The current study set out to describe family functioning scores of a contemporary community sample, using the Family Assessment Device (FAD), and to compare this to a currently help-seeking sample. The community sample consisted of 151 families who completed the FAD. The help-seeking sample consisted of 46 families who completed the FAD at their first family therapy appointment as part of their standard care at an outpatient family therapy clinic at an urban hospital. Findings suggest that FAD means from the contemporary community sample indicate satisfaction with family functioning, while FAD scores from the help-seeking sample indicate dissatisfaction with family functioning. In addition, the General Functioning scale of the FAD continues to correlate highly with all other FAD scales, except Behavior Control. The cut-off scores for the FAD indicating satisfaction or dissatisfaction by family members with their family functioning continue to be relevant and the FAD continues to be a useful tool to assess family functioning in both clinical and research contexts.
Objectives Much of the research on geriatric bipolar disorder is from outpatient populations or epidemiological surveys with small samples. In contrast, this study conducted a descriptive analysis of geriatric and younger adult residents with bipolar disorder or mania in non-clinical adult congregate facilities (ACFs) in the greater New York City region. Methods A total of 2,602 ACF residents were evaluated in 19 facilities, across multiple demographic and health domains. Within this sample, 200 residents had chart diagnoses of bipolar disorder or mania. Among these, fifty geriatric residents (age ≥ 60) were compared with 50 younger adult residents (age < 50) on a number of demographic and health measures. Results Based on chart diagnoses, the overall prevalence of bipolar disorder was 7.8%. Compared to other studies of outpatient, epidemiological, and census samples, both older and younger residents with bipolar disorder had higher rates of cognitive impairment, impairment in executive functioning, vision impairment, and proportion of residents who were never married. The younger group also had higher rates of obesity, and the elderly group had a greater proportion of residents without high school education. Both age groups had rates of lithium or valproate use comparable to that of outpatient studies. Comparing the two age groups, the elderly sample had lower overall cognitive and executive functioning, and was using a larger number of medication classes than the younger group. The elderly also had a larger proportion of residents who were separated/divorced or widowed compared to the younger group, which had higher rates of never-married residents. Conclusions Overall, both age groups had relatively high rates of bipolar disorder, with significant cognitive impairment, medical burden, obesity, and service use, and lower education levels, as compared to outpatient, epidemiological, and census samples. Of note was the significant cognitive impairment across age groups.
This study explored the impact of income status (low-income vs. non-low-income) on family functioning, social support, and quality of life in a community sample of 125 families. The sample identified themselves as 17% Black or African American, 7% Latino, 4% Asian, and 66% White. The mean age of participants was 37 years. The study used a self-report measure of perceived family functioning, the Family Assessment Device (FAD). Results demonstrated that low-income status was associated with less satisfaction with several areas of family functioning, and that the effect of having a family member with a psychiatric disorder on family functioning depended on income status, with low-income families with a psychiatric disorder endorsing much greater dissatisfaction with family functioning than non-low-income families with a psychiatric disorder. Low-income families also had significantly lower social support and quality of life scores than non-low-income families. Low-income status appears to put stress on families in general and to compound the effects of having a psychiatric disorder on family functioning. Non-low-income status, by contrast, appears to offer a buffer from the effects of having a psychiatric disorder on family functioning. These findings suggest the importance of providing family-based interventions to low-income families in which one or more members has an identified psychiatric disorder.
Story stem narrative tasks provide insight into young children's inner experiences. Little research has investigated how developmental capacities impact narrative content and process. This study evaluates the influence of executive functioning (EF) and language ability on children's narratives. Data were gathered from 210 low‐income children. EF and language ability were assessed at age 4 and EF was assessed at age 6 via direct examination, cognitive‐motor tasks, and examiner ratings. Children's responses to eight story stems were gathered at age 6; three latent narrative variables were constructed (Prosocial, Aggressive/Conflict, and Avoidance/Danger), and Narrative Coherence was rated. Results of longitudinal path analyses in structural equation modeling demonstrated age 4 EF significantly predicted all narrative outcomes. Language ability independently predicted Prosocial and Narrative Coherence, and had an influence on Aggression/Conflict when modeled with EF. Age 6 EF mediated the relationship between age 4 EF and narrative outcomes. Findings provide insight into developmental abilities that influence on children's narrative responses to challenging interpersonal scenarios. Future research should study parent–child relations, EF, and language abilities simultaneously.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.