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Maternal and Child Health Journal Dec 2023Improving maternal and child outcomes requires us to understand and deconstruct our country's historically punitive policies toward pregnant and parenting people who use...
Improving maternal and child outcomes requires us to understand and deconstruct our country's historically punitive policies toward pregnant and parenting people who use drugs. We also must build a new system that centers wellness in partnership with individuals directly affected by these policies. From a maternal and child health (MCH) perspective, wellness is defined as parent-infant dyads living in supportive, preserved, and loving families with access to the resources needed for optimal health. To achieve wellness and positive outcomes, all individuals must have equitable access to a full continuum of culturally and linguistically effective, geographically available, evidence-informed, non-punitive, and welcoming health and social services that prioritize family preservation. In addition, to attain transformative and equitable outcomes, advocates for families affected by substance use must focus on implementing and evaluating services and continuously monitoring disaggregated data to ensure inequities are eliminated.
Topics: Female; Humans; Infant; Pregnancy; Love; Parenting; Parents; Social Work; Substance-Related Disorders
PubMed: 37955838
DOI: 10.1007/s10995-023-03843-w -
Child Abuse & Neglect Jan 2024Parents' beliefs about how private/public their parenting role is and their acceptability of the use of corporal punishment as a disciplinary measure have been...
BACKGROUND
Parents' beliefs about how private/public their parenting role is and their acceptability of the use of corporal punishment as a disciplinary measure have been associated with how parents raise their children and their willingness to seek support. However, there are no reliable and valid instruments measuring these beliefs.
OBJECTIVE
This study evaluated the psychometric properties of the Parenting Belief Scale, a self-reported brief measure targeting parents' perception of parenting as a private concern and their attitudes towards the use of corporal punishment.
PARTICIPANTS AND SETTING
Participants were 6949 parents from several high-income countries (i.e., Australia, Belgium, Canada, Germany, Hong Kong, Australia, and the UK) who completed the International Parenting Survey, an online cross-sectional survey focused on parents' self-report of their parenting, children, and family.
METHODS
This study evaluated the internal consistency, factor structure (i.e., exploratory and confirmatory factor analyses), and convergent and discriminant validity of the Parenting Belief Scale.
RESULTS
Findings indicated that this scale was a relatively reliable measure to evaluate parents' perceived privacy in their role and acceptability of corporal punishment. A two-factor structure was confirmed by both exploratory and confirmatory factor analyses. Correlations with scales of parenting practices supported the convergent and discriminant validity of the Parenting Belief Scale.
CONCLUSIONS
This study supported the use of the Parenting Belief Scale across high-income countries to evaluate parenting beliefs in influencing parenting practices and parents' help-seeking behaviours.
Topics: Child; Humans; Parenting; Psychometrics; Cross-Sectional Studies; Developed Countries; Parents; Surveys and Questionnaires; Reproducibility of Results
PubMed: 38000351
DOI: 10.1016/j.chiabu.2023.106565 -
Medicine, Science, and the Law May 2024Many legal jurisdictions offer some form of hospital diversion and disposal as an alternative to incarceration in prison for mentally disordered offenders. Such...
Many legal jurisdictions offer some form of hospital diversion and disposal as an alternative to incarceration in prison for mentally disordered offenders. Such diversion is commonly understood as offering a non-punitive alternative in terms of sentencing decisions. However, complete loss of responsibility with respect to acts of violence is rare and indicative of extreme degrees of mental disorder. This raises challenges for sentencers when considering disposal options. From the perspective of the patient and healthcare providers while hospital may be framed as non-punitive, it still involves marked loss of freedom and rights. In this essay, it is argued that failure to acknowledge the punitive element, inherent in hospital detention, risks its repression, and a false dichotomy being established with prison being seen as solely punitive and hospital as solely therapeutic. It is suggested that this division is unhelpful, even potentially harmful, and that a synthesis as solution to this dialectic opposition may be generative in terms of therapeutic work in hospitals, clarification of the role of hospitals in terms of criminal justice disposal, and greater transparency in relation to multi-agency working and the social circumstances of patients detained in secure hospitals. Further work to understand this process is suggested with a particular emphasis being placed on the experience of specific groups of patients, such as women, who may find themselves in a notably precarious state within secure care.
