Marital Conflict and Destructive Resolution Tactics: The Case of Bahir Dar City, Ethiopia

2021 ◽  
pp. 193672442110151
Author(s):  
Tiruwork Tamiru Tolla
Keyword(s):  
Marital Conflict ◽  
Physical Aggression ◽  
Repeated Measures ◽  
Verbal Aggression ◽  
Bahir Dar ◽  
Test Results ◽  
The Family ◽  
Destructive Conflict ◽  
Conflict Tactics

This study was conducted to examine the major causes of marital conflicts among couples in their day-to-day marital disagreements, the proportion of destructive conflict resolution tactics, the level of destructive conflict tactics, and the differences of destructive conflict tactics within couples. A total of 188 married women who live in Bahir Dar city were participated in the study. Causes of Marital Conflict Questionnaire and Conflict Tactics Scale were used to collect quantitative data. In addition, interview was conducted with eight participants to substantiate the quantitative findings. The result revealed that household responsibility, follow-up of child education, child caring, disparity in parenting, misunderstanding, lack of interest to generate income, carelessness, insufficient income for the family, extravagance, and lack of intimacy are found to be the major causes for marital conflict. It was also found that 60 percent of these participants employed destructive reasoning and 5 percent of them employed each verbal aggression and physical aggression frequently while resolving their marital dispute. The repeated-measures t-test results also showed that these participants practiced more destructive reasoning than verbal aggression and physical aggression, and more verbal aggression than physical aggression. Therefore, it was concluded that by practicing frequent destructive reasoning tactics, majority of the families of these participants seem placing themselves at risk of applying more hostile conflict tactic and obstructing their happiness.

scholarly journals P030: Assessment of lab results on emergency department patients that leave without seeing a physician

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S75-S75
Author(s):  
D. Shelton ◽  
W. Thomas-Boaz
Keyword(s):  
Patient Care ◽  
Audit And Feedback ◽  
Test Results ◽  
Emergency Nurses ◽  
Hospital Policy ◽  
The Family ◽  
Emergency Department Patients ◽  
Efficient Care ◽  
Abnormal Results

Background: Most emergency departments (ED) utilize medical directives to initiate lab investigations for patients prior to physician assessment. This practice facilitates expedited patient care in the ED, resulting in safer and efficient care. However, some patients choose to leave the ED prior to seeing a physician due to prolonged waiting. Previously, at our hospital there was no defined process for identifying and following up on abnormal test results on patients that leave without being seen (LWBS), resulting in lab results often not being reviewed by a nurse or physician. Aim Statement: By April 2020, we aim to have 90% of ED LWBS patients with abnormal results identified and followed up. Measures & Design: A series of consultations and information gathering occurred that included an environmental scan of other EDs and discussions with emergency nurses, emergency physicians, Risk Management, Legal Department, College of Nurses of Ontario and Canadian Medical Protective Association. A process map was developed collaboratively to standardize the process to identify and follow up on abnormal investigations of LWBS patients and a new hospital policy was developed to officially outline this process. The following are the family of measures: Outcome measure – % LWBS patients with abnormal tests that had follow-up documented in chart Process measure – Number LWBS patients with investigations initiated by medical directive, Number LWBS patients, % LWBS patients Balancing measure – Satisfaction of nurses with new process for LWBS patients Evaluation/Results: At baseline, 29% of LWBS patients with abnormal lab results had follow up documented in the chart. After implementation of the new standardized process and policy, the follow up rate of LWBS patients with abnormal results in August, September and October 2019 was 47%, 28% and 29% respectively. Discussion/Impact: These results indicate that standardization and new policy implementation is insufficient to change practice, even one that aims to provide safer patient care. Nevertheless, these interventions are important first steps to improving the safety for ED LWBS patients. We plan to implement an audit and feedback approach to encourage nursing staff to routinely check lab results on LWBS patients.

