Managing Family Conflict Research Articles

Randomised controlled feasibility study protocol of the Carers-ID online intervention to support the mental health of family carers of people with intellectual disabilities

BackgroundFamily carers play a crucial role in supporting the health and well-being of people with intellectual disabilities. Given their role and responsibilities, many family carers experience significant and ongoing stress and mental health difficulties. Programmes and interventions which provide training and support to family carers have been shown to have a positive impact on levels of stress and quality of life. However, these are often face to face which can create barriers to full participation. Online interventions have been shown to offer flexibility in delivery compared with traditional face-to-face approaches. The primary objective of this study is to determine the feasibility of delivering the Carers-ID online intervention, while the secondary outcome is improved mental health in family carers of people with intellectual disabilities.MethodsFamily carers (n = 120) will be randomised to receive the intervention (n = 60) or assigned to a wait-list control (n = 60) group. The intervention (www.Carers-ID.com) consists of 14 modules which cover topics including the following: promoting resilience, providing peer support, reducing anxiety, managing stress, accessing local supports and managing family conflict and information for siblings who are carers. The intervention has been co-produced with voluntary sector organisations and family carers and tested for acceptability. Primary outcomes for this study include acceptability and feasibility of the outcome measures, recruitment, participation and retention rates and effect sizes. Secondary outcomes will be completed at three time points (baseline, following intervention completion and 3 months after completion). These include the following: the Depression, Anxiety and Stress Scale, the Warwick–Edinburgh Mental Well-being Scale, the Resilience Scale and the Social Connectedness Scale Revised. Participants (n = 12) who have taken part in the intervention arm of the research will be invited to participate in semi-structured interviews as part of the process evaluation.DiscussionThe Carers-ID intervention provides an online resource for family carers to support their mental health and well-being and promote their resilience. It represents an affordable and accessible means of delivering such support. Testing the feasibility of the intervention and related trial procedures is required to determine whether a full-scale randomised controlled trial to evaluate the intervention’s effectiveness is warranted.Trial registrationClinicalTrials.gov: NCT05737823

Managing family conflict and resilience. Results of a universal socio-educative family drugs prevention program developed in school settings

This paper assesses changes in family conflict and resilience among families participating in a socio-educative short universal drug prevention program (PCF-U 11-14). A pre-post test quasi experimental design with control and experimental groups was implemented with 275 families. The work addresses the convenience of family training in social and parenting skills to strengthen families’ capacity to cope with difficulties and boosting family cohesion, but it also highlights the need to research deeper into the factors that affect parent and adolescent conflict to create new training strategies for families.

Violence by Persons with Serious Mental Illness Toward Family Caregivers and Other Relatives: A Review.

Persons living with serious mental illness (SMI) are at a modestly increased risk of committing violence and are disproportionately likely to target family members when they do commit violence. In this article, we review available evidence regarding violence by persons with SMI toward family members, many of whom are caregivers. Evidence suggests that a sizable minority of family members with high levels of contact with persons with SMI have experienced violence, with most studies finding rates of past year victimization to be 20% or higher. Notable risk factors for family violence pertaining specifically to persons with SMI include substance use, nonadherence to medications and mental health treatment, history of violent behavior, and recent victimization. Notable risk factors pertaining specifically to the relationships between persons with SMI and family members include persons with SMI relying on family members for tangible and instrumental support, family members setting limits, and the presence of criticism, hostility, and verbal aggression. As described in qualitative studies, family members often perceive violence to be connected to psychiatric symptoms and inadequate treatment experiences. We argue that promising strategies for preventing violence by persons with SMI toward family members include (1) better engaging persons with SMI in treatment, through offering more recovery-oriented care, (2) strengthening support services for persons with SMI that could reduce reliance on family members, and (3) supporting the capabilities of family members to prevent and manage family conflict. The available interventions that may be effective in this context include McFarlane's Multifamily Group intervention and the Family-to-Family educational program.

Explaining the problems faced by Iranian housewives during the COVID-19 quarantine period, and their adaption strategies: A qualitative study.

