Families Systems & Health最新文献

In our words: Patient reports of the utility of primary care behavioral health services. 用我们的话说患者对初级保健行为健康服务效用的报告。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-02-17 DOI: 10.1037/fsh0000956

Emily L Allen, Alyssa J Hartley, Ana J Bridges

{"title":"In our words: Patient reports of the utility of primary care behavioral health services.","authors":"Emily L Allen, Alyssa J Hartley, Ana J Bridges","doi":"10.1037/fsh0000956","DOIUrl":"https://doi.org/10.1037/fsh0000956","url":null,"abstract":"Background: The primary care behavioral health (PCBH) model of integrated care has been successfully implemented and evaluated in diverse settings. The most common metrics of PCBH service outcomes include provider and patient satisfaction, patient symptom changes, provider productivity, and utilization rates. Missing is the broader perspective of the patient. To address this gap, we solicited qualitative feedback from PCBH patients about the benefits of PCBH services.Method: Primary care patients (n = 135; Mage = 28.31, 52.6% White, 25.9% Hispanic/Latinx, 72.6% female) seen by six behavioral health interns at two primary care clinics over a 13-month period responded to an open-ended question about what they found most helpful about that day's session.Results: Roughly half of patient responses about PCBH session benefits encompassed nonspecific aspects of therapy (49.6%), while nearly two-thirds (63.0%) mentioned specific therapeutic techniques delivered by clinicians in session as most helpful. In terms of nonspecific benefits of PCBH, many patients described benefitting from having space to talk, receiving validation, and instillation of hope. Specific aspects of treatment patients reported were helpful included skill building, resource sharing, goal setting/treatment planning, psychoeducation/guidance, and specific cognitive behavioral therapy techniques.Conclusion: PCBH relies on both nonspecific relational components and special therapy techniques; both are useful to patients, and neither is frequently included in routine evaluations of the effectiveness of PCBH and other models of integrated care. Our findings support the benefits of including patient input when conducting outcome monitoring within the PCBH model. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical and mental health outcomes of integrated care: Systematic review of study.

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-02-13 DOI: 10.1037/fsh0000960

Rylan B Hellstern, Angela L Lamson, Jakob F Jensen, Matthew P Martin, Ray H Hylock

{"title":"Physical and mental health outcomes of integrated care: Systematic review of study.","authors":"Rylan B Hellstern, Angela L Lamson, Jakob F Jensen, Matthew P Martin, Ray H Hylock","doi":"10.1037/fsh0000960","DOIUrl":"https://doi.org/10.1037/fsh0000960","url":null,"abstract":"Background: Integrated primary care (IPC) is a proposed alternative concept to health care aimed at increasing access to care and promoting holistic health by combining treatment for biological, psychological, and social domains. To solidify the importance of IPC compared to traditional methods of health care delivery, outcome measurement is essential to bolster the claim that such a shift in patient care can improve holistic health. This systematic review sought to understand the literature accounting for both physical and mental health outcomes in IPC settings.Method: Systematic searches within PsycINFO, Embase, and PubMed databases identified 2,729 studies that fit our predetermined criteria. Studies were included if they were within a setting that met our definition of IPC and tracked for both physical and mental health indicators.Results: In total, 42 screened studies fit our criteria with approximately 28 distinct IPC models represented, each employing different team members to deliver interventions. Fifteen studies found improvements in both physical and mental health outcomes, while others only noted improvement in physical (n = 4) or mental health outcomes (n = 15) alone. Of the 15 studies that found improvement in both outcomes, depression and diabetes were the two that improved together most frequently.Conclusions: This review found evidence of IPC settings improving both biological and psychological outcomes, with a considerable number demonstrating depressive symptom reduction in comparison to any other physical or mental health condition. Continuing efforts are still needed to measure concurrent physical and mental health conditions to make progress toward improved holistic health care systems. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The transition to adulthood and mothers' quality of life: The influence of type 1 diabetes.

