Family Resilience Research Articles

"They're not my daughter, and yet…they're also not my son": Parents negotiating their adult child's nonbinary gender identity.

Scholars are increasingly recognizing that substantial gender heterogeneity exists among transgender populations; that is, gender identities that defy the ubiquitous binary categories of male and female. However, the developing research base on the families of transgender adults focuses almost exclusively on the family members of transgender persons with binary gender identities, a noteworthy shortcoming considering the prevalence of nonbinary gender identities among transgender populations and the pervasive assumption that only two genders exist. To address this gap, the current study sought to uncover how the parents of transgender adults with nonbinary gender identities come to understand, make sense of, and negotiate nonbinary gender identities in their families. Fourteen parents-12 mothers and 2 fathers-completed in-depth, semi-structured interviews, and the collected data were analyzed using reflexive thematic analysis. Analyses generated three broad themes that best-described these parents' experience with their child's gender, which was heavily shaped by the pervasiveness of cisnormativity: (a) varied attempts to understand nonbinary gender; (b) a nonbinary "double-edged sword"; and (c) familial resilience. Directions for future research, clinical practice, and policy change are discussed, including the therapeutic benefit of dialectical thinking and the need for legislation that legally affirms and protects nonbinary persons.

Mediating effect of cognitive appraisal and coping on anticipatory grief in family caregivers of patients with cancer: a Bayesian structural equation model study

BackgroundAnticipatory grief is common among family caregivers of cancer patients and may be related to caregiver burden, family resilience, psychological capital, cognitive appraisal, and coping strategies. The purpose of this study was to examine the mediating role of cognitive appraisal and coping strategies in the relationship between caregiver burden, family resilience, psychological capital, and anticipatory grief among caregivers of cancer patients.MethodsThis study surveyed from January to September 2023 among 265 caregivers of lung and breast cancer patients in two public hospitals. They completed measures of caregiver burden, family resilience, psychological capital, cognitive appraisal, coping, and anticipatory grief. AMOS software was used to model the data with Bayesian structural equation modeling.ResultsBayesian structural equation modeling results showed that caregiver burden had a direct effect on anticipatory grief. The chain mediating effects for cognitive appraisal tendency and coping tendency between caregiver burden, family resilience, psychological capital, and anticipatory grief, respectively. Coping tendency acted as a mediator between psychological capital and anticipatory grief.ConclusionsThe relationships between caregiver burden, family resilience, and psychological capital with anticipatory grief are embedded in the mediating effects of cognitive appraisal and coping. Early identification and intervention for caregiver burden, family resilience, psychological capital, cognitive appraisal, and coping methods may prevent anticipatory grief in caregivers of cancer patients.

Associations of threat and deprivation-related childhood exposures with children’s mental health and flourishing: The moderating role of family resilience

IntroductionThe association of adverse childhood experience (ACE) with physical and mental well-being is predominantly examined using a cumulative ACE score. However, less is known how different dimensions of adversity (e.g., threat and deprivation) may uniquely predict children’s mental health and development. We examined (i) whether two aspects of ACE – threat and deprivation – are differently associated with children’s anxiety, depression, and flourishing and (ii) whether family resilience and connection index (FRCI) moderates these associations. MethodsWe analyzed data from the National Survey of Children’s Health (2017–20). The analytic sample consisted of 81,626 children (6–17 years). Logistic regression with survey weights was used to obtain odds ratios (OR) and 95 % confidence intervals (CI) adjusting for sociodemographic factors. ResultsThe experience of threat-only ACE and deprivation-only ACE showed differential associations with anxiety, depression, and child flourishing. For example, children who experienced threat-only ACE had a 4.2-fold higher odds of depression (OR=4.2; 95 % CI: 3.37–5.24), and those who experienced deprivation-only ACE had a 2.4-fold (OR=2.4; 95 % CI: 1.98–2.92) higher odds of depression compared to those exposed to neither threat nor deprivation experience. Experiencing both a threat and deprivation showed larger than an additive association with all outcomes. Further, interaction models suggest that the associations of threat and deprivation-type ACE with all outcomes significantly differed by the levels of FRCI. ConclusionsThreat and deprivation dimensions of adversity were differentially associated with mental health and flourishing outcomes in childhood. Family resilience appears to be protective against the negative effect of threat and deprivation dimensions of ACE on children’s mental health and developmental outcomes.

