Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “FAMILY”

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 55 records · Page 3Linked to original sources
PubMed1999

Testing a model of family stress and coping based on war and non-war stressors, family resources and coping among Lebanese families.

This study was undertaken to describe the objective stressors, perceived stress, coping, and resources of families living in Beirut during the Lebanese war (1975-1991) and to test a model predicting the relationships of these variables to family adaptation. The sample consisted of 438 families chosen at random. Independent variables included objective stressors and perceived stress. The mediating variables were family resources and coping strategies. The dependent variables were health and interactional indicators of family adaptation: physical and psychological health, depression, and interpersonal and marital relationships. Findings provided support for the theoretical framework. Multiple regression analyses revealed that perceived stress, rather than the objective occurrence of events, predicted family adaptation. Family resources, particularly social support, positively impacted family adaptation and was associated with increased use of cognitive coping. The findings provide a theoretical model which, on further testing, can serve as a basis for practice by health professionals when working with traumatized families.

Adaptation, Psychological↗
PubMed1998

Comparison of schizophrenic patients' families and normal families in China, using Chinese versions of FACES-II and the Family Environment Scales.

The lack of measures that systematically evaluate the characteristics and functioning of Chinese families is hindering the development of appropriate family interventions for schizophrenia in China. We assessed the reliability and validity of revised and adapted Chinese versions (CV) of the Family Adaptability and Cohesion Evaluation Scales (FACES-II-CV) and the Family Environment Scales (FES-CV) and administered these instruments to 120 respondents from families with a schizophrenic member and 126 respondents from control families. The psychometric properties of the FACES-II-CV and of the FES-CV Cohesion, Conflict, Intellectual-Cultural Orientation, and Active-Recreational Orientation scales are satisfactory, so they are appropriate for use in China; the remaining six FES-CV scales require further culturally appropriate revision. Compared to control families, families with schizophrenic patients in China have higher conflict, lower cohesion, poor adaptability, and are less likely to be involved in intellectual and recreational activities. These differences remained significant after adjusting for family and respondent characteristics.

Adaptation, Psychological↗
PubMedDate not supplied

The influence of family resources and family demands on the strains and well-being of caregiving families.

The purpose of this study was to test a theoretical model developed to explain strains and well-being in families providing care to an elderly parent. The influences of family resources and demands on the well-being of caregiving families and the strains they experienced were examined in a sample of 65 families recruited through a variety of agencies serving older adults and their families. Two types of resources were examined: social support and internal system resources. Demands examined included family life events, the amount of care provided to the elderly parent, and the caregiver's appraisal of caregiving. Socioeconomic status (SES) was included in tests of the model since it was related to both family internal system resources and well-being. Resource variables, demand variables, and SES together accounted for 26% of the variance in family strains. Resource variables, strains, and SES together accounted for 65% of the variance in family well-being.

Adaptation, Psychological↗
PubMed1994

Parents of children with asthma: an examination of family hardiness, family stressors, and family functioning.

As the incidence, severity, and mortality associated with asthma has risen, the numbers of families caring for children has grown. This study used a descriptive correlational design to examine relationships among family hardiness, family stressors, and family functioning in families of children with asthma using the Resiliency Model of Family Stress, Adjustment, and Adaptation. The Family Hardiness Index, Family Stress Index, and Faces II instruments were completed by 27 parents of children with asthma. Correlations were found to be significant. Family type was also determined.

Adaptation, Psychological↗
PubMed1996

Characteristics of familial ovarian cancer: a report of the first 1,000 families in the Gilda Radner Familial Ovarian Cancer Registry.

