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Showing papers in "Families, Systems, & Health in 2006"


Journal ArticleDOI
TL;DR: Examples of family and systems interventions that integrate care among behavioral health care providers and within multidisciplinary treatment teams, across levels of the Pediatric Psychosocial Preventative Health Model, are presented and discussed.
Abstract: A biopsychosocial framework for assessing and treating families of children in pediatric health care settings is presented. Guided by a social ecological perspective on child health, the Pediatric Psychosocial Preventative Health Model (PPPHM) is a 3-tier model based on a public health orientation. The goal of the PPPHM is to conceptualize how families of acutely and chronically ill children might be provided psychosocial support to match their level of need and risk. The largest group of families, Universal, consists of competent and adaptive families confronting health-related stressors. A smaller group of families, Targeted, is at some elevated risk for ongoing psychosocial difficulties. The smallest group of families, Clinical/Treatment, exhibits more evident symptomatology. Examples of family and systems interventions that integrate care among behavioral health care providers and within multidisciplinary treatment teams, across levels of the PPPHM, are presented and discussed.

288 citations


Journal ArticleDOI
TL;DR: Initial validation for the Important Other Climate Questionnaire for smoking and for diet is provided in the context of a large (N 1,006)intensive tobacco treatment and dietary intervention trial.
Abstract: Self-determination theory suggests that autonomy support from others is important in motivating change of various health behaviors. The present research provides initial validation for the Important Other Climate Questionnaire for smoking (IOCQ–S)and for diet (IOCQ–D)in the context of a large (N 1,006)intensive tobacco treatment and dietary intervention trial. These scales are intended to measure the degree of autonomy support patients experience from important others (non-health care professionals)with respect to tobacco abstinence and eating a healthy diet. Results indicate the measures are reliable ( .87 smoking and .95 diet)and valid. Important other support was associated with change in perceived autonomy and perceived competence for target behaviors. Further, the IOCQ–S was associated with 7-day point prevalence cessation and 6-month prolonged abstinence from tobacco. The IOCQ–D was associated with a change in the percentage of calories from fat, saturated fat, and monounsaturated fat. Initial reliability and validity are supported for the IOCQ.

148 citations


Journal ArticleDOI
TL;DR: Questions about social isolation and separation from family may provide insight into stress and its contribution to clinically significant anxiety and depression among immigrant Mexicans.
Abstract: This study determines elements of a social history that could assist primary care providers in identifying and treating anxiety and depression among immigrant Mexicans. Cross-sectional data were obtained through interviewer-administered survey questionnaires from immigrant Latinos in the United Stat

142 citations


Journal ArticleDOI
TL;DR: How citizen health care differs from other models of collaborative and community-based work is discussed, and research and training directions are outlined.
Abstract: Citizen health care is a way to engage patients, families, and communities as coproducers of health and health care. It goes beyond the activated patient to the activated community, with professionals acquiring community organizing skills for working with individuals and families who see themselves as citizens of health care— builders of health in the clinic and community—rather than merely as consumers of medical services. Over the past 7 years, the authors and their colleagues have developed and field-tested a structured process for implementing this model into everyday practice settings. In this article, we describe the origins of the model, its core tenets and practices, and examples of its implementation in community settings. We discuss how citizen health care differs from other models of collaborative and community-based work, and we outline research and training directions.

80 citations




Journal ArticleDOI
TL;DR: In this article, the Bowen family system theory was used as a framework for understanding fibromyalgia symptoms in a cross-sectional Internet-based survey of 201 individuals with fibromyalgia.
Abstract: This article presents an empirical examination of the usefulness of Bowen family systems theory as a framework for understanding fibromyalgia syndrome. This cross-sectional Internet-based survey included 201 participants diagnosed with fibromyalgia syndrome. Results indicated that more severe symptoms of fibromyalgia syndrome are significantly correlated with higher levels of perceived stress, lower levels of differentiation of self, and higher levels of emotional cutoff. In addition, indicators of differentiation of self (i.e., emotional cutoff and emotional reactivity) were found to moderate the relationship between perceived stress and symptom severity, although these indicators did not account for large proportions of the observed variances in symptom severity. Implications for Bowen family systems theory and clinical practice and recommendations for future research are discussed.

56 citations







Journal ArticleDOI
TL;DR: For youth with Type 1 diabetes mellitus using insulin pumps, maintaining metabolic control through appropriate selfcare is a complex biopsychosocial process reciprocally influenced by individual, familial, social, and technological variables as mentioned in this paper.
Abstract: For youth with type 1 diabetes mellitus (T1DM) using insulin pumps, maintaining metabolic control through appropriate selfcare is a complex biopsychosocial process reciprocally influenced by individual, familial, social, and technological variables. Adolescents (n 20) with T1DM using insulin pumps and their parents (n 34) were interviewed to determine (a) the most frequent and difficult situations faced by adolescents and their parents, (b) how the frequency and difficulty of these situations vary as a function of the respondent, the nature (content) of the problem, and the systemic context(s) in which problems occur, and (c) the relationship between the average difficulty rating and the youth’s metabolic control. The most frequently reported problematic situations were T1DM self-care. For youth these problems were predominantly related to social and peer contexts; parents identified problems primarily related to the family context. Implications and additional analyses are reported.










Journal ArticleDOI
TL;DR: In this article, the authors merged stress-and-coping research with the social model of disability to develop two specifically tailored profiles of life events specific to the experiences of these family members.
Abstract: Research on the positive and negative events experienced by parents with acquired physical disabilities is limited, and research on their children’s experiences is even rarer. Thus, with this project the author merged stress-and-coping research with the social model of disability to develop two specifically tailored profiles of life events specific to the experiences of these family members. Fifty knowledgeable informants (parents with acquired disabilities, their spouses, their adolescent children, and professionals) were interviewed about the positive and negative aspects of being or living with a parent with a physical disability. From these discussions, the author identified samples of meaningful positive and negative events so that future researchers can examine the associations among the experiences of these events and adolescents’ and parents’ coping and adjustment as well as evaluate social policy to reduce barriers and create supports for parents with physical disabilities and their families.