The Family Environment in Chronic Pain Patients: Comparison to Controls and Relationship to Patient Functioning

Operant and cognitive-behavioral models of chronic pain have called attention to the importance of examining the marital and family environments of chronic pain patients. In this study, 50 chronic pain patients and their spouses and 33 control participants and their spouses completed measures of the family environment, marital satisfaction, and patient physical and psychological functioning. Patients' overt pain behaviors were coded from videotapes of patient–spouse interactions. Compared to controls, pain patients and their spouses rated their family environments as lower in cohesion and higher in control, and there was a trend for spouses to report more marital dissatisfaction. Chronic pain patient depression was associated negatively with patient-rated family cohesion and expressiveness and spouse-rated family organization and positively with patient-rated family conflict. Overt patient pain behaviors and spouse-rated patient disability were related negatively to spouse-rated family cohesion. Spouse marital satisfaction was associated negatively with patient depression and with spouse ratings of patient disability and pain behaviors.     

Dyadic personality effects on family functioning in parents of newly hospitalized children

This study prospectively examined dyadic influences of parental personality on levels and change of family functioning in parents of a newly hospitalized child. A total of 183 couples whose child sought treatment for Type 1 diabetes, cancer, or an unintentional injury were assessed at 1 and 6 months posthospitalization with tests measuring personality, and family functioning. Analyses used structural equation modeling based on the actor–partner interdependence model. Family functioning in both parents showed substantial differential stability and interdependence. Mothers' Neuroticism and Agreeableness and fathers' Openness and Conscientiousness influenced their own family functioning. Fathers' Conscientiousness influenced their spouse's family functioning. Both parents' personalities influenced their family functioning over time, underlining that the parents' perspectives should be studied jointly.     

Vulnerability and Resilience within Military Families: Deployment Experiences,Reintegration, and Family Functioning

This study examined how family factors that diminish feelings of loss (frequent communication) and reflect system-level adaptation (effective household management) during deployment were associated with enhanced resilience and fewer vulnerabilities during reintegration and, ultimately, the promotion of family functioning following deployment. Multiple reporters from active duty (AD) military families (N?=?214 families; 642 individuals) were examined, including AD members, civilian spouses, and their adolescent offspring. Most service members were men and enlisted personnel (95.3% male; 87.9% enlisted). Most AD and civilian spouses were between the ages of 31 and 40 (68.2% and 72.4%, respectively). Adolescent gender was relatively equal between boys (46.3%) and girls (53.7%), and their average age was 13.58. A SEM assessed the influence of communication frequency (reported by both AD and civilian spouses) and household management during deployment (reported by civilian spouses) on subsequent family functioning (reported by AD spouse, civilian spouse, and adolescent). The mediating role of positive and negative aspects of post-deployment family reintegration (reported by AD spouse, civilian spouse, and adolescent) was also assessed, as indicators of family resilience and vulnerability. Communication during deployment and civilian spouses’ household management during deployment were associated with multiple family members’ reintegration experiences. In turn, reintegration experiences were linked to self-perceptions of subsequent family functioning and, in some cases, other family members’ perceptions of family functioning. Similarities and differences among family members are discussed. While deployment and reintegration create systemic family changes and challenges, results indicated opportunity for growth that can reinforce connections between family members.     

Relationship between Mental Health and Burden among Primary Caregivers of Outpatients with Schizophrenia

There is growing recognition that caring for a patient with schizophrenia often results in high levels of perceived burden and poorer overall mental health for caregivers. A quantitative cross‐sectional design and standardized instruments were used to collect data from 355 primary caregivers of adults in outpatient care with schizophrenia in China. Structural equation modeling was used to examine the association between caregiver burden and mental health among primary caregivers and whether this association is influenced by personality, coping style, and family functioning, based on a diathesis–stress perspective. Goodness‐of‐fit indices (χ²/df = 1.406, GFI = 0.919, CFI = 0.957, etc.) confirmed that the modified model fit the data well. In line with the diathesis–stress model, and with this study's hypotheses, we found that caregiver burden was significantly related to mental health outcomes directly. The final model showed that personality traits, coping style, and family function influenced the relationship between caregiver burden and mental health. The neuroticism personality traits have a direct effect on caregiver burden and family functioning in this sample. Coping style had a direct effect on the caregiver burden, and family functioning had a direct effect on the caregiver burden. Our final model about primary caregivers can be applied clinically to predict mental health outcomes from caregiver burden.     

