Family health in the families of the young chronically mentally ill
Mary Molewyk-Doornbos, PhD, RN
- Sigma Affiliation
- Kappa Epsilon at-Large
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Molewyk-Doornbos, Mary by View
Popular Works for Molewyk-Doornbos, Mary by Download
Although the family plays a major role in the care of young adults with serious and persistent mental illness, there has been limited research on the impact of these ongoing caregiving responsibilities on the health of the family unit itself. The specific objective of the study was to explore the relationship of family stressors, family coping, family perception of the client's level of health, and time since diagnosis of mental illness to the outcome of family health. In so doing, it also sought to empirically test a middle range theory that was deduced from King's Open System's Model. A predictive, correlational, theory testing, survey design was used. Eighty-two families were obtained by means of a nonprobability sampling strategy. Families were sought from a community mental health agency, public and private psychiatric hospitals, and support groups. Family stressors was measured by the FILE (McCubbin et al, 1983), family coping by the F-COPES (McCubbin et al, 1981), family perception of the client's level of health by the PES (Ihilevich et al, 1981), and family health by the Cohesion and Adaptability scales of the FACES III (Olson et al, 1985), the Family APGAR (Smilkstein et al, 1982), and the FES Conflict scale (Moos, 1981). Descriptive statistics, bivariate correlations, multiple correlation, and multiple regression were used to address the hypotheses and research questions. The results provided empirical support, with some modifications, for the middle range theory of family health in the families of the young chronically mentally ill. In addition, family stressors, family coping, and several demographic variables were found to be significant predictors of family health. The results of this study contributed to both the science and practice of nursing. The science of nursing was advanced by means of the empirical testing of a middle range theory. This study also constituted an initial step toward the long term goal of theory based and experientially verified nursing care for families who have a young adult with a serious mental illness. Such nursing care will enhance the profession's ability to promote health within these vulnerable family units.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9418153; ProQuest document ID: 304065567. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Research Approach||Quantitative Research|
|CINAHL Subject(s)||Family Health--Evaluation;
Mental Disorders, Chronic;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Adolescent resilience following parental death in childhood and its relationship to parental attachment and coping Heinzer, Marjorie M.Adolescent resilience following loss has been linked with supportive social relationships and coping. Retrospective studies have found that parental death during childhood has been a risk factor for serious mental health ...
Home apnea monitoring: Family functioning, concerns, and coping McDowell, Betsy MickeySudden Infant Death Syndrome (SIDS) is the leading cause of death in infants between one week and one year of age. The mainstay of therapy to reduce SIDS mortality is evaluation and subsequent home monitoring of infants ...
The relationship of coping and family function to outcomes of care in families of tracheostomized infants and children Schmidt, Judith A.The purpose of this study was to examine the relationship of parent coping and family function to outcome measures in terms of the rate of re-hospitalization, emergency physician utilization, and infection. Major questions ...
Social factors that exacerbate features of borderline personality disorder in young adult women between 25 and 35 years of age living in the Commonwealth of Puerto Rico Carrasquillo, Erika MarieThe high prevalence of BPD hospitalizations, unsuccessful treatments, poor social awareness, suicide attempts and complete suicides were motivating forces for this research study. The aim was to uncover pertinent social ...
The impact of stress, coping, constructive thinking and hardiness on health and academic performance of female registered nurse students pursuing a baccalaureate degree in nursing Cox, Diane D.The purpose of this study was to test a theoretically-derived model of hardiness, constructive thinking, coping complexity and perceived stress level in predicting academic performance and perceived health status among ...