Marital Aggression and Children's Responses to Everyday Interparental Conflict

2007 ◽  
Vol 12 (1) ◽  
pp. 17-28 ◽  
Author(s):  
E. Mark Cummings ◽  
Chrystyna D. Kouros ◽  
Lauren M. Papp
Keyword(s):  
Marital Conflict ◽  
Positive Emotions ◽  
Interparental Conflict ◽  
Laboratory Setting ◽  
Marital Aggression ◽  
Behavioral Reactions ◽  
The Past ◽  
Constructive Conflict ◽  
Destructive Conflict ◽  
Conflict Tactics

This study examined parents' past marital aggression as a (1) predictor of everyday marital conflict expressions, and (2) moderator of children's responses to marital conflict. In a laboratory setting, children watched their parents discuss an everyday topic of disagreement and then reported their own emotional and behavioral reactions, and rated their parents' conflict resolution. Controlling for current marital aggression, couples with higher levels of past marital aggression used less constructive and more destructive conflict tactics, and displayed less positive and more negative emotions. Children's responses to marital conflict were moderated by parents' past marital aggression: Children whose parents had been more maritally aggressive in the past were more sensitive to parents' use of constructive conflict tactics and positive emotions. Thus, controlling for current marital aggression, past interparental aggression had implications for both parents' everyday interparental conflict and children's responding to everyday marital conflict.

Predictors of Physical Aggression in Children With Attention-Deficit/Hyperactivity Disorder

CNS Spectrums ◽  
2000 ◽  
Vol 5 (6) ◽  
pp. 52-57 ◽  
Author(s):  
David J. Marks ◽  
Kathleen E. McKay ◽  
Jessica Himelstein ◽  
Katharine J. Walter ◽  
Jeffrey H. Newcorn ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Physical Aggression ◽  
Predictor Variable ◽  
Teacher Ratings ◽  
Verbal Aggression ◽  
Stepwise Multiple Regression ◽  
Hyperactivity Disorder ◽  
Early Parent

AbstractThe present investigation examined factors that predict physical aggression in children with attention-deficit/hyperactivity disorder (ADHD). Stepwise, multiple regression-analyses were used to examine predictors of children's physical aggression as rated by parents at a 1-year follow-up point and by teachers at both 1- and 2-year follow-up points. Early parent and teacher ratings of verbal aggression (ie, cursing, teasing, and threatening) accounted for the greatest proportion of the variance in physical aggression ratings obtained at follow-up. None of the other predictor variable, including early ratings of physical aggression and ADHD behaviors, contributed significant additional variance beyond that accounted for by early verbal aggression ratings. Temporal and cross-informant analyses revealed that the relationship between verbal aggression and later physical aggression was situation-specific for teacher ratings but no parent ratings. Although physical aggression may emerge early in development, these data suggest that verbal aggre sion represents a stable, temperamental characteristic that may be of greater value than early physical aggression for predicting later physically aggressive acts.

Gemini: A UK Twin Birth Cohort With a Focus on Early Childhood Weight Trajectories, Appetite and the Family Environment

2010 ◽  
Vol 13 (1) ◽  
pp. 72-78 ◽  
Author(s):  
Cornelia H. M. van Jaarsveld ◽  
Laura Johnson ◽  
Clare Llewellyn ◽  
Jane Wardle
Keyword(s):  
Early Childhood ◽  
Family Environment ◽  
Repeated Measures ◽  
Food Preferences ◽  
Childhood Weight ◽  
Parental Feeding ◽  
The Family ◽  
Opposite Sex ◽  
Weight Trajectories

AbstractGemini is a cohort study of young twins in the United Kingdom designed to assess genetic and environmental influences on early childhood weight trajectories with a focus on infant appetite and the family environment. A total of 2402 families with twins born in England and Wales between March and December 2007 agreed to participate and returned completed baseline questionnaires. The sample includes 1586 same-sex and 816 opposite-sex twins. The study is currently funded for 5 years of follow-up, but is planned to continue into early adolescence and beyond, pending funding. With current funding of the study, families will be followed up when twins are: 8 months old (baseline), and then at 15, 20, 24, 36 and 48 months of age. Gemini is in its early stages, with baseline and first follow-up data collection completed. This is the first twin cohort to focus on childhood weight gain with detailed and repeated measures of children's appetite, food preferences, activity behavior and parental feeding styles, alongside detailed and repeated collection of anthropometrics. This article reviews the rationale for the Gemini study, its representativeness and the main measures.

