120 research outputs found
The Development and Testing of the Barkin Index of Maternal Functioning
No full textMaternal functioning in the year following childbirth has exacted inadequate attention in the research literature. The negative effects of postpartum depression on mother and child have been more extensively studied. This deficit in the area of maternal functioning research is of public health significance as functional status may be a more direct measure of deleterious effects on infant development than depression status. Functioning and factors associated with functioning during this critical time period for infant development has been primarily studied by a handful of researchers. Prior to the development of the Barkin Index of Maternal Functioning (BIMF), the Inventory of Functional Status After Childbirth (IFSAC) was the only instrument designed for the express purpose of measuring functional status. However, the IFSAC is less than ideal for measuring this important concept; its rigid definition of functional status makes it difficult for women to achieve full functional status. This precipitated the development of the BIMF. The BIMF was developed through qualitative methods. New mother focus group discussions provided much of the content (and the framework for a new definition of functional status) that is reflected in the BIMF. This method of survey development has many advantages and helps to ensure content validity and a patient-centered product. The BIMF was also critiqued by a panel of experts in relevant fields. This work resulted in a new 20-item self-report measure of maternal functioning. In an initial psychometric analysis, the BIMF exhibited good reliability (and validity), with a Cronbach's Alpha of 0.87.An analysis of factors related to maternal functioning (as measured by the BIMF) in a population of women who screened positive for depressive symptoms revealed an association of functioning with depression and atypical depression. Race and atypical depression were independently associated with the BIMF in a stepwise regression analysis. The BIMF and the Gratification Checklist were also significantly and positively correlated
Does the comorbidity of borderline personality disorder affect the response to treatment in bipolar patients?
No full text: Bipolar disorder (BD) is a highly prevalent condition whose response to pharmacological treatment is associated with a number of factors including psychiatric comorbidity. Borderline personality disorder (BPD) shares clinical symptoms and biological vulnerability with BD and the two conditions are frequently comorbid, thus representing a clinical challenge. The purpose of the present review is to summarize the data related to treatment response in bipolar patients with comorbid BPD. According to systematic review process, a literature search was performed on the PubMed, Embase, PsycInfo, Isi Web of Knowledge, Medscape, and Cochrane Library databases. Peer-reviewed articles until December 2022 were eligible for inclusion. Comorbidity with BPD seems to be associated with a more difficult clinical stabilization in bipolar patients, often requiring poly-therapy or a longer duration of hospitalization. However, three studies, assessing the effectiveness of mood stabilizers in bipolar patients, did not demonstrate a prominent influence of BPD comorbidity in achieving clinical response. The most frequently administered pharmacological treatments in the selected studies include mood stabilizers and atypical antipsychotics. The presence of comorbid BPD in bipolar patients may hamper treatment effectiveness. Future studies, comparing different treatments and with larger samples, are needed to confirm the results critically summarized in the present review
Barkin annelik fonksiyonu ölçeğinin uyarlanması ve psikometrik özelliklerinin incelenmesi
