Satisfaction, stability and wellbeing inside marriage.
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Qurʾān
القرآن6 shownVerses named for this subject by hand come first. The rest are found by the subject’s own Arabic and English senses and are shown as lexical matches, not as anchors anyone has confirmed.
Qur'ān 4:19named: named for theme_bridge theme best-to-family
يَٰٓأَيُّهَا ٱلَّذِينَ ءَامَنُواْ لَا يَحِلُّ لَكُمۡ أَن تَرِثُواْ ٱلنِّسَآءَ كَرۡهࣰ اۖ وَلَا تَعۡضُلُوهُنَّ لِتَذۡهَبُواْ بِبَعۡضِ مَآ ءَاتَيۡتُمُوهُنَّ إِلَّآ أَن يَأۡتِينَ بِفَٰحِشَةࣲ مُّبَيِّنَةࣲۚ وَعَاشِرُوهُنَّ بِٱلۡمَعۡرُوفِۚ فَإِن كَرِهۡتُمُوهُنَّ فَعَسَىٰٓ أَن تَكۡرَهُواْ شَيۡـࣰٔ ا وَيَجۡعَلَ ٱللَّهُ فِيهِ خَيۡرࣰ ا كَثِيرࣰ ا
You who believe, it is not lawful for you to inherit women against their will, nor should you treat your wives harshly, hoping to take back some of the bride-gift you gave them, unless they are guilty of something clearly outrageous. Live with them in accordance with what is fair and kind: if you dislike them, it may well be that you dislike something in which God has put much good
Qur'ān 30:21English sense: spouses, tranquillity | Arabic sense: سكن, موده
وَمِنۡ ءَايَٰتِهِۦٓ أَنۡ خَلَقَ لَكُم مِّنۡ أَنفُسِكُمۡ أَزۡوَٰجࣰ ا لِّتَسۡكُنُوٓاْ إِلَيۡهَا وَجَعَلَ بَيۡنَكُم مَّوَدَّةࣰ وَرَحۡمَةًۚ إِنَّ فِي ذَٰلِكَ لَأٓيَٰتࣲ لِّقَوۡمࣲ يَتَفَكَّرُونَ
Another of His signs is that He created spouses from among yourselves for you to live with in tranquillity: He ordained love and kindness between you. There truly are signs in this for those who reflect
Qur'ān 4:73English sense: affection | Arabic sense: موده
وَلَئِنۡ أَصَٰبَكُمۡ فَضۡلࣱ مِّنَ ٱللَّهِ لَيَقُولَنَّ كَأَن لَّمۡ تَكُنۢ بَيۡنَكُمۡ وَبَيۡنَهُۥ مَوَدَّةࣱ يَٰلَيۡتَنِي كُنتُ مَعَهُمۡ فَأَفُوزَ فَوۡزًا عَظِيمࣰ ا
yet he is sure to say, if you are favoured by God, ‘If only I had been with them, I could have made great gains,’ as if there had been no ties of affection between you and him
Qur'ān 42:23English sense: affection | Arabic sense: موده
ذَٰلِكَ ٱلَّذِي يُبَشِّرُ ٱللَّهُ عِبَادَهُ ٱلَّذِينَ ءَامَنُواْ وَعَمِلُواْ ٱلصَّٰلِحَٰتِۗ قُل لَّآ أَسۡـَٔلُكُمۡ عَلَيۡهِ أَجۡرًا إِلَّا ٱلۡمَوَدَّةَ فِي ٱلۡقُرۡبَىٰۗ وَمَن يَقۡتَرِفۡ حَسَنَةࣰ نَّزِدۡ لَهُۥ فِيهَا حُسۡنًاۚ إِنَّ ٱللَّهَ غَفُورࣱ شَكُورٌ
it is of this that God gives good news to His servants who believe and do good deeds. Say [Prophet], ‘I ask no reward from you for this, only the affection due to kin.’ If anyone does good, We shall increase it for him; God is most forgiving and most appreciative
Qur'ān 5:82English sense: affection | Arabic sense: موده
۞لَتَجِدَنَّ أَشَدَّ ٱلنَّاسِ عَدَٰوَةࣰ لِّلَّذِينَ ءَامَنُواْ ٱلۡيَهُودَ وَٱلَّذِينَ أَشۡرَكُواْۖ وَلَتَجِدَنَّ أَقۡرَبَهُم مَّوَدَّةࣰ لِّلَّذِينَ ءَامَنُواْ ٱلَّذِينَ قَالُوٓاْ إِنَّا نَصَٰرَىٰۚ ذَٰلِكَ بِأَنَّ مِنۡهُمۡ قِسِّيسِينَ وَرُهۡبَانࣰ ا وَأَنَّهُمۡ لَا يَسۡتَكۡبِرُونَ
You [Prophet] are sure to find that the most hostile to the believers are the Jews and those who associate other deities with God; you are sure to find that the closest in affection towards the believers are those who say, ‘We are Christians,’ for there are among them people devoted to learning and ascetics. These people are not given to arrogance
Qur'ān 60:7Arabic sense: موده | English sense: affection
۞عَسَى ٱللَّهُ أَن يَجۡعَلَ بَيۡنَكُمۡ وَبَيۡنَ ٱلَّذِينَ عَادَيۡتُم مِّنۡهُم مَّوَدَّةࣰۚ وَٱللَّهُ قَدِيرࣱۚ وَٱللَّهُ غَفُورࣱ رَّحِيمࣱ
God may still bring about affection between you and your present enemies- God is all powerful, God is most forgiving and merciful
Tafsīr
التفسير6 shownCommentary on the verses above, at most two editions per verse.
