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The Evaluation of Family Functioning by the Family Assessment Device: A Systematic Review of Studies in Adult Clinical Populations

Published on Mar 1, 2015in Family Process 2.68
· DOI :10.1111/famp.12098
Laura Staccini2
Estimated H-index: 2
(UNIBO: University of Bologna),
Elena Tomba21
Estimated H-index: 21
(UNIBO: University of Bologna)
+ 1 AuthorsGabor I. Keitner47
Estimated H-index: 47
(Brown University)
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Abstract
A large body of research, documenting the impact of a family's functioning on health outcomes, highlights the importance of introducing the evaluation of patients' family dynamics into clinical judgment. The Family Assessment Device (FAD) is a self-report questionnaire designed to assess specific dimensions of family functioning. This qualitative systematic review, which follows PRISMA guidelines, aimed to identify the FAD's clinimetric properties and to report the incremental utility of its inclusion in clinical settings. A thorough literature search was performed, using both computerized and manual searches, yielding a total of 148 studies that were included in this review. The FAD has been extensively used in a variety of research contexts. In the majority of studies it was able to discriminate between clinical populations and controls and among groups of patients with different illnesses. The FAD also showed good test–retest and concurrent reliability, and modest sensitivity to change after treatment. FAD-dysfunctional family functioning was related to several patient clinical outcomes, including lower recovery rates and adherence to treatment, longer recovery time, poorer quality of life, and increased risk of relapse and drop-out. The present review demonstrates that the FAD is a suitable instrument for the evaluation of family functioning both in clinical and research settings.
  • References (180)
  • Citations (16)
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References180
Newest
Published on Mar 1, 2015in Family Process 2.68
Abigail K. Mansfield11
Estimated H-index: 11
(Rhode Island Hospital),
Gabor I. Keitner47
Estimated H-index: 47
(Rhode Island Hospital),
Jennifer Dealy2
Estimated H-index: 2
(UConn: University of Connecticut)
The current study set out to describe family functioning scores of a contemporary community sample, using the Family Assessment Device (FAD), and to compare this to a currently help-seeking sample. The community sample consisted of 151 families who completed the FAD. The help-seeking sample consisted of 46 families who completed the FAD at their first family therapy appointment as part of their standard care at an outpatient family therapy clinic at an urban hospital. Findings suggest that FAD m...
Published on Mar 1, 2014in Family Process 2.68
Richard Archambault2
Estimated H-index: 2
(Rhode Island Hospital),
Abigail K. Mansfield11
Estimated H-index: 11
(Rhode Island Hospital)
+ 1 AuthorsGabor I. Keitner47
Estimated H-index: 47
(Rhode Island Hospital)
This article describes the videoconferencing training of a group of family therapists in the McMaster Approach to evaluating and treating families. A discussion of the key tenets of the McMaster Approach lays the groundwork for how these tenets were applied to training in a residential treatment agency for adolescents. The article serves as an example of how videoconference technology can facilitate extended training, even from a distance.
Published on Jan 1, 2013in British Journal of Psychiatry 7.23
J Elisabethwells32
Estimated H-index: 32
(University of Otago),
Mark Oakley Browne24
Estimated H-index: 24
(UTAS: University of Tasmania)
+ 27 AuthorsJose Miguel Caldas-de-Almeida24
Estimated H-index: 24
(NOVA: Universidade Nova de Lisboa)
BACKGROUND: Previous community surveys of the drop out from mental health treatment have been carried out only in the USA and Canada. AIMS: To explore mental health treatment drop out in the World Health Organization World Mental Health Surveys. METHOD: Representative face-to-face household surveys were conducted among adults in 24 countries. People who reported mental health treatment in the 12 months before interview (n = 8482) were asked about drop out, defined as stopping treatment before th...
Published on Feb 1, 2012in Community Mental Health Journal 1.46
Joseph Guada6
Estimated H-index: 6
(OSU: Ohio State University),
Maanse Hoe9
Estimated H-index: 9
(KMU: Keimyung University)
+ 2 AuthorsJohn S. Brekke35
Estimated H-index: 35
(SC: University of Southern California)
There is a critical need to test how family contextual factors impact outpatient consumer functioning in schizophrenia. This is the first study of two companion studies reported here that tests family factors’ influence on consumer functioning. Ninety-three low income inner-city African American consumer-family dyads were tested to see the possible impact of family factors, based on the EE and family caregiver burden literatures, on consumer psychosocial functioning (work, social, and independen...
