The California Family Health Project: III. Family Emotion Management and Adult Health

Fisher, Lawrence; Nakell, Linda C.; Terry, Howard E.; Ransom, Donald C.

doi:10.1111/j.1545-5300.1992.00269.x

Cited by 48 publications

(32 citation statements)

References 26 publications

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“…Family emotion management includes the family's expression and management of emotions, including conflict, intimacy, anger, and loss (22). It was assessed using the Unresolved Conflict scale, a five-item scale that measures diabetes-specific conflict (␣ ϭ 0.90) (23); high scores reflect high unresolved conflict.…”

Section: Family Measuresmentioning

confidence: 99%

Family and Disease Management in African-American Patients With Type 2 Diabetes

et al. 2004

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OBJECTIVE -The aim of this project is to specify features of family life that are associated with disease management in African Americans with type 2 diabetes. RESEARCH DESIGN AND METHODS -A total of 159African-American patients with type 2 diabetes were assessed on three domains of family life (structure/organization, world view, and emotion management) and three key dimensions of disease management (morale, management behaviors, and glucose regulation). Analyses assessed the associations of family factors with disease management.RESULTS -Multivariate tests for the main effects of three family variables were significantly related to the block of disease management variables for morale (F ϭ 3.82; df ϭ 12,363; P Ͻ 0.0001) and behavior (2.12; 9,329; P Ͻ 0.03). Structural togetherness in families was positively related to diabetes quality of life (DQOL)-Satisfaction (P Ͻ 0.01). High family coherence, a world view that life is meaningful and manageable, was positively associated with general health (P Ͻ 0.05) and DQOL-Impact (P Ͻ 0.05) and negatively associated with depressive symptoms (P Ͻ 0.001). Emotion management, marked by unresolved family conflict about diabetes, was related to more depressive symptoms (P Ͻ 0.001), lower DQOL-Satisfaction (P Ͻ 0.01), and lower DQOL-Impact (P Ͻ 0.001). No family measures were related to HbA 1c levels.CONCLUSIONS -The family domain of emotion management demonstrates the strongest associations with diabetes management in African-American patients, followed by family beliefs. Patient morale is the aspect of disease management that seems most related to family context. Diabetes Care 27:2850 -2855, 2004T ype 2 diabetes is 1.2-2.3 times more prevalent in African Americans than European Americans and is associated with higher rates of complications and greater levels of disability related to those complications (1). Higher rates of coronary heart disease, stroke, and endstage renal disease contribute substantially to African Americans with diabetes living shorter and less healthy lives. There is an urgent need to develop culturally appropriate treatment approaches that will affect improvements in diabetes control in this population (2).Although there has been progress in identifying specific approaches to caring for diabetes in African Americans, much work remains. Focus group research (3-6) has identified illness concerns of African Americans to include the following: managing diabetes in a way that includes ethnic foods and participation in social gatherings involving food; accessing proper instruction about disease management; and dealing with concerns about the trustworthiness of health care providers and about the financial consequences of the disease. The few operational diabetes treatment programs specifically designed for African Americans have demonstrated some effectiveness. Most programs focus on culturally specific approaches to food management (7) or exercise (8,9), and some have attempted to address African-American values in structuring programs at the individual and c...

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Section: Family Measuresmentioning

confidence: 99%

Family and Disease Management in African-American Patients With Type 2 Diabetes

et al. 2004

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“…For example, criticism and emotional over-involvement expressed by the family member toward the patient (i.e., expressed emotion) are associated with increased depression, greater burden, and fewer positive benefits from caregiving [1]. Low family cohesiveness, high family conflict, too rigid or too permeable family boundaries, low levels of family organization, lack of clear communication, and poor spousal support have also been associated with poor response to chronic disease such as dementia [2]. Primary caregivers who receive support from other family members experience lower levels of caregiver strain [3,4].…”

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confidence: 99%

Unique Contribution of Family Functioning in Caregivers of Patients with Mild to Moderate Dementia