The role of peer social support on family psychological resilience in caring for Chronic Kidney Disease patients receiving hemodialysis

Chronic Kidney Disease (CKD) is a disease that necessitates continuous Hemodialysis (HD) therapy, and families, as primary caregivers in Indonesia, play a crucial role in caring for CKD patients. However, HD therapy places a significant burden not only on patients but also on their families, requiring fostering family psychological resilience to mitigate such a burden. Although peer social support is an important external factor in chronic disease, it is still underdeveloped. Therefore, this study aimed to explore the correlation between peer social support and family psychological resilience in caring for CKD patients receiving HD.This cross-sectional study used purposive sampling, engaging 134 families serving as caregivers for patients receiving HD therapy. The Berlin Social Support Scales (BSSS) and The Walsh Family Resilience Questionnaire (WFRQ) were adopted as instruments, and data were analyzed using univariate and Spearman tests.The majority of families reported high levels of peer social support (75,37%), predominantly originating from other members facing similar challenges related to caring for CKD patients. Additionally, a significant relationship was observed between peer social support and family psychological resilience (p-value<0.05), showing that higher levels of peer support corresponded to higher family resilience.In conclusion, there was a strong correlation between peer social support and family resilience in the context of caring for CKD patients. Healthcare professionals should integrate social support intervention by establishing social groups to enhance family resilience.

Resilience among Rural South Indian Families during Covid-19 Pandemic: A Pilot Study

Pandemics have been in the history of mankind wiping out large number of people. COVID-19 pandemic in the 21st century has also taken a heavy toll on lives and has impacted every aspect of life. There have been several short-term and long-term implications on the families. Many families are still experiencing an ongoing negative impacts viz., loss of job, loss and threatened loss of loved ones, financial insecurity etc. Families were unable to meet the demands of children and elderly at home while being grateful for the quality time spent with family members. Material and Method: A comparative cross-sectional study was carried out to measure the level of resilience among families faced with and without COVID-19 infection during the pandemic in selected rural areas of Tamil Nadu, South India. FRS-16 was used to measure the resilience. Results: The study findings regarding the overall resilience revealed that 53% of the families had moderate resilience and 47% had high resilience. However, there was no statistical difference observed in the different domains of resilience such as Family Communication and Connectedness, Positive Framing and External Resources/Support between the families faced with and without COVID-19 infection. Discussion: The findings of this study corresponded to the findings of a study done in Indonesia with 68.9% of the families having moderate resilience during the COVID-19 pandemic. It has also been observed that a positive framing, family communication and connectedness have a positive influence on the family resilience. Conclusion: Family Resilience is a complex process; hence it is of high importance that adaptive strategies are enhanced in families to strengthen them in rising from adversities.

Designing a resilience-based intervention program for children with cancer and their families: a study protocol.

