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Family Adaptability (family + adaptability)
Selected AbstractsWhat can dropouts teach us about retention in eating disorder treatment studies?INTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 7 2007Renee Rienecke Hoste PhD Abstract Objective: To describe strategies used to retain adolescents with bulimia nervosa (BN) in a randomized clinical trial, and to compare treatment completers and dropouts on baseline demographic and symptom severity information. Method: Adolescents with BN (N = 80) completed a demographic questionnaire, the Eating Disorder Examination, Rosenberg Self-esteem Scale, Family Adaptability and Cohesion Evaluation Scales, and Beck Depression Inventory prior to beginning treatment. Results: Several strategies were used to promote treatment retention (e.g., encouraging parental involvement in treatment, prompt rescheduling of cancelled appointments). Six participants (7.50%) voluntarily dropped out of treatment and three additional participants (3.75%) were asked to terminate treatment for medical/psychiatric reasons. Compared with treatment completers, noncompleters reported significantly longer duration of illness (p < .01). Sixty-two percent of treatment completers and only 22% of dropouts were from intact families. Conclusion: Examining factors related to retention in adolescent treatment trials is important, and could be utilized to improve retention in adult studies where drop out rates are higher. © 2007 by Wiley Periodicals, Inc. [source] Factors associated with resilience of school age children with cancerJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 7-8 2010Dong H Kim Aim: To identify factors associated with resilience of school age children with cancer. Methods: The participants were 74 children, 10,15 years old who were diagnosed with cancer at least 6 months prior to data collection. The instruments used were; a self-reported questionnaire on resilience, Family Adaptability and Cohesion Evaluation Scale III, measurements of relationship with friends and teachers. Descriptive, Pearson correlation and multiple regression analyses were used to analyse the data. Results: The average score for resilience was 98.49 (range: 32,128). There was no statistically significant relationship with resilience for age, gender, religion, existence of siblings, mother's age, academic performance, duration of illness or type of cancer. In bivariate analysis, family adaptability and cohesion (r= 0.535, P < 0.001), relationship with friends (r= 0.520, P < 0.001) and teachers (r= 0.318, P < 0.01) were significantly related to resilience. However, the results of multiple regression analysis showed that only family function (,= 0.257, P < 0.05) and relationship with friends (,= 0.581, P < 0.01) were significantly associated with resilience. Conclusions: School age children with cancer who reported higher family function and positive relationships with friends showed higher resiliency than their counterparts. Thus, it is important to help the families of children with cancer to enhance family function and help children to adjust to school re-entry by maintaining ties with school friends and teachers during treatment. Development of counselling programmes for parents to promote family adaptation and cohesion and educational programmes for classmates and teachers are recommended. [source] Psychopathology in female juvenile offendersTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 6 2004Angela Dixon Background:, The aim was to document the spectrum of present and lifetime psychological disorders in female juvenile offenders, and to examine the relations between mental health status and socio-demographic, family and trauma variables. Method:, One hundred juvenile offenders were matched with a comparison group of 100 females on age and socioeconomic status (SES). Psychological profiles and trauma histories of both groups were assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children , Present and Lifetime Version (K-SADS-PL) and family functioning was assessed with the Family Adaptability and Cohesion Scale II (FACES II) self-report measure. Results:, Rates of psychopathology were higher for offenders than non-offenders (p < .001), with particularly high levels of conduct disorder (91% v.1%, p < .001), substance abuse disorders (85% v. 5%, p < .001), depression (55% v. 25%, p < .001) and posttraumatic stress disorder (37% v. 4%, p < .001). In the offenders, 78% met the criteria for three or more diagnoses. The number of psychiatric diagnoses was the most significant factor associated with offender status (OR = 21.26, p < .001). Conclusions:, There is a high prevalence of psychological disorder in females in juvenile justice custody and this has a very strong association with offender status. Because these co-morbid disorders are treatable, there is a clear opportunity to intervene to decrease psychological distress. [source] Factors associated with resilience of school age children with cancerJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 7-8 2010Dong H Kim Aim: To identify factors associated with resilience of school age children with cancer. Methods: The participants were 74 children, 10,15 years