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Results for “Family dynamics”

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At least 73 records · Page 4Linked to original sources
PubMed1997

Family dynamics, hopelessness and psychiatric disturbance in parasuicidal adolescents.

OBJECTIVE: Adolescent parasuicide has often has been associated with family disturbance, hopelessness and psychiatric disturbance, but little empirical work has been done to verify these clinical impressions. METHOD: The present study compares matched groups of hospitalised parasuicidal adolescents, non-psychiatric medically hospitalised adolescents and a control group on measures of family disturbance, hopelessness and psychopathology. RESULTS: The findings reveal significantly higher levels of family disturbance, hopelessness and depressive symptoms in the parasuicidal group. CONCLUSIONS: The results suggest that prevention and treatment of adolescent parasuicide should focus on both individual and family dynamics.

Adolescent↗
PubMed2001

Impact of early onset bipolar disorder on family functioning: adolescents' perceptions of family dynamics, communication, and problems.

OBJECTIVE: This research investigated the impact of adolescent onset bipolar illness on perceived family functioning in stabilized bipolar I (B) and unipolar (U) probands, and normal controls (C). METHOD: Sample N=119: 44 bipolar 1(17 M, 27 F), 30 unipolar (9 M, 21 F), and 45 controls (19 M, 26 F). Mean ages: 19.9, 18.5 and 18.2 years, respectively. INSTRUMENTS: Family Adaptability and Cohesion Scale (FACES II), Parent-Adolescent Communication Scales (PACS), Social Adjustment Inventory for Children and Adolescents (SAICA). RESULTS: There were no significant group or sex differences between controls and mood disordered youth--assessed intermorbidly--in ratings of relationship with either parent. Bipolars acknowledged significantly more minor conflicts with parents than either unipolars or controls. Ratings by mood disordered subjects were significantly less positive in terms of shared activities and communication with siblings. Mood disordered youth and controls were not differentiated on the basis of family adaptability, and all family cohesion scores were within population norms. No significant group differences were observed in communication with parents. LIMITATIONS: This self-report study was conducted intermorbidly, does not include objective measures of family functioning, nor does it assess the effect of psychiatric illness in other family members on family functioning. CONCLUSIONS: Assessed intermorbidly, bipolar adolescents' perceptions of family dynamics do not seem to diverge significantly from controls. Further research is needed to investigate the impact of adolescent bipolar illness on family life during acute phases of the illness, as well as the effect on family functioning of psychiatric disorders in other family members.

Adolescent↗
PubMedDate not supplied

[The asthmatic patient and his/her family dynamics].

BACKGROUND: Asthma is a chronic disorder of the airways that modify behavior response of persons and affect family function. OBJECTIVE: To determine if there is a disorder of the familial dynamics in asthmatic patients of Tamaulipas. MATERIAL AND METHODS: An observational, comparative, open and cross-sectional study was performed to determine: family categorization, family function and evaluation of conjugal subsystem. We included 300 persons who were 30 to 50 years old, male and female: 100 subjects with asthma diagnosis, 100 with diabetes type 2 and 100 healthy people. RESULTS: The asthmatic subjects' age average was of 45.67 years, complete nuclear family was documented in 15% of sick persons, women were the family head in 50% of the cases, we appreciated great family dysfunction in relation to: adaptability function (50%), participation (63%), family grow-up (61%) and feeling manifestations (64%). In 53% of the conjugal couple cases of the patients, do not carry out her family functions like: communication 59%, share out functions 59%, sexual satisfaction 60%, and making decision 59%. CONCLUSION: It is only feasible to treat these patients when there is an active participation of the family members.

Adult↗
PubMed1996

Commentary on "Family dynamics and children in medical research.

Gordon and Bonkovsky describe a disturbing case of research involving minors in their article "Family Dynamics and Children in Medical Research." As presented in the case, there is little doubt that the assent obtained from the children was inadequate for the proposed research and that the institutional review board (IRB) failed to assess sufficiently the risk-benefit ratio of the research to the child-subjects.

Adolescent↗
PubMed2002

[Invisible fathers: child development and family dynamics after heterologous insemination].

This study presents the long term outcome of the psychotherapy of a girl over seven years, which was born after donor insemination (DI) and aged eight became ill with a compulsive disorder. Aspects of child development, communication within the family and family dynamics related to this specific constellation are pointed out. This case-study presents one of the very few supplements to statistic data elaborated about assitsed-reproduction-families. Implications for individual therapy and therapeutic management of the family are discussed according to development of bonding and identity of the DI-child, father's role, dynamics of the couple and the incognito of the "invisible father".

