Families Systems & Health最新文献_第5页

The weight of expectations: Overcoming mental health barriers as an Asian American. 期望的重量：作为一个亚裔美国人克服心理健康障碍。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000933

Rick Yang

{"title":"The weight of expectations: Overcoming mental health barriers as an Asian American.","authors":"Rick Yang","doi":"10.1037/fsh0000933","DOIUrl":"10.1037/fsh0000933","url":null,"abstract":"In the world of cultural narratives, Asian Americans find themselves trapped in a juxtaposition of societal perceptions and their own authentic experiences, particularly within the context of mental health. This personal story seeks to reveal the nuanced challenges confronting Asian Americans, with a focus on the insidious implications of the model minority myth. While this stereotype might appear as a commendation, it casts Asian Americans in a monolithic mold of success. The author gains insights into their parents' reluctance to seek help for him, uncovering stories of generational silence and community backlash against those who dare to step outside societal norms for mental health care. This reflection highlights the societal pressures that discourage open discussions about mental health and stigmatize seeking help, acting as significant barriers to care within the Asian American community. The current psychiatric paradigms, rooted in Western ideologies, fail to address the cultural contexts in Asian American communities. This oversight underscores an imperative for mental health modalities that resonate with the cultural ethos of Asian Americans. Through a meticulous examination guided by lived experience of culturally competent care, this article highlights the pivotal role of such culturally-informed mental health interventions, advocating for the deconstruction of detrimental stereotypes and championing the integration of culturally resonant practices in psychotherapy for Asian Americans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"170-172"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082319","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 Defense of a Policy Based Approach to Health. 捍卫以政策为基础的保健办法。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000978

Sarah Hemeida

{"title":"In Defense of a Policy Based Approach to Health.","authors":"Sarah Hemeida","doi":"10.1037/fsh0000978","DOIUrl":"https://doi.org/10.1037/fsh0000978","url":null,"abstract":"Health policy plays a critical role in shaping individual and population health outcomes through mechanisms that extend beyond clinical care and into the broader social and structural determinants of health. This commentary examines the definition, scope, and significance of health policy, emphasizing its presence across multiple levels of governance, including federal, state, and local jurisdictions, as well as within health systems themselves. Drawing on established frameworks such as Kingdon's Policy Streams Model and Frieden's Health Impact Pyramid, the article argues that upstream policy interventions have the greatest potential for population-level impact. However, a persistent gap exists between research findings and policy implementation, particularly within academic medicine and health care delivery systems. Clinicians and health services researchers are uniquely positioned to inform and influence policy, yet are often underutilized in this space. The commentary highlights the importance of equipping health care professionals with the tools to translate clinical insights and research findings into actionable policy recommendations. It also underscores the ethical imperative of inclusive, evidence-based policy development, as articulated by Faden and Shebaya, who note that policy reflects a society's values and priorities. Ultimately, the article calls for a more intentional integration of clinical expertise and policy engagement, encouraging health professionals to leverage their real-world experience to advance equitable and effective health policies. Strengthening the bridge between health care delivery and health policy is essential for addressing persistent public health challenges and achieving long-term improvements in population health. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"19-21"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082272","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 1.2 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. 综合护理的身心健康结果：研究的系统回顾。

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. 成人过渡与母亲生活质量：1型糖尿病的影响。

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. 预测伊朗已婚夫妇的健康相关生活质量：家庭功能、精神和性别的作用。

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. 提供综合老年精神卫生保健的跨学科培训：一项试点研究。

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. 联邦合格医疗中心协作护理模式服务的质量改进研究：统一的数据系统知情方法。

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