Family functioning, expressed emotion and quality of life in adolescents with early onset schizophrenia spectrum and affective psychotic disorders

2021 ◽  
Vol 11 ◽  
Author(s):  
Stavroula Ropi ◽  
Gerasimos Kolaitis ◽  
Foivos Zaravinos-Tsakos ◽  
Christos Androutsos ◽  
Vaios Dafoulis ◽  
...  

Background: Quality of family functioning and levels of parental expressed emotion (criticism, hostility, or emotional overinvolvement) are prospectively associated with the course and outcome of a range of childhood psychiatric disorders. Aims: This study examined family functioning, expressed emotion, and quality of life, in a clinical sample of 40 adolescents presenting with schizophrenia spectrum or affective psychotic disorders. Methods: Expressed emotion, family functioning, and quality of life were measured using the family questionnaire, family assessment device, and the KIDSCREEN 27, respectively. Results: Parents scored high on both parts of the family questionnaire, the critical comments and emotional over-involvement. Higher expressed emotion was associated with more emotional difficulties of both parents, especially depressive features. Economic difficulties of the family were found to be negatively associated with the adolescents’ psychological wellbeing. Conclusion: Overall, the study points out the need for appropriate family interventions, which will assist the caregivers in developing communication and problem-solving strategies and will contribute to the reduction of high levels of hostile or critical expressed emotion and emotional over-involvement within the family.

2018 ◽  
Author(s):  
Annisha Fadhilla ◽  
Ikeu Nurhidayah ◽  
Fanny Adistie

Background: Quality of life of caregiver of children with leukemia is important because it can affect the quality of care provided and can affect the health of children and the caregiver themselves. One of the factors that influence the caregiver’s quality of life is the family functioning. However, a few number of research on the correlation of family functioning in the caregiver's situation.Objective: The aim of the study was to analyze the correlation between family functioning and the caregiver’s quality of life of children with leukemia.Methods: This study used a Quality of Life Family Version questionnaire and a Family Assessment Device questionnaire. The populations in this study were all parents (father or mother) who were the primary caregiver of children with leukemia aged 0-15 years and were being treated at a referral hospital in West Java, Indonesia. Thirty-two respondents were determined by a total sampling technique. The data analysis used frequency distribution and chi-square.Results: The results showed that the family functioning and quality of life of the caregiver had the same results, 50% good and 50% poor. Correlation test in this study showed a negative value with p value > 0.05 (0.480), which indicated that there was no correlation between family functioning and the quality of life of the caregiver.Conclusion: The correlation between family functioning and caregiver's quality of life was not significant. This is likely due to the variable family functioning and the caregiver’s quality of life having balanced results. The results of this study need to be followed up by providing nursing care holistically not only to children, but also to families, especially who are directly involved in child care.


Author(s):  
Ling Wang ◽  
Xi-Wang Fan ◽  
Xu-Dong Zhao ◽  
Bing-Gen Zhu ◽  
Hong-Yun Qin

Background: Recently, the community rehabilitation model for schizophrenia patients has become increasingly popular, and the Shanghai Pudong New Area has developed a relatively complete community rehabilitation model. This study analyzed the correlation between family function and subjective quality of life in the rehabilitation of patients living with schizophrenia in the community. Methods: This study evaluated persons living with schizophrenia using the Family Assessment Device and the Subjective Quality of Life Scale. A convenient sampling method was used to select 281 rehabilitation patients living with schizophrenia in the community and 166 hospitalized persons living with schizophrenia. Results: There was a significant difference in the Family Assessment Device scores between rehabilitation patients living with schizophrenia in the community and hospitalized persons living with schizophrenia (p < 0.0001). The difference in the scores of the subjective quality of life assessment between rehabilitation patients living with schizophrenia in the community and hospitalized persons living with schizophrenia was not statistically significant (p > 0.05). The regression analysis showed that quality of family function had a significant effect on the subjective quality of life in rehabilitation patients living with schizophrenia in the community and hospitalized persons living with schizophrenia. (F = 10.770 p < 0.001), (F = 2.960 p < 0.01). Conclusions: The quality of family function plays an important role in improving the subjective quality of life in rehabilitation patients living with schizophrenia in the community. It may be beneficial to add some methods to improve family function in the current model of rehabilitation in the community.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Pratima

Family caregivers of persons with bipolar disorder and schizophrenia experience high level of burden and compromised quality of life. A considerable amount of burden on the caregivers often leads to display of certain attitudes towards persons with severe mental illness called expressed emotion, which then leads to poor quality of patients as well. Although numerous studies dealing with these issues separately are present, but studies dealing with relationship, using mixed methodology, among these issues are scarce. The aim of the present study was to understand how actually the construct of quality of life in different demographic conditions affect life conditions of schizophrenic and bipolar patients and determining relapse. The present study was designed mainly to assess the quality of life on patients and the families of a particular group of patients namely those with schizophrenia and bipolar disorder. The objectives if the present research were to study: (i) the quality of life of patients with Schizophrenia and Bipolar Affective disorder. (ii) the quality of life of caregivers of patients with Schizophrenia and Bipolar Affective disorder. Patients with disorders such as schizophrenia and bipolar affective disorder are more likely to relapse when there is high expressed emotion present in their living environment. The stress from the remarks and attitudes of the family is overwhelming because they feel like the cause of the problems. The patient then falls into the cycle of relapse. The only way to escape this vortex for the family is to go through therapy together to prevent the relapse. But before that it becomes necessary to understand that what is the reason behind such attitude towards a family member who is mentally ill, what is the cause of burden and what all changes the caregivers’ and the patients’ quality of life come across.


