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41.

Background

Following childbirth, a vast number of women experience some degree of mood swings, while some experience symptoms of postpartum posttraumatic stress disorder.

Aim

Using a biopsychosocial model, the primary aim of this study was to identify predictors of posttraumatic stress disorder and its symptomatology following childbirth.

Methods

This observational, longitudinal study included 372 postpartum women. In order to explore biopsychosocial predictors, participants completed several questionnaires 3–5 days after childbirth: the Impact of Events Scale Revised, the Big Five Inventory, The Edinburgh Postnatal Depression Scale, breastfeeding practice and social and demographic factors. Six to nine weeks after childbirth, participants re-completed the questionnaires regarding psychiatric symptomatology and breastfeeding practice.

Findings

Using a multivariate level of analysis, the predictors that increased the likelihood of postpartum posttraumatic stress disorder symptomatology at the first study phase were: emergency caesarean section (odds ratio 2.48; confidence interval 1.13–5.43) and neuroticism personality trait (odds ratio 1.12; confidence interval 1.05–1.20). The predictor that increased the likelihood of posttraumatic stress disorder symptomatology at the second study phase was the baseline Impact of Events Scale Revised score (odds ratio 12.55; confidence interval 4.06–38.81). Predictors that decreased the likelihood of symptomatology at the second study phase were life in a nuclear family (odds ratio 0.27; confidence interval 0.09–0.77) and life in a city (odds ratio 0.29; confidence interval 0.09–0.94).

Conclusion

Biopsychosocial theory is applicable to postpartum psychiatric disorders. In addition to screening for depression amongst postpartum women, there is a need to include other postpartum psychiatric symptomatology screenings in routine practice.  相似文献   
42.
This study aimed to explore the correlation between job burnout and self-stigma of seeking help among nonmedical mental health care providers (psychologists, social workers, and counselors) in two countries – Lithuania and the US. The study included 234 professionals (111 social workers and 123 psychologists) from Lithuania and 93 professionals (33 counselors, 23 social workers, and 37 psychologists) from the US on a voluntary basis (93% females, mean age – 39.81?years). They completed a self-reported questionnaire with the Self-Stigma of Seeking Help Scale (SSOSH) and the Maslach Burnout Inventory-General Survey (MBI-GS). The results revealed a statistically significant positive correlation between self-stigmatization and burnout in the Lithuanian sample, but only weak positive correlation between depersonalization and self-stigma of seeking help in the US sample. The relationship between the self-stigma of seeking help and burnout was stronger in the Lithuanian sample of professionals when compared to their colleagues in the US.  相似文献   
43.
Urban Ecosystems - Urban bird communities are homogenized across large spatial scales, suggesting that the urban environment acts as an environmental filter. We hypothesize that large scale...  相似文献   
44.
Objective: This study set out to assess effects of testosterone replacement therapy (TRT) on parameters of metabolic syndrome and vascular function in obese hypogonadal males with type 2 diabetes mellitus (DM2).

Study design: Fifty-five obese hypogonadal diabetic males on oral hypoglycemic treatment were enrolled into this one-year, double-blind, randomized, placebo-controlled clinical study. Group T (n?=?28) was treated with testosterone undecanoate (1000?mg i.m. every 10?weeks) while group P (n?=?27) received placebo.

Methods: Anthropometrical and vascular measurements – flow-mediated dilatation (FMD) and intima media thickness (IMT) – biochemical and hormonal blood sample analyses were performed at the start of the study and after one year. Derived parameters (BMI, HOMA-IR, calculated free testosterone (cFT) and bioavailable testosterone (BT)) were calculated.

Results: TRT resulted in reduction of HOMA-IR by 4.64?±?4.25 (p?p?p?=?.005).

