Qualitative insights into women's personal experiences of perinatal depression and anxiety

Background and aimSymptoms of perinatal depression and anxiety are usually described and understood from a nosological perspective. This research sought to gain insight into women's lived experience of postnatal depression and anxiety, the factors that contribute to these symptoms and the context in which they develop.MethodFace to face and telephone interviews were conducted with 28 women from metropolitan and rural areas across Australia, who had experienced postnatal depression and/or anxiety within the last five years. Analysis was conducted from a grounded theory perspective.FindingsParticular symptoms of anxiety and depression develop in the context of the numerous changes inherent to the transition to motherhood and contribute to a common experience of frustration and loss. Symptoms were also associated with feelings of dissatisfaction with the pregnancy and motherhood experience.ConclusionsThe findings provide useful insights into women's experiences of mental health symptoms during the perinatal period, how these symptoms present and the factors involved in their development and maintenance. The need to consider women's perspectives to develop resources and health promotions strategies, as well as within the context of relationships with health professionals is highlighted. The study emphasizes the need for greater, more accurate information surrounding perinatal depression and the need to increase the profile and awareness of anxiety disorders.     

Medical staff in need of change. Explore a revolutionary way to reorganize your medical staff.

With demands on hospital medical staffs growing more complex, the days of volunteer or popularly elected medical staff leaders are fading fast. Take a look at the history of medical staff leadership and learn about dramatic changes that could make your medical staff function more smoothly.     

Designing np control charts

This paper presents the results of a simulation approach to the design of economic attribute control charts. The approach taken differs from the classical studies reported in the literature in two respects. First, the often made assumption that the out-of-control state of a process will remain so until detection is relaxed. This in effect allows the average proportion of defectives to deteriorate further before the out-of-control state is detected. Second, there is no requirement for detailed information on the exact process behaviour in the out-of-control state. It is assumed that a multitude of out-of-control causes exist and that the proportion defective is equally likely to be within a specified range of values. The relaxation of these two assumptions makes the model realistic and gives it wide practical applications in the control of a manufacturing process. The simulation computer programs developed are sufficiently compact to run on the low cost microcomputers.     

Low Income Families' Utilization of the Federal "Safety Net": Individual and State-Level Predictors of TANF and Food Stamp Receipt

Two of the primary programs through which the federal government provides benefits to low income families are the Temporary Assistance for Needy Families (TANF) program and the Food Stamp program. However, many eligible low income families do not actually receive these benefits. We combined state-level policy data with rich data on a national sample of low income families to investigate family and state-level predictors of TANF and Food Stamp receipt. Our findings indicate: 1) families experiencing more economic hardship and health challenges are more likely to receive benefits, and 2) states' coverage is associated with families' receipt of TANF, but not Food Stamps. Implications for policy and research are discussed.     

Preventive Benefits of U.S. Childcare Subsidies in Supervisory Child Neglect

Using data from age 3 of the Fragile Families and Child Wellbeing Study, the current study explores the complex relationships between U.S. childcare subsidies and neglect. Specifically, the study examines two research questions: (i) Are U.S. childcare subsidies associated with self‐reported neglect among low‐income mothers? (ii) What individual types of self‐reported neglect are significantly reduced by receipt of childcare subsidy? Using negative binomial regression examining the relationships among mothers who were income‐eligible for childcare subsidy, we found that childcare subsidy was associated with lower levels of supervisory neglect, indicating an important role of subsidy in the lives of low‐income families.     

The dynamic,complex and diverse living and care arrangements of young New Zealanders: implications for policy

The living arrangements of young people in New Zealand are diverse and often complex. In this article we report the range of care and living arrangements of 209 15-year-old New Zealanders, 47 of whom identified as Māori. These young people were participants in the second generation of a cohort study. Data were collected from their parents via a life history calendar and analysed for variety and consistency of care arrangements, household membership and transitions. Few participants had a consistent pattern of parental care arrangements and most had experienced multiple changes in household composition and frequent changes of address. We conclude that the whānau/family lives of many young New Zealanders are complex and dynamic. These observations contrast with the conventional notions of family life that form the basis for New Zealand’s family policies. We argue that social policies and services impacting on young people need to reflect the lived reality of young people if they are to meet young people’s needs.