Family Environment

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Kaylah Lalonde - One of the best experts on this subject based on the ideXlab platform.

Christopher Schatschneider - One of the best experts on this subject based on the ideXlab platform.

  • preinjury Family Environment as a determinant of recovery from traumatic brain injuries in school age children
    Journal of The International Neuropsychological Society, 1997
    Co-Authors: Keith Owen Yeates, Gerry H Taylor, Terry Stancin, Shari L Wade, Dennis Drotar, Susan Klein, Christopher Schatschneider
    Abstract:

    Previous studies of childhood traumatic brain injury (TBI) have emphasized injury-related variables rather than Environmental factors as predictors of recovery. We addressed this concern using data collected during a prospective study of children with either TBI or orthopedic injuries (OI) and their families. Participants included 53 children with severe TBI, 56 with moderate TBI, and 80 with OI, all from 6 to 12 years of age at the time of injury. Measures of the preinjury Family Environment were collected shortly after the injury (baseline). Child cognitive and behavioral outcomes were assessed at baseline and at 6- and 12-month follow-ups. Individual growth curve analyses showed that measures of the preinjury Family Environment consistently predicted both the level of cognitive and behavioral functioning at 12 months postinjury and the rate of intraindividual change during the 12-month follow-up period, even after taking into account group membership and injury severity. In some cases, the preinjury Family Environment was a significant moderator of the effect of TBI, buffering its impact in high-functioning families and exacerbating it in low-functioning families. Thus, preinjury Environmental factors predict recovery following TBI in children, even after accounting for injury-related variables. ( JINS , 1997, 3 , 617–630.)

Keith Owen Yeates - One of the best experts on this subject based on the ideXlab platform.

  • the Family Environment as a moderator of psychosocial outcomes following traumatic brain injury in young children
    Neuropsychology (journal), 2010
    Co-Authors: Keith Owen Yeates, Gerry H Taylor, Nicolay Chertkoff Walz, Terry Stancin, Shari L Wade
    Abstract:

    Objective: This study sought to determine whether the Family Environment moderates psychosocial outcomes after traumatic brain injury (TBI) in young children. Method: Participants were recruited prospectively from consecutive hospital admissions of 3- to 6-year-old children, and included 19 with severe TBI, 56 with complicated mild/moderate TBI, and 99 with orthopedic injuries (OI). They completed 4 assessments across the first 18 months postinjury. The initial assessment included measures of parenting style, Family functioning, and the quality of the home. Children's behavioral adjustment, adaptive functioning, and social competence were assessed at each occasion. Mixed model analyses examined the relationship of the Family Environment to psychosocial outcomes across time. Results: The OI and TBI groups differed significantly in social competence, but the Family Environment did not moderate the group difference, which was of medium magnitude. In contrast, group differences in behavioral adjustment became more pronounced across time at high levels of authoritarian and permissive parenting; among children with severe TBI, however, even those with low levels of permissive parenting showed increases in behavioral problems. For adaptive functioning, better home Environments provided some protection following TBI, but not over time for the severe TBI group. These 3-way interactions of group, Family Environment, and time postinjury were all of medium magnitude. Conclusion: The findings indicate that the Family Environment moderates the psychosocial outcomes of TBI in young children, but the moderating influence may wane with time among children with severe TBI. Language: en

  • preinjury Family Environment as a determinant of recovery from traumatic brain injuries in school age children
    Journal of The International Neuropsychological Society, 1997
    Co-Authors: Keith Owen Yeates, Gerry H Taylor, Terry Stancin, Shari L Wade, Dennis Drotar, Susan Klein, Christopher Schatschneider
    Abstract:

