The California Family Health Project: VII. Summary and Integration of Findings

In a series of reports, we have observed the relationships between four domains of family life (World View, Emotion Management, Structure/Organization, Problem Solving), and the health of husbands and wives in a community-based sample of 225 families. In this final article of the series, we provide an overview and summary of the results, by gender, including the structure and patterning of variables both within each family domain and among all four family domains analyzed together. In addition, we review the associations between each family domain and adult health (unidomain analyses), and among all four family domains taken together and adult health (multidomain analyses). Prominent differences in family and health relationships based on gender are described from the perspective of socially and culturally supported sex-role expectations and behavior. The results support the use of a multidimensional family assessment framework in health research that can lead to the further development of empirically based models of family process.     

The Effects of Family Structure and Family Processes on Externalizing and Internalizing Behaviors of Male and Female Youth: A Longitudinal Examination

The present study examined potential gender differences in the effects of family structure and family processes on externalizing and internalizing behavioral outcomes among youth over time. Using data from waves one through three of the Add Health study, results indicated that the relationship between family structure and family processes on behavioral outcomes varied depending on the specific externalizing or internalizing behavior. Family structure directly influenced three different externalizing behaviors, but indirectly influenced internalizing behaviors through its effect on maternal attachment and to some degree parental permissiveness. The long-term influence of family structure, family processes, and later externalizing and internalizing behaviors is complex. These relationships played out similarly across both male and female youth, suggesting that the effect of living in a single-parent home, subsequent family processes, and individual behavior and well-being may not be different across gender.     

Transactional Paths Between Children and Parents in Pediatric Asthma: Associations Between Family Relationships and Adaptation

The particular challenges posed by pediatric asthma may have a negative impact on the adaptation of children and their parents. From a transactional approach it is important to examine how reciprocal links between children and parents contribute to explain their adaptation and under which conditions these associations occur. This cross-sectional study aimed at examining the direct and indirect links between children’s and parents’ perceptions of family relationships and adaptation, separately (within-subjects) and across participants (cross-lagged effects), and the role of asthma severity in moderating these associations. The sample comprised 257 children with asthma, aged between 8 and 18 years-old, and one of their parents. Both family members completed self-reported questionnaires on family relationships (cohesion and expressiveness) and adaptation indicators (quality of life and psychological functioning). Physicians assessed asthma severity. Structural Equation Modeling was used to test within-subjects and cross-lagged paths between children’s and parents’ family relationships and adaptation. The model explained 47 % of children’s and 30 % of parents’ adaptation: family relationships were positively associated with adaptation, directly for children and parents, and indirectly across family members. Asthma severity moderated the association between family relationships and health-related quality of life for children: stronger associations were observed in the presence of persistent asthma. These results highlight the need of including psychological interventions in pediatric healthcare focused on family relationships as potential targets for improving children’s and parents’ quality of life and psychological functioning, and identified the children with persistent asthma as a group that would most benefit from family-based interventions.     

Associations Between Adolescents’ Family Stressors and Life Satisfaction

Extant literature suggests that family stressors co-occur with elevated adolescent psychopathology. Few studies have examined the relationship between family stressors and life satisfaction, a positive indicator of mental health. The current study explored the relationships between specific family stressors (i.e., low socioeconomic status, disrupted family structure, cumulative major life events, and perceived interparental conflict) and adolescents’ life satisfaction in a sample of 181 middle school students. Participants completed psychometrically sound self-report measures of the aforementioned constructs. Results from a simultaneous regression analysis indicated that the four forms of family stress accounted for 37 % of the variance in life satisfaction; experiencing major life events (β = ?0.31, p < .05) and perceiving interparental conflict (β = ?0.41, p < .05) emerged as unique predictors of life satisfaction. Implications and directions for future research are discussed.     

"If I Don''t Get Simple, I Cry"

Poor families have taught us special lessons that are applicable to all families. They have instructed us about the problems, within families, of developing relationships adequate to the tasks of family life. One consequence is that therapists are attending more to the evolution of the structure of family relationships, particularly, the phenomenon of underorganization. Poor families have also provided insight into the dynamic relationship between families and their social context. As a result, a therapeutic perspective is emerging that focuses on the influence of the community on the individual and the family, a perspective that may be called an eco-structural approach to therapy.     

