2.50
Hdl Handle:
http://hdl.handle.net/10755/157828
Type:
Presentation
Title:
The Role of Family in the Functioning of Adolescents with Schizophrenia
Abstract:
The Role of Family in the Functioning of Adolescents with Schizophrenia
Conference Sponsor:Western Institute of Nursing
Conference Year:2006
Author:Lee, Heeyoung, PhC, RN
P.I. Institution Name:University of Washington
Title:Doctoral Student
Contact Address:4200 Mary Gates Memorial Dr NE #R229, Seattle, WA, 98105, USA
Contact Telephone:206-522-5199
Co-Authors:Karen G. Schepp, PhD, APRN, BC
Purpose: The main purpose of this study is to detect the waxing and waning states of psychosocial functioning in adolescents with schizophrenia within family functioning and to know if family functioning is a protective factor for level of functioning in adolescents.
Background: Schizophrenia is a relatively poor outcome disorder with little evidence of long-term improvement. The question of whether recovery is possible in schizophrenia has long been the subject of investigation. Family involvement in interventions is extremely important in maintaining mental health programs, medication treatment, and supportive environments for adolescents with schizophrenia. Much of the research on families of people with mental illness, however, has focused on communication deviance and expressed emotion, with less attention paid to positive family functioning. Although clarifying the influence of family factors on the course of schizophrenia among adolescents is significant, there is scant data that present a picture of the relationship among family environments and schizophrenic adolescents in longitudinal studies. A stress vulnerability theory and family resiliency model of stress, adjustment, and adaptation provide the theoretical basis for the study.
Methods: This study is a secondary analysis of an existing data set. A total of 40 adolescents with schizophrenia and their families was drawn from the study of self management therapy for youth with schizophrenia. Information from parents and siblings will be used for the analysis. Because of missing data inherent in longitudinal data, multiple imputation processes will be used to replace missing values. Multilevel modeling for longitudinal data analysis involving three level models will be used. An individual growth trajectory of psychosocial functions turns out the level 1 model; the variation in growth parameters among children within a family is captured in the level 2 model; and the variation among families is represented in the level 3 model. Demographic characteristics such as gender, age, length of illness, and medication compliance will be controlled. Results: The outcomes in this study will describe a) the change in psychosocial functioning over nine months in adolescents with schizophrenia, and b) whether adolescents differ in psychosocial functional outcomes heterogeneously, and c) if family functioning predicts functional outcome in adolescents with schizophrenia. Implications: The study will conclude that adolescents with schizophrenia manifesting increasing levels of psychosocial functioning can be identified on the basis of family functioning. The role of family functioning as a protective factor in adolescents' functioning will be discussed. Results regarding the influence of family functioning on outcomes in adolescents with schizophrenia will contribute to refining family intervention programs for adolescents with schizophrenia. R01-MH56580, National Institute of Mental Health, National Institute of Health awarded to Co-Author.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Role of Family in the Functioning of Adolescents with Schizophreniaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157828-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Role of Family in the Functioning of Adolescents with Schizophrenia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lee, Heeyoung, PhC, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Washington</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Student</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">4200 Mary Gates Memorial Dr NE #R229, Seattle, WA, 98105, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">206-522-5199</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">HL2@u.washington.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Karen G. Schepp, PhD, APRN, BC</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The main purpose of this study is to detect the waxing and waning states of psychosocial functioning in adolescents with schizophrenia within family functioning and to know if family functioning is a protective factor for level of functioning in adolescents. <br/>Background: Schizophrenia is a relatively poor outcome disorder with little evidence of long-term improvement. The question of whether recovery is possible in schizophrenia has long been the subject of investigation. Family involvement in interventions is extremely important in maintaining mental health programs, medication treatment, and supportive environments for adolescents with schizophrenia. Much of the research on families of people with mental illness, however, has focused on communication deviance and expressed emotion, with less attention paid to positive family functioning. Although clarifying the influence of family factors on the course of schizophrenia among adolescents is significant, there is scant data that present a picture of the relationship among family environments and schizophrenic adolescents in longitudinal studies. A stress vulnerability theory and family resiliency model of stress, adjustment, and adaptation provide the theoretical basis for the study. <br/>Methods: This study is a secondary analysis of an existing data set. A total of 40 adolescents with schizophrenia and their families was drawn from the study of self management therapy for youth with schizophrenia. Information from parents and siblings will be used for the analysis. Because of missing data inherent in longitudinal data, multiple imputation processes will be used to replace missing values. Multilevel modeling for longitudinal data analysis involving three level models will be used. An individual growth trajectory of psychosocial functions turns out the level 1 model; the variation in growth parameters among children within a family is captured in the level 2 model; and the variation among families is represented in the level 3 model. Demographic characteristics such as gender, age, length of illness, and medication compliance will be controlled. Results: The outcomes in this study will describe a) the change in psychosocial functioning over nine months in adolescents with schizophrenia, and b) whether adolescents differ in psychosocial functional outcomes heterogeneously, and c) if family functioning predicts functional outcome in adolescents with schizophrenia. Implications: The study will conclude that adolescents with schizophrenia manifesting increasing levels of psychosocial functioning can be identified on the basis of family functioning. The role of family functioning as a protective factor in adolescents' functioning will be discussed. Results regarding the influence of family functioning on outcomes in adolescents with schizophrenia will contribute to refining family intervention programs for adolescents with schizophrenia. R01-MH56580, National Institute of Mental Health, National Institute of Health awarded to Co-Author.</td></tr></table>en_GB
dc.date.available2011-10-26T20:14:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:14:36Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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