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Rios K, Burke M. Exploring correlates among Latino/a parents of young children with intellectual and developmental disabilities. Autism Res 2023; 16:1527-1532. [PMID: 37519191 DOI: 10.1002/aur.2998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 07/12/2023] [Indexed: 08/01/2023]
Abstract
Parents of children with intellectual and developmental disabilities (IDD), including autism, experience stress in part due to child and parent characteristics. Although there is significant research about the correlates of parent stress, less is known about stress among Latino/a parents of children with IDD. The purpose of this study was to explore the correlates of empowerment, type of disability, stress, and special education knowledge among 61 Latino/a parents of children with IDD. Findings revealed a positive, significant correlation between empowerment and special education knowledge. Parents of children with autism reported significantly greater special education knowledge and stress. Implications for the future research including the need for longitudinal research are discussed.
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Affiliation(s)
- Kristina Rios
- Kremen School of Education and Human Development, Department of Literacy, Early, Bilingual and Special Education, California State University, Fresno, Fresno, California, USA
| | - Meghan Burke
- University of Illinois at Urbana-Champaign, Champaign, Illinois, USA
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2
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Sanner CM, Benjamin LR, Eskander C, McGregor HA, Preston AE, McIntyre LL, Neece CL. Sibling Support and Perceived Daily Hassles in Latino and Non-Latino Families of Children with DD. FAMILY JOURNAL (ALEXANDRIA, VA.) 2023; 31:330-340. [PMID: 37817893 PMCID: PMC10564384 DOI: 10.1177/10664807221151174] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/12/2023]
Abstract
Parents of children with developmental delay (DD) report significantly higher levels of parenting stress compared to parents of children with typical development. There is a heightened need for social support among families of children with DD. Siblings play an important role in these contexts as a supportive resource and primary stress buffer. Little to no research has examined how these stress and supportive processes may differ among Latino and non-Latino parents. The current study examined the relation between sibling support and parents' perceived daily hassles between Latino and non-Latino parents of children with DD (N = 146; 65% Latino; mean parent age = 37.39 years; mean child age = 49.63 months; SD = 7.9). Latinos reported significantly greater use of sibling support and lower perceived daily hassles compared to non-Latino counterparts. In the combined sample, greater sibling support was significantly correlated with lower daily hassles. When examined separately in Latino and non-Latino groups, this correlation only remained significant among Latinos. The interaction between ethnicity and sibling support on perceived daily hassles was approaching significance, such that Latinos who reported high levels of sibling support reported lower perceived daily hassles. Findings emphasize the universal importance of familial support systems for the well-being of parents of children with DD and point to the possible protective role of Latino cultural factors that influence the degree to which these supports are employed. Results may inform culturally sensitive adaptations to parenting interventions for Latino families that harness sibling support to target and buffer parenting stress.
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Affiliation(s)
| | | | - Caroline Eskander
- Department of Psychology, Loma Linda University, Loma Linda, CA, USA
| | | | - Amanda E. Preston
- Department of Psychology, Loma Linda University, Loma Linda, CA, USA
| | - Laura Lee McIntyre
- Department of Special Education and Clinical Sciences, College of Education, University of Oregon, Eugene, OR, USA
| | - Cameron L. Neece
- Department of Psychology, Loma Linda University, Loma Linda, CA, USA
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3
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Support Needs and Parent Outcomes in Arab Families of Children with Autism Living in the United Kingdom. Brain Sci 2022; 12:brainsci12081114. [PMID: 36009177 PMCID: PMC9405880 DOI: 10.3390/brainsci12081114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 08/14/2022] [Accepted: 08/19/2022] [Indexed: 11/27/2022] Open
Abstract
Research on the experiences of Arab families of children with autism living in non-Arab countries is scarce. A survey investigated the support needs, psychological distress, and parental relationships of Arab parents (n = 100) of children with autism living in the United Kingdom (UK). The survey consisted of five main questionnaires: a demographic questionnaire, the GO4KIDDS Brief Adaptive Scale, the Family Needs Survey, the Strengths and Difficulties Questionnaire, and the Hospital Anxiety and Depression Scale. Descriptive analysis indicated that the most frequently identified support needs were information, community services, and explaining to others. Parents reported high levels of psychological distress, a high level of parental relationship satisfaction with their spouse, and few parental disagreements about their child with autism. Regression analyses showed that increased child behavior problems predicted more total family needs. Higher levels of child prosocial behavior, the better health status of parents, and a larger number of children in the family were associated with lower levels of parental psychological distress. A longer time living in the UK was associated with more parental disagreement over issues related to the child with ASD. Reducing child behavior problems and increasing child prosocial behavior may be important targets for support and intervention to improve outcomes for Arab parents of autistic children.
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Martin AM, Marin DG, McIntyre LL, Neece C. Familism and Parenting Stress in Latinx Caregivers of Young Children with Developmental Delays. FAMILY JOURNAL (ALEXANDRIA, VA.) 2022; 30:411-418. [PMID: 38645896 PMCID: PMC11031259 DOI: 10.1177/10664807211052480] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/23/2024]
Abstract
Several studies have documented the difficult experience of raising a child with a developmental delay (DD; DeGrace et al., 2014) but the majority of research has focused on non-Latinx White families and their experiences in childrearing and interacting with service providers (Hayes & Watson, 2013; Blanche et al., 2015). Additionally, stigma associated with mental illness and DD disproportionally affects Latinx communities (Burke et al., 2019). Familism plays a unique role among families of Latinx backgrounds (Moore, 1970; Coohey, 2001) and may act as a buffer to caregiver mental health. The current study aims to (1) determine the association between affiliate stigma and parenting stress among Latinx parents of young children with DD and (2) test whether familism moderates the relationship between affiliate stigma and parenting stress. Results revealed that the relationship between affiliate stigma and parenting stress was strongest in caregivers who reported low levels of familism, suggesting that familism may act as a buffer. More research is needed to further unpack the protective factors of familism on caregiver mental health.
