scholarly journals Evaluation of Psychosocial Pathways to Family Adaptation of Chinese Patients With Liver Cancer Using the McCubbin's Family Resilience Model

2021 ◽  
Vol 12 ◽  
Author(s):  
Shirou Mao ◽  
Huijuan Lu ◽  
Yuxia Zhang ◽  
Jingxian Yu ◽  
Xiaorong Li ◽  
...  

Background and Aim: With the prolonged survival time of patients with liver cancer, these families may face tremendous pressure and development dilemmas that can easily lead to family adaptation crises. Correspondingly, family adaptation crises adversely affect the quality of life of patients and family members. Basing on McCubbin's resilience model of family stress, adjustment, and adaptation, and considering the key factors affecting family resilience based on a review of literature, this study involved a construction of a family adaptation influencing factors model in Chinese liver cancer patients, which was then verified and revised.Methods: This cross-sectional study was conducted between August and December 2020. Using convenience sampling, we selected 265 liver cancer families from the liver tumor center of a teaching hospital affiliated with a university in Shanghai, China. Data from 252 patients with liver cancer and their caregivers were used to identify the factors and pathways associated with family adaptation. The relationships were modeled using structural equations.Results: A total of 265 liver cancer families participated in the survey, and 252 valid questionnaires were returned, with a response rate of 95.09%. The pathway regression coefficients of six factors (family burden, individual resilience, family problem-solving and coping, inner family support, outer family social support, and family function) in the model were found to be statistically significant (P < 0.05), indicating that all of them were significantly associated with family adaptation. Among them, inner family support, outer family social support, and family function were direct influencing factors, while the others were indirect. The path coefficients of the total effect of the determinants on family adaptation were as follows (from largest to smallest): individual resilience (0.562), family function (0.483), outer family social support (0.345), family burden (−0.300), inner family support (0.293), family problem-solving and coping (0.127).Conclusions: Our findings suggest that clinical nurses should not only pay particular attention to direct influencing factors, develop strategies to strengthen the overall family function, encourage patients and caregivers to utilize inner family and outer family social support, but should also consider indirect influence factors, focus on the vital role of the individual, and promote patients' and caregivers' personal and family coping ability.

2018 ◽  
Vol 24 (2) ◽  
pp. 203-212 ◽  
Author(s):  
Sonya Negriff ◽  
Julie A. Cederbaum ◽  
Daniel S. Lee

The current study examined social support as a mediator between maltreatment experiences (number of victimizations, maltreatment types) and depressive symptoms in adolescence. The data came from the first two time points of a longitudinal study of the effects of maltreatment on adolescent development. The enrolled sample were 454 male and females ( n = 303 maltreated, n = 151 comparison) between 9 and 13 years ( M age = 10.82); Time 2 (T2) occurred approximately 1 year after baseline. Maltreatment data came from case records; participants reported on perceived social support and depressive symptoms. Results from path models indicated that depressive symptoms mediated the association between maltreatment experiences (i.e., physical abuse, neglect, and number of maltreatment victimizations) and family social support. There was no evidence that social support functioned as a mediator. This is the first study to find support for depressive symptoms as a mechanism linking maltreatment with decreased perceived family support. These findings point to the importance of assessing mental health and social support simultaneously to understand the functioning of youth with maltreatment histories.


1999 ◽  
Vol 30 (3) ◽  
pp. 11-18 ◽  
Author(s):  
Daniel C. Lustig

Families are a powerful influence in the lives of an adult son or daughter with mental retardation. The increasing life expectancy of individuals with mental retardation suggests that it is likely that families will provide care for their children for many decades. The factors which impact families with an adult son or daughter with mental retardation can be analyzed within the theoretical context of the Resiliency Model of Family Stress, Adjustment, and Adaptation. The responses of 71 parents of adult children with mental retardation were measured on the dimensions of maladaptive behavior of the adult with mental retardation, family sense of coherence, family social support, family adaptability, family cohesion, and family adaptation. Results of stepwise regression analysis indicate that family sense of coherence and family cohesion made a significant contribution to family adaptation. Family adaptability, social support, and maladaptive behavior did not make a meaningful contribution to family adaptation. Practice implications for rehabilitation counselors are discussed.


2011 ◽  
Vol 63 (4) ◽  
pp. 343-358 ◽  
Author(s):  
Abraham P. Greeff ◽  
Alfons Vansteenwegen ◽  
Tina Herbiest

The aim of this study was to identify and describe resilience qualities in families after losing a child. Questionnaires, including an open-ended question, were utilized to collect data independently from the parents and siblings of the deceased in 89 Belgian families. The results indicate that family strengths in general, and commitment to the family in particular, helped the families' adaptation after the loss. In addition, the adaptation process after the loss was aided if the family members viewed the crisis as a challenge. Both the siblings and the parents indicated that the extent to which a family experienced support from the community was directly related to family adaptation after the loss. Redefining the situation and utilizing social support from friends and family were underlined as effective family coping strategies. The findings could be used in interventions to promote family resilience, thereby affirming the reparative potential of families.


