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Family functioning in bipolar I disorder.

Published on Jan 1, 2006in Journal of Family Psychology2.35
· DOI :10.1037/0893-3200.20.4.701
Lisa A. Uebelacker25
Estimated H-index: 25
(Brown University),
Christopher G. Beevers36
Estimated H-index: 36
(University of Texas at Austin)
+ 5 AuthorsIvan W. Miller62
Estimated H-index: 62
(Brown University)
Cite
Abstract
In a sample of 62 patients with Bipolar I disorder, the authors used a repeated measures longitudinal design to examine whether global family functioning was associated with the presence of a concurrent bipolar episode as well as whether global family functioning was associated with the presence of manic and depressive episodes in the following 3 months. Participants were recruited for a randomized clinical trial examining the efficacy of family treatments combined with pharmacotherapy for bipolar disorder. Global family functioning was repeatedly measured with both clinician-rated and patient-rated assessment instruments over the 28-month study period. Results indicated that mood episodes were associated with concurrent global family functioning within individuals, but global family functioning was not associated with episode status in the subsequent 3 months. The repeated measures nature of these results suggests that global family functioning and bipolar episodes may fluctuate in concert with each other but that global family functioning is not associated with subsequent change in episode status.
  • References (13)
  • Citations (21)
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References13
Newest
Published on Mar 26, 2005
Christine E. Ryan31
Estimated H-index: 31
,
Nathan B. Epstein2
Estimated H-index: 2
+ 2 AuthorsDuane S. Bishop10
Estimated H-index: 10
Introduction. Part I: Development and Historical Background. The McMaster Model of Family Functioning. The Problem Centered Systems Therapy of the Family. Training in the Problem Centered Systems Therapy of the Family. Assessments Developed for the McMaster Model. Research Using the McMaster Model. Frequently Asked Questions. Conclusions. Part II: The Family Assessment Device. The McMaster Clinical Rating Scale. The McMaster Structured Interview of Family Functioning. The McMaster Adherence Scal...
Published on Nov 1, 2004in Comprehensive Psychiatry2.59
Ivan W. Miller62
Estimated H-index: 62
(Rhode Island Hospital),
Lisa A. Uebelacker25
Estimated H-index: 25
(Rhode Island Hospital)
+ 2 AuthorsSolomon Da13
Estimated H-index: 13
(Rhode Island Hospital)
The course of bipolar I disorder is characterized by frequently fluctuating levels of manic and depressive symptoms. In the current study, we sought to characterize the month-by- month course of this disorder in 61 patients who were originally enrolled in a clinical trial and were followed for a mean of 23.7 months (SD = 6.1). All patients in the trial received medication management; some received family psychosocial interventions as well. On a monthly basis, we assessed symptom severity using t...
Published on May 12, 2004in Journal of Affective Disorders4.08
Eunice Y. Kim5
Estimated H-index: 5
(CU: University of Colorado Boulder),
David J. Miklowitz63
Estimated H-index: 63
(CU: University of Colorado Boulder)
Abstract Background : Levels of expressed emotion (EE) in relatives are consistent predictors of relapse among bipolar and other mood disordered patients followed naturalistically. However, few studies have examined whether levels of EE predict the course of illness for patients engaged in psychosocial interventions. Methods : This study examined whether EE levels among caregivers moderated the success of family-based psychosocial interventions for patients with bipolar disorder. EE was examined...
Published on Apr 30, 2004in Journal of Affective Disorders4.08
Ivan W. Miller62
Estimated H-index: 62
(Brown University),
David A. Solomon43
Estimated H-index: 43
(Brown University)
+ 1 AuthorsGabor I. Keitner47
Estimated H-index: 47
(Brown University)
Background: Family therapy is sometimes used as adjunctive treatment to pharmacotherapy to help patients recover from mood episodes of bipolar I disorder. However, the efficacy of this practice is not known. Methods: Ninety-two patients meeting criteria for a current bipolar I mood episode were randomly assigned to family therapy plus pharmacotherapy, multifamily psychoeducational group therapy plus pharmacotherapy, or pharmacotherapy alone. Time to recovery was analyzed with survival analysis. ...
