Impact of Psychoeducational Interventions on Distressed Family Caregivers

This study compared the effectiveness of two active interventions to a waiting-list control condition to reduce depression and burden and increase use of adaptive coping strategies in family caregivers (N = 161) of physically and/or cognitively impaired older adults. Chi-square analysis of change in depression status from pre- to postintervention showed a higher percentage of improvement among participants in the increasing life satisfaction psychoeducational condition compared to the improvement rate in either the problem-solving psychoeducational class or the wait-list condition. Change in coping strategies and subjective level of burden also differed by group, with participants in the class conditions reporting more frequent use of cognitive or behavioral coping strategies, and less subjective burden, from pre- to postintervention. There was no change in either avoidant coping or perceived stress over time. Results show that intervention programs targeted to improve specific coping skills and psychological symptoms can have a significant impact on caregivers' distress.     

初中生的亲子沟通及其与家庭环境系统和社会适应关系的研究

本文比较了父母在亲子沟通上的差异 ,并用结构方程模型分析方法探讨了家庭环境系统中各因素的因果关系。结果表明 :( 1 )初中生的亲子沟通没有年级差异 ;初中生在与父亲的沟通内容上、与母亲的沟通时间和态度上存在性别差异。 ( 2 )父母教育水平对亲子沟通的直接影响很小 ,它主要通过对家庭结构的影响而对亲子沟通施加影响。父母与孩子长期形成的亲子关系质量影响父母与孩子的沟通状况 ;家庭结构影响父亲与孩子的沟通 ,而很少影响孩子与母亲的沟通。 ( 3 )家庭功能对亲子沟通也具有影响力。其中 ,情感反应既影响父子之间的沟通质量也影响母子之间的沟通 ,总的家庭功能影响母子之间的沟通质量 ,而不影响父子之间的沟通。 ( 4 )亲子沟通质量直接影响学生的同伴关系、心理健康和学业成绩。     

家庭亲子沟通与儿童发展关系

该文在回顾亲子沟通研究的发展历史的基础上,综述了亲子沟通对儿童的社会性发展、性行为以及其他行为问题如饮酒、药物滥用、反社会行为等的影响以及亲子沟通与儿童自尊、自主性、自我效能感等之间的相关关系;此外,阐述了家庭结构、家庭满意度对亲子沟通的影响和亲子沟通的跨文化差异。     

Externalizing problems and problematic sexual behaviors: same etiology?

The study sought to determine whether maltreatment subtypes, family sexuality, and personal characteristics predicted and distinguished child problematic sexual behaviors (PSB) and externalizing problems (EP). Participants were families of 188 children, 6–11 years old, referred by child welfare services in four Quebec districts. Caregivers completed interviews and questionnaires. Results suggested that family environment and maltreatment subtypes had partially different impacts on PSB and EP. When EP and gender were controlled, younger children in a sexualized family environment and those verbally victimized were more likely to exhibit PSB. When PSB and gender were controlled, verbal abuse and neglect emerged as predictors of EP. Potential implications for child PSB research and interventions are discussed. Aggr. Behav. 36:358–370, 2010. © 2010 Wiley‐Liss, Inc.     

Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: the SCORE

There is a need for a measure of outcome in systemic family and couples therapy (SFCT) that reflects current theory and practice. To meet the needs of SFCT practice the measure needs to use self‐report by family members, take a short time to complete and be easy to understand. The development of such a measure, called the SCORE, is reported in this article. Substantial piloting, consultation and review in terms of clinical judgement led to the construction of the SCORE 40 which has forty items about how the family functions, rated by family members over 11 years of age on a Likert scale, in addition to independent ratings of the family and its difficulties. The SCORE 40 is shown to be a viable instrument but is too substantial for everyday clinical use. In a research project to reduce and refine the measure and determine its psychometric properties the SCORE 40 was administered to 510 members of 228 families at the start of their first appointment for family therapy at clinics throughout the UK. The scale has good psychometric properties and could operate with either three or four dimensions. The analyses of these data, combined with data from a convenience sample of 126 non‐clinical families, allowed a reduction to fifteen items while retaining most of the information provided by the SCORE 40. This version is offered with three dimensions of: (1) Strengths and adaptability; (2) Overwhelmed by difficulties; and (3) Disrupted communication. It is hoped that the ready availability of the SCORE 15 will encourage routine evaluation of outcomes in clinics as well as the SCORE being used flexibly for both therapy and research.     

