Dosis­Wirkungs­Beziehung zwischen Alkoholkonsum und Psoriasis: Systematische Übersicht und Metaanalyse: Dose­response analysis between alcohol consumption and psoriasis: A systematic review and meta­analysis.

The association between psoriasis and alcohol consumption has been inconsistent across various studies. However, to the best of our knowledge, no dose-response meta-analysis has been performed to date. This study aims to investigate the association between alcohol consumption and psoriasis. The search was performed on July 27, 2021, using Embase and MEDLINE. The restricted cubic spline analysis was used to perform a dose-response analysis. We identified 3,904 studies, of which 48 studies with 1,702,847 individuals across 24 countries were included. Alcohol consumption was positively associated with psoriasis (odds ratio [OR], 1.47; 95% confidence interval [CI], 1.27-1.70). In addition, a significantly increased OR for psoriasis was observed in males (OR, 1.84; 95% CI, 1.13-3.01) but not in females (OR, 1.22; 95% CI, 0.97-1.54). Based on eight studies, including three cohort and five case-control studies, the analysis revealed that with each additional gram of daily alcohol intake, the OR for psoriasis increased by 4%. We found a positive association between alcohol consumption and psoriasis. The association is more prominent in the group drinking more than 45 g of alcohol per day (3.2 alcoholic drink equivalent).

Dose-response analysis between alcohol consumption and psoriasis: A systematic review and meta-analysis.

The association between psoriasis and alcohol consumption has been inconsistent across various studies. However, to the best of our knowledge, no dose-response meta-analysis has been performed to date. This study aims to investigate the association between alcohol consumption and psoriasis. The search was performed on July 27, 2021, using Embase and MEDLINE. The restricted cubic spline analysis was used to perform a dose-response analysis. We identified 3,904 studies, of which 48 studies with 1,702,847 individuals across 24 countries were included. Alcohol consumption was positively associated with psoriasis (odds ratio [OR], 1.47; 95% confidence interval [CI], 1.27-1.70). In addition, a significantly increased OR for psoriasis was observed in males (OR, 1.84; 95% CI, 1.13-3.01) but not in females (OR, 1.22; 95% CI, 0.97-1.54). Based on eight studies, including three cohort and five case-control studies, the analysis revealed that with each additional gram of daily alcohol intake, the OR for psoriasis increased by 4%. We found a positive association between alcohol consumption and psoriasis. The association is more prominent in the group drinking more than 45 g of alcohol per day (3.2 alcoholic drink equivalent).

Contributing Factors of a Good Death for Children With Cancer From Bereaved Parents' Perspectives in South Korea.

Achieving a good-quality death for children with cancer is as paramount as saving their life, given its implications for both the children's end-of-life quality and the grief journey of their parents. This study explored factors contributing to a good death for children with cancer, as perceived by bereaved parents in South Korea. A retrospective survey was conducted, involving 58 bereaved parents of a child who died of cancer. t-tests and regressions were performed to identify factors related to deceased children associated with parents' reports of a good death for children with cancer. The results revealed significant correlations between parents' age, income, religious affiliation, time elapsed since death, child's age at death, and cancer recurrence with several aspects of a good death. These findings underscore the importance of assessing characteristics of both parents and their children to enhance the quality of death experienced by children with cancer in South Korea.

Intergenerational solidarity and digital communication during the Covid-19 pandemic in South Korea: Implications for dyadic well-being.

Previous research has not considered how digital communication fits with the established intergenerational solidarity paradigm, although the paradigm has undergone other refinements over time. Consequently, less is known about how the use of digital communication creates new types of intergenerational solidarity between parents and adult children, and how they are associated with their well-being. With this foundation, we aimed to identify new dyadic patterns of intergenerational solidarity between parents and adult children during the COVID-19 pandemic in South Korea, with an emphasis on digital communication (texting, video call, and social media interaction), its intersection with other dimensions of solidarity, and its association with parents' and children's well-being (depressive symptoms, self-esteem, and life satisfaction). Using an online survey method, we collected data from 407 parent-adult child dyads between April and June 2022 from the Seoul Metropolitan area in South Korea. Three-step latent class analysis was used for data analysis. We identified four classes describing intergenerational solidarity between parents and adult children (tight-knit, distant-but-digitally-connected, conflictual, and independent). We found that among dyads of parents and adult children who had tight-knit and distant-but-digitally-connected relationships with each other, parents reported better well-being on all three outcomes, and children reported better life satisfaction compared to dyads who had conflictual relationships. Our findings suggest that incorporating digital communication into the intergenerational solidarity paradigm is useful to better understand the multidimensional characteristics of intergenerational relationships between older parents and their adult children.

