Systematic Review of Self‐Report Family Assessment Measures

A systematic review of self‐report family assessment measures was conducted with reference to their psychometric properties, clinical utility and theoretical underpinnings. Eight instruments were reviewed: The McMaster Family Assessment Device (FAD); Circumplex Model Family Adaptability and Cohesion Evaluation Scales (FACES); Beavers Systems Model Self‐Report Family Inventory (SFI); Family Assessment Measure III (FAM III); Family Environment Scale (FES); Family Relations Scale (FRS); and Systemic Therapy Inventory of Change (STIC); and the Systemic Clinical Outcome Routine Evaluation (SCORE). Results indicated that five family assessment measures are suitable for clinical use (FAD, FACES‐IV, SFI, FAM III, SCORE), two are not (FES, FRS), and one is a new system currently under‐going validation (STIC).     

The Beavers-Timberlawn Model of Family Competence and the Circumplex Model of Family Adaptability and Cohesion: Separate,but Equal?

An empirical examination of the association between instruments measuring the Beavers-Timberlawn Model of family competence and the Circumplex Model of adaptability and cohesion is presented. Even when triangulated measures were utilized to control for the divergent methods of data collection traditionally employed to operationalize these models of family health, family competence as measured by the Beavers-Timberlawn Family Evaluation Scales was either minimally (mothers) or not associated at all (fathers and children) with balanced and thereby optimal dimensions of adaptability and cohesion as measured by the Family Adaptability and Cohesion Evaluation Scales. Methodological and substantive explanations for the surprising lack of association between measures of these two prominent family assessment models are explored and short- and long-range implications for the growth and practice of family therapy are discussed.     

Family functioning and psychopathology among adolescents with severe emotional disturbances

Family psychosocial functioning and its relation to psychopathology among adolescents with severe emotional disturbances (SED) was assessed. Subjects were 353 adolescents with SED, ages 12–18, and their parents. During a semistructured interview, adolescents were administered Family Adaptability and Cohesion Evaluation Scale (FACES-III), Diagnostic Interview Schedule for Children-Child Version (DISC-C), and the Self-Derogation Scale. Parents were administered FACES-IIII and the Child Behavior Checklist (CBCL) in a phone interview. Results indicated that on the FACES-IIII cohesion dimension, both parents and adolescents perceived their family relations as more disengaged and less connected than did normative families (p < .001). In contrast, only parent FACES-IIII adaptability scores were significantly more extreme than a normative sample (p < .01). Additionally, both parent and adolescent cohesion scores were significantly correlated with adolescent psyehopathology measures: DISC-C conduct disorder (p < .01), depression (p < .05), alcohol/marijuana (p < .01), and CBCL externalizing symptoms (p < .01). These relationships did not deviate from linearity. We gratefully acknowledge Eric C. Brown, Sue Greer, and Sharon P. Lardieri for assistance in data management of this project. Preparation of this article was supported by grant H133B90004-01 from the National Institute on Disability Rehabilitation Research and the National Institute of Mental Health.     

The Retrospective Family Unpredictability Scale: Reliability and Validity

Family unpredictability or inconsistency may be responsible, in part, for the detrimental outcomes associated with parental divorce, parental alcoholism, and family poverty. We assessed behavior patterns and regulatory systems in one’s family of origin for the purposes of developing the Retrospective Family Unpredictability Scale (Retro-FUS). In the first study (N = 416, 89% Caucasian, 59% female), confirmatory factor analysis indicated a six-factor solution was appropriate and the six subscales (meals, money, mother nurturance, father nurturance, mother discipline, and father discipline) were reliable. A second study (N = 305, 82% Caucasian, 77% female) demonstrated that Retro-FUS scores related to other conceptually similar factors. Specifically, Retro-FUS scores were higher among participants reporting these factors while growing up: parental divorce, family economic adversity, more neighborhood crime, and a greater likelihood of parental alcoholism. Thus, the Retro-FUS appears to be a multi-dimensional, retrospective measure of family unpredictability that demonstrates internal consistency and preliminary construct validity. We discuss implications for research and clinical applications as well as ideas for further research using the Retrospective Family Unpredictability Scale.     