Advances in pediatric oncology have significantly increased survival rates, yet have introduced challenges in managing long-term treatment side effects. This study process introduces an interdisciplinary clinical intervention program rooted in the family resilience framework, aimed at improving well-being across the cancer trajectory for children and their families, especially those in Canadian communities far from specialized oncology centers with limited access to resources. Employing an intervention mapping approach, this program collaboratively involves patients, families, professionals, and researchers. It aims to identify vulnerability factors, establish a logic model of change, and devise comprehensive strategies that include professional interventions alongside self-management tools. These strategies, tailored to address biopsychosocial and spiritual challenges, are adapted to the unique contexts of communities distant from specialized cancer treatment centers. A mixed-methods approach will evaluate program effectiveness. Anticipated outcomes include the empowerment of families with self-management tools and professional support, designed to mitigate biopsychosocial and spiritual complications. By addressing the specific needs and limitations of these communities, the program strives to improve the overall health and well-being of both undergoing treatment and survivorship phases. By focusing on comprehensive care that includes both professional interventions and self-management, this initiative marks a significant shift toward a holistic, family-centered approach in pediatric oncology care for remote communities. It underlines the necessity of accessible interventions that confront immediate and long-term challenges, aiming to elevate the standard of care by emphasizing resilience, professional support, and family empowerment in underserved areas.

Analysis Of Family Economic Resilience Against Early Marriage Practices In Mayang Village

This research aims to measure the economic resilience of families involved in early marriage in Mayang Village, Jember Regency. Using a mixed methods approach that combines quantitative and qualitative methods, data was collected through observation, interviews, documentation, and surveys of 50 respondents who met the criteria. Data analysis using multiple linear regression shows that family income, mother's education level, and access to social assistance programs significantly affect family economic resilience. The data processing in this research uses Descriptive Statistical Analysis to describe the economic characteristics of families, such as income, expenditure, and welfare indicators. The results of this study indicate that early marriage has a significant impact on the economic resilience of families in Mayang Village, as reflected in decreased income and increased health burdens. These findings also highlight the importance of women's economic empowerment programs and improved access to education as efforts to enhance the welfare of families involved in early marriage. Interventions targeting education, health, and changes in social norms are crucial for improving the economic resilience of families in Mayang Village.

Family-focused practice and policy recommendations to improve the inpatient experience for patients undergoing a stem cell transplant.

Hematopoietic stem cell transplantation (HCT) greatly impacts the social, emotional, and physical well-being of the patient and their family. The transplant process imposes significant lifestyle restrictions that result in patient and family isolation, which has been further amplified during the COVID-19 pandemic era. While hospital systems recognize the importance of family engagement, the pandemic underscored the need to translate this philosophy more fully into practice. We discuss the importance of engaging the family throughout the transplant experience to improve patient outcomes and overall family health and well-being. We present the HCT family resilience model, a synthesis of multiple family and nursing theories and HCT concepts to better guide HCT family care. The theories and frameworks that inform our model address family functioning and growth in times of stress, coping strategies that promote positive family outcomes and resilience, and multicultural factors that may affect family experiences. A key contribution of our model is highlighting the role of family engagement in improving HCT family outcomes. Application of a family systems lens highlights the essential role families play in the care of HCT patients and can foster family well-being. We offer the HCT family resilience conceptual model as a guide for practice and policy improvements to optimize care delivery for this patient and family population, as well as direction for future research. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Creative Forces programming with military families: Art therapy, dance/movement therapy, and music therapy brief vignettes

LAY SUMMARY Creative arts therapists (art therapists, dance/movement therapists, and music therapists) administer assessments and interventions that support the holistic well-being of military families affected by traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD). Through participation in the Creative Forces: United States National Endowment for the Arts Military Healing Arts Network, military families discovered strengths, inspired connections, and improved understanding of their relationships. Creative arts therapies (CATs) motivated engagement, which ultimately boosted family resilience. CATs are an integral part of interdisciplinary care to address behavioural and rehabilitative conditions of military families impacted by TBI and PTSD. Future research should examine the efficacy of creative arts therapies in improving resilience in military families.

