning, IA, and parental divorce and suggests that long-term online learning may contribute to IA, and parental divorce may exacerbate problematic Internet use and increase IA levels.

Examination of the effect of the perceived stress in the coronavirus-19 pandemic on marital adjustment, sexual life and intimate partner violence.

AIMS: The aim of the study was to explore the effects of perceived stress during the pandemic on marital adjustment, sexual life and intimate partner violence. DESIGN: A cross-sectional design was employed in this study. METHODS: The data were collected with an online survey between October and December 2020 from 901 participants in Turkey. Participants completed the Descriptive Information Form, the Marital Adjustment Scale and the Perceived Stress Scale. Multivariate analysis of variance and moderation analysis were used in the analysis of the data. RESULTS: The pre-pandemic marital adjustment scores of the participants significantly decreased during the pandemic. The marital adjustment and sexual life of those with high perceived stress levels were found to be negatively affected, and they were exposed to violence during the pandemic. In the moderation analysis, a non-standardized coefficient of the marital adjustment variable in the model turned out to be significant, and the perceived stress decreased as marital adjustment increased. The marital adjustment was low, and the stress level was high in individuals exposed to violence. Besides, perceived stress was found to be effective in being exposed to intimate partner violence. CONCLUSION: The stress perceived by individuals during the COVID-19 pandemic negatively affected their marital adjustment and sexual life. Besides, perceived stress was found to be effective in being exposed to intimate partner violence, and marital adjustment decreased during the pandemic compared to the pre-pandemic period. IMPACT: During the pandemic period, health care providers should routinely screen the psychosocial health of individuals. Continuous, accessible, free psychosocial support services should be available in order to increase the psychosocial health and marital adjustment of people with high-stress levels and prevent exposure to violence. PATIENT OR PUBLIC CONTRIBUTION: The conduct of this study is based on an online survey with participants living in the same house with their spouses during the pandemic.

Financial Stress, Family, Marital, and Life Satisfaction of Turkish Families During Covid-19: What Did We Learn?

It is well known that the Covid-19 that hit the world caused a global economic crisis. This present study aimed at examining the economic impact of this crisis with respect to families with both quantitative and qualitative approaches. In this study, we intended to demonstrate how families (n=247) met their basic needs, how they coped with financial stress, how financial stress relates to family characteristics and how it affects marital, family, and life satisfaction. The impact of family characteristics on financial stress was examined through regression analysis. The impact of financial stress on marital, family, and life satisfaction was determined through content analysis. The results of the regression analysis showed that the influence of education, debt, minimum wage employment, and fear of being laid off on financial stress was significant. The qualitative results show that individuals' marital, family and life satisfaction were negatively affected due to the financial stress they experienced during the Covid-19. [ FROM AUTHOR] Copyright of Journal of Family Issues is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

The Effect of Fear of COVID-19 Experienced by Married Individuals Living in Türkiye on Marital Adjustment

Aim: We aimed to investigate the effect of fear of COVID-19 experienced by married individuals living in Türkiye on marital adjustment. Methods: A cross-sectional study design was used. Research data were collected between April 10 and 24, 2021, using the nonprobability snowball sampling technique. An online questionnaire that consisted of a participant information form, the Fear of COVID-19 Scale, and the Marital Adjustment Scale was applied to the participants via social media. Results: A total of 503 married individuals participated in the study. We found that the majority of the participants had negative changes in their feelings, thoughts, social lives, plans, and friend and work relationships during the pandemic process. According to the results of the regression analysis, the fear of COVID-19 explained 32.6% of the marital adjustment score of the participants. Conclusion: In stressful life events such as pandemics, it is necessary to plan appropriate interventions to protect married individuals' mental health and marital adjustment. © 2023, Eurasian Society of Family Medicine. All rights reserved.

