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Journal of Clinical Nursing Oct 2022To consolidate and synthesise the current available literature regarding the experiences of endometriosis-associated infertility among women and their partners. (Review)
Review
AIMS AND OBJECTIVES
To consolidate and synthesise the current available literature regarding the experiences of endometriosis-associated infertility among women and their partners.
BACKGROUND
Endometriosis is highly associated with infertility which in turn affects many women and their partners in their prime reproductive age.
DESIGN
A qualitative systematic review and meta-synthesis was conducted using the PRISMA checklist.
METHODS
Seven electronic databases (PubMed, Embase, CINAHL, PsycINFO, Scopus, Web of Science and ProQuest Dissertations and Theses) were searched until October 2020. Qualitative studies exploring the experiences of women and/or their partners aged 18 years and above with endometriosis-associated infertility regardless of marital or co-inhabitation status and sexual orientation were included. Studies examining women and/or partners without clinical diagnosis of endometriosis and studies which only focused on the psychosocial experiences of endometriosis were excluded. The Critical Appraisal Skills Program checklist was used to conduct quality appraisal while the Sandelowski and Barroso's two-step approach was used to meta-summarise and meta-synthesise the data from the included studies.
RESULTS
Thirteen studies were included. Five themes (1) Emotional response to the diagnosis, (2) Influence on family planning, (3) Desperation to gradual acceptance, (4) Revision of expected life trajectories and (5) Altered dynamics within the couple unit were derived.
CONCLUSION
Endometriosis causes great psychological distress among women and their partners. Family planning decisions were especially challenging to make for the couples. Unsuccessful attempts at conceiving were extremely distressing but some couples eventually accepted their situation, with some opting for hysterectomy for health reasons.
RELEVANCE TO CLINICAL PRACTICE
Current findings highlight the need for psychosocial support, in-depth fertility counselling and couple-based therapies to support the women with endometriosis and their partners.
Topics: Endometriosis; Family Planning Services; Female; Humans; Hysterectomy; Infertility; Male; Marriage
PubMed: 36065148
DOI: 10.1111/jocn.16145 -
Journal of Advanced Nursing May 2023To examine the individual-level factors and social determinants of health (SDOH) linked to sleep health among individuals with inflammatory bowel disease (IBD). (Review)
Review
AIM
To examine the individual-level factors and social determinants of health (SDOH) linked to sleep health among individuals with inflammatory bowel disease (IBD).
DESIGN
Systematic review without meta-analysis.
DATA SOURCES
Four databases (PubMed, Web of Science, CINAHL and PsycINFO) were searched in February 2022.
REVIEW METHODS
Databases were searched with keywords related to IBD and sleep. The review was conducted per the PRISMA protocol. The checklist for analytical cross-sectional studies published by the Joanna Briggs Institute was used for quality appraisal. Factors were organized by individual, social and societal levels according to the social-ecological model of sleep health.
RESULTS
In the review, 45 studies were identified and synthesized. All studies examined individual-level factors with sleep, with age being the most common factor studied. Only nine studies considered a social determinant of health which included marital status, number of children, education level, annual income, employment status, work tenure, type of employment, area of residence, minority status/ethnicity and COVID-19. However, the source of information for the social determinant of health was not clearly defined for more than half of these studies.
CONCLUSION
Although IBD sleep research has explored individual-level factors (i.e. age) that impact sleep health, there is a lack of information on the SDOH that can contribute to sleep health.
IMPACT
This review provides insight into the different factors that have been examined in IBD sleep research. By determining the SDOH that impact sleep, nursing research can inform sustainable and tailored interventions that focus on changing behaviour and improving sleep of individuals of varying backgrounds and life experiences. There is a continued need for nurses in practice and research to explore the SDOH that influence health outcomes and the daily lives of those with IBD.
Topics: Child; Humans; COVID-19; Cross-Sectional Studies; Inflammatory Bowel Diseases; Qualitative Research; Sleep; Social Determinants of Health
PubMed: 36756952
DOI: 10.1111/jan.15576 -
The Clinical Journal of Pain Dec 2001Are demographic variables (age, gender, sex, and marital status) predictors of chronic pain and chronic pain disability? (Review)
Review
OBJECTIVE
Are demographic variables (age, gender, sex, and marital status) predictors of chronic pain and chronic pain disability?
