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1.
J Marital Fam Ther ; 49(3): 675-691, 2023 Jul.
Article in English | MEDLINE | ID: mdl-37222161

ABSTRACT

Parent couples are involved in a coparenting bond and in a romantic relationship. Research on couple therapy has mainly explored the impact of couple therapy on romantic relationships; however, little is known about how couple therapy affects the coparenting relationship. Self-reports of positive and negative coparenting and observed emotional behavior in coparenting-related conversation tasks were assessed pre- and posttherapy (6 months intervals) in 64 mixed-sex parental couples. Results showed that mothers and fathers reported more positive coparenting after therapy. There were no significant changes in the reported negative coparenting and in the emotional behavior. Exploratory analyses indicated gender differences in emotional expression. The findings suggest that fathers might have been more active in the coparenting conversation after therapy.


Subject(s)
Parent-Child Relations , Parenting , Female , Humans , Parenting/psychology , Self Report , Parents/psychology , Mothers/psychology
2.
Br J Sociol ; 74(4): 581-597, 2023 Sep.
Article in English | MEDLINE | ID: mdl-36879467

ABSTRACT

Secularization theory allows for transitory religious revivals under certain conditions, such as extreme societal crises or state weakness. The country of Georgia has witnessed the largest religious revival of Orthodox countries and one of the most striking religious resurgences worldwide. This paper gives both a statistical and historical description of this revival and asks whether it is a counterexample to secularization theory. We show that the main thrust of the religious revival in Georgia lasted 25 years and seized the entire society in what was mainly a period effect. The most significant cause for the revival was a major societal and economic crisis starting in 1985 combined with a very weak state, creating massive individual insecurity. In these circumstances, the Georgian Orthodox Church was able to provide identity for individuals and legitimacy for governments. Other possible causes of the revival-state funding, too rapid modernization, or emigration-can be excluded as primary drivers of the process. The Georgian case shows a situation in which secularization theory expects transitory revivals and is thus not a counterexample.


Subject(s)
Religion , Social Change , Humans , Georgia (Republic)
3.
Addict Behav ; 140: 107602, 2023 05.
Article in English | MEDLINE | ID: mdl-36621044

ABSTRACT

INTRODUCTION: Associations between Problematic Gaming (PG) and the relational-emotional correlates of parenting have been reported in the literature. Previous research mostly collected information from adolescents, however, and suggested that little is known about the perceptions of parents and whether these are shared among parent-adolescent dyads. Therefore, this study aimed to (a) examine multiple informants' reports of adolescent PG and maternal behaviors (i.e., warmth and indifference) and (b) disentangle the associations between the behaviors shared by mothers and adolescents from those unique to each member. METHOD: Data were collected by using self-administered online questionnaires from 137 Italian mother-adolescent dyads in Italy. The mean age of adolescents (n = 92 males, n = 42 females, n = 3 nonbinary) was 14.68 (±1.25) years and that of mothers 47.48 (±4.69) years. Descriptive statistics and common fate model (CFM) analyses were conducted. RESULTS: Mothers reported higher scores of their offspring's PG. Within-reporter interclass correlations revealed positive associations between maternal indifference and adolescent PG for both informants. CFM indicated that correlations between maternal behaviors and adolescent PG based on shared perceptions did not reach statistical significance, whereas correlations based on unique mothers' perceptions were statistically significant for all the observed relationships. CONCLUSIONS: In the context of adolescent PG, mothers may have a heightened motivation to perceive their parenting as crucial. The multi-informant approach allows a more accurate examination of the associations between adolescent PG and maternal behaviors and underscores the need to consider discordant assessment of the same phenomenon between mothers and adolescents.


Subject(s)
Adolescent Behavior , Video Games , Female , Male , Humans , Adolescent , Mother-Child Relations/psychology , Maternal Behavior/psychology , Mothers/psychology , Parents , Parenting/psychology , Adolescent Behavior/psychology
4.
J Marital Fam Ther ; 49(2): 351-369, 2023 Apr.
Article in English | MEDLINE | ID: mdl-36542777

ABSTRACT

This study aimed to compare the effectiveness of the Integrative Brief Systemic Intervention (IBSI), combining therapeutic work on marital and coparenting relationships with brief systemic therapy (BST-as-usual) for parent couples. Couples were randomly assigned to the IBSI (n = 51) or BST (n = 50). Both treatments were six-session interventions and lasted about 6 months. Questionnaires on individual, marital, coparenting and family-related functioning were completed before and after therapy, and at 6-month follow-up. A significant improvement in all areas of functioning was observed after treatment and maintained at follow-up for both IBSI and BST-as-usual treatments. No significant differences in outcomes were found between the treatments. Additionally, women reported more distress overall than men, and this distress was reduced more significantly after therapy. Last, BST-as-usual couples requested more additional sessions compared to IBSI couples. This study extends the literature on couple therapy with parents.