old who were diagnosed with cancer at least 6 months prior to data collection. The instruments used were; a self-reported questionnaire on resilience, Family Adaptability and Cohesion Evaluation Scale III, measurements of relationship with friends and teachers. Descriptive, Pearson correlation and multiple regression analyses were used to analyse the data. Results: The average score for resilience was 98.49 (range: 32,128). There was no statistically significant relationship with resilience for age, gender, religion, existence of siblings, mother's age, academic performance, duration of illness or type of cancer. In bivariate analysis, family adaptability and cohesion (r= 0.535, P < 0.001), relationship with friends (r= 0.520, P < 0.001) and teachers (r= 0.318, P < 0.01) were significantly related to resilience. However, the results of multiple regression analysis showed that only family function (,= 0.257, P < 0.05) and relationship with friends (,= 0.581, P < 0.01) were significantly associated with resilience. Conclusions: School age children with cancer who reported higher family function and positive relationships with friends showed higher resiliency than their counterparts. Thus, it is important to help the families of children with cancer to enhance family function and help children to adjust to school re-entry by maintaining ties with school friends and teachers during treatment. Development of counselling programmes for parents to promote family adaptation and cohesion and educational programmes for classmates and teachers are recommended. [source] Short-term effects of coping skills training in school-age children with type 1 diabetesPEDIATRIC DIABETES, Issue 3pt2 2008Jodie M Ambrosino Objective:, Little is known about the use of psychosocial interventions in children younger than adolescence with type 1 diabetes (T1D) and their parents. We report preliminary short-term outcomes of a randomized controlled trial of coping skills training (CST) compared with group education (GE) in school-aged children with T1D and their parents. Methods:, One hundred and eleven children (range = 8,12 yr) with T1D for at least 6 months (3.71 ± 2.91 yr) were randomized to CST (55.6% female (F); 81.5% white (W)) or GE (69.7% F; 90.9% W). Children and parents (n = 87) who completed the intervention, baseline, 1- and 3-month data are included. Children completed measures of self-efficacy, coping, and quality of life; parents completed measures of family functioning (adaptability and cohesion), diabetes-related conflict, parent depression, and parent coping. Metabolic control was assessed with glycosylated hemoglobin A1c. Mixed-model repeated measures anova was used to analyze the data. Results:, CST and GE group composition was generally comparable. Children had good psychosocial adaptation and metabolic status. CST parents reported significantly more improvement in family adaptability compared with GE parents, and a trend was seen indicating that CST children showed greater improvement in life satisfaction than GE children. Effect sizes for this short-term follow-up period were small, but group participants were receptive to the intervention and reported positive gains. Conclusions:, In these preliminary results, CST and GE were more similar than different across multiple measure of psychosocial adaptation, although CST showed promising statistical trends for more adaptive family functioning and greater life satisfaction. Longer term follow-up is underway. [source] Maternal parenting stress and its correlates in families with a young child with cerebral palsyCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 1 2009S. Glenn Abstract Objective To investigate factors predicting parenting stress in mothers of pre-school children with cerebral palsy. Method Eighty mothers and children participated. Mothers completed the Parenting Stress Index (PSI) and the following measures of family functioning: family support, family cohesion and adaptability, coping strategies, family needs and locus of control. Children were assessed using the Griffiths Scales and the Gross Motor Function measure. The child's home environment was assessed using Home Observation for Measuring the Environment. Results Mothers had higher mean total PSI scores than the means for the typical sample; 43% had total PSI scores above the threshold for clinical assessment. Cluster analysis demonstrated five distinct clusters of families, more than half of whom were coping well. High stress items were role restriction, isolation and poor spouse support, and having a child who was perceived as less adaptable and more demanding. Lower stress items indicated that this sample of mothers found their children emotionally reinforcing and had close emotional bonds. Regression analysis showed that the factors most strongly related to parenting stress levels were high family needs, low family adaptability and cognitive impairment in the child. Conclusions The results confirmed the individuality of families, and that individual characteristics of coping and feeling in control, together with family support and cohesion, are associated with variation in amount of stress experienced in parenting a child with cerebral palsy. [source] | |||||||||||||