{"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}
Nomi Weiss-Laxer, Rheanna Platt, AliceAnn Crandall, Jerica M Berge, Alexandria Wahler, Shirley Ann Russ, Dennis Z Kuo
{"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}
Theresa L Kapke, Spencer Nehls, Brynn LiaBraaten, Jian Zhang, Ke Yan, Steven J Weisman, Keri Hainsworth
{"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}
M Graça Pereira, Ana Cristina Bernardo, Mafalda Silva, Ana C Almeida
{"title":"Marital adjustment and quality of life in fibromyalgia.","authors":"M Graça Pereira, Ana Cristina Bernardo, Mafalda Silva, Ana C Almeida","doi":"10.1037/fsh0000962","DOIUrl":"https://doi.org/10.1037/fsh0000962","url":null,"abstract":"<p><strong>Introduction: </strong>Fibromyalgia is a disease that impacts the daily lives of patients and their partners with an impact on quality of life (QoL) and marital adjustment. The purpose of this study was to analyze the relationship among sociodemographic, clinical, and psychological variables on QoL and marital adjustment.</p><p><strong>Method: </strong>This cross-sectional study included patients (<i>n</i> = 76) and partners (<i>n</i> = 58) assessed on psychological morbidity (anxiety and depression symptoms), fatigue severity, family coping, QoL, and marital adjustment.</p><p><strong>Results: </strong>Pain control beliefs had an indirect effect in the relationship between psychological morbidity and marital adjustment and between family coping and marital adjustment, and a direct effect in the relationship between psychological morbidity/fatigue severity and QoL and between family coping and marital adjustment, revealing an indirect effect in this latter relationship. Also, the dyadic analysis showed an actor effect between family coping and marital adjustment of both patients and partners and a partner effect between family coping in partners' and patients' marital adjustment.</p><p><strong>Discussion: </strong>The results of this study underline the need for interventions to address the dyad and be focused on pain beliefs and on the importance of family coping to promote patients and partners' marital adjustment and QoL. (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":"143598024","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}
Brandon M Smith, Laura Prichett, Nazanin Yousefzadeh, Megan M Tschudy, Sara B Johnson, Katherine A Connor
{"title":"Emergency department visits for mental and behavioral health disorders by students enrolled in a school-based health center.","authors":"Brandon M Smith, Laura Prichett, Nazanin Yousefzadeh, Megan M Tschudy, Sara B Johnson, Katherine A Connor","doi":"10.1037/fsh0000939","DOIUrl":"https://doi.org/10.1037/fsh0000939","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of mental and behavioral health disorders (MBHDs) in children is rising, along with the use of emergency departments (EDs) for care. School-based health centers (SBHCs) are accessible clinics that can provide integrated primary care and behavioral health services and are associated with decreased acute health care utilization. However, little is known about the relationship between SBHC enrollment and ED utilization for MBHD. We sought to describe ED utilization for MBHD among children enrolled in a comprehensive SBHC.</p><p><strong>Method: </strong>Descriptive, cross-sectional analysis of Medicaid data for SBHC-enrolled students (SBHC users and nonusers) in Grades K-8, September 2015-August 2019, compared to propensity score-matched children not enrolled in the school. We calculated ED visit rates using 10th revision of the International Classification of Diseases codes for MBHD and ranked MBHD codes by percentage of encounters.</p><p><strong>Results: </strong>A total of 1,173 SBHC-enrolled students (SBHC users: n = 816; SBHC nonusers: n = 357) and 2,594 controls were included. SBHC-enrolled students and controls were well matched (mean age = 10.7 years, SD = 3.5, 51% female, and 82.7% Black, non-Hispanic). ED visit rates with any code for MBHD differed between the subset of SBHC users (49.9 visits/1,000) and the controls (72.5/1,000). Depression was the top reason for primary presentations for MBHD among SBHC users versus attention-deficit/hyperactivity disorder for controls.</p><p><strong>Discussion: </strong>ED visit rates for MBHD were lower among SBHC users compared to controls. SBHCs may prevent low-acuity ED visits for MBHD by leveraging an integrated approach to behavioral health in the education setting. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"38-48"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082134","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":"Game theory: Using play to talk with my children about the unpredictable road to recovery.","authors":"Miranda Worthen","doi":"10.1037/fsh0000913","DOIUrl":"https://doi.org/10.1037/fsh0000913","url":null,"abstract":"<p><p>In this narrative, a mother with an unexpected medical setback creates a board game with her children to talk with them about what happened and share their emotions about the experience. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"174-176"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082146","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":"A qualitative study on the dyadic coping experience of human papillomavirus-infected patients of childbearing age and their spouses.","authors":"Dandan Gu, Jie Gong, Juan Xie, Xiaoqin Liu","doi":"10.1037/fsh0000908","DOIUrl":"10.1037/fsh0000908","url":null,"abstract":"<p><strong>Background: </strong>China's recent policy initiatives and dedication of resources to heighten the public's awareness of cancer risks have led to increased cervical cancer screening and testing for human papillomavirus (HPV) which has resulted in a greater number of people diagnosed with HPV. The psychological stress experienced by women of childbearing age who are infected with HPV is also felt by their spouses, as the close relationship between spouses results in intertwined psychological distress and health statuses. Therefore, this study aimed to explore the dyadic coping experience of HPV-infected patients of childbearing age and their spouses in China and to provide a research basis for marital interventions for the disease.