A major problem facing family clinicians and researchers is creating data that will reflect the family as a unit. To address this problem, we present a framework for family assessment based on three measurement strategies: individual family member assessment, relational family assessment, and transactional family assessment. Within this context, we present several categories of methods for combining individual family member data into "relational" scores that reflect the couple or family as a unit. The problems and benefits of each method are presented, and it is suggested that the choice of method is dependent upon the content of the assessment, the theory underlying the content, and the statistical properties of the individual family member scores.

To test an expected relationship between life-events (LE) stress (Social Readjustment-Rating Scale) and severity of psychopathology among 1st-admission functional-disorder psychiatric inpatients, the present study considered LE in multivariate combination with other factors relevant to the severity of mental disorder. Intensive, reliable, structured interviews with 217 15–54 yr old patients yielded LE variables reflecting stress levels and changes in stress levels for various time periods during the preadmission year, 9 indices of pathology severity, and measures of demographic, prognostic, and social supports control factors. Bivariate correlations and a replicated multiple regression data analysis procedure were employed. Small, positive significant relationships were found between LE variables and types of symptomatology. Stress levels were related to severity of neurotic and suicidal symptoms, and increases in stress just prior to admission were related to severity of schizophrenia and psychotic symptoms. Stress variables were not related to overall impairment or severity of diagnostic classification. (48 ref)

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