No full textBu araştırmanın amacı, doğum sonrası annenin fonksiyonel durumunu belirlemek üzere Lynn Jennifer Barkin tarafından geliştirilmiş olan Barkin Annelik Fonksiyonu Ölçeği'nin Türk kültürüne uyarlayarak geçerlik ve güvenirliğini belirlemektir. Yöntem: Araştırma, basit tesadüfi örnekleme yöntemiyle belirlenen 15, 17, 18' nolu ve Meltem Aile Sağlığı Merkezlerinde 10 Şubat-15 Nisan tarihleri arasında gerçekleştirilmiştir. Araştırma örneklemini, doğum sonu 6-10 haftalık dönemde olan, 18-40 yaşları arasında, araştırmaya katılmaya gönüllü olan 235 anne oluşturmuştur. Veri toplama aracı olarak, anneleri tanıtıcı bilgi formu ve Barkin Annelik Fonksiyonu Ölçeği kullanılmıştır. Verilerin analizinde sayı, yüzde, aritmetik ortalama, Kendall W analizi, faktör analizi, Cronbach alfa katsayısı ve madde analizi kullanılmıştır. Bulgular: Ölçeğin Türkçeye uyarlamasında körlemesine ters çeviri yöntemi kullanılmıştır. Uzman görüşlerinin uyumluluk düzeyi Kendall W= 0.297 (p=0.004) bulunmuştur. Açımlayıcı faktör analizi sonucunda, ölçeğin 5 faktör altında toplandığı ve faktörlerin açıklanan varyansa toplam katkısının %59.9 olduğu belirlenmiştir. Ölçekten elde edilen puanlar doğrultusunda yapı geçerliliğine ilişkin ek kanıt elde etmek amacıyla doğrulayıcı faktör analizi (DFA) uygulanmıştır. DFA'nın uyum indekslerinin, Ki-kare (2) İyilik Uyumu 2(94)=159.93 (p=0.000), 2/sd=1.70, Yaklaşık Hataların Ortalama Karakökü (RMSEA) 0.05, Normlaştırılmamış Uyum İndeksi (NNFI) 0.94, Karşılaştırılmalı Uyum İndeksi (CFI) 0.96, Standartize Edilmiş Artık Ortalamaların Karakökü (SRMR) 0.06 ve İyilik Uyum İndeksi (GFI) 0.91 olduğu belirlenmiştir. Ölçeğin genel cronbach alfa güvenirlik katsayısı 0.73'tür ve ölçek alt boyutlarıdan, Öz Bakım Boyutu'nun 0.66, Anne Psikolojisi Alt Boyutu'nun 0.71, Bebek Bakımı Alt Boyutu'nun 0.62, Sosyal Destek Alt Boyutu'nun 0.69, Anneliğe Uyum Alt Boyutu'nun 0.50 olduğu hesaplanmıştır. Madde analizi sonucunda, maddelerin ayırt edicilik (rjx< 0.10) düzeyinin güçlü olduğu saptanmıştır. Sonuç: Sonuç olarak, "Barkin Index of Maternal Function" Türkçe formunun kadınların doğum sonu annelik fonksiyonunu ölçmek için geçerli ve güvenilir bir araç olduğu saptanmıştır
Maternal Functioning and Depression Scores Improve Significantly With Participation in Visiting Moms® Program
No full textBACKGROUND: Postpartum depression is the most common complication of childbearing can affect the entire family unit. Health professionals must strive to identify and develop effective, feasible solutions for women during this critical period. AIMS: To determine whether postpartum maternal functioning (as measured by the Barkin Index of Maternal Functioning) and depression symptoms (as measured by the Patient Health Questionnaire-9) were improved after participation in the Visiting Moms program. METHOD: Paired data were collected from women at program intake and after completion of the Visiting Moms program. Visiting Moms provides services through eastern and central Massachusetts and was designed to support new mothers throughout the infant's first year of life. The study population was composed of adult women living in the Jewish Family and Children's Services geographic catchment area, who enrolled in Visiting Moms between January 1, 2013, and December 31, 2015. Descriptive statistics were calculated for all 402 women enrolled in this timeframe. Utilizing a pretest/posttest design, paired t tests were performed for the Barkin Index of Maternal Functioning (n = 149) and for the Patient Health Questionnaire-9 (n = 156), where women had complete scores at both intake and completion, to determine the program's potential impact on depressive symptoms and functional status. RESULTS: Functioning and depression scores were significantly improved after participation in the program. CONCLUSIONS: Visiting moms, and similar programs, aimed at delivery of enhanced social support, may be effective in promoting mental and emotional wellness among new mothers who are require additional support in the postpartum period
Mexico = 墨西哥
No full textModerator : Claudia Yadira CABALLERO BORJA (Barter Community Mixiuhca and Ecomun Network, Mexico)
Speakers : Laura COLLIN (Tlaxcala University, Mexico) David BARKIN (Metropolitan Autonomous University, Mexico) Jorge SANTIAGO (Author of Solidarity Political Economy) María Eugenia SANTANA (Chiapas Autonomous University, Mexico) Oscar GONZÁLEZ (Mexico City Autonomous University, Mexico
Correlates of Postpartum Maternal Functioning in a Low-Income Obstetric Population
