Influences on Maternal Overprotection

1981 ◽  
Vol 138 (4) ◽  
pp. 303-311 ◽  
Author(s):  
Gordon Parker ◽  
Penny Lipscombe
Keyword(s):  
Primary Prevention ◽  
Maternal Care ◽  
Psychotic Disorders ◽  
Cultural Factors ◽  
Personality Characteristics ◽  
Active Stage ◽  
High Anxiety ◽  
Prevention And Treatment ◽  
Nonclinical Sample ◽  
Parental Characteristic

SummaryWhile maternal overprotection appears associated with several neurotic and psychotic disorders, little is known about determinants of such a parental characteristic. Several hypotheses have been tested in a large nonclinical sample. Maternal and cultural factors seemed of greater relevance than characteristics in the child. Overprotective mothers gave evidence of marked maternal preoccupations before having children, of showing a capacity to be overprotective after the active stage of mothering, and of having personality characteristics of high anxiety, obsessionality and a need to control. Maternal overprotection appears associated with low, rather than with high maternal care. This has important primary prevention and treatment implications.

scholarly journals Empowering Family Awareness of Cardiovascular Disease in Ngangkrik Hamlet, Sleman Regency

2021 ◽  
Vol 7 (2) ◽  
pp. 137
Author(s):  
Erinda Nurrahma ◽  
Ailsa Nur Rahma Apta Widyadhana ◽  
Annisa Leny Saraswati ◽  
Ave Anugraheni ◽  
Muhammad Jourdan Prasetyatama ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Primary Prevention ◽  
Community Service ◽  
Cause Of Death ◽  
Public Awareness ◽  
Program Planning ◽  
Prevention And Treatment ◽  
Cardiovascular Care ◽  
Prevention Of Cardiovascular Disease ◽  
Special Region

Cardiovascular disease is the main cause of death worldwide and in Indonesia. Public awareness and acceptance of preventative cardiovascular care are crucial for reducing illness-related morbidity and mortality. As a result, community service is essential for the primary prevention of cardiovascular disease. Between April and July 2019, this community service was undertaken in Ngangkrik Hamlet, Sleman Regency, Yogyakarta Special Region (DIY). Ngangkrik locals participated in this program in three categories: Bapak Bijak (Wise Dads), Ibu Cerdas (Smart Moms), and Pemuda Bijak (Wise Youngsters). Five stages comprised this program: planning, informing, preparation, implementation, and oversight. Lectures/courses, discussions, practice, and roleplaying were used to implement the materials. To examine participants' knowledge, the pretest and posttest approach was utilized. The program raised participants' knowledge and understanding about the prevention and treatment of cardiovascular disease across all categories.

Our Efforts for Ideal Stroke Prevention and Treatment in Japan

Stroke ◽  
2022 ◽  
Author(s):  
Takenori Yamaguchi
Keyword(s):  
Cardiovascular Disease ◽  
Primary Prevention ◽  
Acute Treatment ◽  
Low Dose ◽  
Dual Antiplatelet Therapy ◽  
Intravenous Thrombolysis ◽  
Short Review ◽  
Prevention And Treatment ◽  
Cardiovascular Center

In the present short review for the Sherman Award, Dr Yamaguchi introduces studies at the National Cerebral and Cardiovascular Center, Osaka, which included development of intravenous thrombolysis using low-dose alteplase that was officially approved in Japan, long-term dual antiplatelet therapy using cilostazol together with aspirin or clopidogrel, and others. He also discusses efforts to ensure the passage of the “Stroke and Cardiovascular Disease Control Act,” the aims of which are better primary prevention, better acute treatment, rehabilitation, and secondary prevention of stroke for people living in Japan.

A glimpse forward regarding psychopathology of psychotic disorders

2020 ◽  
pp. 647-651
Author(s):  
William T. Carpenter
Keyword(s):  
Risk Factors ◽  
Primary Prevention ◽  
Early Detection ◽  
Clinical Features ◽  
Psychotic Disorders ◽  
Clinical Care ◽  
Therapeutic Targets ◽  
Partial Solution ◽  
New Knowledge

Issues related to early detection and intervention, primary prevention, and re-conceptualizing therapeutic targets are important current themes in psychosis research. Extensive heterogeneity within each diagnostic class and overlap in clinical features, risk factors and associated features between diagnostic classes, all result in critical limitations in clinical care and research. In this chapter, concrete approaches are suggested to make progress in psychosis research. Each partial solution has a different profile of strengths and weaknesses. New knowledge will be needed to make progress, and that knowledge will be acquired incrementally.