Protective effect of supportive family relationships and the influence of stressful life events on adolescent adjustment

The purpose of this study was to determine the association between the occurrence of stressful life events and internalizing and externalizing problems, and to analyze longitudinally buffering effects of supportive family relationships. To this end, 100 Spanish adolescents were studied twice, when they were in mid-adolescence (15-16 years) and two years later. They completed questionnaires regarding stressful life events, family relationships, and adolescent adjustment. Results showed that high quality parent-adolescent relationships protected boys and girls against the negative consequences of stressful life events on externalizing, but not internalizing, symptoms. The adolescents who enjoyed good relationships with their parents in mid-adolescence did not increase their externalizing problems in late adolescence as consequence of the occurrence of stressful events. However, these stressors did lead to an increase in the number of externalizing problems when the family relationships were of a middle or low quality. These results highlight the important role that supportive family relationships play in the behavioral adjustment of adolescents, protecting them against some negative consequences of stressful life events, and suggest the relevance of supporting parents through resources such as parent education in order to help them to improve their relationships with their adolescents.     

Protective effect of supportive family relationships and the influence of stressful life events on adolescent adjustment

Abstract

The purpose of this study was to determine the association between the occurrence of stressful life events and internalizing and externalizing problems, and to analyze longitudinally buffering effects of supportive family relationships. To this end, 100 Spanish adolescents were studied twice, when they were in mid-adolescence (15–16 years) and two years later. They completed questionnaires regarding stressful life events, family relationships, and adolescent adjustment. Results showed that high quality parent-adolescent relationships protected boys and girls against the negative consequences of stressful life events on externalizing, but not internalizing, symptoms. The adolescents who enjoyed good relationships with their parents in mid-adolescence did not increase their externalizing problems in late adolescence as consequence of the occurrence of stressful events. However, these stressors did lead to an increase in the number of externalizing problems when the family relationships were of a middle or low quality. These results highlight the important role that supportive family relationships play in the behavioral adjustment of adolescents, protecting them against some negative consequences of stressful life events, and suggest the relevance of supporting parents through resources such as parent education in order to help them to improve their relationships with their adolescents.     

Coping Mechanisms of Unemployed African Men with Dependents

The primary objective of the study was to evaluate the efficiency of the coping mechanisms of 82 unemployed African men with dependents. Results revealed significant relationships between perceived stress and stressful life events, as well as between perceived stress and four groups of coping mechanisms, the strongest relationships being reported for stressful life events, psychological coping resources, and family resources. Only four of the fifteen identified coping mechanisms could reduce the relationship between stressful life events and perceived stress. These were an internal locus of control, extended family social support, mastery and health within the family, and the utilization of community resources.     

Relationships,Environment, and the Brain: How Emerging Research is Changing What We Know about the Impact of Families on Human Development

Recent research is providing family therapists with new information about the complex interaction between an individual's biological makeup and his/her social and physical environment. Family and social relationships, particularly during sensitive periods early in life, can affect a child's biological foundation. Additionally, stress during the early years can have a lasting effect on an individual's physical and mental health and contribute to the onset of severe mental illness. Community programs have been developed to intervene early with families who have an at‐risk child to prevent or minimize the onset of mental illness including providing partnerships with at‐risk mothers of infants to shape attachment relationships. Programs are also developing individual and family interventions to prevent the onset of psychosis. Practicing family therapists can incorporate emerging neuroscience and early intervention research and leverage the growing base of community programs to enhance the effectiveness and sustainability of mental health outcomes for clients. Additionally, family therapy education programs should broaden student training to incorporate the growing body of information about how family relationships affect individual mental health development.     

Family ties after divorce: long-term implications for children

Drawing on the data from the longitudinal Binuclear Family Study, 173 grown children were interviewed 20 years after their parents' divorce. This article addresses two basic questions: (1) What impact does the relationship between parents have on their children 20 years after the divorce? and (2) When a parent remarries or cohabits, how does it impact a child's sense of family? The findings show that the parental subsystem continues to impact the binuclear family 20 years after marital disruption by exerting a strong influence on the quality of relationships within the family system. Children who reported that their parents were cooperative also reported better relationships with their parents, grandparents, stepparents, and siblings. Over the course of 20 years, most of the children experienced the remarriage of one or both parents, and one third of this sample remembered the remarriage as more stressful than the divorce. Of those who experienced the remarriage of both of their parents, two thirds reported that their father's remarriage was more stressful than their mother's. When children's relationships with their fathers deteriorated after divorce, their relationships with their paternal grandparents, stepmother, and stepsiblings were distant, negative, or nonexistent. Whether family relationships remain stable, improve, or get worse is dependent on a complex interweaving of many factors. Considering the long‐term implications of divorce, the need to emphasize life course and family system perspectives is underscored.     