BACKGROUND: To determine the demographics of the first 1,000 families in the Gilda Radner Familial Ovarian Cancer Registry. METHODS: Any woman with a family history of two or more first or second degree relatives with ovarian cancer who was referred to the Registry was entered into a database. The demographics of the Registry population were analyzed, including total number of ovarian cancer cases, cases per family, age at diagnosis, prevalence of other malignancies, and histology. Comparisons were made to expected norms in the general population using the most recent surveillance, Epidemiology, and End Results data from the National Cancer Institute. RESULTS: There were 2,425 reported cases of ovarian cancer among the 1,000 registered families. The number of cases per family ranged from 2-10 with 72.4% of the families having two cases of ovarian cancer and 27.6% with three or more cases of ovarian cancer. The mean age at diagnosis was 53.5 years, significantly younger than the 60.8 years reported in the general population (p < 0.1). The mean age at diagnosis was even younger, 52.1 years, in the subset of patients with a family history of three or more cases of ovarian cancer. Moreover, in the mother/daughter pairs of ovarian cancer where age of onset of ovarian cancer was known, the mean age of the mothers was 58.8 compared to a mean age of 50.2 among the daughters (p < 0.01). There was a significantly larger proportion of serous adenocarcinoma (40%) and a significantly smaller proportion of mucinous adenocarcinoma (3%) and stromal cell tumor (0%) when compared to the general population (p < 0.01). Breast and colon cancer were the two most common other cancers reported. CONCLUSIONS: given the limits of the study due to the voluntary nature of the Registry, the data suggests that familial ovarian cancer occurs at a younger age than the general population, daughters of mothers with ovarian cancers develop ovarian cancer at an age significantly younger than their mothers, mucinous and stromal tumors occurred significantly less often than in the general population, and the most common associated other cancers are female breast cancer and female and male colon cancer.

Adolescent↗
PubMed2002

Phenotypic variation in eight extended CDKN2A germline mutation familial atypical multiple mole melanoma-pancreatic carcinoma-prone families: the familial atypical mole melanoma-pancreatic carcinoma syndrome.

BACKGROUND: Hereditary pancreatic carcinoma shows extant phenotypic and genotypic heterogeneity as evidenced by its integral association with a variety of hereditary cancer syndromes inclusive of the familial atypical multiple mole melanoma (FAMMM) syndrome in concert with CDKN2A (p16) germline mutations. METHODS: Creighton University's familial pancreatic carcinoma resource comprises 159 families of which 19 (12%) show the FAMMM cutaneous phenotypes. The authors describe eight families with the FAMMM-pancreatic carcinoma (FAMMM-PC) association in concert with a CDKN2A germline mutation. Each family was thoroughly educated about all facets of the study, including the molecular genetics, reduced penetrance of CDKN2A mutations, and their variable expressivity. Genetic counseling was provided to each patient. RESULTS: Diversity in cancer presentation within and among the families was noteworthy, wherein melanoma predominated in certain of the families whereas pancreatic carcinoma predominated in others. Early-onset pancreatic carcinoma (at ages 35, 45, 46, and 49 years) appeared in some of the families whereas markedly later-onset pancreatic carcinoma occurred in others. There were four incidences of melanoma and pancreatic carcinoma as double primaries in the same individuals. One patient with melanoma and pancreatic carcinoma had a third primary of breast carcinoma. Another patient had sarcoma, esophageal carcinoma, and two melanoma primaries, whereas his daughter had sarcoma and was a carrier of a CDKN2A mutation. CONCLUSIONS: The authors suggest that these tumors may collectively, in concert with CDKN2A mutations, constitute a "new" putative hereditary carcinoma syndrome referred to as FAMMM-PC. More clinical and molecular genetic research on additional families with pancreatic carcinoma in concert with the FAMMM will be required.

Adult↗
PubMed1994

A ten percent prevalence of asymptomatic familial intracranial aneurysms: preliminary report on 110 magnetic resonance angiography studies in members of 21 Finnish familial intracranial aneurysm families.

The population in eastern Finland has been stable for generations, causing a high degree of genetic isolation and providing excellent possibilities for follow-up studies. Of 91 families with familial intracranial aneurysms, 21 were randomly selected for prospective magnetic resonance angiography studies for intracranial aneurysms. Sixteen intracranial aneurysms were detected in 11 asymptomatic family members of a total of 110 studied. The prevalence of intracranial aneurysms among these familial intracranial aneurysm families is 10%, approximately 10 times higher than in the average population. Our findings suggest that family members of familial intracranial aneurysm families should be examined for intracranial aneurysms. Familial intracranial aneurysm may be a genetic disorder.

Adolescent↗
PubMed1976

Do family therapists' family ideologies affect their impressions of families?

