Families Systems & Health最新文献

The Milbank query assumes that there is evidence that integrated behavioral health works and saves money (Nguyen et al., 2025). If so, we need to define the statement more clearly. The core question has been asked for quite a while. Miller and Kessler asked 20 years ago: "What behavioral health intervention in primary care delivered by what type of organization, personnel, and duration, generates what outcomes, clinically and financially, for which patients?" (Miller et al., 2011). Since that time, there have been multiple innovators and practices who have moved the field ahead. We suggest that while these early adopters have made great progress, the field has not generally progressed to the point where the elements of the question have been satisfactorily adopted or answered, and, as Butler et al. (2008) suggested almost 20 years ago, orthodoxy about the utility of behavioral health integration was premature. We maintain that this was true then, and much of it remains true now. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Introduction: In 2022, Families, Systems, & Health (FSH) issued a statement of purpose to equity, diversity, and inclusion (EDI) and developed a strategic plan for promoting EDI in scientific communication and publishing. The purpose of this review was to evaluate a decade of research published in FSH prior to the journal's initiatives to improve EDI.

Method: We utilized a scoping review to broadly review literature published in FSH that focused on topics of race, ethnicity, racism, and/or BIPOC (Black, Indigenous, and people of color) groups. All research studies published in FSH between 2012 and 2021 were independently assessed by two reviewers for inclusion. Charting of data from each study was based on a diversity accountability index.

Results: Of the 360 research studies identified, 41 were included in the review. Characteristics and frequencies of keywords, research designs, and samples among the included studies were examined, alongside the reporting of results that focused on the differences between racial/ethnic groups and within BIPOC groups.

Discussion: Research focused on race, ethnicity, racism, and diversity science is not well represented among published studies in FSH prior to the implementation of the above-described EDI efforts. Among articles that did focus on these topics, comparisons largely were of a racial/ethnic minority sample to a White sample. Action steps for FSH and other journals wishing to promote EDI include a thorough examination of current journal review procedures paired with the establishment of procedures for combatting bias and racism. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

In this brief article, the author recounts how her mother experienced pain-induced delusions and bodily dysfunctions as cancer wracked her body. This new phase in palliative care was challenging her mental health training and her dad's infinite patience, but they knew it was not her fighting them. It was the cancer. For the mother's remaining months before her mother died, the author and her dad would whisper-sing "Kill the wabbit!" as their code for (a) everything would be okay, (b) it may be time to switch strategies, (c) you are not alone, or (d) make each other laugh when there was no time for tears. This grew more important as her mother's body and mind withered before their eyes. Despite the support of the palliative care team and the flexibility of the author's doctoral committee and her bosses, who allowed her to defend and work remotely, it could be isolating. As someone who trains others to seek help, being a caregiver for a loved one with cancer provided the author a unique insight into how challenging it could be to reach out for support. In the past two and a half years, she and her dad have worked to develop an adapted relationship reflecting their respective "new normal," and they have become close again. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Introduction: There is a paucity of information about the quality of life in mothers during their adolescent-young adult's transition to adulthood. To ensure family-centered care throughout the lifespan, this research seeks to gain a better understanding of the influence of Type 1 diabetes on the mother's quality of life during their adolescent-young adult's transition to adulthood.

Method: In this convergent parallel mixed methods study using the Family Management Style Framework, a sample of 72 mothers of adolescent-young adults (15-25 years) completed measures of social support, diabetes distress, and Type 1 diabetes health-related quality of life. From this sample, 12 mothers participated in interviews to further characterize the influences of Type 1 diabetes on mothers during the transition to adulthood.

Results: Mothers reported continued Type 1 diabetes-related distress related to lack of control of diabetes management, disrupted sleep patterns, and lack of support. Type 1 diabetes health-related quality of life was positively associated with perceived social support (τb = .194, p < .024) and negatively associated with diabetes distress (τb = -.629, p < .001).

Discussion: Despite the significance of their role during the adolescent-young adult transition to adulthood, the needs of mothers during this time have been largely ignored in extant research. Isolation, lack of control, and disrupted sleep led to increased Type 1 diabetes distress and diminished quality of life for mothers during this time. This study highlights the long-term consequences of Type 1 diabetes on mothers and emphasizes the need for continued professional support for mothers during the transition to adulthood. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Background: Black women in the United States experience higher rates of adverse maternal and birth outcomes (e.g., depressive symptoms and preterm birth), influenced by social and psychosocial factors including mother-father relationship quality. Existing measures of relationship quality often overlook the unique dynamics within Black families, requiring a more nuanced approach.

Objective: This study aims to contextualize the multidimensional nature of relationship quality between pregnant Black women and the fathers of their babies.

Method: Using a cross-sectional design, we analyzed data from 405 women enrolled in the Biosocial Impacts on Black Births study. Participants completed questionnaires at 19-29 weeks gestation on six indicators of relationship quality: frequency of contact, frequency of father's involvement during pregnancy, relationship before and during pregnancy, support, and conflict. Latent class analysis was used to identify a construct of relationship quality.

