Family Functioning

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Grayson N Holmbeck - One of the best experts on this subject based on the ideXlab platform.

  • Family Functioning guidelines for the care of people with spina bifida.
    Journal of pediatric rehabilitation medicine, 2020
    Co-Authors: Tessa K Kritikos, Grayson N Holmbeck
    Abstract:

    Research supports a resilience-disruption model of Family Functioning in families with a child with spina bifida. Guidelines are warranted to both minimize disruption to the Family system and maximize Family resilience and adaptation to multiple spina bifida-related and normative stressors. This article discusses the spina bifida Family Functioning guidelines from the 2018 Spina Bifida Association's Fourth Edition of the Guidelines for the Care of People with Spina Bifida, and reviews evidence-based directions with the intention of helping individuals with spina bifida achieve optimal mental health throughout their lifespan. Guidelines address clinical questions pertaining to the impact of having a child with spina bifida on Family Functioning, resilience and vulnerability factors, parenting behaviors that may facilitate adaptive child outcomes, and appropriate interventions or approaches to promote Family Functioning. Gaps in the research and future directions are discussed.

  • psychosocial and Family Functioning in spina bifida
    Developmental Disabilities Research Reviews, 2010
    Co-Authors: Grayson N Holmbeck, Katie A Devine
    Abstract:

    A developmentally-oriented bio-neuropsychosocial model is introduced to explain variation in Family Functioning and psychosocial adjustment in youth and young adults with spina bifida (SB). Research on the Family Functioning and psychosocial adjustment of individuals with SB is reviewed. The findings of past research on families of youth with SB support a resilience-disruption view of Family Functioning. That is, the presence of a child with SB disrupts normative Family Functioning, but many families adapt to such disruption and exhibit considerable resilience in the face of adversity. Parents of youth with SB, and particularly those from lower SES homes, are at-risk for psychosocial difficulties. Individuals with SB are at-risk for developing internalizing symptoms, attention problems, educational difficulties, social maladjustment, and delays in the development of independent Functioning. Emerging adults are often delayed in achieving milestones related to this stage of development (e.g., vocational and educational achievements). Methodologically-sound, longitudinal, and theory-driven studies of Family and psychosocial Functioning are needed, as are randomized Family-based intervention trials, to promote adaptive Functioning and better psychosocial outcomes in families of individuals with SB.

Christine T Chambers - One of the best experts on this subject based on the ideXlab platform.

  • systematic review of Family Functioning in families of children and adolescents with chronic pain
    The Journal of Pain, 2010
    Co-Authors: Amy S Lewandowski, Tonya M Palermo, Jennifer Stinson, Susannah Handley, Christine T Chambers
    Abstract:

    Abstract Disturbances in Family Functioning have been identified in youth with chronic pain and are associated with worse child physical and psychological Functioning. Assessment measures of Family Functioning used in research and clinical settings vary. This systematic review summarizes studies investigating relationships among Family Functioning, pain, and pain-related disability in youth with chronic pain. Sixteen articles were reviewed. All studies were cross-sectional; 7 utilized between-group comparisons (chronic pain versus healthy/control) and 12 examined within-group associations among Family Functioning, pain, and/or pain-related disability. Studies represented youth with various pain conditions (eg, headache, abdominal pain, fibromyalgia) ages 6 to 20 years. Findings revealed group differences in Family Functioning between children with chronic pain and healthy control subjects in 5 of 7 studies. Significant associations emerged among Family variables and pain-related disability in 6 of 9 studies with worse Family Functioning associated with greater child disability; relationships between Family Functioning and children's pain were less consistent. Different patterns of results emerged depending on Family Functioning measure used. Overall, findings showed that families of children with chronic pain generally have poorer Family Functioning than healthy populations and that pain-related disability is more consistently related to Family Functioning than pain intensity. Perspective This review highlights the importance of Family factors in pain-related disability in youth with chronic pain. Results suggest that Family-level variables may be an important target for intervention. Family Functioning measures showed significant variation, and researchers should take this into account when selecting instruments for use in research and clinical settings.

Katie A Devine - One of the best experts on this subject based on the ideXlab platform.

  • psychosocial and Family Functioning in spina bifida
    Developmental Disabilities Research Reviews, 2010
    Co-Authors: Grayson N Holmbeck, Katie A Devine
    Abstract:

    A developmentally-oriented bio-neuropsychosocial model is introduced to explain variation in Family Functioning and psychosocial adjustment in youth and young adults with spina bifida (SB). Research on the Family Functioning and psychosocial adjustment of individuals with SB is reviewed. The findings of past research on families of youth with SB support a resilience-disruption view of Family Functioning. That is, the presence of a child with SB disrupts normative Family Functioning, but many families adapt to such disruption and exhibit considerable resilience in the face of adversity. Parents of youth with SB, and particularly those from lower SES homes, are at-risk for psychosocial difficulties. Individuals with SB are at-risk for developing internalizing symptoms, attention problems, educational difficulties, social maladjustment, and delays in the development of independent Functioning. Emerging adults are often delayed in achieving milestones related to this stage of development (e.g., vocational and educational achievements). Methodologically-sound, longitudinal, and theory-driven studies of Family and psychosocial Functioning are needed, as are randomized Family-based intervention trials, to promote adaptive Functioning and better psychosocial outcomes in families of individuals with SB.