PubMed: 38778701
DOI: 10.1177/00258024241256423 -
PNAS Nexus Jul 2023We conduct three studies, employing diverse methodologies (a behavioral experiment, a vignette experiment, and a norm elicitation experiment), to investigate when and...
We conduct three studies, employing diverse methodologies (a behavioral experiment, a vignette experiment, and a norm elicitation experiment), to investigate when and how norm enforcement patterns can be modified using norm interventions in the context of dishonesty. Our preregistered, three-part data collection effort explores the extent to which norm violations are sanctioned, the impact of norm-nudges on punishment behavior, and the connection to norm perception. Using a representative sample of US participants in Study 1, we present robust evidence that norm enforcement is sensitive not only to the magnitude of the observed transgression (i.e. the size of the lie) but also to its consequences (whether the lie addresses or creates payoff inequalities). We also find that norm enforcers respond to norm-nudges conveying social information about actual lying behavior or its social disapproval. The results of a separate vignette experiment in Study 2 are consistent with the results in our behavioral experiment, thus hinting at the generalizability of our findings. To understand the interplay of norms, information about them, and punishment, we examine norm perceptions across different transgressions in Study 3. We find that norm perceptions are malleable and norm-nudges are most effective when preexisting norms are ambiguous. In sum, we show how norm enforcement can be nudged and which factors matter for doing so across various contexts and discuss their policy implications.
PubMed: 37484659
DOI: 10.1093/pnasnexus/pgad224 -
International Journal of Clinical and... 2024Repetitive Nonsuicidal Self-Injury (R-NSSI) is complex and prevalent in adolescents. Although the reward system is a promising mechanism to explain R-NSSI, the specific...
BACKGROUND
Repetitive Nonsuicidal Self-Injury (R-NSSI) is complex and prevalent in adolescents. Although the reward system is a promising mechanism to explain R-NSSI, the specific processes of reward and punishment related to R-NSSI remain unclear. This study examined whether adolescents with R-NSSI displayed difficulties in both reward and punishment contexts, and further explored the role of inhibitory control in processing monetary reward and punishment.
METHODS
Within a cohort from two middle schools ( = 3,475, 48.6 % female, = 12.95), a total of 187 adolescents completed three novel behavioral tasks. Specifically, in Study 1, 36 adolescents with R-NSSI and 28 without NSSI completed adapted incentive-delay tasks to evaluate sensitivity to reward and punishment. In Study 2, 27 adolescents with R-NSSI and 21 without NSSI were given novel incentive delay-two choice oddball task to evaluate the interaction between reward and inhibitory control. In Study 3, 38 adolescents with R-NSSI and 35 without NSSI completed similar task to assess the interaction between punishment and inhibitory control.
RESULTS
Adolescents with R-NSSI were characterized by higher levels of behavioral reward and punishment sensitivity than adolescents without NSSI. More importantly, the difference between reward and punishment in inhibitory control of R-NSSI was found. Compared to adolescents without NSSI, adolescents with R-NSSI showed lower levels of inhibitory control in response to cues depicting punishment content but not to those depicting reward content.
CONCLUSIONS
This study provides novel experimental evidence that heightened behavioral sensitivity to both reward and punishment may be relevant trait marker in R-NSSI among adolescents, and emphasizes that punishment not reward interact with inhibitory control in the R-NSSI.
PubMed: 38577656
DOI: 10.1016/j.ijchp.2024.100456 -
Current Research in Food Science 2023The blockchain technology system has gradually come to be employed in the food supply chain system, and it has emerged that the system offers the unique function of...