The Impact of Family Functioning on Self-Esteem and Resilience Among Young Adults in the Southern Region of Bangladesh

Family functioning, such as family adaptability and family cohesion, is a crucial component of every individual’s life, can influence his/her self-esteem and resilience, acting as protective factors in the environment. The present study examined the impact of family functioning on self-esteem and resilience among university students in the southern region of Bangladesh. A cross-sectional survey was carried out on 400 students from four different universities situated at Gopalganj, Khulna, Barisal, and Jessore. Bangla version of Resilience Scale for Adults, Rosenberg Self Esteem Scale, Family Adaptability and Cohesion Scale II, and Personal Information Form were used for data collection. Independent sample ‘t’ test revealed significant gender differences in family functioning; Pearson’s correlation coefficient showed significant positive relationship among family functioning, self-esteem and resilience; regression analysis showed both self-esteem and resilience can be predicted by family functioning. The results can inform efforts to strengthen family relationships and enhance communication within families. Dhaka Univ. J. Biol. Sci. 33(2): 87-95, 2024 (July)

Family Attachment and Its Influence on Adult Resilience: A Cross-Sectional Ex Post Facto Investigation

This study examines the relationship between early family attachment and resilience in adulthood, yielding significant theoretical implications for extending attachment theory. The regression analysis demonstrates that anxious and avoidant attachment styles are significant negative predictors of resilience, collectively accounting for 99.9% of its variability. The model exhibits excellent fit and high significance, as evidenced by the F-value. Secure attachment shows the highest positive association with resilience (B = 29.94), while avoidant (B = -5.937) and anxious (B = -23.937) attachment styles are negatively associated with resilience. The theoretical implications highlight the importance of considering attachment theory in the context of adult resilience and suggest avenues for future research to explore interventions that can mitigate the negative effects of insecure attachment styles. Therefore, this study concludes that enhancing secure attachment in early family relationships may be a key strategy in promoting resilience in adulthood, offering valuable insights for both clinical practice and educational interventions.

Resilience of Family Caregivers of People With Dementia in South Korea: A Scoping Review.

Due to rapid increases in the number of Korean people with dementia, dementia has become a priority health issue in South Korea. Likewise, the well-being of family caregivers of people with dementia has also become an issue of concern. However, little is known about the resilience of Korean family caregivers because there is a lack of review studies from a Korean cultural perspective about the resilience of family caregivers of people with dementia. The purpose of this scoping review was to investigate quantitative studies related to resilience theories, measurement instruments, correlates and resilience interventions for family caregivers of people with dementia. This review was conducted according to the Joanna Briggs Institute based on Arksey and O'Malley. Nine databases were searched to retrieve evidence published in English or Korean between January 2000 and September 2022. Studies with a quantitative research design reporting the resilience of family caregivers of people with dementia based on a resilience theory framework were included. A total of 13 studies were included in this review. All studies used either a modified McCubbin and McCubbin's family stress, adjustment and adaptation model or Walsh's family resilience model. All resilience instruments were used without cross-cultural adaptation. Family adaptation, social support, life satisfaction, family (di)stress and caregiver burden were associated with resilience among family caregivers. A few family resilience-enhancing programmes showed a positive effect on caregiver resilience. This review noted that all the resilience measures documented in this study need to test for cultural adaptation in a Korean context. Further research is required to develop and implement family-based, culturally tailored interventions to effectively enhance Korean resilience for family caregivers of people with dementia. Gerontological nurses should include Korean family caregivers in their nursing care and assess whether family caregivers have depression or suicidal thoughts to promote better health outcomes for caregivers and their family members.

347.3: A qualitative exploration of family resiliency in pediatric living-related liver donation.

347.3: A qualitative exploration of family resiliency in pediatric living-related liver donation.

