Impact of Having a First Child on Maternal Depressive Symptoms: Does the Birth of a Mother's First Baby Increase Symptoms of Depression in the Mother?

Previous studies on the impact of having a first child on a mother's psychological well‐being has not been extensively examined in Korea. The present study aims to understand how having a first child is associated with a first‐time mother's depressive symptoms when compared with their childless counterparts. A sample of 140 women aged 20–40 years, married, and childless in wave 1 of the Korean National Welfare Panel Study (KOWEPS) was selected. The depressive symptoms of women who became mothers between wave 1 and wave 2 of the study and those who remained childless were compared using CES‐D. Two different types of analytical methods (i.e. pooled OLS, fixed effects model) were employed. The results consistently indicated that Korean mothers were more depressed after the birth of the first child than wives without a child. Employment status and satisfaction of social relationship were associated with women's depression in the fixed effect model. The consistent finding that shows a negative association between having a first child and maternal depressive symptoms provides empirical grounds for the development of prevention and intervention programs for first‐time mothers. Implications of the study findings are discussed.     

COVID-19 pandemic and the determinants of depressive symptoms among senior citizens of India: An empirical investigation

The COVID-19 pandemic inflicted multiple threats to individuals' physical, mental, and financial health conditions. The pandemic-related restrictive behaviors pose serious consequences for public health and increase the risk of mental illness among individuals, particularly among older citizens. The combination of their pre-existing illnesses, social isolation, COVID fear, and financial adversity frequently aggravates their condition and leads to depression and mental illness. Thus, the present study investigates the mental health status and the determinants of depressive symptoms among older adults of Bhubaneswar during the COVID pandemic context. The study used the Geriatric Depression Scale (GDS-15) to measure their depressive symptoms. The social isolation parameter is measured with the De Jong Gierveld Loneliness Scale. Financial self-efficacy, COVID-19-related psychological fear, and comorbidity health status are other determinants considered. A chi-square test and multinomial logistic regression (MLR) models are adopted to find the probable risk factors that may influence depressive symptoms among older people. The results indicate that comorbidity health conditions, a social isolation mindset, and financial efficacy issues are the significant determinants that drive an older person towards different depression categories. The improvement of these influential factors can lead senior citizens to avoid any health emergency like COVID pandemic. In the event of a public health emergency, such as COVID pandemic, the government could use the study's findings to devise methods for assisting the elderly. Society as a whole should be aware of these findings, which can lead to depressive symptoms, and offer support to the elderly. Future research may concentrate on identifying the causes of depressive symptoms in different age groups or in the presence of specific comorbidity health conditions. Future research may also investigate the factors influencing depressive symptoms in a specific occupation.     

The association between triglyceride high density lipoprotein cholesterol ratio and benign prostate hyperplasia in non-diabetic patients:a cross-sectional study

Objectives: To assess the association between triglyceride (TG)/high density lipoprotein (HDL) ratio and benign prostate hyperplasia/lower urinary tract symptoms (BPH/LUTS).

Methods: Four hundred patients who were admitted to the Urology Clinic between January and December 2014 with complaints of BPH/LUTS were enrolled in this cross-sectional study. Patients were divided into two groups according to their International Prostate Symptom Score and prostate volume (PV). They were compared in terms of age, body mass index (BMI), PV, PSA, post micturional residual volume, uroflowmetry Q max value, fasting blood sugar, TG and high density lipoprotein-cholesterol (HDL-C) level and TG/HDL ratio.

Results: Although univariate analyses reveal that age, BMI, waist circumference (WC), FBS, TG, HDL-C level, and TG/HDL ratio were correlated with PV, only age [1.125 OR (1.088–1.164), p?=?.00001], BMI [1.119 OR (1.040–1.204), p?=?.003], TG [(1.043 OR (1.016–1.071), p?=?.002], HDL-C [(0.923 OR (0.860–0.990), p?=?.025], and TG/HDL ratio [(1.224 OR (1.130–1.315), p?=?.014] were statistically significant in multivariate analysis. The calculated area under the curve (AUC) for PV of 30?ml, 40?ml, and 50?ml was 0.668 (0.608–0.727), 0.617 (0.561–0.673), and 0.592 (0.530–0.654), respectively.

Conclusions: Our results indicate that the TG/HDL ratio correlates with enhancement in PV. Further studies are warranted to better evaluate this relationship.     

