Adaptive/maladaptive Bereaved Families based on Perceptions of Family Functioning
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- Sakaguchi Yukihiro
- Department of Clinical Psychiatry and Geriatric Behavioral Science, Graduate School of Human Sciences, Osaka University
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- Kashiwagi Tetsuo
- Faculty of Human Sciences Osaka University
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- Tsuneto Satoru
- Hospice at Yodogawa Christian Hospital
Bibliographic Information
- Other Title
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- 家族機能認知に基づく死別後の適応・不適応家族の検討
- カゾク キノウ ニンチ ニ モトヅク シベツ ゴ ノ テキオウ フテキオウ カゾク ノ ケントウ
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Description
The aim of this study is to identify adaptive or maladaptive family type based on perceptions of family functioning in bereavement. Also our cross-sectional study can demonstrate process that adaptive (or maladaptive) families influence psychological health of the widowed. The subjects were 45 widowed persons and 45 married persons. They answered a questionnaire concerning cohesion and expressiveness in family functioning (Family Environment Scales Japaneses Version) , and psychological health (General Health Questionnaire Japanese Version, 28 version ; GHQ 28). As a result of cluster analysis, three types of families emerged from cohesion and expressiveness (i.e.high-cohesive and high-expressive family, mid- and mid- family, low- and low- family). There were no age. sex, number of child and marital status differences among the family types. Second, three family types were compared by using one-way analysis of the variance (ANOVA) on psychological health, and further post hoc comparisons of significant results were undertaken. The Sores of anxiety & insomnia, social dysfunction, and severe depression on GHQ 28 of the high-cohesive and high-expressive family were significantly lower than that both of the mid- and mid- family and of the low- and low- family. Finally, the interaction of family types by marital status on psychological health was examined by using two-way analysis of the variance (ANOVA). There was the significant interaction on both anxiety & insomnia and severe depression. According to post hoc test, while there was a significant difference on them among family types in the widowed, but no difference in the married. That is, high-cohesive and high-expressive family has buffering effect on psychological health after conjugal loss. These findings suggested the following to clinical setting ; 1) The high-cohesive and high-expressive family may be "adaptive family" after bereavement. 2) The courses of intervention are to enhance the family cohesion and to develop open expression of thoughts and feelings. 3) The screening for high-risk (then maladaptive) family before patient's death is effective. Family intervention in advance may be regarded as the preventive bereavement care.
Journal
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- Japanese Journal of Psychosomatic Medicine
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Japanese Journal of Psychosomatic Medicine 39 (7), 525-532, 1999
Japanese Society of Psychosomatic Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390282679864092416
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- NII Article ID
- 110001122386
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- NII Book ID
- AN00121636
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- ISSN
- 21895996
- 03850307
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- NDL BIB ID
- 4861579
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed