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Exploring the Relationship between Family Functioning and Psycho-Pathology in a Sample in the Pediatric Age

Published online by Cambridge University Press:  17 March 2015

Silvia Pepe*
Affiliation:
Sapienza University of Rome (Italy)
Daniela Tortolani
Affiliation:
Bambino Gesù Pediatric Hospital (Italy)
Simonetta Gentile
Affiliation:
Bambino Gesù Pediatric Hospital (Italy)
Vincenzo M. Di Ciommo
Affiliation:
Bambino Gesù Pediatric Hospital (Italy)
*
*Correspondence concerning this article should be addressed to Silvia Pepe, PhD. Pediatric Centre. Viale dei Promontori, 284. 00122. Ostia Lido. Roma. (Italy). E-mail: [email protected]

Abstract

The purpose of this study was to investigate differences in family functioning between families with clinical subjects in paediatric age and families taken from the Italian population. To this aim we used the Family Adaptability and Cohesion Evaluation Scale (FACES). Participants were children diagnosed with a psychopathology, recruited into the psychiatry department in a Paediatric Hospital of Rome. A total of 106 families participated in the study. The non-pathological sample is composed by 2,543 parents in different age periods of the life-cycle. Results showed significant differences in family functioning between pathological and non-pathological samples. Specifically, families from the pathological sample (particularly the ones who experienced eating disorders) were more frequently located in extreme or mid-range regions of Olson’s circumplex model (p < .001). These findings suggest some considerations that can be useful in therapeutic works with families in a clinical setting. Critical aspects and clinical applications are discussed.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2015 

