The influence of family adaptability and cohesion on anxiety and depression of terminally ill cancer patients

Park, Young-yoon; Jeong, Young-Jin; Lee, Junyong; Moon, Nayun; Bang, Inho; Kim, Hyun-Ju; Yun, Kyung-sook; Kim, Yong-I; Jeon, Tae-Hee

doi:10.1007/s00520-017-3912-4

Cited by 34 publications

(33 citation statements)

References 24 publications

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“…The results of our study showed that cohesion was significantly lower in the family of patients with MDD than in healthy families. Consistent with this study, the results of a study showed that the family had revers cohesion with the degree of depression in cancer patients (15). The results of another study showed that depression had a predictive role in family cohesion (20).…”

Section: Discussionsupporting

confidence: 76%

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Power, Cohesion, and Structure in Healthy Families and Families with Chronic Psychiatric Patients: A Comparative Study

Mirshah

Bahreini

Pouladi

et al. 2020

Jundishapur J Chronic Dis Care

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Background: The hierarchy of power, dynamic of cohesion, and family structure might be affected in families with psychiatric patients. Objectives: This study aimed to compare the power, cohesion, and structure of healthy families and families with psychiatric patients. Methods: A cross-sectional study was conducted in Shiraz in 2018. Participants were 322 people from healthy families and families with schizophrenic, depressive, or bipolar disordered patients that were compared in terms of cohesion and hierarchy of power. Participants were selected by convenience sampling. Data were collected using the Family System Test, a clinically-derived figure placement technique. Data were analyzed using SPSS-19 with Chi-square and Kruskal Wallis tests at a significance level of less than 0.05. Results: There was no significant difference in terms of power between the families of healthy people and the families of patients with psychiatric disorders (P > 0.05). The family of patients with major depression had less cohesion (8.57 ± 2.2) than had the family of healthy ones (P =0.01). The structure of healthy families was more significantly balanced than that of other groups (P = 0.008). Conclusions: The results indicated that the power, cohesion, and structure of families can be affected by members with psychiatric disorders. Mental health care providers should take into account the mental health of families of psychiatric patients.

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Section: Discussionsupporting

confidence: 76%

“…In Iran and even other countries, there is limited evidence on the effects of the presence of psychiatric patients on the family structure (12,15). For example, the results of a longitudinal study have shown that the presence of a patient with bipolar disorder reduces family cohesion (16).…”

Section: Introductionmentioning

confidence: 99%

Power, Cohesion, and Structure in Healthy Families and Families with Chronic Psychiatric Patients: A Comparative Study

Mirshah

Bahreini

Pouladi

et al. 2020

Jundishapur J Chronic Dis Care

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“…The family environment can significantly predict the emergence of anxiety and depressive symptoms directly, which is consistent with previous results. For example, some studies found that there was a correlation between cohesion in the family environment and depression in family members ( Burnett et al, 2017 ); families with high cohesion, which have high levels of family support and ties, likely reduce depression ( Park et al, 2018 ; Cano et al, 2020 ). In contrast, low family cohesion and conflict between parents increased the risk of depression and anxiety in family members ( Park et al, 2018 ; Cano et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…For example, some studies found that there was a correlation between cohesion in the family environment and depression in family members ( Burnett et al, 2017 ); families with high cohesion, which have high levels of family support and ties, likely reduce depression ( Park et al, 2018 ; Cano et al, 2020 ). In contrast, low family cohesion and conflict between parents increased the risk of depression and anxiety in family members ( Park et al, 2018 ; Cano et al, 2020 ). In families with a high degree of cohesion, individuals can get more psychological help and emotional support within the family ( Birgisdóttir et al, 2019 ), so that the psychological pressure can be appropriately relieved.…”

Section: Discussionmentioning

confidence: 99%

“…Positive emotional expression within the family can prevent suppression of inner feelings and buffer internal conflicts, especially in the face of stressful events. In contrast, negative emotional expression and low emotional expression within the family are associated with higher anxiety and depression ( Luebbe and Bell, 2014 ; Park et al, 2018 ). In a high-conflict family, family members are prone to conflict between each other, leading to anxiety.…”

Section: Discussionmentioning

confidence: 99%

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Impact of the Family Environment on the Emotional State of Medical Staff During the COVID-19 Outbreak: The Mediating Effect of Self-Efficacy

Liu

et al. 2020

Front. Psychol.

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During the outbreak of the coronavirus disease 2019 (COVID-19), the medical staff was facing severe work pressure, which led to a negative emotional state. The purpose of this study was to explore the relationship between the family environment and the emotional state of the medical staff members during the COVID-19 outbreak. Due to the importance of self-efficacy in regulating mental health, the mediating role of self-efficacy in the association between family environment and emotional state was also explored. A cross-sectional survey was performed, using an online questionnaire, on 645 medical staff who participated in the epidemic prevention and control tasks during the COVID-19 outbreak in Beijing. Family environment, self-efficacy, anxiety, and depressive symptoms were measured by the Family Environment Scale-Chinese Version (FES-CV), the General Self-Efficacy Scale (GSES), the Generalized Anxiety Disorder Scale-7 (GAD-7), and the Patient Health Questionnaire-9 (PHQ-9), respectively. Correlation analysis and mediating effect analysis were used to explore the relationships between them. First, a higher prevalence of anxiety (39%) and depressive (33%) symptoms were confirmed among the medical staff. Second, the symptoms of anxiety and depression were negatively correlated with the dimensions of cohesion and expressiveness and positively correlated with the dimensions of conflict in the FES-CV scale. Third, self-efficacy significantly mediated the association between the family environment and anxiety symptoms ( P < 0.001) as well as the family environment and depressive symptoms ( P < 0.001). These findings show that a negative family environment was the main predictor of symptoms of anxiety and depression in the medical staff during the COVID-19 outbreak. Furthermore, we found that self-efficacy played a critical mediating role between the family environment and the symptoms of anxiety and depression. Our study also indicates that improvements in the family environment benefit the mental health care of the medical staff, and high self-efficacy enhances this effect.

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Adaptation de la famille et des proches

Razavi¹,

Tiete²,

Brédart³

et al. 2019

Psycho-Oncologie De l'Adulte

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The influence of family adaptability and cohesion on anxiety and depression of terminally ill cancer patients

Cited by 34 publications

References 24 publications

Power, Cohesion, and Structure in Healthy Families and Families with Chronic Psychiatric Patients: A Comparative Study

Power, Cohesion, and Structure in Healthy Families and Families with Chronic Psychiatric Patients: A Comparative Study

Impact of the Family Environment on the Emotional State of Medical Staff During the COVID-19 Outbreak: The Mediating Effect of Self-Efficacy

Adaptation de la famille et des proches

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