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-02-13 DOI: 10.1037/fsh0000957

Michelle M Ness, Jennifer Saylor

{"title":"The transition to adulthood and mothers' quality of life: The influence of type 1 diabetes.","authors":"Michelle M Ness, Jennifer Saylor","doi":"10.1037/fsh0000957","DOIUrl":"https://doi.org/10.1037/fsh0000957","url":null,"abstract":"Introduction: There is a paucity of information about the quality of life in mothers during their adolescent-young adult's transition to adulthood. To ensure family-centered care throughout the lifespan, this research seeks to gain a better understanding of the influence of Type 1 diabetes on the mother's quality of life during their adolescent-young adult's transition to adulthood.Method: In this convergent parallel mixed methods study using the Family Management Style Framework, a sample of 72 mothers of adolescent-young adults (15-25 years) completed measures of social support, diabetes distress, and Type 1 diabetes health-related quality of life. From this sample, 12 mothers participated in interviews to further characterize the influences of Type 1 diabetes on mothers during the transition to adulthood.Results: Mothers reported continued Type 1 diabetes-related distress related to lack of control of diabetes management, disrupted sleep patterns, and lack of support. Type 1 diabetes health-related quality of life was positively associated with perceived social support (τb = .194, p < .024) and negatively associated with diabetes distress (τb = -.629, p < .001).Discussion: Despite the significance of their role during the adolescent-young adult transition to adulthood, the needs of mothers during this time have been largely ignored in extant research. Isolation, lack of control, and disrupted sleep led to increased Type 1 diabetes distress and diminished quality of life for mothers during this time. This study highlights the long-term consequences of Type 1 diabetes on mothers and emphasizes the need for continued professional support for mothers during the transition to adulthood. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predicting health-related quality of life in Iranian married couples: The role of family functioning, spirituality, and gender.

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-02-10 DOI: 10.1037/fsh0000969

Mansoureh Zarean, Zeinab Zaremohzzabieh

{"title":"Predicting health-related quality of life in Iranian married couples: The role of family functioning, spirituality, and gender.","authors":"Mansoureh Zarean, Zeinab Zaremohzzabieh","doi":"10.1037/fsh0000969","DOIUrl":"https://doi.org/10.1037/fsh0000969","url":null,"abstract":"Introduction: Health-related quality of life (HRQoL) is crucial in marital well-being, especially in contexts like Iran where traditional values and religious beliefs strongly influence family dynamics. While quality-of-life research is broad, there is a specific gap in understanding how spirituality and gender roles impact HRQoL in Iranian married couples. This study aims to fill the gap by investigating how spirituality and gender moderate the association between family functioning and HRQoL.Method: A survey was conducted with 371 married couples in Iran, using a cross-sectional approach. The Family Assessment Device was used to assess family functioning, the World Health Organization quality of life-BREF questionnaire was utilized to measure HRQoL, and spirituality was gauged with the Spiritual Value questionnaire. To reduce the influence of common method bias, the study utilized Harman's single-factor test. The impact of moderators was then examined through the use of partial least squares structural equation modeling.Results: Findings showed no significant common method bias. Factors such as problem-solving, family roles, behavioral control, and general family functioning were found to have a positive influence on HRQoL. In contrast, family communication, affective involvement, and affective responsiveness were not significant predictors of HRQoL. Spirituality moderated the association between HRQoL problem-solving and general family functioning. Gender did not moderate the association between family functioning and HRQoL.Discussion: These findings highlight the significance of family dynamics and spirituality in shaping HRQoL in non-Western settings. They emphasize the importance of conducting more research on the quality of life in married couples in various cultural and societal settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-disciplinary training in delivery of integrated geriatric mental health care: A pilot study.

