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Objective To explore the causal relationship between family resilience and mental health in military personnel population.Methods A total of 204 military personnel were recruited from an army unit stationed in Western China with cluster convenience sampling.Family Resilience Scale(FRS)and Symptom Checklist 90(SCL-90)were used to survey them twice,in an interval of 4 months.Amos 26.0 was applied to construct a cross-lag model and analyze the data.Results After controlling mental symptoms from the first survey,family resilience in the first measure significantly predicted mental symptoms in the second measure(β=-0.14,P＜0.05).After controlling for family resilience from the first survey,mental symptoms in the first measure significantly predicted family resilience in the second measure(β=-0.13,P＜0.05).Conclusion The relationship between family resilience and mental health is mutually causal in military personnel,and one predicts the other one.Our findings highlight the key dimensions of the relationship between the two.
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Objective:To explore the classification and influencing factors of family resilience and post-traumatic growth in patients with spinal tumor.Methods:A cross-sectional investigation was conducted among 219 inpatients with spinal tumor admitted from July 2021 to July 2022. The General Demographic Information questionnaire, Chinese-Family Resilience Assessment Scale, Posttraumatic Growth Inventory, Family Crisis-Oriented Personal Evaluation Scales (F-COPES), and Social Support Rating Scale (SSRS) were used in the study. The ordinal and multivariate logistic regression analyses was applied to identify the factors associated with the classification of family resilience and post-traumatic growth.Results:Of the 219 patients, there were 62 cases of primary spinal tumors (28.3%). According to the results of latent profile analysis, the respondents were classified into three categories by family resilience and post-traumatic growth, namely family difficulty-resistant type ( n=38, 17.4%), general resilience-struggle type ( n=99, 45.2%) and family adaptation-growth type ( n=82, 37.4%). There were significant differences in occupational status, commitment to housework, family atmosphere( χ2=10.75, P=0.025; χ2=6.95, P=0.031; χ2=11.37, P=0.017), and total score of F-COPES and SSRS ( F=25.95, P<0.001; F=19.06, P<0.001)among three groups. Ordinal and multivariate logisitc regression analyses showed that retirement ( OR=2.928, 95% CI:1.098-7.808, P<0.05), family coping ( OR=1.113, 95% CI:1.063-1.165, P<0.05), and social support ( OR=1.226, 95% CI:1.103-1.362, P<0.05) were independently associated with family resilience and post-traumatic growth in patients with spinal tumor. Conclusion:Patients with spinal tumor have significant differences in characteristics by family resilience and post-traumatic growth. As a result, more targeted interventions should be provided for different categories of spinal tumor patients in the future.
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O Transtorno do Espectro Autista (TEA) tem seus critérios diagnósticos atuais baseados no Manual de Diagnóstico e Estatístico de Transtornos Mentais (DSM 5). Sendo um transtorno global do neurodesenvolvimento, da reciprocidade social e da comunicação, com comportamentos repetitivos, interesses restritos e inflexibilidade comportamental. O diagnóstico do TEA vem aumentando em todo o mundo trazendo uma nova realidade para a família, modificando a sua dinâmica emocional, social e financeira. Esse estudo teve por objetivo delinear um perfil e demonstrar as principais dificuldades e repercussões do cuidado da pessoa com diagnóstico de Transtorno do Espectro Autista (TEA) e suas famílias. Tratou-se de um estudo realizado através da coleta de dados nos meses de setembro e outubro de 2023 em quatro clínicas multidisciplinares de tratamento do TEA da saúde suplementar. Foram coletados dados quantitativos e qualitativos de 208 famílias, sendo os quantitativos apresentados percentuais em tabelas contendo: idade atual do paciente, idade no início das terapias e idade dos cuidadores; raça dos pacientes, sexo do paciente e dos cuidadores, idade dos pais na concepção, escolaridade dos cuidadores, tipo de parto, renda familiar, formação escolar do cuidador, presença ou não de fé declarada e estado civil do cuidador (os últimos dois considerados enquanto fatores de resiliência familiar). Os dados qualitativos foram trabalhados através da análise de conteúdo de Bardin, ilustrando e auxiliando no melhor entendimento das demandas familiares e suas dinâmicas. Os resultados encontrados concordam, em parte, com o perfil da população TEA relatada em literatura, mas com particularidades como, por exemplo, em referência a idade dos pais na concepção da criança TEA e a quantidade de diagnósticos no sexo feminino. Conseguiu-se, também, identificar fatores de resiliência familiar, como uma estrutura da dinâmica familiar e a presença de uma religião / fé. A partir da hipótese que a presença de um membro com TEA traz impacto em toda família, a autora espera, assim, contribuir na construção de políticas públicas e instituições de apoio ao TEA, norteando condutas mais assertivas frente ao atendimento às necessidades desta população; minimizando os impactos da violência sofrida através da exclusão, suas dificuldades econômicas e sociais.
