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The authors considered the mental health consequences of polygamy in a sample of 101 Arab Muslim adolescents (19 from polygamous and 82 from monogamous families) at Juarish (Ramla), Israel. The respondents completed the Self-Esteem Scale (SE; M. Rosenberg, 1979), the Brief Symptom Inventory (BSI; L. Derogatis & N. Melsavados, 1983; L. Derogatis & P. Spencer, 1982), and the McMaster Family Assessment Device (FAD; N. B. Epstein, M. N. Baldwin, & D. S. Bishop, 1983). The respondents from polygamous families had lower SE scores, statistically significant higher scores in 2 BSI dimensions, higher scores in all other BSI dimensions, and higher levels of self-reported family dysfunction. The respondents from polygamous families reported lower levels of socioeconomic status, academic achievement, and parental academic attainment. Those variables may have had a more direct impact on mental health than did parental marital status. The data also indicated that perceived family functioning was the best predictor of mental health.

This study examined the impact of family interaction, perceived discrimination, stressful life events, and the hosting country on the adjustment of Israeli and German immigrants. Results show that changes in self-esteem between the 1st year of immigration and 2 and 4 years later were significantly related to family relations: the better the functioning, the greater the improvement. The patterns of relationships in the family, however, only partially explained changes in psychological well-being and language proficiency. Perceived discrimination explained discrepancies over time in psychological well-being among fathers and adolescents and the discrepancies in language proficiency among mothers: the lower the discrimination, the greater the improvement. Adult immigrants who experienced more stressful life events presented deterioration in their psychological well-being over time. Finally, adults who immigrated to Germany were more likely to acquire the new language than their counterparts who immigrated to Israel.

Background Patients with Crohn disease have debilitating psychological symptoms, mental fatigue, and poor quality of life. Psychological intervention may improve these symptoms. Methods We performed a randomized parallel-group physician-blinded trial of cognitive-behavioral and mindfulness-based stress reduction (COBMINDEX) on quality of life and psychological symptoms in adults with mild-moderate Crohn disease. COBMINDEX was taught by social workers in one-on-one video conferences over 3 months; quotidian home practice was mandated. Results Fifty-five COBMINDEX and 61 waitlist control patients completed the study; mean age was 33 years and 65% of participants were women. At 3 months, COBMINDEX patients had significantly reduced disease activity (per Harvey-Bradshaw Index score, C-reactive protein level, and calprotectin level), increased quality of life (Short Inflammatory Bowel Disease Questionnaire [SIBDQ] score increased from baseline 41 to 50; P < 0.001), decreased psychological symptoms (Global Severity Index [GSI], 0.98-0.70; P < 0.001), reduced fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue, 26-33; P < 0.001), and increased mindfulness disposition (Freiburg Mindfulness Inventory, 33-38; P < 0.001). Waitlist patients had a significant but small change in Harvey-Bradshaw Index, SIBDQ, and GSI scores, without improvement in fatigue or mindfulness. There were significant correlations (0.02 > P < 0.002) in COBMINDEX patients between baseline SIBDQ, GSI, Freiburg Mindfulness Inventory, and Functional Assessment of Chronic Illness Therapy-Fatigue scores with a relative change (baseline to 3 months) of the SIBDQ score, but none among waitlist patients. Predictors of relative change of the SIBDQ score in COBMINDEX patients included the GSI score (90% quantile; coefficient 0.52; P < 0.001), somatization (90%; 0.20; P = 0.001), depression (75%; 0.16; P = 0.03), and phobic anxiety (75%; 0.31; P = 0.008). Conclusions COBMINDEX was effective in increasing patients’ quality of life and reducing psychological symptoms and fatigue. Patients with severe baseline psychological symptoms benefited the most from COBMINDEX.

A sample of 352 Bedouin Arab children--174 from monogamous and 178 from polygynous families--participated in this study. The authors used self-reported standardized measures to assess the participants' level of self-esteem, mental health, social functioning, father-child relationships, mother-child relationships, and family functioning. The findings revealed that children from polygynous families reported more mental health and social difficulties as well as poorer school achievement and poorer relationships with their fathers than did their counterparts from monogamous families. In addition, the children from polygynous families rated their families' functioning and economic status as poorer than did those of monogamous families. Thus, the authors suggest that a polygynous family structure negatively affects the family's socioeconomic status and interpersonal relationships and impairs the children's psychological and social functioning. The authors discuss implications for practice and policy.