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-02-10 DOI: 10.1037/fsh0000959

Kailey E Roberts, Richard A Zweig, Varsha Narasimhan, Christine Bushell, Steven R Hahn, Erin Emery-Tiburcio

{"title":"Cross-disciplinary training in delivery of integrated geriatric mental health care: A pilot study.","authors":"Kailey E Roberts, Richard A Zweig, Varsha Narasimhan, Christine Bushell, Steven R Hahn, Erin Emery-Tiburcio","doi":"10.1037/fsh0000959","DOIUrl":"https://doi.org/10.1037/fsh0000959","url":null,"abstract":"Introduction: The appropriate assessment and treatment of depression in older adults is critical to promoting the quality of life as well as reducing the risk for physical conditions such as frailty. Medical and mental health care clinicians working in integrated care settings are distinctly positioned to provide depression care for older adults; yet, there is a lack of sufficient training at the intersection of depression and frailty among older adults.Method: To address this gap in training, we developed a four-module, 60-min multidisciplinary, web-based training entitled, \"Assessing and Treating Depressed and Frail Older Adults in Integrated Primary Care.\" The feasibility, participant reaction (acceptability and utility), and learning outcomes of the training were assessed with a sample (N = 25 completers) of clinical psychology graduate students and medical residents during the 2022-2023 academic year.Results: Overall, participants were receptive to the training, and the training resulted in improved knowledge as measured by pre- and postcontent questions.Discussion: The findings suggest that, despite certain barriers to implementation, cross-disciplinary training on geriatric mental health has promising feasibility and can result in enhanced learning for medical and clinical psychology trainees. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality improvement study of collaborative care model services at a federally qualified health center: A uniform data system-informed approach.

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-02-10 DOI: 10.1037/fsh0000955

Amber Flanigan-Bodrick, Phyllis Solomon

{"title":"Quality improvement study of collaborative care model services at a federally qualified health center: A uniform data system-informed approach.","authors":"Amber Flanigan-Bodrick, Phyllis Solomon","doi":"10.1037/fsh0000955","DOIUrl":"https://doi.org/10.1037/fsh0000955","url":null,"abstract":"Introduction: The Collaborative Care Model (CoCM) is an evidenced based approach to integrating behavioral health into primary care to improve depression outcomes. This quality improvement study explores the utility of implementing CoCM with fidelity at a federally qualified health center to improve depression remission outcomes based on Uniform Data System metrics. Uniform Data System defines depression remission as Patient Health Questionnaire-9 (PHQ-9) score below 5 at 12 months ± 60 days after initial positive depression screening.Method: This study used the CoCM registry and medical record data to generate a sample of 251 patients between 2021 and 2022. PHQ-9 was employed to evaluate depression outcomes. Multiple regression and repeated measures t tests were used for hypothesis testing.Results: The sample consisted of almost three-quarters of women and over half African American with a mean age of 40. CoCM was associated with a 12.60-point reduction in PHQ-9 scores between enrollment and follow-up at 12 months ± 60 days. A 1-point increase in fidelity was associated with a ∼4-point lower PHQ-9 score at posttest, and 1-point increase in treatment adherence was related to a 1-point decrease. Each 25 additional days of enrollment was associated with ∼1/2 point decrease.Discussion: CoCM delivered with fidelity can support federally qualified health centers in improving depression remission rates at 12 months ± 60 days after initial positive depression screen. Fidelity, treatment adherence, length of enrollment, and time in care can positively impact outcomes. Further research is needed to evaluate additional study variables including psychopharmacology, psychiatric, and medical conditions in depression outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of a caregiver's chronic illness on childhood psychosocial functioning. 照顾者慢性病对儿童心理社会功能的影响。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-01-06 DOI: 10.1037/fsh0000951

Shamieh Banihani, Samantha Zimmer, Annie Tagvoryan, Helen Setaghiyan, Daniel Novak, Adwoa Osei