Subject(s)
Couples Therapy , Parents , Male , Humans , Female , Couples Therapy/methods , Surveys and Questionnaires , Marriage
5.
Dev Psychol ; 58(8): 1557-1573, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35482619

ABSTRACT

Educational transitions involve a number of changes for adolescents and can be challenging for adolescents and parents alike. The present study was designed to gain a better understanding as to how adolescents' perceptions of parenting evolves across a major educational transition and how the parenting perceived across this transition may facilitate adolescents' psychosocial adjustment and identity formation. Swiss adolescents (N = 483, Mage = 14.96 years old; 64.6% female) in their last year of mandatory secondary school completed self-report measures at two semiannual time points both prior to and following their educational transition. Adolescents reported on their perceptions of their parents' autonomy support and psychological control as well as their self-esteem, risk-taking behaviors, and identity processes. Group-based trajectory analyses identified three parenting trajectory classes (i.e., Highly Supportive Parenting, Decreasing Supportive Parenting, Stable Controlling Parenting), three psychosocial adjustment trajectory classes (i.e., Low Self-Esteem/Low Risk-Taking, High Self-Esteem/Low Risk-Taking, Moderate Self-Esteem/Increasing Risk-Taking), and four identity trajectory classes (i.e., Lost Searchers, Guardians, Pathmakers, Successful Searchers). These solutions support the contention that adolescents are likely to experience academic transitions differently, whether in terms of their parent-adolescent relationship, their psychosocial adjustment, or their identity. Furthermore, parenting trajectory classes were associated with specific identity and psychosocial adjustment classes. Notably, Highly Supportive Parenting was associated with the High Self-Esteem/Low Risk-Taking class and the Pathmaker identity class, whereas Stable Controlling Parenting was most strongly associated with the Low Self-Esteem/Low Risk-Taking class and the Lost Searcher identity class. These findings highlight the importance of autonomy supportive parenting for adolescent development during educational transitions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
Parenting , Self Concept , Adolescent , Female , Humans , Male , Parent-Child Relations , Parenting/psychology , Parents/psychology , Psychology, Adolescent , Switzerland
6.
J Marital Fam Ther ; 48(4): 998-1016, 2022 Oct.
Article in English | MEDLINE | ID: mdl-35411955

ABSTRACT

Following the task analysis method, this study aimed to confirm the relevance of our model of resolving coparenting dissatisfaction to differentiate between two contrasting couples undergoing couple therapy. The model under study described the steps through which couples resolve coparenting issues in couple therapy for parents. Two contrasting couples were selected from a sample of parents undergoing systemic couple therapy. We analyzed videotaped discussions about the couple's coparenting relationship to select one couple whose interaction quality improved after therapy and one couple who worsened. Records of therapy sessions were rated by two independent coders to verify whether the model of coparenting change was present. Results showed that the couple that improved after therapy presented almost all the steps of the model whereas the couple that worsened after therapy presented only two steps. This study supported the relevance of the model and its various components to discriminate between two contrasting cases.


Subject(s)
Couples Therapy , Parenting , Emotions , Humans , Parents
7.
Front Aging Neurosci ; 13: 704362, 2021.
Article in English | MEDLINE | ID: mdl-34803651

ABSTRACT

During normal aging resting-state brain activity changes and working memory performance declines as compared to young adulthood. Interestingly, previous studies reported that different electroencephalographic (EEG) measures of resting-state brain activity may correlate with working memory performance at different ages. Here, we recorded resting-state EEG activity and tested allocentric spatial working memory in healthy young (20-30 years) and older (65-75 years) adults. We adapted standard EEG methods to record brain activity in mobile participants in a non-shielded environment, in both eyes closed and eyes open conditions. Our study revealed some age-group differences in resting-state brain activity that were consistent with previous results obtained in different recording conditions. We confirmed that age-group differences in resting-state EEG activity depend on the recording conditions and the specific parameters considered. Nevertheless, lower theta-band and alpha-band frequencies and absolute powers, and higher beta-band and gamma-band relative powers were overall observed in healthy older adults, as compared to healthy young adults. In addition, using principal component and regression analyses, we found that the first extracted EEG component, which represented mainly theta, alpha and beta powers, correlated with spatial working memory performance in older adults, but not in young adults. These findings are consistent with the theory that the neurobiological bases of working memory performance may differ between young and older adults. However, individual measures of resting-state EEG activity could not be used as reliable biomarkers to predict individual allocentric spatial working memory performance in young or older adults.