Spouse and Family Functioning Before and After a Marine’s Suicide: Comparisons to Deaths by Accident and in Combat

The impact of service member suicides on families is not well understood. Civilian studies have demonstrated that family survivors of suicide deaths experience complicated grief, feel guilt and shame, and often do not receive sufficient social support. In this exploratory study, spouse survivors of Marines who died by suicide (N = 17), accident (N = 19), and in combat (N = 34) retrospectively reported on their immediate pre- and postmortem and current personal and family functioning. Nonparametric analyses revealed that several between-group differences existed. Observation of the means suggested that the spouses and families of Marines who died by suicide exhibited significantly poorer pre- and postmortem functioning compared with those whose spouses died in combat. Specific challenges included low family cohesion, high family conflict, perceived stigma, and shame. There were no differences in current spouse or family functioning, and there was weak evidence for posttraumatic growth among surviving spouses of those dying by suicide. These results should be considered preliminary and interpreted with caution given several methodological challenges.     

BULIMIC SYMPTOMATOLOGY IN HIGH SCHOOL GIRLS

This study tests the explanatory power of an integrated sociocultural and personality model in predicting bulimic symptomatology. Family, peer, and personality factors were assessed at three levels of analysis. The first level of the model measured the general functioning of the family system and friendship network. The second level assessed the extent to which the family system and friendship network were concerned with issues of weight and dieting, as well as the rate of eating disorders among members in these groups. The third level investigated the relationship of certain personality variables to bulimic symptoms. Based on self-report data from approximately 400 high school girls, correlates of bulimic symptomatology at each of the three levels of analysis were identified. An integrated model, in which the three levels of analysis were considered in unison, demonstrated that risk factors at each level of analysis cumulatively contribute to an increase in bulimic symptoms.     

Review of “Toxic Divorce: A Workbook for Alienated Parents,” by Kathleen M. Reay

Abstract

The interrelationships between perceived family functioning, personality dimensions, life satisfaction, and self-concept were examined in 183 Australian adolescents. Moderate inverse relationships were obtained between Eysenck's Psychoticism dimension and perceived family health. Sociability was positively and moderately related to healthy family functioning. Eysenck's Neuroticism dimension demonstrated a significant, yet modest, relationship to a healthy balance of autonomy and intimacy in the family of origin. In comparison to Eysenck's personality dimensions, life satisfaction and self-esteem were much more strongly associated with perceived family functioning. These findings are discussed in the light of previous research, and some suggestions for future research are made.     

Alltag mit der Depression des Partners

Objective. Clinical research on the quality of interpersonal relationships in individuals with unipolar depression supports the idea that the family plays a major role in the development and the course of major depression. In order to further explore how family functioning relates to unipolar depression, the authors examined changes in family functioning as viewed by the patients' spouses. Methods. Interview data from 54 spouses of patients with unipolar depression were analysed as part of the baseline assessment of a study on the economic and health burden experienced by families with mentally ill relatives. Results. Having a family member with a current major depressive disorder is a general stressor for families and has implications for the health and well-being of the patient's spouse. Depressive symptoms affect a wide range of aspects of marriage and family life and result in a process of adaptation and transformation of the patient's family. Thus, in assessing burden experienced by spouses particular attention should be paid both to the social environments and to different aspects of the relationship as perceived by the patient's spouse in order to further understand the factors mediating the interaction between major depression and family functioning.     

