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Background: With an increasing number of grandparents providing care to their grandchildren, calls have been made for these caregivers to be considered important stakeholders in encouraging children's engagement in health-promoting behaviors, such as physical activity. Understanding the perspectives of grandparents who provide care is crucial to informing efforts that aim to increase children's physical activity, yet little is understood about their perceptions of specific barriers and enablers to promoting children's physical activity and reducing screen time. The present study sought to explore these perceptions. Methods: Semi-structured focus groups and individual interviews were conducted with grandparents who reported providing care to a grandchild aged 3 to 14 years. A total of 20 grandparents were sampled (mean age = 67.8 years). Data were subjected to reflexive thematic analysis. Results: Key reported barriers to physical activity included (i) the effort (physical and logistical) and financial cost associated with organizing physical activities, (ii) grandparents' age and mobility issues (e.g., due to injury or illness), (iii) caring for children of different ages (e.g., older children having different physical activity interests than younger children), and (iv) a local environment that is not conducive to physical activity (e.g., lack of appropriate facilities). Barriers to reducing screen time included (i) parents sending children to care with electronic devices and (ii) children's fear of missing out on social connection that occurs electronically. Strategies and enablers of physical activity included (i) integrating activity into caregiving routines (e.g., walking the dog), (ii) involving grandchildren in decision making (e.g., asking them in which physical activities they wish to engage), (iii) encouraging grandchildren to engage in activity with other children, and (iv) creating a physical and social environment that supports activity (e.g., owning play equipment). A common strategy for reducing screen time was the creation of a home environment that is not conducive to this activity (e.g., removing electronic devices from view). Conclusions: Findings suggest that grandparents may benefit from resources that assist them to identify activities that are inexpensive and require minimal effort to organize. Activities that account for grandparents' age and health status, as well as any environmental barriers, are likely to be well-received. [ABSTRACT FROM AUTHOR]

Background: Angiogenic growth mediators (AGMs) and oxidative stress (OS) both play essential roles in normal placental vascular development and as such, placental alterations in these factors contribute to pre-eclampsia (PE). Suboptimal health status (SHS), an intermediate between health and disease, has been associated with imbalanced AGMs and OS biomarkers. Thus, SHS pregnant women may be at increased risk of developing PE and may present abnormal placental alteration and expression of AGMs and OS compared to optimal health status (OHS) pregnant women. We examined the histopathological morphology, immunohistochemical expression of AGMs antibodies and oxidative DNA damage marker in the placentae of SHS and OHS pregnant women who developed early-onset PE (EO-PE) and late-onset (LO-PE) compared to normotensive pregnancy (NTN-P). Methods: This nested case-control study recruited 593 singleton normotensive pregnant women at baseline (10–20 weeks gestation) from the Ghanaian Suboptimal Health Status Cohort Study (GHOACS) undertaken at the Komfo Anokye Teaching Hospital, Ghana. Socio-demographic, clinical and obstetrics data were collected, and a validated SHS questionnaire-25 (SHSQ-25) was used in classifying participants into SHS (n = 297) and OHS (n = 296). Participants were followed until the time of PE diagnosis and delivery (32–42 weeks gestation). Blood samples were collected at the two-time points and were assayed for AGMs; soluble fms-like tyrosine kinase-1 (sFlt-1), placental growth factor (PIGF), vascular endothelial growth factor-A (VEGF-A), and soluble endoglin (sEng), and OS biomarkers; 8-hydroxydeoxyguanosine (8-OHdG), 8-epiprostaglandinF2-alpha (8- epi-PGF2α) and total antioxidant capacity (TAC) using ELISA. Placental samples were collected for histopathological and immunohistochemical analysis. Results: Of the 593 pregnant women, 498 comprising 248 SHS and 250 OHS women returned for delivery and were included in the final analysis. Of the 248 SHS women, 56, 97 and 95 developed EO-PE, LO-PE and NTN-P, respectively, whereas 14, 30 and 206 of the 250 OHS mothers developed EO-PE, LO-PE and NTN-P, respectively. At baseline, SHS_NTN pregnant women had a significant imbalance in AGMs and OS biomarkers compared to OHS_NTN pregnant women (p<0.0001). At the time of PE diagnosis, SHS_NTN-P women who developed EO-PE, LO-PE, and NTN-P had lower serum levels of P1GF, VEGF-A and TAC and correspondingly higher levels of sEng, sFlt-1, 8-epiPGF2α, and 8-OHdG than OHS-NTN-P women who developed EO-PE and LO-PE, NTN-P (p<0.0001). A reduced placental size, increased foetal/placental weight ratio, and a significantly higher proportion of fibrinoid necrosis, infarction, villous fibrin, syncytial knots, calcification, chorangiosis, tunica media/vascular wall hypertrophy and chorioamnionitis was associated with the SHS group who developed PE (EO-PE>LO-PE) more than OHS groups who developed PE (EO-PE>LO-PE) when all were compared to NTN-P (p<0.0001). The intensity of antibody expression of PIGF and VEGF-A were significantly reduced, whereas Flt-1, Eng and 8-OHdG were significantly increased in placentae from SHS-pregnant women who developed EO-PE>LO-PE more than OHS- pregnant women who developed EO-PE>LO-PE when all were compared to NTN-P (p<0.0001). Conclusion: Increased lesions, oxidative DNA damage, and imbalanced expression between pro-and anti-AGMs are associated more with SHS-embodied PE placentae rather than OHS-embodied PE subtypes, thus potentially allowing differential evaluation of PE. [ABSTRACT FROM AUTHOR]