Conclusion: TRT normalized serum testosterone levels, improved glycemic control and endothelial function while exerting no ill effects on the study population.  相似文献   
45.
Infant negative affectivity predicts child anxiety. Coparenting might influence the development of anxiety by weakening this association in the case of supportive coparenting, or by strengthening this association in the case of undermining coparenting. Parents can display coparenting behaviors simultaneously (both parents being supportive or undermining), or divergently (only one parent being supportive or undermining). In our longitudinal study, we investigated whether coparenting moderated the relation between infant negative affectivity at 4 months and child anxiety symptoms 2 years later. Hundred‐sixteen couples dressed up their firstborn infants in a clothes‐changing task. We coded cooperative, mutual, neutral, and competitive coparenting behaviors. Both parents rated infant negative affectivity and child anxiety symptoms. Infant negative affectivity significantly predicted child anxiety. This association was moderated by parents' divergent cooperative coparenting: It was stronger when mothers were cooperative while fathers were neutral, and weaker when fathers were cooperative while mothers were neutral. When fathers step forward (i.e., being cooperative) and mothers step back (i.e., leaving space), they may protect their at‐risk child from developing anxiety.  相似文献   
46.
Occupational health management and science increasingly focus on the issue of health-promoting leadership. Meanwhile a lot of leadership behaviors have been identified that affect the health of employees. To measure them requires high costs. Therefore, the aim of this study is to identify core-factors of salutogenic leadership and to operationalize them for an efficient diagnosis. As an integrative work-related indicator of employees’ health sense of work coherence (Work-SoC) was chosen. In a deductive and inductive process the TIMP-inventory has been developed that enables the economic assessment of three leadership dimensions: Trust, Incident Management and Pressure. These factors explain with less items more variance of the Work-SoC construct than established general and health-related leadership scales of transformational leadership, consideration, social support, demanding leadership as well as positive and negative health behavior. That is why the TIMP-factors can be recognized as core-factors of health-promoting leadership.  相似文献   
47.
Conclusion In the preceding analysis, I attempt to demonstrate the usefulness of some of Weber's key theoretical ideas on nations, nationalism, and imperialism by way of a comparative examination of contemporary Russian and Serbian nationalism. More specifically, I try to show how long-term historical and institutional legacies, shared memories, and defining political experiences, played themselves out in the contemporary period, influencing the different availability of mass constituencies in Russia and Serbia for nationalist mobilization under the auspices of new empire-saving coalitions.But political outcomes are never wholly pre-determined as historical legacies are subject to different cultural interpretations and political contest. To put it simply, nationalism is made and remade by politicians and ideologists; and there is no need to gloss over the frequently bloody and unpredictable consequences of their struggles with unduly abstract sociological generalizations. Instead, we should theorize our narratives, while giving contingency its place.I suggest that the presence of a highly symbolic issue (such as the World War Two experiences of Serbs in Croatia, the mythology of Kosovo, Sevastopol or the mythology of the Russian fleet), which touches on the core historical mythology of one nation, but is contested by another on different grounds (demographic, ethnic, or for reasons of historical justice, for example) increases the likelihood of national conflicts. Once highly symbolic issues are involved, national conflicts quickly assume the form of struggles over ultimate values not subject to compromise and conflict-regulation. However, as the Russian case demonstrates, other symbolic legacies (the experience of Stalinism) might be powerful enough to override nationalism.I also suggest in this article a few simple ways in which we can interpret, and possibly, test the likelihood of the emergency of national conflicts: the significance of prestige considerations, the absence of compensatory mechanisms such as economic prosperity, the egalitarian character of nationalist appeals, the dynamic of status-reversal, and the theory of the superimposition of conflicts. To understand the exclusivist overtones of much of contemporary nationalism in the former Soviet Union and Eastern Europe, however, it would also be necessary to pay more attention to the political-cultural and social-structural legacy of Communist rule. The prevalence of uncompromising stances among political leaders, the absence of mechanisms of conflict-regulation, the hostility to proceduralism and legal mechanisms as a means of resolving the emerging national questions, and the appeal of the new nationalism to state-dependent and traditionalist strata are among the most important elements of this legacy.  相似文献   
48.
This paper extends an existing outlier-robust estimator of linear dynamic panel data models with fixed effects, which is based on the median ratio of two consecutive pairs of first-order differenced data. To improve its precision and robustness properties, a general procedure based on higher-order pairwise differences and their ratios is designed. The asymptotic distribution of this class of estimators is derived. Further, the breakdown point properties are obtained under contamination by independent additive outliers and by the patches of additive outliers, and are used to select the pairwise differences that do not compromise the robustness properties of the procedure. The proposed estimator is additionally compared with existing methods by means of Monte Carlo simulations.  相似文献   
49.
The maximum likelihood estimators of unknown parameters in the growth curve model with serial covariance structure under some conditions are derived in the paper.  相似文献   
50.
The aim of the research project Terminology Databanks as the Bodies of Knowledge: The Model for the Systematisation of Terminologies is to compile a dictionary of Slovenian public relations, with 2000 entries. The terms will be explained and translated into English, with typical context, examples. From July 2013, the dictionary will be publicly available on www.termania.net.  相似文献   
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