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Results for “Family dynamics”

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PubMed1990

Family functioning 2 to 4 years after preterm birth.

The purpose of the study was to determine if selected risk factors related to preterm birth continued to be associated with family functioning when preterm children were 2 to 4 years of age. A convenience sample of 55 mothers and 27 fathers participated in the survey. Parents completed the Family Dynamics Measure and the family APGAR. Multiple regression analyses were computed to examine the associations between the dependent variables for family functioning and the independent variables, which included child's developmental status, neonatal hospitalization length, adequacy of family economics, parental age, and marital status. Of these risk factors, longer neonatal hospitalizations continued to be associated with poorer family role functioning for mothers (R2 = .237, F = 2.43, p = .039).

Adaptation, Psychological↗
PubMed1989

The single-session family interview.

Currently, attempts are being made to integrate family systems theory and technique into the practice of family physicians. Although the importance of the family has been demonstrated in a number of medical situations and although several authors have indicated situations in which it is useful for the physician to convene the family, to date no explicit guidelines have been developed for conducting a single-session family interview. This article presents a framework for conducting such an interview, structured in three stages (contracting, exploration, and closure) with clinical examples for each stage. The single-session family interview provides the family physician with realistic guidelines for helping families who face medical dilemmas and for improving the physician's practice. The guidelines have proven useful in teaching residents the skills involved in understanding family dynamics and conducting productive family meetings.

Family↗
PubMed1999

Daughters-in-law as caregivers: how and why do they come to care?

This exploratory qualitative study examines the family dynamics and socio-structural factors which explain how and why some women become caregivers to in-laws. As well, it explores prevailing attitudes about care by in-laws. Material is drawn retrospectively from three previous studies of caregivers in Montreal, Quebec, including 10 semi-structured interviews with daughters-in-law and 72 interviews with spousal and child caregivers. An exploratory framework of the factors which are determinant in becoming a daughter-in-law caregiver is proposed which includes such elements as: social and cultural norms regarding family responsibility for eldercare; social and cultural norms regarding the place and the rights of the elderly; rules of family relations, couple dynamics, gender dynamics and family availability.

Adult↗
PubMed2004

Cancer information disclosure in different cultural contexts.

The relationship between truth telling and culture has been the subject of increasing attention in the literature. The issue of whether, how and how much to tell cancer patients concerning diagnosis is still approached differently depending on country and culture. The majority of physicians tell the truth more often today than in the past, in both developed and developing countries, but most of them prefer to disclose the truth to the next of kin. Nurses in Anglo-Saxon countries are considered to be the most suitable health-care professionals for the patients to share their thoughts and feelings with. Nevertheless, in most other cultures the final decision on information disclosure lies with the treating physician. Regardless of cultural origin, the diagnosis of cancer affects both family structure and family dynamics. In most cases patients' families, in an effort to protect them from despair and a feeling of hopelessness, exclude the patient from the process of information exchange. The health-care team-patient relationship is a triangle consisting of the health-care professional, the patient and the family. Each part supports the other two and is affected by the cultural background of each of the others as well as the changes that occur within the triangle.

Attitude of Health Personnel↗
PubMed1981

The family in consultation--liaison psychiatry.

This article calls attention to an underemphasized aspect of consultation-liaison psychiatry: the importance of the family in the management of illness response. Recent trends in family dynamics have focused primarily on family therapy and less on the critical role family members play in the "coloration," course, and outcome of acute episodes of illness. Case vignettes illustrate examples of intervention by liaison team members in the care of hospitalized medical-surgical patients. The authors suggest that a typology of family response to illness and hospitalization would offer a useful framework for diagnosis, evaluation, and management of the psychosocial aspects of illness. A coordinated approach by liaison team members is important to ensure comprehensive treatment.

Aged↗
PubMed2005

[Living the mother-child-family triad in the Kangaroo Method].

This study focuses on the experience of families in the Kangaroo Mother Method (KM) and aims to understand the functioning of the family dynamics and to apprehend the family transformations as a result of their experience in the method. The study used Symbolic Interactionism as a theoretical and Grounded Theory as a methodological reference framework. Data revealed the following phenomena: having an unexpected evolution and outcome of pregnancy, which is a phase in which the parents go through a pregnancy and suffer due to its premature interruption; coping with the prematurity of the child, in which the parents get into the world of prematurity and face the need to act for the child's survival; and living with the decision and the experience together with the child, which reveals the possibility of staying in hospital in the KM or not. These phenomena led to the central category: weighing the risks and benefits between staying with the child in the kangaroo method or with the family.

Family↗
PubMed2005

9. Common causes of sleep disruption and daytime sleepiness: childhood sleep disorders II.

There are strong associations between childhood sleep disorders and behavioural, concentration and mood problems. Sleep disorders caused and maintained by behavioural factors (eg, sleep-onset association disorder) are common in young children, and have a significant impact on families. Evaluation should include a medical history, a physical, neurological and developmental examination, a description of any nocturnal events or daytime effects of the child's disturbed sleep, and a good understanding of the family situation and parental management of the child. Management involves recognising the developmental age of the child and the family dynamics, and educating and supporting families in applying behavioural techniques to establish good sleep hygiene. Children with parasomnias (eg, night terrors) also benefit from good sleep hygiene, while those with respiratory or neurological causes of sleep disturbance should be referred for specialist treatment.

