Table 4.
Associations Between Family Behavior Themes and Chronic Illness Outcomes in Included Studies
Chronic Illness Outcome Category * | ||||
---|---|---|---|---|
Mortality | Physiologic Control / Symptom Control |
Self-Management Behavior |
Disease-Related Quality of Life |
|
General Behaviors | ||||
Positive: | ||||
Marital/Family Function | ++ | + + + +/n n n | + +/n n n | + |
Family Cohesion | + n n n | + | + n n | |
Family Affectional Expression | n | |||
Family Autonomy Encouragement | n n | + −/n n | + +/n | |
Negative: | ||||
Negative Interactions | − | − | n | |
Family Criticism | − n | n | ||
| ||||
Other: | ||||
Family Achievement Orientation | + | |||
Family Activity | + | |||
Family Control | − | |||
Family Structure/Organization | − n n | n n | + n | |
Family Sex-Role traditionalism | n | n | +/− | |
| ||||
Disease-Specific Behaviors | ||||
Positive: | ||||
Disease Respect | n | n | +/n | |
Useful Illness Discussion | + | + | ||
Attentive Disease Response | + | |||
“We” Talk | + | |||
| ||||
Negative: | ||||
Disease Criticism | − | |||
Disease Overprotection | n − | − | ||
Punishing Disease Response | − − | |||
Distracting Disease Response | − n | |||
Expressed Emotion | n | |||
Disease Conflicts Unresolved | n n | −/n n | − − −/n | |
| ||||
Other: | ||||
Social Control | − |
Notations are made for each test of association between predictors and outcomes of interest in included studies: + positive association found − negative association found n no association found +/−, +/n, −/n different associations found in same category in same study
Chronic Illness Outcome Types: Physiologic or Symptom Control = glycemic control, blood pressure control, left ventricular size, pain levels, joint inflammation, etc. Self-Management Behavior = adherence to treatment regimens, healthy eating, physical activity Disease-Related Quality of Life = disease-specific quality of life, or physical health subscales of general health QOL instruments