Spousal loss and cognitive function: the importance of gender and multiple dimensions of marital quality.

Objectives: Research suggests that the death of a spouse has an adverse effect on a widow(er)'s cognition. However, little research has examined how the marital context before widowhood and gender influence this association. Guided by the social ambivalence and disease (SAD) model, this study examined the associations between spousal loss and cognition , with moderating effects of gender and pre-loss marital quality.Method: We analyzed a national longitudinal data, Midlife in the United States (MIDUS), specifically MIDUS 2 (2004-2005) and MIDUS 3 (2013-2014). The analytic sample consisted of (1) 146 participants who experienced the death of their spouse between MIDUS 2 and MIDUS 3 and (2) 144 age- and gender-matched comparison participants who did not lose their spouse during the period.Results: Adverse influence of widowhood on cognition was more pronounced among bereaved men than bereaved women. Widowed individuals whose relationships with their deceased spouse were ambivalent had poorer cognition than widowed individuals who had aversive relationships with their deceased spouse.Conclusion: Findings suggest that the influence of spousal death on cognitive functioning depends on gender and pre-loss marital quality, emphasizing the importance of considering pre-loss marital relationship and gender dynamics in developing efficient interventions for the widowed.

The Impact of Spouse's Illness on Depressive Symptoms: The Roles of Spousal Caregiving and Marital Satisfaction.

OBJECTIVES: To examine (a) the relationship between own depressive symptoms and spouses' health condition changes among mid- and later-life couples and (b) the roles of marital relationship quality and spousal caregiving in this relationship. METHOD: Fixed-effect analyses were conducted using data from 3,055 couples aged 45 and older from Waves 1 (2006) to 4 (2012) of the Korean Longitudinal Study on Ageing. RESULTS: Spousal stroke was linked with higher depression symptoms. Spouses' onset of cancer was related to an increase in depressive symptoms for wives, but not for husbands. Spousal caregiving and marital satisfaction were significant moderators: Wives caring for spouses with cancer reported more depressive symptoms than those not providing care; husbands caring for spouses with lung disease reported more depressive symptoms than those not providing care. The associations between wives' heart disease, husbands' cancer diagnosis, and depressive symptoms were weaker for couples with higher marital satisfaction. DISCUSSION: The findings suggest variations across health condition types and gender. Relationship quality and caregiving are important contexts moderating the negative impact of spousal chronic illness on depression. Health care providers should be aware that spouses' health statuses are connected and that type of illness may affect the care context.

Trajectories of cognitive decline by widowhood status among Korean older adults.

OBJECTIVES: Given the limited evidence regarding the longitudinal impact of widowhood on cognitive function in later life, the present study aimed to investigate the longitudinal effect of widowhood status on cognitive change among Korean older adults. METHODS: The study sample was drawn from a nationally representative data set, the Korean Longitudinal Study of Ageing (KLoSA); it consisted of 3,660 Korean adults aged 60 and over who were married at baseline. Our dependent variable, cognitive function, was measured by the Korean version of the Mini-Mental State Examination (K-MMSE). Widowhood status was measured with the combination of widowhood status and duration. Growth curve models were constructed using five waves of the KLoSA (2006-2014) to examine the longitudinal trajectories of cognitive changes. RESULTS: In the unadjusted model, widowed older adults had significantly lower cognitive function than their nonwidowed counterparts regardless of widowhood duration. Adjusting for covariates, results from the growth curve models showed that widowed older adults with widowhood duration 4 to 6 years had a significantly steeper decline in cognitive function than nonwidowed older adults (P < 0.05). CONCLUSIONS: These findings suggest that widowhood is detrimental for late-life cognitive function. Further research is required to understand the mechanisms underlying this relationship. Policy and practice implications are discussed according to the cultural context.

