Family Communication

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Tyrone D Cannon - One of the best experts on this subject based on the ideXlab platform.

  • Family Communication with teens at clinical high risk for psychosis or bipolar disorder
    Journal of Family Psychology, 2018
    Co-Authors: Julia M Salinger, Mary Obrien, David J Miklowitz, Sarah E Marvin, Tyrone D Cannon
    Abstract:

    Previous research has found that Family problem-solving interactions are more constructive and less contentious when there is a Family member with bipolar disorder compared with schizophrenia. The present study extended this research by examining whether Family problem-solving interactions differ between clinical high-risk (CHR) stages of each illness. Trained coders applied a behavioral coding system (O'Brien et al., 2014) to problem-solving interactions of parents and their adolescent child, conducted just prior to beginning a randomized trial of Family-focused therapy. The CHR for psychosis sample included 58 families with an adolescent with attenuated positive symptoms, brief intermittent psychosis, or genetic risk and functional deterioration; the CHR for bipolar disorder sample included 44 families with an adolescent with "unspecified" bipolar disorder or major depressive disorder and at least one first or second degree relative with bipolar I or II disorder. When controlling for adolescent gender, age, functioning, and parent education, mothers of youth at CHR for psychosis displayed significantly more conflictual and less constructive Communication than did mothers of youth at CHR for bipolar disorder. Youth risk classification did not have a significant relationship with youths' or fathers' Communication behavior. The Family environment among help-seeking adolescents may be more challenging for families with an adolescent at CHR for psychosis compared with bipolar illness. Accordingly, families of adolescents at clinical high-risk for psychosis may benefit from more intensive or focused Communication training than is required by families of adolescents at clinical high-risk for bipolar disorder or other mood disorders. (PsycINFO Database Record

  • a randomized trial of Family focused therapy with populations at clinical high risk for psychosis effects on interactional behavior
    Journal of Consulting and Clinical Psychology, 2014
    Co-Authors: Mary Obrien, David J Miklowitz, Kristin A Candan, Catherine Marshall, Isabel Domingues, Barbara Walsh, Jamie Zinberg, Sandra D De Silva, Kristen A Woodberry, Tyrone D Cannon
    Abstract:

    Objective: This study investigated whether Family focused therapy (FFT-CHR), an 18-session intervention that consisted of psychoeducation and training in Communication and problem solving, brought about greater improvements in Family Communication than enhanced care (EC), a 3-session psychoeducational intervention, among individuals at clinical high risk for developing psychosis. Method: This study was conducted within a randomized controlled trial across 8 sites. We examined 10-min problemsolving discussions at baseline and 6-month reassessment among 66 adolescents and young adults and their parents. Trained coders who were blind to treatment and time of assessment achieved high levels of interrater reliability when evaluating Family discussions on categories of calm–constructive and critical–conflictual behavior. Results: Individuals at high risk and their Family members who participated in FFT-CHR demonstrated greater improvement from baseline to 6-month reassessment in constructive Communication and decreases in conflictual behaviors during Family interactions than those in EC. Participants in FFT-CHR showed greater increases from baseline to 6 months in active listening and calm Communication and greater decreases in irritability and anger, complaints and criticism, and off-task comments compared to participants in EC. These changes occurred equally in high-risk participants and their Family members. Conclusions: A 6-month Family skills training treatment can bring about significant improvement in Family Communication among individuals at high risk for psychosis and their parents. Future studies should examine the association between enhancements in Family Communication and reduced risk for the onset of psychosis among individuals at high risk.

Sharon M Danes - One of the best experts on this subject based on the ideXlab platform.

Andrew M Ledbetter - One of the best experts on this subject based on the ideXlab platform.

Mary Obrien - One of the best experts on this subject based on the ideXlab platform.