Custodial grandparents are a vulnerable and marginalised group within society. A total of 110 these custodial grandparents took part in a mixed-method (qualitative interview and quantitative survey) research project. Of these, 22 participated in a semi-structured interview, 27 participated in an interview and completed a Grandcarer Needs, Wellbeing and Health Survey, and 61 completed a survey only. Data were subjected to conventional, summative and directed content analysis. The results reveal that while a few custodial grandparents have a viable succession plan for their custodial grandchildren's care post their incapacitation or demise, the majority do not. Indeed, many custodial grandparents have such a conflictual (or no) relationship with not only their offspring, but also their extended family members, coupled with a deep distrust of the foster-care system that their succession (Plan B) care options for their custodial grandchild are limited. The prevailing plan being not to die before their grandchild/ren reach maturity. The health implications of raising grandchildren without a viable succession plan are discussed. [ABSTRACT FROM AUTHOR]

Exogenous shocks during sensitive periods of development can have long-lasting effects on adult phenotypes including behavior, survival and reproduction. Cooperative breeding, such as grandparental care in humans and some other mammal species, is believed to have evolved partly in order to cope with challenging environments. Nevertheless, studies addressing whether grandparental investment can buffer the development of grandchildren from multiple adversities early in life are few and have provided mixed results, perhaps owing to difficulties drawing causal inferences from non-experimental data. Using population-based data of English and Welsh adolescents (sample size ranging from 817 to 1197), we examined whether grandparental investment reduces emotional and behavioral problems in children resulting from facing multiple adverse early life experiences (AELEs), by employing instrumental variable regression in a Bayesian structural equation modeling framework to better justify causal interpretations of the results. When children had faced multiple AELEs, the investment of maternal grandmothers reduced, but could not fully erase, their emotional and behavioral problems. No such result was observed in the case of the investment of other grandparent types. These findings indicate that in adverse environmental conditions the investment of maternal grandmothers can improve child wellbeing. [ABSTRACT FROM AUTHOR]

How does helping behavior contribute to the health and the longevity of older helpers? From an evolutionary perspective, the ultimate cause may be rooted in ancestral parenting and grandparenting. These activities may have generalized to a neural and hormonal caregiving system that also enabled prosocial behavior beyond the family. From a psychological perspective, helping others may be associated with healthy aging, which, in turn, contributes to longevity as a proximate cause. Yet little is known about the extent to which mediating factors such as the health benefits of helping behaviors translate into enhanced longevity, particularly in regard to grandparenting. To fill this gap, we conducted mediation analyses (structural equation models) to examine whether grandparenting and supporting others in the social network contributed directly or indirectly (through better health 5–6 years later) to the longevity of older helpers. We drew on longitudinal data from the Berlin Aging Study ( N = 516), in which older adults in Berlin, Germany, were interviewed at baseline (1990–1993, mean age at entry = 85 years) and continuously followed up until 2009. Results suggest that the associations of both grandparenting and supporting others with enhanced longevity are mediated by better prospective health (indirect effect). The effect of helping was not fully mediated, however—helping was also directly associated with increased longevity independently of the health indicators measured. The results were robust against effects of the helper's preexisting health status and sociodemographic characteristics of participants, their children, and grandchildren. We conclude that better prospective health contributes to the link between helping and longevity, but does not fully account for it. Other potential contributing mechanisms remain to be identified. As populations age across the globe, identifying mechanisms that foster health in old age can help to highlight potential targets for public health interventions. [ABSTRACT FROM AUTHOR]

