THE McMASTER FAMILY ASSESSMENT DEVICE: RELIABILITY AND VALIDITY*

Miller, Ivan W.; Epstein, Nathan B.; Bishop, Duane S.; Keitner, Gabor I.

doi:10.1111/j.1752-0606.1985.tb00028.x

Cited by 1,097 publications

(964 citation statements)

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“…The primary outcome measures were validated in a pilot study conducted by the two outcomes assessors (Kerfoot et al, 1996) [15] and comprised the Suicidal Ideation Questionnaire (Reynolds, 1988) [22] and the Hopelessness Questionnaire (Kazdin et al, 1986) [12] completed by the patients, and a questionnaire measure of family functioning completed independently by both the patient and the parent(s) (Miller et al, 1985) [20].…”

Section: Assessmentsmentioning

confidence: 99%

Randomized Trial of a Home-Based Family Intervention for Children Who Have Deliberately Poisoned Themselves

Harrington

Kerfoot

Dyer

et al. 1998

Journal of the American Academy of Child & Adolescent Psych

236

205

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Objective: To establish whether an intervention given by child psychiatric social workers to the families of children and adolescents who had attempted suicide by taking an overdose reduced the patients' suicidal feelings and improved family functioning.Method: One hundred sixty-two patients, aged 16 or younger, who had deliberately poisoned themselves were randomly allocated to routine care (n = 77) or routine care plus the intervention (n = 85). The intervention consisted of an assessment session and four home visits by the social workers to conduct family problem-solving sessions. The control group received no visits. Both groups were assessed at the time of recruitment and 2 and 6 months later. The primary outcome measures were the Suicidal Ideation Questionnaire, the Hopelessness Scale, and the Family Assessment Device.Results: There were no significant differences in the primary outcomes between the intervention and control groups at either of the outcome assessments. Parents in the intervention group were more satisfied with treatment (mean difference 1.4 [95% confidence interval 0.6 to 2.1]). A subgroup without major depression had much less suicidal ideation at both outcome assessments (analysis of covariance p < .01) compared with controls.Conclusions: The home-based family intervention resulted in reduced suicidal ideation only for patients without major depression. J. Am. Acad. Child Adolesc. Psychiatry, 1998, 37(5):512-518.

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Section: Assessmentsmentioning

confidence: 99%

Randomized Trial of a Home-Based Family Intervention for Children Who Have Deliberately Poisoned Themselves

Harrington

Kerfoot

Dyer

et al. 1998

Journal of the American Academy of Child & Adolescent Psych

236

205

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“…Responses ranged from 'Strongly Agree' to 'Strongly Disagree'. The FAD-GF yields an estimate of overall family functioning (Miller et al 1985). In our analyses, high scores reflect a positive family environment ('family support').…”

Section: Predictors Of Resilient Functioning Family Assessment Devicementioning

confidence: 99%

Adolescent friendships predict later resilient functioning across psychosocial domains in a healthy community cohort

Harmelen¹

2016

Preprint

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Background: Adolescence is a key time period for the emergence of psychosocial and mental healthdifficulties. To promote adolescent adaptive (‘resilient’) psychosocial functioning, appropriate conceptualizationand quantification of such functioning and its predictors is a crucial first step. Here,we quantify resilient functioning as the degree to which an individual functions better or worse thanexpected given their self-reported childhood family experiences, and relate this to adolescent familyand friendship support.Method: We used Principal Component and regression analyses to investigate the relationship betweenchildhood family experiences and psychosocial functioning (PSF: psychiatric symptomatology,personality traits and mental wellbeing) in healthy adolescents (the Neuroscience in Psychiatry Network;N=2389; ages 14-24). Residuals from the relation between childhood family experiences andPSF reflect resilient functioning; the degree to which an individual is functioning better, or worse,than expected given their childhood family experiences. Next, we relate family and friendship supportwith resilient functioning both cross-sectionally and one year later.Results: Friendship and family support were positive predictors of immediate resilient psychosocialfunctioning, with friendship support being the strongest predictor. However, whereas friendshipsupport was a significant positive predictor of later resilient functioning, family support had a negativerelationship with later resilient psychosocial functioning.Conclusions: We show that friendship support, but not family support, is an important positive predictorof both immediate and later resilient psychosocial functioning in adolescence and early adulthood.Interventions that promote the skills needed to acquire and sustain adolescent friendshipsmay be crucial in increasing adolescent resilient psychosocial functioning.

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“…Health/pathology cut-off scores based on the relationship of the FAD to expert clinicians' ratings of the family have been developed and have acceptable levels of sensitivity and specificity (Miller et al, 1983).…”

Section: Instrumentsmentioning

confidence: 99%

Family functioning and functional independence in spinal cord injury adjustment

McGowan¹,

Roth

1987

Spinal Cord

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SummaryThe relationships among functional independence, perceived family functioning and duration of disability were studied in 41 non-institutionalised post-traumatic spinal cord injury (SCI) families. Correlational analyses revealed that SCI subjects with greater self initiation of activities, increased social involvement and higher overall level of independence perceived their family environment as affectively responsive, open in communication and clear in delineation of role responsibilities. The 'sig nificant other's' (A 'significant other' is designated by the SCI subject as 'the one most involved with you'. The 'significant other' had to be living with or within 25 miles of the SCI subject and in contact at least 3 times a week.) view of the family was unrelated to SCI function. Conversely, for the significant other but not the SCI subject, greater duration of disability predicted more concern for the family's ability to problem solve, delineate roles and maintain standards of behaviour control. Of the functional areas measured, only participation in outside activities increased significantly over time. The results are discussed in terms of the importance of considering the long-term and separate rehabilitation needs of the individual with a SCI and his or her family.

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THE McMASTER FAMILY ASSESSMENT DEVICE: RELIABILITY AND VALIDITY*

Cited by 1,097 publications

References 5 publications

Randomized Trial of a Home-Based Family Intervention for Children Who Have Deliberately Poisoned Themselves

Randomized Trial of a Home-Based Family Intervention for Children Who Have Deliberately Poisoned Themselves

Adolescent friendships predict later resilient functioning across psychosocial domains in a healthy community cohort

Family functioning and functional independence in spinal cord injury adjustment

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