Families Systems & Health最新文献

{"title":"Supervision needs of novice behavioral health clinicians in integrated primary care settings.","authors":"Nicholas Schmoyer-Edmiston, Gulsah Kemer, Stacy A Ogbeide, Megan LaLonde-Pittman, Catalina Kraft, Lauren Robins, Judith Wambui Preston","doi":"10.1037/fsh0000986","DOIUrl":"https://doi.org/10.1037/fsh0000986","url":null,"abstract":"<p><strong>Introduction: </strong>Clinical supervision is a foundational experience for novice behavioral health clinicians (BHCs), with the provision of high-quality supervision in the integrated primary care (IPC) context being imperative. While the literature highlights skills, knowledge, and considerations for supervisors in these settings, less is known about the supervision needs of novice BHCs.</p><p><strong>Method: </strong>This article presents the findings of a classical Delphi study with a panel of 12 novice BHCs who have received supervision in an IPC setting.</p><p><strong>Results: </strong>The Delphi panelists achieved statistical consensus on 68 statements across nine themes, highlighting a wide range of supervisory needs of novice BHCs in IPC settings.</p><p><strong>Discussion: </strong>This study expands upon the existing literature on supervision in IPC settings by indicating the various needs of novice BHCs receiving supervision in IPC. Implications for the planning, implementation, and evaluation of supervision in IPC settings are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053615","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}

{"title":"Prospective associations of insomnia and nightmares with suicidal behavior among primary care patients.","authors":"Logan M Smith, Justin C Baker, Craig J Bryan","doi":"10.1037/fsh0000973","DOIUrl":"https://doi.org/10.1037/fsh0000973","url":null,"abstract":"<p><strong>Introduction: </strong>Insomnia and nightmares have both been associated with suicide risk and are both known to be commonly reported in a primary care setting. However, we are unaware of any studies examining the sleep-suicide relationship in the primary care setting. Clarifying these relationships could reveal important clues for improving suicide prevention efforts in primary care and other medical settings.</p><p><strong>Method: </strong>Participants included 2,744 primary care patients recruited from six clinics located at five U.S. military installations. Participants completed measures of suicidal ideation, insomnia, and nightmares at baseline and suicidal ideation and suicide attempts were tracked at 6- and 12-month follow-up interviews.</p><p><strong>Results: </strong>Of the 1,792 patients with follow-up data, 57 (3.2%) attempted suicide during the 12-month follow-up. Patients who attempted suicide during follow-up were more likely than patients who did not attempt suicide to have clinical insomnia and nightmares at least weekly. When adjusting for baseline suicidal ideation, clinical insomnia and nightmares at least weekly remained significant predictors of follow-up suicide attempts.</p><p><strong>Conclusions: </strong>Our findings suggest that insomnia and nightmares are accurate predictors of subsequent suicidal behavior among a primary care population and may offer positive predictive value for suicidal behavior over and above what can be provided by assessing suicidal ideation alone. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042754","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}

{"title":"Contextualizing relationship quality between pregnant Black women and the fathers of their babies: A latent class analysis.","authors":"Rosemary Adaji, Dawn P Misra, David Todem, Dorothy Pathak, Carmen Giurgescu","doi":"10.1037/fsh0000982","DOIUrl":"https://doi.org/10.1037/fsh0000982","url":null,"abstract":"<p><strong>Background: </strong>Black women in the United States experience higher rates of adverse maternal and birth outcomes (e.g., depressive symptoms and preterm birth), influenced by social and psychosocial factors including mother-father relationship quality. Existing measures of relationship quality often overlook the unique dynamics within Black families, requiring a more nuanced approach.</p><p><strong>Objective: </strong>This study aims to contextualize the multidimensional nature of relationship quality between pregnant Black women and the fathers of their babies.</p><p><strong>Method: </strong>Using a cross-sectional design, we analyzed data from 405 women enrolled in the Biosocial Impacts on Black Births study. Participants completed questionnaires at 19-29 weeks gestation on six indicators of relationship quality: frequency of contact, frequency of father's involvement during pregnancy, relationship before and during pregnancy, support, and conflict. Latent class analysis was used to identify a construct of relationship quality.</p><p><strong>Results: </strong>Three distinct classes of relationship quality were identified: \"no relationship,\" \"conflictual relationship,\" and \"good relationship.\" Sensitivity analyses showed that while marital or cohabitation status was highly correlated with both the relationship indicators and identified classes, its inclusion as an additional indicator did not alter classification in the latent class model. These classes highlight the intricacies of relationship dynamics, which may be specific to Black families.</p><p><strong>Conclusion: </strong>This study underscores the importance of considering the multifaceted context of relationship quality, which is essential for designing culturally informed public health strategies or interventions. The implications of our findings are significant for both research and clinical interventions aimed at improving birth outcomes for diverse populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042786","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}

