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ObjectiveTo examine the current status of preschoolers' eating behaviors and investigate its correlation with family cohesion and adaptability. MethodsA cross-sectional study was conducted involving 21，954 preschoolers and their families from Pingshan District， Shenzhen， between September 2021 and December 2021. A general demographic questionnaire， the Chinese version of Family Adaptability and Cohesion Evaluation Scale Ⅱ （FACESⅡ-CV） and Chinese Preschoolers’ Eating Behavior Questionnaire （CPEBQ） were used to collect the relevant information. Multiple linear regression was used to analyze the association of family cohesion and adaptability with eating behaviors of preschoolers. ResultsTypes of family cohesion and adaptability were significantly correlated with all the 7 dimensions of preschoolers' eating behaviors， including food fussiness （R2=0.252， F=114.457， P<0.001）， food responsiveness （R2 = 0.111， F =24.973， P<0.001）， eating habit （R2= 0.304， F =139.658， P<0.001）， satiety responsiveness （R2 = 0.259， F =105.332， P<0.001）， external eating （R2 = 0.182， F =50.150， P<0.001）， emotional eating （R2 = 0.234， F =91.084， P<0.001） and initiative eating （R2 = 0.349， F =168.608， P<0.001）. After adjusting for confounding factors， our study showed that types of family cohesion and adaptability were independent predictors of preschoolers' eating behaviors （P<0.05）. ConclusionsTypes of family cohesion and adaptability have a significant predictive effect on the 7 dimensions of preschoolers' eating behaviors. Higher scores of family cohesion and adaptability imply stronger initiative eating ability and less poor dietary behaviors in preschoolers.
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Antecedentes: Vivir con una persona portadora de lesión medular afecta al entorno y su medio, sobre todo por el grado en que el paciente depende de los familiares. El presente estudio, descriptivo comparativo, examinó la asociación entre las variables clínicas y adaptabilidad y cohesión familiar en pacientes con Lesión Medular. Método: Se utilizó la Escala de evaluación de la cohesión y la adaptabilidad familiar de D. Olson - FACES III. La muestra estuvo constituida por 100 pacientes del Instituto Nacional de Rehabilitación, en su mayoría varones (77%). Resultados: No se evidenciaron diferencias estadísticamente significativas de cohesión y adaptabilidad familiar en cuanto a las variables clínicas (etiología de la lesión, nivel de la lesión, tipo de lesión y tiempo de evolución). Se encontró un tamaño del efecto pequeño en cuanto a adaptabilidad familiar y tiempo de evolución de la lesión (d = 0.36). Conclusión: Inicialmente, las familias, que conviven con un paciente con lesión medular, presentan dificultades respecto a la cohesión y adaptabilidad familiar. Sin embargo, al transcurrir el tiempo, las familias tienden a adaptarse a una nueva condición.
Background: Living with a person with a spinal cord injury affects the family environment and context, especially due to the degree to which the patient depends on the family members. The present study, descriptive and comparative, examined the association between the clinical variables to family functioning in patients with Spinal Cord Injury. Method: The sample was constituted by 100 patients of the National Institute of Rehabilitation, most were males (77%). Results: There were no statistically significant differences in family cohesion and adaptability in terms of clinical variables (etiology of the lesion, level of the lesion, type of lesion and time of evolution). A small effect size was found in terms of family adaptability and time of evolution of the lesion (d = 0.36). Conclusion: Initially, families, who live with a patient with spinal cord injury, present difficulties regarding family cohesion and adaptability. However, as time goes by, families tend to adapt to a new condition.
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Objective To explore the path and effect of family cohesion, family adaptability and health remind on health behavior improvement of chronic disease patients, so as to provide evidences for the family-centered chronic disease management. Methods Data of all 1 134 patients with chronic diseases was selected from the national sample survey database. t-test was used to compare family cohesion, family adaptability, health remind and health behavior improvement between different groups, and Pearson correlation was used to analyze the correlation between variables. In the process of path analysis, parameters were estimated by maximum likelihood. Results Among the 1 134 chronic diseases patients, male accounted for 41.4%, and female accounted for 58.6%. The average age of participants was (53.6±10.0) years old. The score of health behavior improvement was (1.89±1.20). Path analysis showed that family cohesion had indirect effects on behavior improvement (effect size=0.072); family adaptability had both direct and indirect effects on behavior improvement (effect size=0.156); Health remind had direct effect on behavior improvement (effect size=0.357). Conclusions The high-level family cohesion and adaptability can improve patients’ health behavior by improving the health remind. It is suggested that family-centered health management services for chronic disease patients should emphasize the participation of family members as well as the improvement of family function.