8.
Front Psychol ; 12: 634276, 2021.
Article in English | MEDLINE | ID: mdl-33815220

ABSTRACT

Being in a romantic relationship is characterized by a high degree of intimacy and affective involvement. Affective behavior indicates the emotional content in couple interactions and therefore promotes an understanding of the evolution of romantic relationships. When couples are also parents, their affective behavior reflects their romantic and coparental bonds. In this paper, we present an observation of parent couples' affective behavior during a coparenting conflict discussion task to document whether and how much it improved during couple therapy. Two contrasting cases of affective behavior change are included. Observational coding of affective behavior within pre- and post-intervention coparenting conflict discussion tasks was carried out to compute means and CIs for each partner in both cases. In addition, the partners' coparental and romantic satisfaction were evaluated through validated self-report questionnaires in pre- and post-intervention assessments; this helped document whether the partners' coparental and romantic satisfaction were dissimilar between the two cases. Finally, a clinical analysis of both cases was realized with the contribution of the therapists to investigate possible differences within therapy sessions. Statistical analyses revealed negative means of affective behavior for couple A in the pre-intervention assessment and positive means in the post-intervention assessment. Partners from couple B had negative means of affective behavior in the pre- and post-intervention assessments. Results concerning coparental and romantic satisfaction differed: Couple A's coparental satisfaction slightly increased and the romantic satisfaction somewhat decreased, whereas couple B's coparental satisfaction remained stable and the romantic satisfaction slightly increased between the pre- and post-intervention assessments. The clinical analysis revealed that the interactional quality of couple A slightly improved within therapy sessions and that both partners succeeded in working together as coparents, notwithstanding their romantic distress. Couple B conveyed coparental distress and exhibited poor interactional quality throughout therapy sessions (e.g., repeated criticism and contempt). This study contributes to enriching the more traditional empirical research methods in the field of couple psychotherapy, as it takes into account microlevel affective changes within parent couples' interactions in addition to self-reported data. Furthermore, the analysis of therapy sessions supports the importance of working with affective behavior in couple therapy.

9.
J Exerc Sci Fit ; 19(2): 134-142, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33603794

ABSTRACT

This study aimed to investigate the effects of regular hot water bathing (HWB), undertaken 10 min after the last training session of the day, on chronic adaptations to training in elite athletes. Six short-track (ST) speed skaters completed four weeks of post-training HWB and four weeks of post-training passive recovery (PR) according to a randomized cross-over study. During HWB, participants sat in a jacuzzi (40 °C; 20 min). According to linear mixed models, maximal isometric strength of knee extensor muscles was significantly increased for training with HWB (p < 0.0001; d = 0.41) and a tendency (p = 0.0529) was observed concerning V ˙ O 2 m a x . No significant effect of training with PR or HWB was observed for several variables (p > 0.05), including aerobic peak power output, the decline rate of jump height during 1 min-continuous maximal countermovement jumps (i.e. anaerobic capacity index), and the force-velocity relationship. Regarding specific tasks on ice, a small effect of training was found on both half-lap time and total time during a 1.5-lap all-out exercise (p = 0.0487; d = 0.23 and p = 0.0332; d = 0.21, respectively) but no additional effect of HWB was observed. In summary, the regular HWB protocol used in this study can induce additional effects on maximal isometric strength without compromising aerobic and anaerobic adaptations or field performance in these athletes.

