Family functioning and environmental resources offered by families of children with mental disorders
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Abstract
Objective. To determine which environmental resources are offered to children with mental disorders by their families and how they correlated with the family functioning.
Method. The study included a total of 33 persons responsible for children with mental disorders. The subjects responded to two questionnaires to characterize family functioning (FACES IV) and the availability of resources in the family environment (RAF). Data were analyzed in a descriptively and the Spearman correlation test was used to identify associations between variables.
Results. Most of the children were male and attended school, and the most frequent psychiatric diagnoses were attention deficit and hyperactivity disorder and autism spectrum disorder. Most families were considered to have good family functioning (87.9%), with only 12.1% being considered dysfunctional. Regarding environmental resources, the highest mean values were assigned to the presence of toys (6.9 ± 2.0) and to family gatherings for routine activities (6.6 ± 2.3). Family cohesion, flexibility, communication, and satisfaction (functional) were positively correlated with the offer of activities and resources and negatively correlated with unbalanced (dysfunctional) subscales.
Discussion and conclusion. Children’s mental disorders do not appear to affect family dynamics in a significant manner. However, family functioning interferes with the types of activities and resources it offers to the child and that may have an impact on his/her development.
References
Associação brasileira de empresas de pesquisa. (2014). Retrieved from http://www.abep.org/criterio-brasil
Bayer, J. K., Ukoumunne, O. C., Lucas, N., Wake, M., Scalzo, K., & Nicholson, J. M. (2011). Risk factors for childhood mental health symptoms: National longitudinal study of Australian children. Pediatrics, 128(4), e865-e879. doi: 10.1542/peds.2011-0491
Belli, A. A., Muszkat, M., & Cracasso, S. P. (2015). Rede de apoio social na vida do indivíduo com transtorno de déficit de atenção e hiperatividade e seus cuidadores. Revista Psicopedagogia, 32(98), 200-204. ISSN 0103-8486
Borkum, D. B., Temes, C. M., Magni, L. R., Fitzmaurice, G. M., Aguirre, B. A., Goodman, M, & Zanarini, M. C. (2017). Prevalence rates of childhood protective factors in adolescents with BPD, psychiatrically healthy adolescents and adults with BPD. Personality and Mental Health, 11(3), 189-194. doi: 10.1002/pmh.1380
Bronfenbrenner, U. (2011). Bioecologia do desenvolvimento humano: Tornando os seres humanos mais humanos. Porto Alegre: Artmed. ISBN 978-8536326153
Buriola, A. A., Vicente, J. B., Zurita, R. C. M., & Marcon, S. S. (2016). Overload of caregivers of children or adolescents suffering from mental disorder in the city of Maringá, Paraná. Escola Anna Nery, 20(2), 344-351. doi: 10.5935/1414-8145.20160047
Campelo, L. L. D. C. R., Costa, S. M. E., & Colvero, L. D. A. (2014). Difficulties of familes in caring for children and adolescents with mental disorders: an integrative review. Revista Da Escola de Enfermagem da USP, 48(SPE), 192-198. doi: 10.1590/S0080-623420140000600027
Cid, M. F. B. (2015). Cotidiano familiar: refletindo sobre a saúde mental infantil e a prática de atividades familiares. Revista de Terapia Ocupacional da Universidade de São Paulo, 26(3), 428-438. doi: 10.11606/issn.2238-6149.v26i3p428-438
D'Avila-Bacarji, K. M. G., Marturano, E. M., & Elias, L. C. D. S. (2005). Resources and adversities in the home environment of children with poor school achievement. Paidéia (Ribeirão Preto), 15(30), 43-55. doi: 10.1590/S0103-863X2005000100007
Day, K. L., Dobson, K. G., Schmidt, L. A., Ferro, M. A., Saigal, S., Boyle, M. H., & Van Lieshout, R. J. (2018). Exposure to overprotective parenting and psychopathology in extremely low birth weight survivors. Child: Care, Health and Development, 44(2), 234-239. doi: 10.1111/cch.12498
de Magalhães Monteiro, R., & Santos, A. A. A. (2013). Recursos familiares e desempenho de crianças em compreensão de leitura. Psico, 44(2), 13. ISSN 0103-5371
de Souza Nunes, M. M., & Werlang, B. S. G. (2008). Transtorno de déficit de atenção/hiperatividade e transtorno de conduta: aspectos familiares e escolares. ConScientiae Saúde, 7(2), 207-216. doi: 10.5585/conssaude.v7i2.970
