Recent research has indicated the importance of family functioning and family structural variables on the bio-psychosocial health outcomes of family members. We are now completing the cross-sectional assessment of a community-based sample of 225 """"""""adolescent families"""""""" on 4 clusters of family variables (affect, problem solving, organization/cohesion, and world view) and 2 external variable clusters (stress and social support), as well as a range of physical, psychological, social, and vocational health outcome variables. In an effort to provide a more comprehensive context for family and health research, a 2 panel follow-up of this community-based sample is proposed (1) to document the predictive power of assessed family variables on health outcome utilizing a prospective framework, (2) to observe how experiences with various types of expected and unexpected stressors effect changes in family system operation over time, and (3) to document the characteristic patterns and styles by which families express and maintain illness over time. Long term objectives are to define the relationships among personal, familial, and extra-familial variables with respect to health outcome and to devise a methodology for their reliable assessment for use as indexes of later risk in community-based and ill samples.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
2R01MH038468-04
Application #
3376706
Study Section
Mental Health Behavioral Sciences Research Review Committee (BSR)
Project Start
1984-01-01
Project End
1989-06-30
Budget Start
1987-07-01
Budget End
1989-06-30
Support Year
4
Fiscal Year
1987
Total Cost
Indirect Cost
Name
University of California San Francisco
Department
Type
Schools of Medicine
DUNS #
073133571
City
San Francisco
State
CA
Country
United States
Zip Code
94143
Ransom, D C; Fisher, L (1995) An empirically derived typology of families: II. Relationships with adolescent health. Fam Process 34:183-97
Ransom, D C; Fisher, L; Terry, H E (1992) The California Family Health Project: II. Family world view and adult health. Fam Process 31:251-67
Fisher, L; Ransom, D C; Terry, H E et al. (1992) The California Family Health Project: IV. Family structure/organization and adult health. Fam Process 31:399-419
Ransom, D C; Locke, E; Terry, H E et al. (1992) The California Family Health Project: V. Family problem solving and adult health. Fam Process 31:421-31
Fisher, L; Nakell, L C; Terry, H E et al. (1992) The California Family Health Project: III. Family emotion management and adult health. Fam Process 31:269-87
Fisher, L; Ransom, D C; Terry, H E et al. (1992) The California Family Health Project: I. Introduction and a description of adult health. Fam Process 31:231-50
Fisher, L; Kokes, R F; Ransom, D C et al. (1985) Alternative strategies for creating ""relational"" family data. Fam Process 24:213-24