The Nature of Schizophrenia: Signposts to Prevention

2000 ◽  
Vol 34 (1_suppl) ◽  
pp. A14-A21 ◽  
Author(s):  
Patrick D. McGorry
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Primary Prevention ◽  
Psychotic Disorders ◽  
Early Years ◽  
First Episode ◽  
Preventive Interventions ◽  
Work Settings ◽  
The Face ◽  
National Mental Health

Objective To describe the characteristics of schizophrenia relevant to conducting indicated preventive interventions. Method A systematic review of the literature informed by experiences at the Personal Assistance and Crisis Evaluation (PACE) clinic. Results Primary prevention requires a sophisticated knowledge of key causal risk factors relevant to the expression of a disorder. The causal risk factors most useful from an intervention standpoint may turn out to be somewhat removed from the neurobiology of the disorder and may even be relatively non-specific, so that tackling them could reduce the risks for a range of mental disorders. The frontier for more specific prevention in schizophrenia and related psychosis is currently represented by indicated preventive interventions for subthreshold symptoms. Again, these may be relatively broad spectrum early in the prepsychotic phase but more proximal to onset, greater treatment specificity can be explored. However, this can be viewed more as preventively orientated treatment rather than primary prevention per se. Early detection of first episode psychosis and optimal intensive treatment of first episodes and the critical early years after diagnosis also represent increasingly attractive preventive foci in psychotic disorders. Conclusion As evidence accumulates, implementation of evidence-based practice in real work settings is a major challenge as it is throughout the mental health service system. The momentum of preventively orientated treatment must be maintained through the 2nd National Mental Health Strategy and in the face of recent misleading polemic regarding the treatability of psychotic disorders, especially schizophrenia. The evidence demonstrates that schizophrenia and related disorders have never been more treatable.

scholarly journals Prospects for the Primary Prevention of Myocardial Infarction and Stroke

2018 ◽  
Vol 24 (3) ◽  
pp. 207-214 ◽  
Author(s):  
Madison Caldwell ◽  
Lisa Martinez ◽  
Jennifer G. Foster ◽  
Dawn Sherling ◽  
Charles H. Hennekens
Keyword(s):  
United States ◽  
Myocardial Infarction ◽  
Insulin Resistance ◽  
Metabolic Syndrome ◽  
Primary Prevention ◽  
Clinical Manifestations ◽  
The United States ◽  
Overweight And Obesity ◽  
Lifestyle Changes ◽  
Prevention And Treatment

Cardiovascular disease (CVD), principally myocardial infarction (MI) and stroke, is the leading clinical and public health problem in the United States and is rapidly becoming so worldwide. Their primary prevention is promising, in theory, but difficult to achieve in practice. The principal modalities that have demonstrated efficacy include therapeutic lifestyle changes (TLCs) and adjunctive drug therapies under the guidance of the health-care provider and tailored to the individual patient. The prevention and treatment of the pandemic of overweight and obesity and lack of regular physical activity, both of which are alarmingly common in the United States, prevention and treatment of hypertension, avoidance and cessation of cigarette smoking, adoption and maintenance of a healthy diet, and avoidance of heavy alcohol consumption all have proven benefits in decreasing the risks of a first MI and stroke as well as other clinical manifestations of CVD. Although adoption of TLCs would avoid the need for adjunctive drug therapies in many primary prevention subjects, this strategy is difficult to achieve or maintain for most and may be insufficient for many, especially those at high risk with metabolic syndrome. The criteria for metabolic syndrome, affecting over 40% of the adult population older than 40 in the United States, include overweight or obesity, dyslipidemia, hypertension, and insulin resistance, a precursor of diabetes. The adjunctive therapies of proven benefit in the primary prevention of MI and stroke include statins, blood pressure medications, aspirin, and drugs to treat insulin resistance and hyperglycemia. Fortunately, even for patients who prefer prescription of pills to proscription of harmful lifestyles, these drug therapies still have net benefits. The adoption and maintenance of TLCs and adjunctive drug therapies into clinical practice will reduce both the incidence of and mortality from a first MI and stroke as well as other major clinical manifestations of CVD.

scholarly journals Direct oral anticoagulants: now also for prevention and treatment of cancer-associated venous thromboembolism?