Amy S Lewandowski - One of the best experts on this subject based on the ideXlab platform.

  • systematic review of Family Functioning in families of children and adolescents with chronic pain
    The Journal of Pain, 2010
    Co-Authors: Amy S Lewandowski, Tonya M Palermo, Jennifer Stinson, Susannah Handley, Christine T Chambers
    Abstract:

    Abstract Disturbances in Family Functioning have been identified in youth with chronic pain and are associated with worse child physical and psychological Functioning. Assessment measures of Family Functioning used in research and clinical settings vary. This systematic review summarizes studies investigating relationships among Family Functioning, pain, and pain-related disability in youth with chronic pain. Sixteen articles were reviewed. All studies were cross-sectional; 7 utilized between-group comparisons (chronic pain versus healthy/control) and 12 examined within-group associations among Family Functioning, pain, and/or pain-related disability. Studies represented youth with various pain conditions (eg, headache, abdominal pain, fibromyalgia) ages 6 to 20 years. Findings revealed group differences in Family Functioning between children with chronic pain and healthy control subjects in 5 of 7 studies. Significant associations emerged among Family variables and pain-related disability in 6 of 9 studies with worse Family Functioning associated with greater child disability; relationships between Family Functioning and children's pain were less consistent. Different patterns of results emerged depending on Family Functioning measure used. Overall, findings showed that families of children with chronic pain generally have poorer Family Functioning than healthy populations and that pain-related disability is more consistently related to Family Functioning than pain intensity. Perspective This review highlights the importance of Family factors in pain-related disability in youth with chronic pain. Results suggest that Family-level variables may be an important target for intervention. Family Functioning measures showed significant variation, and researchers should take this into account when selecting instruments for use in research and clinical settings.

Jerica M. Berge - One of the best experts on this subject based on the ideXlab platform.

  • Youth weight status and Family Functioning in paediatric primary care.
    Clinical obesity, 2019
    Co-Authors: Keeley J. Pratt, Catherine Van Fossen, Jerica M. Berge, Robert Murray, Joseph A. Skelton
    Abstract:

    The purpose of this study is to examine the associations between Family Functioning and youth overweight and obesity in a sample of primary care paediatric patients. Specially, we hypothesize that caregivers of youth with an overweight/obese weight status will report more impaired Family Functioning. A cross-sectional descriptive study was conducted with 329 caregivers of youth ages 2 to 18 seen in paediatric primary care. Caregivers completed the Family Assessment Device General Functioning Scale and clinical demographics, including parent-reported youth height and weight to calculate body mass index (BMI). Family Functioning was used as a continuous total variable, and as a dichotomous variable based on clinically impaired or healthy Family Functioning. Analyses included descriptive statistics, Pearson's correlations, and independent t tests. Caregivers who reported impaired Family Functioning based on the clinical cutoff score were more likely to report that their youth had a higher BMI and BMI z-score. Caregivers with impaired Family Functioning and who identified as being in two-parent families, with at least a Bachelor's degree, and a moderate to high Family income were more likely to report their youth was a higher weight status. Further screening and assessment of Family Functioning in combination with youth weight status among a larger diverse sample of primary care paediatric patients over time will provide insight into what aspects of Family Functioning may contribute to maintaining a healthy lifestyle or adopting new health behaviours to prevent and/or treat obesity in youth.

  • Family Functioning associations with weight status eating behaviors and physical activity in adolescents
    Journal of Adolescent Health, 2013
    Co-Authors: Jerica M. Berge, Melanie M Wall, Nicole I Larson, Katie A Loth, Dianne Neumarksztainer
    Abstract:

    Abstract Purpose This article examines the relationship between Family Functioning (e.g., communication, closeness, problem solving, behavioral control) and adolescent weight status and relevant eating and physical activity behaviors. Methods Data are from EAT 2010 (Eating and Activity in Teens), a population-based study that assessed eating and activity among socioeconomically and racially/ethnically diverse youths (n = 2,793). Adolescents (46.8% boys, 53.2% girls) completed anthropometric assessments and surveys at school between 2009 and 2010. Multiple linear regression was used to test the relationship between Family Functioning and adolescent weight, dietary intake, Family meal patterns, and physical activity. Additional regression models were fit to test for interactions by race/ethnicity. Results For adolescent girls, higher Family Functioning was associated with lower body mass index z score and percent overweight, less sedentary behavior, higher intake of fruits and vegetables, and more frequent Family meals and breakfast consumption. For adolescent boys, higher Family Functioning was associated with more physical activity, less sedentary behavior, less fast-food consumption, and more frequent Family meals and breakfast consumption. There was one significant interaction by race/ethnicity for Family meals; the association between higher Family Functioning and more frequent Family meals was stronger for nonwhite boys compared with white boys. Overall, strengths of associations tended to be small, with effect sizes ranging from −.07 to .31 for statistically significant associations. Conclusions Findings suggest that Family Functioning may be protective for adolescent weight and weight-related health behaviors across all race/ethnicities, although assumptions regarding Family Functioning in the homes of overweight children should be avoided, given small effect sizes.