Long-term effects of losing a spouse or child in a motor vehicle crash

In this article we examine the long-term effects of the sudden, unexpected loss of a spouse or child. In the spouse study, interviews were conducted with 39 individuals who had lost a spouse in a motor vehicle crash 4 to 7 years ago and with 39 matched controls. In the parent study, interviews were conducted with 41 parents who had lost a child in a crash and with 41 matched controls. Control respondents were matched to bereaved respondents case-by-case on the basis of sex, age, income, education, and number and ages of children. Significant differences between bereaved spouses and controls were revealed on several indicators of general functioning, including depression and other psychiatric symptoms, social functioning, psychological well-being, reactivity to good events, and future worries and concerns. For the most part, these differences persisted when variables such as present family income and present marital status were statistically controlled. Comparisons between bereaved and control parents also revealed significant differences on some measures of general functioning (especially depression), but these were not as pervasive as the differences obtained in the spouse study. Responses to questions about current thoughts and feelings suggest that the deceased continued to occupy the thoughts and conversations of bereaved spouses and parents. Moreover, a large percentage of respondents (from 30% to 85%, depending on the question), continued to ruminate about the accident or what might have been done to prevent it, and they appeared to be unable to accept, resolve, or find any meaning in the loss. Taken together, the data provide little support for traditional notions of recovery from the sudden, unexpected loss of a spouse or child.     

农村留守初中生亲社会倾向特点及其与人格、家庭功能的关系

以四川省农村地区299名留守初中生与326名非留守初中生为调查对象,采用亲社会倾向量表、家庭功能评价量表、青少年小五人格问卷,考察留守初中生亲社会倾向特点及其与人格、家庭功能间的关系,结果发现:(1)留守初中生的亲社会倾向与非留守初中生相比不存在显著差异;(2)家庭功能的问题解决,人格的开放性、谨慎性都对留守初中生的亲社会倾向具有显著的预测作用,主要表现为问题解决能力越差亲社会的行为倾向越少,个体越具有开放性、谨慎性的人格特质就越容易表现出更多的亲社会倾向;(3)人格的开放性、宜人性、谨慎性在家庭功能与亲社会倾向中起完全中介的作用。     

Stability and predictive ability of personality traits across 9 years

In the present study, personality traits, as assessed by the Karolinska Scales of Personality (KSP) were found to be stable after 9 years, both with regard to mean level stability (absolute stability) and rank-order stability (relative or differential stability). Moreover, outcome scales were applied measuring either perceptions of satisfaction or scales measuring functioning. Personality scales (from the Eysenck Personality Questionnaire and the KSP) completed in 1986/1987 were associated with measures (completed in 1995/1996) of satisfaction and functioning of family life, emotional and physical health, and work. Specifically, neuroticism-related personality traits predicted a lack of satisfaction with health, but not functional problems due to health. In contrast, neuroticism-related personality traits predicted poor functioning but not satisfaction with family life and work.     

Elucidating The Etiology and Nature of Beliefs about Parenting Styles

This study was designed to investigate relationships among self‐reported and spouse‐reported beliefs about parenting styles, the characteristics of the individuals manifesting these styles, and the contextual characteristics of parenting. Demographic characteristics, life circumstances, family functioning, personality traits, ability indices, and parenting‐styles indicators were collected from a sample of 452 women and 293 men, all of whom were raising adolescents in contemporary Russia. Of the families studied, 275 were intact (i.e. consisted of married and cohabiting couples). It was found that individual characteristics and contextual characteristics (e.g. family functioning) together predicted about 20% of the variance in reported beliefs about parental styles of responsiveness and demandingness. Moreover, these variables discriminated about 65% of the parents reporting indulging, neglectful, authoritarian or authoritative beliefs about parenting. The percentage of explained variance doubled when beliefs about parenting styles of partners were placed in the model. Thus, in attempts to understand the etiology of parents’ beliefs about parenting styles, more attention should be given to beliefs about parenting styles of their spouses. It might be that beliefs about parenting styles emerge as a structure shared by spouses; they are mediated, but not solely determined, by the individual characteristics of parents and their children.     