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ObjectiveTo investigate the status of benefit finding in diabetic patients,and mediating effect of resilience between family support and benefit finding in diabetic patients.MethodsFive hundred and thirteen diabetic patients from a hospital of Harbin were recruited as investigative subjects from September 2015 to June 2016.The resilience scale,family adaptability,cohesion scale and benefit finding scale were used in the study.ResultsThe scores of benefit finding,resilience and family adaptability and cohesion were 55.67±12.87,70.65±10.39 and 104.25±15.38,separately.The total score of family adaptability and cohesion was positively related to the total score of benefit finding(r=0.389,P<0.05).The total score of resilience was positively related to the total score of benefit finding(r=0.155,P<0.05).The total score of family adaptability and cohesion was positively related to the total score of resilience(r=0.112,P<0.05).Benefit finding as the dependent variable,the results of hierarchical regression analysis indicated that family adaptability and cohesion (β=0.382,P<0.01),resilience(β=0.098,P<0.01)entered the regression equation.There was a partial mediating effect of resilience between family support and benefit finding in diabetic patients.The mediating effect was 0.011,accounted for 2.8% of the total effect.The resilience was the important protective factor for benefit finding.ConclusionFamily support has a direct influence on benefit finding and an indirect effect mediated by resilience on benefit finding.
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Objective To investigate the correlation between family cohesion and adaptability and quality of life in patients with enterostomy. Methods Using Chinese version of Family Adaptability and Cohesion Scale (FACESⅡ-CV) and Chinese version of Stoma-Quality of Life (STOMA-QOL-C) to investigate the status of family cohesion and adaptability, family type and their impact on quality of life of 110 patients with enterostomy. Results Scores of family cohesion and adaptability averaged 59.15 ± 11.94, 47.32 ± 9.40,were significantly lower than 63.90 ± 8.00 and 50.90 ± 6.20 in the norm,and the difference was statistically significant (t=-4.171,-3.990, P<0.01).The family cohesion was positively correlated with the score of quality of life, social interaction and psychological burden(r=0.274, 0.284, 0.263, P<0.05), and the family adaptability was positively correlated with the score of quality of life,social interaction and psychological burden(r=0.316, 0.338, 0.228, P<0.05 or 0.01). The balance type family was 30 cases;scores of quality of life averaged 45.10±7.26, the intermediate type family was 50 cases;scores of quality of life averaged 43.48±9.98, the extreme type family was 28 cases;scores of quality of life averaged 43.37 ± 16.68, and difference between the three was no statistically significant(F=0.442, P=0.665). Conclusions In the nursing process of patients with enterostomy, health care workers should pay attention to improve family cohesion and adaptability, as to achieve the purpose of improving the quality of life of the patients.
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Objective To investigate the correlation of self perceived burden, family cohesion and adaptability in advanced cancer patients. Methods The Chinese version self perceived burden scale (SPBS), Chinese version of family cohesion and Adaptability Scale (FACES-CV) were used to investigate 139 cases of patients with advanced cancer, and to analyze their correlation with family cohesion and adaptability compared with the norm. Results Patients' self perceived burden score (35.83 ± 5.59) points in the moderate level. The 3 dimensions of the item score from high to low was economic burden (4.12 ± 0.86), body burden (3.63 ± 0.53), emotional burden (3.49 ± 0.63); survey of patients with family cohesion and adaptability, intimacy score (67.96 ± 9.35) points, the ideal intimacy score (83.68 ± 6.05), satisfaction score (15.71 ± 9.39) points, were higher than the national norm, the actual adaptability score (48.00 ± 6.92) and ideal adaptability score (56.47 ± 4.99) points lower than the national norm, the difference was statistically significant (P<0.01 or 0.05). Patients' self perceived burden score and intimacy was negatively correlated (r=-0.186, P<0.05), and positively correlated with intimacy satisfaction (r=0.175, P<0.05). Regression analysis, gender (B=0.236, P<0.01), family medical burden (B=0.183, P<0.05), actual family cohesion (B=-0.111, P<0.05) was the influencing factors of patients' self perceived burden. Conclusions The burden of self perception in advanced cancer patients is closely related to family cohesion and adaptability. It is suggested that the medical staff should pay attention to the family psychological intervention and provide emotional connection for the patients and their families, so as to reduce the negative emotion of the patients with advanced cancer.
