Family Function on Patients with Depression and Its Influential Factors_West China Medical Journal

Authors：

 DUNa , LIANGSu-gai , SituMing-jing ,  HUANGYi

Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

HUANGYi, Email: huangyi0412@126.com

Keywords：

Depression; Family function; Influential factors; Analysis

DOI：

10.7507/1002-0179.20150085

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Objective To explore the family function on patients with depression and its influential factors, in order to provide a basis for family support treatment for the patients. Methods A total of 122 depressed patients from Mental Health Center of West China Hospital between February 2012 and June 2013, and one of their family members were chosen to be the study subjects. Another 122 non-clinical controls and one of their family members were recruited from a community near Sichuan University were regarded as the controls. All the subjects were asked to finish the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Family Assessment Device (FAD). Additionally, the patients received a diagnostic interview to provide the features of their depression. Results The general average score of Q-LES-Q in families with depressed patients was significantly lower than that in the control families (t=-6.243, P<0.01). The general average score of each dimension in FAD for families with depressed patients was significantly higher than that for control families (t=3.644, 3.872, 2.694, 3.369, 5.369, 4.941, 5.241; P<0.01). According to FAD health division scoring, the unhealthy proportion in terms of communication, emotional reaction, emotional link, behavioral control and general function for families with depressed patients was significantly higher than that for control families (χ²=6.778, 23.698, 26.580, 39.875, 17.123, 10.712; P<0.05). The Q-LES-Q scores and the five FAD dimensional scores (except role and affective involvement) were negatively correlated (r=-0.388, -0.188, -0.200, -0.276, -0.370; P<0.05). The scores of perceived social support for families with depressed patients had significant positive correlations with the scores of all FAD dimensions except affective involvement (r=0.363, 0.345, 0.244, 0.418, 0.328, 0.457; P<0.05). The risk factors for unhealthy family function included: female (OR=1.141, P<0.05), poor education (OR=0.948, P<0.01), first-episode (OR=1.416, P<0.05), suicidal attempt (OR=1.014, P<0.05), incomplete suicide (OR=1.367, P<0.01) and depression episode number (OR=1.035, P<0.05). Conclusion Depression is associated with impaired family function in Chinese families. Female, poor education, first episode of depression, suicidal attempt, incomplete suicide and depression episode number are the influential factors for family function on patients with depression.

Citation： DUNa, LIANGSu-gai, SituMing-jing, HUANGYi. Family Function on Patients with Depression and Its Influential Factors. West China Medical Journal, 2015, 30(2): 283-289. doi: 10.7507/1002-0179.20150085 Copy

1.	Kessler R, Berglund P, Demler O, et al. Lifetime prevalence and age-of-onset distributions of DSM-Ⅳ disorders in the National Comorbidity Survey Replication[J]. Arch Gen Psychiat, 2005, 62(6):593-605.
2.	Keitner GI, Miller IW, Epstein NB, et al. Family functioning and the course of major depression[J]. Compr Psychiatry, 1987, 28(1):54-64.
3.	Weinstock LM, Keitner GI, Ryan CE, et al. Family functioning and mood disorders:a comparison between patients with major depressive disorder and bipolarⅠ disorder[J]. J Consult Clin Psych, 2006, 74(6):1192-1202.
4.	Zimet GD, Powell SS, Farley GK, et al. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support[J]. J Pers Assess, 1990, 55(3/4):610-617.
5.	Akhtar A, Rahman A, Husain M, et al. Multidimensional scale of perceived social support:psychometric prochometric properties in a South Asian population[J]. J Obstet Gynaecol Res, 2010, 36(4):845-851.
6.	Endicott J, Nee J, Harrison W, et al. Quality of life enjoyment and satisfaction questionnaire:a new measure[J]. Psychopharmacol Bull, 1993, 29(2):321-326.
7.	唐茂芹, 邱惠敏, 簡佳. 簡明幸福與生活質量滿意度問卷在中國精神障礙患者中的信效度[J]. 中國心理衛生雜志, 2010, 24(9):680-684.
8.	Epstein NB, Baldwin LM, Bishop DS. The McMaster family assessment device[J]. J Marital Fam Ther, 1983, 9(2):171-180.
9.	Miller IW, Epstein NB, Bishop DS, et al. The McMaster family assessment device:reliability and validity[J]. J Fam Marital Ther, 1985, 11(4):345-356.
10.	Akister J, Stevenson-Hinde J. Identifying families at risk:exploring the potential of the McMaster Family Assessment Device[J]. J Fam Ther, 1991, 13(4):411-421.
11.	Shek DT. Assessment of family functioning in Chinese adolescents:the Chinese version of the Family Assessment Device[J]. Res Soc Work Pract, 2002, 12(4):502-524.
12.	Benazon NR, Coyne JC. Living with a depressed spouse[J]. J Fam Psychol, 2000, 14(1):71-79.
13.	Brown GW, Harris TO, Eales MJ. Social factors and comorbidity of depressive and anxiety disorders[J]. Br J Psychiatry, 1996, 168 (Suppl 30):50-57.
14.	Tamplin A, Goodyer IM, Herbert J. Family functioning and parent general health in families of adolescents with major depressive disorder[J]. J Affect Disord, 1998, 48(1):1-13.
15.	Miller IW, Kabacoff RI, Keitner GI, et al. Family functioning in the families of psychiatric patients[J]. Compr Psychiatry, 1986, 27(4):302-312.
16.	Wang J, Mansfield AK, Zhao X, et al. Family functioning in depressed and non-clinical control families[J]. Int J Soc Psychiatry, 2013, 59(6):561-569.
17.	楊秋蘭, 侯東強. 抑郁癥患者防御方式及其家庭功能的研究[J]. 中國健康心理學雜志, 2007, 15(8):676-678.
18.	Ritsner M, Modai I, Endicott J, et al. Differences in quality of life domains and psychopathologic and psychosocial factors in psychiatric patients[J]. J Clin Psychiatry, 2000, 61(11):880-889.
19.	Smith DJ, Kyle S, Forty L, et al. Differences in depressive symptom profile between males and females[J]. J Affect Disord, 2008, 108(3):279-284.
20.	夏強, 胡明, 胡國清, 等. 湖南省中學生家庭功能現況調查及影響因素分析[J]. 中國行為醫學科學, 2007, 16(4):359-362.
21.	陳曉霞, 彭鵬. 自殺危險因素的研究現狀[J]. 重慶醫學, 2010, 39(1):115-117.
22.	Adams DM, Overholser JC, Lehnert KL. Perceived family functioning and adolescent suicidal behavior[J]. J Am Acad Child Adolesc Psychiatry, 1994, 33(4):498-507.