Parental drug-usage is a risk factor for child neglect. Maternal drug-dependency, in particular, has far reaching implications for the mother, her children, and the grandparents who are left to rear the children when the mother's drug-dependency prohibits her from doing so. Thus, drug-related maternal incapacity to adequately parent her child/ren places a tri-generational burden on society. This study aimed to broaden understanding of this burden. In this regard, forty-nine custodial grandparent interviews were subjected to thematic analysis. Grandparents typically revealed their daughter's marijuana usage began in early-mid adolescence, progressed to heavy drugs, and led to an early exit from the family home. A teen-aged pregnancy commonly followed. Grandparents when becoming aware of their grandchild/ren's mother's continued drug use and repeated instances of child neglect issued the the children's mother with a 'go-into-rehab-or-lose-your-custodial-care-of-your-child/ren' ultimatum. Drug-dependent mothers were often unable to meet this ultimatum and grandparents then transferred their energies into caring for their grandchild/ren. The implications of this grandparent investiture shift are discussed, and future policy considerations are tabled. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this research was to examine earliest memories in patients with a mental disorder and their clinical relevance to diagnosis and treatment.Method: A semi-structured early memory questionnaire was developed and 50 patients with anxiety, depression or a psychotic disorder were interviewed. A thematic analysis was conducted to extract dominant themes from the qualitative data.Results: Family events, play, and receiving attention were dominant themes of pleasant memories, while unpleasant memories consisted of fear-provoking situations, abuse/violence, and death-related themes. Participants were able to recall the feelings they had experienced at the time of their earliest memories and most participants stated that their first memories had significant impact in their lives.Conclusions: The findings of this exploratory study suggest that earliest memories may be of clinical significance for diagnostic and therapeutic interventions in psychiatry. [ABSTRACT FROM AUTHOR]

The provision of community‐based space for people experiencing a mental health crisis is regarded as a favourable alternative to the emergency department. However, the only non‐emergency department safe spaces in Western Australia are located within hospitals or hospital grounds. This qualitative study asked mental health consumers in Western Australia with experience of presentation at the emergency department during a mental health crisis to describe what a safe space would look and feel like. Data were collected through focus groups and thematically analysed. The findings present the voices of mental health consumers through the framework of health geography and the therapeutic landscape. These participants articulated important physical and social features of a therapeutic safe space and their symbolism as inclusive, accessible places where they would experience a sense of agency and belonging. Participants also expressed a need for trained peer support within the space to complement the skilled professional mental health team. Participants' experiences of the emergency department during mental health crises were described as contrary to their recovery needs. The research reinforces the need for an alternative to the emergency department for adults who experience mental health crises and provides consumer‐led evidence to inform the design and development of a recovery‐focused safe space. [ABSTRACT FROM AUTHOR]

Across human cultures, grandparents make a valued contribution to the health of their families and communities. Moreover, evidence is gathering that grandparents have a positive impact on the development of grandchildren in contemporary industrialized societies. A broad range of factors that influence the likelihood grandparents will invest in their grandchildren has been explored by disciplines as diverse as sociology, economics, psychology and evolutionary biology. To progress toward an encompassing framework, this study will include biological relatedness between grandparents and grandchildren, a factor central to some discipline's theoretical frameworks (e.g., evolutionary biology), next to a wide range of other factors in an analysis of grandparental investment in contemporary Europe. This study draws on data collected in the Survey of Health, Ageing and Retirement in Europe from 11 European countries that included 22,967 grandparent–child dyads. Grandparents reported biological relatedness, and grandparental investment was measured as the frequency of informal childcare. Biological and non-biological grandparents differed significantly in a variety of individual, familial and area-level characteristics. Furthermore, many other economic, sociological, and psychological factors also influenced grandparental investment. When they were controlled, biological grandparents, relative to non-biological grandparents, were more likely to invest heavily, looking after their grandchildren almost daily or weekly. Paradoxically, however, they were also more likely to invest nothing at all. We discuss the methodological and theoretical implications of these findings across disciplines. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to develop and evaluate a consumer satisfaction instrument for its psychometric properties and utility as part of a mental health rehabilitation service's quality improvement strategy. Methods: The instrument was developed and evaluated qualitatively using the Nominal Group Technique and quantitatively using factor analysis and Structural Equation Modelling. Findings: The study resulted in the development of Consumer Recovery Satisfaction Survey (CRSS), an instrument with strong psychometric properties. Discussion: Satisfaction survey instruments tend to be biased towards identifying what is important to an organization. Consumers, however, have different priorities and this was evidenced through their significant contribution to the development and evaluation of the CRSS. Conclusion: The CRSS is a standardized instrument that can be used with confidence as part of a mental health rehabilitation service's internal quality improvement programme as well as benchmarking against other organizations. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to develop and evaluate a consumer satisfaction instrument for its psychometric properties and utility as part of a mental health rehabilitation service's quality improvement strategy. Methods: The instrument was developed and evaluated qualitatively using the Nominal Group Technique and quantitatively using factor analysis and Structural Equation Modelling. Findings: The study resulted in the development of Consumer Recovery Satisfaction Survey (CRSS), an instrument with strong psychometric properties. Discussion: Satisfaction survey instruments tend to be biased towards identifying what is important to an organization. Consumers, however, have different priorities and this was evidenced through their significant contribution to the development and evaluation of the CRSS. Conclusion: The CRSS is a standardized instrument that can be used with confidence as part of a mental health rehabilitation service's internal quality improvement programme as well as benchmarking against other organizations. [ABSTRACT FROM AUTHOR]

