Perceived family functioning, adolescent psychopathology and quality of life in the general population: a 6-month follow-up study

Jozefiak, Thomas; Wallander, Jan L.

doi:10.1007/s11136-015-1138-9

Cited by 29 publications

(34 citation statements)

References 36 publications

(42 reference statements)

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“…CI confidence interval reports in Norwegian students from the general population were not significantly influenced by SES as measured by parent education [8]. Finally, in another high-risk sample of child and adolescent psychiatric patients, SES was not correlated with QoL [59].…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 68%

“…Hence, child welfare services should foster wellbeing and QoL and ensure that residents in institutions gain access to evidence-based psychiatric treatment for their psychopathology. Although negatively related to psychopathology [5][6][7], QoL appears to be distinct from it [8][9][10][11]. The quality of children's lives is important as an investment in the future of a society, both because high QoL is associated with lower social charges and costs and because high QoL among all children is a goal in itself [12].…”

Section: Introductionmentioning

confidence: 99%

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Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

et al. 2017

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Purpose Many adolescents living in residential youth care (RYC) institutions perceive their quality of life (QoL) to be low. Enhancing QoL is thus important, but little is known about the potential contributors to their QoL. Early interpersonal trauma and subsequent removal from home and repeated relocations to new placements are expected to affect mental health and self-esteem. We therefore investigated if domain-specific self-esteem contributed to QoL among adolescents living in RYC institutions over and beyond their levels of psychopathology. Methods All youth in Norwegian RYC institutions between the ages 12-23 years were invited to participate. Of a total of 98 RYC institutions, 86 participated, and 400 of 601 eligible youths were examined. The participants' primary contact completed the Child Behavior Checklist to assess psychopathology. The adolescents completed a revised version of the Self-Perception Profile for Adolescents and the questionnaire for measuring health-related quality of life in children and adolescents (KINDL-R). Results After adjusting for psychopathology, age, and gender, self-esteem domains uniquely explained 42% of the variance in Qol, where social acceptance (b = 0.57) and physical appearance (b = 0.25) domains significantly predicted concurrent QoL. Conclusions The self-esteem domains, social acceptance and physical appearance, add substantially to the explained variance in QoL among adolescents living in RYC institutions, over and beyond the levels of psychopathology. These self-esteem domains may be targets of intervention to improve QoL, in addition to treating their psychopathology.

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Section: Strengths and Limitations Of The Studymentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

et al. 2017

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“…This highlights the importance of engaging the whole family and looking at family environment from both an assessment and management perspective. Jozefiak and Wallander () support the idea that family life is important, finding that reports of family problems were the strongest correlate of referral to CAMHS.…”

Section: Discussionmentioning

confidence: 98%

“…The APGAR is a validated tool of family function that is brief and simple to use (Jozefiak & Wallander, ). The APGAR consists of five questions rated on a scale from 0 to 2: Adaptation, Partnership, Relationship, Affection, and Conflict Resolution (APGAR), with a maximum score (10) reflecting a high level of satisfaction with family function.…”

Section: Objectives Of the Studymentioning

confidence: 99%

“…Family environment plays a critical role in young people's lives and a young person presenting in crisis can often reflect distress and dysfunction within the family (Bickerton et al, 2007). While research is yet to clearly establish a direct causal link between family environment and adolescent mental health (Jozefiak & Wallander 2016), there is no doubt the family environment influences young people's mental health (Bickerton, Ward, Southgate, & Hense, 2014). A review of retrospective studies found families with high criticism, hostility, or emotional overinvolvement were more likely to have a self-harming adolescent (Michelsson, Sirvio, & Wasz-Hockert, 1977).…”

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confidence: 99%

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A Pilot Study to Explore the Influence of the ‘Safety First Assessment Intervention’ on the Family Environment

Young

Conrad²,

Mah³

2019

ANZ J of Family Therapy

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The family environment is considered an important influence on a young person's well‐being. The ‘Safety First Assessment Intervention’ is a model of care that considers and incorporates the importance of family environment when assessing and managing distressed young people. This pilot study explores the influence of the ‘Safety First Assessment Intervention’ on the family environment of young people referred to Child and Adolescent Mental Health Services. A pre‐ and post‐design was used, with families completing the Family Survey before and after their assessment/intervention. The Family Survey was correlated with a validated measure of family function, the APGAR, and pre‐intervention. Significant changes in multiple dimensions of family environment, including reduced level of distress for the adult, increased level of distress for the young person, improved sense of how the family felt the adult was managing currently, and improved confidence in family communication were found. There was no significant change in how the adult understood their role in helping the young person manage their distress. A thematic analysis showed trends in the current concerns for young people and adults as well as the difficulty young people in distress have in identifying their strengths. This pilot study demonstrates that the ‘Safety First Assessment Intervention’ can influence the family environment in a positive way and highlights the importance of using a family‐based approach for distressed young people.

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A Mixed Methods Exploration of Single Session Family Therapy in a Child and Adolescent Mental Health Service in Tasmania, Australia

Westwater

Murphy

Handley

et al. 2020

ANZ J of Family Therapy

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Single session therapy (SST) is grounded in the belief that clients and families can effect change after one therapeutic encounter, using their own resources, with brief support and assistance from therapists. SST has been found to be an effective intervention for children, young people, and their families presenting with a wide range of difficulties. Research in child and adolescent mental health has shown that over 50% of families find one SST encounter is enough with no need for further specialist input. This study aims to explore family member experiences of SST (undertaken as single session family therapy and termed hereafter SSFT) as an initial intervention in a regional child and adolescent mental health service (CAMHS), specifically in terms of worry, confidence, and satisfaction outcomes. An exploratory, mixed methods convergent design was utilised using a combination of open questions and Thurstone scales. All eligible family members were invited to complete questionnaires before and after the SSFT, asking about level of worry, confidence, and overall satisfaction with SSFT. Quantitative and qualitative findings indicated most family members had a positive experience of SSFT, although differences were found between young people, parents, and siblings. Overall, family members' level of worry decreased, while only parental confidence in managing the presenting issue(s) increased. Over half of the families did not require further contact with CAMHS following the SSFT. Our findings support previous research that SSFT is an effective, family-inclusive, and well received intervention for a variety of mental health issues facing children and young people. SSFT could be considered a beneficial and well received first response for the majority of CAMHS clients, which prioritises a family-inclusive approach. Future research could focus on attaining a more in-depth understanding of individual family member experiences with a view to improving SST delivery.

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Perceived family functioning, adolescent psychopathology and quality of life in the general population: a 6-month follow-up study

Cited by 29 publications

References 36 publications

Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

A Pilot Study to Explore the Influence of the ‘Safety First Assessment Intervention’ on the Family Environment

A Mixed Methods Exploration of Single Session Family Therapy in a Child and Adolescent Mental Health Service in Tasmania, Australia

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