Intergenerational Similarity of Religiosity Over the Family Life Course.

OBJECTIVES: Research consistently shows that parents influence children's religiosity. However, few studies acknowledge that there is within-group variation in the intergenerational transmission of religiosity. In this article, we examine whether and how congruence in religiosity between generations changes over the family life course and identifies unique parent-child trajectory classes. METHOD: We used eight waves of data from the Longitudinal Study of Generations, including 1,084 parent-child dyads beginning in 1971 when the children were adolescents and young adults, followed up to 2005. Growth mixture models (GMM) were tested. RESULTS: GMM revealed four temporal patterns: stable similar, child weakens, child strengthens, and child returns. Results showed that children who were married were more likely to be members of the child-returns class than members of the stable-similar class. DISCUSSION: Results are discussed in terms of the utility of the separation-individuation process and the life-course framework for understanding intergenerational differences and their stability over time.

Longitudinal associations between adult children's relations with parents and intimate partners.

Drawing on 5 waves of multiple-informant data gathered from focal participants and their parents and intimate partners (n = 360 families) who completed annual surveys in the German Family Panel (pairfam) study, the present investigation examined bidirectional associations between the development of adults' conflictual and intimate interactions with their parents and intimate partners. Autoregressive cross-lagged latent change score modeling results revealed a robust pattern of coordinated development between parent-adult child and couple conflictual and intimate interactions: increases in conflict and intimacy in one relationship were contemporaneously intertwined with changes in the other relationship. Additionally, prior couple intimacy and conflict predicted future parent-adult child relations in 7 out of 14 cross-lagged pathways examined, but parent-adult child conflict and intimacy was only associated with future couple interactions in 1 pathway. These associations were not moderated by the gender of parents or the adult child or whether the adult child was a young adult or nearing midlife. Frequency of contact between parents and the adult child moderated some associations. Adults simultaneously juggle ties with parents and intimate partners, and this study provides strong evidence supporting the coordinated development of conflictual and intimate patterns of interaction in each relationship. (PsycINFO Database Record

Worry about not having a caregiver and depressive symptoms among widowed older adults in China: the role of family support.

OBJECTIVES: Using the stress-coping framework, this study examined whether worry about not having a caregiver in old age was associated with depressive symptoms among widowed Chinese older adults, including the moderating effects of self-perceived family support. METHOD: Using a sample of 5331 widowed adults aged 60 years old or older from the 2006 National Sample Survey of the Aged Population in Urban/Rural China, we regressed measures of depressive symptoms on worry about not having a caregiver. We also tested moderation effects of family support. RESULTS: Individuals who were worried about not having a caregiver reported significantly higher levels of depressive symptoms. Feeling that their children are filial, having instrumental support from children, and having only daughters moderated the effects of worry about not having a caregiver on depressive symptoms. CONCLUSION: Our findings indicate the detrimental effects of worry about not having a caregiver on the psychological well-being of widowed older adults. This study also highlights some forms of family support that may help reduce such negative effects of widowhood.

Social engagement and depressive symptoms: do baseline depression status and type of social activities make a difference?

OBJECTIVES: our purpose is to examine whether the association between social engagement and depressive symptoms differs by initial level of depressive symptoms and by the types of social engagement in which older adults engage. DESIGN: persons aged 60 years and older in 2006 (n = 4,098) were drawn from Wave 1 of the Korean Longitudinal Study of Ageing and followed through Wave 3 (2010). Growth curve analyses were conducted to identify the association between engagement in multiple types of social activities and 4-year change in depressive symptoms. Depression trajectories are examined separately by baseline depression status. RESULTS: attending religious services was related to an increase in depressive symptoms and participating in social gatherings with friends and neighbours was related to a decrease in depressive symptoms, but only among persons with CES-D 10 scale score below 10 at baseline. CONCLUSIONS: our findings suggest that the positive effects of participating in social gatherings with friends and family are manifest among older adults who have good mental health to begin with. Our findings also suggest that the association between social engagement and mental health varies by type of engagement and initial depression level.