Profile of couples seeking help in the family court- a clinic — based study

The article focuses on the profile of 102 couples referred from the family court for assessment and counseling. The majority of couples were married for 5 years or less, had a single child and many had been separated for at least 2 years. Behavior problems, especially maladaptive personality traits in the spouse were cited as the major reason for their marital problems. The scope of clinical psychologists in a family court is discussed.     

An exploration of links between early parenting experiences and personality disorder type and disordered personality functioning

Reports of early parenting were assessed using two measures, the Parental Bonding Index (PBI) and the Measure of Parenting Style (MOPS), in a sample of 265 patients with DSM-defined major depressive disorder. Psychiatrists then rated the extent to which sample members evidenced the personality "styles" underpinning 15 separate personality disorders, returning personality vignette scores. The extent of disordered functioning was also assessed across "parameters" and "domains" by psychiatrists, referrers, and family members, using a range of measures. Those with higher scores on vignettes measuring borderline, anxious, depressive, and self-defeating personality style rated parents as uncaring, overcontrolling, and abusive. When vignettes were consolidated into scores akin to the DSM clusters, the most consistent links between perceived dysfunctional parenting were with the Cluster C (anxious), and Cluster B (dramatic) styles and were nonsignificant for Cluster A (eccentric) style. Meeting criteria for an increasing number of personality disorder clusters was associated with increasing levels of adverse parenting. Multiple regression analyses indicated that disordered functioning (as assessed by the three independent rater groups) was most distinctly associated with paternal indifference and maternal overcontrol.     

Prospective associations from family-of-origin interactions to adult marital interactions and relationship adjustment.

To test the social learning-based hypothesis that marital conflict resolution patterns are learned in the family of origin, longitudinal, observational data were used to assess prospective associations between family conflict interaction patterns during adolescence and offspring's later marital conflict interaction patterns. At age 14 years, 47 participants completed an observed family conflict resolution task with their parents. In a subsequent assessment 17 years later, the participants completed measures of marital adjustment and an observed marital conflict interaction task with their spouse. As predicted, levels of hostility and positive engagement expressed by parents and adolescents during family interactions were prospectively linked with levels of hostility and positive engagement expressed by offspring and their spouses during marital interactions. Family-of-origin hostility was a particularly robust predictor of marital interaction behaviors; it predicted later marital hostility and negatively predicted positive engagement, controlling for psychopathology and family-of-origin positive engagement. For men, family-of-origin hostility also predicted poorer marital adjustment, an effect that was mediated through hostility in marital interactions. These findings suggest a long-lasting influence of family communication patterns, particularly hostility, on offspring's intimate communication and relationship functioning.     

Level of agreement between self and spouse in the assessment of personality pathology

Informant reports can provide important information regarding the presence of pathological personality traits, and they can serve as useful supplements to self-report instruments. Ratings from a spouse may be a particularly valuable source of personality assessment because spouses are very well acquainted with the target person, have typically known the person for a long time, and witness behaviors across a variety of situations. In the current study, self- and spouse report measures based on the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (DSM-IV) personality disorder criteria were collected from a nonclinical sample of 82 couples (N = 164). Agreement between self- and spouse report for several pathological personality factors was significant and somewhat higher than has been found for self and peer agreement. Nevertheless, the magnitude of self-spouse agreement was still moderate in size (mean r = .36). Findings are discussed with regard to using spouse report in the assessment of personality pathology.     

