“Even though they insult us, the delivery they give us is the greatest thing”: a qualitative study contextualizing women’s experiences with facility-based maternal health care in Ethiopia

Background Globally, amidst increased utilization of facility-based maternal care services, there is continued need to better understand women’s experience of care in places of birth. Quantitative surveys may not sufficiently characterize satisfaction with maternal healthcare (MHC) in local context, limiting their interpretation and applicability. The purpose of this study is to untangle how contextual and cultural expectations shape women’s care experience and what women mean by satisfaction in two Ethiopian regions. Methods Health center and hospital childbirth care registries were used to identify and interview 41 women who had delivered a live newborn within a six-month period. We used a semi-structured interview guide informed by the Donabedian framework to elicit women’s experiences with MHC and delivery, any prior delivery experiences, and recommendations to improve MHC. We used an inductive analytical approach to compare and contrast MHC processes, experiences, and satisfaction. Results Maternal and newborn survival and safety were central to women’s descriptions of their MHC experiences. Women nearly exclusively described healthy and safe deliveries with healthy outcomes as ‘satisfactory’. The texture behind this ‘satisfaction’, however, was shaped by what mothers bring to their delivery experiences, creating expectations from events including past births, experiences with antenatal care, and social and community influences. Secondary to the absence of adverse outcomes, health provider’s interpersonal behaviors (e.g., supportive communication and behavioral demonstrations of commitment to their births) and the facility’s amenities (e.g., bathing, cleaning, water, coffee, etc) enhanced women’s experiences. Finally, at the social and community levels, we found that family support and material resources may significantly buffer against negative experiences and facilitate women’s overall satisfaction, even in the context of poor-quality facilities and limited resources. Conclusion Our findings highlight the importance of understanding contextual factors including past experiences, expectations, and social support that influence perceived quality of MHC and the agency a woman has to negotiate her care experience. Our finding that newborn and maternal survival primarily drove women’s satisfaction suggests that quantitative assessments conducted shortly following delivery may be overly influenced by these outcomes and not fully capture the complexity of women’s care experience.

The Link between Parenting Behaviors and Emerging Adults’ Relationship Outcomes: The Mediating Role of Relational Entitlement

Previous research shows a link between parenting and children’s characteristics and interpersonal behaviors. However, little is known about the ways in which parenting tactics affect children’s romantic relationships and whether the children’s characteristics can mediate these associations. With this study, the aim was to test the associations between parents’ helicopter parenting/autonomy-supportive behaviors and emergent adults’ relational satisfaction and couple conflict. In addition, it was tested whether the sense of relational entitlement (excessive and restricted) mediated the links. Two hundred and twelve emergent adult–parent dyads participated in this study. Mediation analyses showed that parental autonomy-supportive behaviors had indirect effects on both the relational satisfaction and the couple conflict reported by the emerging adults through excessive relational entitlement. The link was positive for the former couple-related outcome and negative for the latter one. Helicopter parenting was not related to any variable reported by the emerging adults. In conclusion, positive parenting can increase relational stability and well-being by diminishing some potentially negative psychological characteristics of emerging adults.

The Influence of Interpersonal Behaviors and Population Density on Grip Strength of Elderly People: An Analysis of the Direct vs. Indirect Effects via Social Participation

The impact of social participation (SP) on the health of the elderly has been widely recognized, and urban-rural differences in social participation have attracted attention. However, few studies discussed the impact of social participation on specific health indicators and the further subdivision of urban-rural differences. This research aims to use the dimensions of interpersonal behaviors and population density rather than simple urban-rural distinctions to justify community differences and compare these differences' direct and indirect effects on grip strength. This study used 15,871 respondents aged over 50 years from the China Health and Retirement Longitudinal Study (CHARLS). An SEM (Structural Equation Modeling) analysis was used to explore the joint effect of interpersonal behavior and population density on social participation and the consequent impact on changes in grip strength and compare the differences among different genders, ages, wealth levels, and family relationships. The results indicated that community differences characterized by interpersonal behavior and population density have direct effects on grip strength and indirect effects on it through social participation. The conclusion is that the frequency of social activities, such as mah-jong and dancing in the Metropolitan Fringe and county-level cities is higher than that in Metropolitan centers. The high frequency of these activities has a positive and indirect impact on grip strength, and community differences have a more significant impact on women's social participation than men. However, the direct effect of community differences as defined by interpersonal communication and population density on grip strength is greater than the indirect effect of other factors through social participation.