scholarly journals The Effectiveness of a Unified Protocol for the Family Therapy on Emotional Divorce and Marital Boredom in Women with Marital Conflict

2021 ◽  
Vol 9 (1) ◽  
pp. 71-80
Author(s):  
Mandana Poorhejazi ◽  
◽  
Javad Khalatbari ◽  
Shohreh Ghorban Shiroudi ◽  
Anahita Khodabakhshi-Koolaee ◽  
...  
Keyword(s):  
Mental Health Professionals ◽  
Marital Conflict ◽  
Control Groups ◽  
Marital Conflicts ◽  
Unified Protocol ◽  
Significant Difference ◽  
The Family ◽  
Post Test ◽  
And Control

Objective: Marital conflicts are normal in a couple’s life, and the important thing is how they resolve such conflicts. This integrated therapy plan has been created by considering several theories to reduce couples’ marital conflicts. We aimed to evaluate the effectiveness of a unified protocol based on the McMaster model of the family, compassion-focused therapy, and mindfulness-based therapy on emotional divorce and marital boredom of women with marital conflict. Methods: The present study used a quasi-experimental method with a pre-test, post-test design and a control group. The research population included all women with marital conflicts referred to four selected counseling centers in District 2 of Tehran Municipality, Iran, in 2019. A total of 100 women were selected by a convenient sampling method. Then, they filled out the emotional divorce scale and the marital disaffection scale. They were then randomly assigned to the intervention and control groups (each group with 15 participants). The participants in the intervention group underwent the intervention within a 12-session training package. After the 3 months, the follow-up test was taken. Upon the completion of the intervention, the participants in both groups completed the questionnaires. The collected data were analyzed using multivariate Analysis of Covariance (MANCOVA) by SPSS V. 24 software. Results: The results indicated a significant difference between the intervention and control groups in terms of emotional divorce (P=0.001, F=57.67) and marital boredom (P=0.001, F=26.80) in the post-test phase. Besides, after 3 months, using Bonferroni post hoc test, it was found that the difference in scores in both post-test and follow-up stages was significant (P=0.005) Conclusion: The transdiagnostic treatment can decrease emotional divorce and marital boredom of women with marital conflict. This unified model can be applied by family and marriage counselors and other mental health professionals to resolve conflicts between couples.

Vestibular Function and Motion Sickness Susceptibility: Videonystagmographic Evidence From Oculomotor and Caloric Tests

2020 ◽  
Vol 29 (2) ◽  
pp. 188-198
Author(s):  
Cynthia G. Fowler ◽  
Margaret Dallapiazza ◽  
Kathleen Talbot Hadsell
Keyword(s):  
Phase Velocity ◽  
Motion Sickness ◽  
Repeated Measures ◽  
Short Form ◽  
Vestibular Function ◽  
Slow Phase ◽  
Test Results ◽  
Normal Range ◽  
Slow Phase Velocity ◽  
Caloric Tests

Purpose Motion sickness (MS) is a common condition that affects millions of individuals. Although the condition is common and can be debilitating, little research has focused on the vestibular function associated with susceptibility to MS. One causal theory of MS is an asymmetry of vestibular function within or between ears. The purposes of this study, therefore, were (a) to determine if the vestibular system (oculomotor and caloric tests) in videonystagmography (VNG) is associated with susceptibility to MS and (b) to determine if these tests support the theory of an asymmetry between ears associated with MS susceptibility. Method VNG was used to measure oculomotor and caloric responses. Fifty young adults were recruited; 50 completed the oculomotor tests, and 31 completed the four caloric irrigations. MS susceptibility was evaluated with the Motion Sickness Susceptibility Questionnaire–Short Form; in this study, percent susceptibility ranged from 0% to 100% in the participants. Participants were divided into three susceptibility groups (Low, Mid, and High). Repeated-measures analyses of variance and pairwise comparisons determined significance among the groups on the VNG test results. Results Oculomotor test results revealed no significant differences among the MS susceptibility groups. Caloric stimuli elicited responses that were correlated positively with susceptibility to MS. Slow-phase velocity was slowest in the Low MS group compared to the Mid and High groups. There was no significant asymmetry between ears in any of the groups. Conclusions MS susceptibility was significantly and positively correlated with caloric slow-phase velocity. Although asymmetries between ears are purported to be associated with MS, asymmetries were not evident. Susceptibility to MS may contribute to interindividual variability of caloric responses within the normal range.