1. Kessler R, Berglund P, Demler O, et al. Lifetime prevalence and age-of-onset distributions of DSM-Ⅳ disorders in the National Comorbidity Survey Replication[J]. Arch Gen Psychiat, 2005, 62(6):593-605.
2. Keitner GI, Miller IW, Epstein NB, et al. Family functioning and the course of major depression[J]. Compr Psychiatry, 1987, 28(1):54-64.
3. Weinstock LM, Keitner GI, Ryan CE, et al. Family functioning and mood disorders:a comparison between patients with major depressive disorder and bipolarⅠ disorder[J]. J Consult Clin Psych, 2006, 74(6):1192-1202.
4. Zimet GD, Powell SS, Farley GK, et al. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support[J]. J Pers Assess, 1990, 55(3/4):610-617.
5. Akhtar A, Rahman A, Husain M, et al. Multidimensional scale of perceived social support:psychometric prochometric properties in a South Asian population[J]. J Obstet Gynaecol Res, 2010, 36(4):845-851.
6. Endicott J, Nee J, Harrison W, et al. Quality of life enjoyment and satisfaction questionnaire:a new measure[J]. Psychopharmacol Bull, 1993, 29(2):321-326.
7. 唐茂芹, 邱惠敏, 簡佳. 簡明幸福與生活質量滿意度問卷在中國精神障礙患者中的信效度[J]. 中國心理衛生雜志, 2010, 24(9):680-684.
8. Epstein NB, Baldwin LM, Bishop DS. The McMaster family assessment device[J]. J Marital Fam Ther, 1983, 9(2):171-180.
9. Miller IW, Epstein NB, Bishop DS, et al. The McMaster family assessment device:reliability and validity[J]. J Fam Marital Ther, 1985, 11(4):345-356.
10. Akister J, Stevenson-Hinde J. Identifying families at risk:exploring the potential of the McMaster Family Assessment Device[J]. J Fam Ther, 1991, 13(4):411-421.
11. Shek DT. Assessment of family functioning in Chinese adolescents:the Chinese version of the Family Assessment Device[J]. Res Soc Work Pract, 2002, 12(4):502-524.
12. Benazon NR, Coyne JC. Living with a depressed spouse[J]. J Fam Psychol, 2000, 14(1):71-79.
13. Brown GW, Harris TO, Eales MJ. Social factors and comorbidity of depressive and anxiety disorders[J]. Br J Psychiatry, 1996, 168 (Suppl 30):50-57.
14. Tamplin A, Goodyer IM, Herbert J. Family functioning and parent general health in families of adolescents with major depressive disorder[J]. J Affect Disord, 1998, 48(1):1-13.
15. Miller IW, Kabacoff RI, Keitner GI, et al. Family functioning in the families of psychiatric patients[J]. Compr Psychiatry, 1986, 27(4):302-312.
16. Wang J, Mansfield AK, Zhao X, et al. Family functioning in depressed and non-clinical control families[J]. Int J Soc Psychiatry, 2013, 59(6):561-569.
17. 楊秋蘭, 侯東強. 抑郁癥患者防御方式及其家庭功能的研究[J]. 中國健康心理學雜志, 2007, 15(8):676-678.
18. Ritsner M, Modai I, Endicott J, et al. Differences in quality of life domains and psychopathologic and psychosocial factors in psychiatric patients[J]. J Clin Psychiatry, 2000, 61(11):880-889.
19. Smith DJ, Kyle S, Forty L, et al. Differences in depressive symptom profile between males and females[J]. J Affect Disord, 2008, 108(3):279-284.
20. 夏強, 胡明, 胡國清, 等. 湖南省中學生家庭功能現況調查及影響因素分析[J]. 中國行為醫學科學, 2007, 16(4):359-362.
21. 陳曉霞, 彭鵬. 自殺危險因素的研究現狀[J]. 重慶醫學, 2010, 39(1):115-117.
22. Adams DM, Overholser JC, Lehnert KL. Perceived family functioning and adolescent suicidal behavior[J]. J Am Acad Child Adolesc Psychiatry, 1994, 33(4):498-507.

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