Families Systems & Health最新文献

{"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":"<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) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"667-674"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","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":"Diagnosis in the digital age.","authors":"Sai S Kurapati, Antonio Yaghy, Ingrid U Scott","doi":"10.1037/fsh0000961","DOIUrl":"https://doi.org/10.1037/fsh0000961","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI), algorithms, and digital tools into healthcare diagnostics is rapidly transforming the field. This piece explores the interplay between these technological advancements and the continuing need for human empathy in medical care. By examining how AI is reshaping the doctor-patient relationship, the piece emphasizes both the promises and uncertainties of digital medicine. The recurring phrase, \"this is diagnosis in the digital age,\" metaphorically represents AI's integration into healthcare, while highlighting the need to hear the human voice behind the technology. Accompanying the work is a unique visual representation, created with OpenAI's DALL·E 3 and refined by the authors using Adobe Firefly, which further illustrates the fusion of technology and humanity. By merging artistic expression with medical themes, this poem provides a nuanced view of AI in healthcare. It serves as both a reflection on the future of medical practice and a reminder of the fundamental human elements that remain vital to patient-centric care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 4","pages":"766-767"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730719","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":"Emotional impact, burnout, and isolation among primary family caregivers of children with medical complexity.","authors":"Ansley E Kenney, Julia B Tager, Paulina S Lim, Samantha Everhart, Sarah Johaningsmeir, Kathryn A Balistreri, Amy Morgan-Tautges, K Jane Lee, Maura A Brophey, Matthew C Scanlon, Charles B Rothschild, W Hobart Davies, Jessica L Schnell","doi":"10.1037/fsh0001022","DOIUrl":"10.1037/fsh0001022","url":null,"abstract":"<p><strong>Introduction: </strong>Children with medical complexity (CMC) often have substantial health care needs, are medically fragile, and experience functional limitations. Caregiving for these children can be extremely stressful. We sought to understand the emotional impacts of caregiving and burnout among caregivers of CMC to provide insight into areas where providers who work with children and their families can intervene.</p><p><strong>Method: </strong>Twenty caregivers of CMC participated in qualitative interviews. Qualitative data were analyzed using interpretive phenomenological analysis. Emergent themes were identified and categorized into superordinate themes.</p><p><strong>Results: </strong>Caregivers of CMC described the \"emotional impact of caregiving,\" including \"hospitalizations are emotionally demanding,\" \"child in pain is distressing,\" \"fearing child would not come home from the hospital,\" \"an awareness child may die,\" \"anticipatory anxiety about future medical events,\" and \"traumatic memories of past medical events.\" Caregivers conveyed themes of \"caregiver burnout,\" indicating that \"stress is constant,\" \"a need for constant vigilance,\" \"caregiving is emotionally and physically exhausting,\" \"self-care is limited,\" \"helplessness,\" and \"difficulty self-regulating emotions.\" Caregivers revealed \"caregiver isolation,\" including \"others don't understand daily struggles,\" \"child's medical situation is unique,\" \"the limited community and emotional support,\" \"social reactions to child's needs,\" and \"comparing child to other children makes limitations stand out.\"</p><p><strong>Discussion: </strong>Findings provide insight into the lived experience across primary caregivers of CMC. Identifying these experiences enables providers to effectively intervene, including prevention tactics, screening, and/or intervention. These healthcare providers play an important role in promoting optimal care and outcomes for these caregivers and, in turn, better outcomes for their children. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 4","pages":"724-735"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730754","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":"Individuals' experiences of care partner involvement in heart disease management: A pilot study.","authors":"Megan B Mason, Melissa M Franks, Elizabeth A Richards, Kristin J August","doi":"10.1037/fsh0001023","DOIUrl":"10.1037/fsh0001023","url":null,"abstract":"<p><strong>Introduction: </strong>Heart disease impacts both those diagnosed and their families, often due to lifestyle modifications that can alter family dynamics. While existing literature focuses on men and married individuals, understanding care partner involvement for both men and women independent of marital status is important, given gender disparities in heart disease experiences, caregiving roles, and widowhood rates. We explored differences in characteristics of men and women with heart disease, with and without a care partner. Additionally, we explored experiences of care partner involvement beyond spousal relationships. We further examined gender differences in these experiences.</p><p><strong>Method: </strong>Cross-sectional Prolific survey pilot data of persons with heart disease (N = 186) were analyzed. We used χ2, Mann-Whitney U, and t tests to test participant characteristic differences by care partner status and care partner involvement differences by gender.</p><p><strong>Results: </strong>Over half of the participants reported having a care partner. Those with a care partner were more likely to be married, and more likely to have participated in cardiac rehabilitation, with their participation occurring, on average, 2 years more recently than those without a care partner. Most primary care partners were spouses and female. Care partners were most often reported to be involved in helping maintain a healthy diet.</p><p><strong>Discussion: </strong>Care partner involvement is prevalent among persons with heart disease, with some gender differences in these experiences. Future research should explore how to best integrate care partners into disease management to benefit both persons with heart disease and their care partners. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 4","pages":"750-757"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730669","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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"641-653"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","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}

