PMID- 15681312
OWN - NLM
STAT- MEDLINE
DCOM- 20050512
LR  - 20190513
IS  - 0146-8693 (Print)
IS  - 0146-8693 (Linking)
VI  - 30
IP  - 2
DP  - 2005 Mar
TI  - Family functioning in school-age children with cystic fibrosis: an observational 
      assessment of family interactions in the mealtime environment.
PG  - 179-86
AB  - OBJECTIVE: To examine, using direct observation methodology, differences in 
      family functioning at mealtime between families of school-age children with 
      cystic fibrosis (CF) and families of school-age children without a chronic 
      illness. METHOD: Family functioning was rated using the McMaster Mealtime 
      Interaction Coding System (MICS) during a videotaped dinner among 28 families of 
      children with CF and 27 families of non-ill, age-matched peers. Families were 
      rated on overall family functioning and on six dimensions of the MICS: task 
      accomplishment, communication, affect management, interpersonal involvement, 
      behavior control, and role allocation. RESULTS: Ratings for families of a child 
      with CF were significantly lower than they were for comparison families on 
      overall family functioning and on four of the six MICS dimensions: communication, 
      affect management, interpersonal involvement, and behavioral control. Moreover, a 
      significantly greater percentage of families of children with CF were rated in 
      the unhealthy range on overall family functioning and on five of six MICS 
      dimensions. There was no relationship between family functioning and child weight 
      status for children with CF. CONCLUSIONS: The current study suggests that for 
      families of school-age children with CF, the family system is negatively affected 
      during mealtime. Dietary interventions need to address family-centered, as well 
      as child-centered, interventions to help families manage challenges presented 
      during the family meal.
FAU - Janicke, David M
AU  - Janicke DM
AD  - Department of Clinical and Health Psychology, College of Public Health & Health 
      Professions, University of Florida, Gainesville 32610-0165, USA.
FAU - Mitchell, Monica J
AU  - Mitchell MJ
FAU - Stark, Lori J
AU  - Stark LJ
LA  - eng
GR  - K24 DK59492/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Pediatr Psychol
JT  - Journal of pediatric psychology
JID - 7801773
SB  - IM
MH  - Child
MH  - Cystic Fibrosis/*psychology
MH  - Family/*psychology
MH  - *Feeding Behavior
MH  - Female
MH  - Humans
MH  - *Interpersonal Relations
MH  - Male
MH  - Observation
MH  - *Social Environment
MH  - Time Factors
EDAT- 2005/02/01 09:00
MHDA- 2005/05/13 09:00
CRDT- 2005/02/01 09:00
PHST- 2005/02/01 09:00 [pubmed]
PHST- 2005/05/13 09:00 [medline]
PHST- 2005/02/01 09:00 [entrez]
AID - 10.1093/jpepsy/jsi005 [doi]
PST - ppublish
SO  - J Pediatr Psychol. 2005 Mar;30(2):179-86. doi: 10.1093/jpepsy/jsi005.