METHODOLOGY
The literature search identified one systematic review plus 12 observational studies (11 back or spinal pain and 1 whiplash) to provide evidence about this question.
RESULTS
The role of predictive factors varied with different patient groups, settings, and interventions. Analytic methods also varied. Most studies evaluated age, sex, and marital status with other nondemographic variables.
CONCLUSIONS
The studies provided limited and conflicting evidence (level 4b) that either increasing age or sex correlates with chronic pain and chronic pain disability. Marital status and education both showed conflicting evidence (level 4b) of a correlation with chronic pain. Age and sex express different risks for disease, severity of injury, and occupational opportunities and choices. Demographic factors can modify the effect of other factors with which they interact. Future identification of predictors of chronic pain should include control for age and gender (level 3).
Topics: Aging; Chronic Disease; Demography; Forecasting; Humans; Pain; Sex Factors
PubMed: 11783826
DOI: 10.1097/00002508-200112001-00006 -
BMJ Open Feb 2023This study intended to assess the impact of COVID-19 pandemic on anxiety and stress among healthcare professionals in Ethiopia. (Meta-Analysis)
Meta-Analysis
OBJECTIVE
This study intended to assess the impact of COVID-19 pandemic on anxiety and stress among healthcare professionals in Ethiopia.
DESIGN
This study applied a design of systematic review and meta-analysis of observational studies.
DATA SOURCES
ELIGIBILITY CRITERIA AND OUTCOMES: Observational studies examining anxiety and stress among healthcare professionals in Ethiopia following COVID-19 pandemic were considered. The primary outcomes were the prevalence of anxiety and stress and the secondary outcomes were factors associated to the prevalence of anxiety and stress.
DATA EXTRACTION AND SYNTHESIS
Two authors extracted the data and performed quality assessment independently. The Newcastle-Ottawa Scale was used to evaluate the quality of eligible studies. Random-effect model with the inverse variance method was used to estimate the pooled effect size of the outcome variables with its 95% CI. Publication bias was checked by DOI plot and Luis Furuya Kanamori index. Stata V.14.0 (StataCorp) software was used for statistical analysis.
RESULTS
Thirteen studies were included. From eight studies the pooled prevalence of anxiety was 46% (95% CI 0.30% to 0.61%, τ=0.0497, I=99.07%, p<0.001). Nine studies reported about stress and the pooled prevalence was 51% (95% CI 0.41% to 0.62%, τ=0.0253, I=97.85%, p<0.001)). Age, sex, marital status, working department, history of contact with confirmed COVID-19 cases and profession were associated factors for high level of anxiety and stress.
CONCLUSIONS
COVID-19 pandemic highly affects mental health of healthcare professionals in Ethiopia. Anxiety and stress were among reported mental health problems among healthcare professionals during the pandemic. Timely psychological counselling programmes should be applied for healthcare professionals to improve the general mental health problems.
PROSPERO REGISTRATION NUMBER
CRD42022314865.
Topics: Humans; COVID-19; Pandemics; Ethiopia; Anxiety; Prevalence; Delivery of Health Care; Observational Studies as Topic
PubMed: 36750289
DOI: 10.1136/bmjopen-2022-070367 -
Psychological Medicine Jun 2013The psychosis-proneness-persistence-impairment model of psychotic disorder incorporates notions of both phenomenological and temporal continuity (persistence) of... (Meta-Analysis)
Meta-Analysis Review
An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders.
BACKGROUND
The psychosis-proneness-persistence-impairment model of psychotic disorder incorporates notions of both phenomenological and temporal continuity (persistence) of psychotic experiences (PE), but not structural continuity. Specific testable propositions of phenomenological continuity and persistence are identified. Method Propositions are tested by systematic reviews of the epidemiology of PE, persistence of PE and disorder outcomes, and meta-analyses (including Monte Carlo permutation sampling, MCPS) of reported rates and odds ratios (ORs).