Adolescent↗
PubMed2003

Family dynamics and preadolescent girls with ADHD: the relationship between expressed emotion, ADHD symptomatology, and comorbid disruptive behavior.

BACKGROUND: Despite the strong biological underpinnings of attention-deficit/hyperactivity disorder (ADHD), family factors remain salient influences on the course of the disorder. However, relatively little is known about how family-level variables relate to ADHD in girls and whether these variables are linked primarily to core ADHD symptomatology or to comorbid aggressive conditions. METHODS: We investigated the relationship between parental expressed emotion (EE), measured via the five-minute speech sample (FMSS), and ADHD as well as comorbid disruptive behavior disorders, in a diverse sample of 131 girls aged 6-12 years. RESULTS: High parental EE was associated with both ADHD and aggression, whether these constructs were measured categorically or continuously. The EE component of criticism, as opposed to emotional overinvolvement (EOI), showed the stronger associations with both constructs. ADHD subtypes (Inattentive vs. Combined) were equivalent with respect to prediction from high EE status. Whereas linkages with EE were stronger for ADHD than for aggression and withstood control of comorbid aggression, the converse was not true--i.e., the link between EE and aggression did not hold with control of ADHD. Multiple regression analyses revealed that the associations were independent of parenting stress and maternal depression; exploratory analyses revealed interactions between EE and (a) maternal depression and (b) Child Verbal IQ with respect to predictions of disruptive behavior. CONCLUSIONS: These findings add to a growing body of literature on ADHD in girls and highlight a pivotal link between family dynamics and the spectrum of ADHD-related behaviors. They also indicate that inattentive symptoms may be equally challenging to parents as hyperactive/impulsive symptoms.

Attention Deficit Disorder with Hyperactivity↗
PubMed2002

The psychopathogenic power of secrecy: child development and family dynamics after heterologous insemination.

This study presents the outcome of a 7-year psychotherapy of a girl who was born after donor insemination (DI) and who became ill with a compulsive disorder at the age of 8 years. Our demonstration supplements the present existing statistical data about families into which children have been born with the aid of DI. Aspects of child development, communication within the family, and family dynamics related to this specific constellation will be pointed out. This case study shows important aspects of the individual and the development of the family with regard to DI-constellations. Our paper emphasizes, in contrast to constellations of foster care or adoption, the impact on the parents' conscious knowledge and the child's unconscious knowledge of an absent--as well as less-known--family member (here: the invisible father) on the child's emotional development, health and competence of tying bonds. We also examine the relationship between the parents and their relationship with their DI child. Implications for individual therapy and therapeutic management of the family will be discussed, covering development of bonding and identity of the DI child, the father's role, dynamics of the couple, and the incognito of the 'invisible father'.

Child↗
PubMed1986

[The screaming baby. A family dynamic study on causes, sequelae and therapeutic possibilities in the crying baby].

The main goal of this paper is to point at the still unknown aetiology of the "screaming babies". To neglect the corresponding symptoms or to inadequately treat them mostly results in a derangement of the behaviour of the children even years afterwards, resulting in abnormal behaviour, psychosomatic symptoms or even retardation of development, as can be observed during psychotherapeutic treatment later on. Analyzing aetiologic factors will give hints for therapy, which enable us to help and support these children or their suffering parents. Since we believe that multifactorial reasons lead to the symptoms of the "screaming baby", the aetiologic aspect will be demonstrated on three levels: Neurophysiological aspects, dysfunction of the mother-child relationship and also family-dynamic aspects in the context of the family as a whole.

Child↗
PubMed1992

Translation of an instrument. The US-Nordic Family Dynamics Nursing Research Project.

Translation of a research instrument questionnaire from English to another language is analyzed in relation to principles involved, procedures followed, and problems confronted by nurse researchers from the US-Nordic Family Dynamics Nursing Research Project. Of paramount importance in translation are translation equivalency, congruent value orientation, and careful use of colloquialisms. It is important to recognize that copyright guidelines apply in the translation of an instrument. Approaches to solving instrument translation problems are discussed.

Copyright↗
PubMedDate not supplied

[Manic-depressive psychoses in adolescence. Influence of life change events. Study of family dynamics].

A sample of 38 adolescents hospitalized for a major depressive episode melancholic type or a manic episode during the course of a bipolar disorder (according to the DSM III-R Criteria) was examined with particular emphasis on precipating life events and family relationships. Psychosocial stressors in the year preceding onset of the affective disorder were found in a very high proportion of cases (about 80%). Stressors are most often severe. All of these stressors have to do with loss or threat of loss, particularly the most frequent one: the sentimental failure. Analyzing results of a familial dynamic questionnaire, we showed in the MDD sample the prevalence of two psychopathological index: maternal rejection, parental dysharmony.