Published on Jan 1, 2012in Psychotherapy and Psychosomatics 13.74
Elena Tomba21
Estimated H-index: 21
,
Per Bech67
Estimated H-index: 67
Background: Clinimetrics was introduced three decades ago to specify the domain of clinical markers in clinical medicine (indexes or rating scales). In this persp
Published on Jan 1, 2012in International Journal of Clinical Practice 2.61
Giovanni A. Fava63
Estimated H-index: 63
(UNIBO: University of Bologna),
Elena Tomba21
Estimated H-index: 21
(UNIBO: University of Bologna),
Nicoletta Sonino45
Estimated H-index: 45
(UB: University at Buffalo)
Summary ‘Clinimetrics’ is the term introduced by Alvan R. Feinstein in the early 1980s to indicate a domain concerned with indexes, rating scales and other expressions that are used to describe or measure symptoms, physical signs and other clinical phenomena. Clinimetrics has a set of rules that govern the structure of indexes, the choice of component variables, the evaluation of consistency, validity and responsiveness. This review illustrates how clinimetrics may help expanding the narrow rang...
Yasin Bez15
Estimated H-index: 15
(Dicle University),
Mustafa Ari7
Estimated H-index: 7
(Mustafa Kemal University)
+ 2 AuthorsHasan Kaya13
Estimated H-index: 13
(Mustafa Kemal University)
AIM: Our aim is to evaluate the differences in family functioning and anxiety between normal, overweight, and obese subjects. METHOD: Overweight and obese patients were selected from the outpatient clinic of internal medicine department of a university hospital. Patients were classified into three groups as normal weight (N=82), overweight (N=33) and obese (N=50) patients. The normal weight group included healthy subjects. The individuals were examined by the same psychiatrist (MA). Beck Anxiety...
Published on Jul 1, 2011in Journal of Nervous and Mental Disease 1.86
Jeniimarie Febres1
Estimated H-index: 1
,
Rita Rossi1
Estimated H-index: 1
+ 1 AuthorsIvan W. Miller62
Estimated H-index: 62
Previous research suggests that depression and family functioning are related, and that women and men may differ in how they respond to and cope with depression. Significantly less attention has been paid to whether gender moderates the relationship between family functioning and depression. In the current study, the relationship between depression severity and perceived family functioning, both generally and in specific areas, was examined in women and men (n = 117) hospitalized with major depr...
Published on Jul 1, 2011in Brain Injury 1.67
G.J. Geurtsen6
Estimated H-index: 6
,
Caroline M. van Heugten24
Estimated H-index: 24
(UM: Maastricht University)
+ 2 AuthorsAlexander C. Geurts25
Estimated H-index: 25
(Radboud University Nijmegen Medical Centre)
Objective: To examine the effects of a residential community reintegration programme for patients with psychosocial problems due to acquired chronic brain injury on caregivers’ emotional burden and family functioning. Design: A prospective cohort study with waiting list control and 1-year follow-up. Subjects: Forty-one caregivers of which 28 female. Mean age was 48 � 8.3 years and 33 caregivers were parents. Intervention: A structured residential treatment programme was offered to the patients d...
Published on Jun 1, 2011in Psychiatric Services 2.25
Lisa B. Dixon54
Estimated H-index: 54
(UMB: University of Maryland, Baltimore),
Alicia Lucksted28
Estimated H-index: 28
+ 7 AuthorsAaron Murray-Swank7
Estimated H-index: 7
Objective: The Family-to-Family Education Program (FTF) is a 12-week course offered by the National Alliance on Mental Illness (NAMI) for family members of adults with mental illness. This study evaluated the course’s effectiveness. Methods: A total of 318 consenting participants in five Maryland counties were randomly assigned to take FTF immediately or to wait at least three months for the next available class with free use of any other NAMI supports or community or professional supports. Part...
Cited By16
Newest
Published on Jan 19, 2018in Psychotherapy Research 2.79
Abigail K. Mansfield11
Estimated H-index: 11
(Brown University),
Gabor I. Keitner47
Estimated H-index: 47
(Brown University),
Thomas Sheeran17
Estimated H-index: 17
(Brown University)
AbstractThe purpose of the present study is to compare results from the 12-item General Functioning Scale (GF-FAD) of the Family Assessment Device (FAD) to a three-item version, the Brief Assessment of Family Functioning Scale (BAFFS), designed to be used when brevity is especially important. We used principal components analysis of the GF-FAD, followed by multiple sample confirmatory factor analyses to test the robustness of the BAFFS in different samples. The BAFFS correlated highly with the G...