The impact of patients' and family therapists' own family values on judgments about a help-seeking family was investigated via a clinical analogue. Fifty family-oriented clinicians were classified as either traditional or nontraditional in their beliefs about the family. Clinical judgments were rendered of a hypothetical family in which the parents' verbalizations were suggestive of either traditional or nontraditional family values. Little diagnostic value-bias was detected, thereby failing to establish the operation of political bias in the family treatment setting.

Attitude of Health Personnel↗
PubMed1991

Family paradigm theory and family rituals: implications for child and family health.

Family paradigm theory explains variations in families that are based on their shared beliefs about the social world and their family's place within it. Key concepts of the theory and some of the supporting research are presented. Family rituals provide a window for viewing the family's efforts to maintain this shared concept of family identity. Suggestions for evaluating ritual use in families during times of stress and/or transition are provided. Ritual evaluation may give clues to difficulties families face in maintaining a shared identity during challenging periods of change or conflict.

Adolescent↗
PubMed2005

Family ties: constructing family time in low-income families.

"Family time" is reflected in the process of building and fortifying family relationships. Whereas such time, free of obligatory work, school, and family maintenance activities, is purchased by many families using discretionary income, we explore how low-income mothers make time for and give meaning to focused engagement and relationship development with their children within time constraints idiosyncratic to being poor and relying on welfare. Longitudinal ethnographic data from 61 low-income African American, European American, and Latina American mothers were analyzed to understand how mothers construct family time during daily activities such as talking, play, and meals. We also identify unique cultural factors that shape family time for low-income families, such as changing temporal orientations, centrality of television time, and emotional burdens due to poverty. Implications for family therapy are also discussed.

Activities of Daily Living↗
PubMed1999

Marriage and family consultation with ranch and farm families: an empirical family case study.

There is a paucity of marriage and family therapy literature addressing therapeutic consultation with farm and ranch families. This article describes a case study in which several Marital and Family Therapy approaches were used to consult with a ranch family. It also provides empirical data showing in which of five treatment phases changes occurred. Two generations, including four couples from an extended family, participated in family consultation over 42 months and completed assessments six times. Statistical results and clinical impressions confirm that the five-phase consultative process resulted in significant improvements in family satisfaction with adaptability and family strains levels and positive movement in seven other areas.

Adult↗
PubMed2006

Work-supportive family, family-supportive supervision, use of organizational benefits, and problem-focused coping: implications for work-family conflict and employee well-being.

Employees (n = 230) from multiple organizations and industries were involved in a study assessing how work-family conflict avoidance methods stemming from the family domain (emotional sustenance and instrumental assistance from the family), the work domain (family-supportive supervision, use of telework and flextime), and the individual (use of problem-focused coping) independently relate to different dimensions of work-family conflict and to employees' affective and physical well-being. Results suggest that support from one's family and one's supervisor and the use of problem-focused coping seem most promising in terms of avoiding work-family conflict and/or decreased well-being. Benefits associated with the use of flextime, however, are relatively less evident, and using telework may potentially increase the extent to which family time demands interfere with work responsibilities.

Adaptation, Psychological↗
PubMed1993

Opinions and expectations of fathers of young families of family counselling--the Finnish Family Competence Study.

Opinions and experiences of fathers of young families were studied from questionnaires distributed through maternity welfare centres (MWC) and child welfare centres (CWC) in the provinces of Turku and Pori, southwestern Finland. The first phase of the Finnish Family Competence Study included a total of 1,414 fathers of families expecting their first baby. Of these, 1,279 responded to the first survey questionnaire. After the baby's birth, 1,134 responded to a second questionnaire. The present study used results obtained from these two inquiries. Special attention was paid to factors associated with fathers' participating in family counselling. The conventional methods of family training used in MWCs and CWCs do not always seem to be suitable for the Finnish man. Industrial employees and young fathers were irregular attendants of the family training sessions, although young fathers found them useful, especially for combating anxiety in novel family situations. They would have liked to receive more information on social support available to young families. Despite the apparently positive results, these subgroups clearly did not realize that they were expected to ask for more information during the training sessions, due to their low base of knowledge. The heaviest criticism of the training system was presented by fathers belonging to the professional subgroup. The fathers specifically complained that they had not been sufficiently informed about the possible psychological changes which they might experience during the wife's pregnancy and the birth of the child.

Adolescent↗
PubMed2006

Family size, fertility preferences, and sex ratio in China in the era of the one child family policy: results from national family planning and reproductive health survey.