10.
Psychol Sci ; 31(10): 1245-1260, 2020 10.
Article in English | MEDLINE | ID: mdl-32900287

ABSTRACT

Many of us "see red," "feel blue," or "turn green with envy." Are such color-emotion associations fundamental to our shared cognitive architecture, or are they cultural creations learned through our languages and traditions? To answer these questions, we tested emotional associations of colors in 4,598 participants from 30 nations speaking 22 native languages. Participants associated 20 emotion concepts with 12 color terms. Pattern-similarity analyses revealed universal color-emotion associations (average similarity coefficient r = .88). However, local differences were also apparent. A machine-learning algorithm revealed that nation predicted color-emotion associations above and beyond those observed universally. Similarity was greater when nations were linguistically or geographically close. This study highlights robust universal color-emotion associations, further modulated by linguistic and geographic factors. These results pose further theoretical and empirical questions about the affective properties of color and may inform practice in applied domains, such as well-being and design.


Subject(s)
Emotions , Language , Color , Color Perception , Humans , Jealousy , Linguistics , Machine Learning
11.
J Youth Adolesc ; 49(8): 1583-1600, 2020 Aug.
Article in English | MEDLINE | ID: mdl-32638232

ABSTRACT

Adolescence is a developmental period characterized by fundamental transformations in parent-child communication. Although a normative shift in adolescents' secrecy seems to occur in parallel to changes in their drinking behaviors and in their perceptions of the relationship with their parents, relatively little attention has been paid to their associations over time. The present longitudinal study examined the associations between developmental changes in adolescents' secrecy, alcohol use, and perceptions of controlling parenting during middle adolescence, using a latent growth curve approach. At biannual intervals for two consecutive years, a sample of 473 Swiss adolescents (64.7% girls) beginning their last year of mandatory school (mean age at Time 1 = 14.96) completed self-report questionnaires about secrecy, alcohol use, and perceived controlling parenting. The results of the univariate models showed mean level increases in secrecy and alcohol use, but stable levels in controlling parenting over time. The results of a parallel-process model indicated that higher initial levels of secrecy were associated with higher initial levels of alcohol use and perceived controlling parenting, while an increase in secrecy was associated with an increase in alcohol use and an increase in perceived controlling parenting over time. In addition, adolescents who reported the lowest initial levels of perceived controlling parenting showed a greater increase in secrecy over time and those with high initial levels of secrecy reported a relative decrease in perceived controlling parenting. Finally, adolescents with the lowest initial levels of alcohol use experienced a greater increase in secrecy. Overall, these results indicate that the development of adolescents' secrecy is associated with the development of their drinking habits and perceptions of family relationships in dynamic ways.


Subject(s)
Parent-Child Relations , Parenting , Adolescent , Alcohol Drinking , Child , Confidentiality , Female , Humans , Longitudinal Studies
12.
Sci Rep ; 10(1): 7728, 2020 05 07.
Article in English | MEDLINE | ID: mdl-32382067

ABSTRACT

To assess if the alteration of neuromuscular properties of knee extensors muscles during heavy exercise co-vary with the SCV ([Formula: see text] slow component), eleven healthy male participants completed an incremental ramp test to exhaustion and five constant heavy intensity cycling bouts of 2, 6, 10, 20 and 30 minutes. Neuromuscular testing of the knee extensor muscles were completed before and after exercise. Results showed a significant decline in maximal voluntary contraction (MVC) torque only after 30 minutes of exercise (-17.01% ± 13.09%; p < 0.05) while single twitch (PT), 10 Hz (P10), and 100 Hz (P100) doublet peak torque amplitudes were reduced after 20 and 30 minutes (p < 0.05). Voluntary activation (VA) and M-wave were not affected by exercise, but significant correlation was found between the SCV and PT, MVC, VA, P10, P100, and P10/P100 ratio, respectively (p < 0.015). Therefore, because the development of the SCV occurred mainly between 2-10 minutes, during which neuromuscular properties were relatively stable, and because PT, P10 and P100 were significantly reduced only after 20-30 minutes of exercise while SCV is stable, a temporal relationship between them does not appear to exist. These results suggest that the development of fatigue due to alterations of neuromuscular properties is not an essential requirement to elicit the SCV.