Published on Apr 1, 2019in Journal of Counseling and Development 1.40
Martiño Rodríguez-González1
Estimated H-index: 1
(University of Navarra),
Maria Schweer‐Collins1
Estimated H-index: 1
(UO: University of Oregon)
+ 2 AuthorsC Rodríguez-Naranjo3
Estimated H-index: 3
(UMA: University of Málaga)
Published on Jan 1, 2019
Akram Wilson (Suez Canal University), Samir Ibrahim + 2 AuthorsGabor I. Keitner47
Estimated H-index: 47
(Brown University)
Given the improtance of the family in the etio-pathogenesis of psychopathology, family interventions have become a focus in therapeutic approaches in treating such mental disorders. This chapter covers the latest research in The Field of Family Interventions for Bipolar Disorders, Schizophrenia, and Depressive Illness. This area of research is advancing leading to new paragidm in “family-inclusive” therapeutic intterventions.
Published on Nov 2, 2018in Early Child Development and Care
Florencia Belén Barreto2
Estimated H-index: 2
(UPV/EHU: University of the Basque Country),
Llúcia González Safont (University of Valencia)+ 2 AuthorsManuel Sánchez de Miguel5
Estimated H-index: 5
(UPV/EHU: University of the Basque Country)
ABSTRACTThis study presents the descriptive data of a family context assessment carried out using a new instrument which includes a wide range of variables identified in recent scientific literature as influencing children's psychological development. Participants were 772 families with children aged between 7 and 11. The results reveal variability between the families as regards the quality levels of key family context variables. They also enable intervention aims to be established, focused spe...
Published on Sep 3, 2018in Psychotherapy Research 2.79
Richard E. Zinbarg44
Estimated H-index: 44
(NU: Northwestern University),
William M. Pinsof20
Estimated H-index: 20
(NU: Northwestern University)
+ 6 AuthorsTara A. Latta3
Estimated H-index: 3
(NU: Northwestern University)
AbstractObjective: The Systemic Therapy Inventory of Change (STIC®) is the first multi-systemic and multi-dimensional measurement and feedback system designed for assessment in family, couple, and individual functioning. Patients fill out the STIC Initial before the first session to identify treatment targets and provide starting values for subsequent assessments of trajectories of change. This study tested the construct validity of five of the six STIC Initial scales. Methods: We administered b...
Published on Sep 1, 2018in Psychnology Journal
Anastasia Tsamparli3
Estimated H-index: 3
(University of the Aegean),
Ioanna Petmeza1
Estimated H-index: 1
(UoA: National and Kapodistrian University of Athens)
+ 1 AuthorsDimitrios Adamis20
Estimated H-index: 20
(CMHS: Mental Health Services)
Published on Aug 1, 2018in Journal of Affective Disorders 4.08
Heather A. MacPherson7
Estimated H-index: 7
(Brown University),
Amanda L. Ruggieri (Bradley Hospital)+ 4 AuthorsDaniel P. Dickstein34
Estimated H-index: 34
(Brown University)
Abstract Background Childhood-onset bipolar disorder (BD) is a serious condition that affects the patient and family. While research has documented familial dysfunction in individuals with BD, no studies have compared developmental differences in family functioning in youths with BD vs. adults with prospectively verified childhood-onset BD. Methods The Family Assessment Device (FAD) was used to examine family functioning in participants with childhood-onset BD ( n = 116) vs. healthy controls (HC...
Published on May 19, 2018in Nordic Journal of Psychiatry 2.06
Nina Timmerby3
Estimated H-index: 3
(UCPH: University of Copenhagen),
Fiammetta Cosci15
Estimated H-index: 15
(UniFI: University of Florence)
+ 5 AuthorsMikael Thastum21
Estimated H-index: 21
(AU: Aarhus University)
AbstractBackground: The Family Assessment Device (FAD) is a 60-item questionnaire widely used to evaluate self-reported family functioning. However, the factor structure as well as the number of items has been questioned. A shorter and more user-friendly version of the original FAD-scale, the 36-item FAD, has therefore previously been proposed, based on findings in a nonclinical population of adults.Aims: We aimed in this study to evaluate the brief 36-item version of the FAD in a clinical popul...
Published on Sep 29, 2017in Journal of Huntington's disease
Celine M.H. Jona (Monash University), Izelle Labuschagne17
Estimated H-index: 17
(ACU: Australian Catholic University)
+ 4 AuthorsSophie C. Andrews6
Estimated H-index: 6
Published on Mar 1, 2017in Family Process 2.68
Christina Hunger5
Estimated H-index: 5
(University Hospital Heidelberg),
Annette Bornhäuser4
Estimated H-index: 4
(University Hospital Heidelberg)
+ 4 AuthorsJochen Schweitzer6
Estimated H-index: 6
(University Hospital Heidelberg)
This study presents the theoretical background, development, and psychometric properties of the German and English versions of the Experience in Personal Social Systems Questionnaire (EXIS.pers). It assesses how the members of a personal social system experience their situation within that system. It is designed as a research tool for interventions in which only one member of the system participates (e.g., Family Constellation Seminars). The EXIS.pers was created to measure change on the individ...