RESULTS
Estimates of the incidence and prevalence of PE obtained from 61 cohorts revealed a median annual incidence of 2.5% and a prevalence of 7.2%. Meta-analysis of risk factors identified age, minority or migrant status, income, education, employment, marital status, alcohol use, cannabis use, stress, urbanicity and family history of mental illness as important predictors of PE. The mode of assessment accounted for significant variance in the observed rates. Across cohorts, the probability of persistence was very strongly related to the rate of PE at baseline. Of those who report PE, ∼20% go on to experience persistent PE whereas for ∼80%, PE remit over time. Of those with baseline PE, 7.4% develop a psychotic disorder outcome.
CONCLUSIONS
Compelling support is found for the phenomenological and temporal continuity between PE and psychotic disorder and for the fundamental proposition that this relationship is probabilistic. However, imprecision in epidemiological research design, measurement limitations and the epiphenomenological nature of PE invite further robust scrutiny of the continuity theory.
Topics: Age Factors; Cohort Studies; Delusions; Employment; Female; Hallucinations; Humans; Male; Marital Status; Minority Groups; Monte Carlo Method; Psychotic Disorders; Risk Factors; Socioeconomic Factors; Substance-Related Disorders; Urban Population
PubMed: 22850401
DOI: 10.1017/S0033291712001626 -
The Journal of Maternal-fetal &... Nov 2022The use of non-prescribed drugs are common to pregnant women. It may lead to undesirable effects, such as birth defects. Study results on the occurrence and predictor of... (Meta-Analysis)
Meta-Analysis
BACKGROUND
The use of non-prescribed drugs are common to pregnant women. It may lead to undesirable effects, such as birth defects. Study results on the occurrence and predictor of non-prescribed drug use among pregnant women throughout Ethiopia are highly variable and inconsistent. Therefore, the objective of this systematic review and meta-analysis was to estimate the pooled prevalence of non-prescribed drug use and predictors among pregnant women in Ethiopia.
METHODS
We systematically searched studies from the international databases, including PubMed, EMBASE, Web of Science, Science Direct, Google Scholar, the Cochrane Library and others. The meta-analysis was conducted using Stata15. I test and Egger's test were used to assess the heterogeneity and publication bias respectively. The random-effect model was used to estimate the pooled prevalence of non-prescribed drug use at a 95% CI.
RESULTS
Eleven studies with a total of 4492 pregnant women fulfilled the inclusion criteria and were included. The pooled national level non-prescribed drug use among pregnant women was 30.38% (95% CI: 20.28, 40.48). The highest use of non-prescribed drug among pregnant women was observed in Amhara region 36.71%, while the lowest was in Tigray region 9.67%, respectively. The most frequently consumed non prescribed drugs by pregnant mothers were paracetamol 34.38%, amoxicillin 14.73%, aspirin 4.25%, metronidazole 2.81% and ciprofloxacin 2.80%. Maternal previous history of self-medication, maternal illness during pregnancy and maternal marital status were significantly associated with women non-prescribed drug use during pregnancy.
CONCLUSIONS
The overall prevalence of non- prescribed drug use among pregnant women in Ethiopia is relatively high, and varies across different regions. The most frequently consumed non- prescribed drug by pregnant mothers was paracetamol. Maternal; previous history of self-medication, illness during pregnancy and marital status were significantly associated with pregnant women non-prescribed drug use. Awareness of the possible side effects of taking non-prescribed drugs for all pregnant women is very relevant in the media and in the maternity ward. In particular, it is important to make clear to mothers who have a history of self-medication, to those who have a history of illness during pregnancy and to those who are pregnant, unmarried or divorced.
Topics: Acetaminophen; Ethiopia; Female; Humans; Mothers; Pregnancy; Pregnancy Complications; Pregnant Women; Prevalence
PubMed: 33233996
DOI: 10.1080/14767058.2020.1849105 -
Journal of Advanced Nursing Jun 2021To provide an overview of the parental, child, and socio-contextual factors related to general parenting self-efficacy (PSE) in the general population. (Review)
Review
AIMS
To provide an overview of the parental, child, and socio-contextual factors related to general parenting self-efficacy (PSE) in the general population.
DESIGN
Systematic review.
DATA SOURCES
Medline Ovid, Web of Science, Embase, and PsycINFO Ovid were systematically searched for studies published between January 1980-June 2020.