{"title":"Implementation science in integrated behavioral health: Charting the road ahead.","authors":"Cady Berkel","doi":"10.1037/fsh0001039","DOIUrl":"10.1037/fsh0001039","url":null,"abstract":"<p><p>Integrated behavioral health (IBH) has become a cornerstone of efforts to improve access, quality, and coordination of care across physical and behavioral health systems. Yet despite decades of progress, implementation of IBH remains inconsistent, and the mechanisms that drive successful integration are still not well understood. Implementation science offers a roadmap for moving the field from innovation to impact, providing systematic methods to identify contextual determinants, test strategies that address them, and evaluate the outcomes that matter most. This commentary outlines the development of implementation science and its growing relevance to IBH, briefly summarizes what is currently known about IBH implementation, and offers guidance for advancing the field through future scholarship in Families, Systems, and Health. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 4","pages":"577-584"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730751","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":"Pediatrics: Opportunities to improve the health and well-being of our youth.","authors":"Richard E Boles","doi":"10.1037/fsh0001037","DOIUrl":"10.1037/fsh0001037","url":null,"abstract":"<p><p>Pediatrics encompasses a broad definition of physical, emotional, social, and behavioral health of infants, children, adolescents, and young adults. The field of pediatrics, within the context of integrated health care, can comprehensively and effectively impact pediatric health and psychosocial advances in both preventative and treatment efforts. Evidence continues to accrue on how integrated health care in pediatric settings can improve access to complete care and health equity in addition to the improvement of key health outcomes for pediatric patients and families. The goal of this commentary is to provide clarity and emphasis on key priorities for submissions to Families, Systems, & Health that prominently include pediatrics.</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 4","pages":"571-573"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730677","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":"Family resilience in obstetric patients with hypertensive disorder of pregnancy from initial diagnosis to six months postpartum: A longitudinal survey.","authors":"JingJing Yi, Hui Zhao, Lei Chen, Xingting Li, Xiaoli Lv, Fang Yang","doi":"10.1037/fsh0001015","DOIUrl":"10.1037/fsh0001015","url":null,"abstract":"<p><strong>Introduction: </strong>Hypertensive disorders of pregnancy (HDP) significantly affect patients and their families. This study investigates the changes in family resilience in HDP patients from diagnosis to 6 months postpartum, highlighting factors that influence resilience over time.</p><p><strong>Method: </strong>A prospective longitudinal study was conducted with 270 families of HDP patients. Data were collected using standardized psychometric tools at four time points: first diagnosis of hypertension in pregnancy (baseline; T0), during late pregnancy (≥ 28 weeks) and through delivery (T1), 3 months postpartum (T2), and 6 months postpartum (T3). Analysis of variance compared family resilience across time points, and generalized estimating equations assessed influencing factors.</p><p><strong>Results: </strong>Family resilience scores increased significantly from T0 (95.50) to T3 (141.36), with notable differences between time points (<i>p</i> < .01). The generalized estimating equations model identified key determinants of resilience, including family function, social support, maternal education, employment status, religious beliefs, type of care, and methods of conception. These factors significantly influenced resilience levels at different stages, emphasizing the dynamic nature of family adaptation during HDP and the postpartum period.</p><p><strong>Discussion: </strong>Family resilience in HDP patients increased over time, influenced by family dynamics and external support. These results suggest that targeted interventions focusing on improving family function and social support are crucial for enhancing family resilience during pregnancy and postpartum. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"699-707"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066666","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":"Proud of the changes we have made.","authors":"Braulio M Lopez, Colleen T Fogarty","doi":"10.1037/fsh0000989","DOIUrl":"10.1037/fsh0000989","url":null,"abstract":"<p><p>This narrative discusses a male patient who had a kidney transplant and his wife. After visiting his doctor along with his wife, everything changed. He started to do what he was supposed to do-home dialysis, taking his medicines. He worked with the bank and was able to keep his home and car. He got onto the kidney transplant list and a year later got his transplant. In a physician commentary, one of the authors discusses how they hoped the couple might benefit from talking together about their worries about his prognosis. In couples with chronic or potentially terminal illness, good communication is even more important than usual. The shared visit with the physician helped open their communication. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 4","pages":"764-765"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730666","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":"Acceptability and preliminary outcomes of an acceptance and commitment therapy group for parents of adolescents with type 1 diabetes.","authors":"Hayley Thompson, Katie Trigg, Rebecca Gammage, Rachel Batchelor","doi":"10.1037/fsh0001002","DOIUrl":"10.1037/fsh0001002","url":null,"abstract":"<p><strong>Background: </strong>Parents of adolescents with Type 1 diabetes typically experience distress and changes in their parent-child relationships, which can influence overall diabetes management. This study assesses the acceptability and preliminary outcomes of a four-session acceptance and commitment therapy (ACT) group intervention for parents of adolescents with Type 1 diabetes.</p><p><strong>Method: </strong>In total, 10 parents of adolescents (aged 13-18 years old) completed a four-session ACT group intervention, with seven mothers and one father completing written feedback and quantitative measures. Written feedback from parents and facilitators was collected to assess the acceptability of the group and its strengths and shortcomings. Participants completed the following quantitative measures: the Parent Diabetes Distress Scale to assess diabetes-related distress including parent-child relationship distress and the Valued Living Questionnaire to assess adherence to personal values.</p><p><strong>Results: </strong>Overall, written feedback indicated high acceptability of the group to both parents and facilitators, with most parents recommending it to peers. Postintervention, there were trends toward distress reduction in each domain of the Parent Diabetes Distress Scale, except personal distress. Higher scores in valued-based living were also indicated postintervention for most parents, suggesting parents were living more in line with their values.</p><p><strong>Conclusions: </strong>This study demonstrated the acceptability of an ACT group as an intervention for parents of adolescents with Type 1 diabetes. The quantitative findings, supplemented by written feedback, indicated that ACT principles may help parents shift focus onto their values around parenting and caregiving and support the parent-child relationship. Potential adaptations are discussed to further develop the intervention and reduce participant dropout. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"686-698"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710005","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}