Steroid Hormone Secretion Over the Course of the Perimenopause: Findings From the Swiss Perimenopause Study

Background: Perimenopause is characterized by a decline in the steroid hormones, estradiol, and progesterone. By contrast, the steroid hormone cortisol, a marker of the hypothalamic–pituitary–adrenal (HPA) axis, increases. Recent longitudinal studies reported fluctuations in steroid hormone levels during perimenopause, and even increases in estradiol levels. To understand these confounding results, it is necessary to conduct a longitudinal, highly standardized assessment of steroid hormone secretion patterns in perimenopausal women.Methods: This longitudinal study investigated 127 perimenopausal women aged 40–56 years for 13 months. Estradiol, progesterone, and cortisol were assessed using saliva samples, which were collected for two (during months 2 and 12 for estradiol and progesterone) or three (during months 2, 7, and 12 for cortisol) non-consecutive months over the course of the study. A total of 14 saliva samples per participant were analyzed to investigate the courses of estradiol and progesterone. Cortisol awakening response and fluctuations of cortisol throughout the day were measured using a total of 11 saliva samples per participant (on awakening, +30 min, +60 min, at 12:00 p.m., and before going to bed) for months 2, 7, and 12.Results: Multilevel analyses revealed variance in intercept and slope across participants for estradiol [intercept: SD = 5.16 (95% CI: 4.28, 6.21), slope: SD = 0.50 (95% CI: 0.39, 0.64)], progesterone [intercept: SD = 34.77 (95% CI: 25.55, 47.31), slope: SD = 4.17 (95% CI: 2.91, 5.99)], and cortisol (intercept: SD = 0.18 (95% CI: 0.14, 0.23), slope: SD = 0.02 (95% CI: 0.01, 0.02)]. Time predicted cortisol levels [b = −0.02, t(979) = −6.63, p < 0.0001]. Perimenopausal status (early vs. late) did not predict estradiol [b = −0.36, t(1608) = −0.84, p = 0.400], progesterone [b = −4.55, t(1723) = −0.87, p = 0.385], or cortisol [b = 0.01, t(1124) = 0.61, p = 0.542] scores over time.Discussion: Our results are consistent with previous findings emphasizing highly individual fluctuations of estradiol and progesterone levels during perimenopause. However, our findings do not suggest a continuous decline during the observed transition phase, implying relatively stable periods of fluctuating hormone levels. Furthermore, given the lack of significant group differences, it may not be necessary to differentiate between early and late perimenopause from the standpoint of hormonal progression.

Subjective Age Changes During the COVID-19 Pandemic

Aging is associated with an increased risk of COVID-19 morbidity and mortality. In this study, we tested whether the pandemic influenced how old individuals felt by examining longitudinal within-person changes in subjective age. We tested two alternative hypotheses: (a) people felt increasingly older in response to the stress generated by COVID-19; (b) people felt increasingly younger due to psychological distancing from older age. We tested these hypotheses in a large US sample of adults assessed once before and twice during the COVID-19 pandemic. Multilevel analyses indicated that people reported feeling younger with the emergence of COVID-19. We further tested demographic, health, and psychosocial predictors of changes in subjective age. Overall, the findings supported the hypothesis that subjective age partly reflects a coping process of psychological distancing from older age, a process that parallels physical and social distancing.

Receiving visits in prison and aggressive and contraband misconduct among Dutch prisoners

Although scholars have emphasised the implications of social support for in-prison behaviour, and prison administrators worldwide use visitation as a correctional tool to manage prisoner behaviour, a few empirical studies have provided an articulate account of the visitation–misconduct relationship. This study expands research in this field by (a) addressing various features of visits, such as whether, from whom and how often prisoners receive visits and (b) examining two specific types of misconduct: aggressive and contraband. Using a combination of survey and administrative data from 3885 Dutch prisoners, multilevel analyses were conducted. Receiving visits in prison is associated with the higher probabilities of contraband misconduct, especially when partner or friends visit. Receiving visits is, however, not significantly associated with aggressive misconduct, but weekly visits from friends increased the likelihood of aggressive misconduct. Post hoc analyses suggest that visits are particularly not associated with verbally aggressive behaviours, but they are associated with lower likelihoods of physically aggressive behaviours. No significant associations were found between child or family visits and any type of misconduct. Policy implications and suggestions for future research are discussed.

Associations of Family Functioning and Social Support With Psychopathology in Children of Mentally Ill Parents: Multilevel Analyses From Different Rating Perspectives

Offspring of mentally ill parents is at heightened risk for psychological symptoms. The identification of environmental factors that predict their mental health is crucial for the development of preventive and therapeutic measures. In the current study, we addressed the combined role of family functioning and social support by taking mentally ill patients’, their partners’, and children’s perspectives into account. The cross-sectional sample included n=195 families (195 patients, 127 partners, and 295 children). Family members completed questionnaires related to family functioning, social support as well as parental and child psychopathology. We conducted multilevel analyses to investigate the associations with internalizing and externalizing problems in children. Family functioning and social support were significantly associated with child internalizing and externalizing problems. However, results varied depending on the rating perspective. We found significant interaction effects of family functioning and social support on child psychopathology. The findings point to the importance of family functioning and social support as potential targets for interventions. Findings should be replicated in future longitudinal studies.