The current diagnostic criteria of Autism Spectrum Disorder (ASD) is based on the Diagnostic and Statistical Manual of Mental Disorders (DSM 5). Being a global disorder of neurodevelopment, social reciprocity and communication, with repetitive behaviors, restricted interests and behavioral inflexibility. The diagnosis of ASD has been increasing throughout the world, bringing a new reality to families, changing their emotional, social and financial dynamics. This study aimed to outline a profile and demonstrate the main difficulties and repercussions of caring for people diagnosed with Autism Spectrum Disorder (ASD) and their families. This was a study carried out through data collection in the months of September and October 2023 in four multidisciplinary ASD treatment clinics in supplementary health. Quantitative and qualitative data were collected from 208 families, with the quantitative data presented in percentages in tables containing: current age of the patient, age at the beginning of therapies and age of caregivers; race of patients, sex of patient and caregivers, age of parents at conception, education of caregivers, type of birth, family income, educational background of the caregiver, presence or absence of declared faith and marital status of the caregiver (the last two considered as family resilience factors). The qualitative data were worked through Bardin's content analysis, illustrating and helping to better understand family demands and their dynamics. The results found agree, in part, with the profile of the ASD population reported in the literature, but with particularities such as, for example, in reference to the age of the parents at the conception of the ASD child and the number of diagnoses in females. It was also possible to identify factors of family resilience, such as the structure of family dynamics and the presence of a religion/faith. Based on the hypothesis that the presence of a member with ASD has an impact on the entire family, the author hopes to contribute to the construction of public policies and institutions to support ASD, guiding more assertive behaviors in meeting the needs of this population; minimizing the impacts of violence suffered through exclusion, economic and social difficulties.
الموضوعات
Health Promotion , Social Change , Academic Dissertation , Health System Resilienceالملخص
Objective:To explore the mediating roles of family resilience and perceived social support between fear of progression and quality of life in patients with adult pulmonary hypertension, so as to provide guidance for grassroots medical staff to deeply understand and improve the long-term quality of life of adult pulmonary hypertension patients.Methods:Using a convenience sampling method, 219 adult pulmonary hypertension patients who attended Qilu Hospital, Shandong University from July 2021 to February 2022 were selected for a cross-sectional study using the World Health Organization Quality of Life Questionnaire Abbreviated Version (WHOQOL-BREF), Perceived Social Support Scale (PSSS), Shortened Chinese version of the Family Resilience Assessment Scale (FRAS-C) and Chinese version of Fear of Progression Questionnaire-Short Form (FoP-Q-SF) for investigation. A structural equation model was established to evaluate the mediating effect of family resilience and perceived social support on fear of progression and quality of life.Results:The scores of WHOQOL-BREF, PSSS, FRAS-C, and FoP-Q-SF were (45.85 ± 10.22), 66(56, 75), 94(89, 97) and 39(32, 46) points in adult pulmonary hypertension patients. The total scores of WHOQOL-BREF were negatively correlated with FoP-Q-SF ( r = -0.63, P<0.01), and positively correlated with FRAS-C and PSSS ( r=0.54, 0.46, both P<0.01). Family resilience played a partial mediating role between fear of progression and quality of life, accounting for 13.43% of the total effect. Family resilience and perceived social support played a chain mediating role between fear of progression and quality of life, accounting for 2.71% of the total effect. Conclusions:Family resilience-perceived social support play mediating roles between fear of progression and quality of life, healthcare workers can alleviate fear of progression and improve quality of life by promoting the levels of family resilience and perceived social support of adult pulmonary hypertension parents.
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Objective:To understand the level of self-advocacy in young female breast cancer patients and analyze its influencing factors, so as to provide reference for clinical intervention.Methods:A total of 250 young female breast cancer patients from Puyang People′s Hospital and Puyang Oilfield General Hospital from May 2021 to June 2022 were selected as research objects by convenience sampling method. A cross-sectional survey was conducted using the general information questionnaire, Female Self-Advocacy in Cancer Survivorship, Cancer Distress Scales for Adolescent and Young Adults and Family Resilience Assessment Scale. Multiple stepwise linear regression was used to analyze the influencing factors of self-advocacy in young women with breast cancer.Results:A total of 235 young female breast cancer patients completed the survey. The total score for self-advocacy was (77.04 ± 12.76) points, the total score of psychological distress was (108.25 ± 18.36) points, and the total score of family resilience was (112.93 ± 25.20) points. Self-advocacy was negatively correlated with psychological distress ( r=-0.548, P<0.001), and positively correlated with family resilience ( r=0.596, P<0.001). Education level, personality type, family monthly income, perceived economic pressure, work status, fertility, intimate relationship, diagnosis time, psychological distress and family resilience were the influencing factors of self-advocacy of young female breast cancer patients ( R2=0.595, F=35.31, P<0.01). Conclusions:The level of self-advocacy of young female breast cancer patients should be further improved. Medical staff should take targeted measures according to influencing factors to improve their self-advocacy level.
