BackgroundSince mobility and social participation are key determinants of health and quality of life, it is important to identify factors associated with them. Although several investigations have been conducted on the neighborhood environment, mobility and social participation, there is no clear integration of the results. This study aimed to provide a comprehensive understanding regarding how the neighborhood environment is associated with mobility and social participation in older adults.MethodsA rigorous methodological scoping study framework was used to search nine databases from different fields with fifty-one keywords. Data were exhaustively analyzed, organized and synthesized according to the International Classification of Functioning, Disability and Health (ICF) by two research assistants following PRISMA guidelines, and results were validated with knowledge users.ResultsThe majority of the 50 selected articles report results of cross-sectional studies (29; 58 %), mainly conducted in the US (24; 48 %) or Canada (15; 30 %). Studies mostly focused on neighborhood environment associations with mobility (39; 78 %), social participation (19; 38 %), and occasionally both (11; 22 %). Neighborhood attributes considered were mainly ‘Pro ducts and technology’ (43; 86 ) and ‘Services, systems and policies’ (37; 74 %), but also ‘Natural and human-made changes’ (27; 54 %) and ‘Support and relationships’ (21; 42 %). Mobility and social participation were both positively associated with Proximity to resources and recreational facilities, Social support, Having a car or driver’s license, Public transportation and Neighborhood security, and negatively associated with Poor user-friendliness of the walking environment and Neighborhood insecurity. Attributes of the neighborhood environment not covered by previous research on mobility and social participation mainly concerned ‘Attitudes’, and ‘Services, systems and policies’.ConclusionResults from this comprehensive synthesis of empirical studies on associations of the neighborhood environment with mobility and social participation will ultimately support best practices, decisions and the development of innovative inclusive public health interventions including clear guidelines for the creation of age-supportive environments. To foster mobility and social participation, these interventions must consider Proximity to resources and to recreational facilities, Social support, Transportation, Neighborhood security and User-friendliness of the walking environment. Future studies should include both mobility and social participation, and investigate how they are associated with ‘Attitudes’, and ‘Services, systems and policies’ in older adults, including disadvantaged older adults.
Attachment theory stipulates that adult love relationships are governed by three interdependent behavioral systems: attachment, caregiving, and sex (P. R. Shaver, C. Hazan, & D. Bradshaw, 1988, Love as attachment: The integration of three behavioural systems. In R. J. Sternberg & M. Barnes (Eds.), The anatomy of love (pp. 68 -98). New Haven, CT: Yale University Press), but few studies have explored the link between the caregiving and sexual systems. In an attempt to complement current research, this study was designed to provide a better understanding of sexual satisfaction by exploring the interplay of these three systems. Specifically, we examined a model in which the dimensions of romantic attachment and caregiving predicted reasons for engaging in sexual intercourse that served a caregiving function and, ultimately were related to sexual satisfaction in a sample of 152 adults who were cohabiting with a romantic partner. Path analyses revealed that individuals low in attachment-related avoidance scored higher on caregiving proximity and sensitivity, which in turn were associated with having sex to express valuing one's partner, and higher sexual satisfaction. Individuals who score higher on attachment anxiety simultaneously reported lower caregiving sensitivity, which was negatively associated with having sex to express valuing one's partner and reported having sex to express this same value. Attachment anxiety was also associated with scores on the measure of exerting too much control while providing care. This was in turn associated with using sexuality to enhance one's sense of power. Our model explained 16% of the variance in sexual satisfaction. Findings are discussed in light of attachment theory and implications for couple therapy.
Empirical findings regarding the association between child attachment and sleep have been inconsistent. The objectives of this series of meta-analyses were to assess the size of the association between child sleep and attachment and to examine whether study methodology (attachment measure, sleep measure) and age moderate this association. Sixteen studies (2783 children aged from 6 to 38 months) were included. Significant associations were found between attachment security and sleep efficiency (r = .18) and attachment resistance and sleep problems (r = .18). There were significant moderator effects of sleep measure and age of the child, with the size of the association between sleep and attachment security increasing with age (R analog = .67). Inconsistent findings are likely due to inter-study variabilities in methodology and to a developmental effect on the sleep-attachment association.
Based on the attachment promotion hypothesis of dreaming, this study explored the wake-to-dream continuity of youths' attachment representations and early maladaptive schemas. A total of 19 children and adolescents (12 boys; M = 11.8 years, SD = 2.1) were administered the Child Attachment Interview and completed the self-reported Schema Inventory for Children. They were provided a digital audio recorder to report their dreams for 14 consecutive days. Data from 95 dreams (M = 5 per participant, SD = 2.6) were collected. Dream coding systems were developed to assess attachment-and schema-related content. Bootstrapped correlations were conducted between waking scores and the highest dream-derived scores. In addition, a cluster analysis of dreamswith a subsequent inclusion of the waking scores-was conducted for each participant. The results showed that security-related waking scores were linked to insecurity-related dreaming scores (dismissingness). Conversely, insecurity-related waking scores (dismissingness) were negatively linked to security-related dreaming scores. Security-related waking scores accounted significantly for the merging of the waking attachment profile to a cluster of dreams. No wake-to-dream association was found for attachment-related schemas (Disconnection and Rejection domain). Because dreams depict more insecure than secure attachment-related content, they may function to rehearse different attachment strategies. However, attachment security showed wake-to-dream continuity through cluster analysis, which might be a way to consolidate, in addition to a way to test or improve, attachment representations in childhood and adolescence. Implications for the hypothesized dream functions of attachment promotion, emotion regulation, and threat simulation are discussed.
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