scholarly journals Influence of Self-esteem and Spouse Support on Prenatal Depression in Pregnant Women

2020 ◽  
Vol 24 (4) ◽  
pp. 212-220
Author(s):  
Eun Joo Lee ◽  
Ji Yeong Lee ◽  
Su Jin Lee ◽  
Se Eun Yu

Purpose: This study aimed to identify the effect of self-esteem and spouse support on prenatal depression.Methods: The subjects were 131 pregnant women who visited two women clinics located in Changwon City. Data were collected from September 25 to November 20, 2019, and the self-report questionnaire included spouse support, self-esteem, and prenatal depression. The collected data were analyzed by IBM SPSS Statistics ver. 23.0 using descriptive statistics, independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression analysis.Results: Prenatal depression had a significant negative correlation with self-esteem (r=-0.39, p=0.001) and spouse support (r=-0.36, p<0.001). The factors affecting prenatal depression were religion (β=-0.16, p=0.035), monthly family income (β=-0.15, p=0.040), self-esteem (β=-0.25, p=0.002), and spouse support (β=-0.19, p=0.017); these variables explained 28.4% of the variance in prenatal depression.Conclusion: To prevent depression in pregnant women, professional counseling and support systems such as spouses, religious and social environments should be applied to pregnant women, especially those with low self-esteem. Additionally, more financial support should be provided for low-income pregnant women. Further, there is a need to screen and manage the risk of depression in pregnancy.

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 992.1-992
Author(s):  
C. Rogier ◽  
B. Van Dijk ◽  
E. Brouwer ◽  
P. De Jong ◽  
A. Van der Helm - van Mil

Background:Early diagnosis and management of patients with inflammatory arthritis(IA) are critical to improve long-term patient-outcomes. Assessment of joint swelling at joint examination is the reference of IA-identification; early access clinics are constructed to promote this early recognition of IA. However, due to the COVID-19 pandemic the face-to-face capacity of such services is severely reduced. The accuracy of patient-reported swelling in comparison to joint examination has been extensively evaluated in established RA (ρ 0.31-0.67), but not in patients suspected for IA.[1]Objectives:To promote evidence based care in the era of telemedicine, we determined the accuracy of patient-reported joint swelling for actual presence of IA in persons suspected of IA by general practitioners(GP).Methods:Data from two Dutch Early Arthritis Recognition Clinics were studied. These are screening clinics (1.5-lines-setting) where GPs send patients in case of doubt on IA. At this clinic patients were asked to mark the presence of swollen joints on a mannequin with 52 joints. For this study the DIP joints and the metatarsal joints were excluded and, therefore, a total of 42 joints were assessed for self-reported joint swelling. Clinically apparent IA of ≥1 joint determined by the physician was the reference to calculate sensitivity, specificity, positive and negative likelihood ratios (LR+,LR-), and positive and negative predictive values (PPV, NPV) on patient-level. Pearson correlation coefficients(ρ) were determined. Predictive values depend on the prevalence of a disease in a population. Because the prevalence of IA in a 1.5-lines-setting will differ from a primary care setting, post-test probabilities of IA were estimated for two lower prior-test probabilities as example, namely 20% (estimated probability in patients GPs belief IA is likely) and 2% (prior-test probability with less preselection by GPs), using likelihood ratios and nomograms.Results:A total of 1637 consecutive patients were studied. Median symptom duration was 13 weeks. 76% of patients marked ≥1swollen joint at the mannequin. 41% of patients had ≥1swollen joint at examination by rheumatologists. ρ was 0.20(patient-level)-0.26(joint-level).The sensitivity of patients-reported joint swelling was high, 87%, indicating that the majority of patients with IA had marked swelling on the mannequin. However the specificity was 31%, indicating that 69% of persons without IA had also done so. The LR+ was 1.25; the LR- 0.43. The PPV was 46%, the NPV 77%. Thus the PPV increased hardly (from 41% to 46%) and the NPV somewhat (from 59% to 77%). Also in settings with prior-test probabilities of 20% and 2%, estimated PPVs (from respectively 20% and 2% to 24% and 2%) and NPVs (from respectively 80% and 98% to 90% and 99%) hardly increased.Conclusion:Patient-reported joint swelling had little value in distinguishing patients with/without IA for different prior-test probabilities, and is less valuable in comparison to self-reported flare detection in established RA.References:[1]Barton JL, Criswell LA, Kaiser R, et al. Systematic review and metaanalysis of patient self-report versus trained assessor joint counts in rheumatoid arthritis. J Rheumatol 2009;36:2635-2641.Disclosure of Interests:None declared