The blockchain technology system has gradually come to be employed in the food supply chain system, and it has emerged that the system offers the unique function of effectively curbing counterfeiting by food manufacturers. Unlike previous research on adoption by enterprises of new technology, this paper probes into the specific evolutionary routes of game subjects from the perspective of the precondition for enterprises' willingness to employ blockchain technology on the basis of China's social co-governance framework and by establishing a tripartite evolutionary game model of food manufacturer, government and consumer. The study then tests and verifies the stability conditions of equilibrium points and the relationship between these equilibrium points and the social co-governance level through numerical simulation analysis. On the above basis, the expected market proceeds of food producers employing blockchain technology and the influence of government and consumer behavior on enterprises' selection of a behavior strategy and the level of social co-governance are analyzed. The results show that every subject selects their own behavior strategy on the basis of the balance of their respective interests, and the final stability condition of the system is independent of their initial intentions. Rather, the expected sales volume of foods employing blockchain technology, governmental behavior (e.g., supervision, casual inspection, economic punishment, and fiscal subsidies), and complaints made by consumers constitute the main factors that influence food enterprises' selection of a behavior strategy. The level of social co-governance and the behavior of both government and consumers will ultimately be accomplished by influencing enterprises' expected economic returns, and the selection of an enterprise behavior strategy internally depends on the expected economic returns from producing foods employing blockchain technology. Therefore, this paper makes relevant proposals in an attempt to assist the Chinese government to better promote and popularize the blockchain technology system among food manufacturing enterprises.
PubMed: 37920442
DOI: 10.1016/j.crfs.2023.100619 -
Emerging Adulthood (Print) Feb 2024Breakups are common among emerging adults and are associated with elevated depressive and anxiety symptoms, especially in the presence of attachment insecurities....
Breakups are common among emerging adults and are associated with elevated depressive and anxiety symptoms, especially in the presence of attachment insecurities. Previous authors have suggested that inadequate coping strategies might explain this association, yet this has not been examined longitudinally. This study examined the mediating role of five coping strategies (self-help, approach, accommodation, avoidance, self-punishment) in the longitudinal associations between attachment insecurities (anxiety, avoidance) and depressive and anxious symptoms in 196 emerging adults experiencing a romantic breakup. Measures of pre-breakup attachment, post-breakup coping strategies (one-month post-breakup), and depressive and anxiety symptoms (one- and three-month post-breakup) were administered. Results from a longitudinal autoregressive cross-lagged model showed that pre-breakup attachment insecurities were related to higher depressive and anxiety post-breakup symptoms through higher use of self-punishment and lower use of accommodation coping strategies. Findings highlight coping strategies as potential intervention targets to promote the recovery of emerging adults experiencing breakup distress.
PubMed: 38124712
DOI: 10.1177/21676968231209232 -
Biology of Sex Differences Feb 2024Sex is an important factor in the progression and treatment of alcohol addiction, and therapeutic approaches may have to be tailored to potential sex differences. This...
BACKGROUND
Sex is an important factor in the progression and treatment of alcohol addiction, and therapeutic approaches may have to be tailored to potential sex differences. This highlights the importance of understanding sex differences in behaviors that reflect key elements of clinical alcohol addiction, such as continued use despite negative consequences ("compulsive use"). Studies in experimental animals can help provide an understanding of the role sex plays to influence these behaviors.
METHODS
Large populations of genetically heterogeneous male and female Wistar rats were tested in an established model of compulsive alcohol self-administration, operationalized as alcohol responding despite contingent foot shock punishment. We also tested baseline (fixed ratio, unpunished) operant alcohol self-administration, motivation to self-administer alcohol (progressive ratio), and temporal discounting for alcohol reward. In search of predictors of compulsivity, animals were screened for novelty-induced place preference, anxiety-like behavior, pain sensitivity and corticosterone levels. The estrous cycle was monitored throughout the study.
RESULTS
Unpunished self-administration of alcohol did not differ between males and females when alcohol intake was corrected for body weight. Overall, females showed higher levels of compulsive responding for alcohol. Compulsive response rates showed bimodal distributions in male but not in female rats when intermediate shock intensities were used (0.2 and 0.25 mA); at higher shock intensities, responding was uniformly suppressed in both males and females. We also found less steep discounting in females when alcohol was devalued by delaying its delivery. Males exhibited a stronger motivation to obtain alcohol under unpunished conditions, while females showed higher corticosterone levels at baseline. Factor analysis showed that an underlying dimension related to stress and pain predicted compulsivity in females, while compulsivity in males was predicted by a reward factor. We did not find differences in alcohol-related behaviors throughout the various stages of the estrous cycle.
