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Family Functioning in Families Affected by Parental Mental Illness: Parent, Child, and Clinician Ratings

Author

Listed:
  • Marlit Sell

    (Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Anne Daubmann

    (Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Holger Zapf

    (Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Bonnie Adema

    (Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Mareike Busmann

    (Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Maja Stiawa

    (Department of Psychiatry and Psychotherapy II, Ulm University, 89312 Günzburg, Germany)

  • Sibylle M. Winter

    (Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité—Universitätsmedizin Berlin, Campus Virchow-Klinikum, 13353 Berlin, Germany
    Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health (BIH).)

  • Martin Lambert

    (Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Karl Wegscheider

    (Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Silke Wiegand-Grefe

    (Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

Abstract

Family functioning is often impaired in families with a parent with mental illness and is linked to child mental health. This study aims to gain a better understanding of family functioning in affected families by comparing ratings among family members and by analyzing associations with clinician-rated family functioning. The cross-sectional sample comprised 210 families with ratings of 207 patients, 139 partners, and 100 children. Parents with a mental illness as well as their partners and children completed the German version of the Family Assessment Measure (FAM). Clinician ratings were obtained by the Global Assessment of Relational Functioning Scale (GARF). We conducted several mixed models to compare ratings of family functioning while accounting for family cluster. Family dysfunction was consistently elevated compared to a normative sample. On several domains, parents with a mental illness perceived family functioning to be worse compared to their partners and children. Partners and children did not differ in their perceptions of family functioning. Ratings of family members were moderately associated with clinician ratings. We discuss the importance of multi-informant assessment of family functioning and the implementation of family-based interventions for families with a parent with mental illness.

Suggested Citation

  • Marlit Sell & Anne Daubmann & Holger Zapf & Bonnie Adema & Mareike Busmann & Maja Stiawa & Sibylle M. Winter & Martin Lambert & Karl Wegscheider & Silke Wiegand-Grefe, 2021. "Family Functioning in Families Affected by Parental Mental Illness: Parent, Child, and Clinician Ratings," IJERPH, MDPI, vol. 18(15), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7985-:d:603280
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    References listed on IDEAS

    as
    1. Judith A. Seltzer, 2019. "Family Change and Changing Family Demography," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 405-426, April.
    2. Silke Wiegand-Grefe & Marlit Sell & Bonnie Filter & Angela Plass-Christl, 2019. "Family Functioning and Psychological Health of Children with Mentally Ill Parents," IJERPH, MDPI, vol. 16(7), pages 1-12, April.
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    Cited by:

    1. Hanna Stolper & Marjolein van der Vegt & Karin van Doesum & Majone Steketee, 2024. "The Integrated Family Approach in Mental Health Care Services: A Study of Risk Factors," IJERPH, MDPI, vol. 21(5), pages 1-20, May.

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