Good Theories in Need of Better Data: Combining Clinical and Social Psychological Approaches to Study the Mechanisms Linking Relationships and Health

The study of intimate relationships and health is a fast-growing discipline with numerous well-developed theories, many of which outline specific interpersonal behaviors and psychological pathways that may give rise to good or poor health. In this article, we argue that the study of relationships and health can move toward interrogating these mechanisms with greater precision and detail, but doing so will require a shift in the nature of commonly used research methods in this area. Accordingly, we draw heavily on the science of behavior change and discuss six key methodologies that may galvanize the mechanistic study of relationships and health: dismantling studies, factorial studies, experimental therapeutics, experimental mediation research, multiple assessments, and recursive modeling. We provide empirical examples for each strategy and outline new ways in which a given approach may be used to study the mechanisms linking intimate relationships and health. We conclude by discussing the key challenges and limitations for using these research strategies as well as novel ideas about how to integrate this work into existing paradigms within the field.

Experiences and Perceived Origins of Compassionate Ageism Among Older Adults During the COVID-19 Pandemic

During the COVID-19 pandemic, there was a rise in media messages (MMs) and interpersonal behaviors (IBs) that could have been considered as reflecting compassionate ageism (i.e., ageism that stems from perceptions of older adults [OAs] as warm but incompetent). However, it is unclear how OAs experienced these MMs and IBs during the pandemic. The current study examined how OAs perceived pandemic-related MMs and IBs. We recruited 74 community-dwelling OAs (Mage = 73.18, 58% female). Participants completed a survey in which they reported the extent to which they had encountered five MMs and nine IBs throughout the COVID-19 pandemic. Then, participants rated whether they believed each MM and IB was motivated by care and how offended they were by it. Nearly all participants had encountered MMs about OAs’ vulnerability to COVID-19 (e.g., more likely to contract COVID-19, 97%; more likely to die from COVID-19, 97%). Furthermore, most participants experienced IBs emphasizing their vulnerability to COVID-19 (e.g., told by another person they had a higher likelihood of contracting COVID-19, 64%; someone had checked in on them unprompted, 63%). However, across MMs and IBs, most participants (59–100%) perceived them as motivated by care and concern, and a relatively small proportion (0–20%) reported being offended by them. Our findings underscore the importance of understanding nuances of ageism from the perspective of OAs themselves. Different forms of ageism (i.e., compassionate ageism, hostile ageism) rooted in certain stereotypes about older adults (i.e., high warmth-low competence) may uniquely shape the lived experiences of OAs.

Workplace Mistreatment: A Review and Agenda for Research

Workplace mistreatment researchers study negative interpersonal behaviors under a plethora of different labels, including incivility, bullying, harassment, aggression, and violence. While negative interpersonal behaviors differ in their intensity, intent, and frequency, a common denominator of these behaviors is their adverse impact on employees and organizations. Research has identified the nomological network of workplace mistreatment, which illustrates individual and contextual factors associated with mistreatment behaviors. Authors have also highlighted outcomes of mistreatment, showing that mistreatment results in reduced psychological and physical health, worsened job attitudes, and diminished performance for both targets and bystanders. Further, enacted mistreatment is not without consequences for the perpetrators, and these consequences can be both negative and positive. While workplace mistreatment research has been steadily growing, many questions remain unanswered. There are unexplored topics, approaches, and methodologies. First, there is a need to understand the uniqueness and similarities of different mistreatment constructs to provide a more comprehensive approach for studying workplace mistreatment and highlight alternative ways of measuring mistreatment constructs. Novel methodological approaches, such as HotMap and artificial intelligence, could shed light on the dynamics between targets and perpetrators of mistreatment, allowing researchers to capture the dynamic nature of mistreatment behaviors. Second, the interactions among societal, cultural, and interpersonal factors are likely to shape enacted mistreatment. For instance, social networks within organizations and the interrelations between employees are likely to influence not only the individual who becomes targeted, but also the way in which bystanders are to take action against such mistreatment. Third, while the role of bystanders in the dynamics of workplace mistreatment is undoubtedly important, there is a need to critically investigate the role bystanders may play in curtailing or encouraging mistreatment. More specifically, bystander interventions can take both constructive and destructive forms. Finally, targets’ responses to experienced mistreatment are likely to be relevant to the understanding of the dyadic nature of workplace mistreatment, such that an aggressive target response is likely to cause a mistreatment spiraling. However, it remains unclear what type of target response, if any, would be beneficial in helping de-escalate destructive behavior from the perpetrator. Thus, more research is needed to help address the important question of the best ways to deal with experienced mistreatment.

An Examination of Mentors’ Interpersonal Behaviors and Mentees’ Motivation, Turnover Intentions, Engagement, and Well-Being

Using self-determination theory among a sample of student employees, the present cross-sectional study ( N = 358) examines how mentors’ interpersonal behaviors relate to both motivation at work and motivation for a mentoring relationship and how these two contexts of motivation can differentially relate to mentees’ work outcomes. Results revealed that mentors’ need-supportive interpersonal behaviors were associated with greater autonomous motivation at work and in the mentoring relationship and, in turn, to greater well-being and work engagement, and to lower turnover intentions. In contrast, need-thwarting interpersonal behaviors were associated with greater controlled motivation at work and in the mentoring relationship and, in turn, to lower well-being and work engagement, and to greater turnover intentions. Overall, this study illustrates the impact of the mentor–mentee relationship on motivation for work and for the mentoring relationship and provided support for the contribution of both motivational contexts in the work-related outcomes of employees in the workplace.

