Family Functioning in Adolescent Anorexia Nervosa

1995 ◽  
Vol 167 (5) ◽  
pp. 673-678 ◽  
Author(s):  
Clive North ◽  
Simon Gowers ◽  
Victoria Byram
Keyword(s):  
Anorexia Nervosa ◽  
Family Functioning ◽  
Objective Measure ◽  
Structured Interview ◽  
Diagnostic Interview ◽  
Self Report ◽  
Family Assessment Device ◽  
The Family ◽  
Methodological Problems ◽  
Community Controls

BackgroundDifficulties in family functioning have been noted since early descriptions of anorexia nervosa and may be of importance aetiologically. Previous studies have a number of methodological problems.MethodThirty-five anorexic adolescents were age/sex matched with psychiatric and community controls. A diagnostic interview and a questionnaire, the Family Assessment Device (FAD) were administered to control subjects and their mothers. Anorexic families only received the McMaster Structured Interview of Family Functioning.ResultsMultivariate analyses of FAD scores showed pathological ratings for psychiatric control but not anorexic families, compared with community controls. By contrast objective ratings revealed marked dysfunction in anorexic families (greater in the purging subgroup).ConclusionFamily functioning in anorexic families is normal by self-report but not by an objective measure. Anorexic families in the purging subgroup appear most dysfunctional.

scholarly journals KEBERFUNGSIAN KELUARGA PADA KELUARGA DENGAN PASIEN SKIZOFRENIA RAWAT JALAN DI JAKARTA

2013 ◽  
Vol 2 (2) ◽  
pp. 80
Author(s):  
Sofiana Millati ◽  
Fellianti Muzdalifah
Keyword(s):  
Family Functioning ◽  
Sampling Technique ◽  
Self Report ◽  
Family Assessment Device ◽  
The Family ◽  
General Functioning ◽  
Quantitative Descriptive ◽  
June July ◽  
Almost All ◽  
And Behavior

Abstract The aim of this study is to analyze the family functioning among family with schizophrenic outpatient in Jakarta. The research was conducted in RSKD Duren Sawit and Komunitas Peduli Skizofrenia Indonesia during June-July 2013. This study used quantitative descriptive method. Incidental sampling was used as sampling technique. A total of 107 family members that lived with schizophrenic outpatient participated in this study. Family functioning assessed by self-report questionnaire Family Assessment Device (FAD) based on McMaster Model of Family Functioning. Statistical descriptive that used in this study were performed with SPSS 17.00 for windows. The result of this study showed that family functioning among family with schizophrenic outpatient was unhealthy based on general functioning dimension that assess the overall family functioning. Also found that almost all profiling dimensions of family functioning were unhealthy; communication, roles, affective involvement, and behavior control; except on problem solving and affective responsiveness dimensions were healthy. Keyword: family functioning, family, schizophrenia, outpatient

Difficulties in family functioning and adolescent anorexia nervosa

1999 ◽  
Vol 174 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Simon G. Gowers ◽  
Clive North
Keyword(s):  
Anorexia Nervosa ◽  
Family Functioning ◽  
Clinical Improvement ◽  
Structured Interview ◽  
Inverse Association ◽  
Family Assessment Device ◽  
One Year ◽  
The Relationship

BackgroundDifficulties in family functioning are often evident when an adolescent has anorexia nervosa, and the possible causative or contributory role of such difficulties in the illness is unclear.AimsTo elucidate the relationship between severity of anorexia nervosa and difficulties in family functioning and whether clinical improvement results in diminution of self-rated family difficulties.MethodThirty-five adolescents with anorexia nervosa and their mothers completed the Family Assessment Device (FAD) while clinicians administered the McMaster's Structured Interview of Family Functioning (McSIFF). Severity of anorexia nervosa was rated at baseline and at one year follow-up using the Morgan–Russell Schedule.ResultsClinicians and patients were more critical of the families' functioning than parents. There was an inverse association between the extent of family difficulties and severity of anorexia nervosa. Over time subjects improved clinically but this was not matched by improvement in family functioning.ConclusionsDifficulties in family functioning do not appear to be directly associated with severity of anorexia nervosa nor do these difficulties reduce with clinical improvement, in the short term.