Long-term seizure outcomes after pediatric temporal lobectomy: does brain MRI lesion matter?

2019 ◽  
Vol 24 (2) ◽  
pp. 200-208
Author(s):  
Ravindra Arya ◽  
Francesco T. Mangano ◽  
Paul S. Horn ◽  
Sabrina K. Kaul ◽  
Serena K. Kaul ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Hippocampal Sclerosis ◽  
Brain Mri ◽  
Temporal Lobectomy ◽  
Seizure Freedom ◽  
Seizure Onset

OBJECTIVEThere is emerging data that adults with temporal lobe epilepsy (TLE) without a discrete lesion on brain MRI have surgical outcomes comparable to those with hippocampal sclerosis (HS). However, pediatric TLE is different from its adult counterpart. In this study, the authors investigated if the presence of a potentially epileptogenic lesion on presurgical brain MRI influences the long-term seizure outcomes after pediatric temporal lobectomy.METHODSChildren who underwent temporal lobectomy between 2007 and 2015 and had at least 1 year of seizure outcomes data were identified. These were classified into lesional and MRI-negative groups based on whether an epilepsy-protocol brain MRI showed a lesion sufficiently specific to guide surgical decisions. These patients were also categorized into pure TLE and temporal plus epilepsies based on the neurophysiological localization of the seizure-onset zone. Seizure outcomes at each follow-up visit were incorporated into a repeated-measures generalized linear mixed model (GLMM) with MRI status as a grouping variable. Clinical variables were incorporated into GLMM as covariates.RESULTSOne hundred nine patients (44 females) were included, aged 5 to 21 years, and were classified as lesional (73%), MRI negative (27%), pure TLE (56%), and temporal plus (44%). After a mean follow-up of 3.2 years (range 1.2–8.8 years), 66% of the patients were seizure free for ≥ 1 year at last follow-up. GLMM analysis revealed that lesional patients were more likely to be seizure free over the long term compared to MRI-negative patients for the overall cohort (OR 2.58, p < 0.0001) and for temporal plus epilepsies (OR 1.85, p = 0.0052). The effect of MRI lesion was not significant for pure TLE (OR 2.64, p = 0.0635). Concordance of ictal electroencephalography (OR 3.46, p < 0.0001), magnetoencephalography (OR 4.26, p < 0.0001), and later age of seizure onset (OR 1.05, p = 0.0091) were associated with a higher likelihood of seizure freedom. The most common histological findings included cortical dysplasia types 1B and 2A, HS (40% with dual pathology), and tuberous sclerosis.CONCLUSIONSA lesion on presurgical brain MRI is an important determinant of long-term seizure freedom after pediatric temporal lobectomy. Pediatric TLE is heterogeneous regarding etiologies and organization of seizure-onset zones with many patients qualifying for temporal plus nosology. The presence of an MRI lesion determined seizure outcomes in patients with temporal plus epilepsies. However, pure TLE had comparable surgical seizure outcomes for lesional and MRI-negative groups.

scholarly journals The Family Psychoeducation Fidelity Scale: Psychometric Properties

2020 ◽  
Vol 47 (6) ◽  
pp. 894-900 ◽  
Author(s):  
I. Joa ◽  
J. O. Johannessen ◽  
K. S. Heiervang ◽  
A. A. Sviland ◽  
H. A. Nordin ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Internal Consistency ◽  
Interrater Reliability ◽  
Review Process ◽  
Trial Registration ◽  
Family Psychoeducation ◽  
Time Points ◽  
The Family ◽  
Fidelity Scale