2016 ◽  
Vol 5 (2) ◽  
pp. 63-69
Author(s):  
ZARINA AKBAR ◽  
KHARISMA KARTIKA

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.


2015 ◽  
Vol 11 (3) ◽  
pp. 432-441 ◽  
Author(s):  
Sajjad Basharpoor ◽  
Ali Sheykholeslami

Given the immense importance of marital relationships in the quality of life, this research was conducted in order to investigate the relationships between marital adjustment and family functions with quality of life in women. The design of the current study was correlational. Seven hundred and thirty women were selected randomly among all women living in the province of Western Azerbaijan (Iran) and participated in this study. The sample responded to the Family Assessment Device, Dyadic Adjustment scale and Quality of Life questionnaire, individually in their homes. Collected data were analyzed by Pearson’s correlation and multiple regression tests. The results showed that all dimensions of family functions and dyadic adjustment were positively correlated with quality of life in women. Results of multiple regression also revealed that 33 percent of total quality of life can be explained by family functions and 24 percent of this variable can be explained by dyadic adjustment. Our study demonstrated that women’s quality of life was affected by family functions and marital adjustment in family.


2018 ◽  
Vol 23 (8) ◽  
pp. 817-827 ◽  
Author(s):  
Seda Erbilgin Gün ◽  
Ayse Kilincaslan

Objective: To examine (a) the quality of life (QOL) in children with Tourette’s disorder (TD) and ADHD (TD + ADHD) compared with ADHD without tics (ADHD alone) and (b) the effects of the severity of tics, ADHD symptoms, comorbid diagnoses, and family functioning on QOL. Method: The assessments included the Kiddie-Schedule for Affective Disorders and Schizophrenia, Yale Global Tic Severity Scale, ADHD Rating Scale, Pediatric Quality of Life Inventory, and Family Assessment Device. Results: The TD + ADHD group had poorer psychosocial QOL. Agreement between child and parent ratings was higher in the TD + ADHD group, and children reported higher scores than their parents in both groups. Severity of tics and ADHD symptoms had stronger negative associations with parent-reported than child-reported QOL. Significant positive correlations were detected between QOL and family functioning in both groups. Conclusion: Children with TD + ADHD have lower QOL than their peers with ADHD alone. Family functioning seems to affect QOL in both groups.


2017 ◽  
Vol 93 ◽  
pp. 110-117 ◽  
Author(s):  
Volker Beierlein ◽  
Johanna Christine Bultmann ◽  
Birgit Möller ◽  
Kai von Klitzing ◽  
Hans-Henning Flechtner ◽  
...  

2019 ◽  
Vol 47 ◽  
pp. e75-e82 ◽  
Author(s):  
Aleksandra Kołtuniuk ◽  
Anna Rozensztrauch ◽  
Paulina Budzińska ◽  
Joanna Rosińczuk

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 456
Author(s):  
Filiberto Toledano-Toledano ◽  
José Moral de la Rubia ◽  
Laura A. Nabors ◽  
Miriam Teresa Domínguez-Guedea ◽  
Guillermo Salinas Escudero ◽  
...  

Quality of life (QOL) is a key aspect of the health care process for children with chronic diseases and their families. Although clinical evidence regarding the impact of chronic disease on children exists, few studies have evaluated the effects of the interaction between sociodemographic and psychosocial factors on the family caregiver’s QOL, indicating a significant gap in the research literature. The present study aimed to identify the predictors of the QOL of parents of children with chronic diseases. Three parental sociodemographic predictors (age, schooling, and family income) and four psychosocial predictors (family functioning, social support, depression, and resilience) were examined. In this cross-sectional study, 416 parents of children with chronic diseases who were hospitalized at a National Institute of Health in Mexico City were interviewed. The participants completed a sociodemographic variables questionnaire (Q-SV) designed for research on family caregivers of children with chronic disease. The predicted variable was assessed through the World Health Organization Quality of Life Questionnaire. The four psychosocial predictors were assessed through the Family Functioning Scale, Social Support Networks Scale, Beck Depression Inventory, and Measurement Scale of Resilience. The regression model explained 42% of the variance in parents’ QOL. The predictors with positive weights included age, schooling, monthly family income, family functioning, social support networks, and parental resilience. The predictors with negative weights included depression. These findings suggest that strong social relationships, a positive family environment, family cohesion, personal resilience, low levels of depression, and a family income twice the minimum wage are variables associated with better parental QOL.


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