Original Article

Adaptability and cohesion of families in times of the COVID-19 pandemic

Abstract

Background & Aim: This Covid-19 pandemic represents a threat and a crisis for families' well-being. According to the Olson Circumplex Model, this study aimed to assess the family functioning through the components of cohesion and adaptability of Portuguese families during this pandemic.
Methods & Materials: This is a descriptive, exploratory, and correlational study. A non-probabilistic and convenience sample consisted of 376 people. Sociodemographic data, the family's characterization, the type of housing, the phase of the Vital Duvall cycle was collected from the participants, and FACES II was used to assess family cohesion and adaptability. The reliability of this instrument is high. The instruments for data collection were organized and sent through Google® forms, including the Informed Consent Form. The data were analyzed by SPSS-26 software using non-parametric tests were used for inferential analysis.
Results: The results showed that 14,6% have a disengaged family cohesion; 7,4% have a very rigid dimension in family adaptability, and about the type of family, 6,1% have an unbalanced dimension.
Conclusion: Although on average, the participants have a connected family cohesion and family flexible adaptability, many participants have extreme values, under which it will be necessary to intervene. It is a priority for family nursing to understand the experience of families living in this current social, economic, and health context.

1. Tinoco MV, Gallardo PA, Salazar MD. Funcionalidad Familiar en Padres De Adolescentes Tardíos Según Modelo Circumplejo De Olson. Revista Cubana de Educación Superior. 2019 Dec 23;38(4):1-21.
2. Olson DH. Circumplex model of marital and family systems. Journal of family therapy. 2000 May;22(2):144-67. https://doi.org/10.1111/1467-6427.00144
3. Olson DH. Circumplex model of marital and family systems II: Empirical studies and clinical intervention. Advances in family intervention, assessment, and theory. 1980.
4. Turkdogan T, Duru E, Balkis M. Circumplex model of family functioning in Turkish culture: Western family systems model in a Eurasian country. Journal of comparative family studies. 2019 Sep;50(2):183-99. https://doi.org/10.3138/jcfs.50.2.005
5. Ones L. The COVID-19 pandemic: A family affair. Journal of family nursing. 2020;26(2):87-9. https://doi.org/10.1177/1074840720920883
6. Prime H, Wade M, Browne DT. Risk and resilience in family well-being during the COVID-19 pandemic. The american psychologist 2020;75(5):631-43. https://doi.org/10.1037/amp0000660
7. World Health Organization (WHO). Coronavirus (COVID-19). WHO. 2020. Available from: https://covid19.who.int/
8. Diário da República (DRE). Diário da República n.º 55/2020, 3º Suplemento, Série I de 2020-03-18. Presidência da República. 2020. Available from: https://data.dre.pt/eli/decpresrep/14-A/2020/03/18/p/dre
9. Looman WS. Teaching systems thinking for advanced family nursing practice: A theory-based tool. Journal of family nursing. 2020 Feb;26(1):5-14. https://doi.org/10.1177/1074840719891439
10. Lebow JL. Family in the age of COVID-19. Family process. 2020;59(2),309-12. https://doi.org/10.1111/famp.12543
11. Fisher J, Languilaire JC, Lawthom R, Nieuwenhuis R, Petts RJ, Runswick-Cole K, Yerkes MA. Community, work, and family in times of COVID-19. Community, Work & Family. 2020 May26;23(3):247-52. https://doi.org/10.1080/13668803.2020.1756568
12. Walsh F. Family resilience: A developmental systems framework. European journal of developmental psychology. 2016 May3;13(3):313-24. https://doi.org/10.1080/17405629.2016.1154035
13. Zhang X, Zhao M, Li J, Shi L, Xu X, Dai Q, Zhang Y, Liu H, Liu W, Zhang X, Li K. Associations between family cohesion, adaptability, and functioning of patients with bipolar disorder with clinical syndromes in Hebei, China. Journal of International Medical Research. 2019 Dec;47(12):6004-15. https://dx.doi.org/10.1177/0300060519877030
14. National Institute of Statistics. INE. Famílias em Portugal [Families in Portugal]. Destaque: INE; 2014 May. Available from: https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_destaques&DESTAQUESdest_boui=216875336&DESTAQUESmodo=2&xlang=pt
15. Fernandes CS, Pereira Gomes JA, Martins MM, Pereira Gomes B, Hisako Takase Gonçalves L. The importance of families in nursing care: Nurses' attitudes in the hospital environment. Revista de enfermagem referência. 2015 Oct 1;4(7): 21-30. https://doi.org/10.12707/RIV15007
16. Santos CQ, Barbieri-Figueiredo MD. Experiências dos familiares no processo de adaptação à doença oncológica na criança. Journal of nursing referência (Revista de enfermagem referência). 2013(9):55-65. https://dx.doi.org/10.12707/RIII1283
17. Hodge CJ, Zabriskie RB, Townsend JA, Eggett DL, Poff R. Family leisure functioning: A cross-national study. Leisure sciences. 2018 May 4;40(3):194-215. https://doi.org/10.1080/01490400.2016.1203847
18. Gomes HS, Gouveia-Pereira M. Testing the general theory of crime with the circumplex model: Curvilinear relations between family functioning and self-control. Deviant behavior. 2020 Jun 2;41(6):779-91. https://doi.org/10.1080/01639625.2019.1596449
19. Ugwu FO, Ugwu C, Njemanze VC, Nwosu I. Family cohesion and family size moderating burnout and recovery connection. Occupational medicine. 2019 Jan;69(1):28-34. https://doi.org/10.1093/occmed/kqy155
20. Vargas Murga H. Tipo de familia y ansiedad y depresión. Revista Médica Herediana. 2014 Apr;25(2):57-9. https://doi.org/10.20453/rmh.v25i2.245
21. Kemperman A, van den Berg P, Weijs-Perrée M, Uijtdewillegen K. Loneliness of older adults: social network and the living environment. International journal of environmental research and public health. 2019 Jan;16(3):406. https://doi.org/10.3390/ijerph16030406
22. Ferreira MS, daGraca Pereira M. The moderator role of family type in the relationship between functional disability and quality of life in patients with chronic low back pain. Ciencia & saude coletiva. 2016;21(1):303-9. https://doi.org/10.1590/1413-81232015211.01012015
23. Coller RJ, Webber S. COVID-19 and the well-being of children and families. Pediatrics. 2020 Oct 1;146(4). https://doi.org/10.1542/peds.2020-022079
24. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet. 2020 Mar 14;395(10227):912-20. https://doi.org/10.1016/S0140-6736
Files
IssueVol 8 No 3 (2021): Summer QRcode
SectionOriginal Article(s)
Published2021-02-16
DOI https://doi.org/10.18502/npt.v8i3.5938
Keywords
nursing; pandemics; family nursing; coronavirus infections

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How to Cite
1.
Fernandes C, Magalhães B, Silva S, Edra B. Adaptability and cohesion of families in times of the COVID-19 pandemic. NPT. 8(3):234-243.