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Objective:To describe the family resilience experience of colorectal cancer patients′ spouses in the process of care, and to provide reference for making effective clinical nursing interventions.Methods:Objective sampling method was used to select the spouses of colorectal cancer patients who were hospitalized in Shanghai East Hospital from March to April 2023. A phenomenological research was used. Semi-structured, in-depth interviews were conducted with 10 spouses of colorectal cancer patients undergoing colostomy. Data was transcribed and analyzed using Colaizzi′s method.Results:Three themes were extracted: family crisis and coping pressure including increased burden of care, accompanying emotional internal friction, heavy economic pressure; internal adjustment and adaptation within the family including positive family beliefs, timely adjustment of family roles, clear and effective communication and interaction; integration and utilization of external resources including active access to information, medical professional support, social external support.Conclusions:With the help of the perspective of family advantage, medical staff should pay attention to the evaluation of care needs and family resilience of colorectal cancer patients′ spouses, to fully mobilize advantage resources and give effective intervention measures to improve the family and social adaptation level of patients and their spouses.
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Objective:To revise the family resilience assessment scale (FRAS) in patients with stroke and to evaluate its psychometric properties and applicability.Methods:FRAS was authorized and translated into Chinese.The scale items were revised based on the interview results of 13 patients with stroke and 11 caregivers and the opinions of 20 experts in related fields.A convenience sampling method was used to sample neurology and neurosurgery inpatients from 2 tertiary hospitals in Hangzhou twice from June to November 2022, with 325 questionnaires (sample 1) distributed the first time for item analysis and exploratory factor analysis, and 285 questionnaires (sample 2) distributed the second time for confirmatory factor analysis, criterion validity and reliability test.Data analysis was conducted by SPSS 26.0 and AMOS 24.0.Results:The exploratory factor analysis extracted 6 common factors(family beliefs, family spirit, family connection, family resources, family communication, family collaboration) with 32 items.Confirmatory factor analysis showed that the model fit well( χ2/ df=2.67, RMSEA=0.025, CFI=0.98, GFI=0.90, IFI=0.98, RMR=0.031). The cronbach's α coefficient of the total scale was 0.96, and 0.82-0.92 for the dimensions.The 2-week retest reliability was 0.99.The total scale score was positively correlated with the validity scale (family resilience scale) ( r=0.882, P<0.001). Conclusion:The family resilience scale for patients with stroke has good reliability and validity and can be used to assess the family resilience of patients with stroke.
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Objective:To explore the mediating effect of social support between adult attachment and family resilience in young and middle-aged patients undergoing peritoneal dialysis, and to provide reference for psychological health care of young and middle-aged peritoneal dialysis patients.Methods:From September 2019 to February 2022, the prospective research method was adopted to investigate a total of 100 young and middle-aged patients undergoing peritoneal dialysis by general information questionnaire, Experiences in Close Relationship Scale-short form, Social Support Rating Scale, Family Resilience Scale, respectively. Multiple linear regression and structural equation model was used to evaluate the mediating effect of social support on adult attachment and family resilience.Results:The scores of attachment avoidance and attachment anxiety in Experiences in Close Relationship Scale-short form were (46.47 ± 10.23) points and (63.67 ± 10.37) points; Social Support Rating Scale scores were (36.40 ± 7.27) points; Family Resilience Scale scores were (94.21 ± 11.40) points. There was a negative correlation of attachment anxiety and attachment avoidance with total score and each dimension score of Social Support Rating Scale and total score and each dimension score of Family Resilience Scale ( r values were -0.844--0.373, all P<0.05). Attachment anxiety and attachment avoidance had a significantly indirect effect on the family resilience of young and middle-aged peritoneal dialysis patients through social support, which showed that the mediating effect of social support accounts for 41.6% and 48.8% of the total effect. Conclusions:Social support plays a mediating role in the relationship between adult attachment and family resilience in young and middle-aged peritoneal dialysis patients, nurses can focus on social support to reduce the adverse effects of adult attachment on family resilience.
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Objective:To explore the relevance of family resilience, fatalism, and self-management of lung neoplasms patients undergoing chemotherapy, and the mediating effect of fatalism in family resilience and self-management.Methods:The study was a cross-sectional study, and it was convenient to select 376 lung cancer patients who underwent chemotherapy in the Oncology Department of the Second Affiliated Hospital of Air Force Military Medical University from August 2020 to August 2021 as the research subjects. A questionnaire survey was conducted on the patients by using general information questionnaire, Chinese Family Resilience Assessment Scale, Chinese Version of Fatalism Scale, and Cancer Patient Self-management Assessment Scale to establish and test the mediating model of fatalism between family resilience and self-management in lung neoplasms patients undergoing chemotherapy.Results:The total score of family resilience of lung neoplasms patients undergoing chemotherapy was (102.01 ± 33.29) points, the total score of fatalism was (63.99 ± 9.41) points, and the total score of self-management was (87.95 ± 27.65) points. Family resilience was negatively correlated with fatalism ( r=-0.418, P<0.01), positively correlated with self-management ( r=0.476, P<0.01), and fatalism was negatively correlated with self-management ( r=-0.557, P<0.01). Fatalism played a partial mediating role between family resilience and self-management, and the mediating effect accounted for 26.2% of the total effect. The value of each fitness index of the mediation effect model was within the acceptable range Conclusions:Family resilience, fatalism and self-management of lung neoplasms patients undergoing chemotherapy are closely related. Family resilience can not only directly affect self-management, but also indirectly affect self-management through fatalism. In clinical nursing, targeted intervention can be carried out on fatalism, which affects the role of family resilience on self-management, thereby promoting the improvement of self-management level of lung neoplasms patients undergoing chemotherapy.
