Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “family functioning”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 271 records · Page 15Linked to original sources
PubMed1988

A comparison of family functioning when mothers have chronic pain.

Multiple aspects of family functioning were assessed when mothers experienced either chronic pain, a chronic illness (diabetes), or no illness. Mothers' and fathers' self-report measures of depression, anxiety, and family environment were collected. Children's self-report measures of depression and anxiety, as well as information about their overall adjustment, were collected. Family communication patterns were also assessed. Families with a mother who had chronic pain had poorer perceived family environments and higher levels of depression and anxiety compared to the other two groups of families. Children from chronic pain families also appeared to be adversely affected. The data suggest that level of disability appeared more salient than the type of chronic illness. Implications of the findings are discussed in light of the fact that mothers with chronic pain in the present sample reported relatively mild disability and were not actively seeking treatment for their condition.

Adolescent↗
PubMed2000

The relationship between asthma severity, family functioning and the health-related quality of life of children with asthma.

This study compared the health-related quality of life (HRQL) of 236 children with mild or moderate/severe asthma with that of a large representative sample of children in the general community. The study also examined the relationship between the HRQL of children with asthma and their demographic characteristics, asthma severity and family functioning. Children with asthma had a significantly poorer HRQL than other children in the community. Amongst the children with asthma, parents reported that children living in single-parent families had poorer physical health, mental health and social functioning than children in two-parent families. There was a significant relationship between the mental health of children with asthma and family functioning but no significant relationship between their physical health and family functioning. These findings suggest that the domains comprising the HRQL of children with asthma are related to both disease and non-disease factors. A better understanding of these relationships will facilitate the development of new interventions to help children with asthma.

Asthma↗
PubMed1991

[Validation in the French language of an evaluation scale for family functioning (FACES III): a tool for research and for clinical practice].

Valid and reliable scales are necessary to describe the numerous factors associated with health status. Multiple studies have shown the impact of familial factors, i.e. family functioning (FF) on health indicators. As no scale exists in french to assess FF, we performed a study to validate the Family Adaptability and Cohesion Evaluation Scale (FACES III, Olson et al.) in french. This scale has a high level of validity and reliability and has been widely used. After 2 translations and back-translations and a pilot study to establish face validity, the final version was studied in 976 healthy subjects (457 families) who attended a preventive medical center in Nancy, France. Parents and adolescents each filled out two 20 item self-administered questionnaires. There were few missing values (0-3% per item). Construct validity was assessed by principal component factor analysis, which found the same two individualized axes as in the original scale. The reliability of the french version was excellent and comparable to Olson's scale. This study demonstrates the validity and reliability of a french version of FACES III in a french population. It provides researchers and clinicians in France with a validated instrument for assessing, in a quantified way, factors associated with family functioning that influence health status in adults, adolescents and children, particularly those with chronic diseases. This scale is especially useful for developing and evaluating health programs.

Adolescent↗
PubMed1997

Risk of addiction to work and family functioning.

A total of 107 self-identified workaholics from across the United States and Canada responded to a set of inventories assessing their scores on the Work Addiction Risk Test and the correlations with current family functioning. Individuals in the High-risk group, compared to those in the Low- and Medium-groups, were significantly more likely to perceive their current families as having less effective problem-solving ability, worse communication, less clearly established family roles, fewer affective responses, less affective involvement, and lower general family functioning.

Adult↗
PubMed1993

Family function, stress, and locus of control. Relationships to glycemia in adults with diabetes mellitus.