    Previous studies of childhood traumatic brain injury (TBI) have emphasized injury-related variables rather than Environmental factors as predictors of recovery. We addressed this concern using data collected during a prospective study of children with either TBI or orthopedic injuries (OI) and their families. Participants included 53 children with severe TBI, 56 with moderate TBI, and 80 with OI, all from 6 to 12 years of age at the time of injury. Measures of the preinjury Family Environment were collected shortly after the injury (baseline). Child cognitive and behavioral outcomes were assessed at baseline and at 6- and 12-month follow-ups. Individual growth curve analyses showed that measures of the preinjury Family Environment consistently predicted both the level of cognitive and behavioral functioning at 12 months postinjury and the rate of intraindividual change during the 12-month follow-up period, even after taking into account group membership and injury severity. In some cases, the preinjury Family Environment was a significant moderator of the effect of TBI, buffering its impact in high-functioning families and exacerbating it in low-functioning families. Thus, preinjury Environmental factors predict recovery following TBI in children, even after accounting for injury-related variables. ( JINS , 1997, 3 , 617–630.)

Kathleen R Merikangas - One of the best experts on this subject based on the ideXlab platform.

  • parental bipolar disorder Family Environment and offspring psychiatric disorders a systematic review
    Journal of Affective Disorders, 2020
    Co-Authors: Emma Stapp, Tamar Mendelson, Kathleen R Merikangas, Holly C Wilcox
    Abstract:

    Abstract Background Our objective was to systematically review non-experimental studies of parental bipolar disorder (BD), current Family Environment, and offspring psychiatric disorders to identify characteristics of Family Environment associated with parental BD and risk for offspring psychiatric disorders. Methods CINAHL, Embase, PsycINFO, and PubMed were searched using MeSH terms to identify studies on offspring of BD parents published through September 2017. We followed PRISMA guidelines and used the Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS). We calculated prevalence ratios and 95% confidence intervals to compare offspring psychiatric disorders within and across studies. Results Of 10,454 unique documents retrieved, we included 13 studies. The most consistent finding was lower parent-reported cohesion in families with a BD parent versus no parental psychiatric disorders. Family Environment did not differ between BD parents and parents with other disorders. Offspring of BD parents had higher prevalence of psychiatric disorders than offspring of parents without psychiatric disorders but did not differ from offspring of parents with other disorders. Families with a BD child had higher conflict than families without a BD child. Limitations Comparisons between studies were qualitative. A single reviewer conducted screening, data extraction, and bias assessment. Conclusions Family Environment in families with a BD parent is heterogeneous. The pattern of findings across studies also suggests that Family problems may be associated with parental psychiatric illness generally rather than parental BD in particular. Few studies included offspring-reported measures. Given the association of Family conflict with offspring mood disorders, further study is merited on children's perceptions of the Family Environment in the BD high-risk context.

  • patterns and predictors of Family Environment among adolescents at high and low risk for familial bipolar disorder
    Journal of Psychiatric Research, 2019
    Co-Authors: Emma Stapp, Rashelle Jean Musci, Janice M Fullerton, Anne L Glowinski, Melvin G Mcinnis, Philip B Mitchell, Leslie A Hulvershorn, Neera Ghaziuddin, Gloria Roberts, Kathleen R Merikangas
    Abstract:

    Abstract Children's perceptions are important to understanding Family Environment in the bipolar disorder (BD) high-risk context. Our objectives were to empirically derive patterns of offspring-perceived Family Environment, and to test the association of Family Environment with maternal or paternal BD accounting for offspring BD and demographic characteristics. Participants aged 12–21 years (266 offspring of a parent with BD, 175 offspring of a parent with no psychiatric history) were recruited in the US and Australia. We modeled Family Environment using latent profile analysis based on offspring reports on the Conflict Behavior Questionnaire, Family Adaptability and Cohesion Evaluation Scales, and Home Environment Interview for Children. Parent diagnoses were based on the Diagnostic Interview for Genetic Studies and offspring diagnoses were based on the Schedule for Affective Disorders and Schizophrenia for School-Aged Children. Latent class regression was used to test associations of diagnosis and Family Environment. Two-thirds of all offspring perceived well-functioning Family Environment, characterized by nurturance, flexibility, and low conflict. Two ‘conflict classes’ perceived Family Environments low in flexibility and cohesion, with substantial separation based on high conflict with the father (High Paternal Conflict), or very high conflict and rigidity and low warmth with the mother (High Maternal Conflict). Maternal BD was associated with offspring perceiving High Maternal Conflict (OR 2.8, p = 0.025). Clinical care and psychosocial supports for mothers with BD should address Family functioning, with attention to offspring perceptions of their wellbeing. More research is needed on the effect of paternal BD on offspring and Family dynamics.