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Affiliation(s)
- Ann Marie Martin
- Department of Psychology, Loma Linda University and Graduate School of Education, University of California, Riverside
| | - Diane G Marin
- Department of Psychology, Loma Linda University and Graduate School of Education, University of California, Riverside
| | - Laura Lee McIntyre
- Department of Psychology, Loma Linda University and Graduate School of Education, University of California, Riverside
| | - Cameron Neece
- Department of Psychology, Loma Linda University and Graduate School of Education, University of California, Riverside
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5
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Koukouli S, Kalaitzaki AE, Panagiotakis S, Markakis G, Werner P, Tziraki C. Factors associated with the perception of services by dementia informal caregivers in Greece: the role of familism. Aging Ment Health 2022; 26:305-313. [PMID: 33345603 DOI: 10.1080/13607863.2020.1857694] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
AIM To investigate perceptions of informal caregivers of community-dwelling persons with dementia (PwD) regarding health and social care services and their correlates using the Behavioral Model of Healthcare Utilization as the theoretical framework. METHODS This was a cross-sectional study using a purposive sampling technique to identify, through community-based health and social care services, caregivers of PwD. Face-to-face interviews were conducted with 118 informal caregivers (78.8% female, mean age = 58.9 years) via a structured questionnaire. RESULTS Three 'Perceptions of Services' subscales were identified: 'Availability and Adequacy of Services' (AAS), 'Physicians' Competence' (COMP), and 'Professionals' Behavior' (PB). Predisposing factors (gender, employment, familism) and enabling/impeding factors (caregiving impedes work, quality of life aspects - environment and social relationships, information about dementia) were significant correlates of the AAS and COMP subscales. Familism was negatively associated with the AAS subscale. PwD's perceived declined physical and behavioral functioning was related to worse perceptions regarding professionals' behavior (PB) toward the PwD. CONCLUSION Understanding the factors associated with caregivers' perceptions of health and social care community services may guide the development of interventions that facilitate the appropriate use of those services, provide increased support to PwD and their caregivers, and delay potential institutionalization.
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Affiliation(s)
- Sofia Koukouli
- Department of Social Work & Laboratory of Interdisciplinary Approaches to the Enhancement of Quality of Life, Faculty of Health Sciences, Hellenic Mediterranean University, Crete, Greece
| | - Argyroula E Kalaitzaki
- Department of Social Work & Laboratory of Interdisciplinary Approaches to the Enhancement of Quality of Life, Faculty of Health Sciences, Hellenic Mediterranean University, Crete, Greece
| | - Symeon Panagiotakis
- Internal Medicine Department, Geriatric Clinic, Heraklion University Hospital, Crete, Greece
| | - Georgios Markakis
- Department of Social Work, Faculty of Health Sciences, Hellenic Mediterranean University, Crete, Greece
| | - Perla Werner
- Department of Community Mental Health, University of Haifa, Haifa, Israel
| | - Chariklia Tziraki
- Research and Evaluation Department, Community Elders Club Melabev, Jerusalem, Israel
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Villavicencio CE, López-Larrosa S. Ecuadorian mothers of preschool children with and without intellectual disabilities: Individual and family dimensions. RESEARCH IN DEVELOPMENTAL DISABILITIES 2020; 105:103735. [PMID: 32679390 DOI: 10.1016/j.ridd.2020.103735] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 06/18/2020] [Accepted: 07/07/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Approximately 71,454 children younger than 5 years old have a disability in Ecuador. AIMS Our objective was to compare and relate family cohesion, adaptability, coping, perceived stress, and control with family satisfaction of Ecuadorian mothers of preschool children with and without intellectual disabilities (ID). METHOD Participants were 384 Ecuadorian mothers: 111 had a child with ID and 273had a child without ID. The FACES II, Family Satisfaction Scale and Moos Coping Response Inventory were used. RESULTS No significant differences were found between mothers of children with and without intellectual disabilities on their perceptions of family cohesion, adaptability or family satisfaction. Mothers of children with ID perceived less stress and more control over their children and adopted more approach coping strategies compared to mothers of children without ID. The mothers 'family satisfaction was positively related to approach coping strategies and to family cohesion and adaptability, and negatively related to avoidant coping strategies-regardless of whether their children had a disability or not. CONCLUSIONS AND IMPLICATIONS These data are in accordance with an adaptive approach to disability and emphasise the capacity of individuals and families to cope.
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Affiliation(s)
- Carmita E Villavicencio
- Technical University of Machala, El Oro, Ecuador; Universidade da Coruña, Campus de Elviña, 15071, A Coruña, Spain.
| | - Silvia López-Larrosa
- Universidade da Coruña, Psychology Department, Campus de Elviña, 15071, A Coruña, Spain.