The Beavers Systems Model of Family Functioning

Family competence and family style are the two main dimensions of the Beavers Systems Model of Family Functioning. The competence dimension ranges from optimal through adequate, midrange and borderline to severely dysfunctional. The style dimension ranges from centripetal to centrifugal. When the two dimensions are combined, they diagramatically define nine distinct family groupings, three of which are relatively functional and six of which are thought to be sufficiently problematic to require clinical intervention. A family's status on the competence and style dimensions may be established with the Beavers interactional scales. The self-report family inventory may be used to evaluate family members' perceptions of their status on the competence dimension. The reliability and validity of the self-report instrument and observational rating scales have been documented in over thirty papers and books published by the Beavers research team since 1970. The model has proved useful in training, research and clinical work.     

Family measurement techniques: The family health scales (fhs): Review and critique

Abstract

Kinston, Loader and Miller (1987) have developed the Family Health Scale (FHS), a research instrument designed to assess a family's level of overall functioning based upon the clinical observation of family interaction. The authors state that the FHS is primarily a research tool, allowing its users to test hypotheses about family dysfunction, to examine changes in the family longitudinally, and to categorize families by “degree of disturbance.” While not its principal use, the scale is also thought to have teaching utility.     

Are FACES-II ‘family satisfaction’ scores valid?

It has been suggested that family satisfaction can be measured by having a person complete the Family Adaptability and Cohesion Evaluation Scale (FACES-II) twice: once as the person essentially sees the family (actual version), and once as they wish the family to be (ideal version). The discrepancy between the actual and ideal scores is contended to be a measure of satisfaction with family. Though conceptually attractive, this measurement strategy was not verified, as assessed in the present study by correlating the actual-ideal discrepancy scores with family discord (Index of Family Relations) scores. Clinical adoption of the actual-ideal discrepancy-score as a measure of family satisfaction is thus seen as premature, until more supportive evidence is demonstrated.     

Family Environment in Inner-City African-American and Latino Parents/Caregivers: A Comparison of the Reliability of Instruments

Inner-city, African American and Latino youth are at higher risk for the development of obesity and type 2 diabetes. Interventions usually focus on changing physical activity and dietary behaviors, yet family environment has the potential to influence response to these interventions. We aimed to identify instruments that could reliably be used to assess the family environment of children from high-risk populations. Selected indices from four instruments were used; the Family Environment Scale (FES), the Family Adaptability and Cohesion Evaluation Scales IV (FACES IV), the Self-report Family Inventory (SFI), and the Family Assessment Device (FAD). Out of 15 indices evaluated, 9 were reliable in both ethnicities including FES cohesion, conflict and organization, SFI emotional expressiveness, conflict and family health/competence, FACES IV family communication and family satisfaction, and FAD general functioning. Perceived family environment characteristics did not differ significantly for inner-city African American and Hispanic families.     

Family Interaction and Individual Psychological Health

Two studies explored the relationships between individual psychological health (PH) status and perceptions of family interaction and family climate variables as perceived by young adults. Psychological health was defined within inter- and intrapersonal domains, represented by social interest and psychological hardiness. Scores on social interest and hardiness instruments were standardized and added to put the construct of psychological health into practice. Family interaction variables were measured with Family Adaptability and Cohesion Evaluation Scales-III (FACES-III), the Children's Report of Parent Behavior Inventory-30 (CRPBI-30), Parent-Adolescent Communication Scale (PAC), Family Satisfaction Scale (FSS), and the Family Environment Scale (FES). Multivariate analyses indicated that PH status was associated with several family variables, with cohesion emerging as a key dimension. Implications for counseling are discussed.     

Behavioral Repertoire of Families for Coping with Individuals with Hikikomori (Prolonged Social Withdrawal) in Japan1

This study aimed to examine the characteristics of families’ behavioral repertoires in hikikomori (prolonged social withdrawal) cases. We asked 243 parents of individuals with hikikomori (hikikomori group) to complete the Family Behavioral Repertoire Scale for Coping With Hikikomori (FBS-H), the Negative Evaluation of Hikikomori Scale, and a self-efficacy measure of coping with problem behaviors of hikikomori in order to develop the FBS-H and to examine its reliability and validity. Additionally, we examined the characteristics of hikikomori cases regarding the families’ behavioral repertoires using data from the hikikomori group and from 458 parents of individuals with no experience of hikikomori (control group). The results of the analysis indicated the acceptable reliability and validity of the FBS-H. The hikikomori group did not have lower FBS-H scores than the control group. This result indicates the possibility that a family's behavioral repertoire does not strongly influence the “expression” of hikikomori. Further research is needed to clarify the influence of families’ behavioral repertoires to refine family support.     