en-asbab-al-nuzul-by-al-wahidi on 4:19en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
O you who have faith, it is not lawful for you to inherit women against their will, neither debar them from marriage that you may go off with part of what you have given them, unless they commit a flagrant indecency. Consort with them honorably. For, if you are averse to them, it may be that you are averse to something within which God has placed much good. This is a call, an admonishment, an allusion, a bearing witness, and a ruling. O is the call, you is the admonishment, who is the allusion, have faith is the bearing witness. It is not lawful for you to inherit women against their will is the ruling. The explanation of the ruling is that women are considered weak, and they are imprisoned beneath your severity. Beware of tormenting them, and do not rule over them by way of scheming and deceit. Do not be severe, and do not ask of them what the Shariah does not approve. On the contrary,
en-al-jalalayn on 4:19en-al-jalalayncommentary on an ayah this subject surfaced
O you who believe it is not lawful for you to inherit women against their will read either karhan or kurhan as alternative forms that is to say coercing them into this. In pre-Islamic times they used to inherit women from their kin and if they so wished they could marry a woman without a dowry or marry her off and take the dowry for themselves or prevent her from marriage until she gave up what she had inherited or until she died and they could inherit from her. They were thus forbidden such practices; neither debar them your former wives from marrying others by retaining them while you have no desire for them yourselves only to harm them; so that you may go off with part of what you have given them of the dowry except when they commit flagrant read mubayyina ‘making it clear’ or mubayyana ‘clear’ lewdness such as adultery or rebellion then you have the right to coerce them until they re
en-al-jalalayn on 30:21en-al-jalalayncommentary on an ayah this subject surfaced
And of His signs is that He created for you from yourselves mates — Eve was created from Adam’s rib and the remainder of mankind from the reproductive fluids of men and women — that you might find peace by their side and become intimate with them and He ordained between you all affection and mercy. Surely in that mentioned there are signs for a people who reflect upon God’s handiwork exalted be He.
en-tafisr-ibn-kathir on 30:21en-tafisr-ibn-kathircommentary on an ayah this subject surfaced
And among His signs is this that He created you from dust, and then – behold you are human beings scattered (20)And among His signs is this that He created for you wives from among yourselves, that you may find repose in them, and He has put between you affection and mercy. Verily, in that are indeed signs for a people who reflect (21)
Among the Signs of Allah
Allah says:
وَمِنْ آيَاتِهِ
(And among His signs) – which speak of His might and power, is the fact that He created your father Adam out of dust.