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Facilitators and Barriers to Positive Special Education Experiences and Health Among Latino Families of Children with Disabilities: Two Systematic Literature Reviews. REVIEW JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS 2020. [DOI: 10.1007/s40489-020-00220-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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8
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Understanding the Family Impact of Autism Spectrum Disorder in a Racially and Ethnically Diverse Sample: Findings from the National Survey of Children with Special Health Care Needs. Matern Child Health J 2019; 23:951-960. [DOI: 10.1007/s10995-018-02724-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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9
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Maura J, Weisman de Mamani A. Culturally Adapted Psychosocial Interventions for Schizophrenia: A Review. COGNITIVE AND BEHAVIORAL PRACTICE 2017. [DOI: 10.1016/j.cbpra.2017.01.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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10
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Magaña S, Lopez K, Machalicek W. Parents Taking Action: A Psycho-Educational Intervention for Latino Parents of Children With Autism Spectrum Disorder. FAMILY PROCESS 2017; 56:59-74. [PMID: 26269291 DOI: 10.1111/famp.12169] [Citation(s) in RCA: 70] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
The increased prevalence of autism spectrum disorder (ASD) among Latino children, later diagnosis, limited access to bicultural specialist support, and worsened health outcomes when compared to non-Latinos points to the need for a culturally relevant parent education intervention. This pilot study examined the feasibility, acceptability, and preliminary outcomes of a culturally derived intervention, Parents Taking Action, for 19 Spanish-speaking mothers of children with ASD. This study introduces the Promotora de Salud Model of intervention delivery to the autism field. A mixed-methods design including one group pre- and posttest design and focus groups was used to evaluate the outcomes of PTA. We found that the intervention was both feasible to implement and acceptable to participants. We also found significant increases in empowerment oriented outcomes for parents between pre- and posttest suggesting that the intervention is promising. Suggestions for future research and practice are offered.
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Affiliation(s)
- Sandra Magaña
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
| | - Kristina Lopez
- School of Social Work, California State University, Long Beach, CA
| | - Wendy Machalicek
- Department of Special Education and Clinical Sciences, University of Oregon, Eugene, OR
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Muñoz-Laboy M, Worthington N, Perry A, Guilamo-Ramos V, Cabassa L, Lee J, Severson N. Socio-environmental risks for untreated depression among formerly incarcerated Latino men. J Immigr Minor Health 2016; 16:1183-92. [PMID: 23508876 DOI: 10.1007/s10903-013-9814-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
To identify the levels of untreated depression and the socio-environmental factors associated with it among formerly incarcerated Latino men (FILM). Cross-sectional survey with 259 FILM ages 18-49 who were released from prison/jail within the prior 5 years. Depression was measured by the brief symptom inventory (BSI). Backward elimination was used to determine the best regression models. 26.9 % of the study sample reported depression. Low familism, residing farther away from family members, low utilization of health and social services, high levels of loneliness and high lifetime and current frequency of alcohol use were also associated with depression. Depression is a major problem among FILM. Addressing untreated depression among FILM must be a public health priority.
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Affiliation(s)
- Miguel Muñoz-Laboy
- School of Social Work, Temple University, Ritter Annex 5th floor, 1301 W. Cecil B. Moore Avenue, Philadelphia, PA, 19122-6091, USA,
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Long KA, Kao B, Plante W, Seifer R, Lobato D. Cultural and child-related predictors of distress among Latina caregivers of children with intellectual disabilities. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2015; 120:145-165. [PMID: 25715183 DOI: 10.1352/1944-7558-120.2.145] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The objective of this article is to examine associations among socioeconomic, cultural, and child factors and maternal distress among families of children with intellectual disabilities (ID). Latino and nonLatino White (NLW) mothers of children with and without ID (N = 192) reported on familism, language acculturation, maternal distress, child adaptive functioning, and child behavior problems. Among mothers of children with ID, higher levels of child behavior problems mediated the association between Latina ethnicity and elevated maternal distress. Associations between child behavior problems and maternal distress in Latina mothers of children with ID were moderated by single-parent marital status, higher familism, and lower English usage. Thus, child and cultural factors contribute to elevated distress among Latina mothers of children with ID.
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Cohen SR, Holloway SD, Domínguez-Pareto I, Kuppermann M. Receiving or believing in family support? Contributors to the life quality of Latino and non-Latino families of children with intellectual disability. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2014; 58:333-345. [PMID: 23323957 DOI: 10.1111/jir.12016] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/18/2012] [Indexed: 06/01/2023]
Abstract
BACKGROUND Previous studies have identified the role of family support in mitigating the stress of parents caring for a child with intellectual disability. Less is known about families whose members are willing but unable to support each other because of geographical, structural and economic barriers. Our study examined the contribution to family quality of life (FQL) of family support beliefs, actual assistance from family members, as well as the moderating effects of ethnicity and household income. METHOD We conducted telephone interviews with 84 Latino and 61 non-Latino mothers. RESULTS Mothers who received more emotional support from partners and other family members reported a higher FQL, controlling for family characteristics. Familism beliefs were also associated with FQL, particularly for Latino mothers. Income was not a significant moderator. CONCLUSIONS These findings suggest that some predictors of FQL are partially moderated by ethnicity, while others may be powerful across diverse communities.
