Families Systems & Health最新文献_第2页

Family members' well-being, mindfulness, loneliness, and social support: A dyadic approach. 家庭成员的幸福感、正念、孤独感和社会支持：一个二元方法。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 DOI: 10.1037/fsh0001043

Yusuf Akyıl, Beste Erdinç, Seydi Ahmet Satıcı, Sinan Okur

{"title":"Family members' well-being, mindfulness, loneliness, and social support: A dyadic approach.","authors":"Yusuf Akyıl, Beste Erdinç, Seydi Ahmet Satıcı, Sinan Okur","doi":"10.1037/fsh0001043","DOIUrl":"https://doi.org/10.1037/fsh0001043","url":null,"abstract":"Introduction: Individual experiences within the family can influence its dynamics in relation to each other. The current study investigated the mediating role of adolescent and parent mindfulness in the relationship between adolescents' loneliness and their parents' perceived social support, parent mental well-being, and adolescent subjective well-being. Subjective well-being refers primarily to individuals' cognitive evaluations of their life and their affective experiences, whereas mental well-being involves broader psychological functioning such as coping, productivity, and one's sense of capability.Method: A dyadic approach was implemented by employing the actor-partner interdependence mediation model, which involved 517 adolescents and one of their parents (N = 1034). The mean age of the adolescent participants was 15.04 years (SD = 1.19), and the mean age of the parent participants was 42.67 years (SD = 5.89).Results: The analysis revealed a substantial correlation between adolescent loneliness, mindfulness, subjective well-being as an actor effect, and the mental well-being, mindfulness, and social support of parents. Furthermore, mindfulness mediated these relationships. Parental mindfulness served as a mediator between subjective well-being and adolescent loneliness as a partner effect. Adolescent mindfulness mediated the relationship between parental perceived social support and mental well-being.Discussion: Findings highlight the significance of family members' mindfulness in promoting well-being in the presence of adolescents who experienced loneliness within the family or parents who perceived low levels of social support. Thus, mindfulness-based therapies for adolescents and parents are important for improved well-being, especially in households with socially challenged adolescents and parents. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 1","pages":"79-91"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823750","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

Recognizing and addressing medical trauma: An imperative for integrated primary care. 认识和处理医疗创伤：综合初级保健的当务之急。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 Epub Date: 2025-08-28 DOI: 10.1037/fsh0001014

Nic Schmoyer-Edmiston, Traci Richards

{"title":"Recognizing and addressing medical trauma: An imperative for integrated primary care.","authors":"Nic Schmoyer-Edmiston, Traci Richards","doi":"10.1037/fsh0001014","DOIUrl":"10.1037/fsh0001014","url":null,"abstract":"Introduction: Traumatic stress is an experience that contributes to a variety of medical and behavioral health concerns that present in the primary care context. The intersection of traumatic stress and health care is conceptualized as medical trauma (MT), where individuals receiving health care services are exposed to traumatic stress related to their health care experiences. Currently, MT may be an overlooked and underresearched phenomenon in health care, with significant implications for primary care teams. An understanding of ways to conceptualize, recognize, and address MT in the primary care context is an important step in creating trauma-informed primary care spaces.Method: In this article, we provide a description of MT from the available literature and a method of conceptualizing the experience of traumatic stress related to health care experiences through the enduring somatic threat model.Results: We identify potential risk factors and health care experiences typically associated with MT. Next, we identify strategies to recognize and address experiences of MT within the context of primary care through an exploration of assessment and intervention strategies. Finally, we provide a brief MT case example to highlight presentation, assessment, and intervention in the primary care context.Discussion: MT has the potential to significantly affect patients' wellness and quality of life, with the associated biopsychosocial concerns presenting in primary care due to the context and goals of these settings. Future efforts should aim to enhance the integrated primary care team members' ability to conceptualize, assess, and address MT. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"95-102"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979578","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

Latent class analysis of behavioral health service use among underserved youth in integrated primary care. 综合初级保健服务不足的青少年使用行为健康服务的潜在分类分析。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 Epub Date: 2025-05-05 DOI: 10.1037/fsh0000992

Alfonso L Floyd, Chimereodo Okoroji, Katrina A Markowicz, Stephanie Crewe, Heather A Jones

