Grandparents and Grandchildren: An Often Neglected Relationship Between Significant Others

The author discusses the grandparent-grandchild relationship and its implications for counseling activities. The historical and contemporary role expectations of grandparents and grandchildren, the reciprocal significance of this relationship, and ways to use the relationship in counseling services and programming in various settings are reviewed.     

Distance,Contact, and Intergenerational Relationships: Grandparents and Adult Grandchildren from an International Perspective

In previous studies of intergenerational relationships, geographic distance has been considered the most obvious factor influencing opportunity for frequency of contact between grandparents and grandchildren. This study presents findings from a survey of 70 international college students in the Unites States regarding perceived grandparental influence and relationship satisfaction with their “closest” grandparent. Results showed that participants' perceived influence of grandparents and relationship satisfaction was maintained despite decreased contact between grandparents and grandchildren. In addition, grandchildren who initiated contact were found to have a significant impact on relationship satisfaction. This study provides an understanding of distance, contact, and intergenerational relationships in an international context.     

祖孙关系及其功能研究综述

近几十年核心家庭取代大家庭成为家庭结构的主要模式,使亲子关系研究占据非常重要的位置。但目前一些研究[1]表明,老年人依然占据着抚育孙辈的重要位置。特别是隔代抚养中,祖父母代替父母的养育职能,使老年人在孙辈抚养中更是起重要的作用,祖孙关系及其功能更为重要。这里祖孙关系指祖父母、外祖父母与孙子女、外孙子女之间的关系,主要包括祖孙之间接触频率(身体卷入)和亲密     

Understanding the Mental Health Travails of Custodial Grandparents

Grandcarers are at-risk of poor mental health outcomes. Current knowledge of the support needs of grandcarers is fragmented. To help fill this knowledge gap qualitative analysis was undertaken on 49 interviews conducted with custodial grandparents. The findings reveal that conflicted occupational roles coupled with the complexity of the stressors facing grandcarers both contribute to their social isolation and to their self-doubts about their ability to adequately attend to their grandchildren’s needs. Greater awareness among occupational therapists (OTs) of custodial grandparents’ mental health travails and an increased understanding of key occupational therapy (OT) practice initiatives are central to addressing grandcarers’ mental health travails.     

Grandparents Dealing with the Divorce of Their Child: Tips for Grandparents and Therapists

Some grandparents are still in their forties. When these young people are faced with the divorce of one of their children they have two dilemmas: 1) How to be supportive of their child and 2) How to avoid losing contact with their grandchildren. This article gives tips to grandparents and therapists faced with this common problem.     

American Military Veteran Entrepreneurs: A Comprehensive Profile of Demographic,Service History,and Psychosocial Characteristics

American military veterans are nearly twice as likely to be self-employed compared with nonveterans and are majority owners in 9% of all businesses nationwide. Despite their contribution to the broader economy and the potential for training programs to cultivate and foster successful self-employment and veteran-lead entrepreneurial ventures, research on veteran entrepreneurs remains limited. To gain a better understanding of the potential strengths and vulnerabilities of veteran entrepreneurs, the current study utilized data from a large, nationally representative sample to profile self-employed veterans (n = 230) and compare them with veterans who work as employees (n = 1,055) with respect to demographic, military service history, and psychosocial characteristics. Results indicated that self-employed veterans were older and more educated and more likely to utilize U.S. Department of Veteran’s Affairs (VA) health care. Self-employed veterans were more likely to serve in Vietnam and to serve in the military for fewer years. No differences were noted in perceived military experience, level of combat exposure, or military branch served as a function of self-employment. Although reporting more lifetime traumas, self-employed veterans did not experience higher rates of current or lifetime psychopathology or lower perceived quality of life. Potential protective resilience-promoting factors may be associated with the higher levels of openness, extraversion, optimism, achievement-orientation (purpose in life), and greater need for autonomy and professional development observed among self-employed veterans. Moreover, self-employed veterans demonstrated higher levels of gratitude, community integration, and altruistic service to others. Findings have potential to inform human resources management strategies and vocational training and reintegration initiatives for veterans.     