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Affiliation(s)
- S R Cohen
- University of California, Riverside, California, USA
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Hansen MC, Cabassa LJ. Pathways to depression care: help-seeking experiences of low-income Latinos with diabetes and depression. J Immigr Minor Health 2013; 14:1097-106. [PMID: 22367667 DOI: 10.1007/s10903-012-9590-x] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
This qualitative study examines help-seeking pathways to depression care of low-income Latinos with diabetes and major depression. A purposive sample (N = 19) of Spanish-speaking, immigrant, low-income Latinos was selected from a randomized clinical trial targeting Latinos with diabetes and major depression. Four focus groups followed by 10 in-depth qualitative interviews were conducted. Narratives were analyzed using the constant comparative method informed by grounded theory. Need for formal care was described in relation to acute somatic symptoms, functional impairment, and mood changes. Treatment initiation occurred through family members and primary care physicians who encouraged or inhibited help-seeking. Adherence to depression care focused on interpersonal aspects of care, evaluated symptom relief, and improved functioning. Help-seeking barriers included self-reliance, language barriers, stigma, competing health demands, and structural barriers. Findings from this study highlight potential points of intervention for developing culturally-appropriate collaborative care approaches for low-income Latinos with diabetes and major depression.
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Affiliation(s)
- Marissa C Hansen
- School of Social Work, University of Southern California, Los Angeles, CA, USA.
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Long KA, Lobato D, Kao B, Plante W, Grullón E, Cheas L, Houck C, Seifer R. Perceptions of emotion expression and sibling-parent emotion communication in Latino and non-Latino white siblings of children with intellectual disabilities. J Pediatr Psychol 2013; 38:551-62. [PMID: 23459309 PMCID: PMC3666121 DOI: 10.1093/jpepsy/jst012] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2012] [Revised: 01/21/2013] [Accepted: 01/25/2013] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVE Examine general emotion expression and sibling-parent emotion communication among Latino and non-Latino white (NLW) siblings of children with intellectual disabilities (ID) and matched comparisons. METHODS 200 siblings (ages 8-15 years) completed the newly developed Sibling-Parent Emotion Communication Scale and existing measures of general emotion expression and psychosocial functioning. Preliminary analyses evaluated scale psychometrics across ethnicity. RESULTS Structure and internal consistency of the emotion expression and communication measures differed by respondent ethnicity. Latino siblings endorsed more general emotion expression problems and marginally lower sibling-parent emotion communication than NLW siblings. Siblings of children with ID reported marginally more general emotion expression problems than comparisons. Emotion expression problems and lower sibling-parent emotion communication predicted more internalizing and somatic symptoms and poorer personal adjustment, regardless of ID status. Siblings of children with ID endorsed poorer personal adjustment. CONCLUSION Cultural differences in emotion expression and communication may increase Latino siblings' risk for emotional adjustment difficulties.
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Affiliation(s)
- Kristin A Long
- Bradley Hasbro Research Children's Research Center, Providence, RI 02903, USA.
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Cohen SR. Advocacy for the “Abandonados”: Harnessing Cultural Beliefs for Latino Families and Their Children With Intellectual Disabilities. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2013. [DOI: 10.1111/jppi.12021] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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17
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Martinez I, Interian A, Guarnaccia P. Antidepressant Adherence among Latinos: The Role of the Family. QUALITATIVE RESEARCH IN PSYCHOLOGY 2012. [DOI: 10.1080/14780887.2011.586102] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Kao B, Romero-Bosch L, Plante W, Lobato D. The experiences of Latino siblings of children with developmental disabilities. Child Care Health Dev 2012; 38:545-52. [PMID: 21651613 PMCID: PMC3184318 DOI: 10.1111/j.1365-2214.2011.01266.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This qualitative study explored the experiences of Latino siblings of children with developmental disabilities. METHODS Parents and typically developing siblings from 15 Latino families with a child with a developmental disability participated in separate interviews. RESULTS Using consensual qualitative research methodology, domains reflecting siblings' relationships, emotional experiences and communication about the disability were identified. The child's need for caregiving was a prominent topic in the sibling and parent narratives. Parents reported concerns about siblings' experience of differential treatment, whereas siblings reported concerns about restricted social activities because of their brother/sister. CONCLUSIONS Including multiple informants revealed commonalities and differences in parents' and siblings' perspectives on the impact of a child's disability. The importance of considering sibling adaptation in sociocultural context is discussed.