OBJECTIVE: To determine whether glycemic control in adults with either insulin-dependent diabetes mellitus (IDDM) or non-insulin-dependent diabetes mellitus (NIDDM) is related to perceived family function, stress/coping, affect, and locus of control. DESIGN: Cross-sectional, observational study. PARTICIPANTS: Four hundred seven subjects from a family medicine ambulatory care unit, a tertiary pediatric diabetic unit, or a public-funded community health center, all located in Winston-Salem, NC, completed a series of psychometric instruments that included the Family APGAR (Adaptation, Partnership, Growth, Affection, and Resolve), FACES III (Family Adaptability and Cohesion Evaluation Scales) Cohesion subscale, Affect Balance Scale, Multidimensional Health Locus of Control Scales, and the Brief Encounter Psychosocial Instrument. MAIN OUTCOME MEASURE: Glycemic control was measured by fasting blood glucose levels and glycosylated hemoglobin A1C levels as well as by patients' perception of their control. RESULTS: Those with NIDDM had scores indicative of more external sources of control than those with IDDM. A greater proportion of adults with both subtypes of diabetes perceived their families to be disengaged than subjects from families without diabetes. In a bivariate analysis, family dysfunction correlated with lack of perceived glycemic control, while perceived stress and negative affect correlated with fasting glucose levels in those with NIDDM but not those with IDDM. Using multivariate discriminant analysis, adults with NIDDM in good glycemic control as measured by glycosylated hemoglobin levels had lower family cohesion and negative affect than those in poor control. Conversely, those with IDDM with acceptable glycosylated hemoglobin levels had higher family cohesion, less negative affect, fewer chance loci of control, but higher perception of inadequate coping than those in poor control. CONCLUSIONS: Knowledge of the family function, affect, locus of control, perceived stress, and coping may be useful to the family physician in the care of adults with diabetes mellitus, since these psychosocial parameters are associated with objective and perceived glycemic control.

Adaptation, Psychological↗
PubMed2000

[Validation of diagnostic scales of family functioning for use in primary health care services].

Care provided to patients in primary health services should include both a physical and a psychological assessment. In many cases treatment success depends on understanding individuals and their interactions, especially within the family; it is important for health professionals to be trained in this area. We investigated the validity of three well-known diagnostic scales of family functioning from the United States of America (FACES III, Beavers-Timberlawn, and GARF) for use in our setting in Porto Alegre, Brazil. The three scales were used with 31 families and compared to the results from clinical evaluations (semistructured family interviews), which were considered the gold standard. FACES III was also used with a sample of 102 families in the community. The Beavers-Timberlawn and GARF scales were strongly and positively correlated with the clinical evaluations. In contrast, our results suggest that FACES III is not a useful screening tool in primary care to detect the risk of psychiatric disorders. The Beavers-Timberlawn and GARF instruments showed great usefulness for formulating and classifying diagnoses of family functioning.

Adaptation, Psychological↗
PubMed1997

Fathers and mothers of school-age children with developmental disabilities: parental stress, family functioning, and social support.

Thirty pairs of fathers and mothers who had school-age children with mental retardation and other disabilities were compared with each other and with 32 father and mother pairs of parents of children without disabilities. Responses to family scales indicated that fathers and mothers of children with developmental disabilities did not differ from each other nor from fathers and mothers of children without disabilities in parental stress, family social support, or family functioning. However, parents of children with disabilities experienced a disproportionately greater level of stress relating to their children than did those of children without disabilities. Fathers' and mothers' stress was associated with aspects of family functioning as perceived by themselves and their spouses.

Adaptation, Psychological↗
PubMed1997

The European study of assisted reproduction families: a comparison of family functioning and child development between Eastern and Western Europe.

Developments in reproductive technology over the past 20 years have given infertile couples new opportunities to have children. Although assisted reproduction does not appear to lead to negative consequences with respect to parent-child relationships or the socioemotional development of the child, the outcome for children and their parents may well differ according to the social and cultural environment. The aim of the present study was to compare family functioning and the social and emotional development of children in families created as a result of assisted reproductive techniques in Western Europe with assisted reproduction families in an Eastern European country (Bulgaria) where there is a history of specific pronatalist interventions. The findings indicate greater difficulties in parental adjustment and child behavior in assisted conception families in Eastern Europe. In addition, Eastern European parents were more uncertain than Western European parents about whether they would tell the child, and Eastern European parents were much more secretive with respect to telling others. Thus the outcomes of assisted reproduction for family functioning and child development appear to be independent, to some extent at least, on the social context in which these techniques are carried out.

Adaptation, Psychological↗
PubMed1984

Clinical applications of the Process Model of Family Functioning.

This paper discusses clinical applications of the Process Model of Family Functioning. It provides a framework for conducting and systematically recording a family assessment, and can help clinicians achieve and use improved control of clinical sessions to increase their diagnostic and therapeutic effectiveness. Ways of using FAM-III, a self-report test derived from the model, to confirm or amplify a clinical assessment and to assist or monitor therapeutic interventions are discussed. Viewing psychological and family systems theories as complementary, the model provides a rationale for integrating both sets of theories to achieve a more pluralistic view of pathogenesis and a more selective choice of therapies. An extended example illustrates the concurrent use of individual and family therapies. Other topics discussed include the role of family strengths, the derivation of therapeutic goals, moving from content to perceive underlying structure and process, making the conceptual shift from group-of-two to conceptualizing the family as a group (system) in equilibrium.

