Behavioral Medicine: A Guide for Clinical Practice, 5e >Families

Mitchell D. Feldman, John F. Christensen, Jason M. Satterfield, Ryan Laponis+

Table 11-4.Presentations and problems associated with family dysfunction that should trigger screening for family dysfunction.

•Noncompliance with self-care regimens

•Alcohol or substance abuse
•Mental disorders, especially psychotic, mood, and anxiety disorders
•Unexplained medical symptoms and somatization
•Physician-experienced difficulty in the doctor–patient relationship (i.e., the “difficult patient”)
•Health-related habitual behaviors—smoking, eating disorders
•Newly diagnosed, rapidly deteriorating, or frightening illnesses (e.g., HIV infection, cancer, end-stage renal disease, and myocardial infarction)
•Disruptions and change in the family system—divorce, separation, death, immigration, or emigration
•Natural and social disaster or trauma—fires, floods, earthquakes, crimes
•Sexually transmitted illness
•Anniversary dates and important holidays
•Domestic violence
•Reproductive health—pregnancy, termination of pregnancy, family planning

Date of download: 12/27/22 from AccessMedicine: accessmedicine.mhmedical.com, Copyright © McGraw Hill. All rights reserved.