From changing diapers and minding the kids when school is out to providing support when they set fire to the carpet, grandparents can be invaluable to have around. What motivates grandparents to lend a hand? Several disciplines have offered answers. The most important accounts come from life-history theory and evolutionary psychology, sociology, and economics. These accounts exist side-by-side, but there is little theoretical integration among them. But regardless of whether grandparental investment is traced back to ancestral selection pressure or attributed to an individual grandparent's values or norms, one important question is, What impact does it have in industrialized, low-fertility, low-mortality societies? We briefly review the initial evidence concerning the impact of grandparental investment in industrialized societies and conclude that in difficult circumstances, grandparents can provide the support that safeguards their grandchildren's development. Additional cross-disciplinary research to examine the effects of intergenerational transfers in our evolutionarily unique environment of grandparenthood is needed. [ABSTRACT FROM AUTHOR]

The article presents an analysis of the importance of family in the context of household economics and demographic transitions worldwide. It is noted that in less developed economies, children contribute significant quantities of labor to the household, whereas in more developed countries they do not. The effects of kinship networks on the well-being of children are analyzed in terms of societies at various stages of demographic transition. Data from various studies is presented on the relationship between fertility rates and child-care arrangements.

The article presents a study on early reproduction predictors such as birthweight and paternal involvement. The study used the sociological and medical information of a group of women from Great Britain's National Child Development Study (NCDS) and outcome measures from early reproduction at age 20 to the intended reproduction at 16 or lower. Study results show that lack of paternal involvement during childhood and birthweight during fetal age affect the reproductive development of women.

The article presents a study on the association between woman's early environment at menarche and the birth weight of her offspring. It states that a self-report questionnaire was used among mothers who belong in antenatal class to assess their childhood psychosocial stress, adult socioeconomic environmental, and their age at menarche as well as anthropometrics. It reveals that psychosocial stress at the earlier menarche of a woman affect her child's birth weight.

This response outlines more reasons why we need the integrative framework of grandparental investments and intergenerational transfers that we advocated in the target article. We discusses obstacles -- from misconceptions to poor measures - that stand in the way of such a framework and of a better understanding of the effects of grandparenting in the developed world. We highlight new research directions that have emerged from the commentaries, and we end by discussing some of the things in our target article about which we may have been wrong. [ABSTRACT FROM AUTHOR]

What motivates grandparents to their altruism? We review answers from evolutionary theory, sociology, and economics. Sometimes in direct conflict with each other, these accounts of grandparental investment exist side-by-side, with little or no theoretical integration. They all account for some of the data, and none account for all of it. We call for a more comprehensive theoretical framework of grandparental investment that addresses its proximate and ultimate causes, and its variability due to lineage, values, norms, institutions (e.g., inheritance laws), and social welfare regimes. This framework needs to take into account that the demographic shift to low fecundity and mortality in economically developed countries has profoundly altered basic parameters of grandparental investment. We then turn to the possible impact of grandparental acts of altruism, and examine whether benefits of grandparental care in industrialized societies may manifest in terms of less tangible dimensions, such as the grandchildren's cognitive and verbal ability, mental health, and well-being. Although grandparents in industrialized societies continue to invest substantial amounts of time and money in their grandchildren, we find a paucity of studies investigating the influence that this investment has on grandchildren in low-risk family contexts. Under circumstances of duress - for example, teenage pregnancy or maternal depression - there is converging evidence that grandparents can provide support that helps to safeguard their children and grandchildren against adverse risks. We conclude by discussing the role that grandparents could play in what has been referred to as Europe's demographic suicide. [ABSTRACT FROM AUTHOR]

The article discusses the influence of the grandparents' reproductive history and family size in the investment they commit to their grandchildren. It examines the data derived from the study of grandchildren and their grandparents in Switzerland. The results of the study show that when grandparents have their first grandchild early, it reduces the investment they devote for their grandchildren.