Long Term “Good” Marriages

ABSTRACT

Most studies investigating the key factors of a happy or healthy marriage have concentrated on the early stages of family life (Kaslow, 1981, 1982; Lewis, Beavers et al., 1976) and/or provided a general overview of “normal family processes” (Beavers, 1977; Walsh, 1982). Often they do not consider the variables which are associated with satisfaction in marriages of long duration. Therefore, the goal of (his article and the study of 20 couples married between 25 and 46 years that is discussed herein is to focus on long-term married couples who chose to stay together after their child rearing and launching years are likely to be over, in order to determine what the essential ingredients are for such longevity. It is hoped that the literature review plus the new material presented herein will help to expand the knowledge base on this topic.     

Therapists' perceptions of healthy family functioning

Abstract

For several decades family theorists, researchers, and clinicians have attempted to describe healthy and dysfunctional family functioning. The numerous articles and studies with this focus have been reviewed elsewhere (Riskin & Faunce, 1972; Jacob, 1975). Until recently a disproportionate amount of attention has been given to pathology. Several volumes in the past few years have tried to redress this bias by focusing primarily on healthy family functioning (Kantor & Lehr, 1976; Lewis, Beavers, Gossett & Phillips, 1976).     

Using circular questions to explore individual family member experiences of youth gender dysphoria in Australia

Abstract

Background: The number of young people reporting gender dysphoria is increasing worldwide, with gender dysphoria known to affect everyone in the family in unique ways. Previous research has highlighted the importance of family support and understanding; however, much less is known about individual and collective family member experiences, particularly for siblings under the age of 18?years.

Aims: This study sought to identify, describe and interpret individual family member experiences of youth gender dysphoria using semi-structured interviews, incorporating circular questioning, within a whole of family, clinical and wider social context.

Methods: Thirty-five individual family members living in Australia (nine young people aged 12-17?years experiencing gender dysphoria, 10 mothers, eight fathers, and eight siblings aged 11-17?years) were interviewed, exploring positive and negative experiences of youth gender dysphoria, within and outside of the family. Family relationships, support and healthcare experiences were also explored.

Results: All participants reported a mixture of positive and negative experiences of youth gender dysphoria. Levels of acceptance tended to change with the duration of transition, with most family members adapting with time. Siblings reported mixed experiences within the same family, with some struggling to adapt. Most family members felt that including the whole family in the healthcare of the young person was important, although dependent on individual circumstances and family context. Specialist gender care experiences were unanimously positive, although services were considered difficult to access.

Discussion: Family members reported shared and individual positive and negative experiences of youth gender dysphoria across social contexts. Accepting and facilitating gender transition for young people appeared to improve individual and family functioning. Most participants valued a whole of family approach within specialist healthcare. The use of circular questioning in the study helped dispel assumptions and facilitated curiosity for others’ experiences in the family.     

The Effectiveness of Couple Therapy

Abstract

Most theories and methods about couple dierapy are developed and tested in Anglo-Saxon countries. In this clinical study, we tested these theories and methods within a Swedish public health context. We assessed the outcomes of 131 couples (262 individuals) using the Dyadic Adjustment Scale (DAS) and the Family Climate (FC) survey. Initially, the couples displayed severe marital distress and a dysfunctional family climate. Both marital satisfaction and family climate improved considerably, which confirmed the effectiveness of these methods in a Swedish context.     

The Communities That Care (CTC) Family Attachment Scale: Measurement Invariance Across Family Structures