2009 ◽  
Vol 36 (12) ◽  
pp. 2635-2641 ◽  
Author(s):  
JENNIFER L. BARTON ◽  
LINDSEY A. CRISWELL ◽  
RACHEL KAISER ◽  
YEA-HUNG CHEN ◽  
DEAN SCHILLINGER

Objective.Patient self-report outcomes and physician-performed joint counts are important measures of disease activity and treatment response. This metaanalysis examines the degree of concordance in joint counts between trained assessors and patients with rheumatoid arthritis (RA).Methods.Studies eligible for inclusion met the following criteria: English language; compared patient with trained assessor joint counts; peer-reviewed; and RA diagnosis determined by board-certified or board-eligible specialist or met 1987 American College of Rheumatology criteria. We searched PubMed and Embase to identify articles between 1966 and January 1, 2008. We compared measures of correlation between patients and assessors for either tender/painful or swollen joint counts. We used metaanalysis methods to calculate summary correlation estimates.Results.We retrieved 462 articles and 18 were included. Self-report joint counts were obtained by a text and/or mannequin (picture) format. The summary estimates for the Pearson correlation coefficients for tender joint counts were 0.61 (0.47 lower, 0.75 upper) and for swollen joint counts 0.44 (0.15, 0.73). Summary results for the Spearman correlation coefficients were 0.60 (0.30, 0.90) for tender joint counts and 0.54 (0.35, 0.73) for swollen joint counts.Conclusion.A self-report tender joint count has moderate to marked correlation with those performed by a trained assessor. In contrast, swollen joint counts demonstrate lower levels of correlation. Future research should explore whether integrating self-report tender joint counts into routine care can improve efficiency and quality of care, while directly involving patients in assessment of RA disease activity.


Assessment ◽  
1994 ◽  
Vol 1 (4) ◽  
pp. 407-413 ◽  
Author(s):  
Mark A. Blais ◽  
Kenneth B. Benedict ◽  
Dennis K. Norman

The Millon Clinical Multiaxial Inventory—II (MCMI-II), a frequently used self-report measure of psychopathology, contains nine scales designed to assess Axis I psychopathology (the clinical syndrome and severe syndrome scales). This study explored the relationships among these nine MCMI-II clinical syndrome scales and the clinical scales of the Minnesota Multiphasic Personality Inventory–2 (MMPI-2). A sample of 108 psychiatric inpatients was administered both the MCMI-II and the MMPI-2 within 7 days of admission. Pearson correlation coefficients and principal component factors were obtained for the MCMI-II and MMPI-2 scales. The results provided support for the convergent validity of all the MCMI-II Axis I scales. However, the majority of the MCMI-II scales failed to demonstrate adequate discriminant validity in relation to the MMPI-2 scales. The principal component analysis revealed that method variance was the principal influence in determining factor loadings for the majority of test scales. This finding suggests that these two popular self-report tests differ substantially in how they measure psychopathology.


2010 ◽  
Vol 26 (11) ◽  
pp. 2059-2067 ◽  
Author(s):  
Marly Augusto Cardoso ◽  
Luciana Yuki Tomita ◽  
Elaine Cristina Laguna

This study describes the validity of a food frequency questionnaire (FFQ) in 93 low-income women (20-65 years), participating in a case-control study in São Paulo, Brazil. Two FFQ (FFQ1 and FFQ2, 12 months apart) and three 24-hour dietary recalls (24hR) were conducted between 2003 and 2004 to estimate dietary intake during the past year. The Pearson correlation coefficients (crude, energy-adjusted and de-attenuated) were used for comparisons between FFQ and 24hR. The agreement between the methods was further examined by the Bland-Altman analysis. For the assessment of long-term reliability, the energy-adjusted intra-class correlation coefficients were mostly around 0.40, but higher for vitamin A and folate (0.50-0.56). Energy-adjusted, attenuation-corrected Pearson validity correlations between FFQ and DR ranged from 0.30-0.54 for macronutrients to 0.20-0.48 for micronutrients, with higher value for calcium (0.75). There were small proportions of grossly misclassified nutrient intakes, while Bland-Altman plots indicated that the FFQ is accurate in assessing nutrient intake at a group level.


