Perceptions Of Family Conflict Research Articles

Behavioral skill practice as a predictor of mood and family functioning in adolescents with bipolar and depressive mood disorders: Results of a 6-month randomized trial of family-focused therapy.

Behavioral interventions require considerable practice of treatment skills in between therapy sessions. The effects of these treatments may vary with the degree to which patients are able to implement these practices. In offspring of parents with bipolar and major depressive disorders, we examined whether youth who frequently practiced communication and problem-solving skills between family-focused therapy (FFT) sessions had less severe mood symptoms and better psychosocial functioning over 6 months than youth who practiced less frequently. We randomly assigned offspring (ages 12-19) of parents with mood disorders to 12 sessions of FFT plus a mobile app that encouraged the practice of communication, problem-solving and mood management skills (FFT-MyCoachConnect [MCC] condition) or 12 sessions of FFT with an app that only allowed for tracking of symptoms and stress (FFT-Track condition). Independent evaluators assessed youths' mood and psychosocial functioning at 9-week intervals over 27 weeks. Clinicians rated participants' between-session skill practice at each FFT session. FFT-MCC was associated with more frequent skill practice than FFT-Track over 18 weeks of treatment. Skill practice was associated with reductions in youths' mood instability and perceptions of family conflict over 27 weeks in both app conditions. Skill practice mediated the effects of app condition on youths' mood instability and family functioning. Mobile applications as adjuncts to family therapy for youth with mood disorders can help increase skill practice. These findings provide preliminary causal evidence for behavioral skill practice improving mood symptoms and family functioning among youth with mood disorders.

Studi Kualitatif Tentang Solusi Al-Qur’an Terhadap Konflik Keluarga Pada Mahasiswa Program Studi Bimbingan dan Konseling Islam

The purpose of this study is to describe the perceptions of Islamic counseling students' perceptions of family conflict in solutions according to the Qur'an. This research is a descriptive field research with qualitative data, researchers use primary data sources in the form of interviews and observations as well as secondary data sources from the results of documentation. Methods of data collection using observation methods, interview methods, and documentation methods. Observational method to observe students' perceptions of family conflict. The interview method was carried out to Islamic guidance and counseling students. The documentation method for documenting everything related to family conflicts. Data validity was carried out using triangulation techniques, cross-checking between observation results, interview results, and documentation methods. The results of the study stated that the factors that influence family conflict are communication, egocentrism, economic problems, busyness problems, educational problems, infidelity problems and far from religion. Meanwhile, the counselor's strategy in resolving family conflicts is by giving free time, communication between 2 parties, understanding problems that occur in society, calm attitude and openness. In problem solving based on Al-Qur'an counseling with several stages, namely introduction and coaching, expressing problems, directing the subject towards Al-Qur'an counseling, namely by following steps: ablution, intention, opening Al-Qur'an, mentadabburi al-qur 'an, activating intuition (dzauq), obtaining guidance (guidance), and sharing opinions with mentors.

Parenting Stress during Late Adolescence in Mothers of Individuals with ADHD with and without ODD

Although children with ADHD continue to experience impairment well into adolescence, research exploring the experiences of their parents during late adolescence is lacking. Thus, we examined changes in parenting stress and family conflict in mothers of adolescents with ADHD during the transition to early adulthood. We also explored predictors of these changes in addition to investigating differences in these trajectories due to comorbid ODD. Forty-nine mothers of adolescents with ADHD only and thirty-seven mothers of adolescents with ADHD/ODD reported on parenting stress and perceptions of family conflict at baseline (mean age = 16.88) and at 3-month, 9-month, and 15-month follow up assessments. Growth curve modeling indicated that both groups of mothers reported relative declines in parenting stress and family conflict across time. However, the mothers of adolescents with ADHD/ODD persistently reported more stress and conflict. Furthermore, decreases in family conflict were more predictive of reduced parenting stress in families of adolescents only diagnosed with ADHD. Our findings suggest that comorbid ODD is associated with parenting stress during late adolescence. Thus, interventions should focus on further reducing this stress as adolescents with ADHD/ODD transition to adulthood.