Subject(s)
Exercise/physiology , Knee/physiology , Muscle Fatigue/physiology , Muscle, Skeletal/metabolism , Oxygen/metabolism , Adult , Electromyography , Humans , Isometric Contraction/physiology , Knee Joint/physiology , Male , Muscle Contraction/physiology , Muscle, Skeletal/physiology , Torque , Young Adult
13.
J Physiol Sci ; 70(1): 27, 2020 May 28.
Article in English | MEDLINE | ID: mdl-32466745

ABSTRACT

To investigate the influence of different metabolic muscle fiber profiles on the emergence of the slow component of oxygen uptake ([Formula: see text]SC), 12 habitually active males completed four sessions of different combinations of work-to-work transition exercises up to severe intensity. Each transition was modeled to analyze the different kinetic parameters. Using a new approach, combining Henneman's principle and superposition principle, a reconstructed kinetics was built by temporally aligning the start of each new transition and summing them. The primary phase time constant significantly slowed and the gain at the end (GainEnd) significantly increased when transitions started from a higher intensity (p < 0.001). Kinetic parameters from the reconstructed curve ([Formula: see text], time delay of primary phase, [Formula: see text]End and GainEnd) were not significantly different from one transition to severe exercise. These results suggest that the appearance of the [Formula: see text]SC is at least related to, if not the result of, the different metabolic properties of muscle fibers.


Subject(s)
Muscle Fibers, Skeletal/metabolism , Oxygen/metabolism , Adolescent , Adult , Exercise , Humans , Kinetics , Male , Metabolome , Middle Aged , Oxygen Consumption/physiology , Young Adult
14.
J Youth Adolesc ; 49(1): 162-177, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31583507

ABSTRACT

Parents and adolescents may hold discrepant views about parents' behaviors, which may be related to adolescent maladjustment. The goal of the present investigation was to examine associations between overprotective parenting and adolescents' internalizing and externalizing problems and the frustration of their psychological needs (for autonomy, relatedness and competence), thereby considering both congruence and incongruence in adolescents' and mothers' reports of overprotective parenting. Our sample consisted of 402 mother-adolescent dyads (M adolescent age = 16.8 years, 63% female), who reported upon the mothers' overprotective parenting. In addition, adolescents filled out questionnaires assessing their internalizing and externalizing problems and psychological need frustration. Data were analyzed using polynomial regressions with response surface analysis. Results showed evidence for a linear, additive relationship between adolescents' and mothers' reports of overprotective parenting, and adolescents' internalizing and externalizing symptoms and relatedness and competence frustration. That is, higher scores in adolescents' and mothers' ratings of overprotective parenting were associated with more maladjustment and more need frustration. Moreover, results indicated that incongruence between adolescents' and mothers' reports related to more externalizing problems and more autonomy and relatedness frustration, and this was especially the case when adolescents perceived higher levels of overprotection than what was reported by mothers. These results underscore the importance of considering multiple perspectives when studying the dynamics involved in overprotective parenting.


Subject(s)
Defense Mechanisms , Frustration , Mother-Child Relations , Mothers/psychology , Parenting/psychology , Adolescent , Adolescent Behavior/psychology , Female , Humans , Male , Mental Disorders/psychology , Parents/psychology , Surveys and Questionnaires
15.
Women Birth ; 32(2): e264-e271, 2019 Apr.
Article in English | MEDLINE | ID: mdl-30100195

ABSTRACT

BACKGROUND: Pregnancy after infertility is a challenging experience. The first-trimester screening test may add stress. Partner support reduces psychological distress in pregnant women after spontaneous conception. No data are available for women who conceive via assisted reproductive technology. AIM: To assess whether there was a difference between couples who underwent assisted reproductive technology and couples who conceived spontaneously in the support they felt they provided to their partner and whether their perception of support received from their partner reduced their distress. METHODS: This longitudinal prospective study included 52 women (spontaneous conception) and 53 women (assisted reproductive technology), as well as their partners. Participants completed the state scale of the State-Trait Anxiety Inventory, the Edinburgh Depression Scale, and two partner-support subscales of the Dyadic Coping Inventory: before prenatal testing (gestational age 12 weeks), immediately after receiving the results (gestational age of approximately 14 weeks), and once all the prenatal screenings had been completed (gestational age 22 weeks). FINDINGS: Women who underwent assisted reproductive technology felt less able to help their partner cope with stress and felt their partner was less able to help them cope with stress than women with spontaneous pregnancy. This difference was not observed in men. Higher perceived partner support lowered the anxiety and depression of couples who conceived spontaneously, but did not benefit couples who followed fertility treatment. CONCLUSION: These results add to our knowledge of the emotional state of women and their partners during pregnancy after infertility. This knowledge may allow prenatal care providers to offer specialized counselling to women and their partners in the transition from infertility to parenthood.