Adolescent↗
PubMed1997

Posttraumatic stress, family functioning, and social support in survivors of childhood leukemia and their mothers and fathers.

Psychological sequelae are examined in 130 former childhood leukemia patients and 155 comparison participants and their parents. The major dependent variables are symptoms of anxiety and posttraumatic stress, family functioning, and social support. Multivariate analyses of covariance indicated significantly more posttraumatic stress symptoms in mothers and fathers of childhood leukemia survivors (p < .001) and no differences between survivors and peers. There were no significant group differences for family functioning or social support, although they were associated with anxiety and posttraumatic stress outcomes. Current child age, age at diagnosis, and months off treatment were not significantly correlated with outcome. These findings document the long-term impact of childhood cancer treatment on parents. The lack of significant differences for survivors argues for further attention to the relevance of posttraumatic stress disorder for childhood cancer survivors. The clinical implications are that psychological interventions are needed during and after cancer treatment.

Adolescent↗
PubMed2006

Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: associations with parental mental health and family functioning.

BACKGROUND: Behavioural and emotional problems occur at a high rate in children and adolescents with intellectual disability, often from a young age. Some studies have indicated that children and adolescents with autism present with even higher rates. Less is known about the presentation, development and family impact of these difficulties in young children with autism. This study aimed to explore these issues in toddlers with pervasive developmental disorders (PDDs), those with delay without a PDD, and their families. METHODS: Participants were 123 children aged 20-51 months, referred to a developmental assessment clinic. Parents completed a checklist on child behavioural and emotional problems, and individual questionnaires on family functioning, their own mental health, and stress in relation to parenting their child. The child's language and cognitive skills, adaptive functioning and behaviour were assessed by standardized measures. Measures were repeated 1 year postdiagnosis. Behavioural and emotional problems in young children with a PDD were compared with those in children with developmental delay without a PDD, and their impact on parental outcomes explored over time. RESULTS: Initial and follow-up measures of child behaviour and emotional problems, parent mental health problems, parent stress and family functioning were significantly correlated, providing some evidence of stability over time. Child emotional and behavioural problems contributed significantly more to mother stress, parent mental health problems, and perceived family dysfunction than child diagnosis (PDD/non-PDD), delay or gender. Compared with mothers, all fathers reported significantly less stress in relation to parenting their child. CONCLUSION: Results highlighted the importance of addressing emotional and behavioural problems in very young children with autism and/or developmental delay. The need for early support and intervention for mothers, fathers and families in this context was also evidenced. As research has shown that behavioural and emotional problems persist into adolescence and young adulthood, understanding of these issues in very young children and their parents has important implications for intervention and long-term outcomes.

Adult↗
PubMed1986

Stroke: morale, family functioning, health status, and functional capacity.

Twenty-two stroke patients and their spouses were studied. All patients were living at home and had had a stroke at least one year previously. Of the 22 patients 14 were men and eight were women. Couples were assessed on the variables of morale, family functioning, health status, and patient functional capacity. For all variables, patient-spouse and husband-wife differences were tested. Couples from a previously studied random community sample were matched to the stroke couples on age and socioeconomic status (SES). Identical morale, family functioning, and health status data collected on these couples were compared to the stroke data. The results included the following: Stroke patients and their spouses were healthy on all variables. Members of the couple did not differ on most variables whether compared as husband-wife or patient-spouse. Wives from the two samples did not differ on any variable. Husbands from the stroke sample differed from the matched husbands on only one health variable--the number of doctor visits made in the past six months.

Activities of Daily Living↗
PubMedDate not supplied

Transplantation in children. A longitudinal assessment of mothers' stress, coping, and perceptions of family functioning.

This study examined the parenting stress, coping resources, and family functioning among 27 mothers of children undergoing bone marrow, liver, kidney, and heart transplantation. The mothers completed a comprehensive battery of psychological instruments at the pretransplant stage and at 1- and 6-month posttransplant stages. Increased parenting stress, financial strain, caregiver burden, and family stress were reported following transplantation and persisted for several months. The mothers reported using coping strategies characterized by attempts to maintain family integration and to understand the child's medical situation. Development and evaluation of intervention programs to enhance parents' ability to cope with stress and maintain family stability are warranted.

Adaptation, Psychological↗
PubMed1999

Treatment alliance and its association with family functioning, adherence, and medical outcome in adolescents with severe, chronic asthma.

