Association of Social Support and Family Environment with Cognitive Function in Peritoneal Dialysis Patients

2017 ◽  
Vol 37 (1) ◽  
pp. 14-20 ◽  
Author(s):  
Qin Wang ◽  
Zhi-Kai Yang ◽  
Xiu-Mei Sun ◽  
Yun Du ◽  
Yi-Fan Song ◽  
...  

Background Cognitive impairment (CI) is a common phenomenon and predictive of high mortality in peritoneal dialysis (PD) patients. This study aimed to analyze the association of social support and family environment with cognitive function in PD patients. Methods This is a cross-sectional study of PD patients from Peking University First Hospital and the Second Affiliated Hospital of Harbin Medical University. Global cognitive function was measured using the Modified Mini-Mental State Examination (3MS), executive function was measured by the A and B trail-making tests, and other cognitive functions were measured by the Repeatable Battery for the Assessment of Neuropsychological Status. Social support was measured with the Social Support Scale developed by Xiaoshuiyuan and family environment was measured with the Chinese Version of the Family Environment Scale (FES-CV). Results The prevalence of CI and executive dysfunction among the 173 patients in the study was, respectively, 16.8% and 26.3%. Logistic regression found that higher global social support (odds ratio [OR] = 1.09, 1.01 – 1.17, p = 0.027) and subjective social support predicted higher prevalence of CI (OR = 1.13, 1.02 – 1.25, p = 0.022), adjusting for covariates. Analyses of the FES-CV dimensions found that greater independence was significantly associated with better immediate memory and delayed memory. Moreover, higher scores on achievement orientation were significantly associated with poorer language skills. Conclusions Our findings indicate that social support is negatively associated with the cognitive function of PD patients and that some dimensions of the family environment are significantly associated with several domains of cognitive function.

Author(s):  
Josefina Rodríguez Góngora ◽  
María del Carmen Pérez-Fuentes ◽  
José Jesús Gázquez Linares

As a result of the growing number of minors with disruptive behavior and adaptation problems, more research is being published focusing on the analysis of aspects that influence the onset of these problems. Thus, the main goal of this work is to analyze the relation between parental Educational Style and the Level of Adaptation (Personal, Family, and Social) in minors at social risk. For this purpose, a descriptive, cross-sectional study was carried out, with a sample made up of 17 families, selected as a function of the children's age (between 11 and 15 years), with a total of 31 fathers/mothers and 17 minors. The results show low levels of personal and school adaptation, dissatisfaction with the family environment, and educational discrepancies, both in the minors' perception and in the parents' styles. Minors' school maladjustment is related to a Permissive Educational Style in the mother, whereas the minors were dissatisfied with their siblings and displayed Personal Maladjustment when the mother employed a Democratic Educational Style. However, when the parents employ an Authoritarian Educational Style, a greater presence of Personal and Social Maladjustment is observed in their children.


2020 ◽  
Vol 9 (2) ◽  
pp. 56
Author(s):  
A Fahmil Haq Aplizuddin ◽  
Harmayetty Harmayetty ◽  
Elida Ulfiana

Introduction: Hemodialysis is a life-long treatment for end-stage renal disease (ESRD). ESRD has physical and psychosocial challenges to experience stress which not only affects but patients but also family members who care for them or also called family caregivers. Analyzing the relationship of social support and resilience to the level of stress in the family caregiver of hemodialysis patients at Haji Hospital Surabaya.Methods: A cross-sectional study with a population of family caregiver members of hemodialysis patients at RSU Haji Surabaya. The sample size was 92 respondents with criteria, namely families who treat hemodialysis patients at RSU Haji Surabaya, live in one house with patients, aged > 18 years, and can read and write. The variables of this study are social support, resilience, and stress levels. Data collection was performed using a questionnaire and analyzed using Spearman’s Rho test. Results : There was a significant negative relationship between social support and stress levels (p = 0.004 and r = -0.296) and resiliency with stress levels (p = 0.003 and r = -0.311).Discussion: The level of stress in a family caregiver hemodialysis patient can be influenced by the social support received and the level of resilience they have. The social support has an important role for family caregivers obtained from the family and significant other.


