To identify systematically all questionnaire measures of family functioning appropriate for use in . Table 1 displays the parent–child relationship measures . R-3 Clinical Rating Scale for the Circumplex Model of Marital and Family Systems SELF-REPORT QUESTIONNAIRES: WHOLE-FAMILY FUNCTIONING W-l Form E W-ll Family Relationship Questionnaire (FRQ) W-l 2 Index of. We tested the adapted measure, the Brief Family Relationship Scale (BFRS), There is need for valid measures of family functioning in research with .. version of the peritraumatic dissociative experiences questionnaire.
Given the significance of the family stabilization policy in Iran, and also the absence of any accurate measurement tool for assessing family stability, carrying out a research aimed at this goal was necessary.
Therefore, this study was conducted to construct the scale and validate it in Yazdi couples. Lack of such instruments has led to poor knowledge about familial and social aspects of family stability in an eastern country such as Iran.
Various models have been used to explain family function.
- Validation of the Family Stability Questionnaire in married couples: a confirmatory factor analysis
Minuchin described six aspects in the structural model of family functioning including: Some aspects of this model have been criticized. Also, the Beavers model has two aspects: It is more sensitive in identifying the performance of families, and the correlation between clinical ranking scales and self-scoring scales were higher than other models in a clinical sample This model is founded on a system theory and elucidates all dimensions of the family unit including organization, structure, and marital relationships.
It has come together in different aspects of married life, which refer to different approaches and has offered a comprehensive model in this area that can be useful in investigating family life in different groups. The FAD is the most commonly used scale designed to measure different dimensions of family function. However, it cannot be used for assessing family stability in Iran. Therefore, this first present study was conducted to design and validate and investigate the factor structure of the Family Stability Questionnaire FSQ as a comprehensive instrument to entail family stabilization in married couples of Iran.
Material and Methods 2. Research design, sampling and data collection This study was the second stage of a large study. In the first stage, we conducted purposive sampling method through McMaster-based semi-structured interviews to collect data.
In this regard, 17 participants were selected based on the inclusion criteria 16 Later, the questions of the FSQ were made based on the codes of our qualitative research.
Then, in a cross-sectional study from January to Maymales and females of Yazd City Iran who were chosen via cluster random sampling completed the FSQ. Considering a confidence level of 0. Hence, a total of samples including ten maximally family clusters were selected using cluster sampling method with cluster sampling index of 1.
In so doing, 10 urban healthcare centers were selected randomly in Yazd. Each of these centers was considered as a cluster. Then, the researchers tuned to the houses located in the alleys around the center, and 30 subjects 15 couples were selected in each cluster using systematic cluster sampling adding up to a total of subjects. However, 12 couples did not return the questionnaires.
Therefore, a total of subjects participated in this study couples. The inclusion criteria were as follows: Epstein, Bishop, and Levin introduced the McMaster model to evaluate family functioning at the beginning of s at McMaster University. They put forward a comprehensive approach in the domain of family therapy.
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FAD is the checklist pertaining to this model with 60 items, and evaluates seven domains including communication, problem solving, emotional responses, roles, emotional involvement, general function, and behavioral control Some studies have been done by using this model on families whose function and stability were impaired. For instance, in families with various cultures 20families with a polygamy basis 21families with a mentally deficient member 22 — 24and families with a physically disabled member 15 The final version of the inventory consisted of 56 items scored using a 4-point Likert scale as the following: This questionnaire included ten categories: A high score on each component or for the whole questionnaire indicated inappropriate family stability; hence, the items that indicated inappropriate family stability, were scored reversely 2, 5, 7, 8, 12, 14, 20, 24, 25, 27, 28, 30—35, 37—43, 45, 46, 48, 59, 60—62, 64— Content validity The questionnaire was constructed in the following way: A qualitative study of the directed content analysis type was conducted in because our research was theory-based 16 The participants included 17 individuals nine family therapists, psychiatrists and eight Yazdi couples who were selected using purposive sampling method.
The participants were selected among those who had sufficient experiences and the power to express them. Since it is one of the effective and suitable models for investigating the performance of families in Iran, which can be used to prevent the familial and marital problems round the country 142627it was applied in this study.
An items pool was obtained on the basis of the results of the qualitative study items. To establish the face and content validity of the tool, it was given to family therapists and psychiatrists three psychologists, four family psychologists, and two experienced MSc psychologists and couples because they had a sufficient amount of experiences It was revised and improved on the basis of their opinions.
To determine content validity ratio CVRwe used the Lawshe method The family therapists and psychiatrists were further asked to examine the face validity of the tool through assessing the suitability of the items. They evaluated the necessity of the items using a 3-point rating scale: Being older, unemployment, being female and low levels of family support has made them more vulnerable.
However, studies evaluating perception of family function by individuals with diabetes are scarce in the literature. This study, therefore, aimed to assess the relationship between family function and quality of life in diabetic and non-diabetic women.
Materials and methods In this cross-sectional study, women who referred to health centers in Mashhad, were studied. According to a pilot study conducted on 40 subjects 20 diabetic women and 20 non-diabeticsthe sample size was calculated. Quality of life means scores in diabetic and non-diabetics women were Health care centers were selected using of cluster sampling method.
According to the population covered by health centers in Mashhad, ten health centers were selected. Women who have the inclusion criteria and referred to the centers were asked to participate in this study after fulfilling written informed consent.
Validation of the Family Stability Questionnaire in married couples: a confirmatory factor analysis
Diabetic women were selected from patients who referred to diabetes-control unit and non-diabetics women were selected from the healthy women who referred to other units in those health care centers using of convenience sampling method. Inclusion criteria were women aged 18 years, ability to read and write, married, living with her spouse, being recognized of type II diabetes by the specialist and being diagnosed for at least one years.
Exclusion criteria were drug and alcohol addiction, a psychological crisis, psychological disorder and chronic diseases such as cancer and asthma.Developmental Attachment Trauma and Fantasy Family Relationships
Data were collected using a demographic questionnaire which includes age, occupation, education level of patient and her spouse, socio-economic status, marriage status, number of pregnancies, number of children, number of labors, type of delivery, methods of contraception and duration of diabetes.
Then, blood sugar levels, HgA1c and body mass index BMI were assessed in both groups by the researcher.
Self-report method was used for data collection. This scale has 7 dimension including problem solving, communication, roles, affective response, affective involvement, behavior control and general functioning. Higher scores indicate worse levels of family functioning.
This tool was designed in by Ware and his colleagues. It has 36 questions in eight subscales: Physical functioning, role limitations due to physical problems, role limitations due to emotional problems, bodily pain, social function, emotional health, vitality, and general health. To test the normality, Kolmogorov-Smirnov and Shapiro-Wilk were used.
Data were analyzed using the independent t-test, Mann-Whitney, chi-square test and stepwise regression model and analysis of covariance. All statistical tests were considered significant at level of 0. The objectives of the study were explained to all participants and all of them signed a written informed consent and were assured of the confidentiality of their individual information as well as the being voluntary for participating in the study.
Results In this study, data from women 90 diabetic and 90 non-diabetic were analyzed.