Abstract This study examined psychometric properties and feasibility of the Family Psychoeducation (FPE) Fidelity Scale. Fidelity assessors conducted reviews using the FPE fidelity scale four times over 18 months at five sites in Norway. After completing fidelity reviews, assessors rated feasibility of the fidelity review process. The FPE fidelity scale showed excellent interrater reliability (.99), interrater item agreement (88%), and internal consistency (mean = .84 across four time points). By the 18-month follow-up, all five sites increased fidelity and three reached adequate fidelity. Fidelity assessors rated feasibility as excellent. The FPE fidelity scale has good psychometric properties and is feasible for evaluating the implementation of FPE programs. Trial registration ClinicalTrials.gov Identifier: NCT03271242.

Prevalence of HPV 16/18 genotypes and histopathologic follow-up outcomes in women with negative cytology and positive high-risk HPV test results

2015 ◽  
Vol 4 (5) ◽  
pp. 261-266 ◽  
Author(s):  
Anna Woodard ◽  
R. Marshall Austin ◽  
Zaibo Li ◽  
Joseph Beere ◽  
Chengquan Zhao
Keyword(s):  
High Risk ◽  
Test Results ◽  
Hpv 16 ◽  
Hpv Test ◽  
High Risk Hpv

scholarly journals Patient-Reported Outcomes After Complex Adult Spinal Deformity Surgery: 5-Year Results of the Scoli-Risk-1 Study

2021 ◽  
pp. 219256822098827
Author(s):  
Scott L. Zuckerman ◽  
Meghan Cerpa ◽  
Lawrence G. Lenke ◽  
Christopher I. Shaffrey ◽  
Leah Y. Carreon ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Adult Spinal Deformity ◽  
Corrective Osteotomy ◽  
Leg Pain ◽  
Major Surgery ◽  
Mean Values ◽  
Self Image ◽  
Patient Reported ◽  
Spinal Deformity Surgery

Study Design: Prospective cohort. Objective: To prospectively evaluate PROs up to 5-years after complex ASD surgery. Methods: The Scoli-RISK-1 study enrolled 272 ASD patients undergoing surgery from 15 centers. Inclusion criteria was Cobb angle of >80°, corrective osteotomy for congenital or revision deformity, and/or 3-column osteotomy. The following PROs were measured prospectively at intervals up to 5-years postoperative: ODI, SF36-PCS/MCS, SRS-22, NRS back/leg. Among patients with 5-year follow-up, comparisons were made from both baseline and 2-years postoperative to 5-years postoperative. PROs were analyzed using mixed models for repeated measures. Results: Seventy-seven patients (28.3%) had 5-year follow-up data. Comparing baseline to 5-year data among these 77 patients, significant improvement was seen in all PROs: ODI (45.2 vs. 29.3, P < 0.001), SF36-PCS (31.5 vs. 38.8, P < 0.001), SF36-MCS (44.9 vs. 49.1, P = 0.009), SRS-22-total (2.78 vs. 3.61, P < 0.001), NRS-back pain (5.70 vs. 2.95, P < 0.001) and NRS leg pain (3.64 vs. 2.62, P = 0.017). In the 2 to 5-year follow-up period, no significant changes were seen in any PROs. The percentage of patients achieving MCID from baseline to 5-years were: ODI (62.0%) and the SRS-22r domains of function (70.4%), pain (63.0%), mental health (37.5%), self-image (60.3%), and total (60.3%). Surprisingly, mean values ( P > 0.05) and proportion achieving MCID did not differ significantly in patients with major surgery-related complications compared to those without. Conclusions: After complex ASD surgery, significant improvement in PROs were seen at 5-years postoperative in ODI, SF36-PCS/MCS, SRS-22r, and NRS-back/leg pain. No significant changes in PROs occurred during the 2 to 5-year postoperative period. Those with major surgery-related complications had similar PROs and proportion of patients achieving MCID as those without these complications.

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