2003 ◽  
Vol 6 (8) ◽  
pp. 821-827 ◽  
Author(s):  
Nélida Schmid Fornés ◽  
Maria Luiza Ferreira Stringhini ◽  
Berenice Müller Elias

AbstractObjectives:To assess the reproducibility and validity a 127-item, habitual intake, food-frequency questionnaire (FFQ), developed for low-income and low-literacy Brazilian workers, by comparison with a 24-hour dietary recall (24-HDR).Design:The FFQ and 24-HDR were interviewer-administered at the local workplace to each subject twice, with a period of 6 months between estimates; and four 24-HDRs were conducted during the 4-month period between the two FFQs (FFQ1 and FFQ2). Reproducibility was tested by comparing mean nutrient intakes from the two FFQs. Validity was determined by comparing the mean nutrient intakes from the FFQs with the corresponding averages of the six 24-HDRs (reference method).Setting:Goiânia City, in Central West Brazil.Subjects:The study was based on 104 (62 women and 42 men) subjects, aged 18 to 60 years, who were randomly selected.Results:Dietary intake from the FFQ was higher than from the 24-HDR. Reproducibility was assessed by Pearson correlation coefficients for nutrients from FFQ1 and FFQ2, and ranged from 0.23 for retinol to 0.69 for total energy (mean 0.52). Intra-class coefficients for nutrients averaged by the 24-HDRs ranged from 0.29 for vitamin C to 0.76 for total energy; retinol was not significant. In the validation study, correlation between the FFQ and the 24-HDR ranged between 0.21 for vitamin C and 0.70 for total energy (mean 0.50). Adjusting for total energy lowered the coefficients, except for calcium, retinol and vitamin C. Coefficients increased with attenuation, ranging from 0.35 for carbohydrate to 0.65 for calcium.Conclusions:Results indicate that this questionnaire had satisfactory reproducibility and reasonable validity.


2020 ◽  
Author(s):  
Lijuan Quan ◽  
Bijun Lv ◽  
Xiao Zhou ◽  
Guanghai Hou ◽  
Qingsong Sang

Abstract Background: Posttraumatic Stress Disorder (PTSD) is one of the most prevalent psychopathologies experienced by victims following natural disasters. The severity of traumatic experience may be a critical risk factor for the development of PTSD. Nevertheless, other factors may also lead to PTSD. We propose that fear and self-disclosure could be two important factors. Previous studies have examined their unique roles in PTSD, but their combined role in PTSD has been rarely assessed. To fill this gap, the aim of this study was to examine the relationship between severity of traumatic exposure, fear, self-disclosure, and PTSD among victims following flood disaster. Methods: one hundred ninety-nine participants completed self-report questionnaires. Descriptive statistics were obtained using SPSS 17.0 and Pearson correlation coefficients were calculated to obtain correlations between major variables. Results: results indicated that severity of traumatic exposure not only had a direct effect on PTSD, but also it had an indirect effect on PTSD via activating victims’ fear. Moreover, self-disclosure played a buffering role between fear and PTSD. However, the role of fear in PTSD may decrease with increases in levels of self-disclosure. Conclusions: Traumatic exposure had positive predictive effects for PTSD and fear. Self-disclosure had negative predictive effects for PTSD. Fear played a mediating role between severity of traumatic exposure and PTSD, self-disclosure played a moderating role in the relationship between fear and PTSD. Psychological interventions should focus on the regulation of fear and improvement of self-disclosure following traumatic exposure.


2019 ◽  
Vol 25 (4) ◽  
pp. 405-413 ◽  
Author(s):  
Chung Hee Woo ◽  
Ju Young Park

Purpose: The study was done to investigate the influence of voice behavior, self-esteem and sexual knowledge on sexual assertiveness of nursing college students. Methods: A structured self-report questionnaire was used to measure voice behavior, self-esteem, sexual knowledge and sexual assertiveness. During March, 2019, data were collected from 133 nursing students in D city and G city. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple linear regression with the SPSS/WIN 25.0 program. Results: Voice behavior and self-esteem were positively correlated with the sexual assertiveness of participants, while voice behavior was positively correlated with the self-esteem of participants. Also, self-esteem was a significant predictor of sexual assertiveness in nursing college students. The predictor explained 12% of their sexual assertiveness. Conclusion: The finding indicates that self-esteem is an important factor for sexual assertiveness of nursing students. It is also expected that self-esteem can further promote their sexual assertiveness.