Multifamily Group Therapy: Impact on Family Functioning and Child Behavior

1998 ◽  
Vol 79 (1) ◽  
pp. 32-44 ◽  
Author(s):  
William Meezan ◽  
Maura O'Keefe
Keyword(s):  
Family Therapy ◽  
Group Therapy ◽  
Social Competence ◽  
Family Functioning ◽  
Parental Support ◽  
Self Report ◽  
Traditional Family ◽  
End Of Treatment ◽  
The Family ◽  
Treatment Changes

The authors compare the effectiveness of multifamily group therapy (MFGT) with traditional family therapy with abusive and neglectful caregivers and their children. Positive changes in the family functioning of the MFGT group occurred in areas critical to the reduction of child abuse and neglect, whereas changes in the family functioning of those in traditional family therapy occurred only in the area of parental support. The MFGT group children became significantly more assertive and less submissive according to their self-report and, according to their caregivers, showed significantly fewer overall behavior problems and greater social competence at the end of treatment. Changes in the children in the comparison group were not self-reported and did not occur in the area of social competence. These positive findings argue that agencies should consider adopting this modality in the treatment of this population and that it should be included as a treatment option in family-centered child welfare services.

Assessment of Personality Disorders in Anorexia Nervosa and Bulimia Nervosa A Comparison of Self-Report and Structured Interview Methods

1995 ◽  
Vol 183 (6) ◽  
pp. 358-364 ◽  
Author(s):  
SIDNEY H. KENNEDY ◽  
RANDY KATZ ◽  
WENDI ROCKERT ◽  
SANDRA MENDLOWITZ ◽  
ELIZABETH RALEVSKI ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Personality Disorders ◽  
Structured Interview ◽  
Self Report ◽  
Interview Methods

The families of anorexia nervosa and cystic fibrosis patients

1995 ◽  
Vol 25 (5) ◽  
pp. 985-993 ◽  
Author(s):  
C. Blair ◽  
C. Freeman ◽  
A. Cull
Keyword(s):  
Cystic Fibrosis ◽  
Anorexia Nervosa ◽  
Problem Solving ◽  
Family Functioning ◽  
Direct Observation ◽  
Expressed Emotion ◽  
Illness Severity ◽  
Self Report ◽  
Family Problem ◽  
Problem Solving Task

SYNOPSISThe objective of the study was to determine whether the families of anorexia nervosa (AN) patients were more dysfunctional than those of cystic fibrosis (CF) patients and well controls. Data were collected from self-report questionnaires, from an interview rated for Expressed Emotion (EE) and from direct observation of a family problem solving task which was rated for evidence of Minuchin's ‘psychosomatic family’ dimensions. A total of 87 families participated. Most self-report measures of family functioning did not distinguish between groups. There were no differences in levels of EE criticism. AN and CF households showed more EE emotional over-involvement than did the well households. Over-involvement correlated with illness severity. More households in the AN group were enmeshed, over-protective and poor at problem solving than in the CF and well groups. Minuchin's conceptualization of the anorexia nervosa family was partly supported.

scholarly journals The Process Model of Family Functioning

1984 ◽  
Vol 29 (2) ◽  
pp. 77-88 ◽  
Author(s):  
P.D. Steinhauer ◽  
J. Santa-Barbara ◽  
H. Skinner
Keyword(s):  
Family Functioning ◽  
Process Model ◽  
Family System ◽  
Self Report ◽  
Family Process ◽  
Common Source ◽  
Validity And Reliability ◽  
System A ◽  
The Family ◽  
Critical Aspects

The Process Model of Family Functioning differs from the McMaster Model of Family Functioning and their common source, the Family Categories Schema, by its increased emphasis on the dynamic interaction between the major dimensions of family functioning, and by its stress on the interface between intrapsychic subsystems and the interpersonal dimensions of the family system. A model of family process rather than family structure, it defines six universal criteria of family functioning. It describes the processes involved in each along with the content components and the critical aspects of each. A self-report test developed from the model (FAM-III) is being widely used both as a research tool and as a clinical adjunct. Tests to define its validity and reliability continue.

scholarly journals The Effects of Family Psychoeducation Courses on Depression, Anxiety and Family Functioning in the Caregivers of Schizophrenic Patients

Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zahra Hashemi ◽  
Seyed Alireza Haj Seyed Javadi ◽  
Seyed Mohsen Zamir
Keyword(s):  
Family Functioning ◽  
Behavioral Control ◽  
Family Members ◽  
Training Session ◽  
P Value ◽  
Depression And Anxiety ◽  
Short Term ◽  
Family Psychoeducation ◽  
Family Assessment Device ◽  
The Family

