No description available.

京都大学 / 新制・課程博士 / 博士(人間健康科学) / 甲第25009号 / 人健博第117号 / 新制||人健||8(附属図書館) / 京都大学大学院医学研究科人間健康科学系専攻 / (主査)教授 若村 智子, 教授 千葉 理恵, 教授 村井 俊哉 / 学位規則第4条第1項該当 / Doctor of Human Health Sciences / Kyoto University / DFAM

Note:

No description available.

No description available.

No description available.

Military wives continue to represent the majority of military spouses and as a result, most research on military spouses has focused exclusively on them. Utilizing data from the 1999 Survey of Active Duty Spouses, one goal of this study was to address this gap in the literature by examining how male and female military spouses differ. The results indicated that military husbands were more likely to have military experience themselves than military wives. Military husbands were also more likely to be older than female spouses and less likely to have children. Men were also more likely to indicate that their employment was not a concern during the family's last permanent change of station move. The primary goal of this study was to examine the influence of gender on military spouses' support for their active duty spouses' retention in the U.S. Military. Previous research has indicated that spousal support plays an important role in military personnel's retention decisions. Other factors that were considered for their influence on spouse support for retention included age, race/ethnicity, education, children, personal military experience, employment concerns during the family's last move, the hours worked per week by the active duty spouse, the rank of the active duty spouse, and the military spouse's satisfaction with the military lifestyle. The results of this regression analysis indicated that military husbands are less supportive of their active duty spouses' retention than military wives. Satisfaction with the military lifestyle was found to be the most significant predictor of military spouses' support for their active duty spouses' retention in the U.S. Military. Of the other factors, age, race/ethnicity, education, the hours worked per week by the active duty spouse, and the presence of children in the family were also found to be significant predictors of spouse support for retention. As satisfaction with the military lifestyle was demonstrated to be a significant influence on spouse support for retention, this study also involved an examination of gender differences in satisfaction with the military lifestyle. Gender was not found to be a significant influence on satisfaction with the military lifestyle. Factors that were found to significantly influence satisfaction included the military spouse's age, race/ethnicity, concerns about employment, hours worked per week by the active duty spouse and the rank of the active duty spouse. Concerns about employment during the family's last move and the hours worked per week by the active duty spouse were both found to have a negative influence on military spouses' satisfaction with the military lifestyle. / Ph. D.

While previous research has explored the relationship between combat exposure and mental health disorders, the effects of mental health disorders on attrition rates of Service members, the discrepancy between mental health counseling services available and utilized by Service members, and barriers to seeking mental health counseling services, the majority of studies thus far have only been conducted with Service members and have been quantitative in nature. While researchers have begun to explore the experience of deployment on Service member spouses, little research has focused specifically on their service seeking behavior regarding accessing mental health services. This is unfortunate given that multiple studies have indicated the importance of including Service member's spouses in future research. This qualitative study included both Service members and spouses of Service member's in an attempt to capture their mental health counseling service seeking behaviors. Thematic analysis was employed to develop a model of mental health seeking behavior among Service members and their spouses. The resulting model is unique in that it attempts to account for the influence of multiple contextual and ecological factors. Limitations of the study, future research and clinical implications are also discussed. / Master of Science

Yes / The notion of person-centered care has been important in investigating relationships between people with dementia and paid carers, and measures are available to assess this. It has been suggested that person-centered care may be a useful construct to apply to understand family-care relationships. However, no measures of person-centered care in this context exist. The study aimed to develop an observational measure of person-centered care for this purpose. Method: First, a coding system incorporating a range of behaviors that could be considered person-centered or non-person-centered was constructed. Examples included a code relating to whether the person with dementia was involved in planning a task, and a code relating to how the spouse responded to confusion/distress. Second, 11 couples, where one partner had a dementia, were recruited and videotaped cooperating on an everyday task. The system was applied to the care-giving spouse's behaviors, labeling examples of behavior as person-centered or non-person-centered. The final step involved assessing the inter-rater reliability of the system. Results: The system captured nine categories of behavior, which were each divided into person-centered and non-person-centered types. The system had good reliability (Cohen's κ coefficients were: 0.65 for category and whether behaviors needed to be placed in a category; 0.81 for category excluding the decision about whether behaviors needed to be placed in a category; and 0.79 in relation to whether behaviors were person-centered or non-person-centered.) Conclusions: Although the small sample size limits the implications of the results, the system is a promising quantitative measure of spousal person-centered care.

Thesis (M Social Work (Social Work))--University of Stellenbosch, 2006. / This study is based on the perceptions and experiences of the psychosocial effect that post natal depression has on the partners of women diagnosed with this illness. Post natal depression is an emotional state of mind experienced by some women after the birth of a baby. In reality, it is a relatively scarce illness that is not openly spoken of in the community. Firstly the researcher will present an overview of the illness, and show the differences between the “baby blues”, post natal depression and post natal psychosis in order to heighten the awareness of this specific illness. Thereafter, the circumstances that lead to the illness as well as the symptoms present are explained since the women’s behaviour can impact on, as well as directly affect, both the partners psychosocial lives. To understand the circumstances in which a partner finds himself, the role of a man and father will be examined. With this in mind, the mans perceptions and experiences are further described with regard to his partner’s depression and how this affects him. Attention is also given to the different methods of treatment of postnatal depression, since the patient and her partner’s lives are directly impacted by professional involvement during the recovery period. This research is based on the opinions expressed by the participants of an existing support group for the partners of depressed women. The group is conducted by the researcher as a social worker in her private practice. Information was obtained through group sessions and followed up by individual interviews with each participant. The participants were required to comment on the way in which post natal depression had affected their relationship with their partners, babies and extended families as well as how they adjusted to the situation. The participants were recruited to describe their emotions with regard to the circumstances and express an opinion on the treatment available. They were also requested to suggest ways of improving the existing methods. The overall conclusion reached in this study is that social workers in the community are faced with a great challenge where post natal depression is concerned. Ideally this illness should be prevented but when it does occur, correct treatment is essential in order to obviate the breakdown of the family. The primary aim of any community is to provide and maintain a healthy family structure with both parents acting as role models. The purpose is to prepare children to develop into balanced adults in order to take their rightful place in society