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Affiliation(s)
- Barbara Kao
- Department of Pediatrics, The Alpert Medical School of Brown University, Providence, Rhode Island
| | - Lilia Romero-Bosch
- Bradley Hasbro Children’s Research Center, Department of Psychiatry and Human Behavior, The Alpert Medical School of Brown University, Providence, Rhode Island
| | - Wendy Plante
- Bradley Hasbro Children’s Research Center, Department of Psychiatry and Human Behavior, The Alpert Medical School of Brown University, Providence, Rhode Island
| | - Debra Lobato
- Bradley Hasbro Children’s Research Center, Department of Psychiatry and Human Behavior, The Alpert Medical School of Brown University, Providence, Rhode Island
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Ihara ES, Tompkins CJ, Sonethavilay H. Culture and Familism: An Exploratory Case Study of a Grandparent-Headed Household. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2012. [DOI: 10.1080/15350770.2012.645737] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Katiria Perez G, Cruess D. The impact of familism on physical and mental health among Hispanics in the United States. Health Psychol Rev 2011; 8:95-127. [PMID: 25053010 DOI: 10.1080/17437199.2011.569936] [Citation(s) in RCA: 130] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The rapidly expanding number of Hispanics living in USA has increased the need for their inclusion in research on physical and mental health. Current studies that have explored health outcomes among Hispanics have often noted an 'epidemiological paradox', in which there is a discrepancy between their minority status and positive health outcomes when compared with other racial/ethnic groups. Certain socio-cultural variables, in particular the value placed on family, have been largely implicated in these findings. This review will provide a summary of the literature exploring familism within the structure of the Hispanic family and its potential impact on health. We will focus on research exploring the plausible impact that family and familism values may have on the physical health (particularly within the HIV, diabetes, and breast cancer literature) and also on health behaviours of Hispanics, as well as its effect on mental health (particularly related to acculturative stress and caregiver stress). Throughout the review, we highlight some of the potential mechanisms by which familism may impact on the health status of Hispanics. We conclude the review by noting some of the clinical and ethical implications of this research, and by offering suggestions for future work in this area.
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Affiliation(s)
- Giselle Katiria Perez
- a Department of Psychology , University of Connecticut , 406 Babbidge Road, Unit 1020, Storrs , CT 06269 , USA
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Magaña S, Ghosh S. Latina Mothers Caring for a Son or Daughter with Autism or Schizophrenia: Similarities, Differences and the Relationship Between Co-Residency and Maternal Well-Being. JOURNAL OF FAMILY SOCIAL WORK 2010; 13:227-250. [PMID: 20640047 PMCID: PMC2903044 DOI: 10.1080/10522150903514009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
In this cross-sectional study, we examined similarities and differences in depressive symptoms and psychological well-being between Latina maternal caregivers of persons with autism (N=29) and schizophrenia (N=33). We also explored predictors of maternal outcomes and the relationship of co-residence to them. Regression analysis found that mothers of adults with schizophrenia had lower levels of psychological well-being than mothers of youth or adults with autism. For the overall sample of mothers, co-residing with their son or daughter was significantly related to lower levels of depressive symptoms. Qualitative analysis of the nine mothers who lived apart from their son or daughter revealed that extreme behavior problems of the son or daughter and poor maternal health contributed to living apart. Despite overcoming these challenges, mothers expressed a profound sense of sadness about their son or daughters' living arrangements.
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Affiliation(s)
- Sandy Magaña
- School of Social Work University of Wisconsin-Madison
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Hatton C, Emerson E, Kirby S, Kotwal H, Baines S, Hutchinson C, Dobson C, Marks B. Majority and Minority Ethnic Family Carers of Adults with Intellectual Disabilities: Perceptions of Challenging Behaviour and Family Impact. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2010. [DOI: 10.1111/j.1468-3148.2009.00544.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Sullivan-Bolyai S. Familias Apoyadas: Latino families supporting each other for diabetes care. J Pediatr Nurs 2009; 24:495-505. [PMID: 19931147 DOI: 10.1016/j.pedn.2008.07.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2008] [Revised: 04/29/2008] [Accepted: 07/16/2008] [Indexed: 10/20/2022]
Abstract
This study was undertaken to improve the cultural and linguistic sensitivity of an established parent-mentor training curriculum for Latino parents of young children newly diagnosed with type 1 diabetes. The cultural sensitivity of curriculum components was determined by interviewing four Latino mothers raising five children (aged 7 to 12 years) with type 1 diabetes. The mothers recommended offering resources in English and Spanish, including access to bilingual taxi service, providing access to family diabetes education on child development and preparation of healthy traditional cultural foods, and training for babysitting children with diabetes. They also suggested offering after-school and weekend diabetes clinics to decrease interference with work and school activities.
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Affiliation(s)
- Susan Sullivan-Bolyai
- Graduate School of Nursing, University of Massachusetts, Worcester, Worcester, MA, USA.
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Guilamo-Ramos V, Bouris A, Jaccard J, Lesesne C, Ballan M. Familial and cultural influences on sexual risk behaviors among Mexican, Puerto Rican, and Dominican youth. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2009; 21:61-79. [PMID: 19824835 DOI: 10.1521/aeap.2009.21.5_supp.61] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
The present study examined the relationship among acculturation, familismo, and HIV-related adolescent sexual risk behavior. Data were collected from Latino mother-adolescent dyads to permit parent and adolescent analyses of familismo for predicting oral, vaginal, and anal sexual behaviors. A random sample of 702 Latino eighth-grade students and their mothers was recruited from New York City. The sample included Mexicans (n = 203), Puerto Ricans (n = 239), and Dominicans (n = 260). Acculturation was unrelated to sexual behavior, but adolescent familismo was related to girls' but not boys' sexual behavior. The most important facet of familismo was subjugation to the family, which was negatively associated with girls' sexual behavior. The implications for HIV prevention programs for Latino youth are discussed.