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This study aims to present an integrative literature review that analyses the state of the art of research related to individual and family resilience processes and social support networks for victims of traffic accidents in the post-accident situation. PsycInfo, PubMed, Web of Science, and SciELO were used as sources for data with the descriptors: resilience; traffic-accidents; support networks and family resilience. 12 articles were found as a result of the process of reviewing. The findings demonstrate a scarcity of studies that simultaneously relate resilience, traffic accidents, support networks and family resilience. Also, the majority of research on traffic accidents is focused on prevention. This review points limitations that suggest the need of more investment on research about post-accident contexts making possible to offer support to public policies that improve the quality of life of this populations.
Este estudio tiene como objetivo presentar una revisión de literatura integradora para analizar el estado del arte de la investigación publicada sobre procesos de resiliencia individual/familiar y redes de apoyo para víctimas de accidentes de tránsito en la situación posterior al accidente. Las bases utilizadas fueron PsycInfo, PubMed, Web Of Science y SciELO con los descriptores: resiliencia; accidentes de tráfico; redes de apoyo y resiliencia familiar. Se encontraron 12 artículos como resultado del análisis completo de esta revisión. Los hallazgos mostraron una escasez de estudios que se relacionan simultáneamente: resiliencia, accidentes de tránsito, redes de apoyo y resiliencia familiar. Además, gran parte de la investigación sobre accidentes de tráfico se centra en la prevención. Teniendo en cuenta las limitaciones encontradas, se sugiere realizar más investigaciones en contextos posteriores al accidente para permitir el desarrollo de políticas públicas destinadas a mejorar la calidad de vida de esta población.
Esse estudo tem por objetivo apresentar uma revisão integrativa de literatura para analisar o estado da arte de pesquisas publicadas sobre processos de resiliência individual/familiar e redes de apoio em vítimas de acidente de trânsito na situação pós acidente. As bases utilizadas foram PsycInfo, PubMed, Web Of Science e SciELO com os descritores: resiliência; acidentes de trânsito; redes de apoio e resiliência familiar. Foram encontrados 12 artigos como resultado da análise completa dessa revisão. Os achados demostraram escassez de estudos que relacionam simultaneamente: resiliência, acidentes de trânsito, redes de apoio e resiliência familiar. Ademais, grande parte das pesquisas sobre acidente de trânsito possui foco na prevenção. Consideradas as limitações encontradas sugere-se que maior número de pesquisas seja realizado em contextos pós acidente para possibilitar o desenvolvimento de políticas públicas com vistas a melhor qualidade de vida dessa população.
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Resumen Las familias, en la actualidad, enfrentan nuevos retos y cambios que comprometen su capacidad de adaptación y su bienestar. Este estudio tuvo como objetivo describir y comparar indicadores de resiliencia familiar y bienestar familiar de 442 familias colombianas ubicadas geográficamente en Bogotá (n = 196), Santa Marta (n = 81) y Cali-Palmira (n = 145). El diseño fue analítico transversal. Las familias diligenciaron el Índice Familiar de Regeneración y Adaptación (FIRA-G) para valorar la resiliencia y el Índice de Bienestar de los miembros de la Familia (FMWB). Los resultados demostraron relaciones significativas y positivas entre bienestar familiar y resiliencia familiar al igual que una relación inversa y significativa entre indicadores de resiliencia negativos como tensión, distrés y tensión familiar con indicadores positivos de resiliencia familiar tales como coherencia, fortaleza y apoyo social. La comparación entre ciudades evidenció divergencias entre las familias de Bogotá y Cali-Palmira, en los niveles de bienestar familiar, estresores familiares y apoyo de parientes y amigos. En el caso de la ciudad de Santa Marta se encuentran diferencias en los estresores familiares con Cali-Palmira y en apoyo social comunitario con Bogotá. La discusión se orienta a mostrar que la resiliencia familiar es resultado de la participación de varios elementos: los recursos familiares adaptativos positivos que le permiten a las familias reducir el estrés y enfrentar las demandas del ambiente, la presencia de los dos padres en familias sin indicadores clínicos que hace que la carga de estrés sea compartida -lo cual abona el terreno para la resiliencia familiar-, y el apoyo social manifestado en ayudas externas al núcleo familiar por parte de la comunidad, los parientes y los amigos.