Subject(s)
Adaptation, Psychological , Infertility/psychology , Reproductive Techniques, Assisted/psychology , Social Support , Adult , Anxiety/epidemiology , Female , Gestational Age , Humans , Longitudinal Studies , Male , Pregnancy , Prenatal Diagnosis , Prospective Studies , Sexual Partners
16.
PLoS One ; 13(8): e0203115, 2018.
Article in English | MEDLINE | ID: mdl-30153302

ABSTRACT

Cognitive style is thought to be a stable marker of one's way to approach mental operations. While of wide interest over the last decades, its operationalization remains a challenge. The literature indicates that cognitive styles assessed via i) questionnaires are predicted by personality and ii) performance tests (e.g., Group Embedded Figures Test; GEFT) are related to general intelligence. In the first study, we tested the psychometric relationship between the Cognitive Style Index questionnaire (CSI) and personality inventories (NEO Five Factor Inventory; NEO-FFI, HEXACO Personality Inventory Revised; HEXACO-PI-R). In the second study, we assessed the CSI, NEO-FFI, GEFT and a general intelligence test (Raven's Standard Progressive Matrices Test; RSMT). We found that CSI scores were largely predicted by personality and that CSI was uncorrelated with GEFT performance. Instead, better performance on the GEFT was associated with better performance on the RSMT. We conclude that i) cognitive style questionnaires overlap with personality inventories, ii) cognitive style performance tests do not measure cognitive styles and should not be used as such and iii) the cognitive style concept needs to be assessed with alternative measurement types. We discuss possible future directions.


Subject(s)
Personality , Thinking , Adolescent , Adult , Cognition , Female , Humans , Intelligence Tests , Male , Middle Aged , Models, Psychological , Personality Inventory , Psychometrics , Surveys and Questionnaires , Young Adult
17.
Acta Paediatr ; 106(12): 1961-1965, 2017 Dec.
Article in English | MEDLINE | ID: mdl-28708256

ABSTRACT

AIM: The aim of this study was to examine the course of headache diagnosis, headache frequency, anxiety, comorbid depressive symptoms and school absenteeism in adolescents with migraine and tension-type headaches five years after baseline. METHODS: We followed a group of 122 children with a mean age of 10.1 (±1.3) years, with headache from a paediatric migraine centre in Paris who had taken part in a previous study from September 2007 to June 2008. This five-year longitudinal study took place in January to June 2012. The measures that were used included demographic variables, headache diagnosis, headache data and a psychological assessment. RESULTS: At the five-year point, about 22% of the children had become headache free, 34% had little to no disability, and 36% had a changed diagnosis. Moreover, a longer history of headache at baseline was associated with a worse evolution of headache at follow-up. Lastly, high depression scores, but not anxiety, were a predictor of more headache disability at follow-up. CONCLUSION: High depression scores in childhood were a risk factor that was associated with persistence and worsening of headaches in adolescence. This suggests that mental health assessments should be carried out in paediatric headache pain clinics.


Subject(s)
Absenteeism , Anxiety/complications , Depression/complications , Migraine Disorders/etiology , Tension-Type Headache/etiology , Adolescent , Child , Female , Humans , Longitudinal Studies , Male , Risk Factors
18.
Interact Cardiovasc Thorac Surg ; 25(3): 384-390, 2017 09 01.
Article in English | MEDLINE | ID: mdl-28541443

ABSTRACT

OBJECTIVES: The impact of multidisciplinary care on outcome after heart transplantation (HTx) remains unclear. METHODS: This retrospective study investigates the impact of multidisciplinary care on the primary end point 1-year all-cause mortality (ACM) and the secondary end point mean acute cellular rejection (ACR) grade within the first postoperative year. RESULTS: This study includes a total 140 HTx recipients (median age: 53.5 years; males: 80%; donor/recipient gender mismatch: 38.3%; mean length of in-hospital stay: 34 days; mean donor age: 41 years). Multidisciplinary care was implemented in 2008, 66 HTx recipients had operation in 2000-07 and 74 patients had HTx thereafter (2008-14). Non-ischaemic dilated cardiomyopathy was more prevalent in HTx recipients of 2000-07 (63.6 vs 43.2%; P = 0.024). Pre-transplant mechanical circulatory support was more frequent in 2008-14 (9.1 vs 24.3%; P = 0.030). Groups were not different for pre-transplant cardiovascular risk factors or other comorbidity, invasive haemodynamics or echocardiographic parameters. In-hospital and 1-year ACM were numerically lower in 2008-14 (16.2 vs 22.2%; 18.9% vs 25.8%; P = 0.47/0.47, respectively). In 2000-07, pre-transplant weight and diabetes mellitus predicted in-hospital ACM (odds ratio -0.14, P = 0.02; OR 5.24, P = 0.01, respectively) while post-transplant length of in-hospital stay was related with in-hospital ACM (odds ratio -0.10; P = 0.016) and 1-year ACM (odds ratio -0.07; P = 0.007). In 2000-07, the mean grade of ACR within the first postoperative year was higher (0.65 vs 0.20; P < 0.0001) and ≥moderate ACR was associated with in-hospital mortality (χ2 = 3.92; P = 0.048). CONCLUSIONS: Multidisciplinary care in HTx compensates post-transplant risk associated with pre-transplant disease and has beneficial impact on the incidence of ACR and ACR-associated early mortality.