REVIEW METHODS
Studies were included if they described associations between factor(s) and PSE among parents of children aged 0-18 years old in the general population, and published in an English language peer-reviewed journal. Studies with participants from specific populations, studies describing the development of instruments for PSE, qualitative studies, reviews, theses, conference papers and book chapters were excluded. Belsky's process model of parenting guided the data synthesis.
RESULTS
Of 3,819 articles, 30 articles met the inclusion criteria. Eighty-nine factors were identified. There was evidence of associations between child temperament, maternal parenting satisfaction, parenting stress, maternal depression, household income, perceived social support and PSE. Evidence was inconsistent for an association of educational level, parity, number of children in the household and PSE in mothers. There was no evidence of an association for child gender, age, marital status and PSE in both mothers and fathers; ethnicity, age, employment status in mothers; household income in fathers; and educational level, parenting fatigue in parents.
CONCLUSION
A range of factors studied in relation to PSE was identified in this systematic review. However, the majority of the factors was reported by one or two studies often implementing a cross-sectional design.
IMPACT
There is some evidence for an association between some potentially modifiable factors and PSE in the general population, this information may be used by health and social professionals supporting child health and well-being. Future longitudinal studies are recommended to study parental, child and socio-contextual factors associated with PSE to inform the development of intervention strategies.
Topics: Adolescent; Child; Child, Preschool; Cross-Sectional Studies; Fathers; Female; Humans; Infant; Infant, Newborn; Male; Mothers; Parenting; Parents; Pregnancy
PubMed: 33590585
DOI: 10.1111/jan.14767 -
European Journal of Paediatric... May 2022Socioeconomic factors play a role in the outcome of chronic diseases in childhood. Epilepsy is the most common chronic neurological disease in childhood. The... (Review)
Review
OBJECTIVES
Socioeconomic factors play a role in the outcome of chronic diseases in childhood. Epilepsy is the most common chronic neurological disease in childhood. The relationship between socioeconomic factors and prevalence, adherence and outcome in children with epilepsy has not been systematically reviewed and therefore the aim of our study.
METHODS
Searches were conducted in PubMed, Embase and Cochrane databases from the first documented publications until 31st May 2020. The keywords included socioeconomic status, epilepsy, anticonvulsant, children and systematic review.
RESULTS
The search generated 4687 abstracts. 26 articles were included in the final analysis after the screening process. We found one paper regarding prevalence, 12 regarding adherence and 13 regarding outcome and their relationship to socioeconomic factors. Socioeconomic factors of caregivers impacted school performance, seizure freedom, quality of life and risk of unemployment in adulthood. Lower socioeconomic status was associated with non-adherence. Epilepsy may be more prevalent in children living in lower socioeconomic neighborhoods.
CONCLUSION
Socioeconomic factors of the caregiver, especially their level of education, annual income and marital status, had a significant impact on the outcome and adherence to anticonvulsants in children with epilepsy. Children belonging to a lower socioeconomic group are at risk of having poorer outcomes regarding adherence and hence remission, quality of life and academic achievement. We need to recognize this important aspect and take it into account when making a treatment plan for children with epilepsy.
Topics: Adult; Anticonvulsants; Child; Epilepsy; Humans; Prevalence; Quality of Life; Social Class
PubMed: 35248913
DOI: 10.1016/j.ejpn.2022.01.021 -
Archives of Oral Biology Feb 2018This systematic review was performed to determine the risk factors related to bruxism in children. (Meta-Analysis)
Meta-Analysis Review
OBJECTIVE
This systematic review was performed to determine the risk factors related to bruxism in children.
DESIGN
This systematic review was conducted with reporting in agreement to the PRISMA statement and according to guidelines from the Cochrane Handbook for Systematic Reviews of Interventions. We conducted a systematic search of seven online databases, with the last search updated on 1st October 2016. The seven databases were Pubmed, Embase, Cochrane Library database, Web of Science, CNKI, CBM, and WF. The included trial type were RCT, cohort studies, and case-control studies, and bruxism symptoms were assessed by questionnaires and examinations. Eighteen out of the 5637 initially identified studies met the inclusion and exclusion criteria.