Distinguishing Interpersonal and Ideological Prosociality: Introducing the Construct of Ideological Prosociality

Prosociality refers to dispositions and behaviors intended to benefit others, and the present study assumed that these dispositions reflect people’s values. Much of the research on prosociality has examined prosociality in what can be called the interpersonal domain, e.g., helping others. I propose that prosociality also exists in the ideological domain. People hold prosocial values that concern collectives, not specific individuals. Multilevel analyses of data collected in Wave 8 of the European Social Survey (44,000 respondents in 23 countries) found significant positive relationships between ideological prosocial values and attitudes toward immigrants and refugees, attitudes about the environment and climate change, gays and lesbians, social benefits, and income equality. Moreover, these relationships remained after controlling participants’ sex, income, happiness, and political orientation. In contrast, with the exception of attitudes about the environment, relationships between these attitudes and interpersonal prosocial values were either negative or not significant.

The Effects of Compulsory Voting on Political Parties

Chapter 7 test the expectations about compulsory voting’s effects on political parties. Analyses shown in the first part of the chapter leverage data from the Comparative Study of Electoral Systems and the original survey data from Argentina. The results are somewhat perfunctory but suggest that parties may expend less effort mobilizing turnout under strict obligatory voting, especially of ideological moderates. The latter portion of the chapter presents multilevel analyses of data from the Comparative Manifestos Project. As anticipated in Chapter 6, it finds that mainstream parties de-emphasize ideologically salient issues in order to moderate their stances under enforced compulsory voting. It also finds some evidence that, as predicted, non-mainstream parties take more extreme positions where voters are compelled to the polls.

Longitudinal change in adolescent mental health and school outcomes from before and during the COVID-19 pandemic: Results from Switzerland

This study examined changes in mental health and school outcomes from before the first COVID-19 wave to the later stages of the same wave in a sample of 377 Swiss adolescents. It also explored whether students’ characteristics and reported COVID-19 burden predicted students’ outcomes and their intra-individual changes. Multilevel analyses showed that the expected impact of the pandemic on mental health and learning gains was not noticeable in the later stages of the first COVID-19 wave. Only two effects were demonstrated in terms of intra-individual changes, namely, an effect of gender on depression and anxiety symptoms and an effect of reported COVID-19 burden on school stress symptoms. Moreover, few associations were found for selected predictors and mean-levels in students’ outcomes.

Etiology Beliefs, Religious Coping, Perceived Church Climates, and Beliefs About Psychological Services

This study investigated Korean Protestants’ beliefs about psychological services (BAPS) and their associations with religiosity and church climates. Using responses of 254 Protestants from 18 different churches in South Korea, we employed three multilevel analyses to explore whether participants’ etiology beliefs, religious coping, and perceived church climates in relation to psychological services were associated with the subscales of the BAPS scale: Expertness, Stigma Tolerance, and Intent to Seek Psychological Help. The results indicated that attributions of mental illness to psychological factors were associated with stronger beliefs in the expertise of psychological services. In terms of religious coping, the deferring style was negatively associated with stigma tolerance, the self-directing style was negatively associated with expertness and stigma tolerance, and the collaborative style was positively associated with intent to seek help. Finally, church climates related to psychological services, which we considered a church-level factor, were associated with all BAPS subscales. Implications for research and practice are discussed.

COVID-19 Inequalities: Individual and Area Socioeconomic Factors (Aragón, Spain)

It is essential to understand the impact of social inequalities on the risk of COVID-19 infection in order to mitigate the social consequences of the pandemic. With this aim, the objective of our study was to analyze the effect of socioeconomic inequalities, both at the individual and area of residence levels, on the probability of COVID-19 confirmed infection, and its variations across three pandemic waves. We conducted a retrospective cohort study and included data from all individuals tested for COVID-19 during the three waves of the pandemic, from March to December 2020 (357,989 individuals) in Aragón (Spain). We studied the effect of inequalities on the risk of having a COVID-19 confirmed diagnosis after being tested using multilevel analyses with two levels of aggregation: individuals and basic healthcare area of residence (deprivation level and type of zone). Inequalities in the risk of COVID-19 confirmed infection were observed at both the individual and area level. There was a predominance of low-paid employees living in deprived areas. Workers with low salaries, unemployed and people on minimum integration income or who no longer receive the unemployment allowance, had a higher probability of COVID-19 infection than workers with salaries ≥ €18,000 per year. Inequalities were greater in women and in the second wave. The deprivation level of areas of residence influenced the risk of COVID-19 infection, especially in the second wave. It is necessary to develop individual and area coordinated measures by areas in the control, diagnosis and treatment of the epidemic, in order to avoid an increase in the already existing inequalities.