Abstract Currently, modern families are coping with different stressful situations. The family studies are focused on the conceptual perspective, political perspective and methodological topic and they leave aside the familiar dynamics and functioning. This paper was interested in describing and comparing indicators of family resilience and family welfare of 442 Colombian families. This study had three hypotheses: The first one is focused on differences in well-being family dimension per location; the second hypothesis was focused on significant differences in family resilience per location, and the third one was interested in significant relations in family resilience and family well-being. The theoretical support to this research is the McCubbin and Patterson's resilience model called Double ABCX and Family Adaptation and Adjust Response Model by Patterson. The family well-being is considered a result of internal family functioning and is measured by the family member perception about the concern about health problems, fears, anger and sadness. Family resilience is understood as the capacity to recover from adversity. This capacity strengthens families and improves their resources. In this theoretic resilience approach the resilience is a dynamic result to the adaptation phase and the family well-being is the final adjustment. The design was cross-sectional analytical with a convenience sample. The families were interviewed in their homes, from each family both parents and a child between 9 and 17 years old participated. They are located geographically in Bogotá (n = 196), Santa Marta (n = 81) and Cali-Palmira (n = 145). Families completed the Family Member Well-being Index (FMWB) and the Family Regeneration and Adaptation Index (FIRA-G) to assess resilience. Families residing in Bogotá showed significant differences with those of Cali-Palmira in the dimension of family well-being, family stress and support from friends and family. While families located in Santa Marta showed differences with respect to the families located in Cali-Palmira in family stress and in community and social support. The father correlations between the family resilience index and the well-being family index is strong and inverse with the family stress and the family well-being summarized. The mother well-being family perception is significant associated with family resilience, and these correlations was strongest with family well-being summarized. The family stress index, strains and distress exposed moderate and inverse relations with the positive resilience family summarized. The discussion deals with family resilience as a product of the dynamic interaction in the hole family system and is oriented to the fact that the presence of support from family and friends reduces the burden of family stress, promotes support in the face of crisis and, in general, improves the well-being and family adaptation. In general, the differences reflect varied resilience trajectories that depend on the challenges posed by the close context of the city where they live. An approach to this result leads us to think as a hypothesis not yet widely explored, in the mobility factor of cities, which limits contact with close family networks. In big cities like Bogotá, its internal mobility compromises the times and spaces of daily life, and thus allows or prevents families from organizing their relationships in the different areas of their social life. Resilience occurs through positive adaptive family resources that included social support and family coherence and allow families to reduce stress and meet the demands of the environment. On the other hand, the presence of the two parents in families without clinical indicators shows that the burden of shared stress helps family resilience, which is also fed by the presence of external aids to the family nucleus, such as the support of the community, family and friends.
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Este estudo objetiva avaliar efeitos de uma intervenção que busca promover resiliência em oito famílias de crianças com síndrome de Down (SD) de até dois anos de idade. Classificou-se as famílias segundo arranjos e renda, distribuídas aleatoriamente nos grupos experimental e controle. Visitas domiciliares ocorreram no pré-teste, pós-teste e follow up, onde todos responderam ao questionário sociodemográfico e à entrevista acerca da resiliência familiar, além dos genitores responderem ao Inventário de Sintomas de Estresse de Lipp e ao Inventário de Depressão de Beck. Um diário de campo e entrevistas de avaliação para as famílias foram realizados durante a intervenção. Não foram obtidas diferenças estatisticamente significativas entre os valores da resiliência nas famílias nos diferentes momentos (p = 0,77). Entretanto, alguns membros percebem mudanças na família após participação no trabalho, como melhorias na comunicação e aquisição de conhecimentos sobre SD. Estudos com mais participantes e período de tempo prolongado são necessários.
This study aims to evaluate effects of an intervention to promote resilience in eight families of children with Down syndrome (DS) up to 2 years of age. These families were classified according to arrangements and income, then, they were randomly distributed into experimental and control groups. Home visits occurred in three steps: pre-test, post-test and follow up. All participants answered a sociodemographic questionnaire and a family resilience interview; in addition, parents responded to Lipp Stress Inventory and Beck Depression Inventory. A field diary and an evaluation interview for the families were conducted during intervention. No statistically significant differences were found between family resilience values at different steps (p = 0,77). However, some participants perceive changes in their family after intervention, for example, improvements in communication and knowledge about DS. Studies with more participants and extended period of time are needed.
Este estudio objetivó evaluar los efectos de una intervención que busca promover la resiliencia en ocho familias de niños con síndrome de Down (SD) de hasta 2 años de edad. Las familias fueron clasificadas según su tipología y sus ingresos, distribuidas aleatoriamente en los grupos experimental y control. Las visitas domiciliarias fueron realizadas en tres momentos, donde todos respondieron a un cuestionario y a una entrevista sobre resiliencia familiar, además los progenitores respondieron a inventarios de estrés y depresión y entrevistas de evaluación de la intervención. Se utilizó un diario de campo. No se obtuvo diferencias estadísticamente significativas entre los valores de la resiliencia en las familias en los momentos (p = 0,77). Sin embargo, algunos miembros percibieron cambios después de participar en el estudio, como mejoras en la comunicación y adquisición de conocimientos sobre el SD. Son necesarias investigaciones con más participantes y un período de tiempo prolongado.