</p><p><strong>Method: </strong>From July 2022 to January 2023, we used a purposive sampling method to select 11 pairs of HPV-infected patients of childbearing age and their spouses from a tertiary hospital. We conducted in-depth interviews with the patients and their spouses and analyzed the data using Colaizzi's seven-step method.</p><p><strong>Results: </strong>We identified three main themes and eight subthemes: (a) stress perception (including negative psychological reactions, emotional relationship deterioration, and family social role imbalance), (b) stress communication (including enhancing communication awareness and changing communication methods), and (c) stress adjustment (including supporting each other emotionally, facing the disease together, and seeking social support).</p><p><strong>Conclusion: </strong>Health care professionals should assess the stress experienced by patients and their spouses. Moreover, they should encourage them to better cope with the disease as a team. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"88-98"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481749","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}
Stephanie Godleski, Kurt Dermen, Mark E Feinberg, Craig R Colder, Emily Verdaasdonk, Rina D Eiden
{"title":"Adaptation of a couples intervention to promote coparenting and reduce hazardous drinking during transition to parenthood.","authors":"Stephanie Godleski, Kurt Dermen, Mark E Feinberg, Craig R Colder, Emily Verdaasdonk, Rina D Eiden","doi":"10.1037/fsh0000936","DOIUrl":"10.1037/fsh0000936","url":null,"abstract":"<p><strong>Introduction: </strong>Hazardous drinking by fathers poses a significant risk for negative family interactions and child outcomes. The transition to parenthood may be a time when expectant parents are potentially motivated for health behavior change, suggesting that implementing preventive interventions during this period may be particularly effective. This article provides an overview of the rationale for an innovative prevention strategy incorporating alcohol-use intervention with a family-focused program.</p><p><strong>Method: </strong>We describe the process of integration and adaptation of two evidence-based interventions beginning in pregnancy: (a) Family Foundations, a universal transition-to-parenthood intervention for couples to enhance coparenting and couple dyadic functioning, and (b) brief intervention to address alcohol use delivered using a couples-focused motivational interviewing style.</p><p><strong>Results: </strong>Lessons learned from pilot testing (conducted October 2020-March 2021) included the importance of softened framing of the discussions and language used around alcohol use given that parents were not specifically seeking treatment for alcohol use and the program was described as a parenting program that included discussion of health behaviors, including drinking. In addition, we found that evoking discussion and communication within dyads and supporting autonomy in decision making regarding alcohol use also facilitated engagement.</p><p><strong>Conclusion: </strong>Pilot testing demonstrated the acceptability and feasibility of an adapted, integrated intervention program designed to strengthen coparenting skills and dyadic functioning and promote lower risk levels of alcohol use among couples during the transition to parenthood. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"133-149"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Equity-based narratives in physician-family conversations about goals of care.","authors":"Andrew Childress, Woods Nash","doi":"10.1037/fsh0000963","DOIUrl":"https://doi.org/10.1037/fsh0000963","url":null,"abstract":"<p><strong>Introduction: </strong>During conversations about the goals of care, clinicians sometimes use communication strategies that are inadequate for promoting shared decision making. Instead of jointly constructing an equity-based narrative of the patient's illness with the family, clinical care teams often treat the patient as if they are abstracted from their cultural, social, and family background. This approach to decision making fails to account for health inequities and cultural differences while reinforcing asymmetrical power dynamics that favor the health care team and institution.</p><p><strong>Method: </strong>After reviewing the literature on health communication and health equity, we determined that language, particularly the use of metaphors, can reinforce systems of power that benefit clinical care teams, often at the expense of patients and their families.</p><p><strong>Results: </strong>In this article, we offer a novel approach to these conversations that considers tensions between the frames of the dominant narrative of individualism used by clinicians who see a patient in abstraction from systems and an equity-based narrative that is concerned with those systems and their impacts on the patient.</p><p><strong>Discussion: </strong>This article offers some guidance for clinicians on how to craft goals of care conversations in ways that are meaningful to patients and families while enhancing communication and promoting shared decision making. While this article focuses on a specific discussion about caring for a patient in the intensive care unit, the approach offered here could be applied to any goals of care conversation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"150-156"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082141","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}