{"title":"Latent class analysis of behavioral health service use among underserved youth in integrated primary care.","authors":"Alfonso L Floyd, Chimereodo Okoroji, Katrina A Markowicz, Stephanie Crewe, Heather A Jones","doi":"10.1037/fsh0000992","DOIUrl":"10.1037/fsh0000992","url":null,"abstract":"Objective: To identify distinct and heterogeneous typologies of behavioral health service use and associated factors based on need, predisposing, and enabling determinants, among a predominantly Black and publicly insured youth population in integrated pediatric primary care (IPPC). This study aims to address the unmet behavioral health needs of youth by understanding the characteristics associated with behavioral health engagement in order to tailor interventions accordingly.Method: Latent class analysis was used to explore distinct subgroups among 416 youth (Mage = 10.81, SDage = 3.74; 51% female; 74% Black; 74% public insurance) receiving integrated behavioral health services in a large, urban pediatric primary care setting in the Southeastern United States. Caregivers completed the Pediatric Symptom Checklist-17 to assess psychosocial problems in youth.Results: Latent class analyses revealed two distinct classes of IPPC youth: \"high attention and mixed problems,\" primarily younger boys with nonprivate insurance coverage, and \"low attention/externalizing and moderate internalizing problems,\" primarily older girls with private insurance coverage.Conclusions: These findings highlight the need for behavioral health services in IPPC for behavioral health specialists, pediatricians, and other interdisciplinary professionals to provide tailored, culturally responsive, and flexible treatment to address the unmet and unique behavioral health needs of this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"67-78"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027024","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

It is time for a conversation about the conversation. 现在是讨论对话的时候了。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 DOI: 10.1037/fsh0001057

Rodger Kessler, C R Macchi

引用次数: 0

Work experience. 工作经验。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 DOI: 10.1037/fsh0000996

James Seymour Huntley

引用次数: 0

Hospital bag. 医院包。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 DOI: 10.1037/fsh0001020

Avila Odia S de Jesus

引用次数: 0

Review of Ethics of Medical AI. 医学人工智能伦理学综述。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 DOI: 10.1037/fsh0001040

Muhammed Parviz

引用次数: 0

Drawing toward empathy-Physician communication. 吸引移情-医生沟通。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 DOI: 10.1037/fsh0001026

Kristin Watkins

引用次数: 0

Facilitators and challenges of implementing an integrated behavioral health model: An exploratory qualitative analysis of a New Jersey demonstration project. 实施综合行为健康模型的促进因素和挑战：新泽西州示范项目的探索性定性分析。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 Epub Date: 2025-06-05 DOI: 10.1037/fsh0000988

Rebecca A Klege, Jennifer C Berko, Theresa Menders, Charu Verma, Ann M Nguyen

{"title":"Facilitators and challenges of implementing an integrated behavioral health model: An exploratory qualitative analysis of a New Jersey demonstration project.","authors":"Rebecca A Klege, Jennifer C Berko, Theresa Menders, Charu Verma, Ann M Nguyen","doi":"10.1037/fsh0000988","DOIUrl":"10.1037/fsh0000988","url":null,"abstract":"Introduction: Despite strong evidence supporting integrated behavioral health (IBH), implementing the Primary Care Behavioral Health (PCBH) model remains challenging, particularly in safety-net settings like Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs). This study examines facilitators and barriers to PCBH adoption during a New Jersey-based demonstration project funded by The Nicholson Foundation (2013-2019).Method: We conducted semistructured interviews with 18 behavioral health and primary care staff from 10 FQHCs/CHCs between June and September 2022. A thematic analysis using both inductive and deductive approaches guided our interpretation.Results: Five key facilitators emerged: (a) external system support, (b) leadership champions driving workflow redesign, (c) positive provider attitudes toward change, (d) comprehensive PCBH training for all staff, and (e) visibility of behavioral health consultants. Major challenges included: (a) lack of resources and standardized training materials, (b) difficulty recruiting and retaining behavioral health professionals, and (c) complex billing processes that delay revenue generation.Discussion: While PCBH implementation is complex, critical enablers can support success in FQHCs/CHCs. As PCBH gains traction in healthcare systems, insights from this study can inform future efforts, particularly in underserved settings aiming to integrate behavioral health into primary care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"14-28"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236062","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

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 4区医学

Families Systems & Health Pub Date : 2026-03-01 Epub 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":"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) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"29-37"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","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