Can the UroLift prostatic implant device treat the symptoms of benign prostatic hypertrophy,avoid sexual dysfunction and reduce hospital TURP waiting times? A single centre,single surgeon experience and review of the literature

BPH associated with LUTS and sexual dysfunction is common. We performed UroLift on 11 patients, average age 71?years (range 56–90). IPSS improved by an average of 9 points post-procedure. Pre-operatively their post-void residuals were 306.3?ml (range 120–499?ml SD [120.6]) and their Q_MAX was 7?ml/s (range 4–14 SD [2.8] ml/s). Post-procedure the post-void residual decreased by 35.4% at 4?months (mean difference – 106.3?ml). Q_MAX improved by an average of 1.7?ml/s, which was not statistically significant. No patients suffered any sexual dysfunction side effects and all patients were satisfied with their result. Hospital stay and theatre time were significantly reduced. Average length of stay was just 10.6 (6–18) hours and average theatre time just 18.7 (12–30) min. This is significantly faster than other surgery for LUTS. We therefore feel that there are significant benefits for both the patients, who are able to go home much faster, and also the hospital, who are able to perform far more surgeries for their patients. Patients also do not require an inpatient bed so patients should not be cancelled on the day of theatre.     

Acculturative Stress and Depressive Symptoms Among Korean Immigrant Elders Residing in Non-Korean Ethnic Enclaves

This cross-sectional structured survey examined the relationships of personal factors, acculturative stress, and depressive symptoms among Korean immigrant elders (N = 108) residing in areas without any Korean ethnic enclave. Multiple regression and path analyses indicated that personal factors such as levels of acculturation and socioeconomic status might influence acculturative stress and depressive symptoms negatively; however, acculturative stress was the most significant risk factor for depressive symptoms. Culturally relevant programs and services are important vehicles through which to enhance personal resources and reduce lingual and cultural barriers among Korean immigrant elders residing in non-Korean ethnic enclaves.     

City size matters: Vietnamese immigrants having depressive symptoms

This cross-national study identified predictive factors contributing to depression among 691 Vietnamese migrated to the United States who responded to a community survey in two American cities. Measured by HSCL-25, the overall depression prevalence was 30.5%, higher in a large (32.3%) than mid-size city (19.8%). Logistic regression showed that immigration issues, residing in a large city, being female, having health concerns, and experiencing family concerns are significantly related to Vietnamese immigrants having depressive symptoms. Over half (51.4%) of the respondents sought help, and 46.3% preferred seeing their physicians to address mental health issues. Pre-migration counseling is recommended to prevent depression.     

Association between Depressive Symptoms,Perceived Partner Emotional Expression,and Marital Quality

Previous studies have explored the direct association between mental health and marital quality; however, the processes moderating that association are not yet well understood. The present study examined associations between depressive symptoms, perceived partner emotional expression, and marital quality among 462 married individuals. Findings suggest that (a) low commitment, low satisfaction, and marital instability may be symptomatic of mental well-being; (b) individuals experiencing depressive symptoms are more inclined to have negative views of their relationships; and (c) perceptions of their partners’ expressions of gratitude and understanding serve as a buffer against the negative association between depressive symptoms and marital quality. Thus, perceptions of positive emotional expressiveness may serve as a resource facilitating marital quality when individuals are experiencing depressive symptoms.     

Fear of childbirth and depressive symptoms among postnatal women: A cross-sectional survey from Chhattisgarh,India

Background

Prevalence rates of Fear of Birth and postnatal depressive symptoms have not been explored in Chhattisgarh, India.

Depression in later life: A closer look at the gender gap

Gender differences in depressive symptoms have been extensively documented, with women reporting a higher number of depressive symptoms than men. However, studies offer different explanations for why such a gap exists. The goal of the current paper is to analyze how much of the observed gender gap in depression may be attributed to (1) compositional versus (2) reporting differences or (3) differences in reactivity to adversities. We contribute to this literature by testing, net of compositional differences, whether the relationship between reporting behavior and depressive symptoms is gendered and whether accounting for the possibility of gender-specific reactivity alters the structure of the gender gap at older ages. Our results show that the observed gender gap in depression (1) only partially derives from compositional differences; (2) is not an artifact of a gender-specific reporting style; and remarkably (3) men appear more sensitive to adversities.