Kuisma M, Murtonen I, Paunonen M, Lehti K, Koivula M, White M
Department of Nursing, Tampere College of Nursing, Finland.
J Adv Nurs. 1997 Dec;26(6):1111-6. doi: 10.1111/j.1365-2648.1997.tb00802.x.
This study forms part of the International Family Dynamics Project. Its purpose was describe the family functioning of families with mental health problems on the basis of Barnhill's framework for healthy family systems. The sample consisted of 160 families in which one family member had mental health problems. Both the patients and their relatives took part. The data were collected by questionnaires, i.e. The Family Dynamics Measure and The Family Dynamics Questionnaire. According to the results, mental health patients described family functioning as fairly poor, while relatives described it as fairly good. However, patients' and relatives' perceptions of family functioning did not differ significantly. There were some statistically significant differences between patients' and relatives' perceptions of different family dynamics dimensions. Relatives reported more mutuality (P = 0.006) and clearer communication (P = 0.009) than patients. Older mental health patients reported more isolation than patients under 30. Relatives who mentioned some serious illness in the family reported more role conflict than those who didn't. No differences were found by gender, family structure or education. The results indicated that the mental health problems of a single family member did not impair family dynamics. The study showed that the resources and functioning of families are fairly good in spite of the illness in the family.
本研究是国际家庭动态项目的一部分。其目的是在巴恩希尔健康家庭系统框架的基础上，描述有心理健康问题的家庭的家庭功能。样本包括160个有一名家庭成员存在心理健康问题的家庭。患者及其亲属均参与其中。数据通过问卷调查收集，即《家庭动态量表》和《家庭动态问卷》。根据结果，心理健康患者将家庭功能描述为相当差，而亲属则认为相当好。然而，患者和亲属对家庭功能的认知差异并不显著。在患者和亲属对不同家庭动态维度的认知方面存在一些统计学上的显著差异。亲属报告的相互性（P = 0.006）和沟通清晰度（P = 0.009）比患者更多。年龄较大的心理健康患者报告的孤立感比30岁以下的患者更多。提到家庭中有一些严重疾病的亲属报告的角色冲突比未提及的亲属更多。在性别、家庭结构或教育程度方面未发现差异。结果表明，单个家庭成员的心理健康问题并未损害家庭动态。该研究表明，尽管家庭中有疾病，但家庭的资源和功能相当良好。