Adolescent↗
PubMed2000

Psychosocial aspects in palliative care--communicating with the patient and family.

The dynamics surrounding the patient and family facing a death as the 'unit of care' is discussed. Aspects of communication, openness within the family, especially concerning children and teenagers, and factors that enable a family to function under the stress of a loved one's terminal illness are explored. The use of a genogram in palliative care to help to piece together the family dynamics and available support is fundamental to the care for the whole family.

Adult↗
PubMed1993

Genograms: a psychosocial assessment tool for hospice.

Genograms are a valuable and non-threatening evaluation tool for hospice patients and families. The genogram provides basic information about the family including the role of each member and the family dynamics. As the diagram is drawn, family life cycle issues and relationships between family members become evident. The genogram may go beyond the household to include supportive neighbors, friends, and community resources. Religious and spiritual support is also noted. The information is used to assess family needs and to provide interventions both before the death and during bereavement.

Caregivers↗
PubMed1989

Transient cognitive changes after craniotomy.

Little has been written on the subject of cognitive and behavioral changes that may follow craniotomy. Neuroscience nurses who care for craniotomy patients often see transient alterations in behavior, intellect and personality similar to those occurring after minor head injury or subarachnoid hemorrhage. These changes may lead to depression and alter family dynamics. Interventional strategies, including cognitive screening, family counseling and thorough discharge planning are essential for helping patients and family members anticipate potential deficits and cope with life after craniotomy.

Adaptation, Psychological↗
PubMed1990

[Sex abuse within the family].

In the last years great attention was paid to the wide occurrence of sexual abuse in families. Some results about frequency, distribution of age and peaks of denouncement as well as some special kinds of incest are summarized with regard to sexual molestation of children. Referring to a case report, typical difficulties of revealing sexual abuse, some characteristics of family dynamics and transgenerational aspects of incestuous families and consequences of sexual molestation in later life are reported. Finally, some aspects in the therapeutic proceeding for overcoming the incestuous experience are considered.

Adult↗
PubMed1997

Perceived social support, family environment and psychosocial recovery in bone marrow transplant long-term survivors.

This report examines perceptions of social support and family dynamics in bone marrow transplant (BMT) long-term survivors, as part of a larger study examining issues of quality of life and psychosocial adjustment in this patient group. Ninety one BMT survivors participated in the study. Their responses were compared with those of a matched control group of 73 patients receiving maintenance chemotherapy (MC). The results indicated that the BMT group received more social support than the MC group. Main sources of support were the patients' immediate family members. No significant differences in the typology and dynamics of family environments were observed between groups. However, the groups were significantly different compared with healthy, non-distressed families in cohesion, control and conflict. It was of importance to note that a considerable number of BMT subjects reported at least one nurse as a person who provides support to them, indicating the potential important role of nurses in the psychosocial adjustment of BMT long-term survivors. Strong family relationships were associated in both the BMT and MC groups with significantly better adjustment with respect to their domestic, extended family or social environment, and psychological distress. Social support and family relationships might be two of the main spheres of life contributing to higher levels of quality of life, and their important role as a stressor-filter is highlighted.

Adaptation, Psychological↗
PubMedDate not supplied

[Work and family in Spain].

The relationship between family and labor force participation in Spain is examined. "First of all, the paper will emphasize the question's significance. And then, it will [study] the family and work in relation to nuptiality, birth rate and family dynamics. Finally, it will [consider]...unemployment's effect on...family life." (SUMMARY IN ENG)

Demography↗
PubMed2002

Relationship between current quality of life and family of origin dynamics for college students with Attention-Deficit/Hyperactivity Disorder.

OBJECTIVE: This study examines the relationship between current quality of life, family of origin relationship dynamics, and the presence of Attention-Deficit/Hyperactivity Disorder (ADHD) in college students. METHOD: Participants were 37 ADHD undergraduate college students and 59 non-ADHD undergraduate students. Participants completed a background information questionnaire, Quality of Life Questionnaire, Family Environment Scale, and the Family Adaption and Cohesion Scale II. RESULTS: In comparison to the control group, the ADHD group reported lower quality of life. The ADHD and non-ADHD groups did not differ significantly in reported family of origin relationship dynamics. Family of origin dynamics were highly predictive of current overall quality of life for the ADHD group, but less so for the non-ADHD group. CONCLUSION: The results of this study suggest that family of origin relationship dynamics deserve further study with respect to how they impact adult quality of life for individuals with ADHD.

Adult↗
PubMed1987

Family issues in working with chemically dependent adolescents.

The authors review research describing family dynamics in adolescent chemical abuse and dependency. Family systems theory is outlined, suggesting that family members, parents in particular, be included in accurate diagnosis and effective treatment. The pediatrician is viewed as having a relationship of trust with parents, being in a unique position to provide counsel, direction, and referral. Specific treatment strategies are recommended and illustrated with case studies.

Adolescent↗