CONCLUSIONS
Our results suggest that mechanisms promoting compulsivity, a key feature of alcohol addiction, likely differ between males and females. This underscores the importance of considering sex as a biological variable in both preclinical and clinical research, and has potential treatment implications in alcohol addiction.
Topics: Rats; Female; Male; Animals; Rats, Wistar; Alcoholism; Corticosterone; Ethanol; Compulsive Behavior; Pain
PubMed: 38368341
DOI: 10.1186/s13293-024-00592-5 -
European Journal of Investigation in... May 2024The prevalence of diagnosed cases of autism has increased rapidly, which has raised interest in studying the variables related to the well-being of these families. The... (Review)
Review
The prevalence of diagnosed cases of autism has increased rapidly, which has raised interest in studying the variables related to the well-being of these families. The purpose of this paper is to review the recent literature on other variables related to family well-being, such as parenting styles. We conducted a systematic review using the PRISMA check list and bias assessment with the aim of analyzing if the concepts of autism, well-being and parenting style are related. We screened 755 references from relevant databases like Scopus, Pubmed, PscyInfo EBSCO, Web of Science and Dialnet, updated on May 2024. Sixteen full text articles and abstracts were read. It was identified that the authoritative parenting style, as well as those based on warmth, establishing relationships and emotional bonding, and low expressed emotion were positively related to family well-being. On the other hand, authoritarian, permissive and overprotective styles, as well as critical, punishing and training-based, were negatively associated with well-being and quality of family life.
PubMed: 38921067
DOI: 10.3390/ejihpe14060101 -
BMC Health Services Research Apr 2024The growing adoption of continuous quality improvement (CQI) initiatives in healthcare has generated a surge in research interest to gain a deeper understanding of CQI.... (Review)
Review
BACKGROUND
The growing adoption of continuous quality improvement (CQI) initiatives in healthcare has generated a surge in research interest to gain a deeper understanding of CQI. However, comprehensive evidence regarding the diverse facets of CQI in healthcare has been limited. Our review sought to comprehensively grasp the conceptualization and principles of CQI, explore existing models and tools, analyze barriers and facilitators, and investigate its overall impacts.
METHODS
This qualitative scoping review was conducted using Arksey and O'Malley's methodological framework. We searched articles in PubMed, Web of Science, Scopus, and EMBASE databases. In addition, we accessed articles from Google Scholar. We used mixed-method analysis, including qualitative content analysis and quantitative descriptive for quantitative findings to summarize findings and PRISMA extension for scoping reviews (PRISMA-ScR) framework to report the overall works.
RESULTS
A total of 87 articles, which covered 14 CQI models, were included in the review. While 19 tools were used for CQI models and initiatives, Plan-Do-Study/Check-Act cycle was the commonly employed model to understand the CQI implementation process. The main reported purposes of using CQI, as its positive impact, are to improve the structure of the health system (e.g., leadership, health workforce, health technology use, supplies, and costs), enhance healthcare delivery processes and outputs (e.g., care coordination and linkages, satisfaction, accessibility, continuity of care, safety, and efficiency), and improve treatment outcome (reduce morbidity and mortality). The implementation of CQI is not without challenges. There are cultural (i.e., resistance/reluctance to quality-focused culture and fear of blame or punishment), technical, structural (related to organizational structure, processes, and systems), and strategic (inadequate planning and inappropriate goals) related barriers that were commonly reported during the implementation of CQI.
CONCLUSIONS
Implementing CQI initiatives necessitates thoroughly comprehending key principles such as teamwork and timeline. To effectively address challenges, it's crucial to identify obstacles and implement optimal interventions proactively. Healthcare professionals and leaders need to be mentally equipped and cognizant of the significant role CQI initiatives play in achieving purposes for quality of care.
Topics: Humans; Quality Improvement; Concept Formation; Delivery of Health Care; Health Personnel; Health Facilities
PubMed: 38641786
DOI: 10.1186/s12913-024-10828-0