The present study investigated the association of depressive personality traits to treatment outcome for depression. One hundred and nineteen patients with a primary diagnosis of major depression were divided into high- and low-depressive personality groups, and depression symptomatology was assessed pre- and postparticipation in a standardized group cognitive–behavioral intervention. Analyses revealed poorer pre-state and end-state functioning for the high-depressive personality group. However, rate of improvement pre- to posttreatment was comparable between the two groups. Subsequent multiple regression analyses revealed that when controlling for pretreatment depression severity, depressive personality was not a predictor of depression treatment outcome. Within the methodological parameters of the current study, depressive personality traits were not associated with a poorer response to cognitive–behavioral treatment for depression. © 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 1181–1196, 2006. [ABSTRACT FROM AUTHOR]

We present a novel evolutionary analysis of low birth weight (LBW). LBW is a well-known risk factor for increased infant morbidity and mortality. Its causes, however, remain obscure and there is a vital need for new approaches. Life history theory, the most dynamic branch of evolutionary ecology, provides important insights into the potential role of LBW in human reproductive strategies. Life history theory''s primary rationale for LBW is the trade-off between current and future reproduction. This trade-off underlies the prediction that under conditions of environmental risk and uncertainty (experienced subjectively as psychosocial stress) it can be evolutionarily adaptive to reproduce at a young age. One component of early reproduction is early menarche. Early reproduction tends to maximise offspring quantity, but parental investment theory''s assumption of a quantity–quality trade-off holds that maximizing offspring quantity reduces quality, of which LBW may be the major component. We therefore predict that women who experienced early psychosocial stress and had early menarche are more likely to produce LBW babies. Furthermore, the extension of parent–offspring conflict theory in utero suggests that the fetus will attempt to resist its mother''s efforts to reduce its resources, allocating more of what it does receive to the placenta in order to extract more maternal resources to increase its own quality. We propose that LBW babies born to mothers who experience early psychosocial stress and have early menarche are more likely to have a higher placental/fetal weight ratio. We review evidence in support of these hypotheses and discuss the implications for public health. [Copyright &y& Elsevier]

Evolutionary theory predicts a downward flow of investment from older to younger generations, representing individual efforts to maximize inclusive fitness. Maternal grandparents and maternal grandmothers (MGMs) in particular consistently show the highest levels of investment (e.g. time, care and resources) in their grandchildren. Grandparental investment overall may depend on social and environmental conditions that affect the development of children and modify the benefits and costs of investment. Currently, the responses of grandparents to adverse early life experiences (AELEs) in their grandchildren are assessed from a perspective of increased investment to meet increased need. Here, we formulate an alternative prediction that AELEs may be associated with reduced grandparental investment, as they can reduce the reproductive value of the grandchildren. Moreover, we predicted that paternal grandparents react more strongly to AELEs compared to maternal grandparents because maternal kin should expend extra effort to invest in their descendants. Using population-based survey data for English and Welsh adolescents, we found evidence that the investment of maternal grandparents (MGMs in particular) in their grandchildren was unrelated to the grandchildren's AELEs, while paternal grandparents invested less in grandchildren who had experienced more AELEs. These findings seemed robust to measurement errors in AELEs and confounding due to omitted shared causes. [ABSTRACT FROM AUTHOR]