An Interpersonal Approach to Social Preference: Examining Patterns and Influences of Liking and Being Bothered by Interpersonal Behaviors of Others

Personality disorders are rooted in maladaptive interpersonal behaviors. Previously, researchers have assessed interpersonal behaviors using self-ratings of one's own behaviors and third-person ratings of dyadic interactions. Few studies have examined individuals' perceptions of others' interpersonal behaviors. Using a sample of 470 undergraduate students, the authors examined patterns of interpersonal perception as well as influences of these patterns on psychological functioning. Findings showed that people tend to like interpersonal behaviors that are similar to their own and become bothered by behaviors that are the opposite of their own. Such a pattern is particularly characteristic on the warmth dimension and is consistent across different levels of closeness of the relationship. The authors also found small but significant effects of interpersonal perception on personality and general psychological functioning, above and beyond effects of individuals' own interpersonal traits. Such findings highlight the importance of including perceptions of others in investigating interpersonal dynamics when understanding personality disorders.

Family upbringing styles and methods vs youth propensity for aggression

The study of the propensity of young people to react aggressively (readiness for aggression) is relevant because it affects everyone and is the cause of many disasters, crimes, and the growth of aggressive behavior of young people, which are reflected in the statistics of the Ministry of Internal Affairs. Scientists are trying to identify the reasons, factors contributing to the manifestation of aggressive forms of behavior among young people. However, no Russian research was found in which the influence of parenting practices (styles of education, methods of education) on the development of readiness for aggression among young people was studied in a comprehensive manner. The purpose of this research was to study the influence of family education practice on the development of readiness for aggression among young people. The experiment involved 237 people aged 18-24, who were randomly selected. Of these, 110 were girls and 127 were boys. All respondents were from complete families. The survey was carried out using the following methods: ‘The interpersonal behaviors inventory’, ‘Retrospective inventory of child rearing practices’, ‘Retrospective questionnaire of parenting styles’. The authors identified what forms of readiness for aggression are expressed among Russian youth, as well as gender characteristics. Emotional-Impulsive Readiness was found for girls and Habitual- Cognitive Readiness for boys. Mothers are perceived by young people as being more democratic while fathers, in the opinion of their children, used more often authoritarian and liberal (dismissive) parenting styles. The results of the study showed that mothers most often used positive and punitive parenting methods. College-educated fathers used positive parenting methods. The results obtained will be of interest for specialists working with families.

“Even Though They Insult Us, the Delivery They Give Us is the Greatest Thing”: A Qualitative Study Contextualizing Women’s Satisfaction with Facility-Based Maternal Health Care in Ethiopia

Background: Globally, amidst increased utilization of facility-based maternal care services, there is continued need to better understand women’s experience of care in places of birth. Quantitative surveys may not sufficiently characterize satisfaction with maternal healthcare (MHC) in local context, limiting their interpretation and applicability. The purpose of this study is to untangle how contextual and cultural expectations shape women’s care experience and what women mean by satisfaction in two Ethiopian regions. Methods: Health center and hospital childbirth care registries were used to identify and interview 41 women who had delivered a live newborn within a six-month period. We used a semi-structured interview guide informed by the Donabedian framework to elicit women’s experiences with MHC and delivery, any prior delivery experiences, and recommendations to improve MHC. We used an inductive analytical approach to compare and contrast MHC processes, experiences, and satisfaction. Results: Maternal and newborn survival and safety were central to women’s descriptions of their MHC experiences. Women nearly exclusively described healthy and safe deliveries with healthy outcomes as ‘satisfactory’. The texture behind this ‘satisfaction’, however, was shaped by what mothers bring to their delivery experiences, creating expectations from events including past births, experiences with antenatal care, and social and community influences. Secondary to the absence of adverse outcomes, health provider’s interpersonal behaviors (e.g., supportive communication and behavioral demonstrations of commitment to their births) and the facility’s amenities (e.g., bathing, cleaning, water, coffee, etc) enhanced women’s experiences. Finally, at the social and community levels, we found that family support and material resources may significantly buffer against negative experiences and facilitate women’s overall satisfaction, even in the context of poor-quality facilities and limited resources. Conclusion: Our findings highlight the importance of understanding contextual factors including past experiences, expectations, and social support that influence perceived quality of MHC and the agency a woman has to negotiate her care experience. Our finding that newborn and maternal survival primarily drove women’s satisfaction suggests that quantitative assessments conducted shortly following delivery may be overly influenced by these outcomes and not fully capture the complexity of women’s care experience.