الموضوعات
Humans , Male , Female , Infant , Child, Preschool , Child , Adult , Parents/psychology , Down Syndrome , Resilience, Psychological , Psychosocial Intervention , Health Promotion , Longitudinal Studies , Interview, Psychologicalالملخص
Resumen En el marco de la investigación titulada "Resiliencia en víctimas de violencia intrafamiliar y de género Fase 1", realizada por el programa de Psicología de la Universidad Santo Tomás de Aquino (Bogotá, Colombia), se realizó una revisión de literatura, que describió el estado del arte de las investigaciones y estudios reflexivos publicados entre los años de 2015 y 2019 con respecto a la resiliencia familiar frente a la violencia intrafamiliar y de género (vifg). Se obtuvieron resultados preliminares de 3160 documentos, que fueron depurados a 74 artículos, que respondieron a criterios de inclusión como: Artículos Originales, de Reflexión, Revisión de literatura, Estudios Cualitativos, Cuantitativos o Mixtos publicados entre 2015 y 2019. La búsqueda se realizó en las bases de datos: PubMed, Ebsco Host, Science Direct, Scopus, Psyinfo, sage, Sprinter, y Taylor & Francis. Se encontró una tendencia de estudios aplicados, cualitativos, descriptivos con población participante femenina, infantil y adolescente con reporte de violencia intrafamiliar, realizados en Estados Unidos, Reino Unido y Canadá. Sin embargo, se pudo observar que la literatura hace referencia indirecta a la resiliencia familiar, pues en mayor medida se refiere al afrontamiento, recuperación y factores protectores, como fenómenos de interés relacionados con la vifg. Se concluye que aún son pocos los estudios en los que se incluya explícitamente el fenómeno del género en la vif, que describen la emergencia de la resiliencia familiar y alternativas de intervención para su desarrollo.
Abstract In the frame of the first phase of the research titled "Resilience in Victims of Domestic and Gender Based Violence", carried out by the Psychology academic program at the Santo Tomas University (Bogota, Colombia), a literature review was carried out which described the State of the Art of studies published between 2015 and 2019 regarding Family Resilience against Domestic and Gender-based Violence. There were preliminary results gathered from 3160 documents, which were later reduced to 74 articles according to the following criteria: original articles, rational thinking, literature review, and qualitative data, quantitative data, or mixed methods research published between 2015 and 2019. The research was carried out using the following Databases: PubMed, Ebsco Host, Science Direct, Scopus, PsyINFO, sage, Sprinter, and Taylor & Francis. A particular trend has been identified as a result of the research, with a large set of studies using mostly applied, qualitative and descriptive data of female, child and teenager participants who have reported cases of domestic violence, conducted in the United States, the United Kingdom, and Canada. However, it was observed that the literature makes indirect reference to family resilience, since for the most part it refers to coping mechanisms, recovery, and protective factors as phenomena of interest related to Domestic and Gender-based Violence. It is concluded that there are still very few studies which, while describing the emergence of family resilience and intervention alternatives for its development, explicitly include a gender approach or gender-related elements in cases of domestic violence.
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A experiência de um familiar doente constantemente abre espaço para que a capacidade de resiliência da família se ponha em prática. O processo de resiliência familiar se dá através de movimentos desempenhados pela família dentro do sistema de crenças familiares, padrões organizacionais e comunicação e resolução de problemas. Este artigo foi desenvolvido como trabalho curricular do curso de Psicologia, a partir de uma experiência de estágio em um hospital pediátrico. O estudo buscou, a partir do relato de três casos, relatar o processo de resiliência familiar de pais de crianças diagnosticadas com doença crônica internadas em um hospital pediátrico. Os dados dos pacientes e familiares foram coletados através dos seus prontuários eletrônicos e de suas fichas de atendimento do Serviço de Psicologia. Conclui-se que a resiliência familiar é elemento importante no enfrentamento deste contexto e seu modelo e abordagem são de grande importância para os profissionais da saúde.
The experience of a sick relative constantly open up space for the family's capacity for resilience to be put into practice. The process of family resilience occurs through family movements within the family belief system, organizational patterns, and communication and problem solving. This article was developed as a curricular work of the Psychology course, from an internship experience in a pediatric hospital. The study sought to report the family resilience process of parents of children diagnosed with chronic illness hospitalized in a pediatric hospital from the report of three cases. Patient and family data were collected through their electronic records and the Psychology Service's materials. It is concluded that family resilience is an important element in coping with this context and its model and approach are of great importance for health professionals.