ثُمَّ إِذَا أَنْتُمْ بَشَرٌ تَنْتَشِرُونَ
(and then – behold you are human beings scattered!) So man's origins lie in dust, then in a despised liquid, then he is formed and becomes a clot, then a lump of flesh, then bones in the form of a human being. Then Allah clothes the bones with flesh. Then the soul is breathed into him and he can hear and see. Then he comes forth from his mot
en-asbab-al-nuzul-by-al-wahidi on 42:23en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
(Say (O Muhammad, unto mankind): I ask of you no fee therefor, save loving kindness among kinsfolk�) [42:23]. Said Ibn �Abbas: �When the Messenger of Allah, Allah bless him and give him peace, migrated to Medina, he went through periods of time when he faced needs and rights which he had to address but did not have the means to do so. The Helpers said: �Allah, exalted is He, has guided you through this man who is the son of your sister. He faces life�s vicissitudes and has rights but does not have the means to fulfil them. Collect for him from your wealth that which will not hurt you and give it to him so that he uses it to help himself with the ups and downs of life�. They collected some wealth and took it to him. They said: �O Messenger of Allah, you are the son of our sister, and Allah, exalted is He, has guided us through you. Sometimes you go through ups and downs in life and you al
en-asbab-al-nuzul-by-al-wahidi on 5:82en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
(Thou wilt find the most vehement of mankind in hostility to those who believe (to be) the Jews) up to His words (But those who disbelieve and deny Our revelations, they are owners of hell-fire) [5:82-86]. These verses were revealed about the Negus and his followers. Said Ibn �Abbas: �When he was in Mecca, the Messenger of Allah, Allah bless him and give him peace, used to fear the idolaters� persecution of his Companions. He therefore sent Ja�far ibn Abi Talib and �Abd Allah ibn Mas�ud, at the head of a group of his Companions, to the Negus. He said: �The Negus is a righteous man; he is not an oppressor and none is oppressed in his dominion. So head toward him and remain there until Allah creates relief for the Muslims�. When they went to him, the Negus honoured them and then asked them: �Do you memorise anything of that which was revealed to you?� They answered in the affirmative and t
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626 to 650 of 859Battling on the Home Front: Posttraumatic Stress Disorder and Conflict Behavior Among Military Couples.
This study evaluated interpersonal behavior differences among male military service members with and without PTSD and their female partners. Couples (N = 64) completed a 17-minute videotaped conflict discussion, and their interaction behavior was coded using the circumplex-based Structural Analysis of Social Behavior model (SASB; Benjamin, 1979, 1987, 2000). Within couples, the behavior of partners was very similar. Compared to military couples without PTSD, couples with PTSD displayed more interpersonal hostility and control. Couples with PTSD also exhibited more sulking, blaming, and controlling behavior, and less affirming and connecting behavior, than couples without PTSD. Results advance our understanding of the relational impacts of PTSD on military service members and their partners, and underscore the value of couple-based interventions for PTSD in the context of relationship dis…
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The multidimensional nature of resilience to spousal loss.
Spousal loss can be one of the most devastating events to occur across one's life, resulting in difficulties across different spheres of adjustment; yet, past research on resilience to bereavement has primarily focused on single adjustment indicators. We applied growth mixture modeling to data from 421 participants from the Household Income and Labour Dynamics of Australia Study who experienced spousal loss during the course of the study to examine (a) the extent to which individuals appear to be resilient across 3 indicators of subjective well-being-life satisfaction, negative affect, and positive affect, and 2 indicators of health-perceptions of general health and physical functioning-and (b) factors that might promote resilience. Approximately 66%, 19% and 26% individuals showed resilient trajectories, respectively, for life satisfaction, negative affect, and positive affect, whereas …
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Unmet needs and relationship challenges of head and neck cancer patients and their spouses.
In head and neck cancer (HNC), couple-based interventions may be useful for facilitating treatment completion, patient rehabilitation, and improving both partners' quality of life. With the goal of identifying targets for future interventions, we conducted a qualitative study to understand patient and spouse unmet needs and relationship challenges during curative radiotherapy for HNC. Semistructured interviews were conducted with six HNC patients (83% male) and six spouses (83% female) within 6 months of completing treatment. Interviews were audiotaped and transcribed using grounded theory analysis. Patients and spouses identified several unmet needs including better preparation regarding the severity of physical side effects, a clearer timeline for recovery, and strategies for dealing with their own and each other's emotional reactions. Caregiver's unmet needs included balancing competi…
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Illness representations and psychological adjustment of Greek couples dealing with a recently-diagnosed cancer: dyadic, interaction and perception-dissimilarity effects.