{"title":"Correlates of youth involvement in decision making about growth hormone treatment.","authors":"Victoria A Miller, Walter Faig, Morgan Snyder, Elizabeth A Friedrich, Rui Xiao, Adda Grimberg","doi":"10.1037/fsh0000964","DOIUrl":"https://doi.org/10.1037/fsh0000964","url":null,"abstract":"<p><strong>Introduction: </strong>Youth decision-making involvement (DMI) regarding growth hormone (GH) may be beneficial. Identification of correlates of DMI may inform the development of strategies to encourage youth involvement and enhance self-efficacy. The goal of this study was to examine the associations of DMI regarding GH treatment with youth and parent characteristics.</p><p><strong>Method: </strong>Youth, aged 8-14 years (34% female), undergoing GH stimulation testing and a parent (94% mothers) completed surveys at the time of testing (Visit 1; 2019-2023); the Decision-Making Involvement Scale was completed 3 months later. Surveys collected demographics; decision-making involvement; youth coping skills, parent social support; parent autonomy support; parental perceived worry, scarcity, and instability regarding the child's current/future environments; and parents' achievement goals for their child. Correlations and multivariable linear regressions were used to identify factors significantly associated with Decision-Making Involvement Scale subscales.</p><p><strong>Results: </strong>The analysis included 44 parents who indicated that a decision about GH was made and that they discussed the decision with the youth, as well as 30 youth who remembered having such a discussion. On multivariable modeling, youth who had more engaged coping skills and parents who perceived resources in the world as scarce reported higher youth DMI. Parents with older children, less worry about their children being out in the world, and less desire for the child to avoid activities that he/she might not do well in reported higher youth DMI.</p><p><strong>Discussion: </strong>Parental worry and youth coping may be important targets of intervention when seeking to facilitate youth involvement in GH-related decision making. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804849","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}

{"title":"Transitioning to telemental health: Sociodemographic predictors of integrated behavioral health care utilization pre- and peri-COVID.","authors":"Angela R Hiefner, Margaret L Smith, Sarah B Woods","doi":"10.1037/fsh0000981","DOIUrl":"https://doi.org/10.1037/fsh0000981","url":null,"abstract":"<p><strong>Introduction: </strong>The transition to telehealth as a result of the COVID-19 pandemic brought the potential to ameliorate or exacerbate disparities in access to behavioral health care. This study examined patient-specific sociodemographic predictors of integrated behavioral health (IBH) utilization prior to and during COVID to identify variations in care access.</p><p><strong>Method: </strong>Data from three primary care clinics across two medical centers (<i>N</i> = 819 patients), and multivariate general linear modeling, were used to test direct associations between age, sex, primary language, and race/ethnicity and use of IBH services pre-COVID (March 2019-February 2020) versus peri-COVID (March 2020-February 2021). Moderated effects due to health care system-specific telehealth modalities were also tested.</p><p><strong>Results: </strong>Findings suggest patients completing peri-COVID IBH visits were significantly younger than pre-COVID, specifically among patients seen in academic medical center settings with primarily video-based IBH care. Results also indicate patients engaging in peri-COVID IBH were significantly more likely to identify as Hispanic/Latino than non-Hispanic White, specifically among county-funded clinic patients receiving phone-based IBH.</p><p><strong>Discussion: </strong>The transition to telehealth-delivered IBH care may have reduced behavioral health care access for aging patients, who are least likely to be comfortable with video-based care. The use of phone visits may have improved access for underserved Hispanic/Latino patients, who may experience barriers to in-person care. Aligning telemental health care with primary care patients' preferences and access to telehealth-ready devices may amplify IBH-related improvements to mental health care access. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804850","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}

