Personality traits,coping strategies and quality of life in patients of hepatitis C

IntroductionIn recent decades, hepatitis has become a community health issue. A severe, asymptomatic and unobserved acute disease could be resulted by HCV and it could be treated completely in few cases or could result in chronic hepatitis.ObjectiveThe current research investigated the relationship among personality traits, coping strategies and quality of life in patients of hepatitis C in Pakistan.MethodTotal 102 patients of HCV were selected from government, semi-government and private hospitals. Mental Health Screening Questionnaire (Mirza & Kausar, 2008) was used to screen the patients. The Urdu versions of Big Five Inventory (John & Srivastava, 1999), Coping Strategies Questionnaire (Kausar & Munir, 2004) and Quality of Life-BREF (1997) were used to measure the study variables.ResultsThe results showed that extraversion had positive relationship with the subscales of quality of life except physical health. Conscientiousness had positive relationship with physical and psychological health. Neuroticism had negative relationship with all the domains of quality of life. Openness to experience had positive relationship with psychological health and environment. religious coping and conscientiousness positively predicted physical health, whereas, agreeableness was the negative predictor of physical health. Psychological health and social relationships were positively predicted by active focused coping, whereas, neuroticism negatively predicted psychological health.ConclusionThe results of present research indicated significant contribution of personality traits and coping strategies in maintaining quality of life of HCV patients. The clinical implications to improve quality of life of HCV patients are discussed in light of results.     

Perceived Collective Efficacy and Parenting Competence: The Roles of Quality of Life and Hope

Parents' perceptions of their parenting competence predict successful implementation of parenting tasks and contribute to their interest and involvement in parenting and to their children's development. Thus, identifying factors that contribute to parents' perceptions of parenting competence can help inform efforts to promote children's safety and well-being. The present study employs social disorganization theory to examine the relationship between collective efficacy and parents' sense of competence, measured along two dimensions: parental efficacy and parental satisfaction. It examines the direct association between the two constructs and whether the association is mediated by parent perceptions of their quality of life (QOL) and sense of hope. Data were collected from 198 parents residing in a neighborhood in southern Tel Aviv, Israel. The analyses indicated that high collective efficacy was directly associated with high parental efficacy, but not with high parental satisfaction. Using structural equation modeling, a mediation model was found whereby higher collective efficacy was associated with (a) higher QOL, which in turn was related to a greater sense of hope, which was linked with higher parental efficacy; and (b) higher QOL, which was directly associated with higher parental satisfaction. The findings provide further support to the idea that neighborhood characteristics play an important role in parents' ability to care for their children.     

Psychological Well-Being and Parent-Child Relationship Quality in Relation to Child Autism: An Actor-Partner Modeling Approach

Parents of children with autism spectrum disorder (ASD) often report poor psychological well-being, including a high level of parenting stress and depressive symptoms. Little is known about the extent to which poor parent psychological well-being alters the emotional quality of the parent-child relationship in a context of child ASD. This study examined the association between actor (one's own) and partner (one's partner's) level of parenting stress and depressive symptoms and the emotional quality of the parent-child relationship using a Five Minute Speech Sample (FMSS) in 150 families of children with ASD, aged 5–12 years (85.7% male). Mothers and fathers were aged 38.69 (SD = 5.62) and 40.76 (SD = 6.19), respectively; 76% of mothers and 68% of fathers had a college degree. Structural equation modeling, using Analysis of Moment Structures software, was used to test Actor-Partner Interdependence Models. Results indicated that mother's level of parenting stress and depressive symptoms were associated with her own FMSS Warmth and Criticism toward the child with ASD 12 months later in negative and positive directions. Mother's level of parenting stress was also negatively associated with father's FMSS Warmth toward the child with ASD 12 months later. Finally, father's level of parenting stress was positively associated with his FMSS Criticism toward the child with ASD. Overall, findings indicate that the mother-child and father-child relationship are both impacted by parent psychological well-being in families of children with ASD; however, actor effects are stronger for mothers and partner effects were only found for fathers. Implications for interventions are discussed.     

A perception-based cognitive map of the pedestrian perceived quality of service on urban sidewalks

A better understanding of what walking entails is important in sustainable transportation planning. Recent research has shown that perceptions have a higher power to explain the quality of service (QoS) than objective measures have; the latter being typically used in the pedestrian level of service methodologies. Despite the existing research on perceptions and QoS in other transportation fields, very little information has been found in the literature that can explain a clear cognitive structure that defines the pedestrian QoS. In this research, we propose a cognitive map to make it possible to understand and explain pedestrian sidewalk QoS of a given infrastructure when walking, based on perceptions. We gathered the perceptions of 1056 pedestrians on-site, regarding the attributes (indicators) identified in the literature review in 30 locations in Bogotá, Colombia. Based on an Exploratory Factor Analysis, we developed a conceptual model through Structural Equation Modeling. We found that seven latent variables (LVs) (i.e., Sidewalk characteristics, Externalities, Surrounding, Discomfort, Bike hassles, Protection, and Amenities) interrelate to each other, forming a pedestrian cognitive map. QoS is directly explained by how pedestrians perceive the LVs sidewalk characteristics and surrounding and indirectly by the rest of LVs. The cognitive map shows three LVs related to the interaction between pedestrians and other transportation modes (i.e., externalities, discomfort, and bike hassles) that impact the perceived QoS negatively, and four LVs related to the interaction between pedestrians and different elements of the sidewalk (i.e., sidewalk characteristics, surrounding, amenities, and protection) that impact the perceived QoS positively. To understand pedestrian perceptions when walking and the path that these perceptions follow to develop a QoS perception provides an accurate tool by which to improve the QoS from the useŕs perspective, generating a new opportunity to provide better pedestrian facilities.     