The aim was to examine the impact of the dyadic, interaction and dissimilarity effects of the illness representations on the psychological health of recently diagnosed cancer patients and spouses in Greece. The sample consisted of 298 individuals nested in 149 couples. Effects were examined with the Actor-Partner Interdependence Model. Both actor (i.e., within person) and partner (i.e., between partners) effects were detected for both patients' and spouses' psychological symptoms. The negative association of patients' psychological symptoms with their representations of illness coherence was weak at the higher and medium levels, and stronger at the lower levels of spouse corresponding representations. Patient-partner discrepancy in perceived illness consequences was associated with more psychological symptoms in patients. Adaptation to cancer is a dyadic process within the context of whi…
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Community Dialogue to Shift Social Norms and Enable Family Planning: An Evaluation of the Family Planning Results Initiative in Kenya.
Introduction: Use of family planning (FP) is powerfully shaped by social and gender norms, including the perceived acceptability of FP and gender roles that limit women's autonomy and restrict communication and decision-making between men and women. This study evaluated an intervention that catalyzed ongoing community dialogues about gender and FP in Siaya county, Nyanza Province, Kenya. Specifically, we explored the changes in perceived acceptability of FP, gender norms and use of FP.
Methods: We used a mixed-method approach. Information on married men and women's socio-demographic characteristics, pregnancy intentions, gender-related beliefs, FP knowledge, attitudes, and use were collected during county-representative, cross-sectional household surveys at baseline (2009; n11 = 650 women; n12 = 305 men) and endline (2012; n21 = 617 women; n22 = 317 men); exposure to the intervention was…
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Victor CR, Rogers A, Woodcock A, Beighton C, Cook DG, Kerry SM, Iliffe S, Whincup P, Ussher M, Harris TJ (2016)MEDLINE-indexed journal, not yet read by usArchives of gerontology and geriatrics19 citations What factors support older people to increase their physical activity levels? An exploratory analysis of the experiences of PACE-Lift trial participants.
Background: Physical Activity (PA) has significant health benefits for older adults, but nearly all UK over 60's are not achieving recommended levels. The PACE-Lift primary care-based walking intervention for 60-75 year-olds used a structured, theoretically grounded intervention with pedometers, accelerometers, handbooks and support from practice nurses trained in behaviour change techniques. It demonstrated an objective increase in walking at 3 and 12 months. We investigated the experiences of intervention participants who did (and did not) increase their walking, in order to explore facilitators to increased walking.
Methods: Semi-structured telephone interviews used an interview schedule with a purposive sample of 30 intervention participants, 19 who had objectively increased their walking over the previous year and 11 who had not. Interviews were audio-recorded, transcribed and coded…
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Prevalence and Risk Factors of Domestic Violence Against Women by Their Husbands in Iran.
Objective: Domestic violence against women is a health problem. Research on domestic violence in order to clarify the relationship between the different forms of violence and health outcomes is needed. This study aimed to determine the frequency and risk factors of domestic violence in women. It also assessed the association between risk factors and psychological, physical, and sexual violence against women by their intimate partners.
Materials & methods: This cross-sectional study was done on married women 16-80 years of age living in jahrom south of Iran between August 2013 and December 2014. This research was implemented through questionnaires including the demographic characteristic. The form of partner violence including emotional abuse, physical violence and sexual violence was assessed with a validated questionnaire. Odds ratios and 95% confidence intervals were calculated to meas…
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Moving on in life after intensive care--partners' experience of group communication.
Background: Partners have a burdensome time during and after their partners' intensive care period. They may appear to be coping well outwardly but inside feel vulnerable and lost. Evaluated interventions for partners on this aspect are limited.
Aim: The aim of this study was to describe the experience of participating in group communication with other partners of former intensive care patients.
Design: The study has a descriptive intervention-based design where group communication for partners of former, surviving intensive care unit (ICU) patients was evaluated.
Methods: A strategic selection was made of adult partners to former adult intensive care patients (n = 15), 5 men and 10 women, aged 37-89 years. Two group communication sessions lasting 2 h were held at monthly intervals with three to five partners. The partners later wrote, in a notebook, about their feelings of participating…
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Male engagement as a strategy to improve utilization and community-based delivery of maternal, newborn and child health services: evidence from an intervention in Odisha, India.
Background: In response to persistently poor levels of maternal, newborn and child health (MNCH) in rural India, the National Rural Health Mission (NRHM) was launched to support the provision of accessible, affordable and quality health care in deprived and underserved communities. The Accredited Social Health Activists (ASHAs), local women, are trained as health promoters to generate demand for, and facilitate access to MNCH care in their communities. While they are also expected to provide husbands of expectant women with information on MNCH care and family planning, their reach to the husbands is limited. The aim of this study is to describe the influence of a male engagement project on the utilization and community-based delivery of MNCH care in a rural district of the country.
