Families Systems & Health最新文献

Introduction: According to the biobehavioral family model, family emotional climate and physiobehavioral aspects of emotional reactivity influence the physiological processes underlying health conditions. This research explored the association between family stress, emotional reactivity, and overweight in women.

Method: Participants were patients at cardiovascular risk seen at a cardiovascular wellness center for women. A psychologist conducted semistructured interviews with participants, asking specific questions to address the presence or absence of family stressors. Emotional reactivity was measured using a validated version of the Depression, Anxiety and Stress Scale-21. Logistic and linear regressions were used to calculate relationships between specific family stressors, emotional reactivity scores, and body mass index (BMI).

Results: The final sample included 237 women, mean age of 60.8, who were primarily Jewish residents of Jerusalem. Increased anxiety was consistently associated with high BMI, whether in the context of parenting stress (OR = 1.33, 95% confidence interval [CI, 1.05, 1.69], p < .05), extended family stress (OR = 1.34, 95% CI [1.05, 1.71], p < .05), or marital stress (OR = 1.41, 95% CI [1.05, 1.90], p < .05). While marital stress was not directly associated with BMI, women with higher levels of general stress who also reported marital stress were more likely to exhibit high BMI (OR = 4.14, 95% CI [1.17, 14.59], p < .05).

Discussion: The interaction of marital stress and emotional reactivity (i.e., the experience of general stress) was associated with increased BMI. Further studies should evaluate the interactions between family stressors and emotional factors, which may enable the design of more effective interventions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

While the current workforce shortages are alarming, lack in the face of necessity provides fertile ground for ingenuity. Integrated care (IC) holds the potential for impactful solutions and is, arguably, the best hope on the horizon for improving access to needed care. A larger workforce is necessary but not sufficient to fully address unmet needs. We need IC teams made of health care professionals who understand and are responsive to the patients and communities they serve, the dynamic and interdependent systems in which they provide care, and each other. The way forward will require us to (a) continue the shift from siloed models of professional training and health care delivery to fully integrated communities of interprofessional learning, research, and practice; (b) develop and test theoretical models upon which IC workforce development (WD) efforts can be confidently built, adapted, and systematically studied; (c) embrace all perspectives and incorporate the input and participation of patients and community stakeholders in the design/conduct of IC research, the education and training of the IC workforce, and in WD efforts like recruitment and retention practices; and (d) use systems and design thinking to engineer healthy, supportive, psychologically safe work environments where the tools, tasks, and technology support rather than hinder the work of IC. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Reviews the book, A Systemic Approach to Behavioral Healthcare Integration: Context Matters by Nancy Ruddy and Susan McDaniel (2024). This book's contributions significantly advance the field with a strategy that advocates for biopsychosocial systemic integrated health care. It is skillfully structured and ideal for professionals and practices ready to embrace change. Whether you are a novice or a seasoned health care professional, this approach allows for actionable insights to enhance the alignment between all health care system levels, ultimately leading to better health outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

The second author, who is a doctor, describes a message written by her 6-year-old granddaughter, Ansel. The message said that doctors must be patient, kind, loving, giving, generous, and forgiving. Ansel has always said she wants to be a physician when she grows up. When her grandmother asked her about what she wrote, Ansel said: "I was pretending to study to be a doctor, and this was a test I had to take about what makes a good doctor." The grandmother asked her: How do you know these things? She said: "What if you're doing surgery, or a little kid is nervous and getting a shot? You have to be kind and distract the kid so you're halfway through before they notice." (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Reviews the book, Just Health: Treating Structural Racism to Heal America by Dayna B. Matthew (2024). Matthew's book provides a compelling argument that structural racism and racialized structural inequality are fundamental drivers of health inequity and poor health outcomes for people of color and other marginalized groups in the United States. Through her eloquent storytelling and meticulous analysis, Matthew (2024) illustrates how systemic racial and economic inequalities, ingrained in U.S. public policy history, have perpetuated health disparities and contributed to premature deaths within these communities. Anyone interested in the fields of public law, health care, health policy, and allied health sciences should read this book. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Aim: Attitude is a response to certain events and phenomena based on past knowledge and experience. This study aimed to improve the attitudes of family members toward diabetes after the implementation of the program.

Method: The study was a one-group quasi-experimental design conducted with family members of patients with diabetes in a city in northern Turkey. There were a total of 38 family members of people with diabetes in the study group. The participants completed the personal information form and the Diabetes Attitude Scale as a pretest. They then took part in a diabetes education program based on the health belief model. After the education program, family members received an education booklet, health belief model-based text messages (twice per week for 3 months/total of 24), and phone calls (once per month/total of three). The family members completed the posttests at the end of the 3 months.