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Muñoz-Laboy M, Leau CJY, Sriram V, Weinstein HJ, del Aquila EV, Parker R. Bisexual desire and familism: Latino/a bisexual young men and women in New York City. CULTURE, HEALTH & SEXUALITY 2009; 11:331-44. [PMID: 19296310 PMCID: PMC2807363 DOI: 10.1080/13691050802710634] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Families are of critical importance for Latino communities in the USA. Familism - or the cultural value that weighs on interdependence between nuclear and extended family members for support, emotional connectedness, familial honour, loyalty and solidarity - has been demonstrated to reduce sexual health risks among heterosexual youth, yet this relationship has not been examined among Latino bisexual teenagers. In this study, we examined how familism shapes sexual-decision making regarding behaviour and expressions of bisexuality among Latino youth. To accomplish this, we conducted 25 in-depth interviews and ethnographic observations among bisexual male and female youth (15-19 years of age) for nine months in New York City. We carried out a recurrent theme analysis together with the selection of case studies to illustrate key themes regarding familism and Latino teenage bisexuality. Findings suggest that bisexual Latino youth valued closeness to their families by maintaining family ties and seeking their emotional and material support. The negative consequence for those who wanted to keep their bisexuality private is the constant surveillance of the family network. Familism is a complex construct that has a strong potential for providing insights into sexual health practices of bisexual Latino youth.
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Affiliation(s)
- Miguel Muñoz-Laboy
- Department of Sociomedical Sciences, Columbia University, New York, New York, USA.
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26
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Neece CL, Kraemer BR, Blacher J. Transition satisfaction and family well being among parents of young adults with severe intellectual disability. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2009; 47:31-43. [PMID: 19170417 DOI: 10.1352/2009.47:31-43] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The transition from high school to adulthood is a critical life stage that entails many changes, especially for youth with severe intellectual disability. The transition period may be especially stressful for the families of these young adults, who often experience a sudden change, or decrease, in services. However, little research has examined what constitutes a successful transition for the families of these individuals. The present study examined parent perspectives of transition for 128 young adults with severe intellectual disability, specifically, parent satisfaction with transition. Results suggested that transition satisfaction is related to young adult, family, and environmental characteristics, with environmental characteristics being the strongest predictors of transition satisfaction. Furthermore, transition satisfaction is related to multiple measures of family well being, indicating the tremendous need for considering the broader family system when planning for a young adult's transition. Implications and directions for future research are discussed.
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Affiliation(s)
- Cameron L Neece
- Department of Psychology, University of California, Los Angeles 90095, USA.
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27
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Ramírez García JI, Hernández B, Dorian M. Mexican American caregivers' coping efficacy: associations with caregivers' distress and positivity to their relatives with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 2009; 44:162-70. [PMID: 18777145 DOI: 10.1007/s00127-008-0420-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2007] [Accepted: 07/07/2008] [Indexed: 11/25/2022]
Abstract
BACKGROUND Coping styles utilized by family caregivers of persons with schizophrenia have been implicated in the mental health of those caregivers and in the course of schizophrenia. We tested the relation between caregivers' coping efficacy, defined as the caregiver's perceptions of how successful they were in modifying their relative's behavior, and caregiver's psychological distress as well as criticisms and positivity toward their relatives diagnosed with schizophrenia. METHOD We sampled 31 dyads of Mexican American caregivers and their relative with schizophrenia or schizoaffective disorder and used multiple methods of measurement including caregiver interviews, interactions between caregivers and their relatives, and clinician interviews with patients. RESULTS Coping efficacy accounted for significant variance beyond patient symptoms and caregiver burden to: (a) caregiver psychological distress (beta=-0.35, P<0.05), and (b) caregiver positivity, that is, caregivers' expressions of praise, approval or affection toward their ill relatives (beta=0.47 P<0.01). CONCLUSIONS Caregivers' coping efficacy has heuristic value for research on the alleviation of caregiver psychological distress and the promotion of family caregiver behaviors associated with a benign course of illness.
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Affiliation(s)
- Jorge I Ramírez García
- Psychology Department, University of Illinois, Urbana-Champaign, 603 E. Daniel St., Champaign, IL 61820, USA.
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28
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Rozario PA, DeRienzis D. Familism Beliefs and Psychological Distress Among African American Women Caregivers. THE GERONTOLOGIST 2008; 48:772-80. [DOI: 10.1093/geront/48.6.772] [Citation(s) in RCA: 84] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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30
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Muñoz-Laboy MA. Familism and sexual regulation among bisexual Latino men. ARCHIVES OF SEXUAL BEHAVIOR 2008; 37:773-782. [PMID: 18521735 DOI: 10.1007/s10508-008-9360-y] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
As the AIDS epidemic continues to disproportionately affect the Latino and African American communities in the United States, little is still known about bisexual behavior and sexual risk of Latino and African American men. This article explores the construct of familism (i.e., the cultural value that weighs on the interdependence among nuclear and extended family members for support, emotional connectedness, familial honor, loyalty, and solidarity) as an analytical point of departure from which to conceptualize sexual risk for bisexual Latino men. Data collection methods involved detailed sexual histories of 18 bisexually-active Latino men in the metropolitan New York City area. The results of this study indicate that familism, as defined by familial support, emotional interconnectedness, and familial honor, shapes the sexual decisions of bisexual teenage and adult Latino men.
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Affiliation(s)
- Miguel A Muñoz-Laboy
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, 5th floor, New York, NY 10032, USA.