Emma Stapp - One of the best experts on this subject based on the ideXlab platform.

  • parental bipolar disorder Family Environment and offspring psychiatric disorders a systematic review
    Journal of Affective Disorders, 2020
    Co-Authors: Emma Stapp, Tamar Mendelson, Kathleen R Merikangas, Holly C Wilcox
    Abstract:

    Abstract Background Our objective was to systematically review non-experimental studies of parental bipolar disorder (BD), current Family Environment, and offspring psychiatric disorders to identify characteristics of Family Environment associated with parental BD and risk for offspring psychiatric disorders. Methods CINAHL, Embase, PsycINFO, and PubMed were searched using MeSH terms to identify studies on offspring of BD parents published through September 2017. We followed PRISMA guidelines and used the Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS). We calculated prevalence ratios and 95% confidence intervals to compare offspring psychiatric disorders within and across studies. Results Of 10,454 unique documents retrieved, we included 13 studies. The most consistent finding was lower parent-reported cohesion in families with a BD parent versus no parental psychiatric disorders. Family Environment did not differ between BD parents and parents with other disorders. Offspring of BD parents had higher prevalence of psychiatric disorders than offspring of parents without psychiatric disorders but did not differ from offspring of parents with other disorders. Families with a BD child had higher conflict than families without a BD child. Limitations Comparisons between studies were qualitative. A single reviewer conducted screening, data extraction, and bias assessment. Conclusions Family Environment in families with a BD parent is heterogeneous. The pattern of findings across studies also suggests that Family problems may be associated with parental psychiatric illness generally rather than parental BD in particular. Few studies included offspring-reported measures. Given the association of Family conflict with offspring mood disorders, further study is merited on children's perceptions of the Family Environment in the BD high-risk context.

  • patterns and predictors of Family Environment among adolescents at high and low risk for familial bipolar disorder
    Journal of Psychiatric Research, 2019
    Co-Authors: Emma Stapp, Rashelle Jean Musci, Janice M Fullerton, Anne L Glowinski, Melvin G Mcinnis, Philip B Mitchell, Leslie A Hulvershorn, Neera Ghaziuddin, Gloria Roberts, Kathleen R Merikangas
    Abstract:

    Abstract Children's perceptions are important to understanding Family Environment in the bipolar disorder (BD) high-risk context. Our objectives were to empirically derive patterns of offspring-perceived Family Environment, and to test the association of Family Environment with maternal or paternal BD accounting for offspring BD and demographic characteristics. Participants aged 12–21 years (266 offspring of a parent with BD, 175 offspring of a parent with no psychiatric history) were recruited in the US and Australia. We modeled Family Environment using latent profile analysis based on offspring reports on the Conflict Behavior Questionnaire, Family Adaptability and Cohesion Evaluation Scales, and Home Environment Interview for Children. Parent diagnoses were based on the Diagnostic Interview for Genetic Studies and offspring diagnoses were based on the Schedule for Affective Disorders and Schizophrenia for School-Aged Children. Latent class regression was used to test associations of diagnosis and Family Environment. Two-thirds of all offspring perceived well-functioning Family Environment, characterized by nurturance, flexibility, and low conflict. Two ‘conflict classes’ perceived Family Environments low in flexibility and cohesion, with substantial separation based on high conflict with the father (High Paternal Conflict), or very high conflict and rigidity and low warmth with the mother (High Maternal Conflict). Maternal BD was associated with offspring perceiving High Maternal Conflict (OR 2.8, p = 0.025). Clinical care and psychosocial supports for mothers with BD should address Family functioning, with attention to offspring perceptions of their wellbeing. More research is needed on the effect of paternal BD on offspring and Family dynamics.