No full text BACKGROUND: Perinatal mental health has been characterized primarily via depression evaluation. However, there may be advantages to complementary assessment of postpartum functional status. OBJECTIVE: The purpose of this study was to examine sociodemographic and clinical factors associated with maternal functioning in low-income obstetrics patients. DESIGN: One hundred and twenty-eight women receiving postpartum obstetrical care at a large medical center in medically underserved, Middle Georgia were screened for depressive symptoms with the Edinburgh Postnatal Depression Scale. The women also completed the Barkin Index of Maternal Functioning and a sociodemographic survey. Multivariate analysis was performed to elucidate factors independently associated with maternal functioning. RESULTS: Higher Edinburgh Postnatal Depression Scale scores ( p < .0001) and being married ( p = .043) were associated with decreased maternal functioning. CONCLUSIONS: Health care providers should be cognizant of the relationship between postnatal depression and maternal functioning and its potential implications for family health. </jats:p
Factors that contribute to academic success for students from low socio-economic backgrounds: a comparative study of two selected schools; one in Saskatoon, Canada, and the other in Barkin-Ladi (GWOL), Nigeria
No full textMy thesis research addresses the factors that contribute to students' academic performance with special reference to children that come from low socio-economic backgrounds. It is a comparative study of two schools: one in Saskatoon, Canada, and the other in Barkin-Ladi, Nigeria. As a child who came from a low socio-economic background, and later as an adult who worked in a school with many students from low socio-economic backgrounds, I wanted to write on this topic. The sampled schools in Saskatoon and Barkin-Ladi were purposively chosen as those that have a considerable number of children from low socio-economic backgrounds. The basic question I tried to answer in my study is how students who come from low socio-economic backgrounds can best be helped to achieve academically.
In my study, I have learned that the insightful and helpful steps on helping students in the sampled school in Saskatoon are the early focus on literacy, responding to data-driven record keeping, the online survey on What Did You Learn In School Today(WDYLIST), the Child Hunger Education Program (CHEP), and the Safety, Teamwork, Attitude, Responsibility, and Respect (STARR) program. In my research findings with the sampled school in Barkin-Ladi, Nigeria, scouting for financial sponsorship, subsidizing school fees, providing educational learning materials, and organizing competitions, debates, and quizzes are essential for helping students from impoverished backgrounds excel in academics.
I discovered in my study that for participants in the sampled school in Saskatoon, Canada, teaching is viewed primarily as a vocation rather than only as a profession. Teacher perception of the profession is important in regards to being dedicated to meeting the needs of students. The study has also showed that there is a strong sense of community and unity of purpose in both sampled schools.
In the sampled school in Barkin-Ladi, Nigeria, the school being a Catholic mission helped makes a big difference in the moral upbringing of the students. As well, the examination promotion policy kept the students alert and working hard so as not to be retained or repeated in the same class. The poverty level in Nigeria cannot be compared to that of Canada. The poverty in Nigeria is so visible that there can be no mistake about who is poor and who is rich even when looking at the schools that the children attend. I have gathered from my study and my life in Nigeria that the government has a good national policy on Education but poor implementation. The sourcing for sponsorship is a big need for children from poor families to be engaged in school. Implementing the Child Hunger and Education Program (CHEP) and Safety, Teamwork, Attitude, Responsibility, and Respect (STARR) programs in the schools in Nigeria will assist students coming from low socio-economic backgrounds.Includes bibliographical references (pages 138-151).
"A thesis submitted to the Faculty of Education for the partial fulfillment of the requirements for the degree of Master of Education.
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