The Associations of Patient Demographic Characteristics and Health Information Recall: The Mediating Role of Health Literacy

ABSTRACT

We examined the mediating role of health literacy in the relationships between participant demographic characteristics and health information recall. Baseline data from two studies that focused on hypertensive adults (N = 1190; M = 62.28 years, SD = 11.98; 35.5% female; 45.9% African-American) were analyzed. The final model, which adjusted for recruitment site, indicated that financial status, race, and education were indirectly related to health information recall through health literacy. Increasing education was also directly related to better health information recall. Increasing age was not related to health literacy, but was related to poorer health information recall. The final model fit the data very well, χ²(3) = 0.69, p = .36, RMSEA = .000 (90% CI = .000 to .024),CFI = 1.00. The results suggest that health literacy might be one of the mechanisms underlying the relationships between participant demographic characteristics and poor health outcomes due to inaccurate recall of instructions.     

The Impact of Demographic Characteristics on Health-related Quality of Life Profile of Malaysian Epilepsy Population

The possibilities of adverse drug reactions and disease-related psychosocial implications have led to the current emphasis on health-related quality of life (HRQoL) assessment in epilepsy. The main objective of this study was to determine the impact of various demographic characteristics i.e. gender, age, marital status, ethnic origin, religion, and employment status on HRQoL profiles in Malaysian epilepsy patients. Patients with epilepsy were recruited from ten public hospitals in Sabah, Malaysia. Upon written consents, they completed the Malay Quality of Life In Epilepsy-30 (QOLIE-30) instrument which assesses Seizure Worry, Overall QoL, Emotional Well-Being, Energy/Fatigue, Cognitive Functioning, Medication Effects and Social Functioning. An Overall Score was generated to represent a summarised HRQoL score. Univariate and multiple linear regression analyses were both carried out using SPSS 14 for (1) all patients and (2) patients possessing Poor QoL (Overall Score < median) and Good QoL (Overall Score ≥ median). One-hundred-and-thirteen patients participated in the study. The respondents ranged from 18–76 years with a mean age of 31 years. Majority were Kadazandusuns (n = 46; 40.7%) and many were unmarried (n = 68; 60.2%), Muslims (n = 50; 44.2%) and unemployed (n = 54; 47.8%). Age was the most significant factor across all patients (B = −0.372, t = −2.238, p = 0.027), regardless of Poor or Good QoL level. Older patients (>56 years) fared the worst in many HRQoL areas. Those with Poor QoL were mostly affected by marital status (widowed/divorced) and ethnic origin (Kadazandusun/Chinese). Religion (Buddhism/Hinduism) emerged as the most prominent HRQoL predictor for patients experiencing Good QoL and being Chinese too played a role. These outcomes indicate that specific demographic characteristics are influential in determining the HRQoL of epilepsy patients. Consequently, healthcare professionals could utilise such information in planning the best treatment and care by considering both the medical and psychosocial impacts towards patients. This paper was part of a research project and majority of its components had been presented at the 7th Conference On International Society For Quality Of Life Studies (ISQoLS) 2006, Rhodes University, Grahamstown, South Africa, 17–20 July 2006.     

Attitudes Toward Affirmative Action: Correlations With Demographic Variables and With Beliefs About Targets,Actions, and Economic Effects1

Two studies assessed beliefs and attitudes toward affirmative action in the workplace. Opposition to affirmative action was most strongly associated with respondent race (White) and political conservatism, the belief that it involves strong actions (preferential hiring and setting aside jobs), and the expectation that it will hurt company performance. Attitudes were also positively associated with perceived frequency of employment discrimination experienced by the target group and negatively associated with their resulting employment opportunities. Regression results revealed that economic consequences for the company overwhelmed beliefs about target group employment opportunities in predicting affirmative action attitudes. Respondents associated aftirmative action most strongly with Black and Hispanic targets, and White respondents whose affirmative action schemas featured these 2 targets had the most negative attitudes.     

