Typology of perceived family functioning in an American sample of patients with advanced cancer Journal Article


Authors: Schuler, T. A.; Zaider, T. I.; Li, Y.; Hichenberg, S.; Masterson, M.; Kissane, D. W.
Article Title: Typology of perceived family functioning in an American sample of patients with advanced cancer
Abstract: Context: Poor family functioning affects psychosocial adjustment and the occurrence of morbidity following bereavement in the context of a family's coping with advanced cancer. Family functioning typologies assist with targeted family-centered assessment and intervention to offset these complications in the palliative care setting. Objectives: Our objective was to identify the number and nature of potential types in an American palliative care patient sample. Methods: Data from patients with advanced cancer (N = 1809) screened for eligibility for a larger randomized clinical trial were used. Cluster analyses determined whether patients could be classified into clinically meaningful and coherent groups, based on similarities in their perceptions of family functioning across the cohesiveness, expressiveness, and conflict resolution subscales of the Family Relations Index. Results: Patients' reports of perceived family functioning yielded a model containing five meaningful family types. Conclusion: Cohesiveness, expressiveness, and conflict resolution appear to be useful dimensions by which to classify patient perceptions of family functioning. "At risk" American families may include those we have called hostile, low-communicating, and less-involved. Such families may benefit from adjuvant family-centered psychosocial services, such as family therapy. © 2014 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
Keywords: cluster analysis; bereavement; family therapy; psychotherapy; grief; family; assessment; family functioning; cancer
Journal Title: Journal of Pain and Symptom Management
Volume: 48
Issue: 2
ISSN: 0885-3924
Publisher: Elsevier Inc.  
Date Published: 2014-08-01
Start Page: 281
End Page: 288
Language: English
DOI: 10.1016/j.jpainsymman.2013.09.013
PROVIDER: scopus
PUBMED: 24766739
PMCID: PMC5177448
DOI/URL:
Notes: Export Date: 2 September 2014 -- CODEN: JPSME -- Source: Scopus
Altmetric Score
MSK Authors
  1. Yuelin Li
    140 Li
  2. Talia I Zaider
    45 Zaider
  3. Tammy Ann Schuler
    27 Schuler