2021 ◽  
Vol 5 (1) ◽  
pp. 17-23
Author(s):  
Yuni Astuti ◽  
Nur Azizah Indriastuti

Background: Postpartum mothers are likely to experience physical and psychological changes. A new role as a parent provides new tasks for mothers in baby care. Most postpartum mothers experience fatigue after labor. Postpartum fatigue is affected by the baby and family. This study aims to identify factors associated with postpartum fatigue.Method: A cross-sectional study was designed. The sample in this research was 102 postpartum mothers who lived with her family in Bantul Yogyakarta. They were taken by using simple random sampling. The data were collected through the Postpartum Fatigue Scale (PFS), infant characteristic questionnaire (ICQ), and social support questionnaire. Factors associated with postpartum fatigue were analyzed using multiple logistic regressions.Results: Most of the respondents had a moderate level of fatigue (48%). Social support was found significant as the determinant factor of postpartum mother (AOR=4,38, 95% CI 1,709 – 11,256, p= 0,002).Conclusion: Respondents with a low social support level showed a significantly higher level of postpartum fatigue than respondents with good social support. It is essential to assist the family in helping mothers in infant care and postpartum care in the postpartum period. The factor associated with postpartum fatigue included infant temperament and family income.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026758
Author(s):  
Wanxin Wang ◽  
Min Luo ◽  
Chuhao Xi ◽  
Yiling Lei ◽  
Siyuan Pan ◽  
...  

ObjectivesThis study aimed to assess if adolescents had used any prescription drugs non-medically, to explore the associations between the family environment and non-medical use of prescription drugs (NMUPD) and to investigate whether there are any sex differences in the aforementioned associations.DesignA population-based cross-sectional study.SettingA secondary analysis of the cross-sectional data collected from high school students in Guangdong who were sampled using a multistage, stratified-cluster, random-sampling method in the 2015 School-based Chinese Adolescents Health Survey.ParticipantsA total of 21 774 students aged 12–20 years.Data analysisMultilevel logistic regression models were used to explore the univariable and multivariable relationship between family environment and NMUPD among adolescents. Adjusted ORs and corresponding 95% CI were calculated.Outcome measuresQuestions regarding to adolescent’ NMUPD (including sedative, opioid and stimulant) were surveyed in the study.ResultsA total of 6.3% students reported lifetime NMUPD in this study. The most commonly used drugs were opioids (3.9%), followed by sedatives (3.2%) and stimulants (2.5%). Multilevel analyses indicated that living arrangements, family economic status, parental relationships, parental education levels, monthly pocket money, parental drinking and drug problems were significantly correlated to the NMUPD among all students. Among boys, living arrangements, family economic status, maternal education levels, monthly pocket money, parental drinking and drug problems were significantly related to different types of NMUPD. The same factors were related to girls’ NMUPD, except for maternal education levels. Parental relationships and paternal education levels were also associated with girls’ NMUPD.ConclusionThe family environment exerts an important influence on adolescents’ NMUPD. Interventions targeted at families are highly recommended considering the negative effects of NMUPD. In addition, the child’s sex might be taken into consideration when developing and implementing preventive strategies.


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 456
Author(s):  
Filiberto Toledano-Toledano ◽  
José Moral de la Rubia ◽  
Laura A. Nabors ◽  
Miriam Teresa Domínguez-Guedea ◽  
Guillermo Salinas Escudero ◽  
...  