Dumas, J. E. (2011). Uma abordagem descritiva, desenvolvimental e relacional. In Dumas, J. E. (3 eds.), Psicopatologia da infância e da adolescência (pp. 13-53). Porto Alegre: Artmed. ISBN 9782 8041 55384
Ercan, E. S., Bilaç, Ö., Özaslan, T. U, & Ardic, U. A. (2016). Prevalence of psychiatric disorders among Turkish children: the effects of impairment and sociodemographic correlates. Child Psychiatry & Human Development, 47(1), 35-42. doi: 10.1007/s10578-015-0541-3
Farias, C. D. A., Lima, P. O. C., Ferreira, L. A., Cruzeiro, A. L. S., & Quevedo, L. D. A. (2014). Sobrecarga em cuidadores de usuários de um centro de atenção psicossocial infanto-juvenil no sul do Brasil. Ciência & Saúde Coletiva, 19(12), 4819-4827. doi: 10.1590/1413-812320141912.19182013
Ferreira, M. D. C. T., & Marturano, E. M. (2002). Home enviroment and behavior problems presented by school underachieving children. Psicologia: Relexão e Crítica, 15(1), 35-44. doi: 10.1590/S0102-79722002000100005
Flores, S. M., Salum, G. A., & Manfro, G. G. (2014). Dysfunctional family environments and childhood psychopathology: the role of psychiatric comorbidity. Trends in Psychiatry and Psychotherapy, 36(3), 147-151. doi: 10.1590/2237-6089-2014-0003
Gomes, M. F. P., Martins, M. M., & Amendoeira, J. (2011). As famílias com doentes mentais. Revista Portuguesa de Enfermagem de Saúde Mental, (5), 52-58. ISSN 1647-2160
Green, J. L., Rinehart, N., Anderson, V., Efron, D., Nicholson, J. M., Jongeling, B., ... Sciberras, E. (2016). Association between autism symptoms and family functioning in children with attention-deficit/hyperactivity disorder: a community-based study. European Child & Adolescent Psychiatry, 25(12), 1307-1318. doi: 10.1007/s00787-016-0861-2
Hillen, T., & Gafson, L., (2015). Why good placements matter: Pre-placement and placement risk factor associated with a mental health disorders in pre-school children in foster care. Clinical Child Psychology and Psychiatry, 20(3), 486-499. doi: 10.1177/1359104514530733
Hock, R., & Ahmedani, B. K. (2012). Parent perceptions of autism severity: Exploring the social ecological context. Disability and Health Journal, 5(4), 298-304. doi: 10.1016/j.dhjo.2012.06.002
Hughes, J. N., Cao, Q., & Kwok, O. M. (2016). Indirect effects of extracurricular participation on academic adjustment via perceived friends’ prosocial norms. Journal of Youth and Adolescence, 45(11), 2260-2277. doi: 10.1007/s10964-016-0508-0
Jellett, R., Wood, C. E., Giallo, R., & Seymour, M. (2015). Family functioning and behaviour problems in children with Autism Spectrum Disorders: The mediating role of parent mental health. Clinical Psychologist, 19(1), 39-48. doi: 10.1111/cp.12047
Kato, N., Yanagawa, T., Fujiwara, T., & Morawska, A. (2015). Prevalence of children’s mental health problems and the effectiveness of population-level family interventions. Journal of Epidemiology, 25(8), 507-516. doi: 10.2188/jea.JE20140198
Luecken, L. J., Roubinov, D. S., & Tanaka, R. (2013). Childhood family environment, social, competence, and health across the lifespan. Journal of Social and Personal Relationships, 30(2), 171-178. doi: 10.1177/0265407512454272
Macedo, E. C., Silva, L. R. D., Paiva, M. S., & Ramos, M. N. P. (2015). Burden and quality of life of mothers of children and adolescents with chronic illnesses: An integrative review. Revista Latino-Americana de Enfermagem. 23(4), 769-777. doi: 10.1590/0104-1169.0196.2613
Marturano, E. M. (2006). The home environment resources scale. Psicologia: Reflexão e Crítica, 19(3), 498-506. doi: 10.1590/S0102-79722006000300019
Minuchin, S. (1990). Famílias: funcionamento e tratamento. Porto Alegre: Artes Médicas.
Morilla, C. M., Caldas, C. A. C. T., Scarpellini, A. C. A. V., & Santos, P. L. (2017). Family resources and promotion of development of children with cerebral palsy. Journal of Human Growth and Development, 27(2), 166-174. doi: 10.7322/jhgd.122707
Muniz, E. L., Silver, E. J., & Stein, R. E. (2014). Family routines and social- emotional school readiness among preschool-age children. Journal of Developmental & Behavioral Pediatrics, 35(2), 93-99. doi: 10.1097/DBP.0000000000000021
Olson, D. H. (2008). FACES IV Manual. Minneapolis, MN: Life Innovations.