Optimal oxidative stress (OS) is important throughout pregnancy; however, an increased OS may alter placental angiogenesis culminating in an imbalanced of angiogenic growth mediators (AGMs). Suboptimal Health Status (SHS), a physical state between health and disease, may be associated with increased OS and unbalanced AGMs. In this study, we explored the association between SHS, biomarkers of OS (BOS) and AGMs among normotensive pregnant women (NTN-PW) in a Ghanaian Suboptimal Health Cohort Study (GHOACS). This comparative GHOACS recruited 593 NTN-PW from the Komfo Anokye Teaching Hospital, Ghana. SHS was measured using a Suboptimal Health Status Questionnaire-25 (SHSQ-25). Along with the subjective SHS measure, objective BOS: 8-hydroxy-2-deoxyguanosine (8-OHdG), 8-epiprostaglandinF2 alpha (8-epi-PGF2α), total antioxidant capacity (TAC), and AGMs: vascular endothelial growth factor-A (VEGF-A), soluble fms-like tyrosine kinase receptor 1 (sFlt-1), placental growth factor (PIGF) and soluble endoglin (sEng) were evaluated. Compared to optimal health NTN-PW, levels of PlGF, VEGF-A and TAC were significantly (p < 0.05) reduced and negatively associated with SHS whilst sEng, sFlt-1, 8-epiPGF2α, 8-OHdG, and combined ratios of sFlt-1/PlGF, 8-epiPGF2α/PlGF, 8-OHdG/PlGF, and sEng/PlGF were significantly increased and positively associated with SHS. The first quartile for PIGF (2.79-fold) and VEGF-A (5.35-fold), and the fourth quartile for sEng (4.31-fold), sFlt-1 (1.84-fold), 8-epiPGF2α (2.23-fold), 8-OHdG (1.90-fold) and urinary 8-OHdG (1.95-fold) were independently associated with SHS (p < 0.05). SHS is associated with increased OS and unbalanced AGMs. Early identification of SHS-related OS and unbalanced AGMs may inform clinicians of the need for therapeutic options. [ABSTRACT FROM AUTHOR]

Previous studies suggest grandparental childcare is associated with improved health and well-being of grandparents but limited information on the causal nature of this association exists. Here, we use the longitudinal Survey of Health, Ageing and Retirement in Europe (SHARE) of people aged 50 and above across 11 countries including follow-up waves between 2004 and 2015 (n = 41,713 person-observations from 24,787 unique persons of whom 11,102 had two or more measurement times). Between-person and within-person (or fixed-effect) regressions were applied, where between-person models show associations across participants and within-person models focus on each participant's variation over time. Health and well-being were measured according to self-rated health, difficulties with activities of daily living (ADLs), depressive symptoms, life satisfaction and meaning of life scores. Across all analyses, childcare assistance provided by older adults to their adult children, was associated with increased health and well-being of grandparents. However, these associations were almost completely due to between-person differences and did not hold in within-person analyses that compared the same participants over time. Fewer ADL limitations for grandparents who provided childcare assistance was the only association that remained in the within-individual analyses. These findings suggest that there might be only limited causal association between grandchild care and grandparental well-being and that it may be specific to physical rather than cognitive factors. The results are discussed with regard to evolutionary psychology assumptions of altruistic behavior and positive health outcomes for the helper. • Associations between grandchild care and grandparental health were detected. • More active grandparents reported better health than less active grandparents. • In most cases grandchild care was not causally associated with grandparental health. • Support for causal association was detected only for physical health. [ABSTRACT FROM AUTHOR]

Introduction: Nausea and vomiting in pregnancy (NVP) are common. Whilst the impact on pregnant women has been well documented, there is less data on the impact on partners. This study evaluated awareness and impact of maternal NVP on expectant fathers.Methods: Observational study of 300 expectant fathers. Institutional ethics approval and consent were obtained. Fathers were recruited from antenatal clinics and community settings. Researchers administered demographic, attitudinal and the Hospital Anxiety and Depression scale questionnaires during the third trimester. Expectant fathers were asked if their partner experienced NVP. If aware, they were asked to comment upon the impact on their lives.Results: Participants were similar in demographics to those of the wider Australian community of expectant fathers. Most fathers were aware whether their partner experienced NVP (82%). Of these fathers, 20% reported no NVP, and 30%, 37% and 13% men reported maternal NVP was mild, moderate and severe, respectively. There was no correlation between paternal depression and maternal NVP, but a significant association was found between moderate and severe maternal NVP and paternal anxiety. In qualitative comments, five themes emerged: disruption on work, feelings of frustration and helplessness, concern over depression in their partner, concern for the developing baby and a sense of being manipulated in the third trimester of pregnancy.Discussion: Most expectant fathers are aware of NVP in their partner. Moderate and severe maternal NVP are associated with significantly higher symptoms of paternal anxiety. [ABSTRACT FROM AUTHOR]

Argues that the trade-off between current and future reproduction accounts for more of the within-sex differences in reproductive strategies than the good-genes-good parenting tradeoff. Variation in female reproductive strategies; Significant factors in mate selection; Impact of maximizing offspring quality on intergenerational variance in reproductive success.