OBJECTIVE: To examine the concept of treatment alliance in the care of adolescents with asthma. METHODS: Measures of treatment alliance were obtained from 60 adolescents with severe, chronic asthma admitted to a tertiary care facility, their parents, and their asthma specialists at the referral center. Associations were examined between the alliance measures and multimeasure, multiagent data concerning family functioning and asthma treatment adherence and outcome. RESULTS: Physicians' reports of treatment alliance were associated with concurrent family functioning and asthma medication adherence, as well as with asthma treatment adherence and outcome in the year after the stay at the asthma center. CONCLUSIONS: As emphasized in the recently revised Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma (NHLBI, 1997), the ability of children with asthma, their parents, and their physician to create a positive partnership, or treatment alliance, appears to have an important role in optimal asthma management.

Adolescent↗
PubMed1994

Family functioning, social support and depression after traumatic brain injury.

Functional outcome after traumatic brain injury (TBI) is thought to be dependent upon effective social support and avoidance of depressive episodes. Research indicates that post-injury changes often occur in the family's functioning, hence impacting the family's ability to provide the needed social support. Social support, in turn, has been hypothesized to work as a buffer between significant life event and levels of depressive symptoms. Thus poor social support after a TBI, due to changes in family functioning, could result in depressive episodes for the person with a TBI. This paper empirically examines this question by investigating whether social support is predictive of depression in persons who have sustained a TBI. Thirty-nine persons who had sustained TBI were interviewed to assess their family functioning, perceived social support, and current depressive symptomatology. The results showed that the effective use of problem-solving and behavioural coping strategies by the family in response to TBI was significantly related to lower levels of depression in the person who sustained the TBI. However, perceived social support was not predictive of depression.

Adaptation, Psychological↗
PubMed2006

Psychological and family functioning among children of parents with recurrent headaches.

UNLABELLED: Research suggests that children of parents with chronic pain might be at risk for a variety of psychological symptoms. This study compared 52 children of parents with recurrent headaches and either low or high levels of accompanying disability with 23 children of parents without recurrent pain on various aspects of psychological and family functioning. Parent reports generally did not indicate any differences between children of parents with headaches and children of parents without recurrent pain, and no group differences were found in terms of children's self-reported psychological or family functioning. This study suggests that children of parents with recurrent headaches might not be at risk for poor functioning compared with children of parents without recurrent pain. Limitations of this study and directions for future research are discussed. PERSPECTIVE: Chronic pain is often believed to be associated with negative impacts on the family. This study included parents with recurrent headaches and their children and examined children's psychological and family adjustment in comparison to children whose parents did not have pain.

Adolescent↗
PubMed1993

The impact of sociodemographic, health care system, and family function variables on prenatal care utilization in a military setting.

BACKGROUND: Appropriate use of prenatal care is associated with more favorable perinatal outcomes. This study examines patient characteristics that influence the use of prenatal care in a total reimbursement setting. METHODS: A cohort analysis was conducted with 368 new obstetric registrants in a military community hospital. The protocol involved the completion of a family function scale and prenatal care survey at the onset of care and a record review at the completion of pregnancy. RESULTS: Several socioeconomic variables were highly associated with low utilization of prenatal care: low income, difficulty in finding child care, lower educational levels, and difficulty in getting transportation. The method of health care delivery, ie, care in the obstetric clinic vs family practice clinic, was also significantly associated with inadequate utilization. Finally, there appeared to be a negative association of cohesion and overall family function scores with the level of prenatal care use (P < .05). CONCLUSIONS: Multiple economic factors influence the use of prenatal care even in a system with total reimbursement. Family practice care is associated with better utilization patterns; family dysfunction is associated with less prenatal care utilization.

Adult↗
PubMed1995

Self esteem, depression, behaviour and family functioning in sexually abused children.

Eighty-four sexually abused children and their families, were compared with controls to look at short-term effects of sexual abuse. The abuse group had more marital breakdown, unemployment, communication problems within the family and poor marital mental health. The abused children had more depression, low self-esteem and behaviour disorder. There was no relationship between intrafamilial abuse and depression, self-esteem or behaviour disorder. More severe abuse was related to low self-esteem and children's negative perceptions of their mothers. In planning treatment the child's relationship to the perpetrator may need less emphasis, with more on self-esteem, depression, family functioning and the child's perceptions of the family.

Adolescent↗