Background: Schizophrenia is one of the most serious psychiatric diseases that affects the patient’s family members in addition to the patient himself. This disease can lead to depression and anxiety in the family members of the patient and even affect their functioning. Objectives: The present study was conducted to investigate the effect of a short-term family psychoeducation course on the depression and anxiety family functioning in caregivers Methods: In this before-after clinical trial, 163 first-degree family members of patients with schizophrenia were invited to participate in a short-term FPE course. A total of 65 of this group attended the first training session. Prior to the first session, the beck depression inventory (BDI), the beck anxiety inventory (BAI), and the family assessment device (FAD) were completed for the participants based on a family functioning model. Six months after the end of the FPE course, the 36 subjects who had completed the initial questionnaires and fully attended the sessions were invited to complete the questionnaires again. A total of 31 subjects completed the questionnaires again at this stage. The data were analyzed by SPSS-20 software using Mann–Whitney and Wilcoxon rank tests. Results: The mean age of the participants in both stages of questionnaire completion was 48.64 ± 11.85 years. Among them, 16 (51.6%) were female, and 15 (48.4%) were male. Also, six (19.4%) subjects had an education above high school, and mothers were the most frequent participating family members with a frequency of 11 (35.5%). The anxiety and depression scores of these subjects were 10.8 ± 5.14 and 6.9 ± 2.45 at baseline, respectively. These scores decreased significantly after six months to 5.03 ± 2.48 and 4.40 ± 1.9, respectively. In addition, among family functioning, Role and Behavioral control was significantly improved (P-value < 0.05). Conclusions: The results of this study showed that depression and anxiety levels decreased in the family members of the examined patients six months after an FPE course. This effect can be further investigated through studies conducted with control groups. These findings suggest that the integration and institutionalization of FPE programs in the healthcare system are essential for improving the status of patient caregivers with severe psychiatric illnesses and their families.

scholarly journals KONFLIK PERAN GANDA DAN KEBERFUNGSIAN KELUARGA PADA IBU YANG BEKERJA

2016 ◽  
Vol 5 (2) ◽  
pp. 63-69
Author(s):  
ZARINA AKBAR ◽  
KHARISMA KARTIKA
Keyword(s):  
Family Functioning ◽  
Rasch Model ◽  
Family Conflict ◽  
Statistical Data ◽  
Family Assessment ◽  
Work Family Conflict ◽  
Working Mother ◽  
Family Assessment Device ◽  
The Family ◽  
Work Family

This research aimed to determine the influence of work-family conflict to the family functioning between working mother. The research using quantitative. The sample were 100 working mother (n = 100) by using the method purposive sampling . The data using a questionnaire with an instrument work- family conflict scales (40 item) and family assessment device (52 item). Statistical data is done by using Rasch Model in the form of software Winstep and SPSS 23.0. Results of research indicate that there is influence of work-family conflict to the family functioning between working mother. The value of Fhit> Ftabel (59,08> 3,94) and R square value equal to 0, 376.

scholarly journals Family Functioning in Adolescents with Perinatal HIV Infection

2018 ◽  
Vol 17 ◽  
pp. 232595821877478
Author(s):  
Orawan Louthrenoo ◽  
Linda Aurpibul ◽  
Peninnah Oberdorfer ◽  
Virat Sirisanthana
Keyword(s):  
Antiretroviral Therapy ◽  
Family Functioning ◽  
Hiv Infection ◽  
Infected Group ◽  
The Self ◽  
Self Report ◽  
Control Group ◽  
Healthy Controls ◽  
Perinatal Hiv ◽  
The Family

This study aimed to assess family functioning in adolescents with perinatal HIV infection receiving antiretroviral therapy compared with healthy controls. Correlations between self-reported and caregiver-reported family functions were also evaluated. A sample of 195 participants including 65 perinatally HIV-infected adolescents and 130 healthy controls were enrolled. The total family functioning score in HIV-infected adolescents was significantly lower than that in healthy controls by self-report (105.86 vs 115.41; P ≤ .001). Caregivers of HIV-infected adolescents also reported lower scores of family functioning than those of controls (109.91 vs 114.98; P ≤ .001). Among the HIV-infected group, there was no or minimal correlation between the self-reported and caregiver-reported total scores of family functioning. However, there were moderate correlations between self-reported and caregiver-reported family functioning total scores in the control group. Overall, HIV-infected adolescents reported lower family functioning than healthy controls. Improved functioning in the family may help with better adjustment in perinatally HIV-infected adolescents.

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