Trajectories and influencing factors of psychological resilience among Chinese patients with maintenance hemodialysis

ObjectiveTo identify distinct trajectories of psychological resilience among Chinese patients with maintenance hemodialysis, explore influencing factors and inform the formulation of corresponding interventions. MethodsThis was a multi-center longitudinal study with a 6-month follow-up. With convenience sampling, a total of 231 patients with maintenance hemodialysis were recruited between September 2020 and July 2021. Patients’ characteristics, including sociodemographic information, social support and family resilience was collected through structured questionnaires as potential baseline influencing factors of psychological resilience trajectories. Psychological resilience was evaluated using the 25-item Chinese version of the Conner and Davidson resilience scale. Latent class growth modeling was conducted to identify homogeneous subgroups with distinct trajectories of psychological resilience. Univariable and multinomial logistic regression analysis were used to examine whether baseline influencing factors were associated with trajectories in patients with maintenance hemodialysis. ResultsFive distinct psychological resilience trajectory groups were identified: declining group (n = 20, 8.7 %), rising group (n = 17, 7.4 %), moderate-stable group (n = 128, 55.4 %), high-stable group (n = 7, 3.0 %) and low-stable group (n = 59, 25.5 %). High-stable group and moderate-stable group were combined into the well-psychological resilience group for multinomial logistic regression analysis. The multinomial logistic regression analysis showed that influencing factors associated with trajectories of psychological resilience were age, religion, monthly household income per capita, and baseline family resilience. ConclusionsThe results highlight the heterogeneity in the development of psychological resilience among Chinese patients with maintenance hemodialysis. There is a need for healthcare professionals to screen for trajectories of psychological resilience in Chinese maintenance hemodialysis patients and prepare individual mental healthcare interventions.

Factors influencing postdeployment reintegration adjustment for U.S. service members and their spouses by spouse gender

ABSTRACT Research on spouses’ adjustment after military deployment has focused primarily on female spouses of male service members; little is known about how adjustment differs by gender. We used Walsh’s family resilience framework to examine communication, belief system, organizational factors, and other stressors, likely associated with postdeployment adjustment. Using Millennium Cohort Family Study data, logistic regressions assessed risk and protective factors on spouses’ and service members’ time to adjust, exploring whether spouse gender moderated their associations. Findings indicated that the association of (1) spouses’ perceptions of their own mental functioning with spouses’ and service members’ adjustment and (2) spouses’ mental readiness for deployment with service members’ adjustment both differed by spouse gender, with associations attenuated for male spouses and their service member partners. Other factors associated with family adjustment included the spouse’s satisfaction with communication, the extent to which the service member shared deployment experiences, the extent to which the spouse was bothered by deployment experiences, the spouse’s participation in postdeployment transition programs, the spouse’s informal support during deployment, and length of deployment. Results indicated shared and gender-specific risk and protective factors associated with spouse and service member adjustment, demonstrating the importance of tailored military family support programs addressing the needs of different populations of military spouses.

Communication patterns in Javanese families to build family resilience in the digital era

This study aims to find communication patterns in Javanese families to build family resilience in the digital era. This study used qualitative research methods of phenomenological studies. The subjects in the study were determined through purposive sampling, namely 5 families in Yogyakarta, Indonesia. The collection of research data uses in-depth interviews and observations, while data analysis is through Interpretative Phenomenological Analysis. The results of this study are as follows: Communication patterns for Javanese families in the digital era through a) parents as role models through setting examples in increasing spirituality and positive habituation, parents need to have responsive Digital skills. Family resilience patterns in childcare in the digital era need to be built by: a) building humanist dialogue, respecting each other, listening and responding to each other, making comfortable not depressed and afraid in the process then this is a process that can be developed in families in the digital age. b) democratic-contextual, in facing challenges and crises in the family, parents also need to develop a democratic parenting style that suits the needs of each child.