Hubungan antara Kecerdasan Emosi dengan Kepuasan Perkahwinan Sewaktu Pandemik COVID-19 Di Malaysia

Kecerdasan emosi merupakan salah satu elemen psikologi yang penting dan mendapat perhatian dalam kalangan ahli psikologi yang mengkaji tentang perhubungan dalam perkahwinan. Maka, kajian ini bertujuan untuk menyelidik hubungan di antara kecerdasan emosi dengan kepuasan perkahwinan dalam kalangan individu yang berkahwin dan tinggal di Malaysia sewaktu pandemik COVID-19. Kajian ini menggunakan reka bentuk kajian penerokaan dan pensampelan mudah dengan menggunakan soal selidik dalam talian melalui platform media sosial. Soal selidik terdiri daripada soalan yang berkaitan kecerdasan emosi dengan menggunakan Schutte Self-Report Emotional Intelligence Test (SSEIT) dan kepuasan perkahwinan dengan menggunakan Kansas Marital Satisfaction Scale (KMSS), yang telah diadaptasi untuk kegunaan dalam konteks budaya Malaysia. Secara keseluruhannya, hasil ujian korelasi Pearson menunjukkan bahawa terdapat hubungan signifikan yang positif dan lemah di antara kecerdasan emosi (penggunaan emosi) dan kepuasaan perkahwinan (r = 0.10·, p <0.05). Hasil kajian ini menunjukkan kepentingan aspek penggunaan emosi dalam perhubungan perkahwinan. Dapatan ini memberikan panduan kepada profesion menolong seperti kaunselor dan pekerja sosial dalam membantu mengendalikan klien yang berkahwin. Pengkaji juga telah memberikan cadangan bagi membantu pengkaji pada masa akan datang dalam menyelidik aspek emosi dan kepuasan perkahwinan.Alternate :Emotional intelligence is one of the crucial psychological elements and receives attention among psychologists whom study relationships within marriage. Thus, the purpose of this study is to examine the relationship between emotional intelligence and marital satisfaction among married individuals residing in Malaysia during the pandemic COVID-19. This study applies the exploratory research design and convenience sampling using questionnairs via social media platform. The questionnaire includes questions relating to emotional intelligence using Schutte Self-Report Emotional Intelligence Test (SSEIT) and marital satisfaction using Kansas Marital Satisfaction Scale (KMSS) which has been adapted to fit the context of Malaysian culture. Overall, the Pearson correlation test results show a positive and weak significant correlation between emotional intelligence (emotional use) and marital satisfaction (r = 0.10·, p < 0.05). Findings suggested the importance of the emotional application within marital relationships. Findings also provide guidelines to helping professions such as counsellors and social workers who works with married individual clients. The researcher also provided recommendations for future researchers in examining into emotional aspects and marital satisfaction.

Traditional and biblical concepts of marital infidelity among Igbo people of Nigeria in the face of Covid 19

Infidelity in marriage has long been a problem among married men and women in Nigerian society and globally. The study explores traditional and Biblical notions of marital infidelity in the context of the Covid-19 pandemic, with the goal of identifying some of the key reasons and effects of infidelity among Nigeria's Igbo people. For data analysis, the study used a qualitative phenomenological research design and a descriptive approach. Personal interviews were the major source of data collecting, whereas library materials including academic articles, the media and books were the secondary sources utied. According to the research, many spouses in traditional Igbo Cultural Marriage spend time away from each other for farming and other hobbies. Couples were spending more time together than normal during the Covid-19 epidemic. Domestic violence suffered during the pandemic, as a result, may have led to one partner seeking love, care, and support outside of the marriage union, culminating in infidelity. Financial uncertainty, as well as other factors such as unemployment, a lack of social support, and heightened stress, are all factors that contribute to marital infidelity during a pandemic and at other times. The study proposes that both the male and female in a marriage should have correct religious and social attitudes and dispositions in order to have a healthy and prosperous family during times such as the Covid-19 pandemic and at all times. © 2023 Open Access/Author/s - Online @ http//:www.pharosjot.com