Olson, D. H. (2011). Faces IV and the circumplex model: validation study. Journal of Marital & Family Therapy, 37(1), 64-80. doi: 10.1111/j.1752-0606.2009.00175.x
Oshri, A., Lucier-Greer, M., O’Neal, C. W., Arnold, A. L., Mancini, J. A., & Ford, J. L. (2015). Adverse childhood experiences, family functioning, and resilience in military families: A pattern-based approach. Family Relations, 64(1), 44-63. doi: 10.1111/fare.12108
Pepe, S., Tortolani, D., Gentile, S., & Di Ciommo, V. M. (2015). Exploring the relationship between family functioning and psycho-pathology in a sample in the pediatric age. The Spanish Journal of Psychology, 18(12), 1-8. doi: 10.1017/sjp.2015.10
Pereira, S., Santos, J. N., Nunes, M. A., Oliveira, M. G., Santos, T. S., & Martins-Reis, V. D. O. (2015). Health and education: a partnership required for school success. CoDAS - Sociedade Brasileira de Fonoaudiologia, 27(1), 58-64. doi: 10.1590/2317-1782/20152014053
Petrucci, G. W., Borsa, J. C., & Koller, S. H. (2016). Family and school in the socioemotional development in childhood. Temas Em Psicologia, 24(2), 391-402. doi: 10.9788/TP2016.2-01
Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345-365. doi: 10.1111/jcpp.12381
Renzaho, A., Mellor, D., Mccabe, M., & Powell, M. (2013). Family functioning, parental psychological distress and child behaviours: Evidence from the Victorian child health and wellbeing study. Australian Psychologist, 48(3), 217-225. doi: 10.1111/j.1742-9544.2011.00059.x
Ribeiro, M. F. M, Vandenberghe, L., Prudente, C. O. M., Vila, V. D. S. C., & Porto, C. C. (2016) Cerebral Palsy: how the child’s age and severity of impairment affect the mother’s stress and coping strategies. Ciencias & Saúde Coletiva, 21(10), 3203-3212. doi: 10.1590/1413-812320152110.17352016
Rieger, A., & McGrail, J. P. (2013). Coping humor and family functioning in parents of children with disabilities. Rehabilitation Psychology, 58(1), 89-97. doi: 10.1037/a0031556
Rolland, J. S. (2016). Mastering family challenges in serious illness and disability. In Walsh, F. Normal Family processes: growing diversity and complexity. (4ª ed) (pp. 452-482). New York: Guilford Press.
Santos, P. L., Bazon, M. R., & Carvalho, A. M. P. (2017). Family Adaptability and Cohesion Evaluation Scale IV (FACES IV): adaptação brasileira. Avaliaçao Psicologica: Interamerican Journal of Psychological Assessment, 16(2), 120-127. doi: 10.15689/AP.2017.1602.01
Santos, P. L., Bazon, M. R., Carvalho, A. M. P., Minetto, M. F, Crepaldi, M. A, & Boing, E. (2013). FACES IV: Escala de avaliação da coesão e adaptabilidade familiar–Versão IV. Minneapolis: Life Innovations.
Short, K., Eadie, P., Descallar, J., Comino, E., & Kemp, L. (2017). Longitudinal vocabulary development in Australian urban Aboriginal children: Protective and risk factors. Child: Care Health and Developmet, 43(6), 906-917. doi: 10.1111/cch.12492
Sikora, D., Moran, E., Orlich, F., Hall, T. A., Kovacs, E. A., Delahaye, J., … Kuhlthau, K. (2013). The relationship between family functioning and behavior problems in children with autism spectrum disorders. Research in Autism Spectrum Disorders, 7(2), 307-315. doi: 10.1016/j.rasd.2012.09.006
Vicente, J. B., Mariano, P. P., Buriola, A. A., Paiano, M., Waidman, M. A. P., & Marcon, S. S. (2013). Acceptance of patients with mental illness: a family perspective. Revista Gaúcha de Enfermagem, 34(2), 54-61. doi: 10.1590/S1983-14472013000200007
Wang, J., & Zhao, X. (2012). Comparison of family functioning and social support between families with a member who has obsessive-compulsive disorder and control families in Shanghai. Shanghai Archives of Psychiatry, 24(1), 20-29. doi: 10.3969/j.issn.1002-0829.2012.01.003
Wiguna, T., Ismail, R. I., Noorhana, S. R., Kaligis, F., Aji, A. N., & Belfer, M. L. (2015). Family responses to a child with schizophrenia: An Indonesian experience. Asian Journal of Psychiatry, 18, 66-69. doi: 10.1016/j.ajp.2015.09.009
Wlodarczyk, O., Pawils, S., Metzner, F., Kriston, L., Klasen, F., & Ravens-Sieberer, U. (2017). Risk and protective factors for mental health problems in preschool-aged children: cross-sectional results of the BELLA preschool study. Child and Adolescent Psychiatry and Mental Health, 11(12). doi: 10.1186/s13034-017-0149-4
Wright, M. O. D., Masten, A. S., & Narayan, A. J. (2013). Resilience processes in development: four waves of research on positive adaptation in the context of adversity. In Goldstein, S., & Brooks, R. B. Handbook of Resilience in Children. (pp. 15-37). Boston, MA: Springer US.