The relationship between personal authority in the family system and discovery of meaning in life

This study investigated the relationship between intergenerational family relationships and Frankl's concept of meaning in life. Intergenerational family relationships were measured by the Personal Authority in the Family System Questionnaire (PAFS-QE) by Bray, Williamson, and Malone. The meaning in life variables were measured by the Life Attitude Profile-Revised (LAP-R) by Reker. This quantitative study, using the BMDP Statistical Package (Dixon, 1990), correlated the scores on various subscales from both instruments, resulting in seven statistically significant relationships. The findings, although modest, suggest the existence of a relationship between these two theoretical areas.This article is based in part on the first author's doctoral dissertation at Texas Woman's University.A copy of the PAFS-Q may be obtained from: James H. Bray, PhD, 5510 Greenbriar, Houston, TX 77005. A copy of the LAP-R may be obtained from: Gary Reker, PhD, Trent University, Psychology Department, Peterborough, Ontario Canada K9J 7B8.     

Glycosylated hemoglobin and psychological adjustment in adolescents with diabetes

The relationships between glycosylated hemoglobin levels as an index of metabolic control, life events occurring in the previous year, and general adjustment in the areas of attitude towards diabetes, independence, peer, school, and family relationships were investigated in 37 adolescents with insulin-dependent diabetes mellitus. The number or type of life events did not show a relationship with metabolic control. As measured by the Sullivan Diabetic Adjustment Scale, diabetic adolescents who were in better metabolic control reported more conflict regarding family relationships and issues of independence than did those in lesser control.     

Social Support from Family and Friends and Subjective Well-Being of Older African Americans

This study examines the impact of informal social support from family and friends on the well-being of older African Americans. Analyses are based on a nationally representative sample of older African Americans from the National Survey of American Life (n = 837). Three measures of well-being are examined: life satisfaction, happiness and self-esteem. The social support variables include frequency of contact with family and friends, subjective closeness with family and friends, and negative interactions with family. Results indicate that family contact is positively correlated with life satisfaction. Subjective closeness with family is associated with life satisfaction and happiness and both subjective closeness with friends and negative interaction with family are associated with happiness and self-esteem. There are also significant interactions between family closeness and family contact for life satisfaction, as well as friendship closeness and negative interaction with family for happiness. Overall, our study finds that family and friend relationships make unique contributions to the well-being of older African Americans. Qualitative aspects of family and friend support networks (i.e., subjective closeness, negative interactions) are more important than are structural aspects (i.e., frequency of contact). Our analysis verify that relationships with family members can both enhance and be detrimental to well-being. The findings are discussed in relation to prior research on social support and negative interaction and their unique associations with well-being among older African Americans.     

Family as a salient source of meaning in young adulthood

Five studies demonstrated the role of family relationships as an important source of perceived meaning in life. In Study 1 (n?=?50), 68% participants reported that their families were the single most significant contributor to personal meaning. Study 2 (n?=?231) participants ranked family above 12 likely sources of meaning. Studies 3 (n?=?87) and 4 (n?=?130) demonstrated that participants’ reports of their closeness to family (Study 3) and support from family (Study 4) predicted perceived meaning in life, even when controlling for several competing variables. Study 5 (n?=?261) ruled out social desirability as an alternative explanation to the proposed relationship between family and meaning. We conclude that for young adults, family relationships are a primary source of meaning in life and they contribute to their sense of meaning.     

家长教育期望对学业倦怠的影响:家长投入的中介及家庭功能的调节

本研究以北京市2921名中小学生及其家长为调查对象,考察了家长教育期望对其子女学业倦怠的影响,以及家长投入的中介作用和家庭功能的调节作用。结果发现：（1）在控制年级、性别后,家长教育期望依然负向预测子女的学业倦怠;（2）家长投入在家长教育期望与学业倦怠之间起部分中介作用,即教育期望能够通过提升家长投入,进而降低子女的学业倦怠水平;（3）家庭功能在家长投入与学业倦怠的关系中起到调节作用,只有家庭功能良好时,家长投入才能显著降低子女的学业倦怠水平。这一结果对于家长如何科学有效地促进子女的学业发展具有启示意义。     

Influences of Work-Family Interface on Job and Life Satisfaction

Research investigating the relationship between family and work domains, according to a reductionist approach, has traditionally focused on the negative aspects of the work-family relationship. However, over the past 15 years a number of studies have also focused on the positive aspects of family and work relationships and on the interactions between the work-family interface and outcomes such as job and life satisfaction. These research studies have made it possible to capture different facets of the relationship between family and working life, and to clarify the specific nature of these interactions. In the present study, we tested a model that included positive and negative interactions between work and family as predictors of job and life satisfaction. We also examined the role of some of the potential moderators (work engagement, organizational and family support) of these relationships, using a sample of 427 Italian employees working in public administration. In our analysis, we first tested the factorial structure of the work-family interface measure (Kinnunen et al. Scandinavian Journal of Psychology, 47, 149–162 2006). Factor analysis confirmed a four-factor model: negative work-to-family interface, negative family-to-work interface, positive work-to-family interface, and positive family-to-work interface. Secondly, we analyzed the relationship between the work-family interface, job satisfaction and life satisfaction. Path analysis showed that the factors involved in the work-family interface influenced directly and indirectly life satisfaction, job satisfaction and work engagement. This analysis also showed that work engagement had a direct strong effect on job satisfaction and a direct weaker effect on life satisfaction. This pattern of findings is consistent with a causal sequence in which the work-family interface (WIF) and family-work interface (FIW) can increase or reduce a satisfaction-specific domain. Our results highlight the importance of using a theoretical and empirical model that integrates and focuses on both the positive and negative aspects of the work-family relationship. Moreover, this pattern demonstrates the potential consequences of this influence on employees’ working life and general well-being.     