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31
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Caldwell J. Health and Access to Health Care of Female Family Caregivers of Adults With Developmental Disabilities. JOURNAL OF DISABILITY POLICY STUDIES 2008. [DOI: 10.1177/1044207308316093] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The physical and mental health status of women providing care to adult relatives with developmental disabilities was compared with that of the general female population in the United States. There were no differences on physical health across four age groups. However, the mental health of midlife caregivers (45—54 years of age) and older caregivers (older than 65 years) was worse than national norms. This may be associated with two key periods: transitions to adulthood of individuals with disabilities and transitions when aging caregivers are no longer able to provide care. Greater unmet needs for services contributed to poorer mental health. Poorer access to health care also contributed to poorer mental and physical health. Unmet needs for services and out-of-pocket disability-related expenses appeared to pose difficulties for working age caregivers in affording the financial costs of health care for themselves.
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32
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Jurkowski JM. Photovoice as participatory action research tool for engaging people with intellectual disabilities in research and program development. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2008; 46:1-11. [PMID: 18271609 DOI: 10.1352/0047-6765(2008)46[1:papart]2.0.co;2] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
People with intellectual disabilities have few opportunities to actively participate in research affecting programs and policies. Employment of participatory action research has been recommended. Although use of this approach with people who have intellectual disabilities is growing, articles on specific participatory research methods are rare. Photovoice is a participatory method often used with underrepresented groups and is effective for engaging people with intellectual disabilities in research or program development. A literature review is presented for use with this population as is a description of Photovoice as a participatory research tool for engaging people with intellectual disabilities. An example of a participatory study among people with intellectual disabilities is provided. Benefits and challenges of employing Photovoice with this population are discussed.
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Affiliation(s)
- Janine M Jurkowski
- Health Policy, Management, & Behavior, University at Albany, One University Place, Rensselaer, NY 12144, USA.
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Cabassa LJ, Lester R, Zayas LH. "It's like being in a labyrinth:" Hispanic immigrants' perceptions of depression and attitudes toward treatments. J Immigr Minor Health 2007; 9:1-16. [PMID: 17001516 PMCID: PMC3160757 DOI: 10.1007/s10903-006-9010-1] [Citation(s) in RCA: 92] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This study aimed to describe Hispanic immigrants' perceptions of depression and attitudes toward treatments and to examine how demographics, acculturation, clinical factors, and past service use were associated with their perceptions and attitudes. A convenience sample of 95 Hispanic immigrant patients was presented a vignette depicting an individual with major depression. Structured interviews that included standardized instruments and open-ended questions were used to query patients about their views of depression and its treatments. Findings showed that Hispanic immigrants perceived depression as a serious condition caused by interpersonal and social factors. Consistent with existing literature, most patients endorsed positive attitudes toward depression treatments yet reported apprehensions toward antidepressants. Demographic factors, acculturation, depressive symptoms, and past mental health service use were related to patients' views of depression and attitudes toward care. This study emphasizes the need to incorporate Hispanic immigrants' perceptions and attitudes into depression treatments.
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Affiliation(s)
- Leopoldo J Cabassa
- School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA 90089-0411, USA.
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34
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Abstract
This review examines later life family support for adults with developmental disabilities from a life course perspective that takes into account social trends and changes in service patterns and in attitudes of families. Key issues addressed include: (1) trends affecting family caregiving, (2) health and social outcomes of life-long caregiving, (3) support needs of families, (4) family support policies and practices, and (5) recommendations for a research and policy agenda. Research examining outcomes of life-long caregiving has shown that most families adapt well to having a family member with disabilities. However, some families are at risk for poorer physical and mental health outcomes. These include cultural minorities and families of adults with behavioral challenges. Caregiving does seem to have a negative impact on maternal employment and family income as mothers often give up or cut back on employment to care for a child with developmental disabilities, who is more likely to continue living in the family home throughout adulthood than other adult children. Federal and state initiatives are addressing issues of family support through both the developmental disabilities and aging service systems.
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Affiliation(s)
- Tamar Heller
- Department of Disability and Human Development, Rehabilitation Research and Training Center on Aging with Developmental Disabilities, University of Illinois at Chicago, Chicago, Illinois 60608-6904, USA.
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35
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Losada A, Robinson Shurgot G, Knight BG, Márquez M, Montorio I, Izal M, Ruiz MA. Cross-cultural study comparing the association of familism with burden and depressive symptoms in two samples of Hispanic dementia caregivers. Aging Ment Health 2006; 10:69-76. [PMID: 16338817 DOI: 10.1080/13607860500307647] [Citation(s) in RCA: 91] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Familism has been pointed out as a key value in Hispanic culture that may or may not be associated with caregiver distress. Although groups included in the Hispanic identity have many common features, differences between Hispanic sub-groups in the relationship of familism with burden and depressive symptoms remain unexplored. The association of familism with burden and depressive symptomatology was examined in 48 Hispanic dementia caregivers from Los Angeles (CA, USA) and 60 from Madrid (Spain) through path analyses. Burden and depressive symptomatology were positively and significantly related in both samples. Familism was significantly correlated with lesser burden in the USA Hispanic caregiver sample, but with higher levels of depressive symptoms in the Spanish sample. Significant differences between Hispanic samples were found in the relationship between familism, burden, and depression, denoting the importance of specific cultural contexts influencing dementia caregiving in Hispanics.
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Affiliation(s)
- A Losada
- Universidad Rey Juan Carlos, Facultad de Ciencias de la Salud, Madrid, Spain.