Work ◽  
2021 ◽  
pp. 1-15
Author(s):  
Zhe Liu ◽  
Malizia King

BACKGROUND: For family caregivers, sudden stroke events and heavy caring works are stressful events. At present, controversies about the factors affecting caregivers’ stress response and their correlation with coping styles still exist. OBJECTIVE: To explore the influencing factors and coping styles of mental health stress responses of stroke caregivers and promote caregivers to adopt positive coping styles for diseases and caring works. METHODS: The convenience sampling method is used to select stroke caregivers as the research objects. The general information questionnaires, Relative Stress Scale (RSS), General Self-Efficacy Scale (GSES), Social Support Rate Scale (SSRS), Positive and Negative Affect Schedule (PANAS), and Simplified Coping Style Questionnaire (SCSQ) are utilized for investigation. RESULTS: 205 valid questionnaires are returned. Analysis suggests that the influential factors of mental health stress responses of stroke caregivers include the course of the disease, the impact of the disease on economic conditions, obligation to take care of other family members, understanding of stroke-associated diseases, and whether the patient is at risk. Social support and self-efficacy are negatively correlated with stress responses, while negative coping style is significantly positively correlated with stress responses. CONCLUSIONS: By increasing social support and self-efficacy, medical workers can guide stroke caregivers to take positive coping styles, thereby reducing their mental health stress responses.


2018 ◽  
Vol 9 (2) ◽  
pp. 119
Author(s):  
Nurfaida Indrianingsih ◽  
Yoyok Bekti Prasetyo ◽  
Anggraini Dwi Kurnia

Social support is an interpersonal relation which one individual provides support to another individual. The aim of this study was to examine the correlation of family support and behavior of 4 - 6 years old in doing dental and oral care. The research method used correlation research with quantitative approach. The participants of this reseach were 62 families who have children aged 4 to 6. The data analysis used Spearman Rank (Rho) correlation test that is carried out to discover the correlation between family support and behavior of 4 - 6 years old in doing dental and oral care. The result  showed that P= 0,027. It can be concluded that there is a relationship between family support and the behavior of children aged 4-6 years in performing dental and oral health care.


2020 ◽  
Vol 8 (2) ◽  
pp. 163
Author(s):  
Sindi Eka Putri ◽  
Sri Widati

Background: One of the efforts made by the government to reduce the rate of population growth was through the Family Planning program. Many contraceptive methods are used by Fertile Age Couples (FAC), including the Long-Term Contraception Method (MKJP) and the non-Long-Term Contraception Method (non-MKJP). Low interest in fertile-couples for long-term use of contraception cannot be separated from family support to use these contraceptives. There is a need for an understanding of MKJP for FAC. Family support was defined as the attitude, actions, and acceptance of the family of its members. Family members see that those who are supportive are always ready to provide help and assistance. With family support, FAC can easily decide which contraception will be used. Objective: The purpose of this study was to analyze the relationship of family social support to the interest of FAC in using the long-term contraception method in RW 5, Sidotopo Village. Methods: This research was an observational analytic study using a cross-sectional research design. The sample of this research consists of 48 participants, taken randomly using multistage random sampling. The research instrument was in the form of a questionnaire. Then, the data were analyzed using the Chi-square test. Results: The characteristics of family planning acceptors in RW 5 of the Sidotopo sub-district starting from the dominating age are 21-35 years old with high school as the highest level of education. The income level in the area is middle to the upper level from 2 million to 5 million rupiahs per month. Based on the results of statistical tests, there is a correlation between family instrumental social support with the interest of Fertile Age Couples to use MKJP. Conclusion: Based on the results of the bivariate test using Chi-Square, it was found that between the four support variables, only one of them has a relationship that is instrumental support. The results of this study can be used as a rationale for policymaking in order to increase the number of long-term family planning acceptors.


2021 ◽  
Vol 6 (2) ◽  
pp. 229-244
Author(s):  
Abdul Rahman Shaleh ◽  
Putri Nuraini

The participation of women in the workforce creates challenges and problems. Those with various roles in their lives must be good at playing and balancing these successfully. This study focuses on the work-life balance factor by exploring the predictor factors including personality, family social support, and childcare responsibilities, as moderated by gender role attitude. A work/ nonwork interference and enhancement scale, mini-IPIP, gender role beliefs scale, and social support scale were developed for the data collection. A sample of 220 married female workers was identified using purposive sampling. The data analysis, which used multiple regression and a modgraph, shows a significant effect of personality, social support, and childcare responsibilities on the work-life balance moderated by gender role attitude. Four independent variables with significant influence are neuroticism, openness to experiencing family support, gender role attitude and there is a moderating effect on neuroticism and family support. The implication is the need to provide a comfortable work environment and arrangement of work patterns so that women's work-life balance can be achieved positively.


2019 ◽  
Vol 34 (6) ◽  
pp. 361-375
Author(s):  
Qingyan Wang ◽  
Yu Sheng ◽  
Fan Wu ◽  
Yuyun Zhang ◽  
Xiaohua Xu

Purpose: To examine the support from different sources of Chinese families of patients with moderate-to-severe dementia that most heavily influences the family adaptation and the influence pathway. Method: Two hundred and three families participated in this study. Chinese versions of instruments were used. Structural equation modeling was applied to confirm the effect pathway. Results: More family support, kin support, community support, and social support (narrow sense) were related to greater levels of family adaptation. Family support was the most heavy influence factor (total effect = 0.374), followed by kin support (0.334), social support (0.137), and community support (0.121). Family support and kin support were direct influence factors, while the other 2 were not. Conclusion: All support will promote family adaptation, especially family support and kin support. Interventions improving support from different sources, especially family support and kin support, will promote adaptation in Chinese families of patients with moderate-to-severe dementia.


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