Impact of mindful self-care and perceived stress on the health related quality of life among young-adult students in West Virginia

ABSTRACT

There are substantial gaps in research on Health Related Quality of Life (HRQoL) in students aged 18 and above in West Virginia. The purpose of this study is to explore the associations between mindful self-care, perceived stress, and the HRQoL in this population. We conducted a cross-sectional study between March and April 2017. We included participants who were students, aged 18 years and above, living in West Virginia and were able to answer online questions in English. Data was obtained from an online survey using a structured questionnaire, including the SF12v2®, mindful self-care scale- SHORT, and Perceived Stress Scale (PSS)-10. We applied linear regressions to determine the predictors of HRQoL (physical health and mental health) using SF12v2®. 194 participants met the inclusion criteria of the study. Mindful self-care was negatively associated with perceived stress. Better mindful self-care mediated the relationship between perceived stress and psychological well-being, controlling for gender, age, race, marital status, education level, annual household income, and chronic disease status. Perceived stress and mindful self-care were not related to the physical well-being. Better mindful self-care may safeguard against perceived stress among students aged 18 years and above. Our findings in this study recommend more mindfulness-based interventions targeted to this subpopulation to improve psychological well-being.     

Roles of organizers and champions in building campus-community prevention partnerships

OBJECTIVE: A campus-community partnership can be an effective vehicle for launching environmental strategies to prevent college alcohol-related problems. In this study, the authors' primary aim was identifying key factors that facilitate or impede colleges' efforts to build campus-community partnerships. PARTICIPANTS AND METHODS: From fall 2004 to summer 2006, administrators at five 4-year colleges participated in a multisite case study. Level of partnership development was the primary outcome. RESULTS: Three interrelated factors facilitated higher-developed partnerships: college staff assigned to facilitate the partnerships who worked as community organizers, higher-level college administrators who served as aggressive champions, and community initiation of the partnership. The authors did not observe this trio of factors among the less-developed partnerships. A lack of administrative support made it more difficult for a champion to emerge, a college administrator who staunchly advocated for a campus-community partnership, and for those assigned to facilitate the partnership to carry out their work. CONCLUSIONS: Colleges should appoint higher-level administrators to serve as champions, while also ensuring that those assigned to facilitate a partnership can apply community organizing skills.     

Transnational Intersectionality in Family Therapy With Resettled Refugees

In this article, we discuss incorporating the transnational intersectionality framework in family therapy with resettled refugees. Transnational intersectionality is an extension of the framework of intersectionality which helps to better understand complexities of power and oppression across national contexts and their influence on refugees' lives. Adopting this framework alerts family therapists to: (a) develop critical awareness of refugee's transnational contexts; (b) understand differences in experiences of social identities across contexts; (c) acknowledge postmigration factors of oppression affecting resettlement; and (d) critically reflect upon therapist–interpreter–client intersectionalities. This shifts our conceptualization of therapy with refugees to actively consider transnational contexts which refugees uniquely occupy. We describe the framework and provide two case illustrations to highlight its usefulness.     

Relational Ethics,Depressive Symptoms,and Relationship Satisfaction in Couples in Therapy

The purpose of this study was to examine depressive symptoms and relationship satisfaction as problems related to relational ethics in one's family of origin and current partner relationships in a sample of 68 other‐sex couples seeking therapy at a large university clinic. We used the Actor Partner Interdependence Model to analyze dyadic data collected prior to beginning therapy. Specifically, we found significant actor effects between relational ethics in one's family of origin and depressive symptoms, as well as between depressive symptoms and low relationship satisfaction for both male and female partners. We also found significant partner effects for relational ethics in current partner relationship, depressive symptoms, and low relationship satisfaction. Clinical application of contextual therapy theory is discussed.     

PORTFOLIO MODELS WITH STOCHASTIC CASH DEMAND,BORROWING AND FIXED TRANSFER COSTS

Portfolio models of the Markowitz-Tobin type implicitly assume that the investor does not have to liquidate any part of his portfolio to meet some exogenous cash demand. Since liquidity needs can be an important factor in portfolio management, Chen, Jen, and Zionts [3] in a recent paper developed a model assuming stochastic demand for cash and the possibility of meeting the cash demand by liquidating one or more assets. However, borrowing is an important alternative to liquidating assets. This paper considers that possibility. Unlike Chen, Jen, and Zionts, this paper also considers the more difficult question of liquidation costs being partly fixed and partly variable. In order to make the consideration of borrowing and fixed transfer costs mathematically tractable, the problem is first cast in a framework different from that of [3].     

A Phenomenological Study of Family Experiences of Resettled Iraqi Refugees

Using a cross‐sectional, phenomenological design, this qualitative study sought to explore Iraqi refugees’ experiences of family relationships resettled in a northeastern city in the United States after the start of the 2003 war. Participants’ experience of family relationships was situated within the context of their displacement, which included fear and uncertainty during displacement, and experiences of safety and isolation during resettlement. Themes related to family relationships were as follows: shared experiences of losses; increased trust between family members; shifts in communication and gender roles; and constructing a family legacy. Findings from this study indicate that family relationships play a central role in making meaning of forced displacement and resettlement experiences, which have significant clinical implications for family therapists working with refugees.     

The impact of initial factors on therapeutic alliance in individual and couples therapy

The study uses 457 clients to investigate the impact of initial client factors on the development of therapeutic alliance. Data were collected longitudinally over the early portion of treatment. Cases included both individual and couple clients, allowing for examination of differences by case type. The study used the Working Alliance Inventory-Shortened Version (Tracey & Kokotovic, 1989) to measure therapeutic alliance. Initial factors considered included age, differentiation levels, prior stress, and depression. Couple clients showed differences from individual clients, and the variability prompted further investigation into relationship satisfaction and commitment as factors influencing the development of therapeutic alliance. Results highlight the increased complexity of developing an alliance with couples, and recommendations are provided for clinicians.     

A Contextual Perspective on Associations Between Reported Parental Infidelity and Relational Ethics of the Adult Children

This study's aim was to apply a Contextual theory lens on exploring whether knowledge of parental infidelity affects the Relational Ethics (RE) of adult children. The Relational Ethics Scale (RES) was used to capture horizontal (partner) and vertical (family of origin) relational ethics in a clinical sample of 195 participants. A repeated measures ANOVA tested the differences in RES scores among the participants who reported knowledge of parental infidelity and the participants who did not. Results showed that knowledge of parental infidelity is significantly associated with lower scores on the RES, which indicates problematic relationships, both in partners and with family of origin. Clinical implications on how parental infidelity can affect relational ethics are discussed.     

Toward a reconceptualization of “choice”: Challenges by women at the margins

This article reviews the feminist literature on the conceptualization of “choice” within the reproductive rights movement in the United States, focusing particularly on the critiques of “choice” by women of color and women with disabilities. The article then zeroes in on the debate surrounding female foeticide in India, and draws out the implications for both the conceptualization of “choice” and of a reproductive politics based on “choice,” in light of the critiques presented by women at the margins, and in light of the struggles taking place in the arena of reproductive politics.