Reasons for tubal sterilisation, regret and depressive symptoms

Objective—To examine the associations between sterilisation reasons, regret, and depressive symptoms. Study Design—Black, Hispanic, and non-Hispanic White US women ages 25–45 who participated in the National Survey of Fertility Barriers (NSFB) and reported a tubal sterilisation surgery were included in the sample for this study (n=837). Logistic regression was used to examine how characteristics of the sterilisation surgery (reasons for sterilisation, time since sterilisation, and new relationship since sterilisation) are associated with the odds of sterilisation regret, and linear regression was used to examine associations between sterilisation regret, sociodemographic factors, and depressive symptoms. Results—Findings revealed that 28 percent of U.S. women who have undergone tubal sterilisation report regret. Time since sterilisation and having a reason for sterilisation other than simply not wanting (more) children (e.g., situational factors, health problems, encouragement by others, and other reasons) are associated with significantly higher odds of sterilisation regret. Finally, sterilisation regret is significantly associated with depressive symptoms after controlling for sociodemographic characteristics. Conclusion—Sterilisation regret is relatively common among women who have undergone tubal sterilisation, and regret is linked to elevated, but not necessarily clinical depressive symptoms. The reasons for sterilisation can have important implications for women’s sterilisation regret and associated depressive symptoms

Reasons for tubal sterilisation, regret and depressive symptoms

Objective—To examine the associations between sterilisation reasons, regret, and depressive symptoms. Study Design—Black, Hispanic, and non-Hispanic White US women ages 25–45 who participated in the National Survey of Fertility Barriers (NSFB) and reported a tubal sterilisation surgery were included in the sample for this study (n=837). Logistic regression was used to examine how characteristics of the sterilisation surgery (reasons for sterilisation, time since sterilisation, and new relationship since sterilisation) are associated with the odds of sterilisation regret, and linear regression was used to examine associations between sterilisation regret, sociodemographic factors, and depressive symptoms. Results—Findings revealed that 28 percent of U.S. women who have undergone tubal sterilisation report regret. Time since sterilisation and having a reason for sterilisation other than simply not wanting (more) children (e.g., situational factors, health problems, encouragement by others, and other reasons) are associated with significantly higher odds of sterilisation regret. Finally, sterilisation regret is significantly associated with depressive symptoms after controlling for sociodemographic characteristics. Conclusion—Sterilisation regret is relatively common among women who have undergone tubal sterilisation, and regret is linked to elevated, but not necessarily clinical depressive symptoms. The reasons for sterilisation can have important implications for women’s sterilisation regret and associated depressive symptoms

Let’s Take A Walk: Exploring the Impact of an Inclusive Walking Program on the Physical and Mental Health of Adults with Intellectual Disability

Background: People with intellectual disabilities experience health disparities and poorer health outcomes than people without disabilities. Increased physical activity has been found to reduce the impact of chronic health conditions among people with intellectual disabilities. Method: The current study explored the impact of an inclusive walking program on the physical and mental health of adults with intellectual disabilities. Let’s Take A Walk paired adults with intellectual disabilities, hereafter referred to as Community Walkers (n = 27), with college students to walk around a college campus twice a week for 45 minutes across 10 weeks. Data on mental health outcomes, specifically depression and anxiety, were collected from 24 Community Walkers across four-time points (pre-, mid-, post-, and 3-months following intervention), and data on physical health outcomes were collected across two-time points (pre- and post-intervention). Results: Community Walkers reported significant decreases in both depression and anxiety from pre to post-implementation. Particularly promising was clinically significant decreases in anxiety symptoms over the 10-week program. No differences were noted on Community Walkers’ measures of physical health. Conclusion: Inclusive walking programs are a valuable and promising mechanism for building social connections and inclusion and improving mental health for adults with intellectual disabilities

State oversight of polypharmacy and psychotropic medication use among individuals with intellectual and developmental disabilities: a three state case study

