Family functioning and its clinical correlates in overweight and obese patients

Bez, Yasin; Arı, Mustafa; Gökçe, Cumali; Çelik, Mine; Kaya, Hasan

doi:10.1007/bf03327469

Cited by 5 publications

(8 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Resultsmentioning

confidence: 61%

“…All FAD subscales, except for Affective Responsiveness, differentiated families of overweight and obese patients from those of healthy control subjects (Bez, Ari, Gokce, Celik, & Kaya, 2011). Several FAD scales were poorer, compared to the means scores of control families published by Kabacoff et al (1990), in patients with diabetes (Bernbaum, Albert, www.FamilyProcess.org 98 / FAMILY PROCESS Duckro, & Merkel, 1993) and in caregivers of persons with neuromuscular disorders (Read, Simonds, Kinali, Muntoni, & Garralda, 2010).…”

Section: Discriminant Validity Between Families Of Medical Patients Amentioning

confidence: 99%

“…Among the nine studies exploring FAD's discriminant validity between families of medical patients and those of controls, in five studies the questionnaire has been administered only to patients (Bavbek et al, 2002;Bernbaum et al, 1993;Bez et al, 2011;Blair et al, 1998;Galambos et al, 2008), in two studies only to principal family caregivers (Hall et al, 1994;Read et al, 2010), and in two studies to both patients and their family members (Alexander et al, 2002;Bishop et al, 1986).…”

Section: Discriminant Validity Between Families Of Medical Patients Amentioning

confidence: 99%

See 2 more Smart Citations

The Evaluation of Family Functioning by the Family Assessment Device: A Systematic Review of Studies in Adult Clinical Populations

et al. 2014

View full text Add to dashboard Cite

A large body of research, documenting the impact of a family's functioning on health outcomes, highlights the importance of introducing the evaluation of patients' family dynamics into clinical judgment. The Family Assessment Device (FAD) is a self-report questionnaire designed to assess specific dimensions of family functioning. This qualitative systematic review, which follows PRISMA guidelines, aimed to identify the FAD's clinimetric properties and to report the incremental utility of its inclusion in clinical settings. A thorough literature search was performed, using both computerized and manual searches, yielding a total of 148 studies that were included in this review. The FAD has been extensively used in a variety of research contexts. In the majority of studies it was able to discriminate between clinical populations and controls and among groups of patients with different illnesses. The FAD also showed good test-retest and concurrent reliability, and modest sensitivity to change after treatment. FAD-dysfunctional family functioning was related to several patient clinical outcomes, including lower recovery rates and adherence to treatment, longer recovery time, poorer quality of life, and increased risk of relapse and drop-out. The present review demonstrates that the FAD is a suitable instrument for the evaluation of family functioning both in clinical and research settings.

show abstract

Section: Resultsmentioning

confidence: 61%

Section: Discriminant Validity Between Families Of Medical Patients Amentioning

confidence: 99%

Section: Discriminant Validity Between Families Of Medical Patients Amentioning

confidence: 99%

See 1 more Smart Citation

The Evaluation of Family Functioning by the Family Assessment Device: A Systematic Review of Studies in Adult Clinical Populations

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Only adult mother-daughter dyads were examined and findings are not generalizable to other parent-child relationships (e.g., father-daughter). Moreover, it is possible that our findings were influenced by the weight status of our sample as the study only included families with overweight or obesity and excess weight has been previously associated with poorer family functioning [37]. Further, the study assessed the emotional bonding or connectedness aspect (i.e., family cohesion and closeness) of family functioning and did not include other aspects such as family communication and conflict [38].…”

Section: Discussionmentioning

confidence: 99%

Acculturation, Communication Competence, and Family Functioning in Mexican–American Mother–Daughter Dyads

Marquez

Benitez

Lister

2021

J Immigrant Minority Health

View full text Add to dashboard Cite

Little is known of how intergenerational acculturation discrepancy relates to communication skills differences that may influence relationship quality among parents and adult children. Mexican–American mother–daughter dyads (n = 59) were studied using the Actor Partner Interdependence Model to examine dyadic associations of acculturation and communication competence with family functioning and mediation analysis to determine the indirect effect of acculturation discrepancy on family functioning through communication competence differences. Communication competence of mothers exerted significant actor and partner effects on daughter-perceived cohesion and closeness. Higher acculturation discrepancy predicted greater communication competence difference which in turn was associated with lower cohesion and closeness. There was a significant indirect effect of acculturation discrepancy on daughter-perceived cohesion through communication competence difference. Communication competence of mothers impacts their own as well as their daughters’ perceptions of dyad cohesion and closeness. Intergenerational discrepant acculturation contributes to discordant communication skills that impair family functioning, which has implications for psychological well-being.

show abstract

“…Obesity is typically a shared disease among family members, particularly mother and child, with known genetic and environmental contributions . However, only a minority of youth with obesity (BMI ≥95th percentile) live in home environments characterized by “unhealthy” family functioning (i.e., higher conflict, less affective engagement, and/or poor communication compared with healthy samples or non‐overweight youth ). That said, impaired family functioning is a known risk factor for poorer treatment outcomes in pediatric conditions reliant on regimen adherence, lifestyle change, and/or high treatment intensity (e.g., diabetes, cystic fibrosis, organ transplant) , factors critical in the early WLS postoperative course.…”

Section: Introductionmentioning

confidence: 99%

Family factors that characterize adolescents with severe obesity and their role in weight loss surgery outcomes

Zeller

Hunsaker

Mikhail

et al. 2016

Obesity

View full text Add to dashboard Cite

Objective To comprehensively assess family characteristics of adolescents with severe obesity and whether family factors impact weight loss outcomes following weight loss surgery (WLS). Methods Multi-site prospective data from 138 adolescents undergoing WLS and primary caregivers (Adolescent Mage=16.9; MBMI= 51.5 kg/m2; Caregiver: Mage=44.5; 93% female) and 83 non-surgical comparators (NSComp: Adolescent: Mage=16.1; MBMI= 46.9 kg/m2; Caregiver: Mage=43.9; 94% female) were collected using standardized measures at pre-surgery/baseline, 1- and 2-years. Results The majority (77.3%) of caregivers were obese, with rates of caregiver WLS significantly higher in the WLS (23.8%) versus NSComp group (3.7%, p<.001). Family dysfunction was prevalent (≈1 in every 2–3 families), with rates higher for NSComp than the WLS group. For the WLS group, pre-operative family factors (i.e., caregiver BMI or WLS history, dysfunction, social support) were not significant predictors of adolescent weight loss at 1- and 2-years post-operatively, although change in family functioning over time emerged as a significant correlate of percent weight loss. Conclusions Rates of severe obesity in caregivers as well as family dysfunction were clinically noteworthy, although not related to adolescent weight loss success following WLS. However, change in family communication and emotional climate over time emerged as potential targets to optimize weight loss outcomes.

show abstract

Family functioning and its clinical correlates in overweight and obese patients

Abstract: When treating them clinicians should keep in mind that families of obese and overweight patients may have higher levels of dysfunctions.

Cited by 5 publications

References 22 publications

The Evaluation of Family Functioning by the Family Assessment Device: A Systematic Review of Studies in Adult Clinical Populations

The Evaluation of Family Functioning by the Family Assessment Device: A Systematic Review of Studies in Adult Clinical Populations

Acculturation, Communication Competence, and Family Functioning in Mexican–American Mother–Daughter Dyads

Family factors that characterize adolescents with severe obesity and their role in weight loss surgery outcomes

Contact Info

Product

Resources

About