OBJECTIVES: To examine the impact of the one child family policy in China on fertility, preferred family size, and sex ratio. DESIGN: Secondary analysis of data from the Chinese cross sectional national family planning and reproductive health survey, 2001. Interviews of representative sample of women aged 15-49. RESULTS: Data were obtained from 39,585 women, with a total of 73,202 pregnancies and 56,830 live births. The average fertility rate in women over 35 (n = 17,078) was 1.94 (2.1 in rural areas and 1.4 in urban areas) and for women under 35 (n = 11,543) 1.73 (1.25 and 1.79). Smaller families were associated with younger age, higher level of education, and living in an urban area. The male to female ratio was 1.15 and rose from 1.11 in 1980-9 to 1.23 for 1996-2001. Most women wanted small families: 35% preferred one child and 57% preferred two. CONCLUSION: Since the one child family policy began, the total birth rate and preferred family size have decreased, and a gross imbalance in the sex ratio has emerged.

Adolescent↗
PubMed1983

Family conferences: an approach to teaching family systems care in a family practice residency.

Family conferences facilitate optimal planning for patients in a variety of medical situations. In one family practice residency the social worker plays a leading role in planning and arranging family conferences, while involving residents-in-training in the process. Such conferences provide family-oriented care for a spectrum of illness problems common to family medicine. Such conferences are most commonly held prior to discharging a patient from an in-hospital stay. These sessions may also be arranged when a chronic illness is diagnosed in one member of a family or when there is a medical crisis. Family conferences are convened by a resident physician in collaboration with the social worker and/or other appropriate faculty member.

Family Practice↗
PubMed1978

Contraceptive compliance in family medicine: a comparison of the family physician and the family planning clinics.

A longitudinal, controlled study of contraceptive compliance was undertaken in a solo family practice in which 240 high-risk women were allocated alternatively to Practice and Clinic Groups. The effectiveness of the two services was evaluated at six-month intervals. Women in the family practice demonstrated better contraceptive compliance than those referred to the family planning clinics. There was a significantly lower number of pregnancies and fewer women experiencing unprotected intercourse in the Practice Group. The study demonstrates the potential of the family physician to achieve better compliance than the clinics of a well-resourced, successful family planning association. The need for the physician to accept his/her role as a family planning counselor and to be trained to offer a comprehensive contraceptive service is discussed.

Adolescent↗
PubMed2000

Familial breast cancer in southern Finland: how prevalent are breast cancer families and can we trust the family history reported by patients?

We evaluate the validity of the family history of breast cancer reported by the patient and the number of families and individuals at risk and potentially benefiting from surveillance. Family history of cancer was systematically screened in three different series of breast cancer patients. Breast cancer families were defined by the selection criterion of at least three first- or second-degree relatives with breast or ovarian cancer (including the proband) and their genealogy and cancer diagnoses were confirmed. Family history of breast or ovarian cancer was reported by approximately 30% of the patients and 7-9% were classified as breast cancer families. On average, there were 3.1 healthy female (age: 20-70 years) first degree relatives per family potentially at high risk. Index patients reported 87% of all confirmed diagnoses and the primary site was correct in 93-95% of the reported cases. The incompleteness and errors in accuracy should be considered in epidemiological studies and verification of the diagnoses is important when deciding clinical management.

Adult↗
PubMed1983

Familial cancer or cancer family syndrome. Report on a cancer family and consideration of genetic mechanisms.

We present a family with an unusually high incidence of cancer in four generations. Complete information could be obtained for the first three generations with 73 persons. Tumor incidence was 2/8 in the first generation, 14/22 in the second, and 11/44 in the third generation. A formal analysis, however, according to the four criteria of cancer family syndrome: increased frequency of adenocarcinomas of multiple anatomical sites, multiple primary malignant neoplasms, early age of onset, and autosomal dominant mode of inheritance, revealed that in this family multiple primaries are virtually absent and that tumors do not occur at a particularly early age. We therefore consider this family shows that familial clustering of tumors may follow an autosomal dominant pattern of inheritance even when the strict criteria of cancer family syndrome are not fulfilled. We conclude that the phenomenon of cancer families is not confined to one or two distinct clinical types.

Adenocarcinoma↗