2019 ◽  
Author(s):  
Lijuan Quan ◽  
Bijun Lv ◽  
Xiao Zhou ◽  
Guanghai Hou ◽  
Qingsong Sang

Abstract Background: Posttraumatic Stress Disorder (PTSD) is one of the most prevalent psychopathologies experienced by victims following natural disasters. The severity of traumatic experience may be a critical risk factor for the development of PTSD. Nevertheless, other factors may also lead to PTSD. We propose that fear and self-disclosure could be two important factors. Previous studies have examined their unique roles in PTSD, but their combined role in PTSD has been rarely assessed. To fill this gap, the aim of this study was to examine the relationship between severity of traumatic exposure, fear, self-disclosure, and PTSD among victims following flood disaster. Methods: one hundred ninety-nine participants completed self-report questionnaires. Descriptive statistics were obtained using SPSS 17.0 and Pearson correlation coefficients were calculated to obtain correlations between major variables. Results: results indicated that severity of traumatic exposure not only had a direct effect on PTSD, but also it had an indirect effect on PTSD via activating victims’ fear. Moreover, self-disclosure played a buffering role between fear and PTSD. However, the role of fear in PTSD may decrease with increases in levels of self-disclosure. Conclusions: Traumatic exposure had positive predictive effects for PTSD and fear. Self-disclosure had negative predictive effects for PTSD. Fear played a mediating role between severity of traumatic exposure and PTSD, self-disclosure played a moderating role in the relationship between fear and PTSD. Psychological interventions should focus on the regulation of fear and improvement of self-disclosure following traumatic exposure.


1985 ◽  
Vol 45 (2) ◽  
pp. 389-395 ◽  
Author(s):  
Michael M. Omizo ◽  
Martin J. Amerikaner ◽  
William B. Michael

This study examined (1) the predictive validity of the Coopersmith Self-esteem Inventory (CSI) relative to each of the criterion measures representing communication satisfaction toward each parent as measured by Bienvenu's Adolescent Communication Inventory and feelings toward each parent as measured by Low-man's Inventory of Family Feelings and (2) the differential validity of the self-esteem, communication satisfaction, and feelings toward each parent measures serving as predictor variables of the nominal criterion measure of learning disabled (LD), emotionally disturbed (ED), and normal (N) adolescents. The sample included 60 adolescents with 20 in each of the three groups (LD, ED, or N). In fulfilling the first purpose, Pearson correlation coefficients were determined which revealed that the self-esteem measure was significantly correlated with the mother communication satisfaction measure ( r = .74, p <.01) and the feelings toward mothers measure ( r = .56, p <.01). Relative to the second purpose, discriminant analysis procedures revealed significant results for one function (Canonical correlation = .74, X2 = 46.30, Wilk's Lambda = .42, df = 14, p <.001). The self-esteem, mother communication satisfaction, and feelings toward mother measures were significant discriminators (all p <.01) between the LD and N and the ED and N groups. No significant differences were apparant between the LD and ED groups. The results provided some support for the validity of the CSI. It was recommended that replication and cross-validation studies be conducted.


1998 ◽  
Vol 83 (1) ◽  
pp. 263-274 ◽  
Author(s):  
Charles L. Spirrison ◽  
Suksoon Choi

Native Korean speakers attending English-speaking universities in the United States (47 men, 37 women) were administered Form S (self-report) or Form R (observer's ratings) of both the English and Korean language versions of the Revised NEO-Personality Inventory. Analyses of internal consistency reliability, Pearson correlation coefficients, and t tests computed across languages and within forms suggested chat the Korean translations of Form S and Form R were essentially equivalent to the English originals. Using the Korean versions of the Form S and Form R domains, correlations were computed between self-reported personality traits and the traits as rated by each participant's spouse. The resulting correlation matrix supported the convergent and discriminant validity of this Korean translation of the Revised NEO-Personality Inventory.


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