856-P: Can Monetary-Based Reinforcement for Self-Monitoring Blood Glucose (SMBG) Impact Psychosocial Outcomes? A Randomized Controlled Trial

Background: Members of our group previously reported that monetary reinforcement of SMBG related behaviors shows robust increases in frequency of SMBG and modest decreases in A1c among youth with type 1 diabetes (T1D). In these secondary data analyses, we explored effects on psychosocial functioning. Methods: Sixty youth ages 12-21 (Mage=15.58, SD=2.31) with T1D, A1c 7.5-13%, and <4 BG checks per day were randomized to either a 24-week reinforce intervention or enhanced usual care (EUC). The intervention consisted of monetary incentives for completing blood glucose checks, texts with provider, glucose data uploads, and glucose pattern recognition forms. Validated psychosocial questionnaires were administered at baseline, 6, 12, 24, and 36 weeks. Measures included youth reported diabetes distress, family conflict, and negative affective responses to out-of-range glucose results. Results: Generalized linear models showed no significant time x condition effects. In t-tests at discrete follow-ups, compared to the control group, the reinforce group had significantly lower youth-reported diabetes related family conflict at 12 weeks (22.39 vs. 25.11, p=.043) and significantly higher negative affective responses to out-of-range glucose results at 24 weeks (13.62 vs. 11.71, p=.047). Conclusion: Monetary reinforcers targeting SMBG behaviors may produce transitory decreases in youth perceptions of family conflict and transitory iatrogenic increases in youth’s negative affective responses to out-of-range glucose results. The timing of changes in family conflict, negative affect, and previously reported changes in A1c suggest that psychosocial changes may reflect youth responses to A1c as well as to reinforcers per se. For broader effects, the intervention could include psychosocial components that seek to directly maintain decreased family conflict and mitigate negative affect related to increased awareness of glucose control. Disclosure J.J. Wong: None. A. Addala: None. K.K. Hood: Consultant; Self; Lilly Diabetes. Research Support; Self; Dexcom, Inc. Speaker's Bureau; Self; Johnson & Johnson Diabetes Institute. J. Wagner: None. E. Cengiz: Advisory Panel; Self; Abvance, ADOCIA, MannKind Corporation, Novo Nordisk Inc. Speaker's Bureau; Self; Novo Nordisk Inc. E.M. Tichy: None. K. Weyman: None. D. Naranjo: Advisory Panel; Spouse/Partner; Eli Lilly and Company. Speaker's Bureau; Spouse/Partner; Johnson & Johnson Diabetes Institute. Other Relationship; Self; Abbott. Funding National Institutes of Health

The Effects of a Comprehensive Psychosocial Intervention on Secondary Stressors and Social Support for Adult Child Caregivers of Persons With Dementia

Background and ObjectivesMany evaluations of nonpharmacologic interventions for family members of persons with Alzheimer’s disease or related dementias (ADRDs) exist, but few consider effects on outcomes that are pertinent to caregivers’ roles and relationships. The current study evaluated the efficacy of the New York University Caregiver Intervention-Adult Child (NYUCI-AC) on perceptions of family conflict, role conflict (effects of family caregiving and time, family, and social life), and perceived social support for adult child caregivers of relatives with ADRD over a 3-year period.Research Design and MethodsA single-blinded randomized controlled trial design was used. One-hundred and seven adult child caregivers were enrolled in the NYUCI-AC and randomly assigned to a treatment or contact control group. Assessments were scheduled to be completed every 4 months during the first year of participation and every 6 months thereafter for up to 3 years. Individual growth curve models were utilized to ascertain the effects of the NYUCI-AC on change in family conflict, role conflict, and perceptions of social support.ResultsAmong the entire sample, role conflict significantly (p < .05) declined and satisfaction with instrumental assistance increased over the course of the study, whereas family conflict slightly increased over the initial study period and then declined slightly. The findings indicated that the NYUCI-AC did not exert statistically significant effects on changes in family conflict, role conflict, or perceptions of social support over the 3-year study period.Discussion and ImplicationsAlthough the clinical content of some dementia caregiver interventions is tailored to the specific needs of each caregiver and family, the outcomes selected to judge the efficacy of these interventions might not follow similar principles. Incorporating clinical content and evaluation outcomes that are family-centered will help to advance the state of the art of dementia caregiving interventions.