Quality of life (QOL) is a key aspect of the health care process for children with chronic diseases and their families. Although clinical evidence regarding the impact of chronic disease on children exists, few studies have evaluated the effects of the interaction between sociodemographic and psychosocial factors on the family caregiver’s QOL, indicating a significant gap in the research literature. The present study aimed to identify the predictors of the QOL of parents of children with chronic diseases. Three parental sociodemographic predictors (age, schooling, and family income) and four psychosocial predictors (family functioning, social support, depression, and resilience) were examined. In this cross-sectional study, 416 parents of children with chronic diseases who were hospitalized at a National Institute of Health in Mexico City were interviewed. The participants completed a sociodemographic variables questionnaire (Q-SV) designed for research on family caregivers of children with chronic disease. The predicted variable was assessed through the World Health Organization Quality of Life Questionnaire. The four psychosocial predictors were assessed through the Family Functioning Scale, Social Support Networks Scale, Beck Depression Inventory, and Measurement Scale of Resilience. The regression model explained 42% of the variance in parents’ QOL. The predictors with positive weights included age, schooling, monthly family income, family functioning, social support networks, and parental resilience. The predictors with negative weights included depression. These findings suggest that strong social relationships, a positive family environment, family cohesion, personal resilience, low levels of depression, and a family income twice the minimum wage are variables associated with better parental QOL.


Author(s):  
Aikaterini Papa ◽  
Ioannis Koutelekos ◽  
Spyridoula Stefanidou ◽  
Chrysa Chrysovitsanou ◽  
Maria Polikandrioti

Background: Multiple sclerosis (MS) is an inflammatory chronic disease of the central nervous system (CNS) which is related with unpredictable course and increasing disability. Social support as an available interpersonal resource may help patients with MS. The purpose of the present study was to evaluate perceived social support in patients with MS as well as the associated factors. Methods: The sample of this cross-sectional study included 200 patients with MS. Data collection was performed by the completion of the Multidimensional Scale of Perceived Social Support (MSPSS) and a questionnaire which included patients' characteristics. Results: Patients reported to perceive high support from significant others and their family (median: 24.0 and 23.5, respectively) and less from their friends (median: 20). Moreover, a statistically significant association was found between social support from significant others and marital status (P = 0.010), modification of daily activities (P = 0.018), difficulties with social and family environment (P ≤ 0.001 and P ≤ 0.001, respectively), frequent urination (P = 0.015), and whether they easily forgot (P = 0.049), characterized themselves as anxious (P = 0.049), and believed in God (P = 0.002). Also, a statistically significant association was fond between social support from family and relation with health professionals (P = 0.041), difficulties with social and family environment (P = 0.003 and P ≤ 0.001, respectively), and whether they considered themselves as anxious (P = 0.050), and they believed in God (P ≤ 0.001). Furthermore, a statistically significant association was found between support from friends and modification of daily activities (P = 0.010), help in daily activities (P = 0.016), need for movement assistance (P = 0.001), difficulties with social and family environment (P ≤ 0.001 and P = 0.005, respectively), and whether they considered themselves anxious (P = 0.046). Conclusion: Factors associated with perceived social support should be evaluated when planning holistic care to patients with MS.


2021 ◽  
Author(s):  
Hossein Namdar Areshtanab ◽  
Fariba Vaseai ◽  
Hossein Ebrahimi ◽  
Mohammad Arshadi Bostanabad ◽  
Mina Hosseinzadeh

Abstract Background: Domestic violence is one of the most common problems of public health that can be occurred in families and can lead to physical, psychological, and economic consequences individually, family, and social level. The present study was aimed to determine domestic violence of married couples from the Viewpoint of women. Methods: In this descriptive cross-sectional study 547 women referring to health centers of Marand in 2018 were participated. Sampling method was the convenience sampling method. For data collection, Socio-demographic and the Revised Conflict Tactics Scale (CTS2) questionnaires were used. Descriptive (mean, standard deviation, frequency, and percentage of frequency) and inferential statistics, including t-test were used to analyze the data. Results: Results showed that domestic violence against men (98.3%) and women (98.5%) has a high prevalence. Women have experienced more violence in the psychological, physical, and sexual dimensions and men have experienced more violence in the negotiation and injury dimensions. Conclusions: The most important message of study beyond the comparison of the numbers and the operative or the victim of violence is the insecurity of the family environment for women, men, and children, which can have serious consequences for the family and society in the future. According to the importance of family as one of the essential elements of a healthy society, a preventative proceeding is required.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Xiaoying Cai ◽  
Xiaotian Xu ◽  
Aiwu Zhang ◽  
Jianwen Lin ◽  
Xiaojuan Wang ◽  
...  

