ArticleBMC family practice2017
The effects of family structure and function on mental health during China's transition: a cross-sectional analysis.
Article in BMC family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.
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Who cites it
46 citing papers in PubMed, 96 citations in OpenAlex.
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- The mediating and moderating roles of physical sub-health in the relationship between family functioning and mental health problems among Chinese adolescents.BMC public health · 2026Article
- The influence of social network on depressive and anxiety symptoms during the COVID-19 pandemic: findings from a Swedish cohort study.BJPsych open · 2025Article
- The role of family caregiving in the management of individuals with mental illnesses and the outcome of family-based interventions for mental illnesses in China: a scoping review.The Lancet regional health. Western Pacific · 2025Review
- Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China.Belitung nursing journal · 2025Article
- Association between social frailty and quality of life in older patients with chronic heart failure: sequential multiple mediating effects of family insufficiency and social networks.Frontiers in medicine · 2025Article
- Depression among people living in rural and urban areas of Thailand: A cross-sectional study.PloS one · 2025Article
- The pandemic within a pandemic: mental health and wellbeing of racially Minoritised women experiencing domestic abuse during the COVID-19 pandemic in the UK.BMC women's health · 2024Article
- Family functioning mediation in tic severity and quality of life for children with Tourette syndrome.World journal of psychiatry · 2024Article
- Parental ADHD knowledge and medical visit status of school-aged children in Shanghai.Child and adolescent psychiatry and mental health · 2024Article
- Factors associated with the level of self-management in elderly patients with chronic diseases: a pathway analysis.BMC geriatrics · 2024Article
- Clinical Symptomatology of Anxiety and Family Function in Adolescents-The Self-Esteem Mediator.Children (Basel, Switzerland) · 2024Article
- Associations of recent stressful life events with anxiety symptoms among Chinese adolescents with a consideration of family functioning.European journal of psychotraumatology · 2024Article
- Examining the influence of problematic internet use on sleep quality in Chinese adolescents: a study using the extended Stressor-Strain-Outcome (SSO) model.Frontiers in psychology · 2024Article
- Chinese college students' mental health during the first three months of the COVID-19 pandemic: the protective role of family functioning.Frontiers in public health · 2024Article
- Effects of Family Environment on Depressive Symptoms in Postgraduate Students: Longitudinal Moderating Effect of Family Support and Mediating Effect of Psychological Resilience.Depression and anxiety · 2024Article
- Stress management in family environment.Indian journal of psychiatry · 2024Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocial change, intensified by industrialization and globalization, has not only changed people's work lives but also their personal lives, especially in developing countries. The aim of this study was to provide evidence and recommendations regarding family structure, function, and mental health to actively respond to rapid social change.
methodsA cross-sectional survey was conducted face-to-face and door-to-door from July 2011 to September 2012 in Hubei Province, central China. Family structure comprised alone, couple, nuclear family, and extended family; family function was measured using the family APGAR (Adaptation, Partnership, Growth, Affection, and Resolve) scale, and mental health was measured using the Chinese version of the 12-item General Health Questionnaire (GHQ-12).
resultsThe urban-vs-rural difference of family structure among alone, couple, nuclear family, and extended family was statistically significant (5.21% vs 4.62%; 27.36% vs 13.14%; 33.22% vs 27.74%; 34.20% vs 54.50%, respectively; p < 0.0001); and those difference of family function was not statistically significant (8.11 ± 2.13 vs 8.09 ± 2.27, p = 0.9372). The general linear regression showed that the effect of family structure on mental health, whether urban or rural, was not significant, however, the effect of family function was significant, especially regarding better family functioning with better mental health.
conclusionsCombined the effects of family structure and function on mental health, the external form of family (family structure) may not be important; while the internal quality of role (family function) might be key. Improving the residents' family function would be a priority strategy for family practice with their mental health.
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