The Perception of Family Conflict by Parents Living with HIV/AIDS and Their Adolescent Children

Abstract This study explores discrepancies in perceiving family conflict between HIV-infected parents and their adolescent children aged 12 to 22. A representative sample of 382 adolescent children and their HIV+ parents were recruited and assessed over 4 years. Relationships between discrepancies in perception and family demographics and the impact of discrepancies on adolescent adjustment are examined. A significant gap in perceiving family conflict was reported between parents and young adolescents aged 12. A higher level of discrepancy was associated with poor economic status, lower parental education, parental hard drug use, and negative parental coping style. Behavioral intervention programs for adolescents must consider both parents' and adolescents' psychosocial status and behavioral indicators as well as their impact on perceptions of family conflict.

The Relationship between Family and Sibling Functioning in Families Raising a Child with a Disability

Although considerable research exists concerning families raising children with disabilities, relatively little work has examined the linkages between parent and sibling functioning. The purpose of this study, therefore, was to investigate the relationship between parental perceptions of family functioning and school-aged siblings' social skills and problem behaviors. A purposive sample of 78 sets of parents and their school-aged children participated. Half of the families were raising a child with a disability, and half of the families were not raising a child with a disability. Mothers and fathers completed the Porter-O'Leary Scale and Bloom's Family Functioning Measure. Teachers of the school-aged children completed a modification of the Gresham and Elliot Social Skills Rating System. Results indicated siblings of both groups demonstrate more social skills than problem behaviors, and siblings of children with disabilities were higher in cooperation and self-control than siblings of children without disabilities. Hierarchical regression analyses revealed fathers' perceptions of family conflict and external locus of control orientation, and mothers' perceptions of marital conflict predicted externalizing behaviors for female siblings of children with a disability.

Caregiving and institutionalization: perceptions of family conflict and socioemotional support.

This study examines the impact of family conflict and socioemotional support among caregivers who institutionize their relatives. Fifty-two wives, forty-three husbands, and sixty-seven daughters were interviewed before and after the placement of a cognitively impaired relative. A repeated measures ANOVA was performed to examine differences in reports of family conflict and socioemotional support among caregivers. Husbands reported greater increases in family conflict than wives or daughters during the institutionization process. Conversely, wives and daughters indicated higher levels of socioemotional support than husbands. Hierarchical regression equations were then calculated to assess the independent contributions of family conflict and socioemotional support to postplacement adaptation. Decreases in socioemotional support during institutionalization significantly predicted postplacement anger among husbands and increases in family conflict significantly predicted postplacement depression among wives. Overall, family conflict and socioemotional support have important implications among caregivers who institutionalize their relatives.

Family experiences as moderators of the relationship between eating symptoms and personality disturbance

A questionnaire study with 243 female undergraduates assessed whether late adolescent females' experiences of autonomy and perceptions of family conflict would moderate the relationship between eating symptoms and personality disturbances associated with severe eating disorders. Univariate correlations between eating symptoms, on the one hand, and perceived family conflict and reports of individuation and mutuality in the adolescent/parent relationship, on the other hand, were relatively weak and for the most part insignificant. However, these data supported a “moderating hypothesis” in that eating symptoms were more strongly related to interoceptive confusion and maturity fears among participants describing less individuated relationships with their parents and reporting unusually low levels of family conflict.

A communication program for enhancing interaction in families with a hearing-impaired child.

A communication program for families with a hearing-impaired child (FWHIC) was developed and used with four families. A matched comparison group participated in loosely structured discussions. The program activities integrated positive communicative dimensions with issues related to this population. Findings indicate that the FWHIC program did have beneficial effects for parents and/or children. Some major findings include improved awareness skills, the ability to label feelings and skills, increased perceptions of family cohesiveness, and decreased perceptions of family conflict. The compared families participating in loosely structured discussions actually perceived some deterioration in their perceptions of family environment and a decrease in their awareness and social interaction skills. A follow-up analysis, 3 to 4 weeks following the program, indicated several long-term effects, although the majority of children and families perceived no changes.