الملخص
O objetivo do presente estudo foi compreender a percepção acerca da resiliência familiar sob o ponto de vista de mães em situação de pobreza. A coleta dos dados foi realizada em uma escola estadual, localizada na periferia da cidade de Belém do Pará. Participaram deste estudo 16 mães e/ou responsáveis por crianças de 1º ao 5º ano que responderam um instrumento sociodemográfico e participaram de uma entrevista coletiva utilizando a estratégia de Situações Estruturadas de Investigação (SEI). Os dados foram coletados e categorizados com base na análise de conteúdo e da literatura de resiliência familiar e para sua operacionalização contou-se com o auxílio do software Nvivo 10. Os dados mostraram que as famílias estão expostas a algumas situações ameaçadoras ao desenvolvimento, baixa escolaridade, baixa renda familiar, condições de moradia inadequadas, dentre outros. No entanto,apesar dos riscos associados à pobreza, observou-se fatores intrafamiliares protetivos, geradores de benefícios ao desenvolvimento humano dentre eles: visão otimista, espiritualidade, esperança, apoio social familiar e nos vizinhos, trabalho de equipe, apoio na resolução de conflitos, união familiar e recursos sociais e econômicos através de benefícios sociais como o bolsa família
This study aims to understand the familiar resilience perception of mothers living in poverty situation. The data collect phase took place in estate school localized in the outskirts of the city of Belém, estate of Pará, Brazil. Sixteen mothers and/or guardians responsible for children from first to fifth year answered a sociodemographic instrument and participated in a collective interview in which was applied the Structured Situation of Investigation (SSI).The data were categorized based in the content analyses and in the familiar resilience literature, being operationalized through the Nvivo 10 software. Theresults indicated that families are exposed to certain threatening situations tothe development such as low education level, low familiar income, inadequate housing conditions among others. However, despite the poverty associated risks, it was observed intrafamiliar protective factors that are beneficiary to the human development: optimistic perspective, spirituality, hope, social support from family and neighbors, team work, conflict resolution support, familiar union and socioeconomic resources obtained through social benefit's programas in the Bolsa Família
الموضوعات
Humans , Female , Poverty , Family , Mothers , Familiar Allocations , Qualitative Research , Family Relationsالملخص
Resumen Este artículo presenta los resultados de una investigación que se propuso analizar la emergencia de recursos familiares para afrontar la situación adversa del desplazamiento forzado, realizada en el departamento de Sucre, durante los años 2012 a 2014. Inicialmente, buscó determinar relaciones entre 'competencias parentales' y 'capacidades resilientes' en infantes. Posteriormente, se buscó comprender los recursos familiares que emergen en medio de la adversidad. Los resultados revelan correlaciones entre competencias parentales y capacidades resilientes de los infantes y la presencia de recursos familiares para manejar el riesgo del desplazamiento. Se configuró una metodología de carácter mixto, partiendo de un diseño correlacionai y luego se utilizaron las narrativas familiares desde el pensamiento hermenêutico de Paul Ricoeur. Se logró la conceptualización de algunos recursos familiares tales como: vínculos y redes y ocio compartido, los cuales fueron emergiendo de los datos empíricos, y pueden ser de utilidad para la puesta en acción de futuros modelos de intervención a familias en riesgo.
Abstract This article presents the results of a study that aimed to analyze the emergence of family resources to face the adverse situation of forced displacement, conducted in the department of Sucre, Colombia, during the years 2012-2014. Originally, it suggested to determine relationships between parenting skills and Infants Resilient Capacity. Subsequently, we sought to understand the family resources that emerge in the midst of adversity. The results reveal correlations between parental skills and infants resilient capabilities, and the presence of family resources to manage the risk of displacement. A methodology of mixed character was set, based on a correlation design, and then the family narratives were used from the hermeneutical thinking of Paul Ricoeur. We managed to conceptualize some family managed resources such as links and networks, and shared leisure, which emerged from empirical data and may be useful for setting in motion future models of intervention to families at risk.
الملخص
A família da pós-modernidade é permeada por diversas configurações familiares. No entanto, a escola continua a difundir um ideário de família distante dessa realidade. No presente trabalho, defende-se o contexto escolar como um contexto promotor da resiliência de instituições familiares que se organizam em modelos não convencionais. Toma-se a Ecologia do Desenvolvimento Humano como suporte para a compreensão do processo de formação social do sujeito mediante a interação do contexto familiar e escolar. Recorre-se aos estudos de resiliência familiar para estabelecer a relação positiva entre família e escola na promoção da resiliência de famílias não convencionais. Conclui-se que a escola necessita adotar estratégias que promovam os processos-chave da resiliência, mediante inclusão de todas as formas de família em seus ritos.
A family of postmodernity can be made up of a genus of people who give rise to countless family care. However, the school continues to spread an ideal of falmily that is too distant from reality. The present work argues that the school context is a context that promotes the resilience of family institutions organized in unconventional models. The Ecology of Human Development is taken as support tothe understanding of the student's social development process through the interaction of the family and school context, resorting to family resilience studies to establish a positive relationship between family and school in promoting the resilience of unconventional families. It concludes that the school needs to adopt strategies that promote the key processes of resilience, by incorporating all forms of family into their rites.
