Families Systems & Health最新文献_第5页

Improved pediatric behavioral health appointment scheduling in an integrated primary care program. 在综合初级保健计划中改进儿科行为健康预约安排。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-05-05 DOI: 10.1037/fsh0000985

Anjali D Sapkal, Jasmine R Holt, Devin P Adams, Hilary M Bowers, Vanessa Sarabia, Alissa Jae Lazo-Kim, Jason Schweitzer, Andrew Richardson, Anne Bird, Kathryn A Hollenbach

{"title":"Improved pediatric behavioral health appointment scheduling in an integrated primary care program.","authors":"Anjali D Sapkal, Jasmine R Holt, Devin P Adams, Hilary M Bowers, Vanessa Sarabia, Alissa Jae Lazo-Kim, Jason Schweitzer, Andrew Richardson, Anne Bird, Kathryn A Hollenbach","doi":"10.1037/fsh0000985","DOIUrl":"10.1037/fsh0000985","url":null,"abstract":"Introduction: To better understand appointment scheduling for pediatric behavioral health (BH) referrals, we examined appointment scheduling behavior among patients with and without access to primary care mental health integration (PCMHI).Method: A prospective cohort study compared PCMHI and non-PCMHI pediatric patients with BH referrals from January 17, 2022, to June 10, 2022. Six pediatric primary care clinics affiliated with a southern California Children's Hospital were studied: two PCMHI and four non-PCMHI clinics with similar patient demographic characteristics. BH referrals at PCMHI clinics are directly referred to the embedded integrated health therapists. Non-PCMHI clinics referred patients to community BH services. Data were collected from electronic health record abstraction and telephone interviews.Results: PCMHI (n = 471) and non-PCMHI (n = 97) groups did not differ significantly in patient characteristics. About 87.3% (n = 172) of PCMHI patients eligible for an integrated health therapist initial BH appointment scheduled their appointment within 14 days compared to 9.2% (n = 7) of the non-PCMHI patients (χ² = 148.2, p < .001). There was no difference in median days to initial BH appointment between the cohorts, PCMHI: 21 (interquartile range = 15, 27.5) and non-PCMHI: 23 (interquartile range = 13, 35), p = .71. Primary reasons for not scheduling initial BH appointments were similar for both groups and included confusion about the referral and patient/parent busy schedules.Conclusion: Patients in the PCMHI cohort were more likely to schedule their initial BH appointment compared to the non-PCMHI cohort. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027469","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

A preoperative relational screener and associations with weight loss: A pilot feasibility study. 术前相关筛查与减肥的关系：一项试点可行性研究。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-04-17 DOI: 10.1037/fsh0000967

Haley M Kiser, Keeley J Pratt, Ashleigh Pona, Lindsay Breslin, LeeAnn Swager

{"title":"A preoperative relational screener and associations with weight loss: A pilot feasibility study.","authors":"Haley M Kiser, Keeley J Pratt, Ashleigh Pona, Lindsay Breslin, LeeAnn Swager","doi":"10.1037/fsh0000967","DOIUrl":"10.1037/fsh0000967","url":null,"abstract":"Introduction: Family factors and stressful life events are reasons for not proceeding immediately with metabolic and bariatric surgery, yet there is no formal screening for these factors during routine preoperative psychological evaluation. This pilot study determined the feasibility of implementing a preoperative relational screener and referral to a behavioral health consultation, and associations between relational factors with 12-month weight loss.Method: Preoperative patients (N = 137) were asked to participate. Feasibility was noted by interest, completion of screener, screening as impaired on the relational measures, and completion of consultation. For patients proceeding to surgery, five models were conducted to determine changes in percent total weight loss (%TWL) over 12 months, based on the interaction with visits and screening as impaired, family functioning, stressful life events, death of a close friend or relative, and major financial crisis.Results: Sixty-seven patients were interested; 57 completed the screener (85.1%, 79% female, 72% White); 43 screened (75.4%) as impaired on ≥ 1 assessment and were eligible for the consultation, 21 patients (48.8%) completed the consultation. Patients who screened as impaired had poorer %TWL (p = .013) compared to patients who did not. Patients with ≥ 1 stressful life event had poorer %TWL compared to those who did not experience any (p = .008), including the top two endorsed events-death of a close friend (p ≤ .001) or a major financial crisis (p = .009).Conclusion: The relational screener provides additional information about patients' psychosocial needs and challenges before surgery. This is critical considering the majority of participants screened as impaired on at least one assessment. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018496","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

Prospective associations of insomnia and nightmares with suicidal behavior among primary care patients. 初级保健患者失眠、噩梦与自杀行为的前瞻性关联。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-04-17 DOI: 10.1037/fsh0000973