Published on Sep 1, 2003in Archives of General Psychiatry
David J. Miklowitz63
Estimated H-index: 63
,
Elizabeth L. George13
Estimated H-index: 13
+ 2 AuthorsRichard L. Suddath14
Estimated H-index: 14
Background Bipolar patients are at risk for relapses of their illness even when undergoing optimal pharmacotherapy. This study was performed to determine whether combining family-focused therapy (FFT) with pharmacotherapy during a postepisode interval enhances patients' mood stability during maintenance treatment. Methods In a randomized controlled trial, 101 bipolar patients were assigned to FFT and pharmacotherapy or a less intensive crisis management (CM) intervention and pharmacotherapy. Out...
Published on Jun 1, 2002in Archives of General Psychiatry
Lewis L. Judd52
Estimated H-index: 52
,
Hagop S. Akiskal96
Estimated H-index: 96
+ 6 AuthorsMartin B. Keller116
Estimated H-index: 116
Background To our knowledge, this is the first prospective natural history study of weekly symptomatic status of patients with bipolar I disorder (BP-I) during long-term follow-up. Methods Analyses are based on ongoing prospective follow-up of 146 patients with Research Diagnostic Criteria BP-I, who entered the National Institute of Mental Health (Bethesda, Md) Collaborative Depression Study from 1978 through1981. Weekly affective symptom status ratings were analyzed by polarity and severity, ra...
Published on Mar 1, 1994in Family Process2.68
Ivan W. Miller62
Estimated H-index: 62
(Brown University),
Robert I. Kabacoff9
Estimated H-index: 9
(NSU: Nova Southeastern University)
+ 4 AuthorsH.I.J. Spuy1
Estimated H-index: 1
(McMaster University)
This article describes the development and validation of the McMaster Clinical Rating Scale (MCRS). The MCRS is a 7-item scale designed to be completed by a trained rater after completion of an in-depth interview of the family. We present data from four new studies and review previously published articles concerning the reliability, validity, and clinical utility of the MCRS. Adequate interrater reliability and rater stability were obtained. The MCRS was found to correlate significantly with the...
Published on Jan 1, 1994
Michael B. First45
Estimated H-index: 45
,
A. Frances-Monneris1
Estimated H-index: 1
+ 1 AuthorsM First1
Estimated H-index: 1
Published on Mar 3, 1992
Stephen W. Raudenbush67
Estimated H-index: 67
(U of C: University of Chicago),
Anthony S. Bryk39
Estimated H-index: 39
(U of C: University of Chicago)
PART I THE LOGIC OF HIERARCHICAL LINEAR MODELING Series Editor 's Introduction to Hierarchical Linear Models Series Editor 's Introduction to the Second Edition 1.Introduction 2.The Logic of Hierarchical Linear Models 3. Principles of Estimation and Hypothesis Testing for Hierarchical Linear Models 4. An Illustration PART II BASIC APPLICATIONS 5. Applications in Organizational Research 6. Applications in the Study of Individual Change 7. Applications in Meta-Analysis and Other Cases where Level-...
Published on Jan 1, 1990in Journal of Family Psychology2.35
Robert I. Kabacoff9
Estimated H-index: 9
(NSU: Nova Southeastern University),
Ivan W. Miller62
Estimated H-index: 62
(Brown University)
+ 2 AuthorsGabor I. Keitner47
Estimated H-index: 47
(Brown University)
Cited By21
Newest
Silke Wiegand-Grefe9
Estimated H-index: 9
,
Marlit Sell + 1 AuthorsAngela Plass-Christl1
Estimated H-index: 1
Parental mental illness can be linked to reduced family functioning, which is associated with more conflicts, less adaptability and cohesion as well as a disorganized pattern of everyday planning. Concurrently, family functioning is an important moderator for the influence of parental mental disorders on the development of the children. Consequently, the current study addresses the correlation of family functioning in families with mentally ill parents and the psychological health of the childre...