Background:Housewives have several problems during the quarantine phase; so, the current study was designed to describe the challenges faced by Iranian housewives during the quarantine period in relation to COVID-19 and compatibility measures for it.Methods:The current research employed a qualitative methodology and a traditional content analysis method on 34 quarantined women in Tehran. Purposive sampling and snowballing were used to find participants, and semi-structured interviews were used to gather data. The Guba and Lincoln criteria were also employed to assess the quality of the study findings.Results:After analyzing the data, 4 main categories and 18 subcategories were extracted, including (1) individual problems (personal health problems, life with fear and anxiety, low mental health, lifestyle imbalance, Internet addiction); (2) family problems (violence and conflict in the family, tension in managing family members, disruption of the educational and economic situation of family members, intensification of domestic tasks and roles); (3) social problems (social isolation, disregard for social customs, restricted access to cyberspace); and (4) compatibility strategies (spirituality, strengthening family relationships, division of tasks between family members, optimal use of leisure, positive use of cyberspace, development of individual skills).Conclusion:Their problems can be ameliorated by providing contraception to housewives, improving their mental health and reducing their worries and fears, modeling a healthy lifestyle during quarantine, offering solutions that reduce violent behavior and manage family conflict, and expanding their access to virtual communications.

Realitas Perkawinan Beda Agama Perspektif Keluarga Sakinah

This paper concentrates on a happy family in Interfaith Marriage. According to the majority ulama, marriage is a theological activity that couple interfaith marriage will not a happy family. In this paper, I examine the interfaith marriage couple can be a happy family. Specifically, I ask how to concept a happy family according to the interfaith married couples? Further, how to manage family conflict on interfaith marriage for to get a happy family? To analyse a happy family on interfaith marriage couple, I use a qualitative analysis method with three approaches: Islamic law, sociology and psychology context. I use data collection methods with observation, interviews, and documents. This research argues that religion is not a major factor in a happy family because interfaith marriage can be a happy family. Worries Ulama that interfaith couples cannot be a happy family does not happen. The contribution of this study as the antithesis according to ulama about interfaith marriage, that happiness is not correlated with religion.

A Refined Model of Stress-Diathesis Relationships in Mothers With Significant Depressive Symptom Severity.

BACKGROUND: Mothers' depressive symptoms affect their children's growth as well as physical and mental well-being. Moreover, mothers of young children with developmental delay or disability (DD) tend to have higher depressive symptoms. AIMS: The purpose of this study was to examine associations between maternal depressive symptoms and number of children with DD among mothers with significant levels of depressive symptoms, while accounting for maternal diathesis factors and family stress factors. METHODS: This study was a secondary analysis of pooled baseline data collected from 2004 to 2012 in the northeastern and southeastern United States from three intervention studies to reduce depressive symptoms of mothers with young children (n = 364). Multiple regression analyses were conducted to examine associations between maternal depressive symptoms and number of children with DD, followed by the post hoc pairwise comparison. RESULTS: In the model including family stress factors, we found a significant test for linear trend in the mean for maternal depressive symptoms across the number of children with DD (F[1] = 4.3, p = .0388). CONCLUSIONS: Mothers who have multiple children with DD tend to experience higher depressive symptoms; thus, interventions are needed to help prevent these mothers from experiencing higher depressive symptoms or to reduce their current depressive symptoms. Both theory-based and strength-based interventions can target conflict management at the family level, reducing maternal depressive symptoms while improving mothers' self-efficacy, which would help mothers care for their own health, manage family conflict, and seek appropriate support to manage the children's medical and developmental needs.

Family Conflict and Managing Strategies: Implication for Understanding Emotion and Power Struggles