Subject(s)
Graft Rejection/epidemiology , Heart Transplantation , Postoperative Complications/epidemiology , Aged , Female , Heart Diseases/surgery , Hospital Mortality/trends , Humans , Male , Middle Aged , Morbidity/trends , Retrospective Studies , Risk Factors , Survival Rate/trends , Switzerland/epidemiology
19.
Arch Womens Ment Health ; 20(3): 469-472, 2017 06.
Article in English | MEDLINE | ID: mdl-28357527

ABSTRACT

A pilot study was conducted to assess the merits and feasibility of a standardized postnatal psycho-educational interview on mothers' mental wellbeing, self-efficacy, and mother-child and couple relationships. A comparison of prenatal psycho-educational interview (n = 23) vs. pre- and post-natal psycho-educational interviews (n = 26) was carried out. Parental self-efficacy and the mother-child relationship were significantly improved for the group who received a post-natal interview at 2 and 3 months postpartum in addition to a prenatal interview. Pre- and post-natal interviews improve the construction of parenthood.


Subject(s)
Education, Nonprofessional/methods , Father-Child Relations , Fathers/education , Mother-Child Relations/psychology , Mothers/education , Parenting/psychology , Adult , Female , Humans , Interviews as Topic , Male , Pilot Projects , Postnatal Care/methods , Prenatal Care/methods
20.
Alzheimers Res Ther ; 9(1): 6, 2017 Feb 02.
Article in English | MEDLINE | ID: mdl-28153054

ABSTRACT

BACKGROUND: During adulthood, personality characteristics may contribute to the individual capacity to compensate the impact of developing cerebral Alzheimer's disease (AD) pathology on cognitive impairment in later life. In this study we aimed to investigate whether and how premorbid personality traits interact with cerebrospinal fluid (CSF) markers of AD pathology to predict cognitive performance in subjects with mild cognitive impairment or mild AD dementia and in participants with normal cognition. METHODS: One hundred and ten subjects, of whom 66 were patients with mild cognitive impairment or mild AD dementia and 44 were healthy controls, had a comprehensive medical and neuropsychological examination as well as lumbar puncture to measure CSF biomarkers of AD pathology (amyloid beta1-42, phosphorylated tau and total-tau). Participants' proxies completed the Revised NEO Personality Inventory, Form R to retrospectively assess subjects' premorbid personality. RESULTS: In hierarchical multivariate regression analyses, including age, gender, education, APOEε4 status and cognitive level, premorbid neuroticism, conscientiousness and agreeableness modulated the effect of CSF biomarkers on cognitive performance. Low premorbid openness independently predicted lower levels of cognitive functioning after controlling for biomarker concentrations. CONCLUSION: Our findings suggest that specific premorbid personality traits are associated with cerebral AD pathology and modulate its impact on cognitive performance. Considering personality characteristics may help to appraise a person's cognitive reserve and the risk of cognitive decline in later life.


Subject(s)
Alzheimer Disease/cerebrospinal fluid , Alzheimer Disease/psychology , Cognition , Cognitive Dysfunction/cerebrospinal fluid , Cognitive Dysfunction/psychology , Personality , Aged , Alzheimer Disease/genetics , Apolipoprotein E4/genetics , Biomarkers/cerebrospinal fluid , Cognition/physiology , Cognitive Dysfunction/genetics , Female , Humans , Male , Multivariate Analysis , Neuropsychological Tests , Personality/genetics , Personality/physiology , Regression Analysis , Retrospective Studies , Spinal Puncture
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