Amit Shalev (University of Pittsburgh), John Merranko7
Estimated H-index: 7
(University of Pittsburgh)
+ 10 AuthorsDanella Hafeman16
Estimated H-index: 16
(University of Pittsburgh)
Objective To compare the longitudinal course of family functioning in offspring of parents with bipolar disorder (BD), offspring of parents with non-BD psychopathology, and offspring of healthy control (HC) parents. Method Offspring of parents with BD (256 parents and 481 offspring), parents without BD (82 parents and 162 offspring), and HC parents (88 parents and 175 offspring) 7 to 18 years of age at intake, from the Bipolar Offspring Study (BIOS), were followed for an average of 4.3 years. Fa...
Published on Mar 1, 2016in Journal of Affective Disorders4.08
Mariangeles Berutti5
Estimated H-index: 5
(USP: University of São Paulo),
Rodrigo da Silva Dias9
Estimated H-index: 9
(USP: University of São Paulo)
+ 2 AuthorsFabiano G. Nery24
Estimated H-index: 24
(USP: University of São Paulo)
Abstract Objectives To investigate the association between history of suicide attempts (SA) and family functioning in bipolar disorder (BD) patients. Methods Thirty-one BD type I patients with lifetime history of SA, 31 BD type I with no lifetime history of SA, participating in the Outpatient Clinic of the Bipolar Disorder Program at the Institute of Psychiatry of the University of Sao Paulo Medical School were recruited for this study. We used the Family Assessment Device (FAD) to evaluate fami...
Published on Jan 1, 2016
Nikki Marie Woller (Walden University)
Emotional Dysregulation and Adaptive Skills Among Siblings of Bipolar Children by Nikki Woller MSW, Barry University, 2004 BSW, Florida Atlantic University, 1999 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Walden University June 2016
Published on Mar 1, 2015in Family Process2.68
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)
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 inc...
Published on Mar 1, 2015in Journal of Nervous and Mental Disease1.86
Rebecca S. Siegel1
Estimated H-index: 1
,
Bettina B. Hoeppner20
Estimated H-index: 20
+ 11 AuthorsJeffrey Hunt23
Estimated H-index: 23
This study examined the longitudinal association between mood episode severity and relationships in BP youth. Participants were 413 Course and Outcome of Bipolar Youth study youth, aged 12.6 ± 3.3 years. Monthly ratings of relationships (parents, siblings, and friends) and mood episode severity were assessed by the Adolescent Longitudinal Interval Follow-Up Evaluation (ALIFE) Psychosocial Functioning Schedule (PFS) and Psychiatric Rating Scales (PSR) on average every 8.2 months over 5.1 years. C...
Published on Mar 1, 2015in Family Process2.68
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 Jan 1, 2015in Journal of Family Psychology2.35
Rachel D. Freed4
Estimated H-index: 4
,
Martha C. Tompson14
Estimated H-index: 14
+ 4 AuthorsAude Henin30
Estimated H-index: 30
Previous research has shown that families with a parent who has bipolar disorder (BD) may experience family functioning difficulties. However, the association between family functioning and psychopathology among offspring of parents with BD, and offspring characteristics that may moderate this association, remains poorly understood. This study examined the cross-sectional associations between family functioning (cohesion, expressiveness, and conflict) and psychopathology in 117 offspring (ages 5...
Published on Jul 1, 2013in The Family Journal
Abigail K. Mansfield11
Estimated H-index: 11
(Rhode Island Hospital),
Jennifer Dealy2
Estimated H-index: 2
(Rhode Island Hospital),
Gabor I. Keitner47
Estimated H-index: 47
(Rhode Island Hospital)
This study explored the impact of income status (low-income vs. non-low-income) on family functioning, social support, and quality of life in a community sample of 125 families. The sample identified themselves as 17% Black or African American, 7% Latino, 4% Asian, and 66% White. The mean age of participants was 37 years. The study used a self-report measure of perceived family functioning, the Family Assessment Device (FAD). Results demonstrated that low-income status was associated with less s...
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