Methods: We used qualitative data from the evaluation of a project which recruited and trained male Communi…
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Community Gender Norms Change as a Part of a Multilevel Approach to Sexual Health Among Married Women in Mumbai, India.
Inequitable gender norms in societies and communities negatively contribute to women's sexual and reproductive health. While the need for change in gender norms is well recognized, the task is highly challenging in terms of intervention design, implementation and assessment of impact. This paper describes a methodology for identification of gender norms, the design of community level intervention, community participation and the assessment of intervention impact in a low income, predominately Muslim community of 600,000 people in Mumbai, India. Formative research focused on in-depth interviews with women, men and couples yielding gender normative statements and assessment of community resources to facilitate change. A Gender Equity Scale (GES) based on this formative research was developed and administered annually for a three-year period to random, cross-sectional samples in the interve…
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Coping with work and family: how do dual-earners interact?
Juggling the demands of both work and family has become increasingly difficult, especially for dual-earner households; nevertheless, families have developed strategies to deal with work-family challenges. This paper uses couple level analyses (APIM models) with 100 dual-earner couples to provide insight about partners' mutual influence on the use of work-family coping strategies. The results show that women's use of coping strategies is more associated with work-family conflict and work-family enrichment than men's coping. In addition, using partner coping, having a positive attitude towards multiple roles, using planning and management skills and avoiding having to cut back on professional responsibilities is associated with better outcomes (more enrichment and less conflict). Surprisingly, the use of childcare facilities is associated with women's conflict and partner effects were only…
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Trends of modern contraceptive use among young married women based on the 2000, 2005, and 2011 Ethiopian Demographic and Health Surveys: a multivariate decomposition analysis.
Introduction: Accessing family planning can reduce a significant proportion of maternal, infant, and childhood deaths. In Ethiopia, use of modern contraceptive methods is low but it is increasing. This study aimed to analyze the trends and determinants of changes in modern contraceptive use over time among young married women in Ethiopia.
Methods: The study used data from the three Demographic Health Surveys conducted in Ethiopia, in 2000, 2005, and 2011. Young married women age 15-24 years with sample sizes of 2,157 in 2000, 1,904 in 2005, and 2,146 in 2011 were included. Logit-based decomposition analysis technique was used for analysis of factors contributing to the recent changes. STATA 12 was employed for data management and analyses. All calculations presented in this paper were weighted for the sampling probabilities and non-response. Complex sampling procedures were also consider…
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How intra-familial decision-making affects women's access to, and use of maternal healthcare services in Ghana: a qualitative study.
Background: There is some evidence to suggest that within the household, family and community settings, women in sub-Saharan Africa often have limited autonomy and control over their reproductive health decisions. However, there are few studies that examine how intra-familial decision-making power may affect women's ability to access and use maternal health services. The purpose of this paper is to examine how intra-familial decision-making affects women's ability to access and use maternal health services.
Methods: We conducted 12 focus group discussions and 81 individual interviews with a total of 185 expectant and lactating mothers in six communities in Ghana. In addition, 20 key informant interviews were completed with healthcare providers. Attride-Stirling's thematic network analysis framework was used to analyse the data.
Results: Findings suggest that decision-making regarding acc…
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Associations of intimate partner violence with unintended pregnancy and pre-pregnancy contraceptive use in South Asia.
Objective: To assess associations of intimate partner violence (IPV) with pregnancy intendedness and pre-pregnancy contraceptive use among pregnant women in South Asia.
Study design: Cross-sectional analyses were conducted using the most recent Demographic and Health Surveys from Bangladesh, India and Nepal for married, pregnant women aged 15-49 years who responded to IPV assessments specific to current marriage (N=4738). Adjusted logistic and multinomial regression analyses were conducted with pooled data to assess associations of IPV ever (sexual only, physical only, sexual plus physical or none) with the outcomes of pregnancy intendedness (wanted, mistimed or unwanted) and pre-pregnancy contraceptive use (no, traditional or modern) for the current pregnancy.
Results: IPV was not associated with a mistimed or unwanted pregnancy. Sexual IPV was associated with pre-pregnancy modern contr…
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Predictors of Prolonged Grief, Resilience, and Recovery Among Bereaved Spouses.