Predictors of Partner Engagement in PTSD Treatment

A telephone survey was conducted to identify predictors of treatment engagement in 83 cohabitating female partners of 83 Vietnam theater veterans with combat-related post-traumatic stress disorder (PTSD). The survey assessed veterans for their trauma history and PTSD symptoms. Partners were assessed for caregiver burden, patient–partner involvement, PTSD treatment engagement, self-efficacy relating to PTSD, beliefs about benefits of PTSD treatment, and PTSD treatment barriers. Significant predictors of partner PTSD treatment engagement were the couple’s income, patient–partner involvement, and partner caregiver burden. These findings have implications for family interventions that may increase partner PTSD treatment engagement and improve PTSD treatment outcome.     

Gender differences in the intention to react to aggressive action at home and in the workplace

This study explored gender differences in escalatory tendencies, defined as individuals' intentions to react when faced with the prospect of potential aggression from others. The escalatory tendencies are based on an interaction unit of analysis, which is a proxy representation of behavioral intention from planned behavior theory. This study consists of a convenience sample of 264 male and female participants who were asked to report their escalatory tendencies following verbal and physical forms of aggression committed by various hypothetical offenders, including their intimate partner at home, as well as the men and women at work who are in higher, lower, or equal positions. The main findings support the assumptions that escalatory tendencies toward verbal aggression are higher than those toward physical aggression; that escalatory tendencies at work are higher toward lower status workers than toward those of higher status; that escalatory tendencies within the same gender are higher than between genders; and that women tend to escalate more against their spouses than do men. The findings emphasize the importance of studying aggression and escalatory tendencies in context. Aggr. Behav. 32:1–9, 2006. © 2006 Wiley‐Liss, Inc.     

Work and Family Conflict: An Often Overlooked Issue in Couple and Family Therapy

Despite the systemic interaction, family-based journals, as well as intake and assessment forms most frequently used by couple and family therapists (CFTs), have given a limited amount of attention to the issue of work and family conflict. Moreover, a review of the literature indicated that many CFTs perceive themselves as inadequately prepared to assist couples and families with work and family conflict. Addressing this apparent limitation, the present study identified various work stressors that contributed to family conflict (WFC), and the family stressors that contributed to work conflict (FWC). Results revealed significant predictors of WFC and FWC. Implications for CFTs and recommendations for changes in academic training and supervision are provided. The authors would like to thank Dr. Gary Bischof, Associate Professor of Counselor Education and Marriage and Family Therapy program Director at Western Michigan University, for editorial comments made on a previous version of this paper.     

The health of employed women and men: work,family, and community correlates

Research into clarifying the relationship between social roles and health has increasingly focused on studying the particular circumstances in which occupying multiple roles may enhance or diminish well‐being. This study examined the association between a general measure of well‐being—self‐rated health—and the perceived quality of work, family and community in a sample of employed urban‐dwelling Canadians in a mid‐size city, and whether the nature of the association differed for men and women. Few gender differences were found in the perceived quality of work, family and community. However, men and women differed significantly in the specific type of quality measures associated with general health. For women, satisfaction with one's partner/spouse and in the money available to meet basic family needs had a stronger association with self‐rated health. For men, the significant correlates were satisfaction with family relationships (other than one's partner) and the community physical environment. For both women and men, a more socially cohesive community was associated with better self‐rated health. Copyright © 2006 John Wiley & Sons, Ltd.