Results: Three distinct classes of relationship quality were identified: "no relationship," "conflictual relationship," and "good relationship." Sensitivity analyses showed that while marital or cohabitation status was highly correlated with both the relationship indicators and identified classes, its inclusion as an additional indicator did not alter classification in the latent class model. These classes highlight the intricacies of relationship dynamics, which may be specific to Black families.

Conclusion: This study underscores the importance of considering the multifaceted context of relationship quality, which is essential for designing culturally informed public health strategies or interventions. The implications of our findings are significant for both research and clinical interventions aimed at improving birth outcomes for diverse populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Introduction: Familism varies across cultures, with some societies placing greater emphasis on family ties and obligations than others. Despite its variability, the precise impact of familism on psychosocial functioning remains inconclusive and requires further exploration to clarify its effects in different cultural contexts. Understanding the role of familism in a cross-cultural context can help health care providers enhance patient care by considering familial influences on mental health and well-being.

Method: This study used World Values Survey data (Wave 7) to investigate familism's effects on psychological well-being, physical well-being, and life satisfaction across 48 countries. Hierarchical linear models were employed to analyze data from 69,578 adult participants (52.4% female, M_age = 42.59, SD = 16.28). The study examined the relationship between familism and well-being outcomes, with consideration of urbanization and individualism as moderators.

Results: Findings revealed a positive association between familism and well-being outcomes, indicating potential universality in this relationship across cultures. Urbanization and individualism did not significantly influence the relationship between familism and well-being, suggesting its stability across different societal contexts.

Discussion: These results suggest that familism may have universal benefits for well-being, as it fosters connections within families, providing individuals with a sense of purpose and meaning in life. This is particularly significant in the contemporary context of shrinking household sizes, epidemic of loneliness, and increasing social isolation. Integrating insights on familism can help health care providers better support patients and improve mental health and well-being. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Integrated care teams require both collaboration and the ability to navigate conflict. When teams lack the needed tools to repair ruptures, cohesion and care can begin to erode. In his work, the first author of this President's Column (Jason Herndon) has found the relational frameworks of Nonviolent Communication and Crucial Conversations invaluable. In this column, the two authors provide a roadmap to managing conflict through the spirit of integrated care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Introduction: Osteogenesis imperfecta (OI) describes a group of rare, heritable bone disorders causing bone fragility, tendency to fracture with minimal trauma, and chronic pain due to abnormal collagen synthesis. Limited research exists on the psychosocial impact of OI during childhood on caregivers and families.

Purpose: This study aimed to understand caregiver experiences, existing social support provided for families affected by OI, and the impact of OI on family life.

Method: Thirteen caregivers of individuals with OI participated in semistructured interviews. Researchers coded, abstracted, and analyzed qualitative data to develop themes on the psychosocial impact of OI on the family unit.

Results: Analysis yielded four themes: (a) encountering difficult experiences during diagnosis of OI, (b) caregiver well-being and coping, (c) broad family impact, and (d) the existence and further need for social support.

Discussion: Findings have implications for child and caregiver well-being and health care professionals during diagnosis and emphasize the need for social support for families affected by OI. Future research should engage a more diverse (in terms of ethnoracial demographics and family structures) sample and utilize quantitative analyses to complement the present understanding of the relationship between OI and family well-being. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Introduction: The primary aim of this study was to examine the way in which parent stress, including adverse childhood experiences (ACEs) and emotional distress, pain, and resilience, relates to child pain and mental health variables when families are establishing pediatric pain management care.

Method: Participants included 50 parent/patient dyads who were recruited from an outpatient pediatric pain clinic. The study utilized an observational design, including self-report questionnaires (parents, youth) and chart review. Questionnaires gathered information on parent ACEs, recent emotional distress, pain, and resilience, as well as child pain, anxiety, depression, and global health. The area deprivation index was used to assess family socioeconomic disadvantage, and all data were collected in 2021.

Results: Results indicated that higher levels of parent pain severity, disability, and generalized pain were associated with child pain and mental health variables, including higher levels of child generalized pain, anxiety, depression, and worse child global health. Results also indicated that high parent pain disability coupled with higher levels of ACEs increased the risk for child generalized pain.

Discussion: Parent factors may impact child pain and mental health variables for youth with chronic pain. Improved understanding of the way in which these parent variables relate to child variables may provide opportunities for improved assessment and care for youth and their families. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Author, licensed professional counselor, and PhD student Lauren Rivers reflects on feeling the weight of being labeled the "healthy sibling" to a chronically ill pediatric sibling. In her story, infused with vulnerability and hindsight, Lauren explores the impact of this label and its untimely clash with her emerging mental health diagnosis of obsessive-compulsive disorder. She emphasizes the importance for health care workers to be mindful of their use of labels around family members of pediatric patients, advocating for a more comprehensive and compassionate approach in health care settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).