Results: Of the family members, 55.3% were female, 42.1% were primary school graduates, 52.6% were spouses of patients with diabetes, and the mean age was 45.32 ± 13.99 years. The Diabetes Attitude Scale total score was 3.2 ± 0.2 on the pretest and 4.0 ± 0.0 on the posttest (p < .001). There was a significant increase in all subscale scores after the intervention.

Conclusion: There was a significant improvement in the attitudes of family members who participated in the diabetes education program. Having family members with positive attitudes toward diabetes can be beneficial in the management and care of the patient's diabetes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Objective: To identify contributions made by care managers (CMs) to treatment for rural patients with posttraumatic stress disorder (PTSD) and bipolar disorder (BD), who are medically underserved and experiencing poverty, in a telepsychiatry collaborative care model.

Method: We conducted an inductive qualitative study analyzing 24 semistructured interviews with patients who screened positive for PTSD or BD and participated in telepsychiatry collaborative care at 12 Federally Qualified Health Centers in Arkansas, Michigan, and Washington between November 2016 and June 2020. Interviews took place between March 2018 and June 2020.

Results: Our findings confirmed that patients with PTSD and BD benefitted from the following collaborative care components, similarly to patients with more common depression and anxiety: individualized and practical treatment, playing an active role in treatment, and increased access. Our principal finding is one not yet fully explored in current research: CMs met patients' need to feel cared for, which may contribute to engagement and serve therapeutic ends. Feeling cared for emerged holistically from three components that occurred both within and outside therapeutic encounters: (a) interactional dynamics; (b) care management tasks; and (c) "nurturing connections" established with the CMs.

Conclusions: We addressed an understudied aspect of productive provider-patient relationships-patients' need to feel that providers care for them-and identified a range of actions and strategies that produce this feeling. CMs may be uniquely positioned to provide this type of care. For underserved segments of the population, leveraging these uniquely skilled clinical personnel could improve access, engagement, and outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

In this poem, a doctor describes meeting an anxious 13-year-old daughter in a waiting room. The girl asks how her mother is doing. She sounds wary. Her tired eyes that glance back send the author reeling from their familiarity. The author takes a deep breath and reminds herself of the distance between 13 and 30. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

In the world of cultural narratives, Asian Americans find themselves trapped in a juxtaposition of societal perceptions and their own authentic experiences, particularly within the context of mental health. This personal story seeks to reveal the nuanced challenges confronting Asian Americans, with a focus on the insidious implications of the model minority myth. While this stereotype might appear as a commendation, it casts Asian Americans in a monolithic mold of success. The author gains insights into their parents' reluctance to seek help for him, uncovering stories of generational silence and community backlash against those who dare to step outside societal norms for mental health care. This reflection highlights the societal pressures that discourage open discussions about mental health and stigmatize seeking help, acting as significant barriers to care within the Asian American community. The current psychiatric paradigms, rooted in Western ideologies, fail to address the cultural contexts in Asian American communities. This oversight underscores an imperative for mental health modalities that resonate with the cultural ethos of Asian Americans. Through a meticulous examination guided by lived experience of culturally competent care, this article highlights the pivotal role of such culturally-informed mental health interventions, advocating for the deconstruction of detrimental stereotypes and championing the integration of culturally resonant practices in psychotherapy for Asian Americans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Introduction: The children of ill parents are in a state of vulnerability, facing a range of emotional and behavioral difficulties. This study is a dedicated effort to delve into the relationships between the mental well-being (mental component score [MCS]) and daily physical functioning of ill parents and the internal and external difficulties experienced by their young children. The study also explores the mediating role of family functioning (Family Assessment Device), social support (Multidimensional Scale of Perceived Social Support), and parents' communication of the illness with their young child (parent-child dialogue) as a moderating factor.

Method: The sample included 60 ill parents with either diabetes, cancer, or an affective mental disorder of young children recruited from outpatient clinics in a regional medical center. All parents completed self-report questionnaires.

Results: Findings showed that ill parents' MCS negatively and significantly predicted the presence of the child's internalized and externalized symptoms, and the level of Multidimensional Scale of Perceived Social Support and Family Assessment Device negatively mediated this association. Low levels of parent-child dialogue had a significant negative impact on the association between the ill parent's MCS and the child's internal symptoms.

Discussion: The results underscore the pivotal role of ill parents' mental well-being in the emotional and behavioral difficulties of young children. They highlight the potential influence of family functioning, social support, and parent-child dialogue about the illness on both parents and their young children. Future studies must delve deeper into this topic, considering different parental illnesses, cultures, and family/child characteristics to enhance family support systems and interventions further. (PsycInfo Database Record (c) 2025 APA, all rights reserved).