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Objective To explore the characteristics of family functioning between parents and adolescent and the association of adolescents' self-esteem,and depression.Methods Data were collected from reports of 257 middle school students and their parents in Shanghai,and by self-evaluation questionnaires including the depression scale,the self-esteem scale,and the family adaptability and cohesion scale.Results ①Adolescent perceived more negative than parents in the family adaptability (69.02 ± 11.49),(70.60± 9.60) and cohesion (43.84 ± 9.25),(46.56±7.86),and the difference in family adaptability were significant (t=4.064,P＜0.01).② Adolescents' self-esteem positively related to their family cohesion(r=0.525) and adaptability (r=0.427,P＜0.01),while depression negatively related to family cohesion(r=-0.565) and adaptability (r=-0.475,P＜0.01).③Students in families with high adolescent-parent perceptual differences in family functioning showed more depressive symptom,lower level of self-esteem than those in low adolescent-parent perceptual differences,and the difference were significant (P＜0.05).Conclusion Adolescents' self-esteem,depression symptoms are significantly related to their familyadaptability and cohesion,the adolescent-parent perceptual differences in family functioning may also affect adolescents' psychological well being.
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The purpose of this study is to analyze how family systems influence adolescents' suicidal ideation. The participants were 534 adolescents (51.1% female and 48.9% male), with ages ranging from 14 to 18 years (M=16.18; SD=1.14). The instruments used were the following: Family Adaptability and Cohesion Evaluation Scale, Psychological Separation Inventory and Questionnaire of Suicidal Ideation. Results have shown that adolescents with higher suicidal ideation belong to the so-called unbalanced families (with low cohesion and flexibility) and have a conflictual dependence to their parents. On the other hand, adolescents that belong to balanced families revealed lower suicidal ideation. In conclusion, the family's cohesion and flexibility are protective factors against adolescents' suicidal ideation.
O objetivo deste estudo é analisar de que forma o funcionamento familiar influencia a ideação suicida na adolescência. Para tal, analisámos a coesão e adaptabilidade familiar, assim como a independência conflitual. Participaram neste estudo 534 adolescentes (51,1% raparigas e 48,9% rapazes), com idades compreendidas entre 14 e 18 anos (M=16,18; DP=1,14). Os instrumentos utilizados foram: Escala de Adaptabilidade e Coesão Familiar; Inventário Separação Psicológica e Questionário Ideação Suicida. Os resultados mostraram que os adolescentes com maior ideação suicida pertencem a famílias desequilibradas (coesão e adaptabilidade baixa) e têm uma forte dependência conflitual a ambos os pais. Os adolescentes pertencentes a famílias equilibradas revelaram menor ideação suicida. A coesão e a capacidade adaptativa da família são fatores protetores da ideação suicida.
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Humanos , Masculino , Femenino , Adolescente , Familia/psicología , Ideación Suicida , Relaciones FamiliaresRESUMEN
Objective To study the influence of the professional family intervention on cohesion and adaptability of breast cancer patients.Methods One hundred and twenty-eight breast cancer patients were randomly divided into control group and intervention group in equal number.The control group was given conventional nursing and the intervention group interventions including nursing instruction for their families and caregivers,mental instructions,and regular follow-ups in terms of life and rehabilitative instructions.A Family Adaptability and Cohesion Scale(FACESII-CV)was used for assessment before and after intervention.Result After intervention,the score on cohesion and adaptability of the intervention group were significantly higher than those of the intervention group before intervention and the control group(P<0.05).Conclusion The professional family interventions can effectively improve the family cohesion and adaptability of breast cancer patients.
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Objective To investigate the relationship between family cohesion and adaptation and the anxiety and depression level of parents of children with congenital heart disease after surgery.Methods 302 parents of children with congenital heart disease and 330 parents in child health care clinic were conveniently selected and investigated with Hospital Anxiety and Depression Scale (HADS).And Family Cohesion and Adaptation Questionnaire (FACES Ⅱ-CV) was applied to investigate the former.Results The mean score of the anxiety and depression level of parents of children with congenital heart disease was higher than that of the parents in child health care clinic.The difference was significant.The score of anxiety and depression of parents of children with congenital heart disease was significantly correlated with dissatisfaction of family coherence and adaptation; while negatively correlated with real family cohesion and adaptation.Multiple linear regression showed that real family adaptation,dissatisfaction of family adaptation were influential important factors of parents' anxiety.Dissatisfaction of family adaptation was also the influential important factors of the parents' depression.Conclusions The anxiety and depression of parents was above the average level,we must pay more attention to improve it,make full use of the function of families,and to improve their anxiety and depression condition.
