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UBC Theses and Dissertations

The relationship of family functioning to the self-concept of adolescents with cystic fibrosis Mac Leod, Margaret Isabelle


A descriptive correlational study investigated the possible relationship between family functioning and the self-concept development of adolescents with cystic fibrosis (CF). Twenty-two adolescents ranging from 13 to 19 years of age and members of their families volunteered to participate. The adolescents completed the Offer Self-image Questionnaire (OSIQ) and the Family Assessment Device (FAD). Thirty-four family members completed the FAD. Mean standard scores for the study population were compared to normative values for the OSIQ and the FAD. The Spearman rho correlation procedure was used to investigate relationships between scales of the two measures. Findings for the self-concept measure (OSIQ) revealed that the mean scores for the adolescents with CF were better than normative values with two exceptions; the mean score was lower than normative values on the Sexual Attitudes Scale for males and females ranging from 13 to 15 years of age and on the Body and Self-image Scale for males 13 to 19 years and females 13 to 15 years of age. On the family functioning measure (FAD) the mean scores for adolescents and their family members were lower than suggested healthy cut off scores (Epstein, Baldwin, & Bishop, 1983) with the exception of a higher score on the Roles Scale. However, scores of the sample were similar to FAD scores generated from a random sample considered by the authors of the FAD to be descriptive of the general family population (Miller, Bishop, Epstein, & Keitner, 1985). A positive relationship between well developed adolescent self-concept and positive family functioning was not indicated; most correlations between the OSIQ and FAD scales were negative. Health care for adolescents with CF should include addressing their sexual and body and self-image concerns and promoting healthy family functioning. Further investigation of self-concept and family functioning for adolescents with CF is warranted.

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