Adults with intellectual and developmental disabilities (IDD) are prescribed more medications than the general population, placing them at significantly higher risk for issues due to taking multiple medications (polypharmacy). There are currently no clear national standards for the administration of medications given this risk. The following policy analysis explores state policies related to prescription medication oversight. This analysis pays particular attention to the use of medications that alter one’s mental state (psychotropics) among people with IDD who receive home and community-based services (HCBS) in the United States. The article outlines current efforts implemented to reduce medication-related risks for people with IDD in three states and explores the similarities and differences across strategies. This policy analysis aims to initiate conversation and encourage further consideration and deliberation necessary to move toward clear and concrete guidelines for the oversight of medication regimens

Reasons for tubal sterilisation, regret and depressive symptoms

Objective—To examine the associations between sterilisation reasons, regret, and depressive symptoms. Study Design—Black, Hispanic, and non-Hispanic White US women ages 25–45 who participated in the National Survey of Fertility Barriers (NSFB) and reported a tubal sterilisation surgery were included in the sample for this study (n=837). Logistic regression was used to examine how characteristics of the sterilisation surgery (reasons for sterilisation, time since sterilisation, and new relationship since sterilisation) are associated with the odds of sterilisation regret, and linear regression was used to examine associations between sterilisation regret, sociodemographic factors, and depressive symptoms. Results—Findings revealed that 28 percent of U.S. women who have undergone tubal sterilisation report regret. Time since sterilisation and having a reason for sterilisation other than simply not wanting (more) children (e.g., situational factors, health problems, encouragement by others, and other reasons) are associated with significantly higher odds of sterilisation regret. Finally, sterilisation regret is significantly associated with depressive symptoms after controlling for sociodemographic characteristics. Conclusion—Sterilisation regret is relatively common among women who have undergone tubal sterilisation, and regret is linked to elevated, but not necessarily clinical depressive symptoms. The reasons for sterilisation can have important implications for women’s sterilisation regret and associated depressive symptoms

Intergenerational Transmission of Trauma and Family Systems Theory: An Empirical Investigation

© 2020 The Association for Family Therapy and Systemic Practice Research indicates that intergenerational transmission of trauma often leads to behavioural and emotional problems in children of parents with a history of trauma; however, intervening pathways are less well understood. The current study used the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN; Runyan et al., 1998) data set. Among a sample of 361 mothers involved with child welfare services or ‘at risk’ of becoming involved in the future, we explored harsh parenting and couple relationship quality as mechanisms in the transmission of maternal trauma to changes in children’s behavioural and emotional problems over a two-year period. Findings indicate that verbal aggression predicted children’s internalising and externalising issues, but negative relationship quality was the only significant mechanism linking maternal trauma to children’s mental health problems. Clinical implications are discussed. Practitioner points: Trauma has a twofold effect on women’s romantic relationships, increasing negative qualities and decreasing positive qualities Providing a trauma-informed approach to therapy with a focus on the negative relationship quality can reduce harsh parenting and a child’s internalising symptomology

Children and adolescents with mental health disorders: How adults can help

The Oklahoma Cooperative Extension Service periodically issues revisions to its publications. The most current edition is made available. For access to an earlier edition, if available for this title, please contact the Oklahoma State University Library Archives by email at [email protected] or by phone at 405-744-6311

Middle School Teachers\u27 Academic and Behavioral Perceptions of Their Students and Expectations for High School Graduation

Teacher expectations of students have been consistently linked with student academic achievement. What is less known is how students’ actual behaviors and performance shape teachers’ perceptions of them, particularly when considering student gender and race/ethnicity. A diverse dyadic sample of 1,653 seventh graders with 63 reporting teachers was used to examine how teaching experience, student behavioral citations, and grade point average were related to teachers’ perceptions of each student’s antisocial behavior, academic motivation, and likelihood of graduating high school. Results showed that more experienced teachers perceived students more positively, which in turn shaped more favorable perspectives of student graduation. Unsurprisingly, when students were cited for behavioral disruptions, they were perceived more negatively by teachers. Similarly, when students were more academically successful, teachers perceived them more positively. However, several nuances were found based on student gender and race/ethnicity that point to a potentially significant role of teacher expectations in student outcomes