Impact of social support on health status and life satisfaction in people with a spinal cord injury

Abstract

Purpose: Assessment of the impact of received social support on functional health status and life satisfaction in people with spinal cord injury (SCI). Design: Respondents were 176 people with SCI between 18 and 65 years of age and living in the community. Mean time after injury was 3.6 years. Problem-oriented and emotion-oriented support, received from family members, friends and relatives, and professionals were assessed with the Sources of Social Support Inventory. Health status was assessed with the Sickness Impact Profile 68 and life satisfaction with the Life Satisfaction Questionnaire. Structural equation modelling with LISREL V8 was used to study relationships of different types and sources of social support with health status and life satisfaction.Results: Emotion-oriented support led to better psychological functioning and to greater life satisfaction. In addition, emotion-oriented support from the family led to greater satisfaction with relationships and emotion-oriented support from friends and acquaintances led to less satisfaction with social life. Problem-oriented support was not clearly related to health status and life satisfaction; there was only a negative relation between problem-oriented support and satisfaction with social life. Support, problem-oriented or emotion-oriented, from health-care professionals showed no relationships with health status or life satisfaction.Conclusions: Emotion-oriented support from family members and friends was most important for people with SCI. Greater problem-oriented support appears to be related to poorer life satisfaction.     

Family characteristics as mediators of the influence of problem drinking and multiple risk status on child mental health

Structural equation modeling was used to test a theoretical model in which family cohesion and family reframing coping were hypothesized as mediators between family drinking problems, multiple risk factors, negative life events, and child mental health (conduct disorder, depression, anxiety) in two-parent families. Family cohesion mediated the relationships of family drinking problems and negative life events to child conduct disorder and depression. Negative life events mediated the relationships of family drinking problems and family multiple risk to child conduct disorder. Family reframing coping did not function as a mediator nor was it related to child mental health when other factors were considered simultaneously. Results indicate that increasing family cohesion and reducing sources of stress within the family (negative life events) represent promising areas for interventions for children with problem-drinking parents. Work on this study was funded in part by the National Institute for Mental Health Grant 2-P50-MH39246-06 to support a Preventive Intervention Research Center. The authors gratefully acknowledge contributions made by Rita Shell, Marcia Michaels, Joanne Gersten, George Knight, and Carolyn Berg.     

Dyadic Examination of the Influence of Family Relationships on Life Satisfaction at the Empty-Nest Stage

The aim of this study on determinants of life satisfaction in adulthood was to test actor–partner interdependence models among couples in the phase of the family life cycle following the departure of their children from the parental home. Using structural equation modeling, measures of family relationships, such as a person’s own and his/her partner’s marital adjustment, the amount of contact with children (and grandchildren, if applicable), and being a grandparent or not, served as independent variables to predict each partner’s satisfaction with life. A sample comprising 102 couples (of which 58 couples had grandchildren), all at the empty-nest stage, participated in the study. Results revealed that, for both husbands and wives, the effects of their own marital adjustment and the amount of contact with their adult children on their satisfaction with life were significant. A partner effect was also confirmed between wives’ marital adjustment and their husbands’ satisfaction with life. Furthermore, although being a grandparent did not predict higher life satisfaction for the whole sample of couples, the path between the amount of contact with grandchildren and life satisfaction was significant for the subsample of women who were grandmothers. Results are discussed in terms of the needs filled by these family relationships.     

Children's representations of multiple family relationships: organizational structure and development in early childhood

The authors examine mutual family influence processes at the level of children's representations of multiple family relationships, as well as the structure of those representations. From a community sample with 3 waves, each spaced 1 year apart, kindergarten-age children (105 boys and 127 girls) completed a story-stem completion task, tapping representations of multiple family relationships. Structural equation modeling with autoregressive controls indicated that representational processes involving different family relationships were interrelated over time, including links between children's representations of marital conflict and reactions to conflict, between representations of security about marital conflict and parent-child relationships, and between representations of security in father-child and mother-child relationships. Mixed support was found for notions of increasing stability in representations during this developmental period. Results are discussed in terms of notions of transactional family dynamics, including family-wide perspectives on mutual influence processes attributable to multiple family relationships.