Objective: Most reactions to loss can be characterized by three prototypical trajectories of resilience, gradual recovery, and chronic distress (Bonanno, ). However, research on the factors that uniquely predict these trajectories of response has been limited. We examined theoretically relevant predictors of each of the trajectory patterns.
Method: We assessed 115 bereaved spouses at 1.5 to 3 years postloss and 74 married controls. To identify grief trajectory, we provided bereaved participants with a graphical depiction of the trajectories and asked them to select the one that best described their experience.
Results: Group comparisons revealed substantial differences between resilient and prolonged grievers, and almost no differences between resilient and married controls. Multivariate analyses indicated that prolonged grief, when compared to resilience, was uniquely associated with ma…
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The interpersonal process model of demand/withdraw behavior.
The demand/withdraw interaction pattern is a destructive cycle of relationship communication behavior that is associated with negative individual and relationship outcomes. Demand/withdraw behavior is thought to be strongly linked to partners' emotional reactions, but current theories are inconsistent with empirical findings. The current study proposes the interpersonal process model of demand/withdraw behavior, which includes linkages between each partners' emotional reactions and the interpersonal behavior of demanding and withdrawing. Data come from problem solving discussions of 55 German couples with observationally coded demand/withdraw behavior and fundamental frequency (f₀) to measure vocally encoded emotional arousal. Actor-partner interdependence models (Kenny, Kashy, & Cook, 2006) were used to examine associations among demand/withdraw behavior and f₀ in the overall discussion…
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Austin A (2015)MEDLINE-indexed journal, not yet read by usContraception43 citations Unmet contraceptive need among married Nigerian women: an examination of trends and drivers.
Objective: The aim of this study is to examine trends in and drivers of unmet need for contraceptives among married Nigerian women between 2003 and 2013.
Methods: This analysis utilized combined data from the 2003, 2008 and 2013 cross-sectional Nigerian Demographic Health Surveys, resulting in a sample size of 54,873 currently married women. Multinomial logistic regression examined associations between trends in unmet need for spacing and limiting, and the demographic, socioeconomic, and reproductive profiles of the respondents.
Results: Women in 2008 were 30% more likely to have an unmet need for spacing, relative to women in 2013. Despite these significant declines in unmet need to space fertility between 2008 and 2013, the adjusted results show that between 2003 and 2013, there was no significant change in the trends in unmet need to space fertility. Unmet need to limit fertility was …
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Social relationships and allostatic load in the MIDUS study.
Objective: This study examines how the social environment is related to allostatic load (AL), a multisystem index of biological risk.
Method: A national sample of adults (N = 949) aged 34-84 rated their relationships with spouse, family, and friends at 2 time points 10 years apart. At the second time point, participants completed a biological protocol in which indices of autonomic, hypothalamic-pituitary-adrenal axis, cardiovascular, inflammatory, and metabolic function were obtained and used to create an AL summary score. Generalized estimating equations were used to examine the associations among 3 aspects of social relationships-social support, social negativity, and frequency of social contact-and AL.
Results: Higher levels of spouse negativity, family negativity, friend contact, and network level contact were each associated with higher AL, and higher levels of spouse support were a…
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Women's household decision-making autonomy and contraceptive behavior among Bangladeshi women.
Background: Women's autonomy is a potentially important but less studied indicator of using contraception among women as well as ability to control their fertility. This study explores women's decision-making autonomy as a potential indicator of the use of contraception in Bangladesh.
Methods: This cross-sectional study utilizes data from the Bangladesh Demographic Health Survey (BDHS) 2007. Information of 8456 currently married and non-pregnant women aged 15-40 years are analyzed to meet up the objective of this study.
Results: The mean age of the respondents is 27.19 years and majority of the respondents are from rural areas (62.7%) and also Muslim (90.2%). A large number of women (26.1%) and their husbands (29.0%) have no education and 27.2% respondents were working at the time of interview. The mean number of living children is 2.14. 48.9% of the respondents are currently using a mod…
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Increased risk of acute cardiovascular events after partner bereavement: a matched cohort study.
IMPORTANCE The period immediately after bereavement has been reported as a time of increased risk of cardiovascular events. However, this risk has not been well quantified, and few large population studies have examined partner bereavement. OBJECTIVE To compare the rate of cardiovascular events between older individuals whose partner dies with those of a matched control group of individuals whose partner was still alive on the same day. DESIGN, SETTING, AND PARTICIPANTS Matched cohort study using a UK primary care database containing availale data of 401 general practices from February 2005 through September 2012. In all, 30 447 individuals aged 60 to 89 years at study initiation who experienced partner bereavement during follow-up were matched by age, sex, and general practice with the nonbereaved control group (n = 83 588) at the time of bereavement. EXPOSURES Partner bereavement. MAIN…
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Risk factors for developing prolonged grief during bereavement in family carers of cancer patients in palliative care: a longitudinal study.