{"title":"The impact of a caregiver's chronic illness on childhood psychosocial functioning.","authors":"Shamieh Banihani, Samantha Zimmer, Annie Tagvoryan, Helen Setaghiyan, Daniel Novak, Adwoa Osei","doi":"10.1037/fsh0000951","DOIUrl":"https://doi.org/10.1037/fsh0000951","url":null,"abstract":"Introduction: Prolonged activation of the body's stress response from chronic exposure to adverse stressors may have a significant impact on lifelong psychosocial functioning. Screening for the impact of prolonged adversity in childhood has become an integral component of pediatric care. While past research has separately explored the impact of caregiver chronic illness and caregiver toxic stress on children, the relationship between caregiver chronic illness disability burden, caregiver parental toxic stress, and their child's psychosocial functioning is not well understood. This study aimed to investigate how caregiver chronic illness disability burden and caregiver toxic stress impact childhood psychosocial dysfunction (CPD).Method: This pilot study was conducted at two free family medicine clinics in Inland Southern California between August and December 2022. It surveyed caregivers with chronic illness of any age or functional capacity who are full-time caretakers of children aged 4-17 years old. Validated screening tools assessed caregiver disability burden (World Health Organization Disability Assessment Schedule 2.0-12), parental toxic stress (Functional Impact of Toxic Stress for Parents), and pediatric psychosocial functioning (Pediatric Symptom Checklist-17). Regression analysis tested if caregiver scores on these measures predicted CPD. Twenty-nine participants completed the survey.Results: High caregiver chronic illness disability burden and toxic stress together significantly predicted CPD. Caregiver toxic stress alone predicted CPD, whereas chronic illness disability burden alone did not.Discussion: This study highlights the relationship between caregiver chronic illness disability burden, caregiver toxic stress, and childhood psychosocial dysfunction, and may contribute to providing holistic care to children and their caregivers. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Learning from those who know the system inside and out": Experiences of physician mothers who are informal caregivers. “向了解体制内外的人学习”：作为非正式照护者的医师母亲的经验。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-12-12 DOI: 10.1037/fsh0000945

Wagahta Semere, Andrea N Ponce, Eleni Linos, Reshma Jagsi, Christina Mangurian, Meghan C Halley

{"title":"\"Learning from those who know the system inside and out\": Experiences of physician mothers who are informal caregivers.","authors":"Wagahta Semere, Andrea N Ponce, Eleni Linos, Reshma Jagsi, Christina Mangurian, Meghan C Halley","doi":"10.1037/fsh0000945","DOIUrl":"10.1037/fsh0000945","url":null,"abstract":"Background: For physicians, the added responsibility of being an informal caregiver (IC, providing regular care for seriously ill loved ones) can create challenges such as increased rates of burnout that have received little attention. In this study, we explored physician mothers' informal caregiving experiences and probed their perspectives on how health systems can better support their needs.Method: From September 14, 2021, to October 31, 2021, we distributed an online survey to a national sample of physician mothers who self-identified as ICs; survey questions examined their caregiving responsibilities and perspectives on workplace changes needed to support them.Results: Of 23 respondents, 48% were caregivers for a child, and 74% coresided with their care recipient; 26% spent on average 40 hr per week caregiving and 44% were ICs for 5 years or more. Main caregiving responsibilities included communicating with health care providers (91%) and managing and/or attending medical appointments (70%). Three central themes emerged from open-ended questions: (a) \"It's an exhausting and unrecognized burden\"; (b) \"Our health care system is difficult to navigate, even for physicians\"; and (c) \"Flexible work schedules, no penalties.\" Within these themes, respondents described feeling unrecognized and unsupported as ICs in their workplaces.Conclusion: Physician mothers who are ICs fill critical, demanding roles as health care leaders and caregivers at home. Balancing these dual roles presents significant challenges that can have adverse effects, leaving physician-mother ICs vulnerable to burnout and attrition. Targeted support strategies including flexible staffing models, expanded telehealth, and paid informal caregiving leave may improve experiences for physician ICs more generally. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultra-brief cognitive-behavioral therapy (for routine primary care visits: Feasibility and acceptability of a brief provider training workshop. 超简短的认知行为疗法(用于常规初级保健访问):简短的提供者培训研讨会的可行性和可接受性。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-12-01 Epub Date: 2023-11-30 DOI: 10.1037/fsh0000862

