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Parents bring their preparenthood experiences into their family relationships, which may have a persistent impact on family dynamics. One such significant experience is infertility, often shared by both partners but differentially experienced by women and men. Using a prospective longitudinal study of adoptive parents with a history of infertility challenges who later adopted a child ( = 461, 91% White), we aimed to (a) examine the impact of preparenthood infertility distress on heterosexual couples' perceived marital instability trajectories in the 11 years of parenthood and (b) test whether social support from their partner and other sources would moderate the impact of infertility distress. Results revealed cubic curves of marital instability for mothers and fathers during parenthood, where marital instability increased from the child age of 9 months to 4-5 years, then decreased till 8-9 years, followed by another increase to 11 years. Mothers' preparenthood infertility distress predicted higher marital instability after child age of 4.5 years, and their satisfaction with partner support mitigated this association. No such effect was identified for fathers. Overall, results indicated that mothers' infertility distress experienced before becoming a parent of their adopted child serves as a risk factor for marital instability in the long term. Moreover, partner support is an important buffer against this risk. This study underscores the importance of considering parents' preparenthood personal history in later family functioning. Discussion elaborates on the differing results for women and men and the implications for future research and intervention. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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http://dx.doi.org/10.1037/dev0001925 | DOI Listing |
Sci Rep
August 2025
Department of Family Health, Hossana College of Health Sciences, Hossana, Ethiopia.
Lost to follow-up (LTFU), defined as interrupting anti-TB treatment for ≥ 8 consecutive weeks or missing anti-retroviral therapy (ART) appointments for > 90 days, is a barrier to TB/HIV coinfection management. Poor treatment adherence, a driver of multidrug resistance in TB/HIV, poses critical challenges to case management. Overestimating effect sizes when considering mutually exclusive events, like LTFU from ART and anti-TB treatment, can occur if sources of error are not properly accounted for in competing events.
View Article and Find Full Text PDFJ Marital Fam Ther
October 2025
Department of Psychobiology, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Borderline personality disorder (BPD) is a complex condition characterized by emotional instability, interpersonal difficulties, and impulsivity. Although previous studies have explored the influence of family environment on BPD manifestation, methodological gaps remain in investigating these relationships, particularly in capturing multiple perspectives within the same family. This study proposes a methodological approach to compare dyads of patients and a family member using a genogram.
View Article and Find Full Text PDFSeizure
July 2025
Department of Population Health Science and Policy and Institute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, NY, NY, 10029, USA; Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, USA. Electronic address: parul.agarwal@mountsin
Background: Social needs of health, such as economic instability, food insecurity, social isolation, and inadequate access to care, significantly impact health outcomes and quality of life. People with epilepsy may face heightened challenges in these areas, but the extent of such disparities is not fully understood. This study investigates the association between epilepsy and economic instability, food insecurity, social isolation, and inadequate access to care to identify significant social and economic disparities impacting patient care.
View Article and Find Full Text PDFBiol Sex Differ
July 2025
Department of Psychiatry, Yale School of Medicine, 40 Temple Street, Suite 5B, New Haven, CT, 06510, USA.
Background: Social determinants of health (SDOH) and clinical severity factors are known to shape substance use disorder (SUD) treatment outcomes, yet limited research has explored how these influences differ by sex. Understanding these differences is important to improving treatment equity and outcomes in publicly funded treatment systems.
Methods: This study analyzed data from the 2018-2022 Treatment Episode Data Set-Discharges (TEDS-D), a national dataset of adults discharged from publicly funded SUD treatment programs.
Trauma Surg Acute Care Open
June 2025
Department of Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, USA.
Background: Social factors affect oral health status, and poor oral health has been associated with worse health outcomes. Using the Oral Health Risk Assessment Value Index (OHRAVI), a bedside tool for non-dentists to assess oral health, we investigated the interplay of oral health with social drivers of health and social vulnerability, as measured by the Social Vulnerability Index (SVI), in severely injured patients.
Methods: Our retrospective study included dentulous critically ill trauma patients who were previously assigned an OHRAVI score (range 0-3; unhealthy score >1).