Adolescent↗
PubMed2000

Children in group homes: family dynamics, adolescent suicide attempts and drug use.

Three hundred children age 10-20 living in group homes for children were assessed for behaviors related to alcohol and other drug consumption, suicide attempts, frequency of punishment, attention from parents, conflicts with parents, and other family dynamics. Children who used substances were significantly more likely to have attempted suicide more frequently. Children who had attempted suicide were more likely to perceive that they had not received enough parental attention, to have had more conflicts with parents, and to have run away from home. This seminal article indicates inter-related prevalences of family factors, suicide and substance abuse issues and suggests the need for strong institutional and agency policy development for this understudied "at risk" population.

Adolescent↗
PubMed2004

A prospective study of the consequences of marital disruption for adolescents: predisruption family dynamics and postdisruption adolescent adjustment.

This study employed data from the National Longitudinal Study of Adolescent Health to examine the consequences of marital disruption for youth prospectively. Using a diverse sample of 6,416 youth, we examined pre- and postdisruption group differences among youth in subsequently disrupting and continuously intact homes. We also examined the extent to which predisruption family dynamics (e.g., marital discord) accounted for both pre- and postdisruption group differences in youth functioning and examined the interaction between level of marital discord and marital disruption. Group differences in adjustment emerged at both time-points and were better explained by family-level variables than by marital disruption. Further, level of marital discord interacted with marital disruption, predicting differential youth outcomes. The implications of these findings for understanding and explaining the heterogeneity of divorce outcomes are discussed.

Adaptation, Psychological↗
PubMed1985

Serious illness and family dynamics. 1. Changes in consulting patterns of the unafflicted family members.

This article examines the effect of an acute serious illness in one member of a family on the health behaviour of other members. The number of consultations made by 92 family members before and after an acute serious illness was measured and compared with a control group of 102 people who had experienced no serious illness in their family. The coping resources of the family--defined in terms of flexibility of parental relationships, conflict avoidance and family strain - were assessed and related to the changes in consultation pattern. It was shown that an acute serious illness affecting one member of a family which lacks adequate coping resources can lead to an increase in reporting of serious complaints in other family members. In families which have adequate coping resources, however, the health of the remaining family members can apparently improve. This refutes the view that a serious life event necessarily has only a harmful influence on health.

Acute Disease↗
PubMed1985

Serious illness and family dynamics. 2. Changes in consulting patterns of the afflicted family members.

This article examines the effect of an acute serious illness in one member of a family on the subsequent health behaviour of that patient. The number of consultations made before and after their acute serious illness was measured for 35 patients and compared with a control group of 708 family members who had not experienced an illness. An increase in the number of minor and serious complaints was noted in the year after the illness. In the case of minor complaints the changes ranged from four more complaints to six less, thus enabling the effect of background family characteristics--flexibility, conflict avoidance and family strain--to be investigated. More flexibility and lower family strain correlated with less presented morbidity. Other variables such as age and size of family also correlated with morbidity. The role of the general practitioner in giving assistance to patients affected by a life-threatening disease and their family members therefore goes much further than just the treatment of the acute illness itself.

Acute Disease↗
PubMed2001

[Adolescent arsonists--psychodynamics, family dynamics and attempt at framing a typology based on 40 expert opinions].

Psychiatric, psychological and medical data of 40 adolescent firesetters are obtained from a retrospective analysis of expert opinions which have been drawn up by the Department of Child and Adolescent Psychiatry in Tübingen over a period of 16 years (1981-1997). This analysis mainly focusses on the patients' physical and psychosexual development, their social integration and competence and their family dynamics. It further concentrates on the psychic situation at the time of the offense, the reasons and motives given for firesetting (by the patient and by the expert) and specific psychological test results. According to the results three different characteristic groups can be found: 1st a group of offenders who have set fires to their parents' house, 2nd firesetters being member of the firebrigade, and 3rd an unspecific inhomogeneous group of firesetters.

Adolescent↗
PubMedDate not supplied

Impact of traumatic brain damage on family dynamics and functioning: a review.

The purpose of this paper is to review the dynamics and functioning of families with a severely head-injured member. In order to stress the unique problems faced by persons with brain damage and their families, a comparison with spinal cord-injured persons is presented. The review's major conclusion is that a head injury exposes the family to a complex of problems that are unique to this disability and, therefore, necessitates the delivery of special family support services focused on the family, rather than on the head-injured person.

Brain Injuries↗