Familial protective factors are an integral part of prevention approaches aimed at problematic behaviour in adolescents. However, there is scarce evidence on the role of familial protective factors in families deviating from the two-parent family configuration. For evaluating targeted (preventive) interventions, a reliable and valid measurement of familial protective factors is crucial. We investigated the factor structure of the Communities That Care (CTC) Family Attachment Scale and tested its measurement invariance in different family structures. Adolescents (n?=?2.459, grades 6–11) from Lower Saxony, Germany filled in the German version of the CTC Youth Survey. Our analyses focused on the CTC Family Attachment Scale measuring the adolescent’s attachment to the mother and the father with six items. We evaluated the postulated unidimensional structure of the scale by confirmatory factor analysis (CFA) and tested the measurement invariance using multigroup factor analyses across different family structures (two-parent family/single-parent family). We used SPSS V.23 and the R packages lavaan and semTools. The two-factor solution for the CTC Family Attachment Scale with one factor representing attachment to the mother and one indicating attachment to the father had an adequate model fit in the total sample (χ²(5)?=?29.938; p?<?.001; CFI?=?.996; TLI?=?.988; RMSEA?=?.050, SRMR?=?.019). This two-factor solution of the CTC Family Attachment Scale showed strong measurement invariance regarding adolescents living in a two-parent family vs. those living with a single parent. The two-factor CTC Family Attachment Scale appears to be a suitable measure to assess family attachment in both two-parent and single-parent families with German adolescents.     

Preconceptional family health evaluation: A regional education program for family planning clients and health professionals

The Preconceptional Family Health Evaluation Program was a regional project developed and funded for 2 years by the New England Regional Genetics Group (NERGG) to educate family planning health professionals about genetics, and to offer family planning clients preconceptional identification of genetic and environmental exposure risks. To meet these goals, genetic education was provided on a regional basis to 45 family planning professionals. A self-administered family health risk questionnaire adaptable to individual family planning settings was developed. Five hundred and twenty-nine family planning clients voluntarily completed the questionnaire. Cigarette smoking (35%) and alcohol use (57%) were two major categories of risks identified. The Preconceptional Family Health Evaluation Program was well received by all participants and provided an effective means for regional education of family planning health professionals. As a result of the program, state program planners, clinical genetics services, and family planning health professionals developed a strong relationship that will serve future educational and genetic risk screening efforts.     

Family Members' Retrospective Perceptions of Intrafamilial Relationships

Parents and daughters in 21 families of women with borderline personality disorder (BPD), 23 women with restricting anorexia nervosa (AN), and 25 women without clinical histories (NC) responded to the Parental Bonding Instrument (PBI) and the Beavers Self-Report Family Inventory (SFI). On the PBI, BPD daughters' perceptions differed from both their parents' whereas AN daughters' perceptions differed from their mothers'. On the SFI, both groups reported less family health than their parents. On both instruments, nonclinical daughters' perceptions were congruent with the parents'. These findings have implications for researchers and therapists for integrating and utilizing the varying perceptions of family members.     

家庭功能对青少年情绪问题的作用机制

本研究以探索家庭功能发挥过程和发挥结果之间的关系并检验两者对青少年情绪问题的作用大小和机制为目的,采用Skinner等人编制的家庭评价量表(FAM,测量家庭功能发挥过程)和Olson编制的家庭适应性、亲密度量表(FACESⅢ,测量家庭功能发挥结果)、流调中心抑郁量表(CES-D)和焦虑自评量表(SAS)对422名中学生进行匿名问卷施测,通过相关分析、分层回归和结构方程模型统计分析发现:(1)总体上青少年的情绪处于良好状态;(2)家庭功能发挥过程和发挥结果各变量之间呈显著相关;(3)家庭功能发挥过程比家庭功能发挥结果对青少年情绪问题预测作用更大;(4)家庭功能发挥结果是家庭功能发挥过程与青少年情绪问题的部分中介变量。     

Overt and Covert Coparenting Processes in the Family

This article introduces a new self-report instrument designed to measure the frequency of parental behaviors thought to promote or undermine children's sense of family. Members of 103 married couples rated their behavior in both public (all family members present) and private (alone with child) contexts. Factor analyses of these data revealed four distinct factors indexing: behaviors in the service of promoting a sense of Family Integrity; largely covert parent-to-child communications undermining, or conveying Disparagement of, the coparental partner; overt interparental Conflict in the presence of the child; and coparental disciplinary activities (Reprimand). Significant husband-wife correlations were found on each of the four individual subscales. Construct-specific intercorrelations also obtained between like scales on the new measure and on the Family Environment Scale and Quality of Coparenting Scale. Cluster analyses of husbands' and wives' scores on the four Coparenting Scale factors suggested five “types” of coparenting families: Disconnected, Supportive, Average, Distressed-Conflicted, and Passionate. These clusters, along with the value of self-report instruments in assessing coparenting behaviors that may be largely clandestine in nature, are discussed.