Intergenerational transmission of marital quality across the transition to parenthood

One of the most frequently reported changes across the transition to parenthood is a decline in marital quality after the birth of a first baby. Experiences in the family of origin may influence the trajectory of marital quality. Our study aimed to investigate the impact of recollections of family-of-origin marriage on marital quality (self-reports and clinical evaluation) from pregnancy to 1 year after the birth of a first child. A total of 62 first-time parents completed questionnaires (self-reported marital satisfaction) and clinical interviews (clinical evaluation of couples' dialogue quality). Although self-reported marital satisfaction and observed dialogue quality were highly associated, only self-reported marital satisfaction declined from pregnancy to 1 year after birth. This decrease was partly due to very high marital satisfaction during pregnancy. Different trajectories for self-reported marital satisfaction and observed dialogue quality were found for participants with recollections of low-, average-, and high-quality family-of-origin marriage. A structural equation model showed that participants who recollected a negative quality in their parents' relationship reported more negative changes in the quality of their own marriages. There seems to be an intergenerational transmission of marital quality that comes to light when couples are challenged by the birth and rearing of a baby.     

Quality of Life and Neurological Illness: A Review of the Literature

This article highlights some of the conceptual and methodological problems associated with quality of life (QoL) measurement in individuals with neurological illness. It is suggested that these problems have contributed to the underdeveloped status of QoL research in neurological settings. Many of the existing QoL measures that have been used, or show potential for use with individuals with neurological illness, are reviewed in terms of their theoretical basis, content, and practicality. A large proportion of these measures fail to meet adequate psychometric standards and/or have rarely been psychometrically tested. The confusion that surrounds adequate psychometric standards is discussed, and the dynamic nature of QoL is highlighted as a factor that requires further attention. Research addressing the discrepancies between proxy and patient ratings of patient QoL is also warranted. More focused research in these areas may contribute to a clearer understanding of how to assess QoL in individuals with neurological illness.     

A Business Model for Managing System Change Through Strategic Financing and Performance Indicators: A Case Study

This article describes how a system of care operated by a county government agency used a fiscal crisis as the opportunity to reform its children's system. A cross-system response to the crisis is outlined that includes a system of care framework coupled with a business model, inter-departmental collaboration and leadership, the use of strategic reinvestment strategies, and a quality improvement system that focuses on key indicators. Implementation of the system change is described with a specific focus on cross-system entry points, financing strategies that re-allocate funds from deep-end programs to community-based services, and management oversight through the use of performance indicators to monitor and support effectiveness. This article examines the results of the system change, including the diversion of youth from system penetration, the reduction in residential treatment bed days, the re-allocation of these savings to community-based services, and the outcomes of children who were diverted from residential care and served in the community. The article offers a number of recommendations for other communities contemplating system change.     

The Impact of Neighborhood Factors on the Well-Being of Survivors of Intimate Partner Violence Over Time

Intimate partner violence (IPV) is a pervasive social problem impacting the psychological well-being of millions of US women annually. The extant literature draws our attention to the devastating mental health effects of IPV, but largely overlooks how ecological factors may further explain survivors' well-being. This study examined how neighborhood disadvantage may contribute to survivors' compromised well-being, in addition to the abuse women experienced. Neighborhood disorder and fear of victimization significantly impacted survivors' well-being, over and above abuse. Although between-women effects of neighborhood disorder and fear were unrelated to change in women's depression or quality of life (QOL), significant within-woman effects were detected. Change in neighborhood disorder was negatively associated with change in QOL, and this relationship was fully mediated by fear. While no direct relationship between change in neighborhood disorder and depression was detected, an indirect effect through survivors' fear was revealed. Implications for future research and practice are discussed.     

普通高校大学生综合国防素质的量表编制

本研究通过初始问卷编制、项目分析、探索性因素分析和验证性因素分析等程序,编制普通高校大学生综合国防素质量表,并进行了相关实证测量。结果显示,量表有8个维度共35个题项。量表的α系数和重测信度均符合心理测量学指标要求,具有良好的结构效度、聚敛区分效度与校标关联效度,可用于大学生综合国防素质的测量。测量结果发现,大学生综合国防素质总体处于中等偏上水平,且存在显著的性别差异与年级差异。