Highlights • Explores anecdotal evidence that grandparents could influence paediatric vaccine uptake. • Reviews articles that suggest grandparents influence parents' decision to vaccinate children. • Currently there is no direct evidence that grandparents influence parents' vaccination decisions. • Articles reviewed highlight indirect evidence of grandparental influence on parents' decisions. • Highlights grandparents' attitudes and beliefs are echoed in parents' decision to vaccinate. Abstract The global reduction in childhood infectious diseases since the 1960s is primarily due to the success of extensive worldwide immunisation campaigns. However, the universal vaccination coverage program appears to have lost momentum in the wake of negative, unfounded claims about the safety of vaccines. While parents of the 21st century have little first-hand knowledge of devastating childhood diseases, grandparents are more likely to remember family and community members who were afflicted. In the current age of vaccine hesitancy and science scepticism, where research-informed arguments are not always persuasive, grandparents, through their experience of the diseases, may positively influence paediatric vaccine uptake. This paper reviews the literature investigating potential direct or indirect influences of grandparents on parents' decisions to vaccinate their children. A database search using the keywords immunisation , vaccination , children and grandparents resulted in 1988 articles. Titles were screened for relevance and seventy-seven results were retained. After the abstracts were read, only five articles that either explored paediatric vaccines, factors promoting and/or inhibiting paediatric vaccine use and decision-making strategies were reviewed. One paper located through Google Scholar, which failed to show up on database searches, was also retained for a total of six papers. While none of the six papers set out to explore the impact of grandparents on vaccine uptake, they found that grandparents were involved to varying degrees in paediatric vaccine uptake within young families. The research clearly showing that grandparents, and older people more generally, promote vaccination uptake is not currently available. The dearth of literature shows the need for research exploring the perceived and real influences of grandparents on childhood vaccination. This will establish whether grandparents' memory and knowledge of preventable childhood infectious diseases could be harnessed as a public health measure to counteract the current, ill-informed, negative attention on paediatric vaccines. [ABSTRACT FROM AUTHOR]

Custodial grandparenting (i.e. raising grandchildren on a full-time basis) is a global phenomenon. Despite the hardships associated with 24/7 custodial care, grandparents continue to invest in their grandchildren. Why they do so is a matter of much conjecture. For example, it has been posited that grandparents assume custodial care of their grandchildren for reasons of necessity, altruism, aged-care reciprocity, or cultural continuity. This study examines the often overlooked issue of grandparent enjoyment as a motivating force behind custodial grandparenting caregiving investment. The results of our analysis of 88 completed Grandparent Needs, Wellbeing and Health Surveys determined that custodial grandparents’ investiture in their grandchildren is influenced by three types of enjoyment, namely those derived from engagement in the child-centred nurturance of an at-risk grandchild, dyadic engagement in shared activities with their grandchild, and the personal grandparent-centred pleasure benefits to be had from fulfilling a grandcarer role. This study additionally reveals that informal custodial grandparents experience lower levels of closeness to their grandchild/ren, satisfaction with their grandparenting role, and assessment of their state of health than do formal (legal) custodial grandparents. The need to educate custodial grandparents of the potential health benefits to be had from investiture in their grandchildren is discussed. [ABSTRACT FROM PUBLISHER]

In Australia, children removed from the parental home because substance use–related child maltreatment issues are commonly placed in grandparent custodial care; however, the longer term relational costs of this approach have yet to be determined. Conventional, summative, and directive content analyses were conducted on data extracted from 88 Australian custodial grandparent completed Grandcarer Needs, Wellbeing and Health Surveys. Conventional analysis revealed the most common reason grandparents gave for their assumption of custodial care was drug use–related acts of parental child maltreatment. Summative analysis revealed antidepressants, marijuana, Valium, ice, and amphetamines were the most commonly used parental drugs and that these drugs were frequently used in combination with dexamphetamine, antipsychotics, heroin, ecstasy, and cocaine. Directed analysis contextualized the strain that drug use–related custodial caregiving places on grandparents’ financial resources, and how this strain is burdensome when the grandparents’ annual income is less than Aus$80,000. It also contextualizes the need for future research to explore family reunification desires/barriers. [ABSTRACT FROM AUTHOR]

The article discusses a study which aims to establish the frequency and characteristics of somatoform disorders in patients with chronic pain attending an outpatient psychiatric clinic in a rehabilitation hospital in Western Australia. Participants aged between 18 and 60 years referred by pain medicine specialists who suspected the presence of psychological symptoms were included in the study. It suggests an association between chronic pain conditions and somatoform disorders.