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36
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Individual Differences in Interpersonal Relationships for Persons with Mental Retardation. ACTA ACUST UNITED AC 2006. [DOI: 10.1016/s0074-7750(05)31004-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register]
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37
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Neely-Barnes S, Marcenko M. Predicting Impact of Childhood Disability on Families: Results From the 1995 National Health Interview Survey Disability Supplement. ACTA ACUST UNITED AC 2004; 42:284-93. [PMID: 15230650 DOI: 10.1352/0047-6765(2004)42<284:piocdo>2.0.co;2] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Predictors of impact on families with a child who has developmental disabilities were examined using results from the 1995 National Health Interview Study Disability Supplement (NHIS-D). From this sample, 505 children who met criteria for a developmental disability were selected. Predictors of impact on these families were investigated across and within racial groups. A multiple regression analysis was completed on the entire sample, which was divided by race/ethnicity. A separate multiple regression analysis was completed for White, African American, and Hispanic families. Predictors of family impact differed for each racial or ethnic group. Results of this study add to the body of literature suggesting that the meaning of disability and its impact on families is culturally relative.
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Affiliation(s)
- Susan Neely-Barnes
- School of Social Work, Box 54900, University of Washington, 4101 15th Ave. NE, Seattle, WA 98105, USA.
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38
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Shapiro J, Monzó LD, Rueda R, Gomez JA, Blacher J. Alienated Advocacy: Perspectives of Latina Mothers of Young Adults With Developmental Disabilities on Service Systems. ACTA ACUST UNITED AC 2004; 42:37-54. [PMID: 14720095 DOI: 10.1352/0047-6765(2004)42<37:aapolm>2.0.co;2] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Although collaborative partnership between parents and professionals is a cornerstone of the special education and service systems, this relationship exists more as an ideal, especially when low-income, culturally diverse families are involved. Through three focus groups, we examined the beliefs of 16 low-income Latina mothers of young adults with developmental disabilities about their relationships with the educational and service delivery systems. Primary concerns identified were (a) poor communication, (b) low effort in providing services, (c) negative attitudes of professionals toward the client-children, (d) negative treatment of parents by professionals, and (e) the mother's role as central to the well-being of her child. Mothers tended to adopt a posture of alienated advocacy in relation to their child's educational and service needs.
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Affiliation(s)
- Johanna Shapiro
- Department of Family Medicine, University of California Irvine, College of Medicine, 101 The City Dr., South, Rte 81, Bldg. 200, Ste 512, Orange, CA 92868-3298, USA.
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39
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Magaña S, Seltzer MM, Krauss MW. Cultural Context of Caregiving: Differences in Depression Between Puerto Rican and Non-Latina White Mothers of Adults With Mental Retardation. ACTA ACUST UNITED AC 2004; 42:1-11. [PMID: 14720097 DOI: 10.1352/0047-6765(2004)42<1:ccocdi>2.0.co;2] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Differences in depression between Puerto Rican and non-Latina White mothers providing care to their adult child with mental retardation were examined. The focus of this study is on how family problems may mediate the effect of the adult's behavior problems on the mother's level of depressive symptoms and how this process differs across the two groups of mothers. As hypothesized, family problems was a stronger predictor of depressive symptoms for Puerto Rican mothers than for non-Latina White mothers. In addition, Puerto Rican mothers were in poorer physical health, which further accounted for differences in depression between the two groups.
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Affiliation(s)
- Sandra Magaña
- School of Social Work and Waisman Center, University of Wisconsin-Madison, 1500 Highland Ave., Madison, WI 53705-2280, USA.
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40
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Abstract
Federal income maintenance programs for people with mental retardation in the United States were described. Combined SSI and DI spending in fiscal year 2000 totaled an estimated $20.6 billion for people with mental retardation. This population is particularly vulnerable to the vagaries of changing public policy and are particularly reliant upon public support. The relative importance of income programs in the lives of people with mental retardation is discussed and the changing role of federal social welfare policy with regard to these programs analyzed.
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Affiliation(s)
- Susan L Parish
- School of Social Work, University of North Carolina-Chapel Hill, 301 Pittsboro St., CB 3550, Chapel Hill, NC 27599-3550, USA.
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41
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People with intellectual disabilities from ethnic minority communities in the United States and the United Kingdom. ACTA ACUST UNITED AC 2002. [DOI: 10.1016/s0074-7750(02)80010-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register]
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42
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Seltzer MM, Krauss MW. Quality of life of adults with mental retardation/developmental disabilities who live with family. MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES RESEARCH REVIEWS 2001; 7:105-14. [PMID: 11389565 DOI: 10.1002/mrdd.1015] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
In this paper, we review the literature related to the quality of life of adults with mental retardation/developmental disabilities (MR/DD) who live at home with their families. We examine the nature of the relationships between adults with MR/DD and their parents and siblings, the social worlds of adults with MR/DD, age-related functional and health issues that affect their quality of life, the range of services and supports provided to them, and familial efforts to plan for their continued well-being when parental care is no longer viable. Individual characteristics associated with these dimensions and/or more compromised quality of life profiles are identified. The paper concludes with recommendations for expanded research on the quality of life of adults with MR/DD who live in the parental home, a topic which has received markedly less attention than the quality of life of adults who live in publicly supported residential settings. MRDD Research Reviews 7:105-114, 2001.
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Affiliation(s)
- M M Seltzer
- Waisman Center and School of Social Work, University of Wisconsin, 1500 Highland Avenue, Madison, WI 53705, USA.
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