{"title":"Diversity, equity, and inclusion initiatives: A qualitative study on community health clinic team member perspectives.","authors":"Samantha Pelican Monson, Laura Ramzy, Shambhavi Prathap, Rocio I Pereira","doi":"10.1037/fsh0000953","DOIUrl":"10.1037/fsh0000953","url":null,"abstract":"<p><strong>Introduction: </strong>Health care organizations have recognized the necessity of addressing diversity, equity, and inclusion (DEI)-related issues to promote anti-racism and improve workplace culture. Little is known about the short- and long-term impacts on staff perceptions of inclusion, psychological safety, and belongingness, or what aspects of DEI initiatives hold meaning and value for team members. In particular, the perspective of clinical staff identifying as racial-ethnic minorities/persons of color (POC), who disproportionately occupy support staff roles with less power on the team, has been unclear and understudied. The purpose of this study was to investigate what makes organizational DEI efforts meaningful and impactful in creating a sense of inclusion for POC clinic team members and identifies perceived barriers to inclusion efforts.</p><p><strong>Method: </strong>A qualitative study was conducted across 13 community health clinics within a safety-net health care system in Colorado. Semi-structured interviews were conducted with 40 participants (77.5% female; <i>M</i>_age 41; 77.5% POC). Participants' clinic roles included support staff team members (75%), medical providers (15%), and clinic leadership (10%).</p><p><strong>Results: </strong>Findings illustrated elements of existing DEI initiatives, ranging from the most beneficial to the most detrimental, including some common across all participant groups and some unique to specific races and/or role groups.</p><p><strong>Discussion: </strong>All participants endorsed common beneficial elements of DEI initiatives. Participants identifying as POC and in roles with less power in the clinic (i.e., support staff members) shared elements with the potential to cause harm. Avoiding detrimental elements and incorporating beneficial elements will allow teams to engage in meaningful DEI initiatives. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694361","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}

{"title":"Using the Pearlin caregiver stress model to explore the factors influencing the mental health of caregivers of children with asthma.","authors":"Mingjing Fu, Xiujie Sun, Huan Han, Kun Chi, Zihan Gao, Xiangdi Dong","doi":"10.1037/fsh0000975","DOIUrl":"https://doi.org/10.1037/fsh0000975","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigated the mental health status of caregivers of children with asthma and analyzed the associated influencing factors.</p><p><strong>Method: </strong>We recruited 337 children with asthma and their caregivers. Student's <i>t</i> test, one-way analysis of variance, multiple linear regression, and Pearson's correlation analysis were used to analyze the factors influencing mental health.</p><p><strong>Results: </strong>Caregivers' mental health scores were 2.52 ± 2.33. Statistical analysis revealed a significant difference (<i>p</i> < .05) in the comparison of psychological health scores among caregivers based on various factors, including their relationship with their children, occupation, degree of education, family structure, parenting styles, mean daily care time, degree of work affected, home residence, and monthly family income.</p><p><strong>Discussion: </strong>Caregivers of children with asthma exhibited notable levels of mental well-being, albeit accompanied by concurrent experiences of anxiety and depression. In addition to their primary responsibilities of treating and caring for children, medical professionals should prioritize the mental health of caregivers and promptly offer appropriate guidance and support. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671544","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}

{"title":"Provider, staff, and parent perspectives on the feasibility, utility, and implementation of the Family Health Scale in primary care pediatrics.","authors":"Nomi Weiss-Laxer, Rheanna Platt, AliceAnn Crandall, Jerica M Berge, Alexandria Wahler, Shirley Ann Russ, Dennis Z Kuo","doi":"10.1037/fsh0000944","DOIUrl":"https://doi.org/10.1037/fsh0000944","url":null,"abstract":"<p><strong>Introduction: </strong>Improving child health involves focusing on family capacities and resources, including family health. This study aimed to assess (a) current practices for collecting family information in pediatric primary care settings, and (b) the feasibility, acceptability, and utility of a validated Family Health Scale-Short Form (FHS-SF) to screen for family health from clinic staff and parent perspectives.</p><p><strong>Method: </strong>We piloted the FHS-SF in two urban pediatric clinics in 2022. We interviewed four pediatricians and six staff members and piloted the survey with 25 parents. We employed an exploratory qualitative design that included data from provider and staff interviews and a descriptive quantitative component, including surveys with parents/caregivers. We analyzed interview transcripts with the Framework Analysis method and presented survey results with descriptive statistics.</p><p><strong>Results: </strong>Clinic providers and staff endorsed the importance of the family context in pediatric care and regularly asked household economic questions but did not routinely assess interpersonal health except during transitions (e.g., newborn/infancy and adolescent visits) and in the context of a custody change. Caregivers were, on average, 34 years old, primarily mothers (92%) and Black/African American (56%) or white (20%). Providers, staff, and caregivers found the FHS-SF questions to be acceptable. Providers suggested using the FHS-SF as a \"conversation starter\" or a tool to identify referrals. Staff provided suggestions for implementation.</p><p><strong>Discussion: </strong>The FHS-SF could be an effective tool in primary care pediatric settings, contributing to more family-focused care as a foundation for well-being early in the life course. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597973","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}