The nature of irrational beliefs in different personality clusters of spouse abusers

Previous research has shown that a majority of spouse abusers have personality characteristics which are consistent with personality disorder and show symptoms of depression and anger expression. Irrational beliefs have been associated with the same emotions in nonabuser populations. The current study assessed the nature of irrational beliefs in a sample of spouse abusers. The results showed that abusers with personality disorder held more irrational beliefs than abusers without personality disorder. Labile symptoms were associated with three categories of irrational beliefs only in the abusers with personality disorder. The implications for the characterization of spouse abusers and the modification of spouse abuse are discussed.Jeffrey M. Lohr, Ph.D., is an Associate Professor of Psychology at the University of Arkansas-Fayetteville. His research interests are in the assessment of irrational beliefs and their association with dysphoric motivational statesL. Kevin Hamberger, Ph.D., is an Assistant Professor of Psychology in the Family Practice Department of the Medical College of Wisconsin. His clinical and research interests are in the cognitive-behavioral treatment of male spouse abusers.Dennis Bonge, Ph.D., is an Associate Professor of Psychology at the University of Arkansas-Fayetteville. His research and teaching interests are in multivariate analysis and the assessment of irrational beliefsPortions of this paper presented at the 33rd Annual Convention of the Southeastern Psychological Association, Atlanta, GA, March, 1987.This research was supported by the Marie Wilson Howells Fund.     

The Caregivers of Stroke Patients: An Investigation of Factors Associated with Depression

Caregivers of the elderly and infirm are often under more stress and report lower life satisfaction than matched groups of noncaregivers. Forty caregivers of stroke patients (usually a spouse) were interviewed an average of 9 months poststroke to determine the factors associated with poorer caregiver adjustment. Four classes of variables were expected to be related to depression in caregivers: level of functioning of the patient, caregiver perceptions of increased work and burden due to the stroke, the quality of the patient-caregiver relationship, and caregivers' interpretations of their situation. Background characteristics were also measured. As predicted, variables in each class were significantly related to depression. Multiple regression analysis showed three significant independent predictors of caregiver depression. Caregivers are more depressed if the patient is more physically impaired, if caregivers report disharmony in the family, and if they have lesser perceptions of hope Ways to apply these findings to the development of interventions to ameliorate caregiver depression are discussed.     

Employment And Family As Determinants Of Anticipated Life Satisfaction: Contrasting European And Maghrebi People’s Viewpoints

The present study examined the relationship between life satisfaction, personal employment, spouse employment, and family responsibilities as perceived by lay people and, more specifically, studied the extent to which the additive threshold model evidenced by Macri and Mullet American Journal of Psychology 116, pp. 581–611 (2003) and Bouazzoui and Mullet Journal of Happiness Studies 3, pp. 129–159 (2002) on Greek and French samples can be generalized to a Maghrebi sample. One hundred young French adults of Maghrebi origin were presented with several vignettes depicting family conditions in terms of the three variables. Their task was to rate each vignette in terms of anticipated life satisfaction. The rule that best accounted for anticipated satisfaction was the hypothesized additive threshold rule: Anticipated Satisfaction=Proximity to optimal personal employment level + Proximity to spouse optimal employment level + Proximity to optimal family size, as far as acceptable personal and spouse employment levels are considered. When unacceptable personal or spouse employment levels were present, the level of satisfaction with life that was derived from the other sources was strongly reduced.     

The Distressed personality type: replicability and general health associations

The Distressed personality type, identified in a cardiac population, confers risk for worse cardiac outcomes. Whether such a class of persons is identifiable in general patient populations, as well as its health correlates, remains unknown. We investigated these questions in a sample of 482 older primary care patients. Mixture structural equation modelling revealed that a Distressed Type was identifiable in Five Factor Model (FFM) personality data and associated with higher levels of medically documented multimorbidity, and worse subjective health ratings, physician assessed physical functioning and interviewer rated psychosocial functioning. In models including paths from outcomes to both traits and types, traits and types were independently associated with health outcomes, pointing towards the value of considering both approaches in epidemiologic personology research. Copyright © 2007 John Wiley & Sons, Ltd.