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Objective To investigate the influence of internet addictive disorder(IAD) patient' s family cohesion and adaptability effect with Satir family therapy.Methods According with table of random number,the patients (n =120) with IAD were divided into two groups,test group with the 60 patients and the control group with 60.All of subjects were given Linyi mental health center conventional interventions,test group with satir family therapy and the control group without the therapy.Measurements with the addiction self-test scale and the family cohesion and adaptability scale for five months before and after the intervention.The differences of the two groups were analyzed,and then the correlation analysis were used.Results After the intervention of the test group with Satir family therapy,compared to control group,the IAD score (54.28 ± 4.69) and family ideal cohesion (74.64 ±3.22),real cohension (70.42 ± 3.66),ideal adaptability (54.08 ± 5.78),cohesion dissatisfaction degree (5.07 ±1.64) and adaptability dissatisfaction degree (2.23 ± 0.85) score were all had statistically significant (P ＜ 0.05 or 0.01).IAD score,ideal cohesion,real cohension,ideal adaptability and real adaptability score,before and after the intervention between the control group and the test group had statistically significant (P ＜ 0.05 or 0.01).Conclusion The Satir family therapy can improve family cohesion and the adaptability,and also effectively improve the parent-child relationship.
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Objective A intervention study was conducted with systemic health education in patients with internet addiction disorder (IAD),and evaluate the intervention effect of systemic health education.Methods 120 patients with IAD were collected,and then divided into the observation group andthe control group with 60 cases in each group.On the base of conventional treatment,the observation groupwas given systemic health education,and the control group was given general health education.The differences between the two groups were analyzed.Results The self-evaluated addiction scores,family cohesion scores,ideal adaptability scores,reality adaptability scores in the observation group before the intervention were significantly different from those after the intervention.The addiction scores,family cohesion scores,ideal adaptability scores,reality adaptability scores in the observation group were significantly different from those of the control group after the intervention.The scores of addiction ranged between 86～90,systemic health education had protection effect on IAD,the higher family cohesion scores,the better effect of IAD with systemic health education.When the ideal adaptability scores ＞46,the observation group has approximately two times the positive effect of the control group.When the reality adaptability scores ＞46,the effect of systemic health education in the observation group was better than the control group.Concl~ons Systemic health education has a positive effect on treatment of IAD,and it can improve family cohesion and family adaptability,so that the parent-kid relationship will improve.
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@#ObjectiveTo investigate the relationship between family cohesion, family adaptability and perceived social support.Methods400 college students of grade 2004 from 4 different colleges of Ningbo were tested with the FACESⅡ-CV and perceived social support scale. Results and ConclusionFamily cohesion and adaptability significantly positively correlated with perceived family support and social support. There was no significant correlation between perceived family support and dissatisfaction with family cohesion, while perceived family support significantly negatively correlated with family adaptability. In family adaptability, dissatisfaction with family cohesion and family adaptability, there were significant differences among students from different level colleges. In perceived family support, there were no significant differences among students from different college. In family cohesion, female students scored higher than male, but showed no significant differences in family adaptability. In perceived family support and social support, female students had higher scores than male were. In family cohesion and perceived family support, fathers' education background but not mothers' had significant main effect. In family cohesion, family adaptability and perceived family and social support, there were no significant differences between students from cities or countries.
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OBJECTIVES: The objective of this study is to clarify the family environments, parent-adolescent communication, family violence, parental conflict, parental alcohol drinking that contribute to internet use of adolescent. METHODS : Subjects were middle and high school students in Gang-seo gu, Seoul city (N=998). Self-rating questionnaire included demographic data, internet addiction scale, family adaptability cohesion evaluation scale III, parent-adolescent communication inventory, conflict tactics scales 2 and children of alcoholics screening test. RESULTS : 1) There were statistically significant differences in CAST, family violence, communication between family members and family adaptability cohesion scale between addicted group and non-addicted group. 2) Most significantly correlated variants for internet addiction were problematic communication of parents and psychological aggression. 3) Multiple regression analysis showed that problematic communication of parents, psychological aggression and CAST could explain 10.1% of internet addictions. CONCLUSION : This study was designed specifically to focus on the various domains of adolescents' family environment that may influence the overuse of internet. It proved that moderate level of adaptability, cohesion and open communication in a parentchild relationship can prevent the overuse of internet. On the other hand, aggressive language spoken between the two parents and their alcohol abuse can aggravate the overuse of internet.
