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Three-City Study (three-city + study)
Selected AbstractsMaternal Distress and Parenting in the Context of Cumulative DisadvantageFAMILY PROCESS, Issue 2 2010JOYCE ARDITTI PH.D. To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full-text page on Wiley InterScience (http://interscience.wiley.com/journal/famp). This article presents an emergent conceptual model of the features and links between cumulative disadvantage, maternal distress, and parenting practices in low-income families in which parental incarceration has occurred. The model emerged from the integration of extant conceptual and empirical research with grounded theory analysis of longitudinal ethnographic data from Welfare, Children, and Families: A Three-City Study. Fourteen exemplar family cases were used in the analysis. Results indicated that mothers in these families experienced life in the context of cumulative disadvantage, reporting a cascade of difficulties characterized by neighborhood worries, provider concerns, bureaucratic difficulties, violent intimate relationships, and the inability to meet children's needs. Mothers, however, also had an intense desire to protect their children, and to make up for past mistakes. Although, in response to high levels of maternal distress and disadvantage, most mothers exhibited harsh discipline of their children, some mothers transformed their distress by advocating for their children under difficult circumstances. Women's use of harsh discipline and advocacy was not necessarily an "either/or" phenomenon as half of the mothers included in our analysis exhibited both harsh discipline and care/advocacy behaviors. Maternal distress characterized by substance use, while connected to harsh disciplinary behavior, did not preclude mothers engaging in positive parenting behaviors. RESUMEN Este artículo presenta un modelo conceptual emergente de las características y las conexiones entre la desventaja acumulada, la angustia materna, y las prácticas de crianza de los hijos en familias de bajos recursos donde uno de los padres ha estado encarcelado. El modelo surgió de la integración de investigaciones conceptuales y empíricas existentes con un análisis de muestreo teórico de datos etnográficos longitudinales tomados de Welfare, Children, and Families: A Three-City Study ("Bienestar, Niños y Familias: Un estudio en tres ciudades"). En el análisis se usaron catorce casos ejemplares de familias. Los resultados indicaron que las madres de estas familias vivían la vida en el contexto de desventaja acumulada, ya que describieron una cascada de dificultades caracterizadas por preocupaciones con respecto al barrio donde viven, preocupaciones por el sustento económico, dificultades burocráticas, relaciones íntimas violentas y la incapacidad de satisfacer las necesidades de sus hijos. Sin embargo, las madres también tenían un profundo deseo de proteger a sus hijos y de subsanar errores del pasado. Aunque, en respuesta a los niveles altos de angustia materna y desventaja, la mayoría de las madres demostraron una disciplina severa hacia sus hijos, algunas madres transformaron su angustia apoyando a sus hijos en circunstancias difíciles. El uso de disciplina severa y apoyo por parte de las mujeres no fue necesariamente un fenómeno excluyente, ya que la mitad de las madres analizadas demostraron tanto el uso de una disciplina severa como comportamientos de cuidado y apoyo. Si bien la angustia materna caracterizada por el abuso de sustancias estuvo conectada con el uso de una disciplina severa, no excluyó que las madres tuvieran comportamientos positivos en relación con la crianza de sus hijos Palabras clave: desventaja acumulada, angustia materna, crianza de los hijos, encarcelamiento de uno de los padres, disciplina [source] The Role of Trust in Low-Income Mothers' Intimate UnionsJOURNAL OF MARRIAGE AND FAMILY, Issue 5 2009Linda M. Burton Recent scholarship concerning low rates of marriage among low-income mothers emphasizes generalized gender distrust as a major impediment in forming sustainable intimate unions. Guided by symbolic interaction theory and longitudinal ethnographic data on 256 low-income mothers from the Three-City Study, we argue that generalized gender distrust may not be as influential in shaping mothers' unions as some researchers suggest. Grounded theory analysis revealed that 96% of the mothers voiced a general distrust of men, yet that distrust did not deter them from involvement in intimate unions. Rather, the pivotal ways mothers enacted trust in their partners were demonstrated by 4 emergent forms of interpersonal trust that we labeled as suspended, compartmentalized, misplaced, and integrated. Implications for future research are discussed. [source] White matter lesions volume and motor performances in the elderly,ANNALS OF NEUROLOGY, Issue 6 2009Aïcha Soumaré MSc Objectives To investigate the cross-sectional and longitudinal associations between performance-based measures of motor function and volume of white matter lesions (WMLs), and to examine the influence of the localization of these lesions. Methods At baseline, motor performances (maximum walking speed, Tinetti gait and balance subscales) were assessed in 1,702 subjects aged 80 years or younger from the Dijon (France), France center of the Three-City study. Volumes of WMLs lesions (total, periventricular, deep) were measured using an automated method of tissue segmentation and quantification of lesion size. At 8-year follow-up, walking speed was evaluated in 1,086 subjects. Results At baseline, mean and 95% confidence interval (CI) walking speed was lower in subjects with total volumes of WMLs ,90th percentile (1.50 [1.45,1.55] m/s) than in subjects with lower volumes (1.56 [1.55,1.58] m/s; p = 0.004). Baseline total volumes of WMLs above the 90th percentile predicted walking speed decline during follow-up (odds ratio [95% CI] for having the greatest walking speed decline = 2.3 [1.3,4.1], p = 0.006). Moreover, high volumes of periventricular but not deep WMLs were associated with slower walking speed at baseline (p = 0.005) and over time (p = 0.001), and with lower Tinetti gait subscore (p = 0.02). Interpretation Our study shows a cross-sectional and longitudinal association between high total volumes of WMLs, in particular volumes above the 90th percentile, and impaired mobility. These associations were independent of several confounders, including cognition, and were mainly accounted for by volumes of periventricular WMLs. These findings support the hypothesis of a vascular contribution to motor decline in the elderly. Ann Neurol 2009;65:706,715 [source] Factors associated with antidepressant use in depressed and non-depressed community-dwelling elderly: the three-city studyINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 3 2008Agnès Soudry Abstract Objectives The aim of this study was to identify factors associated with antidepressant use in non-depressed and depressed elderly persons, assuming that they varied according to clinical status. Methods We studied 7,868 French community-dwelling subjects aged 65 years and over. The Center for Epidemiological Studies-Depression scale and the Mini International Neuropsychiatric Interview were used to define three groups: non-depressed, high depressive symptoms and current major depressive disorder. Separate analyses were performed to identify the factors which were associated with antidepressant use in each group. Results Antidepressant use (55% selective serotonin re-uptake inhibitors, 25% tricyclic antidepressants, 20% other types) increased from 4.9% in non-depressed subjects to 17.3% in subjects with high depressive symptoms (HDS) and 33.6% of in those with current major depressive disorder (MDD). The factors associated with antidepressant use varied according to depression status. In particular, men with current MDD were more often treated with antidepressants than women whereas, in both the HDS and the non-depressed groups, antidepressant use was, as has been observed elsewhere, more frequent in women. Gender also had a strong modifying effect on the relationship between antidepressant use and history of major depression. Finally, the direction of the association between antidepressant use and cognitive performance varied according to depression status. Conclusions This study showed that the direction and strength of the association between antidepressant use and demographic and health-related factors varied according to the severity of depression symptoms. Further studies are needed to clarify the relationship between gender and cognition and antidepressant use. Copyright © 2007 John Wiley & Sons, Ltd. [source] | |||||||||||||