Family which is the main trust of socialization is faced with many challenges in the contemporary world. Couples no longer fancy each other. Children are in constant struggle with parents. Many marriages are experiencing either divorce, separation or face off as a result of conflict. The present study deals primarily with causes, consequences and strategies in managing family conflict and how it applies to one’s understanding of emotion and struggling of power. The study made use of descriptive survey design. The sample of the study was 300 parents from different States of the Federation on Masters and Bachelor sandwich programme in the Department Educational Foundations who offers Sociology of Education in the Faculty of Education, University of Nigeria, Nsukka drawn through random sampling technique. A 54 item Strategies for Managing Family Conflict Questionnaire (SMFCQ) developed by the researchers was used for data collection. Data collected was analyzed using mean and standard deviation. Result indicated that infertility, financial difficulties, poor communication between family members, lack of sexual satisfaction/gratification can lead to conflict in the family. Family conflicts inflict people for the course of their life and prevent them from experiencing their full potential. It causes feeling of fear, of insecurity, rejection, and guilt which may lead to the development of ill-health, separation, divorce or even death. Strategies for dealing with conflict which such as focusing on the area of interest, striving to stay positive focusing on cooperation instead of control, approaching conflict with the aim to understand, resolve and respond are identified among others. It was recommended that conflict education be giving to couples at the period of courtship.Keywords: Family; conflict; Family conflict; Emotion and Power Struggles

Reframing, Refocusing, Referring, Reconciling, and Reflecting: Exploring Conflict Resolution Strategies in End-of-Life Situations

ABSTRACTMany problems can occur between family members at the end of a patient’s life, resulting in conflict that others—the nurses, patient advocates, clergy, and social workers involved in the case—must resolve. This article explores the strategies used by those individuals to resolve conflict. Using grounded practical theory as a theoretical and methodological framework, qualitative interviews (n = 71) revealed how they manage family conflict at the end of life. The management styles include reframing, refocusing, referring, reconciling, and reflecting (the “5 Rs”). These strategies provide a conflict management typology for those who work with families during end-of-life situations.

Managing Family Conflict Over Career Decisions

Conflict over career decisions is a main source of intergenerational conflict among Asian American families. This qualitative study explored the topic using consensual qualitative research methodology in a sample of eight Asian Americans. Results indicated that participants experienced feelings of guilt and indebtedness due to conflicting values, traditions, and expectations. Most participants dealt with parental disapproval regarding their career choice by seeking advice from friends and relatives. Participants employed many strategies to earn approval such as educating parents about their chosen career, seeking honors, and compromising between personal desires and parental expectations. Implications for career counseling and research are discussed.

What to Do When the Family Cannot Agree to Withdraw Life Support

This article describes a family who could not agree to withdraw life support from a ventilator-dependent woman who was unresponsive and whose death was inevitable. Evidence-based recommendations are given and resources identified to assist critical care nurses to facilitate discussions among family members who disagree about end-of-life care and to help nurses discuss end-of-life orders, address cultural issues, manage family conflict, assist families to make decisions, and act with moral courage and ethical humility when supporting families and each other during withdrawal of life support.

Training Materials on Family Mediation

Review of mediation process as a means of managing family conflict and discussion of relevant techniques to promote consensual settlements.

Adolescents' value systems, preferred resolution strategies, and conflict with parents

This study addressed the relationship among value systems, conflict-resolution processes, and levels of conflict between young people in middle adolescence and their parents. Male and female adolescents rated both care and justice values in regard to their relationship with their parents. They also indicated their preferred resolution strategies for dealing with intergenerational disputes and reported the general level of conflict with their own parents by completing the Conflict Behaviour Questionnaire. Mediation analyses revealed that a care value-system was both directly associated with lower level of family conflict and indirectly, through a preference for problem-solving strategies, as well as negatively associated with a preference for contending strategies. A justice value-system had no direct association with levels of family conflict but was positively associated with a preference for contending strategies. Level of conflict was negatively related to a preference for problem-solving strategies and positively related to a preference for contending strategies. The results suggest that fostering care values may be a valuable preventive approach to managing family conflict during this developmental period.

The provision of family-focused palliative care in hospital using the Delphi technique

It has been suggested that an important difference between hospital and hospice care is that the latter is more geared to the attainment of family goals. Nurses are the one group of health-care professionals who work with families during all phases of an illness. Using the Delphi technique, this study aimed to identify some supportive nursing behaviours and some factors which went against effective provision of family care in a hospital. Twenty-two qualified nurses drawn from seven wards participated in the study. Supportive nursing behaviours were identified and priority was given to issues concerning symptom control, privacy, time and honest communication. Factors hindering the effective provision of family care focused mainly on the problems of balancing priorities, issues of disclosure, providing privacy and managing family conflict. The findings identified key areas of family care which warrant further investigation and highlight a potential focus of education and practice initiatives within hospitals.