Context: Family carers of palliative care patients report high levels of psychological distress throughout the caregiving phase and during bereavement. Palliative care providers are required to provide psychosocial support to family carers; however, determining which carers are more likely to develop prolonged grief (PG) is currently unclear.
Objectives: To ascertain whether family carers reporting high levels of PG symptoms and those who develop PG disorder (PGD) by six and 13 months postdeath can be predicted from predeath information.
Methods: A longitudinal study of 301 carers of patients receiving palliative care was conducted across three palliative care services. Data were collected on entry to palliative care (T1) on a variety of sociodemographic variables, carer-related factors, and psychological distress measures. The measures of psychological distress were then readministered …
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Network analysis of persistent complex bereavement disorder in conjugally bereaved adults.
Persistent complex bereavement disorder (PCBD) is a bereavement-specific syndrome characterized by prolonged and impairing grief. Most research on this syndrome rests on the traditional latent variable model, whereby symptoms reflect an underlying entity. The network (or causal system) approach offers an alternative framework for understanding PCBD that does not suffer from limitations inherent in the latent entity approach. The network approach to psychopathology conceptualizes the relation between symptoms and disorder as mereological, not reflective. That is, symptoms do not reflect an inferred, unobservable category or dimension, but rather are themselves constitutive of the disorder. Accordingly, we propose that PCBD constitutes a causal system of mutually reinforcing symptoms that arise following the death of a loved one and settle into a pathological equilibrium. In this study, we…
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Interpersonal forgiveness in emotion-focused couples' therapy: relating process to outcome.
The objective of this study was to relate the in-session processes involved in interpersonal forgiveness to outcome. The sample consisted of 33 couples who received 10-12 sessions of Emotion-focused couple therapy with the aim of resolving various forms of emotional injuries (i.e., transgression that violates the expectations of a close relationship, which leaves one partner feeling hurt and angry). The results of the present study were based on the analyses of 205 video-taped segments from 33 couples' therapies. Hypotheses relating the role of three in-session components of resolution, the injurer's "expression of shame"; the injured partner's "accepting response" to the shame, and the injured partner's "in-session expression of forgiveness", to outcome were tested using hierarchical linear regression analyses. Outcome measures included the Enright Forgiveness Inventory (The Enright For…
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Posttraumatic stress disorder and responses to couple conflict: implications for cardiovascular risk.
Objective: Posttraumatic stress disorder (PTSD) is associated with increased risk of coronary heart disease (CHD) and difficulties in intimate relationships. Greater frequency and severity of couple conflict and greater cardiovascular reactivity to such conflict might contribute to CHD risk in those with PTSD, but affective and physiological responses to couple conflict have not been examined previously in this population.
Method: In a preliminary test of this hypothesis, 32 male veterans of the Iraq and Afghanistan Wars with PTSD and their female partners, and 33 control male veterans without PTSD and their female partners completed relationship quality assessments and a conflict discussion task. PTSD diagnosis was confirmed through diagnostic interviews and questionnaires. State anger, state anxiety, and cardiovascular measures (i.e., blood pressure, heart rate) were recorded during ba…
matched on Spouses (mesh)
Spousal experiences of coping with and adapting to caregiving for a partner who has a stroke: a meta-synthesis of qualitative research.
Purpose: This meta-synthesis was conducted to explore qualitative spousal accounts of coping and adaptation to caregiving when their partner experienced a stroke.
Method: Electronic databases were searched systematically and inclusion and exclusion criteria were applied. The meta-synthesis was conducted using guidance from Sandelowski and Barroso to extract salient data relating to coping and adaptation.
Results: Twelve papers were identified for inclusion and seven themes resultant themes were extracted: Seeking information; Searching for own space and well-being; Suffering in silence; Putting one's own needs aside; Adapting to a changed role; Social support and Hope and Optimism: instilling a positive focus.
Conclusions: The findings suggested spouses adopt a range of adaptive coping strategies although several barriers to these were also identified and discussed in relation to a numbe…
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