Objective: This study sought to determine what impact the task of raising grandchildren is having on custodial grandparents’ physical health. Design and Methods: Thematic analysis was conducted on interview data collected from 49 custodial grandparents. Results: The task of raising grandchildren on a fixed-income is difficult for grandparents with limited respite-care options. Hence, they periodically face the dilemma of deciding whether to defer or not defer their own health needs so they can continue to care for their grandchildren. Grandparents are also wary of asking for health-related respite-care assistance: (i) in case their asking is perceived as an admission they are not coping; (ii) that some harm might befall their grandchildren while they are in respite-care; and (iii) that a respite-care placement will cause their grandchildren’s underlying abandonment insecurities to resurface. Policy considerations: To help overcome custodial grandparents’ respite-care access barriers greater consideration needs to be given to delivering health promotion information within the non-judgemental and receptive confines of grandparent support groups. [ABSTRACT FROM AUTHOR]

• Systemic disadvantage may contribute to child removal for parents with AOD issues (84 characters) • Conflicting demands from government agencies can act as a barrier to reunification (85 characters) • Insecure housing and limited social support may inhibit family reunification (79 characters) • Residential substance use rehabilitation can support parent/child reunification (82 characters) • Interviews reveal that poverty and trauma can contribute to parents' substance use (85 characters) The challenges and experiences associated with child removal and reunification from the perspective of mothers experiencing substance-related harms is under-researched in Australia. Our qualitative study employed a socio-ecological model to better understand the background to child removal, and perceived barriers and facilitators to achieving reunification of mother and child. In-depth interviews were conducted with 16 women, 8 of whom self-identified as Australian First Nations People. At the time of the interviews, these women were either living in substance use rehabilitation facilities, their own home or with relatives. Findings highlighted a history of complex disadvantage and trauma among the women, along with a deep and enduring commitment to their children. Key barriers to reunification included limited social support networks, insecure housing, and challenges in meeting conflicting requirements from the child protection, social welfare and justice systems. An important facilitator to reunification was access to a residential substance use rehabilitation facility that offered holistic wrap-around services with links to community support. This study highlights the inadequacy of individual approaches focused on parents' substance use and emphasises the need to address significant structural disadvantages that underpin increasing numbers of children being placed in government mandated care in Australia. [ABSTRACT FROM AUTHOR]

The article discusses the poor mental health results in custodial grandparents. Topics include increase in Australian government mental health assistance, disruptive family processes which predict higher manifestations of mental ill health in grandparents, and Thematic analysis in grandparents caregiving experiences.

Cultural, ecological, familial and physiological factors consistently influence fertility behaviours, however, the proximate psychological mechanisms underlying fertility decisions in humans are poorly understood. Understanding the psychological mechanisms underlying human fertility may illuminate the final processes by which some of these known predictors have their influence. To date, research into the psychological mechanisms underlying fertility has been fragmented. Aspects of reproductive psychology have been examined by researchers in a range of fields, but the findings have not been systematically integrated in one review.We provide such a review, examining current theories and research on psychological mechanisms of fertility. We examine the methods and populations used in the research, as well as the disciplines and theoretical perspectives from which the work has come. Much of the work that has been done to date is methodologically limited to examining correlations between ecological, social and economic factors and fertility. We propose, and support with examples, the use of experimental methods to differentiate causal factors from correlates. We also discuss weaknesses in the experimental research, including limited work with non-WEIRD (western, educated, industrialized, rich and democratic) populations. [ABSTRACT FROM AUTHOR]

Life history theory suggests that in risky and uncertain environments the optimal reproductive strategy is to reproduce early in order to maximize the probability of leaving any descendants at all. The fact that early menarche facilitates early reproduction provides an adaptationist rationale for our first two hypotheses: that women who experience more risky and uncertain environments early in life would have (1) earlier menarche and (2) earlier first births than women who experience less stress at an early age. Attachment theory and research provide the rationale for our second two hypotheses: that the subjective early experience of risky and uncertain environments (insecurity) is (3) part of an evolved mechanism for entraining alternative reproductive strategies contingent on environmental risk and uncertainty and (4) reflected in expected lifespan. Evidence from our pilot study of 100 women attending antenatal clinics at a large metropolitan hospital is consistent with all four hypotheses: Women reporting more troubled family relations early in life had earlier menarche, earlier first birth, were more likely to identify with insecure adult attachment styles, and expected shorter lifespans. Multivariate analyses show that early stress directly affected age at menarche and first birth, affected adult attachment in interaction with expected lifespan, but had no effect on expected lifespan, where its original effect was taken over by interactions between age at menarche and adult attachment as well as age at first birth and adult attachment. We discuss our results in terms of the need to combine evolutionary and developmental perspectives and the relation between early stress in general and father absence in particular. [ABSTRACT FROM AUTHOR]