Logan M Smith, Justin C Baker, Craig J Bryan

{"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":"10.1037/fsh0000973","url":null,"abstract":"Introduction: 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.Method: 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.Results: 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.Conclusions: 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).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"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}

引用次数: 0

Supervision needs of novice behavioral health clinicians in integrated primary care settings. 综合初级保健机构新手行为健康临床医生的监督需求。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-04-17 DOI: 10.1037/fsh0000986

Nicholas Schmoyer-Edmiston, Gulsah Kemer, Stacy A Ogbeide, Megan LaLonde-Pittman, Catalina Kraft, Lauren Robins, Judith Wambui Preston

{"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":"10.1037/fsh0000986","url":null,"abstract":"Introduction: 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.Method: 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.Results: 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.Discussion: 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).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"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}

引用次数: 0

Contextualizing relationship quality between pregnant Black women and the fathers of their babies: A latent class analysis. 黑人孕妇与婴儿父亲关系质量的语境化：一个潜在阶级分析。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-04-17 DOI: 10.1037/fsh0000982

Rosemary Adaji, Dawn P Misra, David Todem, Dorothy Pathak, Carmen Giurgescu

{"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":"10.1037/fsh0000982","url":null,"abstract":"Background: 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.Objective: This study aims to contextualize the multidimensional nature of relationship quality between pregnant Black women and the fathers of their babies.Method: 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.Results: 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.Conclusion: 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).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"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}

引用次数: 0

Correlates of youth involvement in decision making about growth hormone treatment. 青少年参与生长激素治疗决策的相关因素。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-04-07 DOI: 10.1037/fsh0000964

Victoria A Miller, Walter Faig, Morgan Snyder, Elizabeth A Friedrich, Rui Xiao, Adda Grimberg

{"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":"10.1037/fsh0000964","url":null,"abstract":"Introduction: 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.Method: 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.Results: 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.Discussion: 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).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353446/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diversity, equity, and inclusion initiatives: A qualitative study on community health clinic team member perspectives. 多元、公平与包容：社区健康诊所团队成员观点的质性研究。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-24 DOI: 10.1037/fsh0000953

Samantha Pelican Monson, Laura Ramzy, Shambhavi Prathap, Rocio I Pereira

{"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":"Introduction: 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.Method: 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; Mage 41; 77.5% POC). Participants' clinic roles included support staff team members (75%), medical providers (15%), and clinic leadership (10%).Results: 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.Discussion: 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).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353453/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using the Pearlin caregiver stress model to explore the factors influencing the mental health of caregivers of children with asthma. 采用Pearlin照顾者压力模型探讨哮喘儿童照顾者心理健康的影响因素。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-20 DOI: 10.1037/fsh0000975

Mingjing Fu, Xiujie Sun, Huan Han, Kun Chi, Zihan Gao, Xiangdi Dong

{"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":"10.1037/fsh0000975","url":null,"abstract":"Introduction: This study investigated the mental health status of caregivers of children with asthma and analyzed the associated influencing factors.Method: We recruited 337 children with asthma and their caregivers. Student's t test, one-way analysis of variance, multiple linear regression, and Pearson's correlation analysis were used to analyze the factors influencing mental health.Results: Caregivers' mental health scores were 2.52 ± 2.33. Statistical analysis revealed a significant difference (p < .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.Discussion: 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).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"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}

引用次数: 0

Pain and mental health variables for youth with chronic pain: The role of caregiver stress, pain, and resilience. 慢性疼痛青少年的疼痛和心理健康变量：照顾者压力、疼痛和恢复力的作用。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-10 DOI: 10.1037/fsh0000971

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":"10.1037/fsh0000971","url":null,"abstract":"Introduction: 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.Method: 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.Results: 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.Discussion: 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).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"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}

引用次数: 0

Multigenerational health-related turning points and impact on health and social outcomes: A systematic review. 多代人健康相关转折点及其对健康和社会结果的影响：一项系统综述。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-10 DOI: 10.1037/fsh0000970

Rebecca J Mitchell, Shalini Wijekulasuriya, Gifty Varghese, Alicia Xerri, Reidar Lystad, Yvonne Zurynski, Reema Harrison, Jeffrey Braithwaite

{"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":"Introduction: 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.Method: 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.Results: 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 (n = 50), physical health (n = 11), substance use (n = 9), and death (n = 7), and common social outcomes included educational performance (n = 14), employment or income level (n = 7), and involvement of child protective services (n = 5).Discussion: 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).","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}

引用次数: 0