RESULTS
gender, age, gene, mixed position, anxiety, the nervous, secondhand smoke, high psychological reactions, responsibility, move a lot during sleep, sleeps with mouth open, snores loudly, restless sleep, sleep hours, sleep with light on, noise in room, headache, biting, cheeks tonus, perioral musculature participation, conduct problems, peer problems, emotional symptoms, mental health problems, birth weight, occupation of family head, maternal marital status, hyperactivity, family income seemed to have statistical significance from the present systematic review and meta-analysis.
CONCLUSIONS
The risk factors related to bruxism were as follows: Male, gene, mixed position, moves a lot, anxiety, the nervous, psychological reactions, responsibility, secondhand smoke, snore loudly, restless sleep, sleep with light on, noise in room, "sleep hours, ≤8h", headache, objects biting, conduct problems, peer problems, emotional symptoms and mental health problems.
Topics: Child; Humans; Risk Factors; Sleep Bruxism
PubMed: 29149621
DOI: 10.1016/j.archoralbio.2017.11.004 -
BMC Cancer Mar 2024Breast cancer and genital cancer are known as cancers that affect people's relationships with their partners. Women with such cancers are emotionally vulnerable and need... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Breast cancer and genital cancer are known as cancers that affect people's relationships with their partners. Women with such cancers are emotionally vulnerable and need more support from their partners. The present systematic review and meta-analysis evaluated the effectiveness of couple-based interventions on the marital outcomes of patients with these cancers and their intimate partners.
METHODS
To perform this systematic review, Google Scholar and databases such as PubMed, Web of Science, Cochrane, Scopus, SID (Scientific Information Database), and Magiran were searched systematically. The reviewed studies included randomized controlled trials and quasiexperimental studies in which the intervention group, couple-based interventions, and the control group received routine care, general education or no intervention for cancer treatment. In this study, the included participants were patients with breast cancer or genital cancer and their intimate partners. The primary outcomes considered in this study included patients' marital adjustment, patients' marital satisfaction, patients' marital intimacy, and patients' marital relationships. The secondary outcomes were partners' marital adjustment, partners' marital satisfaction, partners' marital intimacy, and partners' marital relationships. A meta-analysis was performed with Review Manager v. 5.3 software (The Nordic Cochrane Centre, Cochrane Collaboration, 2014; Copenhagen, Denmark). The intervention impacts on continuous outcomes were measured using standardized mean differences (SMDs) with 95% confidence interval because of the use of various scales to evaluate the outcomes. The quality of evidence presented in the included studies was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. In the subgroup analysis, the studied outcomes were divided into two parts (theory-based and non-theory-based) in terms of the theoretical context of couple-based interventions.
RESULTS
From a total of 138 retrieved studies, 14 trials were eligible for inclusion in the study. The results of the meta-analysis showed that the patient's marital satisfaction increased significantly with couple-based interventions (SMD 0.46, 95% confidence interval 0.07 to 0.85; 7 trials, 341 patients, very low certainty) compared to the control group, but the evidence was uncertain. However, there were no significant differences between the groups in the partner's marital satisfaction, the patient's and partner's marital adjustment, and the patient's and partner's marital intimacy. Additionally, the results of the subgroup analysis showed that the couple-based interventions significantly increased the patient's marital adjustment (SMD 1.96, 95% CI 0.87 to 3.06; 4 trials, 355 patients, very low certainty), the partner's marital adjustment (SMD 0.53, 95% CI 0.20 to 0.86; 4 trials, 347 partners, very low certainty), the patient's marital satisfaction (SMD 0.89, 95% CI 0.35 to 1.43; 2 trials, 123 patients, very low certainty), and the partner's marital satisfaction (SMD 0.57, 95% CI 0.20 to 0.94; 2 trials, 123 partners, very low certainty) compared to the control group in theory-based studies. In. However, in non-theory-based studies, the results of the meta-analysis revealed no significant differences between the intervention and control groups.
CONCLUSIONS
The results of this study demonstrated the impact of couple-based interventions on the marital outcomes of patients with breast and genital cancers. Because of the very low confidence in the evidence, high-quality randomized trials with a sufficient sample size should be conducted considering the proper theoretical context.
Topics: Humans; Female; Breast Neoplasms; Marriage; Genitalia
PubMed: 38539118
DOI: 10.1186/s12885-024-12088-x