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Adolescente , Niño , Humanos , Agresión , Consumo de Bebidas Alcohólicas , Alcohólicos , Alcoholismo , Violencia Doméstica , Conflicto Familiar , Mano , Internet , Tamizaje Masivo , Padres , Encuestas y Cuestionarios , Seúl , Pesos y MedidasRESUMEN
@# ObjectiveTo investigate the family adaptability, cohesion and their relationship with symptoms of chronic outpatients with schizophrenia.Methods51 outpatients with schizophrenia were assessed with Family Adaptability and Cohesion Scales, Second Edition, Chinese Version(FACE II-CV) and Positive and Negative Syndrome Scale(PANSS ).ResultsThe level of family adaptability of chronic outpatients with schizophrenia was lower than that of the normal control(u<0.05 or u<0.01);the ratio of the balance category of family decreased significantly and that of the extreme category of family increased significantly;the score of real cohesion negatively correlated with scores of PANSS, Positive Subscale and General Psychopathology Subscale (P<0.05);the score of real adaptability negatively correlated with score of Positive Subscale (P<0.05). ConclusionsFamily adaptability and cohesion of outpatients with schizophrenia close correlate to symptoms of chronic outpatients with schizophrenia and level of family adaptability decreases.
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BACKGROUND: The family, which is the basic unit of society, is a determinant of a persono health behavior and a unit of analysis of health behaviors. The purpose of this study was to identify the relationship of the health lifestyle profile and health status in families. METHODS: The subjects were 286 families with teenagers enrolled in the second and third year of a high school in Seoul. The measurement tools were FACES III for family functioning, C.M.I. for health status of family members, and health lifestyle profile which is based on the areas of assessment of family health-related lifestyle. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and multiple regression analysis. RESULT: There were significant differences in health lifestyle of families according to parentsoeducation levels, mothersooccupations, agreement of family membersoreligions, family income, family size and family system. Families with higher mean family cohesion and adaptability scores showed higher scores of health lifestyle profile score (P=0.000). Families with higher mean family cohesion and adaptability scores showed lower percentages of family members who drink alcohol more than three times a week (P<0.05). Families with higher mean family cohesion scores showed lower percentages of family members who smoke currently (P=0.001). The higher percentage of family members who drink alcohol more than three times a week (P=0.000) and the higher percentage of family members who smoke currently (P=0.006) showed lower health status. The percentage of family members who drink alcohol more than three times a week was the only variable (P=0.003) which could predict the health status of family members. CONCLUSION: From the results of this study, increasing the familyo ability to fulfill its function and to participate in healthy lifestyle would facilitate promotion of health status in family members.
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Adolescente , Humanos , Composición Familiar , Conductas Relacionadas con la Salud , Promoción de la Salud , Estilo de Vida , Seúl , HumoRESUMEN
Las escalas de evaluación construidas con ítems tipo Likert son hoy instrumentos frecuentemente empleados para la exploración de variables familiares. En el campo de la drogadependencia, el estudio de tales variables resulta de especial relevancia. El objetivo del trabajo es presentar los resultados obtenidos con la Escala de Evaluación de Adaptabilidad y Cohesión Familiar (FACES III; Olson y cols., 1985) en familias de drogadependientes. Se trabajó con 32 familias con un miembro drogadependiente y 32 familias controles. Los datos fueron analizados con pruebas de diferencia entre medias y entre proporciones, análisis de varianza y de correlación. Se observa la capacidad del instrumento para discriminar entre familias de drogadependientes y familias controles, y entre familias de drogadependientes en una primera fase del tratamiento y familias de drogadependientes en una segunda fase del mismo. Se discute la posibilidad de aplicar estos conocimientos al diagnóstico y tratamiento de familias de drogadependientes.
Evaluation scales elaborated with Lykerts items are today frequently used as instruments to explore family variables. In drug dependence´s field, these variables are of special relevance. The purpose of the work, is to present the results obtained with the Family Adaptability and Cohesion Evaluation Scale (FACES III; Olson y cols., 1985) in drug dependents´ families. We worked with 32 families with a drug dependent member and 32 control families. Data were analyzed with tests of differences between means and proportions, correlacional analysis and one-way ANOVA. The instrument shows its capacity to discriminate between drug dependents families and control families, and drug dependents´ families from the first phase of treatment and drug dependents´ families from the second phase of it. Implications for the work with families with a drug dependent member are examined.