Rural Pregnant Cocaine Users: An in-Depth Sociodemographic Comparison

1997 ◽  
Vol 27 (3) ◽  
pp. 501-524 ◽  
Author(s):  
Marylou Behnke ◽  
Fonda Davis Eyler ◽  
Nanci Stewart Woods ◽  
Kathleen Wobie ◽  
Michael Conlon

As part of a prospective, longitudinal study of the effects of prenatal cocaine use on infant outcome, we enrolled 308 women when they first came in for prenatal care or at delivery, in the case of no prenatal care. The 154 women in the cocaine use group, identified by means of drug history and urine testing, were matched to 154 non-cocaine using controls on race, parity, socioeconomic status, and level of prenatal risk. This report presents a summary of the demographic and drug-use information collected at the time of delivery and the psychosocial data measured at delivery including standardized measures of depression, locus of control, self-esteem, concepts of development, life stress, and social support. Between group comparisons revealed that cocaine users were more likely than non-users to be older, to use other drugs, to begin their drug use at an earlier age, to have more depressive symptoms, to have an external locus of control, to have lower self-esteem, to have a more simplistic understanding of child development, and to have higher positive life event impact scores.

1997 ◽  
Vol 31 (5) ◽  
pp. 728-738 ◽  
Author(s):  
Jane Fisher ◽  
Jill Astbury ◽  
Anthony Smith

Objective: This paper reports the findings of a prospective longitudinal study of 272 nulliparous pregnant women, which investigated as one of its objectives the psychological sequelae of obstetric procedures. Method: Participants completed structured interviews and standardised, published psychometric questionnaires, including the Rosenberg Self-Esteem Scale and the Profile of Mood States late in pregnancy and again early in the postpartum period. Results: Little evidence was found to support the notion that the total number of obstetric interventions was linked to a deterioration in postpartum mood. Significant adverse psychological effects were associated with the mode of delivery. Those women who had spontaneous vaginal deliveries were most likely to experience a marked improvement in mood and an elevation in self-esteem across the late pregnancy to early postpartum interval. In contrast, women who had Caesarean deliveries were significantly more likely to experience a deterioration in mood and a diminution in self-esteem. The group who experienced instrumental intervention in vaginal deliveries fell midway between the other two groups, reporting neither an improvement nor a deterioration in mood and self-esteem. Conclusions: The findings of this study suggest that operative intervention in first childbirth carries significant psychological risks rendering those who experience these procedures vulnerable to a grief reaction or to posttraumatic distress and depression.


2006 ◽  
Vol 82 (5) ◽  
pp. 341-349 ◽  
Author(s):  
Harald Wurmser ◽  
Margarete Rieger ◽  
Caroline Domogalla ◽  
Anja Kahnt ◽  
Janine Buchwald ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e024500 ◽  
Author(s):  
Julie Arsandaux ◽  
Grégory Michel ◽  
Marie Tournier ◽  
Christophe Tzourio ◽  
Cédric Galéra

ObjectivesThe aim of the study was to estimate the association between self-esteem and subsequent self-rated health during college years, taking into account a wide range of potential confounders.DesignProspective longitudinal study.SettingThe French i-Share cohort.ParticipantsThe sample consisted of 1011 college students.Primary and secondary outcome measuresThe association between self-esteem and later self-rated health was evaluated using multivariate modelling.Data regarding self-rated health, global self-esteem and demographic, educational, social, behavioural, environmental and financial characteristics were collected through an internet-based questionnaire.ResultsThe 1011 participants had a median age of 21.9 years and 79% (795/1011) were females. Self-rated health was assessed a median of 8 months after the self-esteem measurement. Twenty per cent of the students declared average to very poor health (203/1011). Students with higher levels of self-esteem were more likely to declare good or very good self-rated health (adjusted OR=1.40, 95% CI 1.15 to 1.72, p value=0.001). Other factors associated with good or very good self-rated health were low body mass index, a comfortable financial situation during childhood and three personality traits (low persistence and harm avoidance and high cooperativeness).ConclusionsThis study offers novel findings on the impact of self-esteem on self-rated health among college students. Interventions targeting self-esteem should be experimented during university years in order to improve health outcomes.


PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 516-521
Author(s):  
Barry M. Lester ◽  
C. F. Zachariah Boukydis ◽  
Cynthia T. Garcia-Coll ◽  
Mark Peucker ◽  
Margaret M. McGrath ◽  
...  

Objective. To determine whether the "goodness of fit" between infant cry characteristics and the mother's perception of the cry is related to developmental outcome at 18 months of age. Design. This was a prospective, longitudinal study from birth to 18 months performed in a blinded manner. Setting. The study was conducted in a maternity hospital, including normal and special care nurseries and a laboratory for developmental follow-up. Patients. The 121 term and preterm infants and their mothers were selected to meet medical criteria. Measurement. Acoustic analysis of 1-month infant cry and the mother's perception of the same cry was used to divide subjects into four groups representing matches and mismatches between infant cry characteristics and maternal cry perception. Primary outcome measures of cognitive, language, motor, and neurologic outcome were administered at 18 months. Caretaking environment measures were also recorded. Results. Statistically significant (P < .05) findings showed that matched groups scored higher on measures of language and cognitive performance than infants in the mismatch groups, with a particular advantage for infants in the matched group in which mothers accurately perceived the higher-pitched cries of their infants. There were no differences between the groups in biologic or sociodemographic factors. Group differences were observed in social support and maternal self-esteem. Conclusions. Matches and mismatches between infant cry characteristics at 1 month and the mother's perception of the cry are related to cognitive and language outcome at 18 months in term and preterm infants. This relation is probably due to transactional processes in which developmental outcome is affected by the clarity of the infants' signals and by the ability of the mother to accurately perceive her infant's signals. The mother's ability to read her infant's cues may be affected by factors such as social support and self-esteem.


1991 ◽  
Vol 19 (2) ◽  
pp. 99-103 ◽  
Author(s):  
A. F. de Man ◽  
L. Labreche-Gauthier ◽  
C. P. Leduc

One-hundred-and -ten French-Canadian adolescents (60 boys, 50 girls) participated in an analysis of the French version of the Autonomy-Control Scale. Correlations with selected personality variables were obtained. Associations were found between parental control and measures of self-esteem, multi-dimensional locus of control, anomie, life stress, and depression. The scale's correlational characteristics were in line with findings reported in the literature.


2008 ◽  
Vol 17 (3) ◽  
pp. 232-242 ◽  
Author(s):  
Jo-Ann Eastwood ◽  
Lynn Doering ◽  
Janice Roper ◽  
Ron D. Hays

Background Little is known about illness-related uncertainty and decreased health-related quality of life in patients undergoing initial coronary angiography or about the long-term effects of uncertainty. Objectives To compare patients with and without high levels of uncertainty before angiography and to examine the influence of uncertainty on health-related quality of life 1 year after angiography. Methods In a prospective, longitudinal study, measurements of perceived control, uncertainty, affective distress, and health-related quality of life were collected from 93 patients before angiography (baseline) and 1 year later. At baseline, patients were classified into high- and low-uncertainty groups by median split. At 1 year, analysis of variance was used to compare health-related quality of life and psychological outcomes in the 2 groups, and multiple linear regression with stepwise entry was used to identify independent determinants of health-related quality of life. Results Compared with patients with low baseline uncertainty, patients with high baseline uncertainty had higher levels of anxiety and depression and lower levels of perceived control and health-related quality of life 1 year after angiography. Baseline health-related quality of life, uncertainty, and life stress accounted for 54% of the variance in health-related quality of life, even when angiographic outcome was controlled for (P < .001). Baseline uncertainty was independently associated with health-related quality of life (β = −0.25; 95% confidence interval, −9.40 to −0.05; P = .02). Conclusions At initial angiography, high levels of uncertainty about illness portend negative health-related quality of life outcomes up to 1 year later.


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