Hematology ◽  
2017 ◽  
Vol 2017 (1) ◽  
pp. 136-143 ◽  
Author(s):  
Ingrid Pabinger ◽  
Julia Riedl
Keyword(s):  
Venous Thromboembolism ◽  
Primary Prevention ◽  
Cancer Patients ◽  
Vitamin K Antagonists ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Similar Efficacy ◽  
Prevention And Treatment ◽  
History Of ◽  
Meta Analyses

Abstract Data on specific studies in cancer patients using direct oral anticoagulants (DOACs) for the prevention and treatment of venous thromboembolism (VTE) are still scarce. For preventing VTE with DOACs, current experience is still very limited, so definite conclusions cannot yet be drawn. However, DOACs have so far been compared with vitamin K antagonists (VKAs) in patients with acute VTE in 5 studies, and several hundreds of patients included in these studies had either active cancer, a history of cancer, or a new occurrence of cancer during the course of disease. Meta-analyses have revealed an at least similar efficacy and safety profile of DOACs compared with VKAs. A number of studies of cancer patients investigating primary prevention and treatment are underway, and some will be finalized soon. Nevertheless, we might need further trials, specifically on the prevention of VTE in patients who are at particularly high risk. This article also includes a personal opinion on the use of DOACs in cancer patients. In conclusion, the currently available data show that DOACs might be safe and efficacious in the treatment of VTE, however, this has yet to be proven in specifically designed trials in patients with cancer. With regard to prevention, thus far, even less data exist, and the outcomes of the ongoing studies have to be evaluated before DOACs may be used for primary prevention.

Influence of Social and Cultural Practices on Maternal Mortality: A Qualitative Study from South Punjab, Pakistan

2020 ◽  
Author(s):  
Sonia Omer ◽  
Rubeena Zakar ◽  
Muhammad Zakria Zakar ◽  
Florian Fischer
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Maternal Mortality ◽  
Maternal Care ◽  
Cultural Practices ◽  
Cultural Factors ◽  
Maternal Health Care ◽  
High Rate ◽  
Maternal Deaths ◽  
Social And Cultural Factors

Abstract Background: A disproportionate high rate of maternal deaths are reported in developing and underdeveloped regions of the world. Much is associated with social and cultural factors which are barriers for women to utilise appropriate maternal health care. A huge body of research is available on maternal mortality in developing countries. Nevertheless, there is paucity of literature on socio-cultural factors leading to maternal mortality within the context of the Three Delay Model. The current study aims to explore socio-cultural factors leading to a delay in seeking care in maternal healthcare in South Punjab, Pakistan. Methods: We used a qualitative method and performed three types of data collection with different target groups: i) 60 key informative interviews with gynaecologists, ii) four focus group discussions with Lady Health Workers (LHWs), and iii) ten case studies among family members of deceased mothers. The study was conducted in Dear Ghazi Khan, situated at South Punjab, Pakistan. Data was analysed with the help of thematic analysis.Results: The study identified that delay in seeking care – and its potentially following maternal mortality – is more likely to occur due to certain social and cultural factors in Pakistan. Poor socioeconomic status, limited knowledge on maternal care, and financial constraints of rural people were the main barriers in seeking care. Low status of women and male domination keeps women less empowered. The preference of traditional birth attendants results into maternal deaths. In addition to that, early marriages and lack of family planning as deeply entrenched in cultural values, religion and traditions – e.g. the influence of spiritual healers – prevented young girls to obtain maternal health care.Conclusion: The situation of maternal mortality is highly alarming in Pakistan. The uphill task of reducing deaths among pregnant women is deeply rooted in addressing certain socio-cultural practices, which are constraints for women seeking maternal care. The focus on reduction of poverty and enhancement of decision-making power is essential for approaching the right of medical care.

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