Julia M Terman, Kelly J Rohan, Raquel Castillo Cruz, Emily Greenberger

{"title":"Ultra-brief cognitive-behavioral therapy (for routine primary care visits: Feasibility and acceptability of a brief provider training workshop.","authors":"Julia M Terman, Kelly J Rohan, Raquel Castillo Cruz, Emily Greenberger","doi":"10.1037/fsh0000862","DOIUrl":"10.1037/fsh0000862","url":null,"abstract":"Introduction: Most Americans with symptoms of depression and anxiety receive treatment exclusively from their primary care providers (PCPs). Existing primary care interventions typically do not occur within the initial patient interaction, rely on delivery by mental health specialists, and have lengthy training programs. This study evaluated the feasibility and acceptability of the training workshop for an ultra-brief cognitive-behavioral therapy (UB-CBT) single-session intervention for depression and anxiety symptoms that was developed to address these barriers.Method: The 1-hr UB-CBT training workshop was piloted in 2021 with 38 providers at three adult primary care and five family medicine sites in Vermont. PCPs completed questionnaires after the training workshop. Data were collected in 2021 with a sample of participants who were primarily women (66%) and white (82%). We used a concurrent triangulation design integrating mixed-methods data.Results: Most providers found the training highly feasible and acceptable. The majority agreed or strongly agreed that the workshop provided sufficient training for using the intervention (91%), they were satisfied with the UB-CBT intervention (92%), and the intervention seemed easy to administer (97%). Qualitative findings highlighted that providers especially liked the user-friendliness and general feasibility of the intervention, but had some concerns about time.Discussion: We outlined several steps that will address PCPs' concerns to improve the UB-CBT training experience and intervention. Future research should examine the effectiveness of the UB-CBT intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"559-569"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Longitudinal associations of diabetes-specific family conflict and diabetes management in adolescents with type 1 diabetes. 1 型糖尿病青少年患者的糖尿病家庭冲突与糖尿病管理的纵向联系。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-12-01 Epub Date: 2024-06-17 DOI: 10.1037/fsh0000901

MaryJane S Campbell, Qinxin Shi, Jonathan Butner, Deborah J Wiebe, Cynthia A Berg

{"title":"Longitudinal associations of diabetes-specific family conflict and diabetes management in adolescents with type 1 diabetes.","authors":"MaryJane S Campbell, Qinxin Shi, Jonathan Butner, Deborah J Wiebe, Cynthia A Berg","doi":"10.1037/fsh0000901","DOIUrl":"10.1037/fsh0000901","url":null,"abstract":"Introduction: Diabetes-specific family conflict is a risk factor for diabetes indicators (e.g., higher hemoglobin A1c (HbA1c), lower adherence), but little longitudinal data are available to understand associations across time. To better inform targets and timing of interventions, we examined (a) whether fluctuations in conflict covary with diabetes indicators within adolescents across time; (b) whether reciprocal associations exist; and (c) whether aspects of the parent-adolescent relationship (e.g., parental acceptance) buffer associations across time.Method: Adolescents (N = 235, ages 11.5-15.5 at baseline, 53.6% female) completed measures of diabetes-related conflict with mothers and with fathers (separately), parental acceptance, and adherence every 6 months across 1 year (three time points). HbA1c was obtained from medical records. Data were collected in 2009.Results: Bivariate between-person correlations indicated that at each time point, adolescents who reported more conflict with mothers and fathers also had higher HbA1c and lower adherence. Within-person correlations (fluctuations across three time points) indicated that fluctuations in conflict with mothers were associated with fluctuations in HbA1c but not adherence. Actor-partner multilevel models indicated that fluctuations in family conflict at each time point were not associated with future diabetes indicators. Parental acceptance did not moderate associations of family conflict and diabetes indicators.Discussion: While findings corroborate extant literature noting that adolescents with high average diabetes-specific family conflict may benefit from interventions designed to reduce conflict, conflict at one time point may not be predictive of future diabetes indicators. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"538-547"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0