The forgotten wartime letters of Abraham Benaroya (1943–1945): an unusual story of Jewish resistance in Greece and Nazi-Germany

ABSTRACT Focusing on Abraham Benaroya, a prominent labor leader in southeastern Europe, this research examines his experiences during World War II, a period often neglected in prior studies. Existing scholarship has predominantly highlighted Benaroya's contributions to the Pan-Hellenic labor movement from 1909 to 1924/5, incorrectly assuming that his removal from political power signaled the end of his influence on both Jewish and non-Jewish historiography; however, his wartime writings challenge this notion, revealing a compelling story of individual and familial resistance against Nazi Germany. During the tumultuous years of 1942–1945, amidst the Nazi occupation in Greece, Benaroya's fate took a unique turn. Despite being Jewish, he avoided extermination, and as a Greek Socialist activist he escaped execution and survived internment in various German prisoner-of-war camps. By employing the biographical turn approach and exploring Benaroya's forgotten Holocaust-era letters from captivity, this study presents a narrative of Greek-Jewish individual and familial struggles, choices, and resilience. In doing so, it contributes fresh perspectives to the current bottom-up scholarship, which moves beyond the generalized narrative of Jewish passivity. Instead, the current study offers a profound discourse on the complexities of Jewish survival and resistance under the extraordinary circumstances of the Nazi regime in Occupied Greece.

Community Empowerment Through MSME Development of the Dompet Dhuafa Resilient Family Program in Seberang Ulu District in Palembang City

Community Empowerment Through MSME Development of the Dompet Dhuafa Resilient Family Program in Seberang Ulu District in Palembang City

Development and Content Validation of the Communication, Organization, and Intrafamilial Beliefs in Neonatology Scale for Family Resilience in the Neonatal Intensive Care Unit.

Background and Purpose: Family resilience in the neonatal intensive care unit (NICU) is a promising avenue for promoting parental mental health, yet no tool is available to assess it. This study aimed to develop a new scale to measure family resilience in French-speaking parents during the NICU hospitalization and evaluate content validation. Methods: This methodological study was conducted in Quebec and included two phases: (a) item development process and (b) content validity evaluation process using successive quantitative and qualitative methods. A total sample of 14 experts evaluated item clarity, relevance, and representativeness on 1-4 rating scales and provided qualitative feedback on scale characteristics. Results: An initial scale of 55 items was developed. Excellent content validity (Scale Content Validity Index > .90) and consensus regarding item selection and scale presentation were achieved. Conclusions: This content-validated 55-item Communication, Organization, and Intrafamilial Beliefs in Neonatology (COCINL) scale should be psychometrically tested in the Quebec NICU parent population.

The Relationship of Self-Regulation and Resilience in Parents of Attention Deficit Hyperactivity Disorder (ADHD) at Special School-C Karya Tulus Tuntungan II

<strong><strong></strong></strong><p>Attention deficit hyperactivity disorder is a mental development disorder that becomes a problem for parents if it is not treated immediately. <em>So that parents can increase their resilience and bounce back from difficulties wisely. </em>The type of research is descriptive quantitative with a cross-sectional approach. <em>This research aims to analyze the relationship between self-regulation and the resilience of parents with children with ADHD at </em>Special School-C <em>Karya Tulus Tuntungan II. The type of research is descriptive quantitative with a cross-sectional approach. Technique. Sampling is purposive sampling. This research's respondents were parents with children with ADHD at Special School-C Karya Tulus Tuntungan II, totalling 50 respondents. </em>This research was carried out from March 27 to May 5 2024.<em> The instruments used were the Connor-Davidson Resilience Scale (CD-RISC) and the self-regulation questionnaire (SRQ). Data were analyzed using the Spearman rank statistical test. The results of the study showed that the majority of respondents (74.0% had self-regulation in the capable category, there was a strong positive relationship between self-regulation and the resilience of parents who have children with ADHD with a Pearson correlation value of +0.450, p-value -value=0.001; p>0.05). The conclusion is that there is a relationship between self-regulation and the resilience of parents who have children with ADHD at Special School -C Karya Tulus Tuntungan II, which is quite strong and in the same direction. It is recommended as a nursing intervention that can be developed to explore self-regulation and resilience in patients and families, especially in parents who have children with ADHD.</em></p><p><strong><em>Keywords: ADHD, parent, Self-regulation, Resilience</em></strong></p>