Una família en la pos modernidad puede ser constituida por distintas configuraciones. Sin embargo, la escuela sigue difundiéndo un ideario de família distinto de la realidad. En este trabajo, se defiende el contexto escolar como un marco promotor de la resiliencia de la instituiciones familiares que se organizan bajo modelos convencionales. Se toma La Ecología del Desarrollo Humano como soporte para la comprensión del proceso de desarrollo social del alumno a través de la interacción del contexto familiar y escolar. Se recurre a los estudios de la resiliencia familiar para establecer la relación positiva entre família y escuela en la promoción de la resiliencia de famílias no convencionales. Se concluye que una escuela necesita adoptar estrategias que promuevan los procesos clave de resiliencia, mediante la incorporación de todas las formas de família en sus ritos.
الموضوعات
Humans , Social Adjustment , Social Change , Family Characteristics , Resilience, Psychologicalالملخص
Resumen Se realizó una revisión de literatura en la que se pretendió establecer el estado de la investigación y conceptualización del fenómeno de la resiliencia familiar y sus aportes entre los años 2010 y 2016. Se encontró que el estado de la investigación y conceptualización, si bien es aún incipiente, se observa una tendencia al aumento de trabajos de tipo empírico y teórico reflexivo, lo que implica una mayor relevancia frente a la investigación e intervención. Con respecto a las áreas de trabajo se observó la predominancia de: salud, neurociencias aplicadas y rehabilitación, social, comunitaria y de las organizaciones, seguidas por psicología clínica y prevención, psicología militar y en último lugar la educación, en su orden. Se concluyó que resulta imperante la continuidad en el desarrollo de estudios al respecto del tema y ampliar áreas de estudio como la psicología ambiental, política, de tránsito, de las organizaciones y el trabajo.
Abstract We conducted a literature review to establish the state of the art and conceptualization of family resilience between 2010 and 2016. Even if still incipient, there is an increase in both empirical and theoretical-reflective research, which involves a higher relevance in terms of research and intervention. Predominant research areas were: health, applied neuroscience and rehabilitation, social, community and organizational; followed by clinical psychology and prevention, military psychology, and education. Further research is definitely needed to continue expanding the literature and including areas such as environmental psychology, politics, mobility, organizations and work is also important.
الملخص
Se diseñó una propuesta de intervención psicológica, desde abril hasta octubre de 2016, con vistas a desarrollar la capacidad de resiliencia en familias de niños con cáncer, ingresados en el Servicio Regional de Oncohematología del Hospital Docente Infantil Sur Dr Antonio María Béguez César, de Santiago de Cuba, a través de 9 sesiones grupales, para lo cual se utilizó la metodología cualitativa y el método de investigación-acción; asimismo, se analizaron los indicadores teóricos de desarrollo de la resiliencia familiar y sus índices de valoración. Dicha propuesta ayudará a la familia a enfrentar esta realidad y lograr finalmente un funcionamiento adecuado.
A proposal of psychological intervention was designed, from April to October, 2016, aimed at developing the resilience capacity in relatives of children with cancer, admitted to the Oncohematology Regional Service of Dr Antonio María Béguez Cesar Southern Children Teaching Hospital, in Santiago de Cuba, through 9 group sessions, for which the qualitative methodology and the investigation-action method were used; also, the theoretic indicators of the family resilience development and their indexes of valuation were analyzed. This proposal will help the family to face this reality and to achieve an appropriate performance.
الموضوعات
Humans , Male , Female , Child, Preschool , Child , Family , Resilience, Psychological , Neoplasms , Practice, Psychological , Evaluation of Results of Therapeutic Interventions , Hospitals, Pediatricالملخص
Este estudo objetiva caracterizar e analisar a resiliência familiar em famílias de crianças com síndrome de Down. Participaram cinco famílias compostas por pai, mãe e filhos, tendo um deles a síndrome. Os instrumentos utilizados foram o Questionário de Caracterização do Sistema Familiar, o qual foi respondido pela mãe; o Inventário de Estratégias de Coping, o qual ambos os genitores responderam separadamente; e entrevistas com genitores e filhos com desenvolvimento típico. As famílias foram visitadas em três momentos. Os resultados indicam que diante de eventos ruins, principalmente, dos problemas de saúde relacionados à síndrome de Down, as famílias apresentam capacidade de extrair sentido da adversidade, bem como de se organizar de forma cooperativa, com diálogo e estreitamento dos vínculos. Em todas as famílias foram identificados indicativos de resiliência familiar. A estratégia de coping mais utilizada é a reavaliação positiva, enquanto a menos utilizada é fuga-esquiva.
This study aims to characterize and analyze family resilience in families of children with Down syndrome. Five families consisting of father, mother, and children, one child with Down syndrome, participated in this research. The instruments used were: the Characterization of Family System Questionnaire, which was answered by the mother; the Coping Strategies Inventory, which was responded by both parents separately; and interviews conducted with parents and typically developing children. The families were visited three times. Results indicate that in the face of bad events, mainly health problems related to Down syndrome, the families showed ability to make meaning or sense of adversity, and to organize themselves in a cooperative way with dialogue and closer ties. Family resilience was observed in all families investigated. The most frequently used coping strategy was positive reappraisal, while the less frequently used was escape-avoidance.