Tremont

Davis

Bishop³

2006

Dement Geriatr Cogn Disord

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The relationship between family functioning and dementia caregiving is complex. The present study examined the interrelationships between family functioning, caregiver burden, and patient characteristics. Participants were 72 live-in, family caregivers of patients with mild (n = 47) or moderate dementia (n = 25). Caregivers completed measures of burden, family functioning, depression, and anxiety. Ratings of patients’ memory/behavior problems and patients’ activities of daily living were also collected. Results indicated that higher levels of caregiver burden were significantly associated with increased caregiver depression and anxiety, greater frequency of memory and behavior problems in the dementia patient, worse activities of daily living, and poorer family functioning. Even after controlling for caregiver depression, caregiver anxiety, and frequency of memory/behavior problems in dementia patients, poorer family functioning continued to be associated with higher levels of caregiver burden. Caregivers with high levels of burden reported greater family dysfunction in communication and roles, regardless of their relationship to the patient (i.e., spouse or child). These findings suggest that including a family systems component in caregiver interventions may be beneficial in reducing burden in these very distressed individuals.

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“…MDS: We selected a two‐dimensional MDS solution of the 73 variables for presentation here to allow visual comparison with the two‐dimensional solutions chosen for each domain analyzed separately in the previous articles (Fisher et al ., 1992a; Fisher et al ., 1992b; Fisher et al ., 1992c; Ransom et al ., 1992a; Ransom et al ., 1992b). A well‐defined, unsegmented, circular pattern of scores was displayed on the grid both for husbands and for wives (husbands: stress = .26, R 2 = .66; wives: stress = .27, R 2 = .65).…”

Section: Resultsmentioning

confidence: 99%

“…In this issue of Family Process , we present the sixth and seventh reports from the California Family Health Project, a study of family and health relationships in a community‐based sample of 225 families (Fisher, Nakell, Terry, & Ransom, 1992a; Fisher, Ransom, Terry, & Burge, 1992b; Fisher, Ransom, Terry, et al ., 1992c; Ransom, Fisher, & Terry, 1992a; Ransom, Locke, Terry, & Fisher, 1992b). The goal of this research is to identify the primary linkages between each of four “domains” of family life and the health of adult family members.…”

mentioning

confidence: 99%

“…Canonical correlation analyses yielded significant associations with health for three of the four family domains. Because of the number and complexity of these findings, we will not summarize them here, but instead refer the reader to the original articles (Fisher et al ., 1992a; Fisher et al ., 1992b; Ransom et al ., 1992a; Ransom et al ., 1992b). In general, we found relatively well‐articulated variable configurations in each family domain and the health domain, and we observed relatively strong correlations between family and health variables.…”

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confidence: 99%

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The California Family Health Project: VI. Multidomain Analyses

1993

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The preceding articles in this series have reported associations between each of four domains of family variables (World View, Emotion Management, Structure/Organization, Problem Solving) and the Health of adults in a community-based sample of 225 families. In this article, we explore the relationships among all four family domains (73 variables) and between all four family domains and adult Health. The results of both principal components and multidimensional scaling analyses suggested the viability of the four-family-domain framework. As expected, the pattern of relationships among the variables in each family domain was maintained when Health was added to the analyses. Using multidimensional scaling analysis, we also found that the relationship between some family domains and Health changed when viewed in the context of the other family domains. These shifts suggested the importance of family context on the relationship of that family domain and Health. Family World View and Emotion Management maintained their relationships with Health; family Structure/Organization shifted relatively moderately; and Problem Solving shifted substantially. Family World View and family Emotion Management may be relatively more independent in their relation to family member health than family Structure/Organization and Problem Solving.

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The California Family Health Project: III. Family Emotion Management and Adult Health

Cited by 48 publications

References 26 publications

Family and Disease Management in African-American Patients With Type 2 Diabetes

Family and Disease Management in African-American Patients With Type 2 Diabetes

Unique Contribution of Family Functioning in Caregivers of Patients with Mild to Moderate Dementia

The California Family Health Project: VI. Multidomain Analyses

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