{"title":"Pain and mental health variables for youth with chronic pain: The role of caregiver stress, pain, and resilience.","authors":"Theresa L Kapke, Spencer Nehls, Brynn LiaBraaten, Jian Zhang, Ke Yan, Steven J Weisman, Keri Hainsworth","doi":"10.1037/fsh0000971","DOIUrl":"https://doi.org/10.1037/fsh0000971","url":null,"abstract":"<p><strong>Introduction: </strong>The primary aim of this study was to examine the way in which parent stress, including adverse childhood experiences (ACEs) and emotional distress, pain, and resilience, relates to child pain and mental health variables when families are establishing pediatric pain management care.</p><p><strong>Method: </strong>Participants included 50 parent/patient dyads who were recruited from an outpatient pediatric pain clinic. The study utilized an observational design, including self-report questionnaires (parents, youth) and chart review. Questionnaires gathered information on parent ACEs, recent emotional distress, pain, and resilience, as well as child pain, anxiety, depression, and global health. The area deprivation index was used to assess family socioeconomic disadvantage, and all data were collected in 2021.</p><p><strong>Results: </strong>Results indicated that higher levels of parent pain severity, disability, and generalized pain were associated with child pain and mental health variables, including higher levels of child generalized pain, anxiety, depression, and worse child global health. Results also indicated that high parent pain disability coupled with higher levels of ACEs increased the risk for child generalized pain.</p><p><strong>Discussion: </strong>Parent factors may impact child pain and mental health variables for youth with chronic pain. Improved understanding of the way in which these parent variables relate to child variables may provide opportunities for improved assessment and care for youth and their families. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598033","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}

{"title":"Multigenerational health-related turning points and impact on health and social outcomes: A systematic review.","authors":"Rebecca J Mitchell, Shalini Wijekulasuriya, Gifty Varghese, Alicia Xerri, Reidar Lystad, Yvonne Zurynski, Reema Harrison, Jeffrey Braithwaite","doi":"10.1037/fsh0000970","DOIUrl":"https://doi.org/10.1037/fsh0000970","url":null,"abstract":"<p><strong>Introduction: </strong>Some individuals over their life course will experience significant health-related events, such as a physical or mental illness, that can alter their life pathways or trajectories, known as \"turning-point\" events. This systematic review aimed to synthesize the evidence from population-based data collections for: (a) parent health-related turning point events and the impact of these events on offspring health and social outcomes; and (b) offspring health-related turning point events and the impact of these events on parent health and social outcomes.</p><p><strong>Method: </strong>A review of four databases (MEDLINE, CINAHL, PsycINFO, and Scopus) from January 1, 2010 to February 23, 2023 was conducted. Abstracts and full-text articles were screened by four reviewers and critically appraised.</p><p><strong>Results: </strong>Of 114 articles, 98 (86%) examined the effect of a parental health-related turning point on offspring, 11 (10%) examined the effect of an offspring turning point on parents, and five (4%) investigated bidirectional impacts of a turning point event. For parents and offspring, mental health disorders (50%), physical health (26%), and death (24%) were common turning point events examined. For parents and offspring, common health outcomes included mental disorders (<i>n</i> = 50), physical health (<i>n</i> = 11), substance use (<i>n</i> = 9), and death (<i>n</i> = 7), and common social outcomes included educational performance (<i>n</i> = 14), employment or income level (<i>n</i> = 7), and involvement of child protective services (<i>n</i> = 5).</p><p><strong>Discussion: </strong>The ability to disentangle relationships between turning point events and adverse health and social outcomes is required, as is the development of strategies to disrupt intergenerational disadvantage. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598028","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}