医院和医疗保险的经济学分析

随着医疗卫生体制改革的深入,应对老龄化危机,降低不断提高的医疗服务费用,提高医疗服务质量,提高医疗服务可及性和公平性,是我们面对的切实问题。医院是提供医疗卫生服务的场所,也是提供医疗卫生服务的主体单位,了解医院的经济学特性和组织特点,有利于我们对市场经济环境下的医院行为有所了解,为卫生体制改革和医疗保险改革提供理论依据。     

Multiple Sclerosis and Economic Well-Being: Role of Health, Age, and Duration of Illness

This study used quantitative and qualitative techniques to examine the role of health, age, and duration of illness among people with multiple sclerosis (MS) in their economic well-being. Participants were 113 adults (31 males and 82 females) with MS who lived in urban and rural regions of Australia. The results demonstrated that health and age had a significant impact on both the economic well-being and psychological adjustment of people who contract this disorder. Different health variables predicted different aspects of economic well-being. Fatigue was the major health variable that predicted costs of MS and economic pressure, with age also predicting economic pressure, whereas income levels were predicted by cognitive confusion and mobility problems. Duration of illness, gender, and urban/rural location were not significant predictors of the economic variables. These results demonstrate the importance of obtaining multiple measures of economic well-being, as well as a broad range of health-related measures, in determining the impact of MS on the economic well-being of people with this disorder.     

Survivors of Torture: Realities, Responsible Care, and Rehabilitation

This paper provides an overview of special issues and challenges for the psychiatrist providing care to a survivor of government sponsored torture. Case examples illustrate cultural concerns, issues of confidentiality, transference, dual loyalties, and provider responsibilities. The author hopes to stimulate interest in others to learn more about working with this challenging and rewarding group of patients.     

Benefits,Entitlements and Non‐Responsible Threats

This article offers an explanation for the proposed moral asymmetry between non‐responsible threats and innocent bystanders. Some argue that a non‐responsible threat – a person who threatens another through no fault or choice – is required to bear a greater burden to avert the threat than a bystander. I argue that previous attempts to explain this asymmetry are either incorrect or incomplete, since they either implausibly suggest that agents who do not benefit from their bodily resources, or whose bodily resources primarily benefit third parties, are liable to greater costs than a bystander, or fail to accommodate such cases. Instead, the asymmetry (when it exists) is explained either by virtue of the fact that the non‐responsible threat has a beneficiary status with respect to the threatening object, or possesses distribution‐limiting entitlements over the threatening object.     

祖辈协同教养与幼儿错误信念理解能力的关系:亲子依恋与祖辈同住的作用

为考察祖辈协同教养与幼儿错误信念理解之间的关系以及幼儿亲子依恋的中介作用,采用方便抽样的方法,调查了某城市三所幼儿园345名小班至大班的祖辈协同教养幼儿及其家庭教养人。对幼儿使用操作任务考察错误信念理解能力,对其家庭教养人利用自陈式问卷收集家庭教养方式和亲子依恋等数据。结果显示：(1)祖辈协同教养类型显著影响幼儿的错误信念理解水平和亲子依恋,“有祖辈同住”协同教养幼儿的错误信念理解水平以及依恋的安全性均显著低于“无祖辈同住”协同教养幼儿;(2)亲子依恋在祖辈协同教养的民主信任和教养冲突两个维度与幼儿错误信念理解能力之间分别存在显著的中介作用;(3)祖辈协同教养类型在教养冲突、亲子依恋、错误信念理解能力的中介模型中起调节作用,在“有祖辈同住”条件下,协同教养冲突显著负向预测幼儿的亲子依恋安全感。