One articulation of the structural family therapy model: a biobehavioral family model of chronic illness in children

Wood, Beatrice L.

doi:10.1111/j.1467-6427.1994.00777.x

Cited by 15 publications

(7 citation statements)

References 14 publications

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“…Environmental control for asthma includes minimizing the child's exposure to allergens such as dust, smoke, pollen, cold air and domestic pets. Patterns of family organization which exacerbate asthma include rigid enmeshed relationships between the child and a highly anxious parent; triangulation where the child is required, usually covertly, to take sides with one or other parent in a conflict; or a chaotic family environment where parents institute no clear rules and routines for children's daily activities or medication regime (Wood, 1994). Family therapy aims to alter these problematic family organizational patterns; to enhance the child's medication adherence; and to help both the parents and the child develop routines to control environmental allergens.…”

mentioning

confidence: 99%

“…Asthma is a chronic respiratory condition which affects 10-15% of the population (Davies, 1998). In poorly controlled asthma there may be inadequate adherence to medical treatment, inadequate environmental control, and problematic family organization (Davies, 1998;Wood, 1994). Medical treatment typically includes regular inhalation of agents which have a long-range preventive effect (e.g.…”

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confidence: 99%

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Evidence‐based practice in family therapy and systemic consultation

Carr

2000

Journal of Family Therapy

128

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Evidence for the effectiveness of family therapy and family-based interventions from critical literature reviews and controlled trials is considered for families with children and adolescents who present with various difficulties. The evidence supports the effectiveness of family therapy as an effective treatment either alone or as part of a multimodal or multisystemic treatment programme for child abuse and neglect, conduct problems, emotional problems and psychosomatic problems. Implications for practice, training and continuing professional development in the field of family therapy are discussed.

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confidence: 99%

mentioning

confidence: 99%

Evidence‐based practice in family therapy and systemic consultation

Carr

2000

Journal of Family Therapy

128

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“…Engel biopsichosocialinis bei Wood bioelgesio šeimos modeliai buvo į ligą žvelgti ne vien kaip į fizinį faktą, bet atsižvelgiant ir į subjektyvų paciento pasaulį. Svarbu atsigręžti ir į šeimą, kurioje asmuo, ypač vaikas, išgyvena ligą ir išreiškia visas su ja susijusias emocijas [21,22]. Šeimos aplinka -svarbus veiksnys, nulemiantis vaiko fizinę ir psichinę sveikatą.…”

Section: Atopinis Dermatitas Iš Psichosomatinės Perspektyvosunclassified

Integruotas Požiūris Į Vaikų Atopinio Dermatito Raišką: Psichosomatinis Aspektas Ir Sąsajos Su Emocinių Sunkumų Patyrimu

Kerzaitė

Ėmužytė

Kinčinienė

et al. 2017

Medicinos Teorija Ir Praktika

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Reikšminiai žodžiai: vaikai, atopinis dermatitas, emociniai sunkumai, somatizacija. Darbo tikslas. Pristatyti integruotą požiūrį į vaikų atopinį dermatitą, apimant psichosomatinį ligos aspektą. Atopinis dermatitas – lėtinė odos liga, kuri siejama su įvairiais psichikoje vykstančiais procesais. Apžvelgiant šiuolaikinę literatūrą ir tyrimus, atliktus šia tema, atsiskleidžia atopinio dermatito daugialypiškumas, o tai tampa argumentu tyrinėti ligą psichosocialiniame kontekste. Tai leidžia geriau suprasti sergančiojo emocinę būseną ir psichinius procesus, kurie taip pat atlieka svarbų vaidmenį ligos raidoje. Moksliniai tyrimai minėtomis kryptimis galėtų tapti vertingu indėliu, kad būtų geriau suprantami atopiniu dermatitu sergančio vaiko poreikiai ir būtų organizuojama veiksmingesnė kompleksinė sergančiojo priežiūra, integruojant ir psichologinę pagalbą.

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“…Family therapy has been tried as treatment in several chronic diseases. Medical family therapy as a new concept has been discussed ( 10 ) , although the novelty of the concept has been questioned ( 11 ) , and a theoretical background has been documented ( 12 ) . The present authors, whose work has been highlighted as a good example of the proposals ( 11 ) , have found that the family is an appropriate system to help in dealing with chronic diseases such as obesity in children.…”

Section: Introductionmentioning

confidence: 99%

Childhood obesity: from nutrition to behaviour

Flodmark

Ohlsson

2008

Proc. Nutr. Soc.

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Obesity in children is difficult to treat, but it seems to be easier to treat than adult obesity. The first step in treatment is to identify effective advice relating to nutrition and physical activity. In most treatment studies the macronutrient composition of the diet is not of major importance for treatment outcome. In relation to physical activity fat-utilisation strategies have been described. The second step includes appropriate approaches to lifestyle change. In Europe there are no drugs approved for children, and surgery for children is still limited to research projects. Thus, the major challenge is to develop effective ways of changing lifestyle. Family therapy may be an effective approach in preventing severe obesity from developing during puberty, and a therapeutic strategy based on treatment studies is described. The family-therapy techniques used here are intended to facilitate the family's own attempts to modify their lifestyle, and to increase their own sense of responsibility and readiness to change, i.e. these variables are the prime targets during therapy. Thus, the family, not the therapist, assumes responsibility for the changes achieved. This approach may be helpful in making the therapeutic process less cumbersome for the therapist. Instead of the therapist attempting to persuade the obese subjects to lose weight, it might be more effective to teach them to control their eating patterns through their own efforts. The treatment model includes structural family therapy and solutionfocused-brief therapy. The use of such a model makes it possible to train therapists and health professionals to use an evidence-based intervention model. Family therapy: Childhood obesity: Systemic family medicineTreating obesity in children, although difficult, seems to be easier than treating adult obesity (1)(2)(3) . The first step is to identify effective advice on nutrition and physical activity.In relation to nutrition, several studies have investigated an epidemiological association between BMI and food habits, but the results have been inconclusive, as pointed out in a recent review (4) . From the epidemiological perspective, the cross-sectional Bogalusa Study, which has investigated 1562 children aged 10 years over a 21-year period, has found that the consumption of sweetened beverages, sweets and meat and the total consumption of low-quality foods are positively associated with overweight status (5) . Furthermore, the total amount of food consumed, specifically from snacks, is positively associated with overweight status. However, the percentage variance explained from the eating pattern-overweight models is very small. In relation to treatment, a meta-analysis has shown that low-carbohydrate non-energy-restricted diets in adults appear to be at least as effective as low-fat energyrestricted diets in inducing weight loss for £ 1 year (6) . However, in a recent study of forty-one 8-12-year-old obese children who were randomly assigned to a 24-month family-based behavioural treatment the macronutrient cont...

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One articulation of the structural family therapy model: a biobehavioral family model of chronic illness in children

Cited by 15 publications

References 14 publications

Evidence‐based practice in family therapy and systemic consultation

Evidence‐based practice in family therapy and systemic consultation

Integruotas Požiūris Į Vaikų Atopinio Dermatito Raišką: Psichosomatinis Aspektas Ir Sąsajos Su Emocinių Sunkumų Patyrimu

Childhood obesity: from nutrition to behaviour

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