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References

Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA Preschool forms and profiles. Burlington, VT: University of Vermont Department of Psychiatry.Google Scholar
Barker, E. T., & Galambos, N. L. (2003). Body dissatisfaction of adolescent girls and boys: Risk and resource factors. Journal of Early Adolescence, 23, 141165. http://dx.doi.org/10.1177/0272431603023002002 Google Scholar
Bastiani Archibald, A., Graber, J. A., & Brooks-Gunn, J. (1999). Associations among parent-adolescent relationships, pubertal growth, dieting, and body image in young adolescent girls: A short-term longitudinal study. Journal of Research on Adolescence, 9, 395415. http://dx.doi.org/10.1207/s15327795jra0904_2 CrossRefGoogle Scholar
Beavers, R., & Hampson, R. B. (2000). The Beavers Systems Model of Family Functioning. Journal of Family Therapy, 22, 128143. http://dx.doi.org/10.1111/1467-6427.00143 CrossRefGoogle Scholar
Bischof, G. P., Stith, S. M., & Whitney, M. L. (1995). Family environments of adolescent sex offenders and other juvenile delinquents. Adolescence. 30, 157170.Google Scholar
Birch, L. L., & Fisher, J. O. (2000). Mothers’ child-feeding practices influence daughters’ eating and weight. American Journal of Clinical Nutrition, 71, 10541061.Google Scholar
Cumsille, P. E., & Epstein, N. (1994). Family cohesion, family adaptability, social support, and adolescent depressive symptoms in outpatient clinic families. Journal of Family Psychology, 8, 202214. http://dx.doi.org/10.1037/0893-3200.8.2.202 Google Scholar
Dreman, S., & Ronen-Eliav, H. (1997). The relation of divorced mothers’ perceptions of family cohesion and adaptability to behavior problems in children. Journal of Marriage and Family, 59, 324331. http://dx.doi.org/10.2307/353473 CrossRefGoogle Scholar
Eddy, K., Tanofsky-Kraff, M., Thompson-Brenner, H., Herzog, B., Brown, A., & Ludwig, S. (2007). Eating disorder pathology among overweight treatment-seeking youth: Clinical correlates and cross-sectional risk modeling. Behaviour Research and Therapy, 45, 23602371. http://dx.doi.org/10.1016/j.brat.2007.03.017 Google Scholar
Epstein, N. B., Baldwin, L., & Bishop, D. A. (1983). The McMaster family assessment device. Journal of Marriage and Family Therapy, 9, 171180. http://dx.doi.org/10.1111/j.1752-0606.1983.tb01497.x CrossRefGoogle Scholar
Field, A. E., Javaras, K. M., Aneja, P., Kitos, N., Camargo, C. A., Barr Taylor, C., & Laird, N. M. (2008). Family, peer, and media predictors of becoming eating disordered. Archives of Pediatrics & Adolescence Medicine, 162, 574579. http://dx.doi.org/10.1001/archpedi.162.6.574 CrossRefGoogle ScholarPubMed
Frigerio, A. (2001). CBCL child behavior checklist: dimostrazione e presentazione di dati clinici [CBCL child behavior checklist]. Lecco, Italy: Bosisio Parini. Associazione La Nostra Famiglia.Google Scholar
Galimberti, C., & Farina, M. (1992). Faces III. Uno strumento per la ricerca e l’osservazione clinica della famiglia [Faces III. An instrument for research and clinical observation of family] . Milano, Italy: Vita e Pensiero.Google Scholar
Gillett, K. S., Harper, J. M., Larson, J. H., Berrett, M. E., & Hardman, R. K. (2009). Implicit family process rules in eating-disorder and non-eating-disordered families. Journal of Marital and Family Therapy, 35, 159174. http://dx.doi.org/10.1111/j.1752-0606.2009.00113.x Google Scholar
Ginsburg, G. S., & Schlossberg, M. C. (2002). Family-based treatment of childhood anxiety disorders. International Review of Psychiatry, 14, 143154. http://dx.doi.org/10.1080/09540260220132662 Google Scholar
Haley, J. (1973). Uncommon therapy: The Psychiatric Techniques of Milton H. New York, NY: Erickson, Norton.Google Scholar
Hampson, R. B., & Beavers, W. R. (1996). Measuring family therapy outcome in a clinical setting: Families that do better or do worse in therapy. Family Process, 35, 347361. http://dx.doi.org/10.1111%2Fj.1545-5300.1996.00347.x Google Scholar
Huey, Jr. S. J., Henggeler, S. W., Brondino, M. J., & Pickrel, S. G. (2000). Mechanisms of change in multisystemic therapy reducing delinquent behavior through therapist adherence and improved family and peer functioning. Journal Consulting Clinical Psychology, 68, 451467. http://dx.doi.org/10.1037//0022-006X.68.3.451 Google Scholar
Kagan, D. M., & Squires, R. L. (1985). Family cohesion, family adaptability, and eating behaviors among college students. International Journal of Eating Disorders, 4, 267279. http://dx.doi.org/10.1002/1098-108X(198508)4:3%3C267::AID-EAT2260040304%3E3.0.CO;2-9 Google Scholar
Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., … Ryan, N. (1997). Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. Journal, American Academy of Child and Adolescence Psychiatry, 36, 980988. http://dx.doi.org/10.1097/00004583-199707000-00021 Google Scholar
Kenny, M. E., & Hart, K. (1992). Relationship between parental attachment and eating disorders in an inpatient and college sample. Journal of Counseling Psychology, 39, 521526. http://dx.doi.org/10.1037//0022-0167.39.4.521 Google Scholar
Kim, H. S., & Kim, H. S. (2008). the impact of family violence, family functioning, and parental partner dynamics on Korean juvenile delinquency. Child Psychiatry and Human Development, 39, 439453. http://dx.doi.org/10.1007/s10578-008-0099-4 Google Scholar
Kluck, A. S. (2008). Family factors in the development of disordered eating: Integrating dynamic and behavioral explanations . Eating Behaviors, 9, 471483. http://dx.doi.org/10.1016/j.eatbeh.2008.07.006 Google Scholar
Minuchin, S. (1974). Families and family therapy. Harvard, MA: University Press.CrossRefGoogle Scholar
Minuchin, S., Baker, L., Rosman, B. L., Liebman, R., Milman, L., & Todd, T. C. (1975). A conceptual model of psychosomatic illness in children. Archives of General Psychiatry, 32, 10311038. http://dx.doi.org/10.1001/archpsyc.1975.01760260095008 Google Scholar
Minuchin, S., & Fishman, H. C. (2004). Family therapy techniques. Harvard, MA: University Press.Google Scholar
Minuchin, S., Rosman, B. L., & Baker, L. (1978). Psychosomatic families: Anorexia nervosa in context. Cambridge, MA: Harvard University Press.Google Scholar
Newman, R. M., & Waters, T. F. (1984). Size-selective predation on Gammarus pseudolimnaeus by trout and sculpins. Ecology, 65, 15351545. http://dx.doi.org/10.2307/1939133 Google Scholar
Neumark-Sztainer, D., Wall, M., Story, M., & Sherwood, N. E. (2009). Five-year longitudinal predictive factors for disordered eating in a population-based sample of overweight adolescents: Implications for prevention and treatment. International Journal of Eating Disorders, 42, 664672. http://dx.doi.org/10.1002/eat.20733 Google Scholar
Olson, D. H. (1986). Circumplex model: VII. Validation studies and Faces III. Family Process, 25, 337351. http://dx.doi.org/10.1111/j.1545-5300.1986.00337.x Google Scholar
Olson, D. H. (1995). Family Satisfaction Scale. Minneapolis, MN: Life Innovations.Google Scholar
Olson, D. H. (2000). Circumplex model of marital and family systems. Journal of Family Therapy, 22, 144167. http://dx.doi.org/10.1111/1467-6427.00144 CrossRefGoogle Scholar
Olson, D. H., Portner, J., & Lavee, Y. (1985). FACES III. Minneapolis, MN: Life Innovations, Inc.Google Scholar
Olson, D. H., Sprenkle, D. H., & Russell, C. S. (1979). Circumplex model of marital and family systems: I. Cohesion and adaptability dimensions, family types, and clinical applications. Family Process, 18, 328. http://dx.doi.org/10.1111%2Fj.1545-5300.1979.00003.x Google Scholar
Palazzoli Selvini, M. (1986). Towards a general model of psychotic family games. Journal of Marital and Family Therapy, 12, 339349. http://dx.doi.org/10.1111%2Fj.1752-0606.1986.tb00665.x Google Scholar
Sherman, R., & Fredman, N. (1987). Handbook of structured techniques in marriage and family therapy. Family Relations, 36, 111112. http://dx.doi.org/10.2307%2F584668 Google Scholar
Sogos, C. (2004). Intervista diagnostica per la valutazione dei disturbi psicopatologici in bambini ed adolescenti. [Schedule for affective disorders and schizophrenia for school-age children and adolescent]. Trento, Italy: Erickson.Google Scholar
Taylor, C., Bryson, S., Luce, K., Cunning, D., Doyle, A., Abascal, L., & Wilfley, D. (2006). Prevention of eating disorders in at-risk college-age women. Archives of General Psychiatry, 63, 881888. http://dx.doi.org/10.1001/archpsyc.63.8.881 Google Scholar
Vidovic, V., Juresa, V., Begovac, I., Mahnik, M., & Tocilj, G. (2005). Perceived family cohesion, adaptability and communication in eating disorders. European Eating Disorders Review, 13, 1928. http://dx.doi.org/10.1002erv.615 Google Scholar
Waller, G., Slade, P., & Calam, R. (1990). Family adaptability and cohesion: Relation to eating attitudes and disorders. International Journal of Eating Disorders, 9, 225228. http://dx.doi.org/10.1002/1098-108X(199003)9:2%3C225::AID-EAT2260090214%3E3.0.CO;2-D Google Scholar