  • Family Communication with teens at clinical high risk for psychosis or bipolar disorder
    Journal of Family Psychology, 2018
    Co-Authors: Julia M Salinger, Mary Obrien, David J Miklowitz, Sarah E Marvin, Tyrone D Cannon
    Abstract:

    Previous research has found that Family problem-solving interactions are more constructive and less contentious when there is a Family member with bipolar disorder compared with schizophrenia. The present study extended this research by examining whether Family problem-solving interactions differ between clinical high-risk (CHR) stages of each illness. Trained coders applied a behavioral coding system (O'Brien et al., 2014) to problem-solving interactions of parents and their adolescent child, conducted just prior to beginning a randomized trial of Family-focused therapy. The CHR for psychosis sample included 58 families with an adolescent with attenuated positive symptoms, brief intermittent psychosis, or genetic risk and functional deterioration; the CHR for bipolar disorder sample included 44 families with an adolescent with "unspecified" bipolar disorder or major depressive disorder and at least one first or second degree relative with bipolar I or II disorder. When controlling for adolescent gender, age, functioning, and parent education, mothers of youth at CHR for psychosis displayed significantly more conflictual and less constructive Communication than did mothers of youth at CHR for bipolar disorder. Youth risk classification did not have a significant relationship with youths' or fathers' Communication behavior. The Family environment among help-seeking adolescents may be more challenging for families with an adolescent at CHR for psychosis compared with bipolar illness. Accordingly, families of adolescents at clinical high-risk for psychosis may benefit from more intensive or focused Communication training than is required by families of adolescents at clinical high-risk for bipolar disorder or other mood disorders. (PsycINFO Database Record

  • a randomized trial of Family focused therapy with populations at clinical high risk for psychosis effects on interactional behavior
    Journal of Consulting and Clinical Psychology, 2014
    Co-Authors: Mary Obrien, David J Miklowitz, Kristin A Candan, Catherine Marshall, Isabel Domingues, Barbara Walsh, Jamie Zinberg, Sandra D De Silva, Kristen A Woodberry, Tyrone D Cannon
    Abstract:

    Objective: This study investigated whether Family focused therapy (FFT-CHR), an 18-session intervention that consisted of psychoeducation and training in Communication and problem solving, brought about greater improvements in Family Communication than enhanced care (EC), a 3-session psychoeducational intervention, among individuals at clinical high risk for developing psychosis. Method: This study was conducted within a randomized controlled trial across 8 sites. We examined 10-min problemsolving discussions at baseline and 6-month reassessment among 66 adolescents and young adults and their parents. Trained coders who were blind to treatment and time of assessment achieved high levels of interrater reliability when evaluating Family discussions on categories of calm–constructive and critical–conflictual behavior. Results: Individuals at high risk and their Family members who participated in FFT-CHR demonstrated greater improvement from baseline to 6-month reassessment in constructive Communication and decreases in conflictual behaviors during Family interactions than those in EC. Participants in FFT-CHR showed greater increases from baseline to 6 months in active listening and calm Communication and greater decreases in irritability and anger, complaints and criticism, and off-task comments compared to participants in EC. These changes occurred equally in high-risk participants and their Family members. Conclusions: A 6-month Family skills training treatment can bring about significant improvement in Family Communication among individuals at high risk for psychosis and their parents. Future studies should examine the association between enhancements in Family Communication and reduced risk for the onset of psychosis among individuals at high risk.

Eric Matthews - One of the best experts on this subject based on the ideXlab platform.

  • to tell or not to tell barriers and facilitators in Family Communication about genetic risk
    Clinical Genetics, 2003
    Co-Authors: Karen Forrest, Sheila A Simpson, Brenda Wilson, E Van Teijlingen, Lorna Mckee, N E Haites, Eric Matthews
    Abstract:

    Communication about genetic risk in families is an important issue for genetic counsellors. The objective of this study was to explore the barriers and facilitators in Family Communication about genetic risk. Semi-structured interviews were undertaken with patients in the Northeast of Scotland who had attended genetic counselling for risk of hereditary breast and ovarian cancer and Huntington's disease, and with some spouses/partners. The interviews confirmed that the issue of disclosure was a problem for some, and that there were generic Communication issues common to both groups. Telling Family members about genetic risk was generally seen as a Family responsibility and Family structures, dynamics and 'rules' influenced disclosure decisions. A sense of responsibility towards younger generations was also important. The level of certainty felt by a person in relation to his or her own risk estimate also influenced what he or she could tell other Family members. Communication within a Family about genetic risk is a complex issue and is influenced by both pre-existing familial and cultural factors and individuals' responses to risk information. If genetic counsellors understood how these factors operate in individual families they might be able to identify effective strategies to promote considered decisions and prevent unnecessary emotional distress.