Background. Chronic migraine with medication overuse headache (CM-MOH) is the most common type of chronic migraine, and it increases risk of stroke and white matter lesions. These pathologic changes could induce cognitive decline. However, the alteration of cognitive function in CM-MOH patients is not established. Therefore, we took this study to reveal the cognitive performances in CM-MOH. Methods. This cross-sectional study was conducted between December 2015 and January 2017. Patients were divided into CM-MOH, CMwoMOH (chronic migraine without medication overuse), and MO (migraine without aura) groups. Cognitive function was assessed in all cases during interictal periods using Addenbrooke’s Cognitive Examination Test (ACE-R), Trail Making Test A/B (TMT A/B), and Digit Symbol Test (DST). Detailed headache characteristics and evaluation of anxiety, depression, and living and sleep quality were collected. Results. 116 patients were included in this study. There were 21 CM-MOHs, 20 CMwoMOHs, 35 MOs, and 40 controls. Age and education were the independent risk factors of cognitive decline (P<0.05). After adjusting, the risk of cognitive decline was higher in CM compared with control in ACE-R score and language fluency (P<0.05). In addition, CM-MOH sufferers were in higher risk of memory and executive dysfunction (P<0.05). The cognitive function had no difference between CM-MOH and CMwoMOH (P>0.05). Meanwhile, CM-MOH got significantly higher scores than MO in anxiety and depression, with poorer performances in sleep and life quality (P<0.05). Conclusion. The risk of cognitive decline increased in chronic migraine patients. Nonsteroid anti-inflammatory drugs overuse had no influence on cognitive performances among chronic migraine sufferers.


Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 433
Author(s):  
Małgorzata Drywień ◽  
Magdalena Górnicka ◽  
Stanisław Kulik ◽  
Krzysztof Górnicki

A comprehensive approach to the identification of the relationship between behaviors limiting nutrition mistakes, nutrition knowledge, and physical activity in the context of the family environment has not yet been widely explored. We aim to identify patterns of avoiding nutrition mistakes in high school students from Warsaw, Poland, and to assess their associations with nutrition knowledge (NK), physical activity (PA), body mass index (BMI), demographic, and family environment characteristics. A cross-sectional study involving 616 high school students, aged 16–19, was conducted. The data were collected by distributing questionnaires. The k-means method was used for cluster analysis, and logistic regression was used to assess the adherence to identified patterns. We identified three patterns: Prudent Ones (45%), Inconsequent (39%), and Rebels (16%). About 70% of adolescents had insufficient NK. The adherence to the Rebels pattern was lower by 85 % in girls, by 68% in students with younger siblings, and was about 4.0-times higher in children of mothers with primary education, 2.4 times higher in students with insufficient NK, and 1.9-times higher in students living in a family with more than 4 persons. The groups of adolescents with feature characteristics of the Rebels and Inconsequent are possible targets for intervention and require further in-depth research to explain their lack of attempts to avoid nutrition mistakes. The results clearly indicate the necessity of including metropolitan teenage boys in effective nutritional education for the rationalization of their dietary behavior.


BMJ Open ◽  
2016 ◽  
Vol 6 (12) ◽  
pp. e012246 ◽  
Author(s):  
Helena de Sola ◽  
Alejandro Salazar ◽  
María Dueñas ◽  
Begoña Ojeda ◽  
Inmaculada Failde

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