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Licensed Unlicensed Requires Authentication Published by De Gruyter December 10, 2015

Family functioning as a protective factor in treating adolescents with complex medico-psychosocial presentations

  • Ronalda Hoffman EMAIL logo , Helen Bibby , David Bennett , Emily Klineberg , Alexandra Rushworth and Susan Towns

Abstract

Purpose:

Studies of adolescents with somatic symptoms with no identified organic cause make a clear connection between the health and wellbeing of the adolescent and the functioning of the family. There has been little systematic examination of the role of family functioning in treatment. We aim to determine whether there was an association between family functioning and treatment outcome in this 12 month prospective study.

Methods:

Fifty adolescents aged between 12 and 17 years (M=14.4, SD=1.32) and their parents were recruited. All adolescents presented with one or more physical symptoms as their primary complaint. Adolescent functioning and family relationships were measured at recruitment, 4 months into treatment and 12 months later. Generalised estimating equations (GEE) analyses were conducted to examine the relationships between the variables of interest.

Results:

Results suggested significant improvements in adolescent outcomes between baseline and 4 months (all p<0.01), which were sustained to 12 months (all p<0.01). Adolescents from healthier families at initial presentation had significantly improved psychosocial functioning over the course of the study (all p<0.001).

Conclusion:

Our findings highlight the importance of taking a family approach to the treatment of adolescents with medically unexplained symptoms.


Corresponding author: Ronalda Hoffman, The Department of Adolescent Medicine, The Children’s Hospital at Westmead, Locked bag 4001, Sydney, Westmead, NSW 2145, Australia, Phone: +612 9845 2446, Fax: +612 9845 2517, E-mail:

Acknowledgements

Our thanks go to Prof Kate Steinbeck for proof-reading this paper. Our thanks go to Elizabeth Barnes for statistical advice. Our thanks also go to Fleur Harrison for assistance with preliminary analysis, funded by The Trust Foundation and The University of Sydney Medical Foundation, Nadishani Fernando for additional input, and the Department of Adolescent Medicine clinical team, who helped with recruitment and facilitation of the study. All authors have no conflicts of interest or financial relationships to disclose.

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Received: 2015-4-28
Accepted: 2015-9-16
Published Online: 2015-12-10
Published in Print: 2016-11-1

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