From the departments of Medicine and Psychiatry W. References 1. Carmichael LP. The family in medicine. J Fam Pract ;
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From the departments of Medicine and Psychiatry W. References 1. Carmichael LP. The family in medicine. J Fam Pract ; Geyman JP. The family as object of care in family practice. Curry HB. The family as our patient. Medalie JH. A family-oriented approach in primary care.
Boston, Mass: Little, Brown, and Company; Rationale for family psychosocial screening. Ambulatory Child Health ; Ransom DC. The evolution from an individual to a family approach. Family-oriented primary care. Doherty WB. Family therapy and family medicine.
Crouch M, Roberts L, eds. The family in medical practice: a family systems primer. Institute of Medicine. The family in family practice: is it a reality? Mengel M. The use of the family apgar in screening for family dysfunction in a family practice center. Mengel MB.
Fam Med ; Jacob T, Tennenbaum DL. Family assessment methods. Smilkstein G. Pless JB, Satterwhite B. A measure of family functioning and its application. Soc Sci Med ; Family function. Minneapolis, Minn: Family Inventories Project; Family functioning and stress as predictors of influenza B infection. Arch Fam Med ; The relationship between family functioning, life events, family structure, and the outcome of pregnancy.
Pediatrics ;E How representative of typical practice are practice based research networks? J Am Board Fam Pract ; American Academy of Pediatrics. Periodic survey of fellows. Report No: Arch Pediatr Adolesc Med ; Costello EJ. Primary care pediatrics and child psychopathology: a review of diagnosis, treatment, and referral practices. Pediatrics ; Downey G, Coyne J. Children of depressed parents: an integrative review.
Psychological Bull ; The physicians enrolled 22, consecutive office visits by children aged 4 to 15 years. Clinicians completed a survey that described child psychosocial problems, treatments initiated or continued, and specialty care referrals. Future research should clarify what it does measure. A strong family orientation has been a cornerstone of family practice since its emergence in the late s 1 - 4 and is alo important in pediatrics.
Integrating an effective family orientation into everyday practice has proved feasible and extant in family practice. Many of these approaches are time consuming and not practical for use in large sample studies requiring a brief instrument.
The ability to assess the family context, however, is critical to many primary care studies and particularly those that deal with behavior, mental health, and psychosocial problems. We focus on evidence about the validity of the instrument, as it has regularly been found to be internally consistent. North and colleagues 23 obtained ratings of the usefulness of family assessment tools from family physicians.
Smilkstein and coworkers 17 found that adults in counseling perceived their families as more dysfunctional than adults in other samples. There was, however, no assessment of the family; thus the finding does not directly support the validity of the Family APGAR as a measure of family dysfunction. Smilkstein and colleagues also found that adopted children were more likely to perceive their families as dysfunctional than were biological children. This would not validate the Family APGAR as a measure of family dysfunction, because it seems unlikely that families who adopt are more dysfunctional than other families.
Does the Family APGAR Effectively Measure Family Functioning?
Duzahn Following, the values of the area under the ROC curve with their interval estimation for the Zung Anxiety scale are presented see Table 2. No statistically significant average smilksteinn were found in the variables of anxiety, depression and family Apgar between the age groups both in women and men, which is affirmed with a level of significance of 0, The maximum significance level for the contrast of the statistical hypotheses was 0, There is a strong suggestion to perform future investigations that may evaluate the psychometric proprieties of Family APGAR, not only over the regional scenario of Brazilian Northeast region, but also in many other sociocultural environments of the different geographical regions of the country. In other words, to know how the family functionality finds a way to fulfill and smilsktein its essential roles in an appropriate manner, respecting the identity and the tendencies of its members, in order to work in a realist format to deal with the dangers and the opportunities that are seen in the social environment 3. Tomou-se uma amostra de estudantes com idades entre 15 e 56 anos que ingressaram nas turmas de e How College Affects Students. Adaptation, which involves the offered family resources when assistance is necessary; Partnership, regarding the reciprocity in family familar and problem solving; Growth, related to the availability of the family to the changes of roles and emotional development; Affection, which includes intimacy and emotional interactions in family context; and Resolve, associated to the decision, determination or resoluteness in a certain family unit
Plantilla – El Cuestionario de Apgar Familiar (Actualizado 2015)