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01-04-2012 | Uitgave 2/2012

Journal of Behavioral Medicine 2/2012

The impact of family behaviors and communication patterns on chronic illness outcomes: a systematic review

Tijdschrift:
Journal of Behavioral Medicine > Uitgave 2/2012
Auteurs:
Ann-Marie Rosland, Michele Heisler, John D. Piette
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Electronic supplementary material

The online version of this article (doi:10.​1007/​s10865-011-9354-4) contains supplementary material, which is available to authorized users.

Abstract

In general, social support from family members affects chronic illness outcomes, but evidence on which specific family behaviors are most important to adult patient outcomes has not been summarized. We systematically reviewed studies examining the effect of specific family member behaviors and communication patterns on adult chronic illness self-management and clinical outcomes. Thirty studies meeting inclusion criteria were identified, representing 22 participant cohorts, and including adults with arthritis, chronic cardiovascular disease, diabetes, and/or end stage renal disease. Family emphasis on self-reliance and personal achievement, family cohesion, and attentive responses to symptoms were associated with better patient outcomes. Critical, overprotective, controlling, and distracting family responses to illness management were associated with negative patient outcomes. Study limitations included cross-sectional designs (11 cohorts); however results from longitudinal studies were similar. Findings suggest that future interventions aiming to improve chronic illness outcomes should emphasize increased family use of attentive coping techniques and family support for the patient’s autonomous motivation.

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Extra materiaal
Supplementary material 1 (DOC 150 kb)
10865_2011_9354_MOESM1_ESM.doc
Supplementary material 2 (XLSX 27 kb)
10865_2011_9354_MOESM2_ESM.xlsx
Supplementary material 3 (XLSX 21 kb)
10865_2011_9354_MOESM3_ESM.xlsx
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